HomeMy WebLinkAbout0175 SEVENTH AVENUE (HYANNIS) - Health IeAA 4vt •
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ASSESSOR'S MAP -VOr2q5'-TO PARCEL g`Co - 0�c V
LOCATION SEWAGE PERMIT NO.
1 -75 -7-t�'
VILLACE
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INSTALLER'S �NAME . i ADDRESS
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B U I L D E R OR OWNER {
DATE PERMIT ISSUED
DATE COMPLIANCE LISSUED ��
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF 1—IEA .,�TIj
(, ESIGNING ENGINEER MUST SUPERVISE
.Q. .... ..............OF..`.....`a�'Gh'P s`..'�"!�...�l lS.... ICIy AND CERTIFY RJ WRITING
THE SYSTEM AS I TALLED IN STRICT
Appliratinn for Di_qpusal Works Tnnotrifffivit
Application is hereby made for a Permit to Construct ( ) or Repair (�n Individual Sewage Disposal
System at
•----... ....__...._.......................... ----- ----------------....................
kVLLocation-Add ss� or Lot No.
.. .._ ....dTC ....
2� -c4V,_ V. d s5 n
a .................•----...... .................. ......•.................... .......... +` 1........_..........
Installer Address
Type of.Building Size Lot................ Sq. feet
Dwelling—No. of Bedrooms-•_----3...............................Expansion Attic ( ) Garbage Grinder ( )
a44 Other—Type T e of Building ..._...._ No. of persons............................ Showers
YP g --•--•-------•---•- P .....--(----> — Cafeteria ( )
Q Other fixtures ---------------------------------------•----...------.••-•••--•-•-•--•---••------•-.......•..... °--�
w Design Flow...............�_.1_.( .................gallons per person per day. Total-daily flow..... .Z_a-'(D_............._....gallons.
WSeptic Tank—Liquid capacity......_.....gallons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench—No. ..._'.............. Width...A.0......... Total Length....40_1.... Total leaching area....................sq. ft.
3 Seepage Pit,No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..(4Qn.....sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
0.4 a Percolation Test Results Performed by................ �-_>_US_v..f .-........ Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit............_....... Depth to ground water........................
...............................
•---------•---.--..................
....
.-•----
•------
.-----
--------------
.•---------
•-------------
...
..-•-•• -•-•-
0 Description of Soil............................................-•--••. im
-.: ........_
V . .... ...� -... .........................................
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�} Nature of Repairs or Alterations—Answer when applicable.__..._ CM-P--._-_ - ( F'
- ••----.....--•--•...
`-1f7 .�Q a� '(?x--'-� ------------------------------------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT:..E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has issue-b e -d f h
Signed C
Application Approved By............. Cl.... L 9�
Date
Application Disapproved for the following re s:......:...:...............:............................•-------.-_-•---...................• •-•-•-•---..._
..............•-----•---....-•--•-----••--- :--------...-------•--•--------•-------........----...•---------------•-----•--••-•---.•-•-••-•--••--•----•-••-•••------•----------------••----•-......._....
Permit No....sl J ...... .U- ............... Issued................•--•---•---••----...-----.Dau......
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Appliration for Bhaiposal Workii Tomitrnrtion Vanmit
Application is hereby made for a Permit to Construct ``PP Y ( ) or Repair O an Individual Sewage Disposal
System at
.... •---
��'`j aW ..........-' ---i-•-Si-._..(.,,..,.,_...__ ov catio.uw.G-n�Aer!dd'cr�t Ge7s r{ q4
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. . ..................
Address
C7 .LA ",w ....... .....,.............. ........................... < �...... ................................ .._.._.............._..........----
Installer Address
Type of Building Size Lot............................Sq..feet
Dwelling—No. of Bedrooms___._. _______________________________Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
p' Other fixtures
Design Flow...............1. _.f ?.._._..._._.._._. allons er erson "er da . Total dail flow_.__"''__. __.____.__.__.W , g P.; P P Y Y -•---gallons.
C� Septic Tank—Liquid capacity............gallons "Length................ Width................ Diameter................Depth................
Disposal Trench 'Vo: ?.__ :��_: Width_..._4 0 __..... Total Length._.. ` ....... Total leaching area....................q. ft.
1
3 Seepage Pit No ` Diameter____________________ Depth below inlet_____._..___.____._. Total leaching area.. ._..sq. ft.
Z Other Distribution box ( ) Dosing tank
Percolationz Test Results Performed by_____________ ....... �-- _ ` _.. Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
fN� Test Pit No. 2................minutes per inch Depth of `Test Pit.................... Depth to=around water........................
..........................A_..........._.......___..___.•�____..______...__.___..�_....• 1 O ........................................i.._........................
Description of Soil-••.............. _ -' ,v
x -•-- .••. ----.---•-•
W ------------------- --------------------- ------ = -.. .•.. -. w:a _�:.:_... ............------------••-------- •---•----
-•-•-••------•------.---•••••-•---•-----•-•---•-•••..--••••--••---• _.
U Nature of Repairs or Alterations—Answer when applicable._---__k %�1.. :t..t�"'':01�:_�- � �-
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Agreement: 1
The undersigned agrees to install the aforedescribed Individual'Sewage Disposal System in accordance-with
the provisions of TIT . 5 of the State Sanitary Code, The undersigned further-agrees not to place the system in I
operation until a Certificate of Compliance has been-issued-by-the board of health-------
Signed- ---- .._.:_ - c^,! '.:. ,
Jam- -•� •--� � — --- .,�;-.� � -'€
Dates p-
APplication Approved BY ----••-- ------------------------ ..--•
Date
Application Disapproved for the following re s:-•----•-•-•••-----------•-----------•------------------------•--------------------•-----•-............--.------
.................••..................-••--•----•...•••••-------•--•-••-•••--•-••-.....--•......-•--•--••----...---........•••-•---•-------•••--•-••--•-•----••--•--•--•-•-•••-••-•-•---•--•-•••---......
QR ,. Date `
Permit No....S.L.. ..... ............... Issued.-•--•-•-------:._....-•-•-•---•-- :..:.. .:.._...
Date `.•�
THE COMMONWEALTH OF MASSACHUSETTS /� T
J-
..l � BOARD OF HEALTH
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�' ! '�"��-�'e- `��i-? ;.. ' •�t en. ......OF f�Gt Rr.t ) `. .....................
� �•� �� �,n�9 4 ,� �rr�gf�r�#r oaf f�u�t�rli�tnrr
-'`THIS IS TO CE.R-T-I—F—K That the Individual Sewage Disposal System constructed ( ) or Repaired
by...... ••-•..-,'•-- - =-'.....•..............:. w•........................................................................................................................
<4` 1 7r 0 Installer
at................................/"` ... -----•- '
. ...................................................
f has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as:described in the
............•-•..aPPlication for Disposal Works Construction un Permit �o.<C-_.� _L ....... dated------ -`
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT RE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. a.
E � � �
DAT .-•-....... ......................------------------ ---- Inspector........... --•••-••---•-•--••......--
a.-�...-Brae-rr.�s.�.:w:+-mars F+�....�.Q.ei`�_ - s��-w..�w.w!.-,.._...._=,i.::._..�.+.:..►_.-�a�.,!.4.s_.�_�. -_v_.r_.._...-+r-�—�d t 1 Y r�
HE COMMONWEALTH OF MASSACHUSETTS
W� BOARD OF HEALTH ENl WAS INSTALLED IN STRICT
�. SV�I TO PLAN. r
r�.. t•' C^-O F.....::(:� •r •=••= :!.. _.. :._,ACCORDANCE
No...r6.. 13�.. . - S
_ ......._.. FEE........................ '
�to�r�sttl la�ko �on�#ruan �prm�t
_ . ... 3
Permission is hereby granted.......... :_ '....__. _ . ........................................
to Construct ( ) or Repair'(C ),.man Individual Sewage Disposal System
at No...............t 7 ;. ---••---•••--= _->-e• v 3 �•
............... --- ---------- --...------.....------------------•-------------------•--•-••---..........
Street Io_O
as shown on the application for Disposal Works onstruction 'ermit No._ ___r...____• lihated____ ._.. .t..... ........
/ ---------------------------•------------
Z1 Board Health
DATE..............q-- r - ---------------------------------
362.4541
926 main street rt 6A
yarmouthport
m ass. 02675 down cope en'tineering
civil engineers& land surveyors
structural design
Arne H.Ojala P.E.,R.L.S.
land court Richard R.Fairbank P.E.
surveys
site planning
November 4, 1986
sewage system
designs
Board of Health
inspections Town of Barnstable
South Street
permits Hyannis, MA
Gentlemen:
On October 9, 1986 Down Cape Engineering inspected the
septic system at #175 Seventh Avenue, W. Hyannisport.
The construction complies with the Massachusetts Environ-
mental Code Title V, the Barnstable Health Regulations and
conforms to Down Cape Engineering plan #86-119 dated
April 11, 1986, prepared for Future.Design Builders,with
the exception that the leaching field is 3.96" low.
Very truly yours,
f.
Arne H. Ojala, P.E., R.L.S.
Inspected by: M. F. McDonough and J.Z. Demarest
AHO/amp
362.4541
926 main street
yarmouth
mass. 02675 down cape enfineeriq
civil engineers&land surveyors
structural design
Arne H.Ojala P.E.,R.L.S.
land court Richard R.Fairbank P.E.
surveys
site planning
sewage system
designs
April 8, 1986
inspections John Kelley
Heath Department
Barnstable Town Hall
permits South Street
Hyannis, Ma. 02601
RE: House at 175, 7th Ave. West Hyannisport
Dear Mr. Kelley:
Persuant to our telephone conversation this morning I have reviewed
the information on the subject site and have dug a test hole on the
premises. I am confident that I will be able to provide a plan that
meets Title 5 and the town bylaws to upgrade the sewage system.
Very Truly Yours,
Arne H. Ojala
R.L.S...P.E.
AHO/cdw
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APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS
LOCATION .: N0
'VIL-LAGE:.. DATE
APPLICANT �,,,n FEE
ADDRESS G S� jw� TELEPHONE No. �( � s�Non-refundab
�ENGSNEER � a, .: . ..
TELEPHONE NO?f.J-•ySt��
DATE-' SCHEDULED
(Applicant' s signature)
• • •.• ♦.• r O.Y OO O ••• O •OO O O O • • O O • • •O O O •O O 06• •• • •O • • • O • • • o • • • • o o • • • • • • • • • o • o • • • o o • o • • • •
1'
SOIL LOG
SUB-D:IVx5Y0N NAME� gI��'�pJ1r�'" DATE TIME
EXPANSION AREA: .YES NO--
TOWN WATER ^_ PRIVATE WELL
ASS•ESSOBS AIAP AND LOT # BOARD OF HE
SS EXCAVATOR
SKETCH:, (nreet n me,etc. ,dimensions of lot, exact location
of, test holes and
percolation tests, locate wetlands in' proximity to test holes),
NOTES:
U4 t d4
, '.ice �••.:. .� ..., ".
PERCOLATION RATE:
TEST. HOLE NO: ELEVATION• TEST HOLE NO:
1 ELEVATION:
2
3 3
5 4 -
6 .0 6.
8 —.. 7
8
f9 . • y 9
J'0 10
• 11 11
12 12
13 - 13
14 1
14
15 15
16
I SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING F IE= LEACHING NG PITS
LEACHING TRENCHES
UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS:
kTE: 'ENGINEERING PLANS MUST SHOW- NUMBER ASSIGNED ON PERC TEST APPLICATION
ORIGINAL: COMPLETED IN ENTIRETY BY P . E . AND RETURNED TO BOARD OF HEALTH
COPY:. RETAINED 'BY APPLICANT
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