HomeMy WebLinkAbout0418 PITCHER'S WAY - Health (2) 419 P416)ces vb-L�
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No..8 _ fll..... �� t94'Av� 1 Fxs. ...1 a_"' �......_
THE COMMONWEALTH OF MASSACHU'SETTS
BOAR® OF HEALTH
Town Barnstable
............................................. .........................................................................................
Appliration for Dhipoii al Workii Tomitrnrtion rantit
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
........14.18_Pitcher's Ways._H A is. MA 02601
.. -•------------------------•-------•-•--------..........--------------------- - •.....
Location-Address or Lot No.
......Mrs. Travis Gomes 1418 Pitcher's Way, Hyannis, MA 02601
......• ... .
Owner Address
W A & B Ceus ool-_Service 128 Bishops Terrace, Hyannis, MA 02601
,-� ----•---....-1............ P ------•...............•-•----.....-•--•-••..... ••-- •---•--•--•-•.
Installer Address
Type of Building Size Lot------------- ------------Sq. feet
V Dwelling—No. of Bedrooms............. ..........................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ............................ No. of persons............... ........... Showers ( ) — Cafeteria ( )
a' 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............_...........................
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-•----------------------------•---•-----...----------------.......-----------------------•---....---.........................................................
0 Description of Soil............Sand -•-------------------------------------------------------------------------------------------------•---------------------------------------••--•-
x
W ----------------------------- •-••••--•-•--•...-•••••----•----------•-•-•---•...••-•••••-•••----••••-----•-••----------------------•-----•-----•-----••------•••-•-•---••--•••----•-••------•--••...•••-
UNature of Repairs or Alterations—Answer when applicable._....ins.tallation... f a... s 000 llon, pre_.-cast,...
one pa_Qked,..l. c....p........ ove f ow)'-•------•---•--•--•--•-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of T I'=- 5 of the State Sanitary Code— The undersigned further agrees not to lace the system in
operation until a Certificate of Compliance en i ed by°the b rd of a t
Signe _. ._. = 3� 3�83.....•..•.
Application Approved By......... .. a
Date
Application'Disapproved forte following reasons:-•-•----------------------------•-----•-------------------------•--•----------------------•--------------------
--............................-.........................................................................................................................................................................
Date
Permit No............88'....0/1........................... Issued-................. /-_3/83...------.......------
Date
:�:..1.�.... Fps..°c'.........00.......
# THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Town Barnsta.cle
....................--._----------------OF.......................................------------------------.................--••------
Appliration for Uiipuiiaal Workii Tnnitrnrtiun rrntit
try :w
Application is hereby made for a Permit to Construct ( ) or Repair O an Individual Sewage Disposal
System at:
..... 1418_ Pitcher°s 1-1pa•s..HYan2ai. ,...IIAA.?2 9 ..._.._... ._.......
Location-Address or Lot No.
I=rs. Travis d omes 1418 Pitcher's Way, 11yannis, 14A 02601
......................-........_....... ---•---••-•----•--....._._..-•••-......------ ..........--------•-----------•-------•--•...... -
Owner Address
ress
A F Cesspool. aervice 12c8 p___Terrace, . MA _0_601
== y .... -r-------- = �s? S 1 erxCe Hyannis, ?
Installer Address
Type of Building Size Lot............................Sq. feet
aDwelling—No. of Bedrooms.............. __:__........_._ .__..Expansion Attic ( ) Garbage Grinder ( )
p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
P, Other fixtures ..__...--•----•-----•••-•--••-•-----•------•..
WDesign 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........................................
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
(= Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................
P4 --
_S ----------------------------••---------------`....------------.._..........---•---------•---•---•--•---•---------------.........----------
D Description of Soil--------•-- and -
x
...................................................---•-------------------------•---------------................................................
W
x Nature
of neRepairs
,asked Alterations
nsi-t Answer
1 he applicable--- _ _--- -r:;s----:!lati on..o£__.•___-.1,000... '--all on, :,
U --••-----•------•----- ' .................... .............................. -•---••••---....------------•--•------•--•-•---------•-•--••..........................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITIE 5 of the State Sanitary Code— The undersigned further agrees not to ace the system in
operation until a Certificate of Compliance has be d by the boar of h -
Signe • . .... •. ........ ...... ........... ........••----------•-.....
3/ 3%Q3
Application Approved BY---..----- /C.......................................................... .. '/ / 83
f
..............
Application Disapproved for the following reasons--------------------------------------------------• .................... ........................................
-------------------------------------------------------------•--------------------...----------------------••---•--•---•------- -------------------------/----------------------------------------.
Permit No.............. 3 ----/f t.....................•.. Issued-----------------3! 3/53---.....Date -----
Date
T14E'COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Tm.. Tri..............OF......................._3aI table
.........................................................
«-�C�rr�ifirtt#r of f�n�t�li�nrr
THIS FISITO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X)
by .A = f esspoot Iry cez i2 _Tl�s .....�--Terrace� Kyar is' 1% 0260i
-----•----------------------------------------------------
1418 Pitcher's 'gay, Hyannis, MA 0Z6� ialle sirs, Travis Cxomes
at......................................................................................................................................................................................................
has been installed in accordance with the provisions of `1'45UZ, 5/pi The State Sanitary Code a4 I/de3/iglyd in the
application for Disposal Works Construction Permit No......................................... da.ted__................_-__._.___.___---.............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® WA UARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE... -3/ ........................................................ Inspector........... --•--. .. .......................................................
THE COMMONWEALTH OF M"SACHUSETTS
BOARD OF HEALTH
OTATkl r.,8instable
No......................... FEE........................
sa d nrk n t a�dwit �ernti�
. .3 cesspoo e ce
Permission is hereby gr t d .....................--••--•-----------•------------•-•--•••----•--------------•---•---.....-----•-•---------•......----
-------•-•- ;
to Const§> x t h P rr' �fi"ivaJ.ASe �iC ys -P4 5Ys .Ji.S C,am.es
atNo...... ........................... .... .....................••-•-•••-...._..........•-•-- ---- T f
Street3` Jf .J/ t-1 a,
as shown on the application for Disposal Works Construction Permit No. __ ___ Dated.............. __...: '---....
_ 3 ------•-•........---•------••-- z_..
DATE ..................................... Board of Health
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS