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HomeMy WebLinkAbout0150 ACORN DRIVE - Health 150 'Acorn Dr►Vo- 144-014 Oste"rville w A �r I&CATION SEWAGE PERMIT NO. VILLAGE,a rye( M14® q �° f 7 lVq—a/ INSTA L L E R'S NAME & ADDRESS J. CRAIG AAE®EIROS Tru kin & Bulldozing 142 Corporation Street B U I'L DER OR OWN ER Hyannis, muss. M Id (30 IL DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 611 z� S ID Li o a � lam ° a. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 ...--------0F..... Aj;;Z1. A-— - --------------- j, Appliration -fur 43'hipaoat Works Towitrurtiou Vrrnift Application is hereby made for a Permit to Construct ()() or Repair ( ) an Individual Sewage Disposal System at: /CR- A�a r _ a =• _�ht A%fi- MAC---1- ------------ - ��------------------------ ------ Location-Address or Lot No. A�-----. . � -tea s- ➢.�. C - � - ....... Owner p� p A, �Addd�ressg�q{ `n q W .-•-----•---._...---•--•------ - F�.r../.)� ll(.J-t1.D—'�n50�•'--.••rS-------------- Installer Address d ' Type of Building Size Lot_ , .Sq. feet U Dwelling—No. of Bedrooms................a........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons.-..----..------------------ Showers ( ) — Cafeteria ( ) a Other fixtures ------------------------------ -- W Design Flow_1.101.GAL113EP.'ROOM..gallons per person per d . Total daily aow----------------------------------------- lion WSeptic Tank—Liquid capacitylOW.gallons Length--V-"_G__ Width4.° -�`9._.. Diameter-----.............. Deptll.-__ �"A_.. x Disposal Trench—No. _ ..- .-_- Width-----1.6........ Total Length.... ..... Total leaching area.. -4. ....sq. ft. Seepage Pit No------------------- Diameter........ ....... Depth below inlet.......-'-.•---... Total leaching area..-------------sq. ft. z Other Distribution box (%,) Dosi j tank ( ) a Percolation Test Result Performed by. 14�1.TN1V(_ -�455.5' .`3i_-...--...-• Date.i=ZI - � ._. Test Pit No. 1....1h3-----minutes per inch Depth of lest Pit._'L0.-...... Depth to ground water...-......._a....... (� Test Pit No. 2......"........minutes per inch Depth of Test Pit---.--it---------- Depth to ground water--.--.--I!..---------- -- --- ---•---- --- O Description of Soil-------1� , A0: V0Q5 -- � 1' ..... 1 ! -----=----- ;�`l.l x w x -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 Article XI 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. Sig ed-�� s'..P•!'_ll�l >� •- _. --- ')-j�7 � 1 Date Application Approved B �vcy_� _ -� �,L11 -- �? j�A /k- Z >.J... Date Application Disapproved for the following reasons:..-.:-............... -------------------------------------------------------------------------------------•---------•-•---------------------------------------------------------------------------------------------------- / Date PermitNo......................................................... Issued.---- ----1 — --7 ----------- Date __ _ --------------------— ---------- --------- ----- l�. - r No......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 76W.. 1...... -- .OF....� "'............... AVV iration -for BioVoiitti Workii Tonfitrurtion Vail t Application is hereby made for a Permit .to Construct O or Repair ( ) an Individual Sewage Disposal System at: �:.0 I�LIx1� •_ t11 gg''-�a�� .... .-,4................LOT--------14-------------------•------- ess r Lot No. MAX----—G.. -At_oc .15..Addr......... 4�.9�SJ W &MOwner Address i Installer Address d Type of Building Size Lot_ feet U Dwelling—No. of Bedrooms................B------------------- ----.Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures -------------------------------------------------- ---------------------------------•-•-•---•-•--------------•-----••---••----•------•----•---------- Design Flow ® � �! _--gallons per person per day. Total daily flow---------------------------------------------g� . �� - a - � ,o-- - Mons. 9 Septic Dank—Liquid capacit ..-. _gllons Length.1S'"..4... Widtli " . ..:.. Diameter................ Deptl Disposal Trench—No. _ ._ a.tl._. Width---- ......... Total Length----- ._.. Total leaching arca:B. -- ------sq. ft. Seepage Pit No-------—1.......... Diameter.......---------- Depth below inlet--------- Total leaching area.....----------sq. it. z Other Distribution box (X ) Dosing tank ( ) aPercolation Test Results Performed __6,45-SETT........... Date.Q Z-1 Test Pit No. L_ __•_-_minutes per inch Depth of Test Pit__ 4 k....... Depth to ground water.. _.__.' "_--__-- LZ, Test Pit No. 2.....a1........minutes per inch Depth of Test Pit------11----------- Depth to ground water.......!A------------- P4 ---------------------:---------------------------- -- •-•--••------------------------ --•-•----------------•-------•--------.--•- -•--- O Description of Soil �_ � ----- �_. . :...... i. - -------------- -- 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 Article XI 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. 11 Z-}�, {�FF�� p_. _` Date Application Approved By---- ���'°' � � ._ �,�d6., 14!�_.:`.f:f --• I X ___——`e� '-. 7---- Application Disapproved for the following reasons:....-�________________ ---------------��.__................_._._____________._ ---------Date -------------- Date- Permit No......................................................... . _.._........ Issued------�------/- .<,. Date `t THE COMMONWEALTH OF MASSACHUSETTS r� BOARD ^OF HEALTH 1 , ........:.....OF 169 ^ �rr#ifiratr of f�outplianu THIU I• r TO CERTIff, That the Individual Sewage Disposal System constructed ( or Repaired ( ) �_ . , Installer has been installed in accordance with the provisions of����-rrncle XI of The State Sanitarvode as described in the application for Disposal Works Construction Permit N _''-...7!vy--------------------- dated.144X *7.............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT. BE CONSTRUE© AS A GUARANTEE THAT THE SYSTEM WILL FUN TION SATISFACTORY. , ` 7 � ` . DATE �......./ Inspector_.....y(--.-.--���f " THE COMMONWEALTH OF MASSACHUSETTS `®f BOARD O HEALTHi t� yJ�/i I�Y ...........s�.............................OF_........•1::....1��..�.....�.*-�--........-- ;.:^-...--•-------...... No........................ FEE . ............ , one#rttr#iu$t �rrmi# Permission is hereby-granted:-- � .�_a aF `z__ :ar r r `--_^-. ---.. to Construct( ) or pair ( )tan Individual Sewage Disposal Sy em ''t at No...' /yl �/ 'a�1 -%� ^�' ; l� r -�, ,�r - r:- = ----------- ....,_ c. � . a------------- ............................................ � �-- � Strec�{ as shown on the application for Disposal Works Construction Permit dNo::__J ________.__ Dated--//".-__a�-^_7'........... Board pf fIealth DATE................ °. -f s 2--------------------------------• #f FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - . /OQ© 6,91_L one ` � t 5�-r-r-ic T� Nk .;._- DiSTkl�c,+7'inrJ 8oX L OGUS r _ r E,E"5 -r G -' �c`� f ' dSgk _.:r ov«5 E R Nl� NJ NJ,N /G l '51L'E CN�I A 1l?EIe S _ --- ---- - ------ --- d CFLLF-7K FL E L. t�30 UCUS ! L rY N { - - fu- /(C.I W?T'EFC L E-vE-L- Vc- 7" - / lNc A�U5 5 �_ C Tf OA, — I _ •n UF/'JrJ/S�o�T f=y,�'/tlrTUKF Cc7. 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