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HomeMy WebLinkAbout0065 MAPLE AVENUE - Health F,'&!) Maple Ave Centerville = 208 - 134 5 M EAD KEEPING YOU ORGANIZED No. 12534 n 2-153LOR [�SUSTAINABLE MIN.RECYCLED YYY WITIATIVE CONTENT 10% Certified Fiber Sourcing POST-CONSUMER www.ofiprogram.org s�wrpo MADE IN USA GET ORGANIZED AT SMEAD.COM o. tt. LOCATION SEWAGE PERMIT NO. 6 5 Maple Avenue R1�-Lk71 VILLAGE Centerville, MA 02632 'd� ' 13� A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER Peter Mancini 65 Maple Avenue, Centerville, MA 02632 DATE.PERMIT ISSUED 5/31/84- DATE COMPLIANCE ISSUED 6/11/84- oapD y asp' C5 1000 )\eneh�P� 02 0 !3 No._8�L....../ Fxs.l...1, t 00...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH . . Town .._._0F.......Barnstable ------------------------------•-•-••......--.----•- Appltratuan for Dispasal Works Tonstrnrtinn antic Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: f.. ... 6 ..MaPlg_Ayenue, -CentervilleA ....A....026 2 ..... --•-•----•---------------------•-•----•--••-••-----••---•••..........---..........---••• Location-Address or Lot No. Peter Mancini _ 65 Maple_ Avenue, Centerville, MA 02632 ......._._.. ... ...---*----------•--------------• _...... Owner Address a A & B Cesspool.Service _ 128 Bishops Terraces Hyannis, MA 02601 ........ ....................... ......................... Installer Address Type of Building Size Lot-.--. -----------------Sq. feet Dwelling—No. of Bedrooms......3...................................Expansion Attic ( ) Garbage Grinder ( ) pa., Other—Type of Building ............................ No. of persons...............3.......... 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................ 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.......--..--.--....---. (s, Test Pit No. 2................minutes per inch Depth of Test Pit---................. Depth to ground water.....--................. a ----------------------------------------------............ ..---------- ...--------------•------- *---------------------------- .------------••---------------- 0 Description of Soil...... ....Sand t� -------------------------------------------------------•----------................------••------•--.....---------------•-------.....------------------------------......--------•-•----•-•-••---.------ W x .... -----•-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-------------- U Nature of Repairs or Alterations—Answer-when applicable...installation of a 1,000 gallon septic tank, distribution•_box:_�and a 1,000 gallon, stone packed leach pit. 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 iealth. ' Signed.A��/* _L ._�. • •-------........ ........364, 5/31/84 ... 84 Application Approved By.......... -1---� • . . ...........................• 5�_3 f/ Date Application Disapproved for the following reasons------------------------------------------------------------•---------------------------------------.........•-- ........................-...................................................................................................................................................... -•-•--•................. Date Permit No.....84............................................... Issued.------5/31.... Date No.�k=.------........ Fss. ...1 .00........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ ..Town___.....OF......Barr_stable . .............................•••......------..........•••-- Appliration for Disposal Works Tonstrnrtion tirrutit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: ......6 ..Maple_Avenues..Centerville, A----026j2 ....-•--------•------- .... - ......... .... Location-Address or Lot No Peter Mancini ,, „ „ „ - 65 Maple Avenues Centerville, MA 02632 --------------------------------------- Owner Ad ress a A_�c_B Cesspool_Service 128 Bishops Terrace, I�yannis, MA 02601 Installer Pq Address UType of Building Size Lot...... ..................Sq. feet Dwelling—No. of Bedrooms.._..3....................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building a —Type g ____________________________ No. of persons............... ______.___. Showers ( ) — Cafeteria ( ) Otherfixtures -------------------------........................................................ 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........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ................------------------•----.......---------.....-----•-•------.......---•--•--••---•---.....--•---........---....---............................ D Description of Soil.....M•-• Sand.................................................................-----------•----------...----••---------------------------•--•-•---------••--• x w installation_ of"-a- 1,D00---gallari"�ep£ic":ank, V Nature of Repairs or Alterations—Ans er when applicable_________________ _____ distribution box and a 1,006 gallon stone .....•------•'•--•------------•Peeked leyacYi pig. 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. ' Signed _.__GlG� ...... Application Approved B ......... 5/ 3.. Date Application Disapproved for the following reasons-------------------------------------•------------------•------------------------•------------------------...•--- ......••----•-••-••...-••-.....••----•-••••-••••....•-••••....-•-•••-••••-----••-••------•...-•----•-••----•...•••---•-•--•••----••-••••-•-••••-••••••••----••••••••••--••-•--•••---•••••••••••----..... Date Permit No....8'.-.............................................. Issued.....3/.,31PA................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T own Bann stable.- ...............O F..:.:..... ... ........................................................................ Trrtifiratr of Tontplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System construe ed ( ) or Repaired (X ) by„A._&_.E_Cesspool_ Service_s,,,128 Eishops. TeTrace.s...H annis -l�.A 02601 aller at....65 Maple Avenue, Centerville. MA 02b3 - Peter P!ancini - - -----------------•-•-------------------------••--•------------ has been installed in accordance with the provisions of TITLE of The State Sanitary Cod ./s ribed in the application for Disposal Works Construction Permit No. 'T-.___............................. da.ted_,.............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE -......(�.`�. '.g_ Inspector...-••-•-•-•-•-•--P --------------------------------------------•••-•.... s� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable 1.5.00 ..........................................O OF.......................................................No........ No.•-_... -.t�. FEE........................ Disposal Works Tonotrttrtion rantit A tR A Cesspool Service Permission is hereby granted -- --- -----------•..•-•••-• •-•-•••••--•-- to Const t � or,Re air x n Indd v dual SSe-a osa� st - N�'�,ple Avaue,(Cdn�.erv, e, 41 6 F- Peer ..ancini at No......... .. Street 5/3 / as shown on the application for Disposal Works Construction Permit No....�. _..___.._. Dated.........................................."- ................... A._ -....___._____._.....____.__.._.._..........._•_......._._._......._ y Board of Health " DATE ••. . _/---••------------------------------- FORM 1255 A. M. SULKIN, INC., BOSTON