HomeMy WebLinkAbout0035 PHILLIPS ROAD - Health 35 YPhillips Road:
Hyannis
A = 291 ,004 G
'i
Ir
LOCATION SEWAGE PERMIT NO.
3S' /(d • Rf - 3 Z
V'I LLAG E f'n J,12.2-/o��DC�
NNE /
�Y9 s m� _
INSTALLER'S NAME i ADDRESS
not- 3 cXc/?y.qT/01✓ re/L GA/vae/ !i
C -3 9 oo�q c
8 U I L D E R OR OWNER
3r1�' GONG Gov iv� �i1:- JD: S//9lL�Ov�'�j"
DATE PERMIT ISSUED 3 Is's
DATE COMPLIANCE ISSUED
rot-"
Fss........s�7 L�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
r� .....-- --- .. . ..............OF............................................_._...._.._..._......_._...._............---•- f'�
Appliration for Dispniia1 Works Tnntrnrtiun lirrmit I
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
c.f1 ......._....--T -
� yiS��L�I�S �Zo
................_....._._..... .....--••-•--•---........-•--•---._..... - --•------•------ r- .......------•----•---- --=•-------.......---•----
Location-Address or Lot No.-
............................. .........................................................................................._..---
Owner Address
Installer Address
d Type of Building Size Lot___- . S feet
Dwelling—No. of Bedrooms:..__._.__._ ........................Expansion Attic Garbage Grinder �(a
Other—T e of Building No. of persons............................ Showers — Cafeteria
W Type g ---------------------------- P ( ) ( )
Ot
', -------------------•...----...-----------••-----•--•---•---•--
Design Flow...42�:�'-7....................................gallons per person per day. Total daily flow............................................gallons.
0� Septic Tank—Liquid capacity.11)64__gallons Length---------------- Width................ Diameter................ Depth................
x Disposal Trench I No...... V. Width.....;............. Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Di ter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( Dosing tank ( ) f
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1..___<...)-minutes per inch Depth of Test Pit.................... Depth to ground water__.....................
fi, Test Pit No. 2....... per inch Depth of Test Pit.................... Depth to ground water........."' ........
a' ............................................................................................................................................................
0 Description of Soil...... CL1,0,._5Z_1A4-------------------------------------------------------------------------------------------------------------------------------
x
W
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITi U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be�ued by the board of h h.
Sied- ..�----------C(....... ...--•-----------------•---•--- -•-- -----------••--•--
Application Approved By-- ---•-�• ... -v:±.�4. t
.._.. ---
ate
Application Disapproved for the following reasons----------------•---•----------------------------------------------------------------------------------•-•-------
•••...-•------•-•----------------------------------•-•--•--------•------••••-------...-••--••-------•••-.•-----•-----....-•••---•--------------••----•---------•----------••••-•--•-----•-•-•-------....
Date
PermitNo......................................................... Issued-.......................................................
Date
.fYLY�,fau
Fxs..... ........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.................. .---------.....OF..........................._...........
Appliration for Diip.as al Works Tonstrurtinn ranfit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
................--`�--._..�N........./0�?S_....... r =--------------- ------•------ �` "�..................................... =•---...-•---•--.....----
-----
Location-Address or Lot No.
.........
Owner Address
w mat r. c�.� ?:r.... ----........ ................................--------•
..
Installer Address
Type of Building Size Lot...�rj,i ?'--_-__._Sq. feet
I—I Dwelling—No. of Bedrooms.............2...........................Expansion Attic 00Garbage Grinder
Pk
Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures ••--•-•••--••-•-----•-•••--•••••••••---••••--•••--•......-•••••••••-•-•----•-•-••--•••••-•••••-••-•••-•••-•--•-•-----••-•••.............•.........---•
W
Design Flow..4!7.��'......................gallons per person per day. Total daily flow............................................gallons.
Septic Tank—Liquid capacity�:D66...gallons Length................ Width................ Diameter---------------- Depth................
WZI
Disposal Trench 1—No..._AbOCIF.. Width.....::............. Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( 1•«j"� Dosing tank ( )
'-� Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1....<.::L minutes per inch Depth of Test Pit.................... Depth to ground water._-=-_---:____._-
4.1 Test Pit No. 2----- .^"1..minutesper inch Depth of Test Pit.................... Depth to ground water.........--=--_____
pi
ODescription of Soil---- e`'`'^' ✓ ------------------•--•-----------------..---------------------------------------------------------------------------------.-.-..-----
x
W
UNature of Repairs or Alterations—Answer when applicable...:...........................................................................................
=----------------------------------------•--------------.....---------------......_._.........-----------------------------------•-----------------=-----------------------.......-----..........
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been-issued by the board of hPalth.
..",.,...�C :,
signed ------------------------- .......................... ................................
f f ( f Date
Application Approved BY ----- �` ;.ter.." `! 1' i � `f` a �:-=. J "
Date
Application Disapproved for the following reasons:--------•----------•---••-----------•---------------------------------------------------•-•.....-•••-••-------
.....•••-••••-••-••-••-......••-•-•••-••-•..............•••••.......--•---••-••--•--•---•••-•--•---•••••••-•--•••...........-------------•••-•-•••---------•-•--•••-•----•••--•-•---•-••......--•---....
Date
PermitNo................................................... Issued._......------------------------------------------.....
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH ---
...............................I..........OF.....................................................................................
(9rrtifiratr of ToutplitUtrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
y............................................y!:.A................................................................................................................................................
+ Installer
el
........-f -
.........••-•-••-••....._
has been installed in accordance with the provisions of TITL, 5 of The State Sanitary Cocle as described in the
application for Disposal Works Construction P �... ___.__..............ermit No.. �.............. dated_...__!THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO TRUE® AS A G ARANTEE THAT THE
SYSTEM WILL FU CT ION SATISFACTORY. Inspector...._._...
DATE........................•.q � ........
THE COMMONWEALTH OF MASSACH SETTS
BOARD OF HEALTH
..........................................OF........................................--------.......-............................. r o�
No.. ..................... FEE...,. 1. -.....
Roposnl Dodo Tnntrnrtinn frrufit
Permission is hereby granted...........74.....'_ I- %.................................................-
to Construct ( ) r Repair ( ) an Individual Sewage Disposal System
at No....... �. I ss �< f. -' ..... - ----------------••.-
Street ��•
as shown on the application for Disposal Works Construction Permit No't �� ..... Dated.-_. e �1'�........................
��.. _..' �`��
DATE - ----•-•.................................................. Board of Health
FORM 1255 A. M. SULKIN. INC., BOSTON
77-
--w
J
OIJT;�ET
ox 9 -
-----------01
5 0, KNOCKOWS
INLET KNOCKOUT 3"-1
6 4 DIA. r74'
3,5' DIA
5' DIA 24 4
OUTLET
�NOCKOUTS
OLITLET -
it 411
zz 6 DIA.
0
0
jo 0
N, 00 0 0
a
(Z) C) 0
0,0 0
0 0000 00 0 OD 7-OP j
0
,OerA &S
00 0 ag t(,�IDAEWACE S)es.rAFAof
0
00
0
010 0,00000 0 101 I_G
C)
0 C) 0 0 , Qi ,
C) 0 0 . 1 �so X, OPL=_RZEA��P17 OCX 0
0 00 0 6el,=_A rAAII,--
OC) C>00 I r) 6�
C) c) 0
0 0 ,� 09
00
00
(Z)000000 0
6 0 0 4"
0
0 0000 0 "
-7
A
100"
T
-7
11 W 0 0 0
to
4 0, 5 7-. 46OX 0 0 (D C) 0 00 OT
' 040 0 0 0 (D 0 0 �0 0 0j
3�
-imlill'i W i LEVEL
WPAWA
NNW*&
0 0 (D 0 (2) 0 0 0,0 til
YI/ 16' 000 0 (D (D 0010 0 0 01. 1
jif 00 010 00 0 0 0 0 Ll. 1
L3
0 ,0 (D 0 Go 0 0 0 oil" o
lij () 0 01 0 0 0 0 0 001
CEA4ERA L A107,E5 /�7 2
I j�L 0 0 0 (D 0 0 0 , 0 0 0 1: 1
31 ZT?0 J, 4ZZ- ZZZ-JI,4 71-0V:57 5AVWN ARE_
5 P.
75�_ , j 0 0 0 (D C) 0 0 0 0 it,
Ile/
2. AZZ 4�IAE5 IAI rA�� 7-0 9,E-
.40 (f A 5/-1 ROAI 67A::' 54f X1Z,0611_,F -40 P;1C. xf
C F5'X::; V CRI rj FR 1A
N
3. R,FMa E A Z L. 6 W!Z 117,4,61-,6 A-M 7,e ERIA Z
z
4REA1,eFA71-1 7ReF11VXERTiELEVA77L
Z>,EA>50A15 lc>ZR&C-I�IAVOM
-R,4AVZ
'Al
'9 6 A R &A 3A 5:1 5,4
Z,6A CA41AC loez IRIE49
4c AhFAL TAI
(36e6 _-SACAIIA167 R1?0VZC�E,0 447
",115rRE A1071,,CZE,9 M1177-1 7;Z12F
:W_57_,e�V 15,11V5TA1_ZEP X�901R 7?
.47-laIV RArF-1:�--Z.4f1N-1AC1-1
175
11 ...... 'RY.- 2"Dlv� M51<'e,,W MrMO S-D -5-6.c
�100
61AIZ,655 ALL 1_5111RV574 -7/ 77 Z,- 377.
5Y57EM C4WP0A1&-V7?5 _51-1ALIL&E ,CA 7,ig*71 ,e- w--,O
-7 z
4z
INSrA L/EPI� //V ACC0R1?AA1C2F W17-1-1 PPI_ICA A/T:
I 42W /1>47CI�/Al
E Y -5A- N17- RY
IVA 5_5AC1_1(,15,E,775 T17Z A
U
V
-ZOC471
.5�041,ER COC�E A&D A;6
A,q0P0_5,.=-Z OW,E-L L 1A 16
WIVIC14 MA Y:,6,E A PPL ICA 8 L,F.,
56A9 VA4::�7E Y-5 r,
a li'15 40r151 , T 7?W 400D IRWIV 3,33M)"
VL
60flw-tk/6, /,or Y) RY//-z/pp.�; Xn� L>
7Z,
7- A 6_AR3A6oE� ,6_R1A10,ER
W14LIJzo� _91E :,t
JS 7A
P/-.`//z L /P , :5
W rqAE 5 5rz_741,
\7 vr :
-AtL? '516AL--,C 7'44��Z��,'
W
A Co
4�
4
666
��S _5 V0.
z
=5� ABL
J
i J z
,J,
4V,
-- --- ----------