HomeMy WebLinkAbout0102 IYANNOUGH ROAD - Health i� u�
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No.__.81-.11`� -• _ .- t�2. :>. � � — " F>c$.....15,90.........
THE COMMO EALTH OF MASSACHUSETTS
BOARD, OF HEALTH
..............T.o an....:............OF.........Barn stable.......-----------------............................--
p'� Appliration for M-4pasa1 Mork.5 Tutuitrttrtijan throat
Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal
System at
_R_o_u19----Z.5._.iiyZ.n.Ui5..... ----------------•-------------------------•---•-------
Location-Address or Lot No.
_David._I_v-e*--•.....•......., - 9..Jatest_.Main_�t... ..1I
T 3ra,nna.s D26�1�
Owner Address
a A=& B Cesspool._,5eryi �............................................ 128-.Mishaps._Te aca,---1#annis-.___MA--0260.1•---•--
Installer Address
d Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms..........-j-/-•---_•-___-•_--..-_•--•Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Other fixtures ................................. .
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
1:4 Septic Tank�-Li 'd capacity..,�6W61lons Length___-__--__•..__- Width---------------- Diameter................ Depth................
Disposal Trench�:�o.-------;I Width...2------------ Total Length...Ax ....... Total leaching area....................sq. ft.
Seepage Pit No.•------------------- Diameter--.---.-__-_----_-_- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box (3 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........................
....------••----------------------------•--•--•---•---•------•---•------••-----------------------•--.........................................................
0 Description of Soil..............Sand......................-.........................................................................................................................
x
-----------------------------------------------------
UW -------- -----------------------------------------------------------••-•-...........................................................................................................................
Nature of Repairs or Alterations—Answer when applicable._................... ..........................................................................
------SEE PLANS-------by BARTER & NYE
-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'TTLE, 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
' bo d�f a t
i ne �_.. . ..........
E ---
...--- . - ��20�81.---•-•.
Date
Application li Approved _..._.. -81 20 ........
PP By.
Gt�trl• � �
Date
Application Disapproved for the following reasons:................................................................................................................
.................................•------------------------------•---•-•------..._._...-----------------•--•-•-•-•--•-••-•--•---•-----------•-----------••------•---•----•-------------•--•----•---•----
Date
. .s � 81—
............................................... Issued-------------V1 9a1----------=
Date
No_81-J L.YL Fw3 ..........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
......Town...................OF.........Bl.M. ..Stable......................................................
Apptiration for Uhipagal Workfi Tow5trurfion ramit
Application is hereby made for a Permit.to Construct or Repair (X) an Individual Sewage Disposal
System at:
. ..................................................................................................
Location-Address or Lot No.
David-1veg!......................................................................... 329..Wast._Ma1Z1.-St.-'--H............. ...... Owner -A Pdr,!Mi&'VA....D2603------------
A.. ....&.....B._C_es.s0Pq9!J�Q............................................ 128..BiabLopa..Termca,..Hyannis,...MA..02601........
. ........
Installer Address
U Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder
Other—Type of Building ---------------------------- No. of persons....................._...... Showers Cafeteria
al
Other fixtures ......................................................................................................................................................
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
1:4 Septic Tank—Liquid capacity............gallons Length________________ Width._____.......... Diameter_--_-__-_____-_- Depth.........._.....
Disposal Trench—No..................... Width_..._............... Total Length..__.__......._..... Total leaching area....................sq. f t.
Seepage Pit No......... ........... Diameter------_---.----_____ Depth below inlet___................. Total leaching area..................sq. f t.
Z Other Distribution box ( ) . Dosing tank ( )
Percolation Test Results Performed by......-------------------------------*-----------------*.................. Date........_..............................
Test Pit No. I................minutes per inch Depth of Test Pit______.__........... Depth to ground water........_____._.........
rX4 Test Pit No. 2................minutes per inch Depth of Test Pit...__....._______... Depth to ground water................._.._._.
9 —........................................................................................................ ................................................
0 Description of Soil------------..Sand...............................................................................................................................................
U .........................................................................................................................................................................................................
W
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
U
�1 Nature of or Alterations—Answer when applicable------------------------------------------------------------------------------------------------
SE E-sag.......:�y BAXTER & RYE. INC......Dated'.
................. ......... ............................................... ....34-5/al.......................................................................
Agreement:
The tindersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'TT-1 7 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 bo def eal.t...-
.. .... .. ... .........
Sign d....- ..... ... ..............C4:y _ _ . .. _ _.
Application Approved By........... ............... 2:............................. 34081
.............. ...............
Date
Application Disapproved for the following reasons:_.............................................................................................................
.................................................................... ....................................................................................................I...............................
Date
Permit No........
81 3/20/81................................................ Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...................Rown............OF..........Barn...........8tab.le.................................................
......... ..... ....
Turrfifiratr of Tompliaurr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired (X
by A & B Cesspo 02601
...............................................
In taller
l MA
at___R.oute..28.---..James...Stpyj en Motel - Hyam 02601 David Ives
.. ......... ..... .. ............ -----------------------------------------------------------------------*----------------------------------------*-------------
has been installed in accordance with the provisions of 5 of The State Sanitary Code a5-described in the
application for Disposal Works Construction Permit No...--------- ................ dated----W�9/81--------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE_- ... --- ....................... Inspector.....------. /------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.................T.awn...............OF.....................Aarnstable......................................
No....�i............... .. .... ... ......................... FEE.$.A-00.........
Disposal orko TIMmitrudion "prrmit
Permission is hereby granted.A.A.A.q@s§P.5?q:k-.Pe 99....HY ...Q26.01..
to Construct or Repair (X ) an Individual Sewage Disposal S tem
at R9Ae_.?qt...K-Ya X_NA David Ives
..0Y901................................. .....................................
---.... -- ------ --
Street
as shown on the application for Disposal Works Construction Permit Dated.._.__3/29/4..................
.........................................................................................................
DATE......................31 /81......................................... Board of Health
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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