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Home My WebLink About0035 SUMMERSIDE LANE - Health (2) E6 Sam Mey s M-�L No.84 ..-. d 6 Fps.. ...15.00.... THE COMMONWEALTH OF MASSACHUSETTS 1 BOAR® OF HEALTH ............... ............T.Own..O F............Ba.rnstable......-----...._...-----.........----...---........ Appliration for RspwiFal Works Toustrnriiun amit Application is hereby made for a.Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 13 Summerside Lane, ................__-- --- ................ Hyannis, MA 02601 -------- ----•-•-------..------...........--------------•-----------------•---------------............ Summerside Mote Jocatl oSGallahan SummersLanerIgyanis, M.. 02601 .... dd W A & B Cesspool Service 128 Bishops Terrace, rffyannis, MA 02601 , ------------------------------------•-------•--- -----• --•-------•••-------- -•_......---•-••----•---•---••-••--------•-- ..........--.----------- Installer Address � Type of Building 2 Size Lot__________________________S q. feet Dwelling—No. of Bedrooms............................................Expansion A tic ( ) Garbage Grinder ( ) a; Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4Other 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 ( ) IDosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ �4 ,.� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-----------_............ fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R4 ----------------------------------------•--•--•----------------....---------..............---...........•-----..._..--••-••----••--------•••-------•----•---- ODescription of Soil---------•-------.�5a11d............................................................................................................................................. x U w -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicableinstallatlon_-of_.a---1_,_000...gallgni.-stone........ hacked leach-_fit-�oyerflow�................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 1I 1'11 5 of the State Sanitary Code—The undersigned further grees not to ace the system in operation until a Certificate of Compliance has been `ssu bythe bo rd Signee % %� ............. = ......._ 5117�84......__... D ApplicationApproved By........... . -/1-----------------------------------------------------------------------•-- -----------5L1....-------- Date Application Disapproved for the following reasons--------------------------------•----•--------------•---------•--------------------------------------•-••-•-•--- -•----••-----------------------------------•------------•---------------••-•----------•---••--------••-----............--------------------------------------•----------------------------•-------•-••. Date Permit No... .- -420D .••-•-•-•----------------------- Issued-._...-•--...5�17 84• ---------••------...---•-••---- Date K 'f N684....... .G 6... FEs ...15.00..... _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....... . .. ..._.... _Town...OF...........Barusts.ble----------------------------------•---.........---.. ApplirFatiun for Disposal Works Tonstrurtion rrutit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 13 Summerside Lane, Hyannis, MA 02601 .... ........................... ... .....-•-•-•••...--••-•••-•-- -.---.-------•------•------------------.------••--•-------.......-------..-.-------------......... Summerside Mote 1Lo`=tl� oie at-am Summerside Lane;r fyannis, I:iA 02601 ....................._.......................................................................... ........................................... ..- -......-•-- W A & B Cesspool Service 12S Bishops Terrace;d`ffyannis, MA 02601 Installer ---------•-•------------•'Address...............•------......._.....-------• Type of Building 2 Size Lot............................Sq. feet I••i Dwelling—No. of Bedrooms............................................Expansion Q,ttic ( ) Garbage Grinder ( ) aOther—TYP e of Building ------------- P............... 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................ xDisposal 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 ( ) aPercolation Test Results Performed by.... •---------•••••-••••••-••...---•-•-•--••......-•-••---••••......•-•-• Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ WO ••••-• -----••-------------•-•••-•-••--•--•--•----••••-------••-••--•-•._...--------•••--•-•------•--••---••----•--------•-•••••---•=••--•-----••---•..--•-- Descriptionof Soil................Sa.rid-............................................................................................................................................. W U ••••-••-••---••----•-•----••••-•----•-•._....-----•----••••-••...............•--•-•••--••--••-•--•-•.....•--••-••----••-----•-•-...--•••--••---•-•-••--•-••-•••.............---.........•.............. W ----------------------------------------------------------------------------------------------------------------------------------------------........................................................ U Nature of Repairs or Alterations—Answer when applicab4A§tallation_.of__e.-_1_,000__gallon,__stone_........ ...packed leach..pit...(overflowh•-____ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'ITLL 5 of the State Sanitary Code— The undersigned furtlxer.agrees not t pace the system in operation until a Certificate of Compliance has een 'ss3 e by-the b 'healt � i l Cc- C . -*--� ..., 5/17/8 ' Signe - ...... --•---. ....... •-----.... Application Approved B Ile 5/171 ' Date-------------- Application Disapproved for the following reasons:............................................................. ---------•-------------------- ----------------------------------------------------------------------------- •----•------------------------------------------------------------------------------- Date 84 Permit No......................................................... Issued------------5/17/ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................T awn........O F.......... ..........Barnstable .................... (Intifirate of AnutpliFanrr THLS 1S TO CERTIFY That h�I �,v'dual S wa 'e Disp 1 S em nstr d ( ) or Repaired (X) b A 8c S Cesspool SeraWice, Ztiisops �eace, yanis, poi Y ---•-•-------------------•--•----------•---•---------...--•------------------------...--•••-••--••••--•-••-----•- 13 Summerside Lane, Hyannis, MA 0260frist=11'Summerside Motel — Callahan at.................................................................................... has been installed in accordance with the provisions of JVTF, 5 of The State Sanitary �c er� lescribed in the dated ��11 application for Disposal Works Construction Permit No................................ ..--___..._.._.._.___. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION,SA TISF ,,TORY. . -•••-..•... Inspector--•----•---------•-•--•----•--••-------...r DATE._.. 1 .. . . ..................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable 84- ... 15.00 ......................................O F.....---....................................----•.................................... No......................... FEE.............•.......... Disposal Works Tunstr ion rrutit A & B Cesspool service Permission is hereby granted -- -- -- ------------•-••-- ------------- to Constr t ( ) e aiL ( Indi idual��ASevc� RlspoW System �'j umm is ee Lane, yarn s, Summerside Motel - John Callahan at No. Street Ol, 5 /17 /Ot, as shown on the application for Disposal Works Construction Permit No............__.. Dated......... ................................ /( -7 � �J Board:pf Health DATE-----------........................ FORM 1255 A. M. SULKIN, INC., BOSTON