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HomeMy WebLinkAbout0102 IYANNOUGH ROAD - Health i� u� � 8- ti��-cow 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 - 1 �I t i s ! i 7 , f f Kc , t �Xt 1F;jC, Ttf�7 AJITTj �w i}r 1 1 h J M , GP tX b M�►� v D►'�' aK ` +flu c.G, x15T J t . "� 0 = Z ca P ��T Zd "OTe- ecr:, l �. ,�' �,- Sri nt v A�'q>zrnn�- �'tR,c.._ _I�-• ���ar��-tg � - t71� 1 t tG !7 S 4-0 �A, TIC T/,.V3 k (Av V1 R95ASS l5 X t•S Z tC> C�,<.�. 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