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Home My WebLink About0426 SCUDDER AVENUE - Health (2) d(� Scudder' A venue, �n� }� i i I Ol I T� UNV-10504 MAWaUM cc� as - 4 610 No.... ��. FEB.. 30.00.......... THE COMMONWEALTH OF MASSACHUSETTS- BOAR® OF HEALTH APPROVED TOWN OF BARNSTABLE OConservat:on Department Appliratiou for Diripw3al Works Tonic r�r Date Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 426 Scudder Ave Hyannisport ........................................................•--•--------------------------------••---- ................................................................................................. B. Shea Location-Address or Lot No. ................................................................................................. -----------•----.-............................................................................... Owner Address a W.E. Robinson Septic Service P.O. Box 1089 Centerville, MA - Installer Address 4 Type of Building Size Lot...--------_ -----------Sq. feet �. Dwelling— No. of Bedrooms....-.-.3......................._.._......Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------.._---_--------_-- Showers ( ) — Cafeteria ( ) 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. 3 Seepage Pit No..................... Diameter...................- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0.4 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit-..-..---.-_-..---_ Depth to ground water........................ GZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 1:4 ----------------------------------------- ---.......................... •------------ .--------------- ..................................... .----------- -........ 0 Description of Soil.............sand--------------------------------------•--...-------------------------------------------•----••------•-•------------------------•----------...... x W ..... --•-•-•---------------••--•-••-•-•----. .......................................................................................................................................................... UNature of Repairs or Alterations—Answer when applicable........................................................................................ 1 ,000 dal. tank, D-box t infiltrators........... .......... ---------------------.................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n issued th oard of health. Signed ...... Date Application Approved By ...... ..-..��te .3........ ~ .................................................................................. Date Application Disapproved for the following reasons: . .......................... ................... ....... .-- . . .................... .................................. . ................... .. ... ..... .............. .. .................................................--- ........... --- . . ...... Dare PermitNo. ...........73.....�/--—----- ----- ----------- Issued ..... ---........................................................ Date y _ 3 0 No....ate..<.-. l..> Fas..$30.00......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH d' TOWN OF BARNSTABLE Applirativit for Dire aiial Worbi C owitrnr#tun "erutit 3 - s Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 426 Scudder Ave Hyannisport ..............•-------•------........----...........----•--•--------.......---................... -•••---------•-•----•-•••-------------....----•••--------......--••••--•--•-••......----••---..... B. Shea Loc:[tinn-Address or Lot No. Opt ner Address a W.E.-•Ro�aix�san.•S� tf ..Servi ce--------------------------- Q�Om Box 1089-•Centerville, MA Installer Address Type of Building Size Lot.................... .....Sq. feet ►.1 Dwelling— No. of Bedrooms--------3--------------------------_.......Expatision Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther 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 ( ) W Percolation Test Results Performed by.......................................................................... Date..---...---.........................--- 1.4 Test Pit No. I................mmutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit..-----__.______.._- Depth to ground water........................ p4 ..--••-•-••-------------------•••--------•••----•-------••••••-••-----•---••••-•••••--------._...............--•...---.._..-•-----•-•-•............••..•---•- O Description of Soil-------------- --------------------------------•------•----••-•---•----------- . W .........••-•--•------••--•-------------•--•-••..........-•••--••--------••............-----•-•---------•-•......------.-•---------•-----•......---- W -------------------------- ----------------------------------------------------------------------------------------------------------------------------------•------•--------------•••••••...-•••-•-•-- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ,®00--clal trite- D-box.^---inflltxators-•----------------------------------------------------- ................................................... The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b,the board of health. Y P P Y Signed ... /r T., ...... ._-/..;:.... v./=::�......... . ........'`�j.:9. . Dace Application Approved By .......... -.. -. ...C�.......--- -... ......................... ..?,..-....f .-..��'.�'.--... l t'n '-. '— — — _......... Dace ApplicationDisapproved for the following reasons- ------------------------------- ---------------------------------------------------------------------------------------------------- ............. ...... ................................ ......................... . . ... . ............--.................................. ........................................ Dace PermitNo. 2...----�L..�...:.......................... Issued .................................................................... Ua[e THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�er#ifi ate of Cnomylianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x ) by------W,.E......Robinson.-peptic..Service----------'_---- --------- ---------------------------- ----------------------------_............... . .....--.........--............ Insrdler at 426 Scudder Ave Hyannisport.-..... _..--... ............ .. .................. .. . .................... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ........ ? — . _dated ........................... .-----------_-. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............... ....... -. ..-.. � .....-.._........-.. - - ...._. Inspector ---- - �- . ...... _.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE $30.00 No. �' .......1..; FEE........................ Rnpnnal Workii Tonntrurtilan "unfit Permission is hereby granted------W,E. Robinson--5etC_.Servj!ce-................................................................... to Construct ( ) or Repair ( x) an Individual Sewage Disposal System atNo.......2.6... ----------------•----------------------------- street as shown on the application for Disposal Works Construction Permit No._.��-_lJ_.a`__ Dated............................... ........... / I DATE ------ rd of Health . t V FORM 36506 HOBBS&WARREN,INC.,PUBLISHERS - I