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Fendersast, Jr. 5 Marie Avenuet Cen'rervMe, MA o2632 DATE PERM-IT ISSUED 6/16/81 DATE COMPLIANCE ISSUED r 1 lb l7 Ll No.81-.335___ Fizz.....$.... THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH Town oF....Barmtable........ Appliration for Disposal Works Tomitrnrtinn Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: 5 Marie Ave:_,..Centerville, ,MA 026 2 ..........._....... ..... -..... ._.._.... ....... ......... Location-Address or Lot No. John J: Pendemast_t Jr: Marie Ave., Centery,1..... Owner Address ......... W A & B Cesspool Services 128 Bisho-Ds._Ter aces Hyannis•,._-MA 02601 ._ •._....._ • -------------- - •----•---......-- .....Address Type of Building Size Lot... ......................Sq. feet Dwelling—No. of Bedrooms........._.�'...............................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type e of Building -_•------------ No. of ersons..........2..:............ Showers ( ) — Cafeteria ( ) a yP g P WOther 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........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ OP ---•--•--•-•-•-••-----------------------•-----•---......---.....---.......-----......-•---•....-----......................................................... Description of Soil...................5and.------............---•--------......----------•----••----------.._...----••...... V .............•••-•--••-------------------••----•••--•--•-•--•-•---------••-----------------••••...•-•------••-•••--•-----•-•-•-••---••--•-------••----•--•---•----........•------•-••---------•--------•. W U Nature of Repairs or Alterations—Answer when applicable....instalb.at-i=...a£--4=..f_1ozad1ffusers.............•.... ..-------•-•-----------------•--.....--•--------.....--•---••--•--••-------.....------•-•---•-•-•------....-•------------------------------------------•----------------------•-••••---......_....------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLi; 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 t o of health. Signed Y b �- %/'�� Date Application Approved By.................. S..r_ :.---- .................... ............611_I/� Application Disapproved for the following reasons:...................................... Date ............................:............................................. ..................................•--•--•-•-----••-•-----......---••----•--........------.......................------.....------------------•-------------------------................................. Date PermitNo.....81.-............................................ Issued..............6l /Q1......................... Date Fxs....$.-s—.0-0....._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town OF Barnstable ••........................ ..... .... for Dispas al Works Tonstrairtiun rrmit Application is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal System at: ....5..;hlarie__AY.e. ..cep.Q;r!f 119 .__M%A....02632-------- -•............................•-----•--------......------•----.....-------•---•--... John J. Pender .• Location-Address or Lot No. • gast, J ............................................... Marie Ave.,_Centerville,_l A 02632___•...______ Owner Address W A &_B Cesspool Services 128 Bishops Tersa.ce,� Hyannis, IAA 02601 ........................ Installer Address UType 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 ( ) 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... Ga, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Oa --•-•-•--•---••••••••••----••-•-•------•.......•-----•--•--•-•-•....------•--•-••---•-------•--•----•----••-••...............................•-----••--.--•-- Description of Soil--••---------_----Sand........................................................................................................................................... x V ..............•-•-•-•••----------•----•----•-•--•-----•--------•.....--------------•-•-----.....-••-----••-•-•--------------•--•-••-----------••------. ................................................. 0 Nature of Repairs or Alterations=Answer when applicable.___2nstallatism...of_4__fLowdiffustars.................. -- ---------------•--------•--•----•-•--•-•------------•-------------------------------•--------•-•----------......-----------.......------••.••... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beenisss jed by t boa'" of health. Signed--_-------'C---:__/.......d .- .......�'�� y ............ --•• 1$1........... Da Application Approved By....... - - .�.:.. ✓:...._ Z_ '=� 6�/ 81 �r ''� --•-------------------- i� Date Application Disapproved for the following reasons-------------------------------••---••--------------•----------....----------•---------••--•--••---•---•--------- ......-••-•----------------------------•--------•••--•-•--•...----------••--------•-•-•-------------•••-•'--•.......--------------•-•-•-•--•-------•---•--------•-------•••-------••••--•-•----••••--•--- Date PermitNo.----81--------------------------------------------- Issued_.............. ......................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . i..........OF......... ? Stabs.e................................................. (9rdifiratr of Tonviianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System construct d ( ) or Re ai ed ( x) by _A & B Cesspool Service, 128 Bishops Terrace, Hyannis, MA 02t;01 - 775-6294 ............................................................... at....___.5..Marie Ave., Centerville, MA. 6263�sS-erJohn J. Pendergast, Jr. - -----------•----------•--------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary o�ie as described in the application for Disposal Works Construction Permit No -3_j._............... dated___.�/__....I_.°.1_______.: THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. m DATE. 7/-�/81 Inspector... ►�I --------------------------•---•---•--...----•--•---•...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTh( T own OF Barnstable No...................:.3 FEE.......$...5-,00... Dispoii ai Works Taan#rudion rantit Permission is hereby granted.._._A & B Cessp ool.Service a 128 B3 shops TelydCe HyatiriiS 02 to Construct ( ) or Repair ( X) an Individual Sewa e Disposal System at No....5.Marie Ave., Centerville, MA 026 _ - John J. Pendergast Jr....._.___..__ Street / as shown on the application for Disposal Works Construction Permit No..81...__.._.____ Dated...... ll {t,,,00� afdc of Healt h DATE...... ..................................................... ---•----•----•-•- ............................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS