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No....82=0 Fps.....: .5.:oo......
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
.......................Town.........OF........Barnstable-- -..................................................
for Disposal Murks Tonstrnrtion rrmi#
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
.r ..........................inls Way-,,.-Centeryille,,._MA.._-0262 _....
• -----------------------------------------------------------
Location-Address or Lot No.
Marcel Poyant ••. _ �, Windless Way, Centerville = MA 0262
...---•--•--••_... -
Owner Address
a A & B Cesspool Service 128 Bishops__E! r=e.=_•Hyannis, MA 02601
............................
Installer Address
Type of Building Size Lot---- ---------------------Sq. feet
aDwelling—No. of Bedrooms.................3.........................Expansion, attic ( ) Garbage Grinder ( )
p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
0.' 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........................................
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
(a, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...--__---..-_-_-------.
a -----------•-------•--•-•------------•----••----•-•---•---•••--.....•----•------••------••-••-----••.........................................................
ODescription of Soil Sand----------------------••--••------..........--•-••---•------------•----------------------------------------------....................................
W
U •--•--
.
U Nature of Repairs or Alteratio s—Answe when applicable_.installation of a 1,000 gallon ire-cast,
stone packed.leach _pit �overflow�. _
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TL ZTL: 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 bbo rd of health.
Signed. ----------- Lr' - ------------ -�r� ....3.19,82
Application Approved By.............. 1-.... ...--•------------•- 3�Dat-�° ` 82
1 --
e
Application Disapproved for the following reasons-----------------------••----------------------•---------------•-----------------._...........-•------.........--
..........................•-••---•------------......--------------------......................---•--------------•--•••----•------------•-------•-•-•-•••-••-••--•-•-••••--•--•---.......------•....-•---
Date
Permit No....82• •-------•---•-----•----------------------•--• Issued..............3/19�82
.-•-•••----••----••••---
Date
4'
No.._.82-/2 4 Fm$...... ....S.xQ�..._
THE'COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
.....................". ......#1........OF........BMi3 U-0....--------------•-------------.......--..............
Applira ion fnr i n galMirkg Cnnmunrtiun "fermi#
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
Windless_Ways._Cenevlle, NtA....0262 .
Location-Address or Lot No.
Marcel Poyant. .•__ _... /r Windless Way,_Centervi11e1..N!A....4?6
Owner Address
A & B Cesspool Service .128.Bishops--Te ..02601------
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........... .............. Showers ( ) — Cafeteria ( )
Q' Other fixtures ................................. .
d �-
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
9 Septic Tank—Liquid'capacity............gallons Length................ Width................ Diameter................ Depth................
xDisposal 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........................................
aTest 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.------.................
----------------------------------------•-•-----....................-----•-----.........------.......-•-•---------•----...............----...................
ODescription of Soil........Sand........................................................................................................................................................
W ••-- ---------------------------------------------------------------------------------•---•-----•--------...-----------------------•------------------.....-----------------•-•......--•..._.......•.
U Nature of Repairs or Alteratio s—Answ when applicable..kTj� lation of a 1,000 gallon Ca pre— st,
stone packed leach pit overflow).
-------------------------------------------
•----------------------
-------------------------------------------------------------------
•---------------------------------------
-----------•-•-------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of ii':'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 bo rd of..health.
,.ff _ rrr. ...:...t'} e Jt� - ......3A19182
Application Approved By-------------- .nr..�!cJ c ...------------------------ 3/'1 Da�82
te
Application Disapproved for the following reasons-----------------------•---------------------•---....----------•--------------------------------•-•-•-••....•-•--
D
-•----------- --- ----------
---ft
----------------------------------------------------------------------------------------------------
---------------- -- -----------
to
PermitNo ......-••-----------------------------. ------.... Issued..........---3 ..-9--� ..--.....----------•----
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Tawn....OF......Barnstable........................... ...............................
(Inrtif iratr of Tomplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X )
by A & B Cesspool service.128_.Bishops..Terrace:,_..Hyannis_..MA...02601..............................................
In alley
at. -� --- Windlass Wartan
_ Centerville ... 0gQ? ..Marcel_.. ...t --------------•----------------------------------------
has been installed in accordance with the provisions of TITLE' j of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No--- 2'__.-1 . ............... dated.......3/.-14182........................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL ,FUNCTION SATISFACTORY.
DATE 82............................................. Inspector......................•....... ....................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
$2— / m n....OF.........
Barns table $ „ .00
No....... ... ....._ FEE................
Diiiposa1 Workii Tonotrur#ion jJermit
Permission is hereby granted........................A & .B Cessp ool_ Servie e
.
to Const t ( l or..Re ai (X ) an II dividual Se r Dl posal System
at No!�vindli�s Way, Centervil e, FA � 32 - Marcel_ Po nt
---------------------•--. •-•------•-••-----•-----,......---•--.....•--•-- . -•-----•-•. ..•--• .. ................................................
Street
as shown on the application for Disposal Works Construction Permit No��'............. Dated............. ............
DATE......... 1----/82...................................................... {{{/// :..
of Health
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS 1 .
�2
LOCATION SEWAGE PERMIT NO•
/`7- b JIi�c1 ef,!S5
VILLAGE
Cer
INS TA LL R'S NAV/c�
ADDRESS
�5 CYO
t U I L D E R OR OWNER
H, Ldn �-
DATE PERMIT ISSUED
DATE COMPLIANCE -ISSUED _�3_��
r
3
IQ
o
C7-
iDOO
n CessPea I
F��YZ"'.. ......�........................
No..
THE*_ COMMONWEALTH OF MASSACHUSETTS �{
BOARD OJ,77 HEA /�,/�
.._.-- . OF......... . ............:........ ---................................----•-
�� Application -fur Uiu viral Worko Towitrurtion Vamit
Application is hereby made for a Per 't to XCons �ct ( or Re air ( an Indivi Sewage Disposal
System at:
c on.Address or Lot No.
... . .... ..... .. .!----- .................... .•...0�;
r��
O e Address
-- .
Installer XFF'.
Type of Building Size -- /-Sq. feet
Dwelling—No. of Bedrooms.:.._____._......................Expansion Attic ( ) ge Grinder ( )
aOther—Type of`Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
W Other fi_ t res -------------------------------- -
W, Design Flow.......... _._ ..........gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity------------gallons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench—N Width-------------------- Total Length.................... Total leaching area--- c)-..sq. ft.
Seepage Pit No------- meter__________________ Depth below inlet.................... Total leaching area----------------..sq. ft.
z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by................ --- ---`-- ......-••---.......----------------.. Date........................................
Test Pit No. ................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
(i Test Pit No. 2----------------minutes per inch Depth of Test Pit-----_-_.r..____r Depth to ground water------------------------
__ _________________ _. _ ___ .�._...__._. .___________._._............._._.._......_......................._..._.._._..._.._.._..._.
�k
Description of Soil__._.__ -
------- - ----
c� =
-------------------------- -------------- -------------------------------- -------------------------------------------------------------------._.----------------------------------------------------
U Nature of Repairs or Alterations—Answer when applicable.-.-__------------------------------------------------------------------...-------------------
.
B
Agreement:
The undersigned agrees to install the'aforedescribed Ind' ual Sewa e Di sal System in accordance with
the provisions of Article XI of the State Sanitary Co e—T dersigne urt r c grees not to place stem in
operation until a Certificate of Compliance has bee ss oar he
Sign r�Za
1
PP PP Y
---- ------ -----
Application Approved B -- '. ....
Application.Disapproved for the following reasons-.............................. I----------------•-----------------------------------------------------------••---
---•••--•--••----------••-------•--•----•----•------------------••-----•-----•. ------fit ------------------------------ ----•------•--------------
f / Date
Permit No. =' Issued ` - ..........
Date
.......................... ------------------------------�
G
r ��l
.F
- 1
No.. -X.O." ----- Finc.. ::...............
_ THE �COMMONWEALTH HE
OFMASSACHUSETTS
---- D--OF'.:-.... .... ....:.-...- . " .:-. - .............
7 .
Appliration -fur Biiipuottl Workii Tomitrnrtion Prrmit
Application is hereby made for a Per 't to Cons uct ( or Re air ( an.Indivi Sewage Disposal
System at:
....----•-•-•- --•- ........................ ---- _.......... - ---- -----••------••--••••••-•..•.......••••--
c on- ddress or Lot No.
r------ ----•--•----•-- ................ -- ----••-••-••-•••••••••--••-••--•••----•---•-•---•...................••--
O Addres
W ...
Insta ler A
UType of Building S' e Lot_ _ r._Sq. feet
Dwelling—No. of Bedrooms___________ _____ ................------Expansion Attic ( Ga'rbage Grinder ( )
p4 Other—Type of Building ____________________________ No. of persons----------------------------- Showers ( ) — Cafeteria ( )
Pa Other fi Tres - --"-------------------•- - ---
W
Design Flow__...._._ -=--•-----gallons per person per day. Total daily flow....•-•-•- - gallons.
WSeptic Tank—Liquid capacity-------'_:.__gallons Length---------------- Width_____--_--__--- Diameter------........... D'pth --------------
x Disposal Trench—N Width-------------------- Total Length---------_--------- Total leaching area___ _�_�__l ---sq. ft.
Seepage Pit No-------- meter.... ••---•------- Depth below inlet-------------------- Total leaching area------- ----------sq. it.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by___________ _ ___________________________________________________________ Date......................-_--------------..
a Test Pit No. 1----------------minutes per inch Depth of 'Pest Pit-------------------- Depth to ground water-------______-_-__-____-
f14 Test Pit No. 2___•..______-___minutes.per inch Depth of Test Pit-------------------- Depth to ground water...---------------------
---- ---------------------•-•----•.........................................................-----•--
DDescription of Soil--- • r - ------------- .......... ............................................ -----------
W
UNature of Repairs or Alterations—Answer''when'applicable.__-_.___„-_______-__-_____________________________.-_.-_________-_-__-...._____-_____-_.
----••------------------------------------ ---------------•--------------------------------------•-----•-----------------------•-----------------•------•-•-----------•----- ------ ----------------
Agreement:
The undersigned agrees to install the aforedescribed In dual Sewa e D' osal System in accordance with
the provisions of Article XI of the State Sanitary Co e—T ndersigne urt er agrees not to pI ce f stem in
operation until a Certificate of Compliance has be s oar he
' e
, czr Signe
Da
Application Approved By----- - -----••--•• ... - ----
Date
Application Disapproved for the following reasons:-------•-- = --------•••---------------------------------------------------------------
---------------------------------------------------------------------------------------------•--------------------------------------------------------------------------------- - ......................
Date
PermitNo......................................................... Issued-------------------------------------------.............
Date
TH COMMONWEALTH OF MASSACHUS ^ i..i.
BOARD HEA
i ` ...........OF.. ... ...... O... --
.-.........................
,rrtifiratr of fI Limptianrr
THIS IS TO CER hat t ndivid ewa al Syste co str ( ai�red ( )
by
stall
at.- -- ------ --- -----/�_-__----- ---- --• -----
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No_________________________________________ dated----_________-______-_._-_____-_-________-__-___
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. i
DATE............................................................................... Inspector....................................................................................