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Home My WebLink About0098 BUCKWOOD DRIVE - Health 98" 6uctajod br., avonis LOCATION SEWAGE PERMIT NO. 8� �c- Zo G VILLAGE A: & B CESSPOOL SERVICE r 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR DOWNER Cgos DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � � ! � �l 2� �� '� �� -- -- j , . t . , , Nde25... ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............Town..............:..OF.......BarnstabLe.................................................. Appliration for Disposal Vorks Tonstrurtion Prrmit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: Ab... ...4ajania*...ma....�22.601................................................................................................ Location.Address or Lot No. 026...01PA...arQaty EYAAAis....Ma... ........... .... Own, Address A & B Cesspool S ervice 128 BishoDs Terrace...jjyAnnis.,...Ma. 02601 Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures .................................................................................................................................... .......... Design Flow............................................gallons per person per day. Total daily flow............................................gallon§, 9 Septic Tank—Liquid*capacity............gallons Length................ Width........---.--.. Diameter--.--.--.-----_ Depth...... W ' Disposal Trench—No..................... Width.................... Total Length.................... Total.leaching area------_------------sq. f t. Seepage Pit No..------__--------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. f t. 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..--.................... rX4 Test Pit No. 2................minutes per inch Depth of Test Pit...---......--...... Depth to ground water..................---... 04 ............................................................................................................................................................. 0 Description of Soil........................................................................................................................................................................ x U ........................................................................................................................................................................................................ W ...................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable------J_.QDQ---gal...Stane....pac.ke.d_._nv.jar.f1.QmL.... ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE LE 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 t board 0 th. Signed.. ... .. ------ .. .. ................................... ......................... lc>e7 Application Approved By..- ............................ .........S...... Date Application Disapproved for V following reasons:............................................................................................................... ........................................................................................................................................................................................................ Date PermitNo......................................................... Issued.................................................... Date ----------------------------------- —------- a NoC_�-'..�.......... Fss. .._ � THE COMMONWEALTH OF MASSACHUSETTS 1.5�CR BOARD OF HEALTH .-....Town...............oF........Barn-stable------------------------------------------....... Appliration for Disposal Works Toatotrurtioat rpratit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...c9$---B=kWaCrd----Lo go'a�Tinisri---f`iat-i----02601-•-•-•--•-•-•---•-------•-•----•--•------•--- . .. or Lot No. Owner-------•-•-•-------------------•---------- -------9&... B A PQ & 3: ={{?�+qq ve� 2� ia s -ia e...B -PQa. 02601 �ns�a"llerddress Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms......................._....................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -----•------------------•-----------------------•-----••••-•--••---------•-••••---•--•--••••-••-•-••••-••- W Design Flow____________________________________________gallons per person per day. Total daily flow............................................ 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 ( ) F-I Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_.____--___________-_--. (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ................. ----------------- •... -•-------- •--------------- -... •------------------------------- ------ ------------- •----------- ••••---------------------- 0 -Description of Soil........................................................................................................................... ,x.. U W VNature of Repairs or Alterations—Answer when applicable-------#000---gal----S-tarre,--packGd••,og erf-1 o i•-• .:------•---------------------------------•--------•----•--•---•---•----------------------------_._._._......•-••-••••--••----------•----------••------•••--••---•-••--•--••-•-••-••.._..-•----.....---- 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 been issued by the board of 1 th. g-•-••-••• --- j_ Application Approved By-•_-r,- . ned . •••••••. ----- `�..�.-- ••-----•-•-----•---------••••••._....... Date Application Disapproved for th ollowing reasons-........... --------------------•----•-----------------•------------------ .......................... ...... ........ .........................•-...._...._.._.._---•••---•-••••--------•-•--•--...-••------_.....-•------_..----••-•••--•--..._•••----•-=----•-•----•--•-•-------•---••--•-•--------••-•••-•---•••-------•-•- Date Permit No..................................... . Issued ...--•---------- .............._. Date _._..--••---^_.....-•------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ��----- .................Town............oF..........Barneta.ble............................................fit Urtifiratr of ToanpliFaatrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X) by---------A--&_..�_._Gasapoal••-S=uiaa= ---------------------------------------------------•---------•---•------------------------------•--------------------- Installer at............. 3--•Buckw,ood.--Drive_..Hyanniag---Ma--•••.-----------•-----------------------------•----------------------------•---•------------ has been installed in accordance with the provisions of TITLE 5 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 C STRUE® AS A ARANTEE THAT THE SYSTEM WILL FUN. TON SATISFACTORY. --- Inspector--__---- .. ............ u �.-._....--•--••-- Df, TE.... ................. _....... --__-•--•- t r t THE COMMONWEALTH OF MASSACH SETTS y . BOARD OF HEALTH G ...............T.Own...............oF..........Barnstable-------------------........................ No...: ...........?.._ FEE........ Disposal or onotr ' n rrattit Permission is hereby granted --------•------....--.-•---•-•-•-•--•••••---•-•-•-------•------•••-................................................. to Construct ( )* or Repair ( ) an Individual Sewage Disposal System atNo.•-••-•••--•--••••-••••••-•--•-----•..._.-•-------•--•----=•--..••--•-••---•--•..._...-•--• _.---- • . Street 7 as shown on the application for Disposal ��orks Construction Permit No.__ %5 �a Dated__ ........................ •. ............... d of ealth DATE.-.......•-----......------------- ........................................ FORM 1255 A. M. SULKIN, INC., BOSTON