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Home My WebLink About0043 RED LILY POND ROAD - Health 43 Red Lily Pond Road: ' Centerville' : A-- 227 —048 ' N� O A J il O e Arandafte.Yr OEM& 4210113 ORA 100/0 K ip 'k 'i q 9 V b a ,w 6 ,t 0 a n �v No$1:..S 8 8..... Fxs... ...5...00......... THE COM-MONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town OF..................Barnstable Appliraa#ion for-Dispoii al Works Cnnmunrtinn Vamit Application is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal system at: Red L Pod d Centerville MA 026 2 •....._......Lill l ._.�....�. ., , ...... � ......... Location-Address or Lot No. -_Denahee _-_...•.._._.._...•....•.....•........................................: Red_-Lily Pond_Rd.A..Centerville.,._MA Owner Address W A & B Cesspool Service 128 Bishops Ter nis_, MA 02601 W Installer Address Type of Building Size Lot... ......................Sq. feet Dwelling—No. of Bedrooms........................•..................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons..........-2.......------_ Showers ( ) — Cafeteria ( ) dOther 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........................... ............ W Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water....................... . Gz, Test Pit No. 2................minutes per inch Depth of Test Pit..--................ Depth to ground water........................ ---•------------------------------•-----•------..........------------.......---•-----•-•----.....----•-------•----••-----•-••-•--•-•--•••.....-•-•----..---- 0 Descriptionof Soil..............Sand................................................................................................................................................. V W UNature of Repairs or Alterations—Answer when applicable....-installation__of_a_1.900___gallon... eptic_-tank,d 1distribution box. and1,000._go __pre ___pcke 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 b rd o ealth. Si ned.. . ...... . ....... f�. 9/29,81 ,--------- ------- Application Approved BY ----- ... ... ... 9�._ 9,81.-------- Date Application Disapproved for the following reasons:................................................................................................................. -•-------------•-•--..........---•-••-----•-----.....--------------------•-...-------••••-•••-------...-------------•-----------•---------•------------•-----------•--------------------------------•--- Date Permit No. 81 --------...•-•--.........-••-----_. Issued........9�29/81 Date. r; No.19L=Sb8 _-- FE$....$....5...QQ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...----. ...T.own.................OF....................Basnstable.......................................... ApplirFation for Disposal Works Tontrnrtion rumit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: ....Rest..Li lY-P�nnd...Hd.�,-Cunt rill:e, ----------------------------------••--------------•---•-•-•--••-•-----........----..........------ Location-Address or Lot No. ....ilembee--.......................................................................... Rscl_-111y.-P-send.-Rd........ ....Q?632 Owner Address a A_.&__ ._Ce r�Qo�...� xyi�e 'I -_Blsh.o.pe-_--Te ce. .Hy aan±s ...I......Qz�Qi Installer Address UType of Building Size Lot............................Sq. feet �-, Dwelling—No. of Bedrooms............ .............2..__._._.-_.-__-Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building 2 a Other—Type g ____________________________ No. of persons._..____________:_._________ Showers ( ) — 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........................................ 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----.................... a .-•••--•-•••-•••••-••........-••--••-••-.....••••••-•••••••--••.....•••••-----------------•--•-----.._.......--••--••...........----•- •---------- O Description of Soil................9:x..................._..__ W U ------------------------------------------------------------------------•----------------------------------------------------------•------------.-----------------------•------------------•------------ W x ••-•••---•.....----•--------•-----••-••-••-•---••••-•-•••••----•----•--•••••••------••••-•••••••-••-----••----•--------------•••---•••-•••--•••••••••••-•••••--•••••-•-•--•..................---•----••- U Nature of Repairs or Alterations—Answer when applicable_..___ xitl �,� _Qxt._o '_.a._l.,000-.� lo�.. @ptn. tank, �..distr4:but ion boxy .. �OOQ.. old__ .-cast+ O Peeked.. each__�it'............................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI.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 the bo rd of ealth. SIL Application Approved By.............-----__ ate !� ----------------- •---91 9181 Date Application Disapproved for the following reasons:................................................................................................................ -------------------•----------------•-----•------------------------------.....--•--•-•---..._•••. 1....---•--......Da.e Permit No. �l-- Issued A�29�8.. Date 'THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i .......................... own....OF.........Ba.rnstable.......................................:......... wnrtifiratr of (Sontph anrr A JI J Iy TO CERTIFY That thh Individual Sewage Disposal System construed ( ) or Repaired ( g) by.. esspool Servfce, 12 Bishops Terftce, Hyannis, N1� 02601 -•----•----------------•--- -..------.---- -----------.-----------------------•-•-----.----- Installer at Red-LiZy•Pond-Rd.,�_Genterylle_---Runahee. ,\ has been installed in accordance with the provisions of TITLE 5 f The State Sanitary Code as described in the application for Disposal Works Construction Permit No........81 5- ........... dated_.....__.9 9/51...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE \ SYSTEM WILL FUNCTION SATISFACTORY. DATE.........9AV9 ' Inspector ............................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable 81- '88 ...........................................OF..................................................................................... o N ....................... 4 FEE.....$$.... .00..... Disposal Works Tontrudion rrntit Permission is hereby granted...........-A• ..B Cesspool. Sere 0........................................................................... to Construct ( ) or Repair ( 39 an Individual Sewage Disposal Systerfr- at No............ ed-Lly-•ROnd,Rd...-Centerville,..MA 02632unahee................................. Street as shown on the application for Disposal Works Construction P ' N�,o�q__a2-......._..�,)ja (, .__9/2g11................. 000 -------- `l � �*'�� -•................................. 9/29/81 Boa oat DATE. ----------------------------•---------------.....••••-•-•••-•---•---- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS