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Home My WebLink About0082 HAYES ROAD - Health 82 Hayes Road Centerville A= 210-165 SMEAD No.2453LOR UPC 125U on"d com • M&O In USA m11k) �b,W OOFMOmmmummam PM" IN mmf Fxs...... .................. THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH Appliratiou for Bi_qpasal Works Tomitrurtiuu ramit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System a9t_�� .. � � .....!1A ... .. j Location-Address �2.. �? 1 ZL ,�A. . _ �--. er Address Installer Address UType of Building Size Lot___1_74. -..__.._..Sq. feet �. Dwelling Xr No. of Bedrooms............................................Expansion Attic Garbage.Grinderf� aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Ga Other fixtures ---•-••----•----•-------•------• --- Design Flow.......... .........................gallons per person per day. Total daily flow_________�_1s ....................gallops. 1:4 Septic Tank—Li �*d cap acity-150.-.-gallons P Length_1O"-�-___ Width...6__e5___- Diameter________________ Depth_._e7� Disposal� .V0._._�._.._._._.. Width_.. -R __.. Total Length..Em., A...._.. Total leaching area___617......sq. ft. Seepage Pit No--------------------- Diameter..................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (b,) Dosing tank ( ) '-' Percolation Test Results Performed by AS it��l , ` _N�IC- Date_..0-1 W.-.U.-s_`�._......___. 1�®VJ� - Test Pit No. 1_��____minutesperinch Depth of Test Pit____ ___________ Depth to ground water_____:__________. ... 2 1-4 (s, Test Pit No. 2................minutes,per inch Depth of Test Pit-------------------- Depth to ground water........................ - ---------•-••••------------ r......... ---------------------------- 0 Description of Soil - O k�?`!l �.�.:�Q.0 ---- ......CL� -- hl. ........... w UNature of Repairs or.Alterations—Answer �!� ��....'-•-1 . ` -_!..�......��._Cal ..... ''�R� �----•-•-•-•-------------•-----....... . i Agreement: The undersigned agrees to install they,&redescribed Individual Sewage'Disposal System in accordance with the yrovisions of iiALE 5 of the State Sanitary Code— The undersigned further agrees not to pLacethe system in a 'o until a rt cate of Compliance has b issued bathe Ie lth. �� •-----. �........ ...... Sa efi j b�..... j�` �� Date Application Approved By........ `-•-_ --• ................................... .......jl•��.6..`.......--••-- Date Application Disapproved for the following reason ................................................................................................................... ..•••................•-------•---------•---•-•-----•----•-•----•-•-•-•-••••-•-•-•-------•......•-----•----•••-•........................................................ ............................... Date PermitNo.......---•--•--••--•................................................---------- Issued......................................----------•--•-_- Date 0 3 n S S 1 33NV11dW03 31Va � s b a3ASSI 11WHId 31Va f 0A a3aMo vo a 3ailn a WOT SS3YaaV ` 7 ' 3WVN SA311 i'ISNI ISVIIiA 'dN 11WVId 3 0 V M I S N01l1 ' �= i o, O -b i ] ] tf f.;r} �t t No._ e/ �! f Fm3.............................. e,. THE COMMONWEALTH OF MASSACHUSETTS ` BOARD OF HEALTH r ," OF....... .-ice Application is hereby made for a rin t to &nstruct ( ) or Repair an Individual Sewage Disposal System at• .-� 4 ------------- Location-Address ' ot'Mot No. W OwnerAddress a -• ----• -•---•---•----•-•--- ... ..--- " ................. ....--•------•-•---• + Installers � . Address Q Type of Building yij ` `7 U y Size Lot... ..`: �.......Sq: feet I-, Dwelling�No. of Be-drooms::' ...__. .. _ E+ ynsion *ttic (6,o Garbage Grinder (RC> a Other—Type of Building _____... _... ____ Showers — ;... +rDlo ones ( ) Cafeteria ( ) Q Other fixtures ............................ ---------------------------•----------------------•---....--- Desi n Flow...._ <°..__. W g ----- gallons pie ^p ran r d ;, nil� Y -------- ..5.0...................�lo a WSeptie'Tank~ IT�igII''uid capacity..l_31 allons L �-----�--•_ Width..- _ I7rameter___............. Depth..--+`�-�-:-: .: x Dis sal t� No ,s5........... Width... �.__. __.. Total Length ...otal leaching area.._`. ..........sq. ft. Se age Pit No........_.. Diameter ................. Depth .below inlet.__..__ .......... Total.leaching area..................sq. ft. z Other Distribution box ('Ke Dosing tank ( ) I a Percolation Test Results Performed`by7]P_1Sa.�;_�va.«•t.g..- .h��±,...y.�`��t_�:_�a�3_L. Date._."() ............ Test Pit No. 1-4-7---minutes per inch Depth of Test Pit -S........... Depth to ground water..�`q.�`!Ik_ `'�_ . C—QUA f� Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water------.................. a ----•--- --•--------•--- • -•-•••......--••...._.... .....�.. r :. ----•-•--- 0 Description of Soil.... . `�;�.�,y .. . ......................... . ......................................... .. __________________________ _______________________`___•---.--____-•--••-__.___._.__......._.......___.._....__. ----------- ------- ....___......__...._......____.....------------------------------------------ U Nature of Repairs or Alterations—Answer when applicable.__.-_ C Y"rr ? _�Car�t___G-r"-•tKIS_�-1-t.1 PS `4 i �• 1� ..� _.E!�_ *- � �._.+ .....'a.?_}JF 4�r S�° �t��& �'....................................... Agreement: s The undersigned agrees to install the`'a_foredescribed Individual Sewage Disposal System in accordance with the ovis' ns of TI`ii' P 5 of the State Sanitary Code—The undersigned further agrees not to ce the system in er do .until a C ti sate of Compliance has been issued by the board o iea th. tSigned........................... ............................. • . -----••--- ............................... Date PPhcation APPro ... - Sy_....:.. Date Application Disapproved for the following reasons:t*..t._.......................................................................................................... ..............................................••--...-••--...--••-•---••-•• ..........•-•-• ••••--------••--•----•---•-----=•-•••-...... •-•---... ... ti kr Date %6 Permit No:... ------ Issued------------ ---- ...................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' ..........................................0 F..............`............................................................_•--.--... r Tn`$ifirFatr of f�nntpliFatta .9 . THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired byY C-OAjoe =.......................................................... .................... at. __.....i....... Z------ nstaller has been installed in accordance with tl provisions of TIT—` j of The State Sanitary Code as described in the application for Disposai Works Construction Permit No....... - �. /' ...... da.teti_......... L-__f4..-_8�-------- ----- THE ISSUANCE OF THIS CERTIFICATE?SMALL NOT BE CONST UED AS•'A GUARANTEE THAT THE SYSTEM WILL FUNCTION •SATISFACTORY. DATE..................... Inspector............... ••---•• •. ............ -------------•- C,tfVt (2 W►tlS` THE COMMONWEALTH OF MASSACHUSETTS V. �r ��r2v15 `t1pA! BOARD OF HEALTH ' t ` No..-CL.�/7:/dtZ.". FEE " inaal nnn inn Vamit Permission is h6ieby gianted.....]......................... r. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at NoK,. i� 1 . t � A .-------- o............. '. ;✓ :" ...................----------- 14 v Street (`� as shown on a...lication for Disposal Works Construction Permit No�� 1_ 1 SA . t 9�I4�) PP P ,�..1"---1---2Dated �ltc �- -------------....... DATE............1--.1.9 ....... ........ - Board of Health `FOR11 1255'- HOBBS & WARREN..INC„ PUBLISHERS BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville,Massachusetts 02655/Tel. (617)428-9131 WRIJAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering September 17, 1985 Town of Barnstable Board of Health 367 Main Street Hyannis, MA 02601 RE: Weinberg Residence 83 Hays Road, Centerville Dear Board: In accordance with your request this letter shall document the design basis for repair of the existing septic system for the Weinberg residence. The existing house is basically more than 100 feet from Lake Wequaquet and the proposed leach field more than 200 feet. On November 11, 1984 a test hole was dug by this office and witnessed by your agent. At this time, the water level of the lake- 'was elevation 33.8. The bottom of the test hole was elevation 31.5 and no water was encountered. The test hole was left open for 4 hours so that ground water could seek its own level. After the waiting period, the bottom of the hole was still dry. Given this, it appeared reasonable to conclude that the water level of the lake and the ground water table at this point do not directly coincide. Therefore, it appears reasonable to use the bottom of the test hole (elevation 31.5) as the design base elevation. Given the results of the test hole and the fact that this is a repair to an existing system, it is my opinion that the design base elevation is reasonable. I"OF MAss9 I trust that this- meets your present needs. If you have ° PETER c� any questions please call. r�Y 0 SULLIVAN � Very truly yours, No.29133 o t ��FG/STE�� ti4- AL; S�ONANG Peter Sullivan, P.E. Baxter & Nye, Inc. PS/fmj MEMURS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville,Massachusetts 02655/Tel. (617)428-9131 WMUAM C.NYE,R.L.S.-President _ RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering October 3, 1985 Town of Barnstable Board of Health 367 Main Street Hyannis, MA 02601 RE: Weinberg Residence 82 Hayes Road Centerville Site Plan Dated August 8, 1985 Dear Board: In accordance with your request I have inspected the installed septic system at 82 Hayes Road. As best could be determined by visual inspection, the system has been installed in accordance with the Site Plan dated August 8, 1985. I trust that this meets your present needs. very truly yours, Peter Sullivan, P.E. Baxter & Nye, Inc. PS/fmj �P�SH OF Mq cc: Milton Schwartz ��a q� 15 Water Street PETER y�N. Sandwich, MA 02563 SULLIVAN ` No. 29733 FSS�ONAL Et,�'�� MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS - Y`S� 710 C ION SEWAGE PERMIT NO. • /�l •`� t�1LLAGE IN TA LLE 'S NAME i ADDRESS 0*6 55 oob BUILDER OR ER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED s;de. �c►�+��us�es � IV A e 2 D L 1i"10N SEWAGE -PERMIT NO. VILLA E Centerville t I N S T A LLER'S NAME & ADDRESS A k R CIRRSPOOL SERVTCE 128 BISHOPS TERRACE, HYANNIS, MA. 02601 BUILDER OR "OWNER MERTON B. TARLOW 82 HAYES RD. CENTERVILLE, MA. 02632 DATE PERMIT ISSUED 7/13/79 7/23/79 DATE COMPLIANCE ISSUED � - r ,- '' i �� l� L{ � 1 L �� ;. FA...1-19............. THE COMMONWEALTH OF MASSACHUSETTS"'--" BOAR® OF HEALTH ......................Rown...._..._0F............Barnstaae...--............................................. Appliration for Ui_qjinsal Works Tomittrurtiun rruti# Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: 82 Hayes Rd..t._Centerville, MA -02632 . Location-Address or Lot No. Edw.......Goldstein3 Sunset Ave.,,•:P� m.. e �}�,_•- '�,A. 3�j;$Q.._,_-_ ........ ......._................. Owner Address W A & B Cessl Service 128_ Bishops Terrace,_ Hyannis.,_.MA-_--Q26Q�,•_--- ,-� ...............••... Installer Address Type of Building Size Lot.... ......... .........Sq. feet U Dwelling—No. of Bedrooms........... .................. .Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of person........................... Showers ( ) — Cafeteria ( ) a' 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 ( ) Percolation Test Results Performed bY.......................................................................... Date......-..-- -------- .------------------- Test Pit No. I................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........................ ODescription of Soil...............-......................................................................................................................................................... x W ...-----•------------------------•-•----•---•----------------_....:......_..........-•-----•---•-••-------.....---------....•--.....------•-----•-•••-----•-.-----••---...........----•--•-•---•-•-•---- UNature of Repairs or Alterations—Answer when applicable-Inste.11ati.oll-_Af..2.-_f1-owdiff is,ora,--.st.oneL_.. packed...oyerfl9H),---------------•--•-------•--------.._.._......--•----•--••------......---------------------------------------•------------•--•--••---------•-••----......----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLL 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 bmrd roalth. Signed.,=' --- .._. . ..... 2 Application Approved BY D? ----.....�-� ::`'. .... . --••--•--•-------------•-------....--•--- -------------8,--17/ -•--•--- Date Application Disapproved for the following reasons-..............................................................-................................................. •-•--•--....--•--•------------------•-----------------------.......----•--•--------------•-------.........------•-----------------------------------------------•---------------------------•-------•---- D Permit No.._82- ate -----••----•--------------------------•-----.. Issued.......V..VA ............................. .... Date THE COMMONWEALTH OF MASSACHUSETTS`'-' BOARD OF HEALTH ........ ..:........... 'OW21 ......OF.............r C18 �8 1.r�..-.. App iraftoii' for UiiltutiFal Workii Tonstrurtion rrntit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 82 Hayes Rd. , Centerville, t,A. 02632 -------••-------•--•----... ............... n Location Address or Lot No Edw. Goldstein 333 Sunset Ave. . Falm Eleach, T;l� 80• __ W A "Y ------------- B Ce�ssp®1 Se •vYce ner 128 Bishops L exTace ddr�s nnir iA 02601 A ,-� .................................... Instal ...................................... ............................................. ddre�. � A....•---......•--•-- � - Installer Address UType of Building ': Size Lot............................Sq. feet 1-1 Dwelling—No. of Bedrooms............:................................Expansion Attic ( ) Garbage Grinder ( ) A`4 Other—Type of Building ___------•---•_____________ No. of persons3.......................... Showers ( ) — Cafeteria ( ) G.1 Other fixtures ---------------------------------------------------------------------------------------- - W Design Flow.......•..................:....:............gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid"capacity.._s.._.....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........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fs, Test Pit No. 2----...............minutes per inch Depth of Test Pit.................•.. Depth to ground water........................ a82iCT---------------------------------------------------------------------•----------.... -------- --------- ------------------- ODescription of Soil...................-....................................................................................................................................................... U •---•••••---•-•-•-••------•••--•-•••••---•......-••••-...........•-•-••---•-•••••••------.....•---•-...•-•--------•••••---•••-••--•••-••-••••---•-••-•---•---•••••-••••--......•---....--••••......••--- W U Nature of Repairs orAlterations?—Answer when applicable.---p. tallati on of 2 fl-owdi,ffuso�,._�t one••. hacked (overflow). -----------------•--•-------------------••-------------------•--•-------.........------.......-•-•------------------------------------------•-------........................................ Agreement: The undersigned agrees ..to'install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T IT11 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 alth. Signed..._._ - .. e�i ^L% V W82 I Date Application Approved By-•--•......•=...... 162 10...�2-...................... ..........---81 V7 2........ Date Application Disapproved for the following reasons---------------••----------------------------------------------•----------•••......--••• ----.._....._•----- ........................-...................:.................••••-•-•••----•••-•••---.....-•••••••••-•-•••----•-•••••••••-•••••••-•--------•-----•••---•--•----•......•---------••••.................... Date Permit No...82-•-•-•---•....---- °� 17 82 .._..-----•-------------•--. Issued-.-------�-----•---�-------•-----•----------------... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tfldn...............OF..... N21stable .... ........................................................ Trrtifiratr of TompliFattrr TE I L� C TIFY That fops ewa e Di sal S stem con u t d ( ) or Repaired (X ) A 3c L'� s oo ervYce, i� s`fiops 1. Agee, �yanx>�is, NA t��`0f by •-----------------• ...........-••••-••-• --------............._....--••-••------•---•--•••••.._..............--•---------.......--•------ .... .•• ---- .-------- 82-Hayes Rd. Centeirville, i�A 02632 InstalLnw� Goldstein at.................................:--------------------------------------------------------------------- has been installed in accordance with the provisions of TILT —T" 5 of The State Sanitary Code gs/ s? i�ed in the __ application for Disposal Works Construction Permit No. = .. _- l. .................... dated--..._--_-.-...-----__-_........................ THE ISSUNCE OF THIS CERTIFICATE SHALL NOT BE C NST E® AS A BJARANTEE THAT THE SYSTEIoell We1A NCTION SATISFACTORY. DATE. ..� ...`-- ................................ Inspector ... . --------••-• '•-----••---------------------................... THE COMMONWEALTH F SS HUSETTS BOARD OF HE LTH 'OWn........OF....._ .,:ar.. table .. ............................................ FEE $.00 No.......... • ............... ��ros�tf Turku �un�#rion� rrnti� Permission is hereby granted;.._.__A..............Cesspool Service to Constr or, ai X an II divi ual S Dis _ al S st ; ay)esd Pntrvi]. e, ` � igjP2 — Pcw. Uoldstein atNo. -••••••.. -- •• •. •• •-- -•.................................•-----•-•.---••••--------•-•••••-••-••--------••••-••-•••--•-•••-••--•••••--•-••-•-•----.........._...... Street n/ '7P2 as shown on the application for Disposal Works Construction Permit No..................... Dated•........................................ DATE-------------------------- --•�6��,�............................ Board of Health FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS No.._79=..//- Fim ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................... .o11rn.........OF..........Barnst;%:WLg...................------................----- Appliration for Biipugal Works Tonstrurtion frrutit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: 82 Ha_ye!..$d.t_:...Centerville:....026,32.. ovation-Address r Lo No. Merton B. Tar ow - 82 Hayes Rd,,_ d6n�Wrville. 02632 .. •--••..................... a A- &- B Cesspool S°e°iviee 128 Bishops Terike, .Hyannis, .02601 Installer Address Type of Building Size Lot...........................Sq. feet aDwelling—No. of Bedrooms.....•3...................................Expansion} Attic ( ) Garbage Grinder ( ) Q, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures .............................. . . W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. xW Disposal Trench No. ................ Width................ . Total Length.................... Total leaching area _:;_. Septic Tank—Liquid capacity............gallons Length_............. Width................ Diameter-_-.�..:....... Depth-'.'....,-.' ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.........: Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by.......................................................................... Date........................................ = Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 •-•-••••_•••. -•-----•----••-•••-•....._ ..--••......--•----•.-------•-----••--------------------------••------•---••-------......._.......-------- ODescription of Soil.................S1t1'11d........................................................................................................................................... x U •-•••••••-----------•-------------------••--••••••......••-•-•-••••-••••-•.........•••----•-•-••-•-•--••••••-•--•----------•-----••---•-•-•••-----•••---•-••--._........-----...-•--••-•-•---•-•-------- w x ----------------------------------------------•-•-----•---•----- -----•-•---•---------•----•--••-•--------••-•-------------•--•------•-------------•-•••-•-...•--•-•-•••-...._..--------•--•......•.... U Nature of Repairs or Alterations—Answer when applicable...in_4•tray.1at10n...ol---&.-a..}000...gallon. -__. $e t c._.tank... nd...-3---jDto a-- --------------------------------------------------------------------- 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 further agrees not to place the system in operation until a Certificate of Compliance has bee -ey---------------------. /fhe b d o iealth. Application Approved By-•..... . �{ ... /1. 79_.... Date Application Disapproved for the following reasons---------------••-------------------------------------------------------------------------------------.....------ -••.............•---•----•----•---------•-•---------•----•••....------•--•-•--•••.....----•-•-••-•....._..----•---•---•-----------•••----•-•-----------------•---------------•-•-----•••---•-----------•- Permit No............. --.-.- . ......Date ?9 Issued ---------------------. -. _ 7/13/79 ---... Date THE COMMONWEALTH OF MASSACHUSETTS .Y BOARD OF HEALTH down..........OF..........!�arnatatle Appliration for Disposal Works Tontitrurtion amit r Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at .82 Hayes »Rd. ._'Centerville, 02632 ............ .... --•••---•................•••-------•----------......-•------•---............-----............----- ocation-Address or Lo No .M.erton B. Tar_ o;N ____._..._ 82 Hayes _Rd. , Centerville, 02632 ------ __... --.... ...... caner Address A & B Cesspool ervice 128 Bishops Terrace, Hyannis, 02601 Installer � Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...... ......................................Expansiop 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fX4 Test Pit•No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ----------------------------------------------------------•---......------...........--•......--••-•......................................................... 0 Description of Soil................Sand............................................................................................................................................ "� -------------------------- ---------•-------------------------------------------------......----------------------------------------------------------••••......................---•••................ U Nature of Repairs or Alterations—Answer when applicableAn£Ita11_d.tion...Qf...a...It.0.O0...PallIIn..._. ..aept.3._c...tank...and--.3-...s.one•-•pa.cked-_.f o.wd.ifuaa rs-------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T'LZ 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 b he�qiSig d --------------- - ------------•-...... ...-- Application Approved By...... ............. ....... ...... 7��a Date/.� 79 �'�i Application Disapproved for the following reasons:.................................................-------------•---------------...--•-••---•------......tY:,------ . Date PermitNo......................................................... Issued........................................................7� _ Daze �. THE COMMONWEALTH O,,,.,MASSACHUSETTS BOARD OF HEALTH .......................T.own......OF......... ° ` C9rrtifiratr of Toutpliattrit j THIS IS TO CERTIFY, That the Individual Sewage Di os14 al System nstruc.t dy(;; „Wpaired (X by A•»& B Cesspool Service. »128 Bishops Terrace, yann a,k d2 . . . ------•----•......--•....-•---•--•........•-•......... ) tatter at..82 haves Rd. , Centerville, 026� -- Meirtorl~ B. Tarlow ------------.------------•-•...---.._..-•---------•-•---•--•--•-•.............•------•---......-••----•--••... bas been installed in accordance with the provisions of TIT -P, 5 of The State Sanitary Code as described in the .,.,..,_.,.°application for Disposal Works Construction Permit No...... ___....... :dated-_.--------7/13/7'_9................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOt,BE CONSTRUE® ASA GUARANTEE THAT THE 3 SYSTEM WILL FUNCTION SATISFACTORY. DATE............ ................ ............................. Inspector....... --- .......... . u' THE',�COMMON/WEALTH OF MASSACHUSETTS BOARD OF HEALTH ter-- Town.....0F....Barnstable 5 00 ....................................................................•----..._.... No:..7�-..:. FEE......................... w� Disposal Workii Tonstrttaw"It rrutit Permission is hereby granted...A & B Cesspool Service, 1 V. Bishops Ter. , Hyannis to Con ruc ) ,or pair X n Ind' ual Se , Isposal st at No. 2.. yes _6-+.. e e rv�l e, �`� — li r�'on B. Tarl ow . .....-. . . --•...............•--•-•------------•----•••......--•----•--•-•-•---------••-•--•----••-•---......••--.......•... Street as shown on the application for Disposal Works Construction P t No ..... _: Dated--_: __7/13/79_........... DATE.............................•----....-----•----...-•-•----•----•--•----••-•--•• oard of Health FORM 1255 HOSES & WARREN. INC.. 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