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Home My WebLink About0046 OLD FARM ROAD - Health O L-D inn ROAD s, - caos S M EAD KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSTAINABLE FORESTRY MIN.RECYCLED WITIATIVETIVE CONTENT10% CorMadfi6erSowcing pOST.CONSUMER wwwsfiprogr-wg MOM WE IN USA GET ORGANIZED AT SUM.COY r g LOCATION SEWAGE PERMIT NO. VILLAGE A & B CESSPOOL SERVICE 128 BISHOPS-TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER x- 3_� _p DATE PERMIT ISSUED DATE COMPLIANCE ISSUED /�ti� . �,� 1' 4 � �b - � , � ' . S� ', , �� THE COMMONWEALTH OF~MASSACHUSETTS BOARD OF HEALTH ...._.. .Yawn --.--......OF...................13a.motable............................................ Appliration for Ra posal aark,' (nomitrurtion Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: 46 -•--•-•--------------------------------------•---............------...........................---- Location-Address or Lot No. Andrew_.5�e ce -•- ...- 46 Old Farm Rd......Ce ery lle.,... ..._02632 .-- ----- ---- Owner Address W A & B..CessDool Service 128 Bishops Terrace, Hyannis , _MA-- -02601 ........ ---••••--••---...... Installer Address d Type of Building Size Lot_____ _________ ________Sq. feet Dwelling—No. of Bedrooms.._..?....................................Expansion Attic ( ) Garbage Grinder ( ) pa., Other—Type of Building ............................ No. of persons__..2__.._............._.. 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1—.............minutes per inch Depth of Test Pit.................... Depth to ground water_-___--.-____---.-----_. r3. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --------------------------------- ------------•-••-----••--•-------------•------•---•-••-•-.....----•...•••••••..............................----•-•--.=----- 0 Description of Soil................SarA...--------------.•....._............-•--•-------•-----.------------------------------------. x U ---•----------•-----------------•------------------------------------------•----••----------------------•-----------•------•--------•-•-----------------•------------...........------------•-•-------•- W ------------------------------------•---------------------•----------------------••------------------------•-------------------...•--------------------------•-------------------•-•-------•--•........ UNature of Repairs or Alterations—Answer when applicable._.inatallation-_9C---a...1 00Q_.9.E�,,1on_•P. -cast, stone_.pa.cl�ed_.�-a-�cl -fit Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIHE 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 boar of 1 lth. Signed SIC/_I�i -- . .........gl..ia8 ....... a / Application Approved By......... _........ 9�--t /. 3---._-_ Date Application Disapproved for the following reasons:----••------------------------------------------------------................................................. ---------------------•-----•-•-------•--......----••----------------------•------.......-----------•----... ------------------ Date PermitNo.------83-............................................ Issued........................................ �.•1�83 Date F�s...$...10.f.00...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................Town..------......OF..................)3 ill�t�ble Appliratiun for Disposal Workii Tonstrurtiun rumit Application is hereby made for a _Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 46 Old Farm R .. Cent% lle j..MA.....02632....... .......... ....- .................................. Location-Address or Lot No. Andrew Spence __________ ___ Old Farm Rd,_,__Centerville, r1A__-_02 . Owner Address a A,& B Cesspool Service 128 Bistops_Terrace,_ H rang4! .t...N.......02601 Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms---.2.....................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons........................ Showers ( ) — Cafeteria ( ) Q' 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 -•---•--•---• =---=---------------------------------------•--------..............---•---•--.............•••....-••-•--••••-----------........-••--•-•--- D Description of Soil...............SAAd..._............_ V ...........---•..................................................................................................................................................----- W -----------------------------•-------------••-•-----•-•--------------•-------......-----------------------•----------•---...--•-•--•------•--------------------•-•------------•----•----•--••-•--•---••. V Nature of Repairs or Alterations—Answer when applicable-_installat ion af 'a 1,000_�llon__pre-C�st, stone Packed leach .................................................................................... 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. Signedr:`r' ..... f ` " -� ; 9/ ��83... Application Approved By }-•-•-• 9�a---/83-----•. - - Date Application Disapproved for the following reasons---------------------------------•-----------------------------------------------•---•-------••-••-----......--- ------•-------------•-•-----------------•-----------••-•----••-•---------....••-••--•-........----•--•--------------------••-•--•--•---------••-•-•-----••--••••---•----- .............................. 141- IJate /Permit No.....•• . -Issued.. 9 1 83 -------------------••...... ......--- Date THE COMMONWEALTH OF MASSACHUSETTS y BOARD OF HEALTH ......................:�.aan.........OF............Barnstable.............................................. . �rr�#if irtt�r of f1�u�t�rlinnrr T AI III C8 CERTIFY po 1I Sef'vi4 h� d 8�ilopsvl rl �osa Sinn s onstructe i6�1 ) or Repaired (x ) by................................................................................................................................••-•••........••••...........•-•-•---••--....----•--•...--•-•...... 46 Old Farm Rd., Centeraville, 14A VA32 — Arilrew Spence at.........-.......................................................................................................................................................................................... has been installed in accordance with the provisions of TI,;3E 5 of The State Sanitary Code asldr6yibed in the application for Disposal Works Construction Permit No......... ....._SIK4V....... dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...............9/•-1/$3•••-----•--..........••..--•-.......----........ Inspector............... . •---. '-----------------••----•--•--•--•--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �s ioVrn `a=stable£3 � � ...... OF...................::.............................................................. 10.00 No . .... ...... . FEE........................ Disposal Works Tun#rtiun .rrntit Permission is hereby granted ---•-•• ..---------p..............•-------•------•----------------------....-------------•---•-•---------------...----------- A & B Cesspool Service to Co or Rei)air an at No.s--u---•- -�...._.*, ..g..-ll•Ems-II -dd-e,...SP... 5----.ispo ni4st Spence c (� ___.. G< r... i�l .� t.. - An w .. ence \ Street as shown on the application for Disposal Works Construction Permi o..................... Dated-------5�1�83 1 pf' ----•----------•--------•--------------- �\ 1 9/ 1/83 B rd of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS \