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LOCATION AGE PERMIT NO. v s
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VILLAGE
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A & B CESSPOOL SERVICE
128 BISHOPS TERRACE, HYANNIS, MA 02601
BUILDER OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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No...83 .S��j ... Fxs.... 10..00........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Town Barnstable
.........................................OF..........................................................................................
Appliration fur Btsp ial Marko Cfnnuumtinn Vamit
Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal
System at:
177 Hinkley Rd. Hyannis, Ma 02601
................__..__.... ........................... ............................ --••••-••--------....---•-•..............._...----•---•..........-•••-----------•......---•---•-•-
Naney Enos Location-Address or Lot No.
..--•--•--•---•-------........................................................................... ..........--.....................................................................•--------._-.---
W A & B Cesspool SeQNYce 128 Bishop's Ter?fiyannis, Ma 02601
a •-••....... ...... •-------
Installer Address
Type.of Building Size Lot--..-•----------------------Sq. feet
Dwelling—No. of Bedrooms..........................................Expansir Attic ( ) Garbage Grinder ( )
Q, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a 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.---...............----.
fT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.....----...............
x
Sand
0 Description of Soil. --------------------------------------------•--------------.....-----------------------------------•----
W ••-••-•-••--••-•••••--•-••••••-••-•-•-••-••••--....•••-••......-•-•••......--•-•-••••.
W
UNatu e of Repairs or Alterations—Answer when-applicable-.Install a 1000 gallon septic. tank,
c -box and a 1000 gallon leach pit packed with stone
-------- -•-•---• •. •-----•. --•--•-- •-•.-•_._...---••-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of ilTL% 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 ealtt�.
n - 8l_.15183......__....
Application Approved By...... .• = c' -'........................................ .. 5D 3
8--1--
Date
Application Disapproved f th ollowing reasons-----------------------------------------------------------------------------------------------•-••-•-•••-•---•-
..•--•••••••••••••-•-••••-----•••----•-•...••-••---••••--•-----•-•-•-•-•------•••-------••-••-••..........-•••-••••••---••------•-••-----•••--------•••-------------------•--•-----•--•-••--•-••••-•••---
Date
PermitNo.-83................................................... Issued...8/15183---•••......-•••-••--••-------••...
Date
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0._83- 1/J`. Fivic tp.!M......_
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town ..... oF...........Barnstable
Appltration for U Wpoti al Works Tonarurtion amit
Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal
System at:
177 Hinkley Rd. Hyannis, Ma 02601
.._......... _..._..._ ...- .................................................... ----•........•••-._...•-----------...•----••-•--...--•-•-••••••••-------------•-•----•----------•-
Naney Enos Location-Address or Lot No.
.. .......... .......................... ........................••--•-•--.._._.._......__...••-----•-----•••••••-•-••••---...........•••--
W A & B Cesspool Se°rir ce 128 Bishop's Terre %6nis, Na 02601
Installer Address
Type of Building Size Lot............................Sq. feet
aDwelling—No. of Bedrooms......_3..................................Expansi'o�n Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures --------------------------------------------------------•------------------•--------------------------..............................................
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........................
f 4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
---------------------------------------------------------------------------------•---------•-••-•••.........................................................
0 Description of Soil..Sand.........................................................................................-•-------------•--•----•-------------•-------------•------•-------.
x
U
W
UNature of Repairs or Alterations—Answer when applicable__Tnstall__a 1000 gallon s...ptiC_tank,
d-box and a 1000 gallon leach pit packed with 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 Been issued by the board of%1?ealtk.
?helowing
%'
..... ................... ---Z
Application Approved By... �
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Date--------------
Application Disapproved for reasons__________________________________________________
83' 8 1 8 Date
PermitNo. Issued ................................................
Date
6
THE COMMONWEALTH OF MASSACHUSETTS
OU41 BOARD OF HEALTH
Town Barnstable
TatiftrFatr of TompliFanrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X )
by A & B Cesspool Service 128 Bishop's Tern H�annisR Ma 02601
•-- ..................................................
177 Hinkley Rd. Hyannis, Ma 02601 Install_, Enos
at......................................................................................................................................................................................................
has been installed in accordance with the provisions of T L E /b�f�tate Sanitary escribed in the
application for Disposal Works Construction Permit No. ------- .. �f �8
dated
THE ISSUANCE OF THIS `CERTIFICATE SHALL NOT BE CONSTRUE® S A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.... 8/15/83-------------------•---•.....------•------------------- I'nspector..
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH '
Town Barnstable
83 ................................ ........................................._...-----.....------........._......... $10 00 1�
No......................... FEE.......................
utopos a orko Togtr tonPamit
A & eespool Sery ce 128 Bisp's Terr Hyannis, Ma 02601
Permissionis hereby granted..............................................................................................................................................
to Con t or air xl n I ivi eve a e DIs osal System P
H(dle u. H�*arini8 ' % OZ6 r g Engs y
atNo .�...-----------------y---------------------------- -........-.......------...._....----.----------------------------------- -- • ..................................................
Street _ 5/
as shown on the application for Disposal Works Construction Permit No.83 ._� ated.. _____. ....g3...................
8/1s/83
Board of Health
DATE................................................................................
FORM 1255 A. M. SULKIN, INC., BOSTON
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