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HomeMy WebLinkAbout0175 SEVENTH AVENUE (HYANNIS) - Health IeAA 4vt • SST 7 sn j/ � / ASSESSOR'S MAP -VOr2q5'-TO PARCEL g`Co - 0�c V LOCATION SEWAGE PERMIT NO. 1 -75 -7-t�' VILLACE w of w vuks a f,>-T— INSTALLER'S �NAME . i ADDRESS i C B U I L D E R OR OWNER { DATE PERMIT ISSUED DATE COMPLIANCE LISSUED �� v 7 .. W N t� k � � 0 O � j 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 . .... ...� -... ......................................... w �} 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 - - ��•�•-• • . . .................. 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�:_�- � �- cY. �? •r r ^•^, ' ;=-- _?:,e. =...5:. °_...." �... ........... .................................................. 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 � 7 r �' ! '�"��-�'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 w 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 Ga 1 'r'LA-r ( , 4L ­4 4+ A , LOP , n G ale tf 1( _ _ nII` I I -). ! ,LL!!,L C x I r2 41/ / / •^ -_._.t .tw... 4 �r -g •� ,� / V'r �Ov(i r:? y'�G�r�t�i '11�1�} I �� . t` r��� r J 510 Aj � ! � I I � � �`:►. �a> .�.I,t. Gib � �,' �..._.,.. —._._.. r h '� ¢1 � � }} � \y )_ ! � ,y_ � �,�, �` � i �'� �' L,r i� 1...�% ✓•)"'{..i',j� "!� Y +a�.'1/V i/�`l'r�""' �I V'.� r 41,01 , Nl- 4i r Y,b. r0u�a i Fr r IV ARNE WALA iaysL HLA •