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LOCATION SEWAGE PERMIT NO.
VILLAGE
a
INST A LLER'S NAME i ADDRESS
BUILDER �-�—OR OWNER n
DATE PERMIT ISSUED k
DATE COMPLIANCE ISSUED
c
No.81......t. `-i.... $...5...0.0....--•-
•�a
THE COMMONWEALTH.OF MASSACHUSETTS
BOAR® OF HEALTH
Town Barnstable
.................... ..---.....OF..........................................................................................
Application for 0iipuiFal Varkfi Tunutrn.etaun Vanat
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
......L ce_ Ave:�..Hyannis,..NA....02601 .... .................-----•-----••---............---------------
Location-Address or Lot No.
_-__•, e • ranceAve. Hyannis, MA 02601
.......... ... ---
,
Owner Address
aA & B Cess-poolSerce 128 Bishops Terrace,: Hyannis, MA 02661
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms.............3......._.....................Expansion Attic ( ) Garbage Grinder ( )
p, 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 ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................
(Tq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
9 --••-------------------------------------------------------•------------................-•-..................................................................
0 Description of Soil..............sand-....................................................................................... .....................................................
W
U -----------------------------------------•--------------------...................---------------------•-----------------------------------•--......------------------.....
w
U Nature of Repairs or Alterations—Answer when applicable_ins tallati on of a 1,000 gallon, pre-cast,
......stone_.Dacked__leach_..pit (overflow .
---••----------------------------------------•--------------------------------------------------.............----
Agreement:
The.undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TI'i 1E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has ee issued by the rd health.
8 4 81
Signe �t� -}I- --------------------------------
Application �gei
Approved BY '..... ..........................•/ ........................................
Date
Application Disapproved for the following reasons:---•---•---------------------------------------------------------•--•-----•-...----•-----------------.....--••--
...........................•-•------------------......-•------------------...---.........------•.........••----------•-------------------------------•----------------------------••---•---•------------
Date
PermitNo......81............................................. Issued.......................................................� 1
Date
r
p
Fimic $...5a.QQ........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...................Town----....OF....... Barnstable .
Appliratiun for Disposal Works Tomitratrtion Vrrmit
Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal
System at:
......LaFrance.AV......Tinnnis... 1A....02601 ----------------•-•-----•---................._
Location-Address or Lot No.
-_..__Jennifer McCarthy- •.__.-__. - LaFrance Ave.,--Hyannis,•-•'=-A----O?601
- .... -- --- ......-•---
Owner Address
A.&..B Cesspool_Service 12 Bisho}�s•Terrace,•.1lyannja,_�`"A..__026ol._.
Installer Address
Type of Building Size Lot............................Sq. feet
1—� Dwelling—No. of Bedrooms.............3......_._ _..._...._.....Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons...._.....3................ 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. I................minutes per inch Depth of Test Pit.............-...... Depth to ground water.....................
f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
9 .......-...........................................................................•---------•---•------•----•-••••=.........................................
DDescription of Soil..............sand...............................................................................................................................................
W
U Nature of Repairs or Alterations—Answer when applicable.l�tallation..o.._...1,_000_ �allon,__.pre_-Cast,
. st one packed leach pit (overflow) ..
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 rd of health.'
- l-WlijZ•---.... ....
Application Approved By...... ! / .............. �81--------------
Date
Application Disapproved for the following reasons:-------•------------------------...............................................................................
••------••••---------------•---------------------------•-•--••--•----------------•-•-•-••--•----------------------------•-------------------•---•---------------------•--•----••-------------••......._.
Date
Permit No.......8.1................................................. Issued--------------------�/ 4/81
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.........T own.............O F.........Barnstable..................................................
Trrtifiratr of TuntpliFanrr
h
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Re aired (x )
by.A & B Cesspool Seryice� 128 Bishops Terrace, Hy-annis,---14A_.-_02601_--__ 7 -62
....................... t
at._........LaFrance Ave.t Hyannis,...7YA 026,01 _InsJennifer M Carth�r
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as fO�escribed in the i
application for Disposal Works Construction Permit N01_7__...f_LY................. dated_.....81.04/! l.......................
�
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILI, FUN181 ION SATISFACTORY.
DATE...-----...I..... --/................•----......---•--•-------•-----.....--- Inspector.--�..4�-Z,/---------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
81- ..................T ow.?..............O F...................Barnstable.--------..........---................. 5.00
No.................... FEE......................
Diupuuttl Works Tonutrnrtiun Vvrrmit
A & p Cesspool Service
Permission is hereby granted..A
to Construct ll or Re air (x ll an I dividu S . r e Disposal System
l aF�ance �ve., Ilyannis, M (� � 1 - Jennifer A eCarthy
atNo. ................... ...................•-.
Street L
as shown on the application for Disposal Works Construction Permit Nol_....y___.... D ted...._....Y 4/8.'1................
Bo�Iiealth
DATE-------------- .....................-...........................................
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
LOX&IF1ON EWAC;E PERMIT UO.,
11�1STQLl..ER•S IJ�ME E ADDRESS
$UILDER S Q V,AF,. 41D D R F-5 5
Dl�,TE PERKA T 15SUED __ 77 71*—
DATE COMPLI &NACE ISSUED - 6.ZZ e
711-
D-0
THE COMMONWEALTH OF MASSACHUSETTS
BOARD QF HEALTH
OF....
-—-----------
Appliration -for Digpoiial Works Tiatuitrurtilln Punift
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System a I
------_---_---------------- ------------------------------------------------------------------------------------------------
Loca'i Addres or Lot No.
.. ....................... ..........................................
............................... ... .......................................................
t0i . Owner Address...... ....
........... a----------W.......e__I? ......................................................
Tiel Address
_ ---------------------------------------- ------------------
Type of Building Size Lot-_------------------------Sq. feet
U
Dwelling—No. of Bedrooms-------I-----------------------------------Expansion Attic Garbage, Grinder ( )
Other—Type of Building -------------------_------ No. of persons_________._-___________-__ Showers Cafeteria ( )
Otherfixtures ---------------------------------------------------- -----------------------------------------------------------------1-----------I-----------------
W Design Flow..................... ............:.........gallons per person per day. Total daily flow------------------------ gallons.
Septic Tank—Liquid capacitV_$-1_5"tallons _1&4gth---------------- Width�_------------- Diameter_-___-.---.-____ Depth_-------
Disposal Trench—No. 4, 40-------------- Width--e-7�-
Z ----------------- Total Length-------------------- Total leaching area---------------------sq. f t.
Seepage Pit No------/------------ Diameter......4.-Y-8- Depth below inlet____________________ Total leaching area------- ----------sq. f t.
;4 Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by-------------------------------------------------------------------------- Date----------------------------------------
Test Pit No. I----------------minutes per inch Depth of Test Pit__________________.. Depth to ground water----_______-___--_-__--.
f� Test Pit No. 2................minutes per inch Depth of Test Pit.-______.._.__...-_. Depth to ground water.......11---------------
---------------------------- ............................................................................................-----------------------------------
0 Description of Soil------- ................................................................... ------------------------------------------------------------------------------------------
W
U ...................................... .................................. - --- ---------------------------------------------------------------------------------------
------------ ----------- ...........--------------- •
........................... ---------------------------------------I------------ - -------------------------------------------------------
U Niture of Repairs or Alterations—Ansy;=-when applicable..-—--------- ....... -- -------- C------------
----- J4
- ----- ------------
A�greemen/ 0—de)
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in Rcordance with
the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has�bn issued by the board ovpealth.
ig n..
ne . ........... ..................... ----f4 ....
(? ------C A
/P19 1"
D
---------------- ----
.................. ......
Application Approved By----- ...... -4 -A------
Date
Application Disapproved for the following reasons:........... -----------------------------------------------------------------------
...................................................... --------_----------------....................................................................................................................
Date
Permit No.- . .................................................... Issued........ e 7Y....................
Da e
---------------
No. FRa—........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD AF HEALTH
OF._ ........... ................. ..................... --------------------------4:;...............
AVVI#afion -for Dispostil Works Tonstrurtion Virtuit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System
- ----- ----------------------.. ...................................... .................................................................................................
XLocati
Qt CAddre—l—L or Lot No.
............ .............. e... ------------1-------- ........................ ..................................................................................................
Owner 100D, Address
. C.e-.
-------------------------------------------- ---------------------- ..A......................................................
-----In Address
n a
Type of Buildi Size Lot............................Sq. feet
U
Dwelling—No. of Bedrooms-------/-----------------------------------Expansion Attic Garbage Grinder ( )
a4 Other—Type of Building .......................... No. of persons-._._____-________---___--__ Showers Cafeteria ( )
Otherfixtures -----------------------------------------------------------------------------------------------------------------------------------------------------
Design Flow---------------------
-
----------------------gallons per person per day. Total daily flow--------------------------------------------gallons.
P4 Septic Tank—Liquid c it/0-74"gallons, L th................ Width..___......_... Diameter__...--.----_--_ Depth.--_--__-. ---
Disposal Trench—No .................... Width area
............f.... Total Length_-_-_____-________-- Total leaching area_..----._--__--_ sq. ft.
Seepage Pit No......I------------ Diameter..... VA5. Depth below inlet____________________ Total leaching area---_-------------Sq. f I.
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..-.-.-.-_----..-.._---.
G14 Test Pit No. 2................minutesper inch Depth of Test Pit_..._....._____._.._ Depth to ground water._.........._._.........
P4 ............................................................................................................................................................
0 Description of Soil------ ------ ..
.... ..............................................
9---------------- .. ............. -----------------------------------------------
U ------------------------------------ ...................................... .... ...................................................................................................................
W --------------------------------------------------------------------------------I-----------------------------------------------------------0----------------------------------------------------------
N he pplicable----------------------- ----------------- ...........
U ,�ture of Repairs or —Anwipr when al ............
A9...."..
.- � +�
---------------------------------- ------------. . ....... . .--- ----- ------..... ------------------ ----- --------------
The undersigned agrees to install the aforedescribed,Individual Sewage Disposal System in 41cordance with
the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has n issued by the board o ealth. <
�
74e'
ign ....................... .......4..
9/1 D/I
7-----------------
..y
:.._
Application Approved By------------ ..................
Date
a,
Application Disapproved for the following reasons. . ................... .....................................................................................
................................................................................................. ............................................ ..............................................
Date
#.
Permit No----------------........................................ Issued...... ......
--------------
A
THE COMMONWEALTH OF MASSACHUSETTS
"BOARD OF HEALTH
...........00. .-AR............^.—..........................a............
Tntifirate of IT11mlianu
THLE-IS,TO CELtTIFY, That the Individual Sewage Disposal System constructed or Repaired
by..._..... -c------. _ ----------------------------- n ------------- ---.-.-.-.----
....
at- -- -- - ---- - Cin"aii . .------- ............................................................------------
has been installed ifi-accordance with the provisions of Article XI of he State San'itr'ry Cpdeas"Idescribed in the
application for Disposal Works Construction Permit No......................................... dat v.-v/. - ............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTWED AS A AR NTEE THAT THE
SYSTEM WILL UNC ION SATISFACTORY.
. ........ . ........... .......
...................DATE--------- ..... ................. Inspector---- _ --- --------- - ------------ ........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...............OF ...............
No................... FEE__ ..............
LIT
onatrurtion Vamit
"A
Permission is hereby granted______.__- ...... t.<. . ....................................................... ..............................
to Construct or,0.i*epaig-(L- f ry
r;in Individual ��. g(
L ..........( ..............It a- ......... .746....rz..'OL -----------------------------------------------------------------------
Street
as shown on the aDDITcation for Di+osal Works ConstrucAtionmi2 - Dated._....._
... ....... ...
.... ................... .. ....... .. . .. ....... . .......................
7.41 Board of Health
DATE.... ------------------------------------------
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
SEW_O.CaE_PERMIT U0.__
-- BUILDER 5 Q ITV AE; _ ,J bl, .D_R.E
- � �. _ - --
DIaTE PERMIT 155UED
DATE COMPLI &KICE LSSUED L/�-_
.� �
�-�
-�
-C\
�A �
V � � �e� .
`� �
F
s . 1
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Fps.:
THE COMMONWEALTH OF MASSACHUSETTS
BOARD PF HEALTH
.........oF.......... 1 .. ......--------
Apphratann -fear Bhipnnat Worko Tnnntrnrtinn Dynift
Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal
yst t.
- - e- -- ..................
Location- dre or Lot No.
2
wner Address
a . ---••- - -- -- ---- ----------------- -------------------------------------------------------------------------------------------------
Installer Address
Type of Building Size Lot----------------------------Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
04 Other fixtures -----------------------------------------------------------------------------------------------------------------------------------------------------
d
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tunk—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----------------------------------------
W Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
tz, Test Pit No. 2................minutes per inch Depth of Test Pit.______-_-_-.-._.--. Depth to ground water-_._.-_---_.---.__---__.
9 ------------------------------------------------------------------•----------------------...._•-----•---------•----------•---•-------•---•-- ................
ODescription of Soil---------- -----•-••.......................•---••----•----•---------•--•----••------------------.........................--•------•-------------------------------------
x
U .......................... ••--........ .._..._...._...
W ------------------------- -----•------- --------------------•--...-•----..._..-------......-----------........ ------------ ----•-- .......... -------------------
�
Nat f P airs Alterations—.A saver w n� le.._...... ._ _._ . . __.
U P t
-- - -- ------- �:- --•............ ...:.tea.- ---------- - -�.o�------------........---------------------
eement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article \I of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b ssued by the board of he lth.
ned -- --.. . . .� .... - -- --- ------ --
ate
Application Approved By____
� - r
Date
<h
Application Disapproved for the following reasons:...........................................•__..................._..____..________.._..___._._..__._.___._.__...
----------------------------------------------------------------•---------------------•--•--------------------------•-------------•------------------------•-------------•---•----------------------
D�te.
Permit No.....................................................
._.. Issued-----/ ---........................................
Date
--------------------------------------------------------------------- -------------- ----------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
—41 f
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
S7t In t
Location- "dre or Lot No.
------------------------
_-er Address
Installer Address
"T� Type of Building Size Lot............................Sq. feet
Z Other Distribution box ( ) Dosing tank ( )
U Naipeof R ions Answer w�en ible.-
--------------
-------------
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the StateSanitaryOode—]he undersigned further agrees not mplace the system in
operation ' igne� ~~~
�
"
�3 ^ *"
Application Approved Dy- -...��......../ �,��'�4���� .-.-----' �.�,.�.���'��_~[��--
^� »*"
Application Disapproved for the following reasons:................................................................................................................
-'-------'--'-------'--------'-----'----------------------'-----------------
_ _
peroitNo--.-___-__-___._-.____ Iooucd- ............ ...-...-----__---
Date
r*s cmmwowvvsALr* or wAssAc*ussrre
BOARD ��� E LT��
--�,L-1���.��---'��F-----/�,_l�x��s��.��..................................
ir
TH IS TQI�ZER That tl ndivid �'Sewage Disposal System constructed or Repaired
i� 11-11, -
' . ' ' _has been installed in accordance with the provisions o ,"Az Y
,,I of The State Sanitary Code as de<cribed in the
application for Disposal Works Construction Permit -7��--- K
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
�
THE COMMONWEALTH OF MASSACHUSETTS
BOARZ HEALTH
tMor Towitrurtion Vamit
�
/
no �
~ ' ^ xr _at Ncr..59,4
y�°m �~ /^ 7' )--
as shown on the application for Disposal Works Constru ti rmit ----- -------------
ronM 1255 xonosmWARREN. INC.. puoL/o*cno ,
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