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Home My WebLink About0003 YACHT CLUB ROAD - Health - - 3 Yacht Club Road Centerville A= 210-020 5 M E A D® No.2-153LOR UPC 12534 smead.com a Made In USA �RECYC{� FUUMM1iSPA0DUC W jOF1 �� nfsaFROGRAx a WWWSFIPRDGRIYYLORG No..........19.�_` .... Fim 5.,00.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. .T.0Wn.........OF__..Raxn s.table-.----.-----------------------..._..............._. Xpp iratinn for Bhgp aal Works Cnoat uurtinn Vantit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: ................--Yaght...0lu??...Rs.....,...ae.atsrx.i.3-le .................................................................................................. Location.Address or Lot No. zdward---armat..Q.u---------------------------------------------------------- ..............yacht....C-lub...Rd... C.entjerviJ.1P...--- Owner Address w A-- ..3...Ces•s•Pool e 'v Ce----------------------------------- --121B...Hisho-P.9...mer-r-aa -e.,- iyannis............... a -- Installer Address QType of Building Size Lot....................:.......Sq. feet V Dwelling—No. of Bedrooms.........3_................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons-_--•_-.4................. Showers ( ) — Cafeteria ( ) a Other fixtures ........................•-•-•••• - w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ WDisposal 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------------• ......................... 14 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gr, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Descriptionof Soil ariC..-----------------------------------•----•-----...----••-----•--•--••----------•••••--••-•- ----••-•......---••••-•-•--••-•••••-••-•••-- ------------------------------- ----------------------------------------•----------------------------------------...--------------------------------•-------------------------------••... ------------- V Nature Re airs r Alter ns—A saver when 1'cable____Installation of a 1 000 (one 'io 'sanc ) gafton stone pace. overflow, ................----•••-••-••-••-•--••••••••••--•-•--••--••-•-••-••••••••-••••-••-•-••••-•-••••••••••••••-•••••--••-----••••-------•••••-••••••------•••-••-••--•----••---•-•--•--......---•--......•.. Agreement: The undersigned agrees to. install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL% -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 b thAboa f alth.Si ned .- '` ^'••` .................... 9�21�78 Application Approved By•.....�r hi .:................ — J_Date ......._ Date Application Disapproved for the following reasons:---- -•------------•-------------------------_--------------------------------------------••-•••-•••••-•-•- •-••••.......-•••••••-••••-•-••••-•--.........•••-•••--•••••-•---••-•••••--••-•••-••••----••-•----•........-••---•-•---•••-•••••••••--------•--•-••••......•-••••.... ................................. Date PermitNo..........................................---•------I Issued.... 121t78-----••------•-----•---•------- Date - r. vX (,7i) No. .. .C....... FEB....$5............00 ............... THE COMMONWEALTH OF MASSACHUSETTS 'BOARD OF; HEALTH .................. .T-Own..........OF......R.a.rnst.able...._.............................................. Appliratiou for Disposal 10orkii Totwuurfiott ramit Application is hereby made for a Permit to Construct or Repair (X ) an Individual Sewage Disposal System at: ...................YAP.ht....Q2ub...RdA..l....C.exxtermillt ......................................ocation-Address or Lot No.award reset nn ............ ............................................................. L 11Uh..R&.*..o--- ntenvula..... . ........................................................ ..Y.a.011t...C Owner Address A A B�,'CeSSPOO VIan .................................. sgrylqf�................................... ----B10-11.0ps Hy .............. Installer Address Type of'Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms___.....3.................................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons________4................. Showers Cafeteria <P-4 Other fixtures ............. ............................................................... ..................... *---------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity............gallons Length________________ Width________________ Diameter___-____________ Depth______________.. Disposal Trench—No_.................... Width___.._.__-__.__._-__ Total Length.____._..__._______. Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter________________.___ Depth below inlet.................... Total leaching area..................sq. ft. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.....................................*................................... Date____________-___-___.____.__._______.... Test Pit No. 1................minutesperinch Depth of Test Pit__.__.______________ Depth to ground water_._._.____.._____..__... Test Pit No. 2................minutes per inch Depth of Test Pit_____._._._._.______ Depth to ground water___.___.....__._____.._. ....d...................................................................................................................................................... eXi 0 Description of Soil...... .................................................................. .................................................................................. U ......................................................................................................................................................................................................... -------------------------------------------------------------------------------------------------------------tff6_t.d11iC ..... ... . ......flj on...o f...d...i 0..000......................... U Ngureof Re airs or"Alter ad ns—Answer when applicable,......f,...........................................................A..................... (o e no and) galfon stone pacKeci o-jer OW* ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T ILI-- 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 k,,,the b�oarl h. 9/-- 21/78 gnc .................................. -- -I.......................... D Application Approved By........ea %0e ............J ... ..................................... ... ..............*................. ;Ir Date Application Disapproved for the following reasons-------------------------•-------------------------------.-..-----------------------------------••---•-----_..... ....................................................................................................................................................................................................... Date PermitNo......................................................... Issued_._.9/21/"7PA............................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................Town..................OF.......Barnstable.............................................................................. Tntifiratp of Tomptiattre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired 30 by.A.A..R..Q9L9qR!!91--- ... .......................................... Installer dw. orm 'on Z................. S.1......... Aqht cente r v ----------- ......................................................... has been installed in accordance with the provisions of application for Disposal Works Construction Permit Noi�.� O�a� State Sanitary Code as described in the --—--------------_---_-- dated...9/21/78........................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO STRIKE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........ r....................................... ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 78 T 0'VVn Barnstable .........................................OF..-............._.................................................................... 5 .00 0 FEE..................... Diiivoiial Vorkv T11mitrurtion "Vantit "Permission is hereby granted.k..A...R... -S.ex!V in ev...12A...Bi-Sho-1 ...Ter........!;,yan-n1b Pa to Construct or Repair (X) an Individual Sewage Disposal System at No._ OrPAt2A...!t!n...yAght... ........................... ................ as shown on the application for Disposal.,Works Construction �,e_�r ,riete'NC. Dated...9.1/',11-. ......... Q0.81-1 .. .......... DATE---------- .......................................... Board of HeeX FORM 1255 HOBBS a WARREN. INC., PUBLISHERS AJ2ID Do 7 f;2 LOCATION' SEWAGE PERMIT NO* %a c 0% VI'LLAGE INSTA LLER'S NAME i ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED Ao D F� 712>2 o ova LOCATION" SEWAGE PERMIT NO•. %v c � ,; o VILLAGE _ r � Z. INSTA LLER'S NAME i ADDRESS 9 U I-L D E R OR OWN ER nS�d DA T E P ERMIT ISSU ED DATE COMPLIANCE ISSUED • ti i _