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HomeMy WebLinkAbout0527 OLD CRAIGVILLE ROAD - Health 527 Old Craigville Be Road Centerville A= 226— 102—002 OpendafleYr a Esselte 4210113 ORA 10% P4 No..83.-_ � 'PtA _lad C;O Fim$...�10.00......... �. THE COMMONWEALTH OF MASSACHUSETTS �pA BOAR® OF HEALTH IN ------------Town...................OF........... Barnstable.... .............. �, ,� �rlirtt matt for UhipasFal Works TotuIrttrtintt rrMit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: . Craigville, Ma ................_--.............................................................................. -•--...........----...-------•---•----....-pp-----------------•-------------------........._......-- Ste hen Hai Location-Address 2 Maplewood ood Hve.p g 7 p .`9lethuen, Ma 0184 W A & B Cesspool Service 128 Bishop's Terr. Hyannis, Ma 02601 Installer Address Pq d Type of Building . Size Lot-------•--------------------Sq. feet a Dwelling—No. of Bedrooms.......3..................................Expansion Attic ( ) Garbage Grinder 4 ( ) 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..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,-1 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0-4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------------------------------------------------------•------------.........-------••--•••••.•---••••••••••••-•-•-...............---•--..._........•---- Description of Soil Sand ............................................................................................................................................. V ....-----•-------•------•--•••......._...-•••----•--••---•-------•--••-•--••-•--•-----•-••.......----•--------------•--•-•--•----•---------•-------------•------•--------•............-------------•--•-. W x 11tt _ Inst__al_l a 1000 gallon septic tank, U N�`t oxfah-Ta ree`�I�Iow�i fusers per ansledrawn by C.'R. SYiort, Iric. •---------•------•--••-•--••-•----••••--•--••---•--•-----•-•-•--•------•-----------••--••-•-------------------------------------------•--------------•-•-••------------------•---•-•-----..........•---- 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 h een i9sued by the board of he lth. Signe%, 00, 7�25/83 -- Application Approved By............................................................ 7/Da,183 Date Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------------------•..... -------------------------------------•---•--------------------•-••-----•------------.....-----------------------••---•-••-•--------•------•-----...----------------------------•-----------••••-••---••- Date Permit No....8.. .........--•-----._...--•--•-----•-••--•---.. Issued...........7/----/83............................ Date THE ooMMomwsAcr* Or mASsAo*ussrTs BOJ� ���� OF ������U ���� | | '`''" HEALTH ---'���u------���F---.B��ms����a--_'------'----'-_ �� Dis posal»sp«usoul Works TunstruWr4ioKK "rrmit Application is h«ccbv made for u Permit to Construct or Repair (� ) an Individual Sewage Disposal �m�S�omt: - -' ___'____ . Location'Address or Lot No. Installer Address Type of Building Size Lot............................Sq. feet Dwelling--No. of Bedrooms.......3..................................Expansion Attic ( ) Garbage Grinder ( \ 04 Other—Type of Building ............................ No. ofyeraoon---..k................ Showers ( ) -- Cafeteria ( ) ,w Other fixtures ............................... Flow---------------------1�2l000 per person per day. Total daily flow............................................ . Septic Tank—Liquid capacity............gul/oo Length................ Width................ Diameter................ Depth................ Disposal Trench--No .................... Total .................... Total area....................og f t. Seepage Pit 2Vo--'----- Diaoetcc----.--.. Depth bdmwiolcL--------_ Iotu leaching ar��----..--'sq. ft. �� Other D�t�buboobox ( ) Dosing taok ( ) '- Percolation Test Results Performed by.......................................................................... Date......................................... Test Pit No. L---_--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........................ �� ----'''_--_-'---_-_-.__-_--__--'---'---_--'-'--'-'-'-'------------__--- of Soil -------------------------- Nature of ��t��� ��0... '-"'-_-_-'. The undersigned agrees to install the aforedescribed Individual Sewage Disposal 8ystem 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 u Certificate of Compliance 6u board of6 ) � S �.-"- �+�^ ___y/2)/�?_____ Date ApplicationApproved By.................................................................................................. _______7/__/��......... Date Application Disapproved for the following reasons:............................................................................................................... -----------------'---------'----'------'----'------------------------------'-'-'------'------------- Date Permit Nn.....bl..---------------------- Issued L-----Y/----/c3------- -----------_- Date THE oowMOmvvsALTx OF M^ssAo*ussrrs BOARD OF HEALTH ............... le �g�� ����----- ........---'---_---�-'---'---_-_._ ��� fit THIS IS TO,CERTIFY, That the Individual Sewage Disposal Systerni't6tistructfd or Repaired X) Installer has been installed in accordance with the pro isio-ns" of TITL, 5 of The State Sanitary Cqdc as described in the application for DisposalWorks Construction . Permit ^.".-,�' ---_-_- uue" �� --_---_ THE ISS NOT BE CONSTRUED SYSTEM �� �ION SATISFACTORY. ' _ ~~^^ ^""p"�"' --------'--------------- " ^^ THE COMMONWEALTH or mAssxo*ussrrs BOARD OF ������ } ^ ^ | �own ^�� 6az�atabIm ��u-8��'- ^���� -------------- ----------------------------� $10.00 - --------'------' Disposal | qTn 02601 to Construct or Repair ( i) an Individual Sewage Disposal System at No.-�g��J�@J��'����-���������=��v-'2�.----'��� gi..|�����-----.---.--.-..-----'-----------____ ` � Street n/ � the application for Disposal Works Construction Permit No...8.4.3_................ ed........ ponw 1255 *. m. ouLx/w. INC_ aoy`ow ' *~ - c, cs trg4v /4 ? , i fl�l VAT. 94 I 4 5cc T K. P Al VI o ZAP AD 4 ,. el• t w; pO u t X �Ncl N.�13�i ►o b s _ P11Nr. , X' C X4 4 T , , . TO'6AlT4ost ICA AA Xl �.) *I FN10 .E - i C/ ♦ �} 4t.tC - .ice � ' - I�r./ �� l�,' s sva ,2'� ,� � 01.3 Ldo s. 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