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HomeMy WebLinkAbout0132 GREAT MARSH ROAD - Health (2) c la Gfe - MT h V-(?OJ 'U r No..$3..... / Fit ....10.0D........... THE COMMONWEALTH OF MASSACHUSETTS gjolo7U BOARD OF HEALTH Town own ---------------OF......-.-.--Barnstable Appliration for Disposal Works Tonstrurtiurt rrmit 4/3�Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: `W Great Marsh Road, Centerville MA 02632 i 6 .... __......_ • -- .............................; . ........... .................. �. ................................................. Lo ation-Address or t o Sheilds Management Gory. 123 Great Marsh Road, %nterville . MA 02632 -----------------------•---•-•-•--••-- ..........- --- -------•-••- Owner Address a A & B Cesspoop Service 1...................8 Bishops Terrace, Hyannis,___MA_ 02601 ..............•---------------....-- Installer Address UType of Building Size Lot............................Sq. feet DwellingNo. of Bedrooms -- -Ex Expansion Attic Garbage Grinder — P ( ) g ( ) `4 Other—T e of Building No. of persons---.-----•---••-..-.-•-....• Showers — Cafeteria Q' 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 ( ) aPercolation 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........................ W •-•-----•-------------------------------------•------------..--.....------------.....-----------•---------._....:.._..-....----------------------.-. -"..... 0 Description of Soil....................................Saaad.......................................................................................................................... x U W x ----••••-•------------------•----------•-----------•----•••---•-•-•---•-•---...---•---....•-•--•••----•-••--•-----------------------•-•••-----••---••---•••-----------•-----------•-------------••----- U Nature of Repairs or Alterations—Answer when applicable.-instal la-ti-on--Af•-a.•1 ADO--gal ..septic-•tank, x7.btu�-sin--h-ox,---and--ate-gal----leasrh..pit--•(-ouexf1ow_).•--A1.,1..new-•pipe.--from•.house--- ©--tank. Agreement: 46,0® 3 S The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned fur agrees not to place the system in operation until a Certificate of Compliance hajbQn&sued_by the board l th. Signe /C. . . --•-•--------------- � ��8 --•-•------- Date Application Approved By.....................L4- '���- i. ------••••4/ 4/8------------- Date Application Disapproved for the following reasons:-----•--------------•---------------------------.-..-------•-------------------•------••----••-••-----........_. ---•---••------------------------•-----•---•---...-..-------------------.._..-..•..•------------------- Date Permit No------ ............................................. Issued...........AL4A3.......................... t No...Q3:__2" FE1$ ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ----....-.Town-----------------OF............Barnstabl e Appliratilan for Bhiposal Works Tnnitrnrtion rrmi# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 123 Great Marsh Road, Centerville, hA 02632 --....... _.........-•-••-•••...................•-•-•-•--------..............---------••-- --...._---•-----•---•--•••----•---•-------•----•------•••-----••-.........................-----•-- Lo ation_Address or t Sheilds Management Corp. 123 Great Marsh Roach; Zpenterville .. MA _-02632 -_......._... ............................................. ...- •-•--------•--•-•--------------.........--••----------_... n a A & B Cesspoop Service Owner 128i-sh 1 Address s ce .H is MA 02601 ---•----------------•-•-•••-------------- ................... a ._ Installer Address dType of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms________ _Expansion Attic ( ) Garbage Grinder ( ) Other—T e 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....................sq. ft. I 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........................ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------------------------------- •------------------------------------- •------------------ --•----------------•---------------•--•------••----- ODescription of Soil......................................SaZA.......................................................................................................................... x V W ---•-------•-------------------------------•-----• -----••-•----------------------------••--•-••---------------•-----------------------•---------------•----•------------•-•-----•-••----------•--•_.._. U Nature of Repairs or Alterations—Answer when applicable._lnstallatian__of._a..1500_.ge1.__s-eptiC___tank, distribtui on--bo?c,._arid.. ..a1..A.AQ&Q z_-pit..4 __p1pe._from__housa__t.ta._tank. Agreement: of 04 P-"-"3' The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code The undersigned furthex4grees not to ace the system in operation until a Certificate of Compliance Xs ee i sued by the boar Sign --•=•-• -••--•---•----••••••••° • �_4/33............... ... _. D to Application Approved By. ..� 'r /_ .._ ............... -•------- ... 7_3..------ Date Application Disapproved for the,following reasons---------------------------------------------•----------•-------------=`--------------------.._--•----------.._.._ ....................•••-••--•--•--•---•-•-•-----••••-----------•-----•-•-------•--••--•--...•--------•--- Date PermitNo. -83 ............................................ Issued D�az� .......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . .............OF......Barns--ta6b.I e............_....--------..............._..._....... %w w1ratifirFatr of TnmpliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X) A & B Cesspool Service, -12 Bishops Terrace, Hyannis YA 02601 / by - • ' •--- ---------- -'"-. V In -Great "larsh Rd. Centerville CIA sb%32 - 5heilds 'Management Corp. at--E--- ----' ' has been installed in accordance with the.provisions of TIT F 5-of'T e State Sanitary e s described in the application for Disposal Works Construction Permit No.____._ `J°�_�--________. dated_-� ��3_____________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED S A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.........#7rl1.../83................................................ Inspector---•-- --- THE COMMONWEALTH'OF MASSACHUSETTS �"" r BOARD OF HEALTH Town OF..-.-_Bazni.stable 20.00 8 .......................................... No._.......... __ cf FEE........................ `Ehipos al Works Clustr ion rrmi# Permission is hereby granted....,A 8c B Cesspool •ServiC© to Constru ) or Re air ( an Individual Sewage Disposal System at No _-Great 1. rsh•R�, Centerville, FA___ C232 - Sheilds Management Corp. � Street / as shown on t e application for Disposal Works Construction Permit No..83_'__-________ Dyed........V__41-83................. ---�~ ----04-/ '�' --«d------------------------ -------- --------- 4,/ /�� B rd'of Health DATE................... -••---..J �.;: . FORM 1255 A. M. SULKIN, INC., BOSTON f V