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Home My WebLink About0028 CEDRIC ROAD - Health (2) 9,5r ced n'c Vj ten+l Ira / /9-7 No....... f_.�...... 5.e.00..... THE COMMONWEALTH OF MASSACHUSETTS j.� L, i°21 BOAR® OF HEALTH ------- ------Town....-.-....-.OF...............-Barn.stablE-----••---....-..-........-....._........ ApplirFatiou for Di-spa i al Works Tomitrnrtiun .unfit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: 28 Cedric Rd. . .Centerville .........._.. --•---• -----...-••••-•-••--•-----•---• •................•------•-••-•-•-•----.....-----•-----•...----••--•-•-......••-•-.............---- Location-Address or Lot No. Robert M. Pe-terson _ 28 Cedric Rd-�-, Cex�txxi .�.�...................... .....-- ---. •---•- • --•.-•-- ...... -- Owner Address A & B Cesspool Service 128_ Bishops•_Terrace, _-Hyannis Installer Address dType of Building Size Lot_________________ _________Sq. feet Dwelling—No. of Bedrooms............3.................._..........Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ______________ No. of persons...... ______._____________ Showers — Cafeteria Otherfixtures ------------------------------------•----------------•-----•---------•-•---•----•--------•-••--•---------------•----------•-•--------•._....----•--•- 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. 3 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........................ Test Pit No: 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ . ............................................................................................................................................................. xDescription of Soil..-Salld............................... U -•-••••-•--•-•--•-••---•--••••-•••••-•....•••--.._...--•-•••---••-•------------•---------------•----•-•-•••-------------•-----•---•-------••---..._----••--•- W ------------------------------------------------------ -----------------••---•---••-•-•-••-•-•••••--•----------•---------------•••-----•-----•------------•-•--••••••••••••--•-------.._...•-••---•••- U -Nature of Repairs;or Alterations—Answer when applicable._.1_pQ0O---Jz_one---thausand-)____gaXIon_.___.__.__.. __stone••-�aeked-••overflow-•-••-•.-•----_-..__•-...--.............................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with :the provisions of 1E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation untCertificate of Compliance has been issued by r h. t Sign •e f•• -•- - Dat a„ ?' plication Approved By--•••-•- _..........•---•- �a2 f- �------•--- �� Date Application Disapproved for the following reasons-----------------------------•---------------------------------------------------------------...••••--••-•-•••-- J, Date PermitNo......................................................._ Issued_....................................................... ` Date L• a-_ 00. try THE COMMONWEALTH OF MASSACHUSETTS dC4S �N 1 h5t A . 18h Z yfi ; z BOARD OF, HEALTH ^._td�rF tar ¢;' �,r` l.k)t ..... .. OF ..aPn.:... � . „ ...... ...... .......- .................................. 7 rf Jfir:4tivat for Applcattondis hereby made for a Permit to.Construct ( ) or Repair O an Individual Sewage Disposal system*at _28 � � � .......................0enterville �z ........ ................ ------....._...----...... ----- - Robgy i to-cation Address or Lot No. kf ,{ N etern 28 QedrQ Rd.. �. rr � .... t ,. y.. ..................................._ ........................... {4 ---•-----__ a A edAt-o - Service i28 Baeho�s Tc�rraQee �i ara --- ...........................•-.......-- ..................................... ....•----....,.... r Gy f Installer Address Type of�tButltling Size Lot................. ..Sq. feet Dwe�tit No of°Bedrooms .._......______________________________Expansion Attic ( ) Garbage`Grtnder ( ) Q, f — ding ____________________________ No. of persons_._._3_.................__ Showers ( ) Cafeteria ( ) >t QI �' Other 6itture Ot er S = •-••---__._. W DestgnlolvE ............gallons per person per day. Total daily flow................... .gallons. s s Septic nk�` Llqu>d capacttv.__`':_,__.__gallons Length________________ Width_..__._._._._... Diameter--.___________.. Depth ' --•--...._.. D i s p 0 S h Width.................... Total Length._' s._____._________ Total leaching area__.._ q. ft. Ot Pr D st i i t pn box, Dosing tank See a et�rt NQ: _ Diameter._:_._.._._.__._. . Depth b`elow inlet____________________ Total leaching area , .....sq. ft. Percolatx 3 rI'est Results Performed by •-•-- •-------•••-•--- Date... 14 minutes per inch Depth of T at.Test Pit____________________ Depth to ground wei a r� (s{ Test14 tNo 2 { :minutes per inch Depth of.:;Test Pit____________________ Depth to ground watei``v �.._.______.._... ......................................................... � r x fix+n y Descrtptttiof Soil=_ , .° s fw ji: U W # .x t s5 r __-•--•-••--------•-•----------•----•................ > U Nature of epairs or Alterations Answer when applicable__ ._¢ s ___ _0 ?___ xl€37.1,r3an � ��MJD. l-------------- �B mXk*a ? E V 5 `-••-•--•-----•---•...-• ..... •--•-------•-••_...._•-•------•------------••-•---•--•----•-• •-•-- .`....---•--•-------- Agreement r Ttle�,iunderslgned agrees to install the aforedescrtbed Individual Sewage Disposal System in accordance with the prod;pious aI SITE... 5 of the State Sanitary Code ''The undersigned further agrees not to place the'system in operariosluittll,a Certificate of Compliance has been issued b e boar i th. SignecY_.......... `� --- ------_-•--- ------ ��',�ar& a Date. Apphcabon`ApProved By....• ` v Y. ' " } .`� ram' ................_....---•-•.... * Date Applied 9,11 D�sappro,. L f or-the following reasons: ------•-•------- #r JS tg _ '• e 1'ermtNo_._.: R ' Issued F r _ Date .o ?£ ` li , < 1' THE OMMONWEALTH''OF MASSACHUSETTS E C y "y lilt BOARD OF HEALTH { . • �rrnn...... ...oF..... Barnstable ,, , CCCCIea'#i cab of f�umpliFaatrr � T}H�IS1�ISy�TO CERTIFY, That the Ina vidual Sewage Disposal System constructed (6, or 7Repaired (X) AZ s... ------------- . � y, w Installer /q q �h { at - ti 'it• t�. fi3aYb� --VL°�Eti_. _Rd, \f. �u ''vle !. � ry; has beentlstiHe�l in'accordance with the provisions of Ts r of The State Sanitary Code as"descrtb d in the appllcattf�rl�for Disposal Works Construction Permit �To __.&_'.//.............. dated ?_" A,/ {� :._..___._.__ „ TO �rISS E..OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAR%�NTEE THAT THE SYSTEP t;�1AlIL'L' FiJNCTION SATISFACTORY. ��h DATEt �r a,, ...................................................... Inspector----•--•------•------------------- •. -. }`7.. ...........__ THE' COMMONWEALTH OF MASSACHUSETTS � YE : ' BOARD OF HEALTH wn Fi f - #§{ Bisp�as l ark,5 T11notrati�att anti - --_aisboP�. ' 'rF1��3 9 •Hy.. S r F,ts w 4 to Construct'� ) or Repair,( an Individual Sewage Disposal System $ , at No : Ui.A�E d._.td.6.4-- Y . . _s s . _•." I4_t�bet rt,__��i._,9..et-era'o" n ................ x Street as showtwon the application for sat Works Construction Per,6iit N ___ ____ _ ______ Dated...... , `� ................ a r ^ -- ________ __ __ .............. _.. ._- JL mac!._• s.• , Board of He DATEt° .................... ................. FORYT 12;55tF>aOBBS''WWARREN, INC., PUBLiSHEI S