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HomeMy WebLinkAbout0151 BUCKSKIN PATH - Health 151 611<krk iA C,e nferV;I x 17-0- 0 6S S M E A D KEEPING YOU ORGANIZED No. 12534 2-153LOR WgAINMLE FOPZW MIN.RECYCLED 1 INITIATNE CONTENT10% CerdSed Fiber Sourolne POST-CONSUMER smiz0 MADE IN USA GET ORGANIZED AT SMEAD.GOM �Lj--lv�'� LOCATI01V SEWAGE PERMIT NO. VILLAGE A &. B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED r r i pl-- 7�4"I I LOT NO. : ADDRESS: - - 014NERS NAMEk)lmsil�L� d�L� d ' SEWAGE PERMIT NO. : NEW: REPAIR: DATE ISSUED: :3)tjht DATE INSTALLED: INSTALLERS NAME: INSTALLATION OF: WATER TABLE: FINAL INSPECTION BY: \DRAWING OF INSTALLATION ON REVERSE SIDE: � �A �y ,. ti �_J ��, s� �= � �, �' � � �A � ,, .'F� �� �-��� � , 1���� a � No..l..�.� ...... FsB.,.3,: q... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Toustrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( fanIndividual Sewage Disposal System a . - b F� 69l dLl�lj-e­ .. Locatio - ddr t ... ................................. ..... .. W (� I�10 �+t.S..l ............ � ._ _N"AEes. ` k— V aAte.\ ._.. ^................. Ju Installer d Type of Building 1-3 Size Lot---------------------.......Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) ~ Other—Type T e of Building ............................ No. of ersons...._....................... Showers — p`�,,, yp g p ( ) Cafeteria ( ) G4 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 ( ) a, Percolation Test Results Performed by.......................................................................... Date........................................ W W Test Pit No. 1----------------minutes per inch Depth of Test Pit..........---....... Depth to ground water-.---.----.--.---------- f4 Test Pit No. 2................minutes per inch Depth of Test Pit.--................. Depth to ground water..--.................... P4 ------------•--•••--•••-•--•----------------------------•-•--------•.--------------••-------•----........................................................... 0 Description of Soil.....................-.........................................................--------------------------------------------------------•-........--.................... V .-----------------------•------•------•---------•----•----------------------------•--•-------•-•---.......------------------------------------------.................................................... 0 Nature of Repairs or Alterations—Answer when applicable.....trt i� ...�"0..... ._ ....... l rc................ Y .................................................. 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 plat the system in operation until a Certificate of Compli ee ,ssu\e e board of health. Signed --- ...... .. `JV` ------ ........ ` Dare Application Approved By ...... ------ .-------- ---- ------_--------------------------------------- ......3 // --I�/..... M Dace Application Disapproved for the following reafons- ......................... .......... . .-----....-----------------------------------...------------........-------- ---------------------------............................. ------------------------------------------------- ---------------------------------......................................................... ---------------------------------------- (� Dace PermitNo. .....--- / ` -'3---------------------_---- Issued --------------------------------------------------------- ------ Dace THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of C outplianre THIS INTO, CERTAFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) b ............ at151! . .......-----Ce-OZ--------------------------------------------------.........-----------------------------------------------------------.---------- has been installed in accordance with the provisions of TITLE 5 of The State Environment��I Code as described in the application for Disposal Works Construction Permit No. -- ../..--... �� .....�...... datedl................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE A A GUARANTEE THAT THE 'SYSTEM WILL FU�NCTIAN SATISFACTORY. 4 DATE----.......................--- ---- =... " ----- ..............---...---.....- Inspector =.-.-... �- ! ? THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE OtoposaL Workii Tnni#rnc##ion "rrmit Permissionis hereby granted...----- -----• .......... ................................................................................. to Construct ( Repair ) an Individual SewP e.D�spsSaleSystem .... atNo----------------- S-- ---- -.- . .. w- C�.�/ -_---------------. r__.��2:.-�.---•-•-----•---..............----•- as shown on the application for Disposal Works Construction Permit No�c fit.-�-----. Dated.......................................... ::y ., ......................................................... Board of Health DATE............ -••-----------:................................................ v FORM 36508 HOBBS&WARREN.INC..PUBLISHERS I a Fxs...... �xvp No................. } THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Uiiposal Iforks Tonstrnr#'ton Fermi# Application is hereby made for a Permit to Construct ( ) jor/RCepair ( Individual Sewage Disposal System a - 6 Ff 01 G'( ✓' /�' �` -..�------ ........----•-----.. . .....�----... - ---......... ---- Locatio - ddre �-- p�`'`µ a Address Installer Address dType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms................�....................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q, 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. P z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date-------•-------------------------------- a Test 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........................................................................................................................................................................ V .....-•--•----••--•••-------•-•.................•----•--•-•••---...•••------.._........-------••-----•........•-••--•-•--•...••------•••-•-••••••--------•------...--•--....------...................... W ---------••--------•-•-----------•-•--•---•••--- -•----------------••-••-•-------•-•-•-•-•------•••--•------•----------------•---..................................................................... UNature of Repairs or Alterations—Answer when applicable......L pry �N ....mo--.-- •- •-•---• ------------` g ---------------------------------------------------------------------------------------------------------------------------------- .- 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 Compli .ee-h ee\n 'ssue a board of health. Signed .. �J�� r Application Approved By ........ /co Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------------------------...............-- ------------------------- -------------------------------- ------------------------------------------------- ---------------------------------------- Permit No. / 3.. ......... ............ Issued ........................ ----------------------..Dace------ .......----------------------'-- Dace s THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .................T.own-----.OF............Barnstable... AVV irFatilan for Disposal Works Tonstrurtinn ".truth � Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 151 Buckskin Path,.__Centeryille, P _0262_______________________________ - ............................... Location-Address r Lot N James Sabo .................................................. 1j1___Buckskin Pa Eh G_enterville= .M 02632 Owner Address a .. & B -C_e_s_ spool Service , Inc. 128 Bishos-p Terrace , Hyannis ,....�ZA....... 02601 Installer PQ Address Type of Builing Expansion Size Lot----------------------------Sq. feet DwellingNo. of Bedrooms..................... ansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of ersons............................ Showers YP g --•-----------------•------- P_.....----------------------------------••----•----------(----)--- Cafeteria ( ) d Other fixtures -------------------------------•-•••......---.•--- it W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic 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........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 4_1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 •-••--••-•••••-••------------••.._....•••-•-•--•-•-------•---••-••-•--•---......•---•-........--•••-................................... 0 Description of Soil...........aaY]d.............•-••••-••-•-••-•--•-••--•--•--••----•-----•-•---------------------------•-••........................•.... x U -------------------------------•----------••---...--•----------•--...........................-----------...-------- -----------------------•----------...-----------------••----•-•--•-•--------••..-•-- W U Nature of Repairs or Alterations—Answer when applicable.ins.tollat-l-on...Qf'...a...1.,..000...ga1.........pre— UNas.t...__E tQne.pa_ckad...leach--•pit----4•Q.varflawj-.......................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned fu her agrees not to place the system in operation until a Certificate of Compliance ha i sued by tb r th. Sign��� . ..----................... ------------•..... ate Application Approved By......................... ---••• .....C./�. ----••-----;u/26/•a . .......................•------ Date Application Disapproved for the following reasons----- ---------------•---------------•-------------------------•------------.................................... --------•.......••------••--•-•--•-••-•-••....--•--•-•-•---------••---••....-•----•--•--------•-----•••-•-•---------------•••••--•-•---•-............................................................. I / Date Permit No. 8..--...----•----•---•--•-•--•---••---• Issued--_-11,2 6 ............................. Date ---------------------------------- ate THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............................Town.0F....Barns ft:MP14.ble................................................. 00. rr#if iratr of Tautphaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired 1 ) by .A .& B _Cesspool Service, Inc. 12yQ Bishops_Terrace,___Hy_ann st.__ � 02_-01 t Inst uer at-..... Pucxsin Phx Centeryllet ..043.2---______James___Sabo........................................... has been installed in accordance with the provisions of TITLEE j of T State Sanitary Code s de cribed in the application for Disposal Works Construction Permit No--- ".._ U _......... dated-....---126gI1 ----- ------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIO//N/SATISFA�iCTORY. DATE................................11 -t.2-�/9. .................. Inspector-------- -----------------•-••---........--------.....--•----•----•--•--. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Earntable ., No....................` 5 � ...........................................OF...............................................--••-•••....-----..._...........-----. FA..15.-00...... A & B Cesspool. Service , nc, Permission is hereby granted --- ......_.. -------. ---------••.•--•- to Co ct��-�,' 1 0 �Re a ) at,Individual,SS wage D> posal S t at No.�s��...-L�t A- ska.r� �* -h,- pert-ervil�.e, PVlk oZbJfn- James Sabo ----------------------------------------•----------------------------.............. Street as shown on the application for Disposal Works Construction Permit o.,_8 -_..._.___. Dated....11�26�84 .................. --•------ --------•----------•-------•--• ............................. Board of Health DATE------------------------------ . .................. FORM 1255 A. M. SULKIN, INC., BOSTON •,s„ r - No...B�l-.,�.t.� "' " ,. Fps ....1.5,00.... THE COMMONWEALTH OF MASSACHUSETTS ' BOAR® OF HEALTH I—........ ....T own.......OF...........Barnstable . ..................................•••......_.. , pplira inn for Disposal Works Tnnstrnrtion frrmit Application is hereby made for a Permit to Construct ( ) or Repair (g) an Individual Sewage Disposal System at: 251 Buckskin Path,......Centerville........._ 026 2... --------------------------------------------------- Location-Address James Sabo _ 151 Buckskin PatchL t_�enterville�-_.MA 02632 •...................... ....__....... ---............ ........._. --------- ss B Cesspool._.. ._._... owner --- 128..B.ishos� Terrace ...Hyannis , IPA 02601 w A & B Servs ce, Inc,a ........ ....................... . -•---...--------- Installer Address Q Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................E xpansi3n Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test 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........................ x .. Description of Soil..........�';aa;cd...------••----.......•--------------------••----•--•--------------------------•----------------•-------------------------•------.....----•------ =°•--•--------=•-•-•------••------••-----•-----•-----------------------------•-•----•---- ----------•---•----------------••------------------ ----------- U Nature of Repairs or Alterations—Answer when applicable ll.st.a_11Rt.19n...4f...._.1.,OQQ._.gal....,.._.pre.— UaStj.... tme. t_trod...Ie h---pnt._.(.QVa flom.)a---------------- ------•. •--•-•-••--•-••-•-••• •---•-•• ---•-.... ......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI'L U 5 of the State Sanitary Code—The undersigned fu .her agrees not to place the system in operation until a Certificate of Compliance ha p ed by tlye cfard lth. C ° Sign ...... - r 1/26f 84_ Dade Application Approved By.. `" - .!.. _. ............................ 11�2t�fcS4 Date Application Disapproved for the following reasons:............................................................................... ---••------. ...--------- ......................................••----------....-•-----•••----•--------------------....•-••-••-------------•---•----•••---•-•---•----•---•-••---••••-••--•-------•-----•-••-•--••----•----------- Date h- 11 26 84 Permit No.-- Issued-- ..�-- �------•.................•--•---..... l