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Home My WebLink About0165 SIXTH AVENUE (HYANNIS) - Health ��s Awe•-"Ns l0 ION SEWAGE PERMIT NO. VILLAGE INSTA LLER'S AME i ADDRESS IUIL0ER OR OWNER r DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED °r;� (''� "� 'l`i �.ft'�� ^ S �. � , � �� ,s � � �� s� ��, �� No........... ...� ..w............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ALTH _ ...................OF..................... ........................................ Appliration for Uhipsal vrk�i (9jawitrurtivrt Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .6-p Z S�.f-fi�v�...��'l.f��!!%11� 1� ' Locatio -Addre or Lot No. J Owner Address a ,r•i. .� ._.. II�D�Idr ..............• --...-•---------•-------•-•-•-•---••------•-••-----••--••-----•-•............••----....... Installer Address QType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms........5.................... _Expansion Attic ( ) Garbage Grinder WO) Other—T e of'Building No of persons............................ Showers — Cafeteria a' Other fixtures --.---•--- -- --------- ---------- d -•----- -- .............••----.....------------------ ............................................................ W Design Flow.........57.5`..........................gallons per person per day. Total daily flow...........f.-.1'J_......._-___-.._-_-___gallons. WSeptic Tank Liquid capacity-/:r0k.gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width..........:......... Total Length.................... Total leaching area-_______-_.___..._--sq. ft. 3 Seepage Pit No._-•__x-_.--_._.. Diameter...t�.A_G-__ Depth below inlet.................•.. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit_____-__---_._____-- Depth to ground water_---_-.______----------. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --••-•. -----------•---•-•. ---- ................................ ---•--•.. escr>ptono Soil----------=- - -------------- ---- .... --•--•----------------------- W --•------------------------------------------------••--•------------•-------•----------------•------------ �xj Nature of Repairs or Alterations—Answer when applica.ble._ ---- - - - ---------- --- - !� -------------------------------------------------------•---•------•------•-------------------------------...----- -- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of I i -.p 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 health. igned ............... ••••-•-----•-------•-•-•-•---•-- f Date. Application Approved BY t , ' a -- .......... Date Application Disapproved for the following reasons:---•-----------•----•----------------------------------------------------------------------••••--•-•••....•-•-•- ••------------•-----••----------------------•----------------------------------------------•---------•------------------------------------------------------------------------------------------------ Date PermitNo......................................................... Issued..... �� .................... Date i No........... ..... Fms....:✓.....tl.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ALTH ....................OF....................... e4-44-1....... :... Applira#iou for Biupu.1ml Works Tomitrortiuit Prrutit Application is hereby made for. a Permit to Construct (.,;`) or Repair ( ) an Individual Sewage Disposal System at: f Sao Z S,►k � �.( . < v ..... ^e...- Local"".:Addres or Lot No. - .. .............................•----------------- ----..................-----........------..........--.-•----------------------------•--.....------ Ow er ..•••_-•........................Address Tr Installer Address Type of Building 0 Size Lot............................Sq. feet aDwelling—No. of rBedrooms:..._...��. ....:..........................Expansion Attic ( ) Garbage Grinder ( j P4 Other—Type of Building ......:..................... No. of persons---------------------------- Showers ( ' ) — Cafeteria ( ) 04 Other fixtures ............:.......•...-................................................. d `._.._... :. W Desi n Flow......_ .� gallons per person per day. Total daily flow......... ......................gallons. g / -� --==------------------------g P P P Y• Y WSeptic Tank—Liquid capacity.�W_gallons Length Total Lengthmeter leaching area_. Depth................ x Disposal Trench—No. .................... Width._ g g q. 3 Seepage Pit No-------X-__-_-___- Diameter...�aAA.. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil-----------a="=--•�--�•.a...... -... .............. x U •--•--------•---------------------------------------•--------------------------...---------------------•---------•••------ --------------•-•••. ---•--............................................ ----------------------------------------•------•-•------•-----------------------------•-•-•--•-••---- } U Nature of Repairs or Alterations—Answer when applicable._''._ _. _. �'1 __ - .......::::... .. .._ ..•--------•--••••--•-•--•-••--•--------•••--•••---••--•-•-•-- ------ ----- --- r Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTT? y. undersigned - g P Y 5 of the State Sanitary.Code— The undersi ned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. igned - . ..-----•--••----••----••-••-•- •--•••------•----- Date Application Approved By....... Date Application Disapproved for the following reasons:........................................................................................... .........___ .............-.........................................................................---------------•-•..•----•••------•------•----•••••---•---------•---......---=--'---------------------------------- Date PermitNo......................................•----------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ZH LTH OF..................... ' '"r ............................ 1/ s 6r�tffiratr of Tompliait e THI S TO CE iTJIFY at the I u vid Sewage Disposal System constructed ( ) or Repaired ( ) by ` ,:. t --------•-•- Installer 1 at has b n installed in accordance with the provisions of TI:.LE > of The State SanitaryCode as descrf6cd in the application for Disposal Works Construction Permit No......................................... dated-. _.a_ _:-_- `_............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. `.....Q ............................•..-------•-------. Inspector �,✓ 6 !'til/� i/ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r� ...... ..... .OF.. i0"............................................................... No....... .. ` FEE:.... ............. ��- �iu�ou�1 Turku � iiu�rio r uti� Permission is hereby grante ' !.� � . ....................... - to ConstrucA ( �) or epair ( an Individual Sew S stem, at No...'..J(l tom¢= - ......--` � ....... - �`Y -- ................................J Y e Street ' as shown on the application for Disposal Works_Construction Permi. o_ _____________ d t -•--------------------- _J) Board of Health DATE---�_ .` ................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS L "� r — e .. .21 � C- 25848 - YU h 'LOT PLAN OF LAND . IN BARNSTABL.E, "MASS. Owned by :mbsmPH i 1 -ANA ' EONSTAN 'TZ 'PPA Sco1;-;,: I"= 30' . Dote:JU,N E 12 , 1979 _ 551 553 g i«r W 40 40 .� �► -- o j 7 .J 1 mot : S 0 R Y MOD (D o F RAME o O - --- --- - -- _ 21 504. 502 D8 42, ' 40 40 SIXTH AVE . 4 NOTE:Tbis pion� not mos"$ from on Instrurr�nt survay and should trot bb usad to esloblish propArty or A fence limts. ------- - — - --- - - Job Nto.771 PREPARED BY I HEREBY CERTIFY THAT THE BUILDINGS C-`d THIS PROPERTY ARE LOCATED A5 COLBURN ENGINEERING, IAq - i SHOWN ON THE ABOVE PLAN AND COlvt 4 54 I'vloin Street , I-iusizorj , I.40-, PLY WITH THE PRESENT ZGNING LAWS OF Registered Lorca Surveyors Q THE TOWN 0> BARJ�lSTPLE. pR.Or ESStONAL ENGINEERS Or PLAN REFERENCE TI tle: PLAN OF SEASIDE PARK By• FRED 0. SMITH % . `�.'�STc•v`Plc� Dott':AUG. 1893 t A / Recorded :MIODLESEX COUNTY F_G ISTRY - G�l.�� %�_ �•�. PL. El f. 34 PG.23 Or I