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Home My WebLink About0107 WILLOW RUN DRIVE - Health ddd SMEAR KEEPING YOU ORGAMUP �p No. 1 ow 2-153L MADE IN USA GET ORGANIZED AT SMEAD.COM i ASSESSOR'S MAP NO. PARCEL L 0 C A T ION. SEWAGE PERMIT NO. 107 liillovw Run Dr. , Cent . 86-723 VILLAGE Barnstable - �� I N S T A LLER`S NAME i ADDRESS CASH'S TRUCKING INC . ' Box 7, YarmouthFort, Ma. 02675 B U I L D E R OR OWN ER BERNARD RUSSELL nj r--A�f � ��i4 V�/ . 107 tdillow nun Drive , Centerville , Ma. 026 2 DATE PERMIT ISSUED 7/22/86 DAT E COMPLIANCE ISSUED r t 5 oG ` J L'YH DEPT. No..�Z�... _��.� Towta _Off cE 5fri`Iding �{ Fiz THE -COMmuN..ciNt ii 0E-MASSACHUSETTS r BOARD OF HEALTH ......jact.-W,-Z OF.. ....... ................................... Appliration for Diurvoottl Mork, Tons'trnrtion f amit Application is hereby made for a Permit to Construct ( ) or Repair (X4/an Individual Sewage Disposal System at ..L0 ..... .? .&-Ad�dWress,�. f 2 ------------------------------------•- --............................................ L or Lot No__ O ner .....-Add - - ress _..._ ... ...............................................................•-•---------•....... Installer Address Type of Building Size Lot............................Sq. feet p ( ) ( ) Dwelling—No. of Bedrooms............................................Ex Expansion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ------•-----•-•-•------- -------------- Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons .Length................ Width................ Diameter................ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area. ................... 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....:._..........------- f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Oa •----•-•-••••------•-••-•----•--•.....-••--•-•••••••---•-•-•••-•-•••---...-•----•---•-------•--•----.......•.............•----......-•--••------•-----.....-- Description of Soil......................................................................................................................................................................... W ---- y _ .............. ••-••--•-•-----•••------.••--- ..-----------•-----------------------••••••• ....................... �nswer CJNature of p irs or Alteratio - when app cable._.' Agreement: C;z!lrees The undersigned to install i the aforedescr-ibed Individual Sewage Disposal System in accordance with the provisions of iITI LE 5 of the State Sanitary Code— The undersigns further agrees not to place the system in operation until a Certificate of Compliance has be sued by the rd f fie A. SignPd. . -- . ..-• �'Z 7 — j ............. Application Approved By............................ --• ...... .... ........................ ............'.G' ...... Date Application Disapproved for the following _ asons:................................................................................................................ ......................••••••..•-•----•--•-•..-•-----•-•-•--••-------.....-------•-•------••--------------•-----•.....•-••---------••--••••-••---•---•••----•-•---••••••------••--•--•--.....---•---_.... Date PermitNo......................................................... Issued•....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................................OF....... ............................... Tertifiratr of Tomphaurr THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed or Repaired by...................... ........................................................................................ Ins alter at. A . ............ ------------ ---- has been installed in accordance with the provisions of T1 T.I E' 5 of The State Sanitary Code as descr*b d in the application for Disposal Works Construction Permit No._-.-. ---------7 2!5 -�. 1 —2 -2-] ................ dated .. ..... ......... ----------- --- ---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED As A GUARANTEE THAT THE SYSTEM VILL FUNCTION SATISFACTORY. DATE............ ................................. Inspector._.........L."A.............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD/,OF HEALTH .......................... Z .............OF--- No...*.6....�7a.. , FEE... Rapos. � orkii (9jtan iAn Vion ermit Permission is hereby granted - ------ fly to Consfiuct'( ) or Rep P, 1 Sewage Disposal System�r ),—a vid,da' atNo.................... .............................................. t rect as shown on the application for Disposal Works Construction Permit No.e�-,2&. ).C-f....... zw& ..................... ............ -- ----- ------..................................................... DATE.. Board of Health --------------------i--------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH p , .............0F..e....,:! ..rN_ PCs. Appliration for Disposal Works Tonitrnrtion Frrmit Application is hereby made for a Permit to Construct ( ,,) or Repair (V) an Individual Sewage Disposal System at• / Loeati n-Address Jl ..� s/, Q ..or Lot No. ..._._..._._.._.,_.......L......=-...�� = ......... ........... ..•••-•-------...••----••-•---••-••..... . .•--•-....•-•------ ................ Owner - ^� Address ................................................... Installer �,� AddddreTe"ss•......_•__ Type of Building rr'' 'Size Lot............................Sq. feet Dwelling—No. of Bedrooms..:......:.......t.`.___............Ex Expansion Attic p ( ) Garbage Grinder ( ) aOther—Type ofn_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 r Length. ......... Width._._ .=-------:—Diameter............ Depth................ i x Disposal Trench—No. .................... Width..................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter............z.... 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......_................. Y 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ............................................... ............................................................................................................. 0 Description of Soil.................................................. �., w VNature of A gg.pairs or/A� ltqeratio��nr ss—Answer when appl cable F J _.__ y �} ,4s�S6* __.. Agreement: � `, , ,c-,( ��;� t t.,f•� "" •� The undersigned agrees to install the, aforedesci-ibed Individual Sewage Disposal System in accordance with the provisions of iIT _E 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 board o'f health. Signed. .- --- Application Approved By............................ ----- ................. ..... 7� Date _. Application Disapproved for the followin easons-----------------------------.-••--------------•-••-------------•-----.....__ ............-...... -- .............................•---.......-•--'----•-------•----••-•--------------••---------- -----------------•----•---------------- Date PermitNo.......................................................... Issued_....................................................... Date