HomeMy WebLinkAbout1337 SHOOTFLYING HILL RD - Health 1337 Shootflying Hill Road
Centerville
A= 189—039
I
I
UPC 12634
NS.2-'f53L0J.
,�,,
HASTIM0%YN
L 0 CATION EM� PERMIT NO.
�ha in
VILLAGE
Cef,itruI119-
IN TAA L`,L R'S ( A E &� ADDtESS
BUILDER 0 AAMN
DATE PERMIT ISSUED
j DATE COMPLIANCE ISSUED �_��_
Ate-
70
o ioo0 gal
No..U=.3t:2 Fps... ...5.,.QQ......_
THE COMMONWEALTH.OF MASSACHUSETTS
BOARD OF HEALTH
GJ Town Barnstable
.............................o ---........OF
Appliration for Disposal Works Tonstrnrtiun Frrutit
Application is hereby made for a Permit, to Construct ( ) or Repair (x ) an Individual Sewage Disposal
System at:
;3b.QQt...FJ,Y_ing..14.1I..Rd..... 2632-----------........................-.......................................................
Location-Address ov Lot No. ;
Sx..1Y.7.a.3axbex-...................................................................: ShaQt..Fly.ing..Hill..RdL..Ext:::--`..0 xitr„x�rilLe,..026322
Owner Address
WA ......... .................................................. ......
InstallerAddress
UType of Building Size Lot........................"'._....Sq. feet
Dwelling—No. of Bedrooms.___..4 4
................................... Attic ( ) Garbage'-Grinder, ( )
a Other—Type of Building ............................ No. of persons...........3.............. Showers ( ) — Cafeteria,:( )
Other fixtures .... ..;.. .. .
------------------------------------------- ;.
W Design Flow............................................gallons per person per day. Total daily flow............................... `::_.:__gallons.
W Septic 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
a Percolation Test Results Performed by--_----------------------
--------
-....................
----------------- Date..............
,.� Test Pit No. 1.......:........minutes per inch Depth of Test Pit.................... Depth to ground water............. .....
(T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth.to ground water....................
R+' -------------------------•---------•-----------------------..._.....-------•----.........------•----........................................................
0 Description of Soil.............Sand -------------------------------------------------------------------------------------------•--------------------------------•-••--------------
x
UW ..........................-------•-•-------•--••••-•------•-----•------•---••-••-•-•--...•-----•----••---------=-----•-•-•-----...------------------------••------...-•--------------•-......-••---•---
Nature of Repairs or Alterations—Answer when applicable..installation of .. 1,000 gallon pie..east,
stone packed leach pit with extra stone .
---------------------------------------•---•--•-------------------------------------....---•-----------------------------------------------------------------------------------------......_------------
Agreement:
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 further agrees not to place the system in
operation until a Certificate of Compliance has bb n is ued by the b ar f alth.
Signed. 7/16/81
Application Approved By............::,, !. !_ .___ �116/81 .
--- ------------
Date
Application Disapproved for the following reasons:------•-------------------------------------------------------••--------------------------......-----------•----
-----•-----------------------------------•------------•-----•-------------------•----•-----------....-------..............------•-----------•......---------------------•-------.... ------------
Date
Permit No5l-.................................................. Issued........7/16/81...............................
Date
' r
r
4
FxB...$...5.,M.......
.:
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
••--..................._T own--.--.OF........Barnstable
.....................................••-•...-•---.......•••-•--•--
Applira#ion for Disposal Works Tnnstrurtion Vrrmit
Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal
System at:
Shoot F 3!�x .�t� ..kid....EzG ....---Cer&Q _Y.117.e..02632......................... ........ ..... ......._.........
Location-Address - or Lot No.
Sylvia. r ?7............. b94t-_F13! xg.- i1�.7..Rd... .........Centox!ilig __026322
Owner Address
aA 3c B Cesspool Service.. ......................................•-•- 128_-Bi$hops-Terrace, I}rnnis,--t(lA-.•_02601•-•--•-
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms_...._�..................................Expansion Attic ( ) Garbage Grinder ( )
aOther—T e of Building g ____________________________ 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 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........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a - -
a�
O Description of Soil--------------- ----•----•----•-----...•-------•-----•...-•--------••----------•-•-------•-•- --•----•---•-------••--••-------...._.......--•-•--
x
U --••-----•-----•----••••-••--•------•......................................•-•-----••.....-----•......•-•---......---------•--••---•••--••••--•-------•-----••••........------•--•••---•-•---•---•••-•.
w
x ............................................-••-•-•• •••----------•-•-••-•-•----•••-•--••-----•......--- - ------- -• ---•-----• ------------------ ---
gees _ h installation o a Y,00b gall on pffe-cast,
V stone epoafClt�VT or V1 evi W'�th enXtwi"e BtortePplicable
-•--------------------------•-----------------...---•------•------•---------•---------•-•--......-----------•-----------------------•----------------------------------------------.....------•.....--••
Agreement:
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 further agrees not to place the system in
operation until a Certificate of Compliance has b= issued by the boar f iealth.
Signed. �• 7/16��31
f '•.....
Application Approved By............ !. !- 81
Date
Application Disapproved for the following reasons-------------------------------------------------------•-------------------------------.._.............--------
•.......•-----••-•..........................••-•-------•••----.....-•----•••--•----••--------•----------•-•---••-•--------------•----•------•---•••-••-•-----•--•----•••--•••-----•--•-•---•-----•.-•---
Date
Permit NoQl-...........................................•...... Issued........7/16/81
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Banrstable
................OF
(9rdifiratr of Touttilianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired ( x)
A & B Cesspool Service, 128 Bishops errace, Hyannis, MA 02 01
by...................... ----•---- .........._. ...---------••••--............ •--••-•---•-....._.._...._
at Shoot Flying HIll Rd. Ext., Centerv�ile, 02632 - Barber
•--•-------------------- ----------•-------•---•-------•---•------------------------- --•-----------•--------•--- ----------•------------...------------...---•-----.....-------••------
has been installed in accordance with the provisions of TITr Hof The State Sanitary C d described in the
application for Disposal Works Construction Permit No.........17 �-�. ............ dated___7J1g. .i
............................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.-
DATE.................. /1?/81 ... Inspector......................... �...
..... 1....................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town O F rarnstable $ 5.00
............ ........... a l ........
No......................... FEE........................
Disposal Works Tnns#rnrtuan rrmi#
Permission is hereby granted.A & B Cesspool Service, 128 Bishops Terrace, Hyannis 02601
to Construct (( or Repair ( x) an In ividual Se�nra e Disposal Sys
at No.....Shoo 1 lying Hill Rd_. Ex..,_ Centerville, MA--._02632 - Sylvia Barber
Street
as shown on the application for Disposal Works Construction Permit No..................... D�ted..............7�16/$1
7/i7/81 ' BAnzll;h
DATE. --•- ----------
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS y.
i