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 -