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Home My WebLink About0044 POND VIEW DRIVE - Health �{ (porno! uu u) *br. S M E A D KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSTAINABLE FORESTRY MIN.RECYCLED INITIATIVE C6NTENTIA ceNfied iberSourcing POST-CONSUMER www.stiiprogram.org SFFp1290 MADE IN USA GET ORGANIZED AT SMEAHOM - No.._...80- 2A.? r✓ Fps........$.._S.xQQ. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... ..... .-.T own....OF....Barnstable._...... Appliration for DiipnsFal Works Tnnitratrtiun Prrutit Application is hereby made for a Permit to; Construct ( ) or Repair (/x) an Individual Sewage Disposal System at: .A?1.Pond..Ile --.02632.......... ........................•-•---••-•••-••--•--------•------•--•--•-••-•---••-•-----•----------•--_-• Location-Address or Lot No. D& ...............:..................••---•---------------...-•---._ 4.4._P_Qnd._Uew.Dx-,--_Canter-vil.l-e,...026.32............ Owner Address a -A--&--8-CiSPoQI.. � Yie 12$--BishnPs Terrace.,...Hyannis,..MA....026m7...... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms_______________________3____._._____--__-__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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,aa Test Pit No. i----------------minutes per inch Depth of Test Pit.................... Depth to ground water_._____-_____________--. (i Test Pit No. 2................minutes per inch Depth of Test Pit............_....... Depth to ground water........................ -----------------------------------•-----------------------•--------------------------...---._...---......................................................... 0 Description of Soil............ And--------------------------------------------------------------------------------------------------------------------------------------••-------. x v W -------- V Nature of Repairs or Alterations—Answer when applicable.__...?�nst,allati_Qrl__s2f--_a___la 000._ga11nn_pry-cast and stone packed with-extra__Atone._ .Q.Uh._git__(Q ..exf1m)-.-----------------------------------------------------------•--••---- Agreement: The undersigned agrees to.install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'I`L_ 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 th board of health. Signed �'� 1`/1.2/ao........ j Date Application Approved By..... /lzf�0........ Date Application Disapproved for the following reasons-----------------------------•------------------------------------------------------------------------_.........- ------------------------••-•----------•----------•••----•-•-------•-----•-----•---------------•---•....--'-------••-••-••--•-••---•••-------•-------.................................................... Date Permit No.....80------•---------------------------------•---. Issued------•---••6/12/80.---••------ Date # N LOCATION , SEWAGE PERMIT NO. VILLAGE I N S T A LLER'S '' N E i ADDRESS UILDER OR OWNER DATE PERMIT ISSUED D A T E COMPLIANCE ISSUED �_�� g 1 0 30 L r � i II No......eQ............. FEs........�*...5..Cp.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........._..............Tom.....OF....ftlC�W .-I...........--------.......---..................._........_. Appliration for Eiapuiial Workii Tnntitrnrtiun Pamit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: .4d4:.Porn�.-_Yien. .T'o'Cante�cille-r-42632........•. .....--•------------------•-•---------•••--••..__.......••-•----••-•--•---------................•. tp-�1.. lt,,.� Location_Address t� t. T or Lot No. 6 1 �! e Ada p_06=11 ------------------------------------------------------------------ •Z` "�C. --YJ�`'-r redd ss w:- ,9 j--0_0 3Z-_-----_--_- Owner a ........................................... .f sE3 � �i Eiddr �� u ---- Installer QType of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms.......................1............._-----Expansion Attic ( ) Garbage Grinder ( ) p`4 Other—Type of Building ............................ No. of persons......___-__I............. 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit______.-..-_.-_____- Depth to ground water........................ G% Test Pit No. 2................minutes per inch Depth of Test Pit--------------------- Depth to ground water------------------------ t4 ----------------------------------------- •----------------------------------- ----........................................................................... DDescription of Soil...........Sand...---------•---••••----•----------------------------------------------•--------------•--•-------------------•---------------------•------------- x ---------------••----------------------......-------------------------•--.---•-----------....---•--•-------•--------..........--••-•---------------- W ------------------------------------------- ----- �----------------------------------------------•-------•-••-•-•------ UNature of Repairs or Alterations.—Answer when applicable____ ---------•-----------------------------------------•-------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTLE 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 tb.0 oard of health. Date Application Approved By----•- / � 6/ 2D/ ate Application Disapproved for the following reasons----- -------------------•--•---------------------------•---------------------------------------------------..... --------------------------------------------------=•=-----........_..........---•--.........-------•-•--•---------•-------•--------------•-----•----------------•---•-----------••---•-•--------------- Date Permit No. ........ Issued 6�12.. / Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............Town............OF.........$' Y1� ................................................. Trrtifiratr of (lumplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X ) by -A..&._B Cesspool Service. .128.kshops-Tede0,---Hyaa �--.NA----Q25t11..m-n5!!(A(A----------••-- Installer at 44..Pond view 3?r.! Cente�ville,..1 A .® D �__ 4 �----•------------------------............................. has been installed in accordance with the provisions of TI T.I.r. 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No--- ...o _lO.f?_-............. dated............61180--_.-------.___..-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUD ® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....6 18 _......__.. Inspector... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............Tema OF......Barr, table No...... Q FEE....&.5.00 Disposal Works TI.Xnitrnrtuan rrmff Permission is hereby granted..A d: B Cesspool SGIViCGA_1?$ to Co rut ((-- l or Repair (X ) an Individual Sewa e Disposal System �oAd view e, C® tevvillet M . 32 Dais lisle at No. -------•••--••---•----•---..................... . Street as shown on the application for Disposal Works Construction�mit �0- Dated----------611M .............. DATE. 6/12/80 oar o Gt -••------------- I FORM 1255 HOBBS & WARREN. INC., PUBLISHERS