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HomeMy WebLinkAbout0528 CRAIGVILLE BEACH ROAD - Health 5'7-$ Crm,3v?ldz 6 44 Rd S M E A D No.2.153LY UPC 12934 amead.com • Made In USA "W) oSTAI ,r"�`E INITIATIVE Cofowd Rbw Sourolm ��1 U �9 LOCATION SE AGE PERMIT NO. VILLAGE CeN I N S T A LLER'S NAME & ADDRESS I U I L D E R OR �OWN E , , DATE PERMIT ISSUED DATE COMPLIANCE ISSUED, r , �, � � � �� .. F � �3 i�' C� No....7.2 L Fxs.... 1`.e.��......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...................... ----T_Qwn...®F.......Barnstable------------------------------------------------- Appliration for Uispnual Works Towitrur#inu ".truth Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: Crai ville Beach Rd. W. H annis ort Q - -........g_.......................•--•-• ..........a.. ----..........•••-•-...•••-.. --... -- - ........ Everett B. Me��a ° le s Czaigville eacYi�d � W. Hyannis-port ...................... --------------- ........-•--•----------•-------•............---- Owner Address A & B Cesspool Service . 128 Bishops Terrace, Hyannis a ---•--------------------------p-•-......-------••-•--•---...---------••••-•--••••--••---•--•---- -----•-•----•----......--- . Installer Address - dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...............3.._.._........ _Expansion Attic ( ) Garbage Grinder ( ) �-+ aOther—Type of Building ............................ No. of persons---------................. Showers ( ) — Cafeteria ( ) P4 Other fixtures _______________________________ __ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth............... s` 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........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit..............._.... Depth to ground water........................ W •--•-•----•----••---••-----••-----•--•..................•...••----•------------•-----••-•--••----•--......................................................... ODescription of Soil.----------•-.Sa.nd.-----------•------------------------------------------------------------------------ .............................. ...................... V ---•--....--•-•----------------•------•-•-----.....-•-----•-•--•---------------•-------------------••-•-•--------------•-••--------•--------...--------•------....-------------------------•-•--------. W -•-•----------------------------------------------------••---------------------------------------------------------------------------------------------•---------------------------------.............. 0 Nature of Repairs or"Alterations—Answer when applicable_ InStc113t101Of a 1�000 g31101--- _ -_. tank..-and_•_a.-1,00.0-..gallon__leach..pit.:.__ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with ' the provisions of iITI: . r p 5 of the State Sanitary Code— The undersigned fu tl:er agrees not to place the system in operation until a Certificate of Compliance has been issued b the boa alth. Signed ...... ...................•-- •---•----•-----••- A Application Approved B 5� N'r7 9 PP PP Y........ 5/ Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------••••-- ................................................ .-•--•----------•----------•--•----•.....--•----------"--••--------------------------•----------------•-•----•---------••-----------•-----------•----. /7 Date Permit No........79............................................. Issued. 5/---- --4----•-9...... ......... Date j, 3j . -a'.�: :.�.,� wit- ... .. • �__ - �,""" Fx$ ........ No.... + } _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH k." .. ... . .T`l.lan..®!r.......Banne,-tabie.................................................. ApplirFatiou for Ditivuiial Works C omarnrtion thrmit. Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal SystemaX Craig v 11e--_Beach Rd.-.-_.`tY -_ Hyann 3_port -----.._..__ ..... . ''E��t I.�tb.. j� ,f pn �`fr,sa /^i 1 1 T��'rp �] 11 qp XJ��iWW "",+ .�� t'I�i'�'yJTaobQ.ietxs tI�o..«. � .,L J.I _- 'C�.,Q tltl�.. "'.� y7I �Qr .... ':'t4,J _.... .................................. ........... ._..._ ..... ..... v s Owner Address a A .....�- e�.._ -fie... .I28 Bishops Terrace, Ryant)s _. � Installer Address Type ofr'13`16g Size Lot............. ...Sq. feet U Dwe�lmg „} N6,'of.Bedrooms_______________..________.___._____.__._._Expansion Attic ( ) Garbage Gander ( ) p-, Other ,.,Type.pf.Building ____________________________ No. of persons.........I-----_---------- Showers ( ) — Cafeteria ( ) dOther fixtures W Design low _____________________gallons per person per day. Total daiT'y flow *___gallons. g ,V : .. .. ... WSeptic Tank` Liquid capacity_._.____:___gallons Length................ Width._ Diameter----------- ...Depth............ Disposatv Trench No.. ____________________ Width.................... Total Length__.__..__ Total leaching area-.,.. k_�___._sq. ft Seepage_,$.it�No :.._____.. Diameter____________________ Depth below inlet_.____. w________ Total leaching area. sq. ft. Z Other iQrib!tion box, ( ) Dosing tank Percola%on ,T6k Results Performed by.................-................................__.______ _. Date__ _-__._ ______.__._.. aTest'Pit No. 1................minutes per inch Depth of Test Pit---------_.......... Depth po ground water � . (�, Test Pit:.No. 2_...............minutes per inch Depth of Test Pit.............. Depth to ground water_..................... -7 $'Yx ,4;-es, .,. •._.:__c____________________________A .____._.______._________..__..___.____...._•_ _- Descripfii©x ©f Soil :1 t .............................................................. ---------------- - ---------------- ;- U • --•----------•--••----•.......................•-•-•---•------ ••••--...----------.._.__....._ , W 4, Nature tf�Repairs or Alterations—Answer when applicable !A OtAZl atzon-__�?_ ._a__.�:a_000 •_g3��10C! ................. -•--- ....-•----- Agreement The`,utidersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the pro,isions�of TITLE, .5 of the State Sanitary Code—The undersi d rther agrees not to place the,system in operation until a Certihcafe of Compliance has been issuSo>y the b j o ealth. r isF Sign e ........... . ----- .............................. ..... w 5/ ,�.a��7 9 APPlicattt Approved`By._......---•----•....................................•--••-•--•------------ Date Applica.tYoft—Pisapprdved for the following reasons:................................I---------------------••---•-=-•-------------------•--•-•-----•-------__-------- Date hl;errimCT No............................................. ------• r,` Issued �_..... .--- yi- Date THE COMMONWEALTH OFtMASSACHUSETT tt^: Y BOARD F,°fl EALTH 1pity;...... OF.... 1 •I4�+-; }l. ................ e : THIrS IS1,1TO.•-CERTIFY That t�hew>Ind vidual Sewage Di posal System _constructed ( ) or Re air d u w�v Installer yui4r . ver tf B. Melli fie a ................................................... has been lnstKlled'in accordance with the provisions of TITLE j of The State Sanitary Code as dgscri��i in the applicatiQrinrD>sposal.Works Construction Permit No-_-- � ____ _,'� __...._ da.ted_.:. .-__ / f THE ISSUANCE OF THIS CERTIFICATE SHAH. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEIaIWILL PUDIC' ION SATISFACTORY ;k T �� Inspec a ... �- ---- -----•-.-••-- h..;. THE COMMONWEALTH OF MASSACHU91ETTS >.... _., -ABOARD OF HEALTH ;t.. .' "dit....OF.............. �,_�a,ak1� G.... No .... ` ` f •00 Permission is hereby granted... _._ .. S u 1}E3 8Cv - 'p er l •...... .-•--- ---•- ----• ---- y lr . to Construct.,(F, ) or Repair ( X) an Individttal Sewage Disposal S stem` at No.... ` e ,.� -Be ic-_..Rd - eet V nniSDOA --� ��rGrett B. Mell'IT�eld as shown on the a IlCatlOn Street .........--•- ` pp for Disposal Works Construction Perm' ��� d Fl ���+ ,{ •••......... ...... -__ •• - v. _ -- Boar of ealth DATE.- kM � 7 _l FORM 125.5-Ea40$BS & WARREN. INC., PUBLISHERS -