The URL can be used to link to this page

Home My WebLink About0039 INDIAN TRAIL - Health 3 I jAd is n 7Cgi! Ce nllfrvi Iit Ztd - of 7 - oo7 No.__.84=Q!1 Fss... ....15.AQ. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................To.M.......O F....Barn sto bl e...----------------•---....-----.._..--•--•--...•-•-•- Appliration for Disposal Works Tontrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 39...Indian...Trail,. C_en-tarvil7-e.,- ......02632_......................................................................................... Location-Address or Lot No. An:tho Lng ortn........................................................ 39...I dian---T'rail..-...Cent.e YMA.....02632 Owner Address a A... &._B_..Geasp.cal...kacrua.��.,....Zx�c.._.. 128.._BlahQps T xxace......Hy-ann s.,. - .. 02601 Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms........3_________________________________Expansion Attic ( ) Garbage Grinder ( ) Other—Type of.Building ____________________________ No. of persons_________3................ 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........................................ a 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........................ ----------------------------------------------------------••-----------.._..........._....•-_--•---......................................................... 0 Description of Soil..........Sand................................................................................................................................................... x w UNature of Repairs or Alterations—Answer when applicable._.installation-•-of•_a...1,000 gallon,pre-cast atone...pa.clue_d___laac_l7._-�?it....�-o erfI.Qw ........---•----------•-----------------•-----------------------------------------------._....----•-------- 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 furt r agrees not to place the system in operation.until a Certificate of Compliance has been issued by the board Sign G' �-� :.• ............................... 11106�84....._ Application Approved By_____ - -•-• ..... •:-- (l't' 11�U.�8 ------ Date Application Disapproved for the following reasons:................................................................................................................ ...----•------------------------------------------------------------•---------------------•-----•----.-..--•...---------------------------------------------------------------------------------•-----•- Date Permit No._8 _-_.�.®�_ 11 06 84 ••----•-•---•-•----_..... Issued_----------•---• - -•-• ................--...... Date LOCATION _ SEWAGE PERMIT NO. r� VILLAGE" A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED -�c 4el Q IOl THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -....... ...........Town------..OF...Barn_stable....-- ........................................ App iration for Elispos. al Works Tonstrnrtion Prrutit i Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 39...Indian.1ra.3.1 ...Centery ae. ... .._...0263Z.........•--•...............•--•---•------•--•-------•--•---•-•--•---..................... Location-Address or Lot No. An_thong---Lapox_to......................................................... 39...Indian--. .....02632 Owner Address aA... -------------------- 1.18._BlBhop_s__...merragex...Hy_a..n..i:ig., -MA...._02601 Installer Address PQ UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.......3..................................Expansion Attic ( ) Garbage Grinder( ) Other—T a YPe of Buildin g ---------------------------- No. of persons........3__............... Showers ( ) — Cafeteria ( ) d 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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ODescription of Soil ��ane ---------------------------------•----------••------._....-•---•------...._..---•--•-•---•-•----------------------••-•••--...---_••_- P ------------------•-•--.....---------------------------------------------•-----------------------------------------.....--•-••-•- ._... .. ,..... Z •-•••••••-••----------------•------•.._.----------.._-•_••• •._....••--•---•--•••••••...•••-•••._..__...•-••-••. . U Nature of Repairs or Alterations—Answer when a plicableXtallation of a 1.000gallonipre-cast __ __ stoneackec -_leach1itoverflpw ---. .• -_.-. - -------------------------------------------------•••••. •••-••-• ••--•----•....•••••---•--••-•••••.Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T IT LE 5 of the State Sanitary Code— The undersigned furper agrees not to place the system in operation until a Certificate of Compliance has been issued by the b ar th. Signe�� - 11 06 84 j ' . ......... r . . ----•..............••--•---.........-- -••••-••••APPlication Approved .. t �8 .._..__ r, Date Application Disapproved for the following reasons-------------------------------------------•--------------------------•------------------------------....._.._... \ -----------------------------------------------•-------•---..._...--•-•----------•---......----.....---...--------------•--------•------:_-------...---•-----------------............................... Date Permit No. .....8 " 1 1 � 1 _ - Issued � �84 -•-••11 -•-•-06................................... i' Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 8 a ..............own..............��OF......Barn.s.table............................................... (9rdifiratr of Tompliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X )) byA & _B••Cesspool.._5erYce,�_ Inca.--_-__••328_ BsY•lops•_•TerracE, Hyannis, P�IPi_____02601 Installer at_39---Ind3.an---Tra31-,.---Centerville -Anthony--LopO�_to has been installed in accordance with the provisions of TITV 5 of The State Sanitary Code j�s de c jibed in the application for Disposal Works Construction Permit No g�___(_E_ _______________ dated_....__Z /__0�� $"!_________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......111.a::�...�84 -------------------------------------•_..... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable 1 -00 No....................... FEE........................ 'Disvosit Works Tons#rudion frrnfit & B Cesspool Service, Inc. Permissionis hereby granted...............•.............................----------------------------._....---------------------.-.-------------......._.......•--..._.. \\ to Cory, uctnCt�)ani�'al(,Xben rv ` P�rag=DAsstior�jrtoporto at No 7 l ---...........-----•-------•------------------• n-------------•-•------...........--------•--------------------------------------•-------------------------------- Street as shown on the application for Disposal Works Construction Permit N $_ "j ofq__ Dated_._____ 1�06/84 ..__._...__. �i, :✓. � 1�and o.f 11/ /8''1' Board of Health DATE................................................................................ FORM 1255 A. M. SULKIN, INC., BOSTON �