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Home My WebLink About0063 WAREHOUSE ROAD - Health (2) 63 Warehouse Road Hyannis A — I ' a No.. �....Y........ r F�s..3+.s.................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH yypp.................................................... L Appiiraation for Bhgp rs ai nrk Tonotrurtion rrnti# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System a.�.... �--. .....- ..... ....- -- Locatio ddress or Lot No etc..... -.../ � wne / Address a ��.� .... = ---------------------..............----.. ..•.----•--•--••--.--.-•••--•-••-•...... Installer Address QType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.........../^...................Expansion Attic ( ) Garbage Grinder ( ) p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures -------------------------------- . W Design Flow............efS�...................gallons per person per.day. Total daily flow.........?� ..................gallQns. WSeptic Tank—Liquid capacit --gallons Length _._-:..... Width.S......... Diameter....'-...... Depth 4'.Z..... x Disposal Trench—No.................. Width................ Total Length.....---.......... Total leaching area.... ...........sq. ft. -_-. .9_'___.._.. Depth below inlet.j:!:- ........ Total leaching area..................s ft. � Seepage Pit No....... ......:.. Diameter__... p g q. Z Other Distribution box ( ) Dosingtank ( ) 9 `" Percolation Test Results Performed e ��'�y..1'''? `.!f ...114-t l :. �j Date..-� � ,� Test Pit No. L ?r..._minutes per inch Depth of Test Pit.. y......_ Depth to ground water....Ilel........... Test Pit No. 2.........._.....minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------------------------------------------•--- --•---------•-•-•---••-----------•.-•-- .-----•.-- 0 2 o _...... -c � W UNature of Repairs or Alterations—Answer when applicable............................................................................................... -••--------------------------------------------------------•---•--•-----------------------------------------••-----------------------------------------•---------.....---------------•--...........--••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of SIT?+ 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 health. ned.. -=---------------------•--•---_...............•------------•-•••-••--•---------- . • .............. �p� D_�ate Application Approved By------ - `...................•••---------•----•-----•------•--------•----------. d,�J �/ C Date Application Disapproved the following reasons:.............................................................................................................. -----------------------------•--••-------•--•------•-----•---•---------------------....------------....---------------•----•••••••---•-••---••-•--•------------•--•••••-•••--•----------••••------...... Date PermitNo......................................................... Issued....................................................... No.._......._ !Ua ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ............OF.... ................................................... Appliration for Disposal Work Tonstrurtion ;"permit Application is hereby made for a Permit to Construct (7) or Repair an Individual Sewage Disposal System at: 10 g iaa! 12 Location- ...//yo...... .................................................................................................. Address or Lot N ...4.1 ce--�•- ............................ .... 7..........Aveu�v) .Dwner Address /........................ .................................................................................................. 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 Otherfixtures ......................................................t............................................................................................. Design Flow.............4,.O��j -------------------gallons per person perday. Total daik flow........ ............._....gallons. _.a: Septic Tank—Liquid'capacityAZ�.gallons Length..9./.- ... Width...-''`_..`....._ Diameter__. ._._... Depth:!s.'Z...... Disposal Trench—No. .._..-:-........... Width_.— Total Length......--........... Total leaching area.................sq. f t. Seepage Pit No......../......... Diameter.....8........... Depth below inlet.::tz ........ Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results jP.4_113144A_1 A, Performed Date.. . ............... /0 ...........A— Test Pit No. 1—Z-2.,.-minutes per inch Depth of Test Pit../..Y....... Depth to ground water.._ 44 Test Pit No. 2................minutes per inch Depth of Test Pit___......._......_.. Depth to ground water._......._........______ P4 .................................................................................. ;7.................I---- i5 0 ............ -------------- Description of /z _-.7z.... /r&v /) .. ............................................... ...... --- ---- ........ .... ... ........... U ..........7z.," ..0 ............................... ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ...................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TILT LE 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 health. .........................................;................................... ier :4 .............. I Date ......................................................................... Application Approved By e, ............................. Date Application Disapproved following reasons:.............................................................................................................. ......................................................................................................................................................................................................... Date PermitNo..................................................------ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......0 F...., ..........*'*'**.......(I'llertif irate of (111urplianre T IS, "TiO CER 'F_Y,�=Th"t the I constructed (L/or Repaired a Individual Sewage Disposal System by.......... J.._ ----------- ------------*-----------------------------------------------------*------------------------------------------------------------------ Installer at.............. ...... - ----------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary COAA a/described in the application for Disposal Works Construction Permit No...8'-?-s_. .............. dated-_ . .................................. THE ISSU NCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU A GUARANTEE THAT THE Inspector....._.._ ....................................................................... SYSTEM WILJL FU CTION SATISFACTORY. DATE... 1f1----------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................................................. ...............OF..... No ..... FEE.... F..-f......... Disposal Poq v�n rtrurtivit permit Permission is hereby granted.., ----------------------------------*.................... .................... --------- to Construct or Repair an divi ual Z2&a Kisposal System Z at No............ ...... ...f k, Y_1. ?7- Street as shown on the application for Disposal Works Construction Permit Ncf2.-.��... Dated..2...... I?.................... ........................................................................................................ Board of Health DATE_.............................................................................. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS lhlWYyl! IYI .��.�. yr.'•' Z_ 4 C ° 'UP IV 970 y,Gcir: t q400.5 C C�•�G /JLta T"�orzr,t Sow lad` A O r • /a/o F0 b h'OL S COl/EIS Tc> 16F A6?41 47'" TO 46/tT"/'�/A/ L o' -7-0,0 o� - �� /Z r/ o r- /N/,5 41 d ,Cov.v0,9 r/o-✓ e . r 'c/w//SNEo r-��O�C , /o S-e/p r40 4E all , Vvr..e� o� /Av vE Q�'" O/sT t �.vvEAe7 BoX , ',;P �T o' 3/�r bop o„ SEST/G Ti��/.� /Alvlce7- Q lj�V .o LG� `J5NE .ST G0o9.e(5 G I'Y"�— S // �►' v Q'. , �G E v �3 Q r r'o -lie PROFI LE OF SANITARY DI SPOSAL SYSTEM ATA NOT TO SCALE DES [ G7 N / ,! ate.. �V 4.i'G✓ CONSfRUCTtON OF SANITARY DISPOSAL GDESIGN FLOW 2�' O_ GAL ./DAY 'SYSTEM SHALL CONFORM TO MASS . �' LEACH RATE �Z , MIN.jjINCH ENVIRONMENTAL CODE TITLEM _ PROPOSED LEACH CAPACITY -. A N D T H E T O W N O F `"�` ' '4�3G�. HEALTH REGULATIONS. ' /-7 'a �� 1 � '� � 7< G A L./D A Y S I T E PLAN SHOWING PROP SED CONSTRUCTION L O CAT I OW 6 G . 5S FOR : APPROVED 19 SCALE DATE: r - --- BOARD OF HEALTH REFERE N C E � % DATE AGENT OF 1 JOSEPH M. X MONAHAN, A S. 13660 . , J . M. MONAHAN, JR . & ASSOCIATES REGISTERED LAND SURVEYORS & ENGINEERS �� (9 , . z. rg� 651 MAIN STREET DENNISPORT, MASS. 02639 ..��•� � ,,, . /zZ_15- Z_ 97, alp iz -7 0 1 98 3 £� 99 7 ��, ` ` .�� rip. o ,ric:� � ,�L •,, ram-2c, co v Woe's770 lop �, =e• , „ � ' 'C/v/5NE0 G��JO�.c' .- \ /. ll �, �• �.. �{/C,SGf1 S'O _=3 s>/v• rorrcA,(/u"/,t'r Z G:"` Jf(� /O ,•- /Lg -/Z .+�,�`A.STo1JE Al <a � o' /'�6wAe7' �p,C? WpV p.o: Lv�SNE0 ..57, f .._../ �.... NCB � �� \�' �?:• ,_ AS GAT TO h1/N. .2/A/OeE� pF .0t PROFI LE OF SANITARY DI SPOSAL SYSTEM DESK N Q,6T A . NOT TO SCALE 4, CONSTRUCTION OF SANITARY DISPOSAL DESIGN FLOW GAL ./DAY 'SYSTEM SHALL CONFORM TO MASS . LEACH RATE .- Z..— MIN./INCH ENVIRONMENTAL CODE TITLE7Z PROPOSED LEACH CAPACITY . AND THE TOWN OF A�"Ao-,A"'125 L�' HEALTH REGULATIONS. ' TT '.c /Q � � � 4�_ 5 7 r'S T .t'; 7 4:�> G A L./D A Y SITE PLAN SHOWING PROP SED CONSTRUCTION L 0 C A T 1 O N r �1f.S''` FOR : �� i� Z)<,;�a .. APPROVED 19 SCALE' � = D AT E '4`�rti'c / BOARD OF H E A L T H REFER E N C E � ,� -� DATE AGENT 116 of JOSEPH M. MONAHAN,JR. vPP 13660 � � ,w' J . M. MONAHAN, JR . & ASSOCIATES ��1� sr REGISTERED LAND SURVEYORS & ENGINEERS ^ ' 651 MAIN STREET DENNISPORT, MASS. 02639