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Home My WebLink About0066 SUMMERBELL AVENUE - Health 66 SUMMERBELL AVENUE Centerville A= 226 044 - 001 S M E A D KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSTAINABLE FORESTRY MIN.RECYCLED INITIATIVE CONTENT 10% Cartifiad Fiber Sourcing POST-CONSUMER www.afrpropram.orp SWIM MADE IN USA GET ORGANIZED AT SMEAD.COM 81 Y9' LO CAT IpN SEWAGE PERMIT NO. Ue VILLAGE INSTA LLER'S NAME i ADDRESS O�L8 L"-,6-urcg BUILDER OR OwM DATE PERMIT ISSU E D DATE COMPLIANCE ISSUED 4# 6 IN l z ;V� M �t�o qA &5spoo 1 -1-3 M Ni[P No81:--...��11.... Fzms...... ...5..00...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..........................Tawn......O F.........----Baxnatahl.e.------------..................................... Appliration for Disposal Works Tonstrnrtiun jhrutit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: ................ Location-Address or Lot No. eox e..Aa.9�.s........................... ........._...: 1m_.Newfield,Ave.:.,.._�Stanford, Owner Address WW A& B_Cesspool Service 128._Bishops••Terrace,..Eyannis,.__MA -02601 .. •-••-••...•-•-....•••-•----•--•••--.....--•-........ .............. � Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms........................4.............. Attic ( ) Garbage Grinder ( ) W aOther—Type of Building ............................ No. of persons..................... 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........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •--•----------------------------•-••-----...----••------------......------...........-------•-............................................................... ODescription of Soil-----------------Sand................-•--•-------------........._.....------------------•-----... V .....-•----•-•---•----••....--••••-••------•--•-•---•••---•----------------------------•--•-•-••-•-------•----•----------•--••-----------•--- W -------------------------------------------------------------------------------------------------•--------------------------------------------------......---•----•--------------------....._.......... U Nature of Repairs or Alterations—Answer when applicableinstallation__of__a__l,_000 _gallon__ re•-cast_,- stone--packed__leach it .overflow 1V.. -------...p: . C . 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 ha been issued by ltord iealth.Signt ::: -�� 8/24�81 Application Approved By........................................................................... -•••---•--------8�2�eJ-81....... Date Application Disapproved for the following reasons:.....................•-•-•-•------•-----•--•--------------.................................................... ......................................................................................................................................................................................................... Date Issued.................82 /81 Permit No 81- -----------•--------------------- Date No.- . ..:.:........ Fps...... .... .00... . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _i'.own.....OF..............tarnsta..ble--............................................... Appiira#iori for Disposal Works Tonstrur#'tun ramijt Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: .��Z..Summexhalle...l��l.@....CYO".igV 11e-,..-`:A................ ..................................•-....----------•-......----•--•----......-•---..-.............. Location-Address or Lot No. GQ4x P...'?I Q:1,a.....................••-•-•---------- .1205 Newfield Ave:.�._Stanford CT.06900------ _.... Owner Address a A & B Cess-D Service 12R Bishops Terrace,. H�►annis, NA 02601 Installer Address UType of Building Size Lot.................... .....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic � ) Garbage Grinder ( ) aOther—Type of Building ............................ 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. I................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........................ P4 --------- ------------------- -.............. -------------- ----------- ------------------------ ------- 0 Description of Soil------------------Sand---••-----.........---------............-------••------------------------------ ............................................................ x c, w --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------...................... U Nature of Repairs or Alterations—Answer when applicable. '!Stallation of a 1,000 .�*allon pre-cast, stone packed leach _pit (overflow) . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITTLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has)beeri issued by the�oard health. Signed- e-- ---------•- .. -B ' 'f -.......8'/24•`Sl .... Application Approved By................................-................ SI /Sl Date Application Disapproved for the following reasons:.............................................................................................................. ------------------- -----............. ---------------------------- ---------------- -............................................................................................................... Date Permit No.....81—......------•---•--•-----•••:-............. Issued................2 ------.�-•2.......................................3 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable .............................O F..................... .......:..................................................... Trrfif iratr of Toui#iiFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X) b .-A &_B Cesspool Seryic , l28 Bishops��errace, t?yannxst SSA 02601 - -6264 y ------------•--••-•...- Installer at .----=.6.6.Su;nmerbelle-_Ave.. _Craigyille ''eor.e Elois - has been installed in accordance with the provisions of TI T Imo' 5 of The State Sanitary Coe as described in the application for Disposal Works Construction Permit No..81'............................... dated......PP2 l ......................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 81 `� /l f-cl�c�I+r�J_ ✓E�/.rus ) DATE ....1.. Inspector..- .�-= .......................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable Sl- ...........................................OF..................................................................................... $ 5.00 No......................... FEE........................ i uuai . Ami � n ri iun rrutit A & ss'p% ery ce Permissionis hereby granted............................................................................................................................................... to Cons�r ct ( ) or Repair ( X) an Individual Sewage Disposal System b9a Summerbelle Ave. , Craieville - Ceorl a Blois at No..•--••-•----••-_-- ........•-•_. . . . . ----------------------------------------------------------------•---•••...... Street n • as shown on the application for Disposal Works Construction Permit No-------II!........ Dated.._.........�'�z.►•%1 G� -------------------------------------------- ............................................................ / /81 i Board'of Health DATE ..... ----------•------------------------------------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS (77� yq/ LO CAT I N SEWAGE PERMIT NO. VILLAGE I N S T A LLER'S NAME i ADDRESS i ; BUILDER OR OwN ER, l DATE PERMIT ISSUED DATE COMPLIANCE ISSUED "�6_�� s iO q�l Cess Poo i C i