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.........
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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........
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■ . BUILDING
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24EAL 'N A6 e4mr APPa►t. DENN#HORT - S, MASS.
385 2831.'.Jj