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SUSTAINABLE
FORESTRY
INI WIVE
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No..---...85 .. .?. Fis...... ...1 00 `,
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
a
------....... T.own....... Barns. bye
Appliration for llhipaoal Works Tnmunr#inn Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ec ) an Individual Sewage Disposal
System at:
.S..Thisle__Drive. C.cldrYle' - ...... ..........•-•-•---------------........._.....----
Location-'Address or Lot No. t
John Quinn 5 Th$sle Drive. _Centerville'._VA_ 02632
.... .... ... ..... ..-- ..
........Address
a A_&..B__CessDo_ol_ Service, Inc,____.._.. 128__Bishops Terrace, Hyannis, MA 02601
........
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms................ ........................ Attic ( ) Garbage Grinder
Other—T e of Building No. of persons �L........_.
a YP g ---------------------------- P -•-------- Showers ( ) — Cafeteria ( )
Otherfixtures ..............................••------------•--------.•••------••-••-•------------•---
w Design Flow............................................gallons per person per day. Total daily flow............._...•._..._....•....._.:'..•._gallons. r
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........................
rX, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to-,ground water........................
a -------------- --------•----•--•-•••-•••••-•-•••---•-•----•-•--•-----.......------••-••-----•-......................------------------------------------
O Description of Soil..........................Sand
x ---....----•----------•-------•--------------•--------•------------------------•------------------------------...........--•-••--------•--
w
U Nature of Repairs or Al erations—Answer when applicable.-_.instllation of a 1.000 gallon, stone
pa cked leach oit k.overflaw
-•----•-----------------------•----------------------------------•--------- .................
Agreement: I
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of T ITIZj 5 of the State Sanitary Code—The undersigned further grees not to place the system in
operation until a Certificate of Compliance has bee, i s ed by the boaryd�g�l�leal
Signed .,.-5�23/85...
Application Approved By................ s' ..G2.._.0...._r-n,.. 5�2 a�5
----•--------- -
Date
Application Disapproved for the following reasons:................................................................................................................
.................•--•-•-------------------........---------....------•-•-----------....----•--•--•-------------------------------------------------------------•--.....................................
Date
Permit No.......85-....... �1..------------------------- Issued._.5Z23�85
Date
Vow
Jr
No.......8 '... --�-� Fss.... ...iS.00.....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............... mown.........OF..........7,5a? to le.......:....
Appliratiou for llispooal Works Tongtritrtion amit
Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal
System at:
S..t kjij�..;a �r ,.. exixwi�.,1.�.� i: ...._02.63. ....... ...
Location.Address or Lot No.
John..!nuintl...................... 5..�'h&sle Drive s.._Ccntprvillc.....................s 032..._..
Owner Address
W A & B CessoolService . Inc. 122 1 isheps--=" zse M . 02601p -- - _...............................
Installer Address
UType of Building Size Lot.................... .....Sq. feet
1-1 Dwelling—No. of Bedrooms................3.........................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ............................ No. of persons...4...................... 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---_--.--.----___-___--.
4q Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
9 .---•------------------•--------•-•---------------•----•-•--••------••---------...........•--..........._......••---••.....--•---•--•--•.............__••---
Descriptionof Soil Sauid-------------------•---•-•--•--•---------••---------------------••-------......----••-•--•----------------------------•---------•---
x
W
VNature of Repairs or terations—�nswer when applicable__ :nst11a,tion of a 1,000 gallon, stone
eked leach pit ovexflaa .
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITIE 5 of the State Sanitary Code— The undersigned furthe agrees not to place the system in
operation until a Certificate of Compliance has be Ssued by the board heatt 5/23/85
•.*
ApplicationApproved By.................................................................................................. .. ./ 5
Date
Application Disapproved for the following reasons:....................................
-4
--•---•.................•---••--•--••--•-•-••---....--------•---------•----••-•--•--••-•-•--•••.....------------•---------•---•-------------••---------•---••----••----•---••-•--------•--•----••.......
Permit No....... ............................................ Issued-...5/23/85------------------....Date---.-.
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
'c rn...........OF.............earns-ta ble.........................................°%
Tntif iratr of Bunt lianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X )
by--•A I -C�s 91__ e - �...Itag_............I?.�.Eels)?c?yje5--- or, Gei i''y4?�r.is,.���' 02601..
rti Installer
at.........5-•.�. lAlQ__E t! d - entery he, t�-----02 2--------.John...az-inn...............................................................
has been installed in accordance with the provisions of TI�_4E Lf)dCThe State Sanitary Cod ibed in the
application for Disposal Works Construction Permit No......................................... dated-...._---_-. ._._._..._...__.._...
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUE® A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE...............5�23:_85_.....-•-•--•--....................--•-•-....... Inspector...........
THE COMMONWEALTH OF MASSAC SETTS
4
BOARD OF °HEALTH
E3 - �4 90 "ol*n.................OF.. ParnstAble 1 00
a
No..........--••-----_..... FEE.......:................
Disposal Worku Tontrur#ion ramit
Permission is hereby granted.........A & P Cesspool Service, Inc.
..-• .. ------. ----------•-••-------........................................................
to Construct ( ) or Repair ((X ll an Individual Se r ispos System ,
at No._5-_Thisle Drive, C'entervIlle, th - John Quinn.........................................---
------------------------------------- -•-----------•------------•--••---•--•--•----•••-----•------------•---•-..............
Street
as shown on the application for Disposal Works Construction Permit No..::. .............' ated...5�23/$5
6
01
DATE------
�' -
S/23/$5 Board of Health
--------------------------- ---------•--------•---••-•--..............
FORM 1255 A! M. SULKIN, INC., BOSTON
f:
No.. .o_ .._... ......................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH j✓I1� �������
............Town... ........_ 0F........Barnstable I
Appliration fnr Disposal 19orkii Tuntrnrtion Prrnti#
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
Lot # 73, Cor. Thistle Dr & Nottingham Dr. Cent.
............. ......... Location ddress.................................. ..............................-........
..o Lot.N-........-.....-.-..........................
Normest Homes Ine. . .-.shley._Dr., CezAerv�lle
.................................................................................................. .... ....---..................................
Owner ddre
w James Doll oway Five Corners R ? Centerville
a ................................................ ...... ..................
Installer Address 5000
UType of Building Size Lot................._._._.....Sq. feet
Dwelling—No. of Bedrooms.._.._...................................Expansion Attic ( ) Garbage Grinder ( )
p-, Other—Type of Building w004 f I'affle No. of persons............................ Showers ( ) — Cafeteria ( )
aOther fi res --••....................•-•---..._----• . -------------------------•...........
W Design Flow.......................................gallons per person per day. Total daily flow-------..... .d�.--._-_---__ - gallons.
W Septic Tank—Liquid capacity...
-...___--gallons Length................ Width................ Diameter................ Depth................
Disposal Trench—No..................... Width_..___ ��•ppn8 Total Length.................... Total leaching area....................sq. ft.
x Seepage Pit No..................... Diameter.6x$��� ;th below inlet_._................. Total leaching area.302........sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
a
Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
cW ----•-----•--------------------•------•------------....... ....---------------•--••-•--••---•---------------------
•------•.......................
.._...
O Description of Soil................Sand & gravel
--------------•-•-----•---•---•----------------••--••-----•-----_...•--•-----•-•--•--------------------•----------•-•--•--.
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 jeen issu d by the board of health._
Signed • -• --------------•.....................•-....'---,--......,d-`-------------------
Dat
Application Approved By----- .. . ... •-,��'Z1���Z
Date
Application Disapproved for the following reasons-----------------------------------------------•-----------------------------•--------------------•••-•----•----
..-•-----••-•----•--......--•-----•------------------------------------------------------•---•-•----•-•••---------------------------------------------------------------------------•--•----•-----------
Date
PermitNo......................................................... Issued........................................................
Date
'------
LOCATION SEWAGE PERMIT NO.
VILLAGE
A & B CESSPOOL SERVICE
128 BISHOPS TERRACE, HYANNIS, MA 02601
BUILDER OR OWNER
40*04
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
�- -
. .
�, �
P
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OR HEALTH
.......... .Town. --- ........OF.......Barns table.
......................
Applirativn for 19isposa( Works Tonotrur#ion rrrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
Lot # 73, Cor. Thistle Dr & Nottingham Dr. Cent.
................................•.................. ..........----........................---.....-=-•--•-•----------................................
Location ne, �
dr Ashley Dr Cen°��,#ille
.....
Norme s t Homes 1n ............................. ...................................................................
Owner
W James Dollowa Five Corners RdA�dr'Centerville
a ...................•--......................--- .........................................
..
.- ir...............................................
Installer Address
.2
C0
UType of Building Size Lot............1...............:Sq. feet
�-, Dwelling—No. of Bedrooms.........3..............................Expansion Attic ( ) Garbage Grinder ( )
a Other—Type of Building WOOClT8ffie T ( ) — Cafeteria ( )
Iv o. of persons..................... . Showers
Otherfi es ......................................................---------------------------•-•-•---•------•----•--.
Design Flow............... ...._... . .gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Wi th .... . . ne Total Length.................... Total leaching area... .........sq. ft.
12
Seepage Pit No..................... Diameter. x$P....��Depth below'inlet................... Total leaching area.��............sq. ft.
z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
f� Test Pit No. 2................mimrtes per inch Depth of Test Pit.................... Depth to ground water-----_------------------
.......--•---
O Description of Soil.................38rid-- .�r$Vel....-------•-•-----•--......•------•--•---...---••-•---•-----•--•--------..................................
U ........................-................................................................................................................................................................................
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 board of health.
Si ned... --•-•-...... ,.!C. ..... ..:...
Application Approved B �' Da
f Date
Application Disapproved for the following reasons------------------ ----------------------------------------------------------------------------•--•-----......
-••-•--•-----•-•--•------•.......................••-----.•-----•-----•------•------•--••-•--•--•--..........--•-----------------•---•----•----------------------•---•------••-••---••---•--.._......-••.
Date
PermitNo......................................................... Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
OF....
...............................................I.................................
Tatifiro$r of (fontptionrr
THIS A-T.0- JJFO at the Individual Sewage Disposal System constructed ( ) or Repairedmescbs ( )
way
by------------------------•---•---•--------.-.-.. . . g .
- - ------ ---
Lot # 73 Cor, Thistle Dr. &1st tt n m r en ery e.............................
at.................•------•-••-
has been installed in accordance with the provisions of Article XI of The State Sanitary Code _� desjibed in the
application for Disposal Works Construction Permit No.............................. �1 dated..-._.l _. _......_.._......
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE..........................................................•------............_.. Inspector(;...'...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
...............................O F .---�
�) .... ..........................................................
No.. .--........ FEE... ..............
ora�yritrtt�n �prlltt�
Permission is hereby granted -•---•--------
to Constructt( t) � 0��) ��iI c�i�i ua��S�w a �� Dr. Centerville
at No Street
..............
as shown on the application for Disposal Works Construction `edit N �' - Dated.....��`.'.,--.-.�.....•.....
DATE. �:' �° . '`� Board of Health ..
,_.------....._r...../..�''........... ......... .•..... ......... r
FORM 1255 HOSBS & VYARRFN, INC.- PUBLISHERS
1