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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