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HomeMy WebLinkAbout0645 MAIN STREET (HYANNIS) - Health '368- 11 3 No........83:... 7.� Fxcs$....II,............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF -HEALTH Town...:,.....OF...........Barris table .................................................................. App iratiou for Uiipniial Workii Tomitrurtion 1hrutit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: 645 Main St. , Hyannis, MA 02601 ................_........-...................................................................... -••-----•-•---•-------••......••-------••-----•-••-----••--....---•-••-••-••-•••-............----- Little Italian Restauranss 64.5 Main St. , Hyanni st,N�iA 02601 ......................-.......................................................................... ..........--...................................................................................... W A & B Cesspool Service r 128 Bishops Terrace;dannis , MA 02601 Installer Address Type of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Ga Other fixtures ---------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity........---.gallons Length................ Width................ Diameter--.............. Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter............---..... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 14 Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1----------------minutes per inch Depth of Test Pit................---. Depth to ground water..--.................... ri Test Pit No. 2................minutes per inch Depth of Test Pit--.----............. Depth to ground water------------------------ 9 --••--•-••---•--•-------•---•-•--•--••-•-------•----•------------•----••--------------------•.-•-•--......................................................... 0 Description of Soil.......... and--•-•----------•-----•--------•------------------------------------------------------- V ---------------------------------- •-•----------- •------ •------- •••----------- ------------------- -•-------------------------------------------------- .. ------------------------- -•--------------- W - ---------------- ................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable nsta.11ati_on__of_.a_. 1-t 000 gallon grease trap. With connection to sewer. ---------------------•--•-------------------•-------•---•--------•------•--------•------•------------•------------.....-------------------------•------------.......••--•-••---•-•....--•-------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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 board of lth. � 431/83Signed. -- -------- Application Approved By.........,/�D--��......----••----•----------------------••--•---•---•---- •--.........---•-- ............... / /83-------- Date Application Disapproved for the following reasons:................................................................................................................ -••--••-----•-------------------••-------.....----------•---------•---•----•--•---------....-•----------.--•--•--•--•--•-•------•••-----•--••--------•-•-••----••-------••-----••------•----•--•--_----- Date Permit No.---....83--••-•�73------------- Issued......---3131/83............................. Date No.........0.-....... FBI%....ifs THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ......................Town..---.....OF...........g14 A3---.._............................................. A-ppliration for Dispoti al Works Tomitrnrtinn 1hrutit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 645 Main St., Hyannis, MA 02601 ......... -••• _.... ........................... ......••------••-.......--•---•••-....••••••-•-•--------•-••--•--•••••--••--•••-..........._••-•-- •Loc tion-Address or Lot No- Little Italian Restaurant..._....-__••__________________•-_•__ 64..Main St.�.Hya.nni s,...MA...02601....._......-----_____ Owner Address w A & E Cesspool Service 128 Bishops Tex�racea._HYnnis, MA 02601 Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms______________________________ __ .Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type T e of Building No. of ersons____________________________ Showers — (� yP g •--•-•--•------•------------ P ( ) Cafeteria ( ) Q' Other fixtures ........................._............................ w Design Flow............................................gallons per person per day. Total daily flow..............................._............gallons. WSeptic Tank—Liquid capacity_.__._.____gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No.____________________ Width.............._..... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter.................... 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......................... f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 --------------------------------------------------------------------------------•-•-------...---•---------.------------•---•-----------___---•--------•------ ODescription of Soil.........Und..................................................................................................................................................... x M w UNature of Repairs or Alterations—Answer when applicabl&nstallati_on.__of..a.-.1.,.000_.ga3-lo,.grease---trap. With connection to sewer. -----------------------------------------------------------------------------------------------------------------------------------------------....................................................... Agreement: The undersigned agrees to' install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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 board of J�5,alth. 1� Signed L - '%���!'1L_._. . ,� Date ApplicationApproved By..........��-f-.................................................................................... .............. .31 T3--------- Date Application Disapproved for the following reasons---------------------------------•---------•---------------•-----------•----------------------------------••-•-- /• ---------------•----------- Date Permit No.------83 -... . . Issued_.-------313.118.3------------------------------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /coo 4.eak- ..........`.. ?....................OF...............E;=AtOle........................................... r (9rrfifirat e of TnntpliFanrr THIS IS TO-CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ) by.......A_-&-•)L9essP0.5?l Se n...... \ Installer at.645 Main St.,- Hyannis, VA_....02601 ___ Little__Italiar�--Restaut -- has been installed in accordance with the provisions of TIT 5dOp he State Sanitary Codeias described in the application for Disposal Works Construction Permit No...... .............. dated --------.' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. � DATE......................-....................................................313 33i :.... Inspector-------- ---- -••••--............................................................. \ THE COMMONWEALTH OF MASSACHUSETTS v BOARD OF HEALTH f?3 ............T.9Y-t2�....................O F...........PlArnsta.Lle...._...._._....._...................._..... .. No....... 3".....•-___. FEE._:$...10.00.... Dispo al Work,, Tunn#rnrtion rrnti# Permission is hereby granted....................... --.--13--0assp_acl__Servica.................................................................. to Construct ( ) or Repair ) an Individual Sewage Disposal System °"'' at No.��45._Aain__St_•_,.__Hannis, 1A..._02601.. ............................................ Street as shown on the application for Disposal Works Construction Permit No.�3.n............ Dat O,�V/83__________________________ . 3/31/83 Board .;Health DATE .......................................................... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS -