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Home My WebLink About0655 IYANNOUGH ROAD - Health (7) �� T uu� �o�-�► I �n,'.�' �`�'�' �� i�-` �1 I oo g J No..... :.73� Fxs............ r.... .... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town. ....... .. .........OF...........Barnstable. Applira#iun for Disposal Works Tonstrnrtiun Uprrutit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: _ Route 132, Hyannis, MA Map #311 Parcels 2 and 8 ----------------------•---..........................--•--......•-••-•------•-•---... .......•-----...•----•.....--••--......--•--------..............------•-•--•...........--•.....--- Location-Address or Lot No. Brian Gore, Poly___Seryicesr Inc. 1001 Southbridge St:, Worcester? MA...01610 Owner W Address --•- Installer Address UType of BuilditigSystem A and System B Size Lot.... 99.,.4.41-------Sq. feet r-, Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building retail/gf tic of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ..-_.......-•-----------•-:--•------•----•---------....-----•---------------------------.._._..__943.(A)....----••............---•••......•--- Design Flow....see_-Plan . gallons per person per day. Total daily flow..2464�B)_ ___ Ions. W 1 O©--- P P P y y . WSeptic Tank—Liquid capacitA.0QO...gallons Length---1.1.11.7. Width.6_'_sZ__..... Diameter__6'_,.7.'... Depth..6'.1.l."-. x � —No........1-_..._._... Width...l-0_'_-,_l2.'. Total Length3.0'-,.72....... Total leaching area. 7� 9 ft. e cli3 alley 1.5 eepage INt o..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X ) Dosing tank ( ) aPercolation Test Results Performed by----------Design__Serv..................................... Date__-.09.12$!_$$.........._...-. Test Pit No. I....2----------minutes per inch Depth of Test Pit.....12'-..._... Depth to ground - .......... 44 Test Pit No. 2....2.........minutes per inch Depth of Test Pit-----12...__.--. Depth to groun ®� . .-.-- ,. 0 Please see•attached..plan------- Description of Soil........................ �--• W -------•---------------------•-••------•--•-------------------------------•-•-------------•--•--•--------------•----•-------------------------------- �• c 59 U Nature of Repairs or Alterations—Answer when applicable--------------------------------------------------...... e, s 77 .:.__..;.�, .. Agreement: The undersigned agrees to install the afored sc ed Individ Sewage Disposal System in accordance with the provisions of TI7P1. 5 of the State Sanitary e— The un ned furtl er agrees not to place the system in operation until a Certificate of Compliance has bee 'ssued th oa d of healtil. Date ApplicationApproved By.................. ••.....----------- ................................. Date Application Disapproved for the following reasons:.......... ••--•-•-•--••-•-•••--•••••--•--------------•-••••-----•--•-•----••-•••-•----•......--------•--•...... ---------------------------•------------------------------------------------------------------------...---•••-•--••-•---•--•-••••--••-••-••-----••-•--•••------•-------•----•--------•-•---••------•-•-- p. Date Permit No......... -_ �.. Issued-------------------•------- •---••---- --•-- -------•------..... Date '---•--•----------•-------. � No.....0..i :.31cr Flca.....7... c— THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .......Town........................O OF........... App iration for Diipniial Warku Tomitrnrtion tIrrmit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: Route 132, Hyannis, MA Map #311 Parcebs 2 and 8 ..------•.................••-----...-•----•.........--••--............----•-........ ............................................... ...- ..... Location-Address or Lot No. __.Brian Gore..Poly_Servicesl__Inc__________________ 1001-_Southbridge _St. t Worceaterr,MA_01610 . ._. Owner Address W ------------------------•--....-•-•--••------------------...........-------........-•--------•-•-- --••--•-------•------•----...---------------...-•---------------...-------•---•--•--- Installer Address U Type of BuildingSystem A and System B Size Lot....399_,b41.......Sq. feet Dwelling—No. of Bedrooms...:........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building retail/o f ficeNo. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ---------------•-•-----•----._...-•----.....-----......-•-•-•--------...__.._.....-----------•--Q.43.(Al-----•-----•-•---••--•------••---------- W Design Flow.._.ee.. Pisn igQ�}Qp gallons per person per day. Total daily flow-.a�?64.�8).........................gallons. G: Septic Tank—Liquid capacityTi.QQO_,.galIons Length_._111.1 �Width__6.'.s_7__t___. Diameter__4'_,_1'___ Depth___ .Y 1... 'lleyo. IV .......1._......... Width...10'...121. Total Length3.0'.,.�2.�.._. Total leaching area._ g0:}� flft. eepage"t (O_____________________ Diameter..................... Depth below inlet.................... Total leaching area.._...............sq. ft. z Other Distribution box (X ) Dosing tank ( ) Percolation Test Results Performed by..........Design--Sex'vices.................... ...... Date....oYL818$____._.....___.. as Test Pit No. I....9..........minutes per inch Depth of Test Pit...... 2......... Depth to ground water......none-_------_ rZ.4 Test Pit No. 2....2.........minutes per inch Depth of Test Pit------].2'..__._.. Depth to grou ile--_____- 9 .............................................. .....................................................••-•...---• �$9 ....•..... Please see attached Ian ' Description of Soil. p ---------------------- •-S1M ....... U --•------•--------•----••.•---•-•--•••--•-•-•---•-•-••-••--••-----••--•-••-•-----•••-•--•.....-----•--••-•-•-----------•••••----••......•-----.... a •• . ...... W •-•-•-----------------------•-----••-------••-•----••--••-----------------••._.....-----•---•-••--•--••------•-------••-•-•-----------•-....---•---• --. Poo.3.259 U Nature of Repairs or Alterations—Answer when applicable............._________________..__-______-._____ �.�• ----.-. = 'c aT E Agreement: �� S��NA The undersigned agrees to install the afored scribed Individual Sewage Disposal System in ordance with the provisions of TI.L�� 5 of the State Sanitary C de— The undersi ed further agrees not to place the system in operation until a Certificate of Compliance has been issued b,y the/boa /Td of health r r' ��j �I Si �- 1 t D 5 Date Application Approved By ----------------•------- .......... �- 1. .. Date Application Disapproved for the following Feasons:•--.-----./-.._...----•------------------------------•--------------------------------•----------------------- •--•-•---••..............................•---------••---------•--•-----------•-----------.....-----•-----------------------.-------------.--------------•-------------•------------•------------------- Date Permit No. ..... _.:.7 3 -- Issued ------- --------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH lr'it:acr ...........OF.............G.,;a._...:,....,.. ........................... Qwrriifiratr of TnnapliFatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by------------------------------------- - --------------•-�t_il;vprovisions -----------------------------------at . ...../.3� .........I 6!. 1�. Installer has been installed in accordance with of t"� of The State Sanitary Code as,described in the application for Disposal Works Construction Permit No------ 7..>.�_-__- dated_....-__-_.____-___.____------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................. Inspector...---------..---------------------------------------------....-•--............••-- II� THE COMMONWEALTH OF MASSACHUSETTS� $ TS BOARD OF HEALTH l C ....O F................�f.:..a Cc.....: Disposal orkii Twnnotrndinn rranit Permissionis hereby granted.............................................................................................................................................. to Construct ( or Repair ( ) an Individual Sewage Disposal System atNo............ -•••-•L L-=.)-.......... .......•---•--...--.----- --------------------------------------------------------------------------------•--..... (J Street �i �72 as shown on the application for Disposal Works Construction Permit N .__R�-�:—l.-J.i Dated.......................................... e� Bob;,d•.o.£,Health DATE........................ 1,J�-'-r-E FORM 1255 HOBBS & WARREN, INC., PUBLISHERS