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HomeMy WebLinkAbout1337 SHOOTFLYING HILL RD - Health (2) 1337 Shootflying Hill Road Centerville A= 189—039 I I UPC 12634 NS.2-'f53L0J. ,�,, HASTIM0%YN L 0 CATION EM� PERMIT NO. �ha in VILLAGE Cef,itruI119- IN TAA L`,L R'S ( A E &� ADDtESS BUILDER 0 AAMN DATE PERMIT ISSUED j DATE COMPLIANCE ISSUED �_��_ Ate- 70 o ioo0 gal No..U=.3t:2 Fps... ...5.,.QQ......_ THE COMMONWEALTH.OF MASSACHUSETTS BOARD OF HEALTH GJ Town Barnstable .............................o ---........OF Appliration for Disposal Works Tonstrnrtiun Frrutit Application is hereby made for a Permit, to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: ;3b.QQt...FJ,Y_ing..14.1I..Rd..... 2632-----------........................-....................................................... Location-Address ov Lot No. ; Sx..1Y.7.a.3axbex-...................................................................: ShaQt..Fly.ing..Hill..RdL..Ext:::--`..0 xitr„x�rilLe,..026322 Owner Address WA ......... .................................................. ...... InstallerAddress UType of Building Size Lot........................"'._....Sq. feet Dwelling—No. of Bedrooms.___..4 4 ................................... Attic ( ) Garbage'-Grinder, ( ) a Other—Type of Building ............................ No. of persons...........3.............. Showers ( ) — Cafeteria,:( ) Other fixtures .... ..;.. .. . ------------------------------------------- ;. W Design Flow............................................gallons per person per day. Total daily flow............................... `::_.:__gallons. W Septic 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 a Percolation Test Results Performed by--_---------------------- -------- -.................... ----------------- Date.............. ,.� Test Pit No. 1.......:........minutes per inch Depth of Test Pit.................... Depth to ground water............. ..... (T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth.to ground water.................... R+' -------------------------•---------•-----------------------..._.....-------•----.........------•----........................................................ 0 Description of Soil.............Sand -------------------------------------------------------------------------------------------•--------------------------------•-••-------------- x UW ..........................-------•-•-------•--••••-•------•-----•------•---••-••-•-•--...•-----•----••---------=-----•-•-•-----...------------------------••------...-•--------------•-......-••---•--- Nature of Repairs or Alterations—Answer when applicable..installation of .. 1,000 gallon pie..east, stone packed leach pit with extra stone . ---------------------------------------•---•--•-------------------------------------....---•-----------------------------------------------------------------------------------------......_------------ 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 bb n is ued by the b ar f alth. Signed. 7/16/81 Application Approved By............::,, !. !_ .___ �116/81 . --- ------------ Date Application Disapproved for the following reasons:------•-------------------------------------------------------••--------------------------......-----------•---- -----•-----------------------------------•------------•-----•-------------------•----•-----------....-------..............------•-----------•......---------------------•-------.... ------------ Date Permit No5l-.................................................. Issued........7/16/81............................... Date ' r r 4 FxB...$...5.,M....... .: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ••--..................._T own--.--.OF........Barnstable .....................................••-•...-•---.......•••-•--•-- Applira#ion for Disposal Works Tnnstrurtion Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: Shoot F 3!�x .�t� ..kid....EzG ....---Cer&Q _Y.117.e..02632......................... ........ ..... ......._......... Location-Address - or Lot No. Sylvia. r ?7............. b94t-_F13! xg.- i1�.7..Rd... .........Centox!ilig __026322 Owner Address aA 3c B Cesspool Service.. ......................................•-•- 128_-Bi$hops-Terrace, I}rnnis,--t(lA-.•_02601•-•--•- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms_...._�..................................Expansion Attic ( ) Garbage Grinder ( ) aOther—T e of Building g ____________________________ No. of persons........... Showers ( ) — Cafeteria ( ) d 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 - - a� O Description of Soil--------------- ----•----•----•-----...•-------•-----•...-•--------••----------•-•-------•-•- --•----•---•-------••--••-------...._.......--•-•-- x U --••-----•-----•----••••-••--•------•......................................•-•-----••.....-----•......•-•---......---------•--••---•••--••••--•-------•-----••••........------•--•••---•-•---•---•••-•. w x ............................................-••-•-•• •••----------•-•-••-•-•----•••-•--••-----•......--- - ------- -• ---•-----• ------------------ --- gees _ h installation o a Y,00b gall on pffe-cast, V stone epoafClt�VT or V1 evi W'�th enXtwi"e BtortePplicable -•--------------------------•-----------------...---•------•------•---------•---------•-•--......-----------•-----------------------•----------------------------------------------.....------•.....--•• 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 b= issued by the boar f iealth. Signed. �• 7/16��31 f '•..... Application Approved By............ !. !- 81 Date Application Disapproved for the following reasons-------------------------------------------------------•-------------------------------.._.............-------- •.......•-----••-•..........................••-•-------•••----.....-•----•••--•----••--------•----------•-•---••-•--------------•----•------•---•••-••-•-----•--•----•••--•••-----•--•-•---•-----•.-•--- Date Permit NoQl-...........................................•...... Issued........7/16/81 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Banrstable ................OF (9rdifiratr of Touttilianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired ( x) A & B Cesspool Service, 128 Bishops errace, Hyannis, MA 02 01 by...................... ----•---- .........._. ...---------••••--............ •--••-•---•-....._.._...._ at Shoot Flying HIll Rd. Ext., Centerv�ile, 02632 - Barber •--•-------------------- ----------•-------•---•-------•---•------------------------- --•-----------•--------•--- ----------•------------...------------...---•-----.....-------••------ has been installed in accordance with the provisions of TITr Hof The State Sanitary C d described in the application for Disposal Works Construction Permit No.........17 �-�. ............ dated___7J1g. .i ............................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.- DATE.................. /1?/81 ... Inspector......................... �... ..... 1.................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town O F rarnstable $ 5.00 ............ ........... a l ........ No......................... FEE........................ Disposal Works Tnns#rnrtuan rrmi# Permission is hereby granted.A & B Cesspool Service, 128 Bishops Terrace, Hyannis 02601 to Construct (( or Repair ( x) an In ividual Se�nra e Disposal Sys at No.....Shoo 1 lying Hill Rd_. Ex..,_ Centerville, MA--._02632 - Sylvia Barber Street as shown on the application for Disposal Works Construction Permit No..................... D�ted..............7�16/$1 7/i7/81 ' BAnzll;h DATE. --•- ---------- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS y. i