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Home My WebLink About0023 HOLLY LANE - Health 23 Holly Lane Centerville A=228-028 E` 4 °° SMEAD No.2453LOR UPC MU sm�sd.�om • MuM In USA V=54W i�B!USA N MS PROOIRT I!E SFI CERIIFlE 1 SOURGN(' W W WSWPROCoRlWLORfi q F to sc«Ie— -- v-FA, NSW Lco& IC7 1Ve �--- G' x 8" C. U. c 4 vC -I�4�l.r Lev n rod -TU2631s II ^^ L �/ VOCATION SEWAGE PERMIT NO. VILLA (le-0`e_ l I N S T !�L L�R'S NAME i ADDRESS IUILDEIII OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 7- tveoow 0�� GAL. Q ��rl i . `AOr. ?Oot `�t51 130x �PJ ewe 061;f �t-y��ll No.. .... THE COMMONWEALTH OF MASSACHUSETTS -- BOARD OF HEALTH UL,C�r)...._0F....... ApplirFation for Elispnii al Works Ton rur#ion Prrmit Application is hereby made for a Permit to ConstrtXt ( ) or Repair (1,-�`an Individual Sewage Disposal System lath, /`�j4V ............0 .... ��a ......................................... ............................................................... .. f..... LOcatlon-Address ... .. . ...............................................No. .................... ............................................................ ��Lot yC�p� (Y f f 4.A-/_ J �4..�J1 f.6.�dress.. Installer Address U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ 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................ 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..................... f� -Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ OQ+' �s•�••.,•- ------- I ------- =---------•---------...-•-----•--••--------.......------.........--•------•---•-•--.._........---- Description of Soil--------c -f'_._ X�l -----•---------------------------------------------•_____--.•---___.__-_.--------•-•--•-•--•----- U ----------------•- ------------- -......... --------------------------------------------------- --------------------------------- •-------------- •----•--•-----•--••-----------•---- x •--•••••-•-••------•-----------------••-•--•••-••••••. ---••--••••-•---•----•--•-••••-••-----••---••-••--••- - ----in U Nature of Repairs or Alterations—Answer when applicable.........f__.�_ �_ .. nc - ::•,_,��. �• ••••-_••---. ...-•---------------•--------------------------......------------•---....•-•-••-------•••-•--•----••••-•-•••-•••••••-•----••--...•--•-•-•-••--••••.........---••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iIT .0 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has n issued by the board of lieajth. Sig d .... Z/"-M-k�-•ate- .._•_ �_Q.... ti. Date Application Approved By.._..__ �/ • ....._ LLtfJ� :�..................•-_...-• ....... ... .47A :.. Date Application Disapproved for the following reasons:............................................................=............................................... --------------•----...-•-•-•-•------•---....----•--------•-----------------•---------•-•------•------•--........--------...-------•-•-----------------------------------------------------------•--•-•••- �J�^ Date Permit No....... .. Issued .............................................. Date •-••••----- L Date FEB /r;- T7 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................l..n..%->.t .......OF...... rig ... .> rr - `> Appliraften for DWItas al Works Tonstrurtion Prrutif Application is hereby made for a Permit toryConstrilct ( ) or Repair (le)-an Individual Sewage Disposal System at: ...........f..��.f!-i�1..........l:....� --...`... ...... jt..I YY•� ................................................................... Location-Address y or Lot No.` wner ddress iO. _ . � ......._ .. f .. .......--- • ✓'..3 ! i t ).. '� J .......----•-••............................... a Ad i r A PPInstaller ' dress Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g ---------------------------- P ( ) — 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. 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........................ P4 •----•--•---••--------••----•--------•••-•-------•-----•--•-••----••.....-•--•-••........-•-.--••••--•-•-•-••---•••--•--•••---•.................•.......--•- D Description``of Soil.............. r.{_..t__.1--------! :V// ! ...............•--•-••------•-•-------- AW r U •-•----•-•-----•---------•-••---•--•-•--.....--•-•------•-•-•------••---••-.. w UNature of Repairs or Alterations—Answer when applicable........�.:.�.!..'.'�.._._...11_I.L ------------------------------------••------------•---------------.....--•-•--------•-•--...........................-•--•-----------.....-•---....-•-----•-------•--------------...........---......-•-• 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 been issued by the board of health. Si ed. • /f ' c ..%k I, l_� ,�� /r11 )t ..�k- / t Date Application Approved By ,�' '.�,�� . -- -- 1C. lam................ A" .. Date Application Disapproved for the following'reasons:.--•-•-----------------------------------------------•------....--------------••--------------------......••... ....................•---•..........._.....-•-•-••--••----•--•---••--.....--•••---- .r •••••-•••................--------------•-•-•------------•-•--•---••--•-----•---.......--------•••-••--•---•--•--- Date PermitNo......................................................... Issued.................. ............................ — Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f ' fir/ :Jll. �� C�rrtifirtt�le of f�ont�rlt�anrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) Installer has been installed in accordance with the provisions of T - 5 of The State Sanitary Cede as described in the application for Disposal Works Construction Permit No. ,`--- .1. p •--------- dated.-.--�/---"-�R."c- ................. THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..... ................................ ......................... Inspector. ••-----•-_._._. . ...-- .................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No............ / .....(.� FEE.....:---.........�.... Disposal Works Ton#r ion , amii~ k -) Permission is hereby granted...........Ii -% ' l:>,..... 1 Via...._ ...—/,31;• '--- to Construct ( ) or Repair.( _) an Individual Sewage Disposal System F�.-�// j • '/ 1 " r J ` /---�---------------------•-----------•----------•-.------•---- ...--•-...:..-......... r.._......,-•- Street .1 as shown on the application for Disposal Works Construction Perri No.. ._.._ __.__. _. Dated...... ..r�...-4e.---•...•.... :" 5:; ea-----•--•-----------------•- .� Board of Flea th ` DATE----..# .' , _11----�' x FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS .z LY0CATION SEWAGE PERMIT NO. �,,� /,// rti VILLA 9 E I,, STA LLER'S ME i ADDRESS R UtLDE R 0 NE . A C DATE PERMIT ISSUED DATE COMPLIANCE ISSUED r :� D, 1 Fis.45•,•4C.......: THE COMMONWEALTH OF MASSACHUSETTS BoAR® OF HEALTH ......T-oven.......O F...........3arns t able.---------•---------------------------------- AVVftraf*i_an for Uifipnsal Works Communion erutt� Application is hereby made for a Permit to Construct ( ) or Re it ) an Individual Sewage Disposal System at: p,�, �' ,oFi ejzb �) Holly---Lana,....C.ent eruill.e..,....D 26 3.2......... ......•-- � .......................................... ....... Location-Address 875 Cleveland ...t. Brid e ortg_. CT. _Albert---K' ------------- .......... Owner Address 8�O V 1 a .A_-&..B__C.eaapo.al...S.esviaa................................. .12.8..Ushap$...Tg;m! e, _Hyannis. .MA. (�u Installer Address d Type of Building Size Lot............................Sq: feet aDwelling—No. of Bedrooms..... ................ Expansion Attic-,( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons__----- 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............ f_.--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............ ........ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.......................... -----------------------------------------------------------•---.....--------•-------..............--......_.----......----•-------............--•-•-------- 0 Description of Soil..........Z&nd........--•----------------------------------•----------------- ------------------------------------------------------•------------- -------------•----.------•------------.....----......._...-.------•--•-•--------•------•-•-•------•--------. •-- ._..... .. :_-................. U Nature of Repairs or Alterations—Answer when applicable-.InS_t;a.11a. ion _..3._ p Pre-cast,.._stone faced. beach_• t•------------------------------------------------------------------•------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TH'I:1 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 and f health. '4'Sign .•..... •... ---•-••---•••••-......•---•--•-•••-•••-•-••••-•. •...V1 17.9..------- Datp Application Approved By....... ---.. K........................ ...........4 A17.9......... Date Application Disapproved for the following reasons----------------•--••••-••••••-••••••-•••-•••-•-••••-•••-----•-•-•-••---••-••••••----- ----- ---------------- -•-•••••-•-••--•-•-•--•-••-•--•••--•-•••••-•-•--•••-•-----•-•...--••••••----•-----•---........•••--•-----I---•-•--•-•---•----•---•---------•-•---•-•---------•-----------•••-----•----••......•-••-._.... Date Permit No............79=..................................... Issued...........4/1S/79-...--------------....... Date No.7.9 :21:Z ......... THE COMMONWEALTH OF MASSACHUSETTS \ -U-'0E-HEALTH BOAR •. ........ OYIll1.._....OF........... ."3A;E .fit E�.t 4 rvftration for Uiivoaaf Workii Tontitrnrtion thrmit Application is hereby made for a Permit to Construct ( ) or Repair .X ) an Individual Sewage Disposal System"*: aen:t.er_sril e.,._.02.Z32---------. --•---•-----•-•............................. ....- ----- ........._------ r«4k c Location Address r Lot No. Alhe �: 9 Cleveland KVe. Braid a art -_CT. ..................•--....._........_._.... '�5_ �.... Owner Address 8fflf a 4 s sp��l-• ex r ce.. 2..$... �. 9 T§xK4c@.&._�3yann� ,�---MA. (j tJ L ,+ Installer Address Type of tBuilding . Size Lot_._. ._..._.: Sq. feet Dwelling No of Bedrooms_____ ________________ Expansi n Attic ( ) Garbage Gander ( ) Other T e of, Building No. of persons.. Showers ( ) — Cafeteria ( ) a d ir" Other fixtures = ' Design Flow gallons per person per day. Total daily flow...---------------- ------ gallons. vn WSeptic Tank I3iquld capacity_..........:gallons Length_______________ Width................ Diameter.........:_..... Depth ............. x Disposall:Trench,, No .............. Width.................... Total Length.................... Total leaching area� ........sq. ft. Seepag It 1Vo Diameter.................... Depth below inlet.................... Total leaching area_'=. ....-sq. ft. Z Other ) stbuton box (" ) Dosing tank Percolation Test Results_ Performed by---- --•---• •------•---------------------------------------•---------- Date.. ................. "=-----•---------- ,`�.a Te t�Pit i o 1 ..............minutes per inch Depth of Test Pit.................... Depth to ground water .._-------•.---•.. tz, TestyPlt,No,,2................minutes per inch Depth of Test Pit.................... Depth to ground water:::..... W ^ ............................................................................................................................................................. ODescription of.:Soil........._Sa d-------•----•-•-•.................•--•---- . .` x .. .......;.................................................................................................................................................-.................. U W .. { UNature of Repairs or Alterations—Answer when applicable._ his tallat.lo 1_._of'...a..1,,090._gallon...... .pre ked...10-ac...pit-----------------------------------------------------................................................. .Agreenient; The..undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions Iof TIME y g ' g ` p� y 5 of the State Sanitary Code— The undersigned furtl era agrees not to place the,s stem in operation,until a Certificate of Compliance has been issued eb :the r f health.. .. "a Sign 4/..l 7.l.7 . - ---•(•------•---- Da Appl>cation Approved By = i = ` . .... .r, .. ---------------•••--••--. ...........4r1 D .9...------ _ : ate r , Application Disapproved for the following reasons:----•-.... ----••- •---•--••••-------•-•-•--•----••-----•--------•--•--•--- .. .................. f , .............y.}. ..: -..----------------•-••--_----------------------------------------------------------------------•_------------------- --...... .............. Date Permit No............ .9- -----------•-_. Issued...........4117/7.9..-•-••-•--•------_...-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH c . ,. ............T.Qwn.......OF.........Barnstable........................................... �`" Tr fifirtt#.r of Toutplionrr 'fill,45�,;.`., , THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X) byA a1=L6 Zk .s ap ao1,_.Seru:tap,_..12B..Bishops---Terrace.,---Hyann:.e.,..-..A.---02601---....---- u Installer at -T SO PT - ��s .----0Z6.32... �:�...teXI-1-3sk....... _ /' has been msX�lydr iti accordance wrth the provisions of TITLE j of The State Sanitary Code as described in the i441 e( applicaticifil,for Disposal Works Covnstruction Permit No.___-__79_ ......................... da.ted_--.4_11_7/79 �D � Y� •.• -. 4 f ry TA'j"�S_A'ICE OF THISKC.ERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE S'YSTEIIA`+WI ` FUNCTION SATISFACTORY, 1- C2 L R .---. ---••---- Inspector------. .... - ---------- ............ rn�e�C r THE COMMONWEALTH OF MASSACHUSETTS '_,�t "I BOARD OF HEALTH a tf ' �� k x j ................T:Q:vt n.......OF.............13arna vab e....._........_......................... No.....7.� 2�� FEE._.�'�.5.J)Q..... s . �fi, �:°?, f : • �t��o��tf ork� �on��r�rtion rrmt# J Permission,is hereby granted-.A..&-..Tj_. :e 9a.T).o o,---,e a'vvl w, •:li-sh-J--na....T!C,- f : yaX ni s to Construct'( ) or Repair (X ) an Individual Sewage Disposal System at No...'" �F '-�..�tr1?1E3 C�ener�illc- �1Pfi_. ^k --.. ....- "---- ----------•-•--------------- *,. o ......... R PP p 1 .Street Oe ............................9 as shown on th`e a hcation for Disposal Works Construction Perm o 9 _ 4,�17� ........... .._ r Board of Health DATE �; ! / -/ ------•----------- ------ c o I T FORK L 7275$wF7ciBSS,,& WARR'EN. INC., PUBLISHERS wi' Axz °f r .