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Home My WebLink About0169 SHEAFFER ROAD - Health l&`1 "Oleuf�-r 1�d. CeAevuq(e L00ATION SEWAGE PERMIT N VILLAG :IN!ST�ALLEIR�V'SNA & ADDRESS - -- BUILDER OR 2W= DATE PERMIT ISSUED DATE COMPLIANCE ISSUID �j,, j y .�°r d�ooQ� "�Y �c�ac� � o� ,o � . ' � �� _ � � �� ` � � � 1 � � � � � � \ ` ��• / � � �� 91 � ��do� � ��0� � �� F�$.......$...5. 00..... THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH Town Barnstable ..--.._ F.......................................................................................... Appliration for Disposal Works (fnnstrurtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 169.5}�aef. es.3d...,__.0-en-t�e tine.,. ---Q263�_ ........... .......................................... Location-Address or Lot No. xd.. .,...7�Q� la........................................................ 1,69..$bae.ffPX_.1Kd.. Qer�tex�ral].e MM��.._..QZ632--- Owner Address a A_....B_.c. 2 - � - -�se�.00�--S�� -------------------------------------------- .1,��_..��hQ�s_.��xx;�.��.....I�yax�n�e.�_.�....-Q----Ql...... Installer Address QType of Building Size Lot............................Sq. feet U g— .....Expansion Attic age Grinder ( )( ) Garb Dwelling No. of Bedrooms..................3..._...._._..___.__ — P4 Other—Type of Building ............................ No. of persons......_..._4.............. 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........... ..........•-•••--....-•--- 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........................ M ......................................•-•---------•----•-•-•---••-------•---------------------------......................................................... Descriptionof Soil Sand........--••-•-------------•--•------------••---•--•----••---•-•-------•---•------•------------------•---•-•-•••••-•.._...••••-_-•_.. x U -••-••••••••-•••-•-•---•••••-•-•-•-•-••....................•••....-•-•-•------....•-•----•------•••---••-•-•-•-•••---..........•-----•••---••-----------•----•......................................... w UNature of Repairs or Alterations—Answer when applicable...instal lat1s2n..Df___a--1-,•QQO..gallon._pxemaast, _st Qne_.packed...le.ach•pit•.�oyexfluj_)_A••••-••-•------•----••-•••-•--•-••••---•••-••-••••-••-••••-...---••••-••••---•--•---•------•-••-••---•............••-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanita Code—The undersigne further agrees not to place the system in operation until a Certificate of Compliance beefs issued by the r o ealth.` Sig .. ..... .........-•-----•-....... . ---71 �81 D to Application Approved BY -...... 7l ../81.-••--•-- D to Application Disapproved for the following reasons---------------------•-••------••----•-----------------------••------------------------------------..........--•- -•--•...............••-.......•-----•-••-----•--•-•----••---............--••--••-•••----•--•-•--------••-•-•--•••-------------•---•--•--••-•----•-•-•-••-•-••••-••-•••••-•--••••••-----•---•••--•------- Date Permit No............81. ..................................`--. Issued_..............................7,2 81 Date .. �yar`_ i No3l=..V./D.... FizE $... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................T-own----------------OF..............i,arnstable ... ApplirFation for 3lftipos al Workii Tomitrurtinn "truth Application is hereby made for a Permit to Construct ( ,) or Repair (x ) an Individual Sewage Disposal System at: 32. ....-•---------------------------------------••---•-- ...• .....-..... Location-Address or Lot No. ......15 r---.--••---•----•-----------•------------ 16 ..; haex£ex_F3d,,_..C�;nt r!t3ll .----02b32---- Owner Address ..............-......8� .��-----•----•----------••--------------------- 1.�8-.3iahops..Terrar-e,...Hyannis,•.IA.....0?-601...... Installer Address Type of Building Size Lot.................... .....Sq. feet Dwelling—No. of Bedrooms--_------_--_.-3........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons...........'4.............. Showers ( ) — Cafeteria ( ) Pr 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. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 14 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........................ OM •-•-------------------- ---------------------------...................................................................................................... Description of Soil. 5and----•-•--••-------------•--•-•-•--------•--•--------•--•----------•••••-••-------•••••-----••----------•-•--------••-................ x U •---•------------------•--•-••-•--•.................................................................................................................................................................... UNature of Repairs or Alterations—Answer when applicable_..9.z7s'Lallat.i=...Of._n._.1,000._Za.11on..pra-Cast, sone..Packed... Q �h pit �Q�Qr a«r�,-••-------------------•---•------•------------------------.....------•----------------------•----------------...------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitar Code—The unde.si ne further agrees not to place the system in operation until a Certificate of Compliance beers issued by the b�r' o ealth.' Sig ......................................... ?4 1 Application Approved By .......��'-•-- --•-••......-----• , t-- l............ Date Application Disapproved for the following reasons----------------------•---------------------------------------------------- -------------------------------------------------------------•-•-•-------------------•-----•-•--------------••••-------••-•••---•------------•-----------------•------------•--•------------•--••-•••--- Date Permit No............ 1—....--•••-••---•...............••----• Issued_............................. 7 u 1 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 9? ............'a. ?I...................OF............. n Rasta6blq Tntifiratr of Toutplinnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (x ) by A & B Cesspool Service, 12.: Bishops Terrace, :•fyannis, MA 02601 -----------------------•-•-•--------------- at 169 Shaeffer Rd., Centerville, 1% Ib 52 — Richard Kopala = •-••••-••-- has been installed in accordance with the provisions of TIg:J-P 5 of The State Sanitary Coc . a 1 scribed in the application for Disposal Works Construction Permit No.__._..11_-_'��................ dated__...7_/_.... ............................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARAI-TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ---� 81 DATE.........! •-/....................................................... Inspector.............. •----------------•-••--------------.......-•-•---.....-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 8 1- -*//D Town...........OF Barnstabla e....... ......._....------...................----------.................. No......................... FE 5-00 ..... .. .... Disp aiittl Works Tiani#rnr#ilan anti# Permission is hereby granted...A & B Cesspool Service -----. to Cons ruct ( ) or Re air x) an Individual Seam Disposal System at Not 9 Shaeffer WE, Centerville, PIA 0��32 - Richard Kopala . -------•-------------------------•---- .----------.................. Street as shown on the application for Disposal Works Construction Permit No...81�._....._.. Dated----7-( v.7. ..................... 4/81 B rd of Health DATE.....?/•r.............................................................. yY FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS / f 4r V F��.�s ®.. ......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ... 7... .. ............7 o F.....51. 9 w57N C..................... ............... ,N.11ptiration for Bitipos l Works Tonstrnrtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage, Disposal System at: lei i �QAC/"• Ce�7e_* OIL 4 C C®T L .SI��C« Location-Address or t No. 4ner Address a , d5'� ...........Jll' 1� ...................... -----------•------....-----._.........--•---..............--•-•-•----•--•-•---- Installer Address `":" 061 61 d Type of Building Size Lot...... [...............Sq. feet Dwelling—No. of Bedrooms-:3......................................Expansion Attic ( ) Garbage Grinder ( ) P4 Other—Type of Building ____________________________ No. of persons._______________-____-..-_-- Showers ( ) — Cafeteria ( ) P-1 Other res ...................................................... w Design Flow........... ....................rr....,,.,,.,,.SSgallons per person per day. Total daily flow......:W-___---.-_-_-_.._______-gallons. WSeptic Tank—Liquid capacity./- .I/!�gallons Length................ Width................ Diameter---------------- Depth-----_.--..---- x Disposal Trench—No. .................. W•}th.................... Total Length...................- Total leaching area_.------------------sq. ft. Seepage Pit No......./40-0 2__. Dian Ir ................ Depth below inlet-----------------... Total leaching area..__,.33`�•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--____-__-_____-__-.---- Pq Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ ix -----•----•--------------------------------••----••------••--------•---•----•-----------••-•--.•............................................................. 0 Description of Soil........................................................................................................................................................................ 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 Article XI 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 d of health. ,0.L..Jy Signed--. -�1-•--• Da Application Approved By--- f ,Z ..�..7...--- Date Application Disapproved for the following easons---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued---_---------_----- ................................. Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA ............ 'y No y...2L--------- FEi� f THE COMMONWEALTH OF MASSACHUSETTS BOARD., OF HEALTH , t ,.......;.. .d. ...... .......... O ..... . ..' a .. .-..- ...... ...-. ' fo �Iri riirl;' nrk uptrurtiou Prrmit Application is hereby made for a -Permit to Construct. ( ) or.Repair ( ) an Individual Sewage Disposal System at 7�f� . 4. � I !+ . -- . - ...-- ••------...... ••--- ! Location: Address or fLot No �'edY4s f; •,r H Owner Address -------J .✓ �k yY'.r' Ir' '�.Y. f tvt �-)/' -..............................................................- _ ________ _______ __.__ _d____.__._____.__.______._ _ ___ _ - _. _ Installer Address j Type of Building Size Lot.... ----Sq. feet Dwelling—No. of Bedrooms,� ________________ ______Expansion Attic ( ) Garbage Grinder ( ) Other 47 Type of Building :,No of•:persons.. ----- Cafeteria ( ) Other f;.�tures ----------------------------- ------- -- - W Design. Flow _ la x:'`• g111ons per person per clay. TotaVd my flow........... - `. .___gallons. 94 ,, Septic"I anlc Liqiud'c ipac ty h` '?gallons Length________________ Width Dlanieter_-_-.-._-_.___. Depth W' _Disposal Tri n4 No ,_ Ndth ____ Total Length_ ________ _________ Total leaching,zrca---------------------sq. ft. x Seepage Pit No---- f'%=�' _..Iiarileter ______ ______ Depth below inlet____________________ Total leaching-ire. �_Gsq. 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----------._:________- f14 Test,Pit No 2 ______________minutes per inch Depth of Test Pit..................... Depth td'ground water------------------------- ------------ ----------------- •...................................................... ODescription of Soil-----•=-- ----- r--•-:•--•-- -----------------=---------------- -------------- - ------ -- -- ____________________________ 1- _-_-- _ ...._.......E _._.________________ ____-___.___ _-.._._-_.....__._. _._._..._.____.-_.-___-. W . U Nature of Repairs or_Alterations—Answer,Nhen'applicable.----------------------------------------------------------------------------------------------- ------------ Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions:of'Article :\I:of-the-State Sanitary Code The undersigned further agrees not to place the system in, operation until a Certificate:of'Compliance has,�beenr issued.by-the board of health. Signed - - , - Application Approved ,By ' +1�/1 � -_ --- ---- dot=e� ' -.... �� - Date A lication Disa roved or`th olloWin �r PP PP f f iqs easons: =- :- = Date Permit�No ___ Issued , ,.+L wn+ pryq '.ty� �(.l'�W �� '� t•� >'�: x.,;5`; S� ? ` ` ' TH ;_ E COMMONWEALTH OF MASSACHUSETTS. . .. BOARD OF HEALTH .: ` Cn�rtifir��r�iQf ��ittn�p S'IS TO CERT Y the 'Individual Sewage Disposal System constructed (�or Repaired ( ) by ( l1 g ��/ y •. L� �j{/� /�f of Inst er r at J1 A :.: •:.. y"I.'Cry f ' ` Fi^'t' ` ----------------- ��'' = -- ,/--- has been instalee in.accordance with the provisions of Article XI of The State Sanitary Code as described in.the application for Disposal'Works Construction-Permit Nq................'y' _____.___-_ dated ! / ':�; f -------- .THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GI�ARANTEE THAT TIME SYSTEM WILL FUNCTION SATISFACTORY. j''w "_DATI : ` -------------------• Inspector- ::;p n� s r"' / �� ---W,� �'�.>•:r�...�•a �' a.,:... '.r•�r°�a°" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH NO .-- ..... ,, ', FEE "•'-----•-- •-----•-.. Di-nVa, air . ork,� Cron urt'� rep mid Permission is herebyranted_______ . �. d to Construct"(- or Repair ( ).an�Iniiividual Seaga Dispo5a3 System , 4 .�/at No _.. z µ frZ r r J as shown on thew licariori'for-Dis osal'Works Construction Permit N � Detect f ?.. PP P 9= >.� �� DATE---------------------------------- --------------------------=---==-------= r FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS -