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Home My WebLink About135-139 SEA STREET - Health 1,3 139-Street Hyannis ... .. ... .. ... A 307-279 & 271 4 h P i h tl J i I� LOCAT 13� SEWAGE PERMIT N0. VILLAGE 3a7- -7-7� I N S T A L It NAME i ADDRESS 0 U I l D E R 'OR OWNER Given DATE PERMIT ISSUED. DATE COMPLIANCE 'ISSUED �4,/7, ;� '. 0,1� ° ✓t �"�'�,� � .s s�'`{ ': '/€. 6 €€tr � .. �' 11� I)+P' � Y q x �E > � la's E E >y �307I UZI ow 7io z ( x i x Mill! IF Wil'i 307EE , # 39�44, 3E0705 140 ow _"_ � t s xh E37U61 �� #715 y 3 ' 307Q59 # 149 �� 32 , >/ flm OW�✓ 0.1�V:�O v- gg _r. V 670 LO CATION SEWAGE PERMIT,-NO. �t VILLAGE )Y�q K, INSTA jL R'S NAME & ADDRESS 0 U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED A.4 f7, �� Iuit a 1 ! 1 J � 7/-� Firm �00......_ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .................._FRz ,?...oF.. HaJ722.�).-1�4..h) ..................................... Appliration for 13ispos al Works C ontitrur#ion rrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( J4"an Individual Sewage Disposal System at .. ...�?� ...` Y... '..................................... ....... ... - ----:._........ -Location-Address or Lot No. ...................&c.a)__ulrq..................................................... , �Installertallr �. ..---.....--------------.-----------------........_..... Owner �_ Address J;a 942� ,r22 �� . ... d l dr.... ....... ............ ----------- Adess dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of persons............................ Showers — a YP g ---------------------------• P ( ) Cafeteria ( ) a' Other fixtures .............................----------••-_..._ ----------------------------- •...... ----••-.-_-. ------ W Design Flow.............................................gallons per person per day. Total daily flow..........._._._......._.•......._..••..._..gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1.---------------minutes per inch Depth of Test Pit..................•. Depth to ground water........................ f= Test Pit No. 2................minutes per inch Depth of Test Pit......_............. Depth to ground water........................ Q+' --__---------fifi ------------------------------ O Description of Soil......s�=� YJ.-".__9-rrW-Z ............. W „v x U Nature of Repairs or Alterations—Answer when applicable._•____ ,......1_U _____.!/____________________________ ----•-------------------------•--•-•-----•-•-•------•--•--•--•-•---•--•-----------•-........_...------------...•-•------------•------••-••--••-•---•----•-•--•------•--•---•-•-•-•-•-----....•-•--•----• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has a issued by the ar f ealth� igd ..`. ........'.....................-•-------...-•------...-•---• /lA l Date Application Approved By--.. -• _ . f. ..` �j�C !�`�/�--Za, - Date Application Disapproved for the following reasons:-----••-----------------------------------------------•----•--......------------•-------...-----•-••••----....-- --••--•-•-----------•-•-•-•-•------•..............•--------.....-•-------.........•............--•--------•-•----••••-•--••-•--•----•--------------------••-•----•-••-••...-------••--------•......---- Permit No.- Date .....-•--------------------- Issued•-- 1� 7 -------- Date Y cly.ou FRic............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliraatiun for Disposal Works Ton,stratrtiun rnmit Application is hereby made for a Permit to Construct ( ) or Repair ( ,) an Individual Sewage Disposal System at: ................__..__....................................................................... -----..............-----•---------••-•-'-'--•--------•---•--------...................---'----•-•-• Location_Address or Lot No. Owner r Address W I f . Installer . Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures .._.....-- ••---•------••----... .Q ---------• W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length............._...._?Total leaching area...................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet...................iTotal leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) �y a Percolation Test Results Performed by.......................................................................... Date............................ ...------ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0+ -------------------•---•............-•-------------------...........----------------••-•......•.............................................................. 0 Description of Soil...........................................................••-•••-•••-•---------------------•-----------------.-------------•----••--=-•--•---------..._...........--- 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 LITiZ 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.o ealth. Sigr...................................... .......................... Date Application Approved By f `� ,� f l �f----1 / Date f Application Disapproved for the following reasons:........................................ _._..._.__..._.__.___._.._.__._.._.__............-----....._.._.._.. Date Permit No...... ..................... Issued...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ '. ......................:...................OF.....::. .............................:::..._.................................. k5rrtifiraate of Tuutpliaanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal,System constructed ( ) or Repaired ( ) ............................_........................................................................... Installer at.....•-----•......._....•-••--•••••-•....-••---...--•----•--••-----------------------:----•---- ----•-----.......-------•--•.....-----•--•-----.._...._.................---•--•-•---...._....._.. has been installed in accordance with the provisions of l j_ f The State Sanitary Code as described in the application for Disposal Works Construction Permit N ._._.. ..__.. �� - ....... dated._../ "" THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......-- .....................� .... P--•------•.................•--•--- --. Inspector ....................... --- -lr_.'L'>�rc2--- - -......-••-- ,y i - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH P -0d' s -11 r 'T E a !r s yq dyw f No:........ ............. FEES', Disposal Works. Tonutrurtiun rumitQir _ Permission is hereby ranted..... ...........................:. i x� to Construct ( ) or Repair ( 4)_� Individual Sewage Disposal System at No a "' 1... _A_J__!' . .f= -- --- ---- -------------------- r . ..._.. ._._.. - ..F:�• ---,--E �• x -Stre -- {- -�!i...(_E............ t. ._.r t as shown on the application for Disposal Works Construction Pe m NK-z .' - .._"'. j "T - Board of Health DATE-- •-!:..71-....., � ..............'• FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - -