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HomeMy WebLinkAbout0418 PITCHER'S WAY - Health (2) 419 P416)ces vb-L� } 0 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