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Home My WebLink About0002 LONGVIEW DRIVE - Health o? Goy VI C ov �C. , r�A�`J' �.� �� Cli c� oQ �:S J . �� O 1 � � �^ q. •r �i l THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH T own Barnstable .-.-... OF....................................... App iratiou for Uispoita1 Works Tiamitrur#ion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal System at: 2 Longview_Dri..... ,---ga� vil�,��-•1jQ,.--Q2F .._ ... . Location-Address or Lot No. .Edward gnn ..Ga .o ..2..�,gnZ.v�e .�27�7.�z ...Q2 6 2.. ..............------ Owner Address A &-B Cess, ool..Service 128_•Bisho ._�� ...NA..-.Q26.Q1......... Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.............3............................Expansion Attic ( ) Garbage Grinder ( ) '�Pa Other—_ Type of Building ---------------------------- No. of persons.............4 -•-•-•--•---• Showers ( ) — Cafeteria ( ). GaOther fixtures --------------=------------------------•-----------I.......................... W Design Flow............................................gallons.per person per day. Total daily flow............................................gallons. WW Septic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter---------------- Depth__-_-___-_-:__-. 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........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---- ......----•--------------------•--•-•--------------------•---•••--------....---•-•---•--••----------••------------------•••------•---- O Description of Soil................hard....... U •--•--•--------------------------------•-----------------------....._...--•--••--••----------•------•--•--------------------------------------------------------------- ••. W UNature of Repairs or Alterations—Answer when applicable... -.a.. ga1.1.Qn.,-._pr#=cast, stormspacked leach pit �overflow�------------------------•-- --- ----•----------------•-----••--------------------------_=--...---_.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIZ 5 of the State Sa ' y Code—The undersigned further agrees not o place the system in operation until a Certificate of Compli / has ee a sued by the o• Ith.' -S. •------ ---- ----- -- --=----- --------------.....-�� r -•111210............. / Date Application'Approved By--------- ---- ...........................................-- ..........--••--•----••. .........1-12,1$3 _---- ' / Date +, Application Disapproved or a following reasons----- ------------------•------------------------....------------------------------------...-----------.._...._._ ..............•-----•-----------------•-...-•---....--------•----•--------•-----......-•-----------•-•-----•-------------------------------•-------•---- ----- ...................... Date Permit No..--••---•83 ...............•--••......--------_.._.. Issued-------•---•---------1112�83 Date S No.. __ .3.... FEB.$$.....10..00........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................Tar.n....---......OF...........£�rt16t8b18 Appliration for Uiipniia1 30orko Tnntrnrtinll ranfit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: . ' V--�ebt>rrsrill e+ --A2632... .................................................................................................. ocation-Address or Lot No. .dlaaxii..Gat�,non.........................•..--------------------------------..... 2..�anyi�>cr..Dr .x�.,.._ ent�xxYll« 'A 0262. Owner Address A.. ..u__Csss�Qol..Sexvl ............................................. 128..Bleb4.pa._ G +..Hyanni ._14A.....02601. Installer Address UType of Building Size Lot.................... .....Sq. feet Dwelling—No. of Bedrooms.............3............................Expansion Attic ( ) Garbage Grinder ( ) �_4 Other—Type of Building ............... No. of ersons............4........._... Showers Cafeteria� YP g ------------- ( ) — ( ) d Other fixtures ............................................................. wDesign 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-.--_-_-___-_-__---____. fT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------------------------.-----------------------------------------------------------•-----------------------•---•-------------- O Description of Soil Saxl. x ..----•-•-----------------------------------••-•------------------------------------------------....----------------------•------------------ w UNature of Repairs or Alterations—Answer when applicable..._ ?illation-,of_a-_1+_000_._gSllon,___pre-Cast, sto c ed_.le ch git.�overflow)._----------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State anit ry Code— The undeEsigned further agree not to place the system in operation until a Certificate of Complia -e h b issued by h:�eoard h. Si / D/ Application Approved BY -+�-'� .........1/i21 Date Application Disapproved f t e following reasons-----------------------------•----------...--------...--•------•--------------------------------••--------•-•••-- l .........-••-•---•---•---------•-•-----•--=-•----....----•---......••-•••----•-.....•----••-----•-----•-----•------•--•--••---••-•-••---------•----••--------•--------••----•--'--•---••.............. Date Permit No.---............................................... Issued_...................... /12/83---- ---..----- Date ti`e THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............1 can....................OF............Barnstable ............................I...................... Trrtifiratr of TwOmptiFanrr THIS IS-TO.CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X) by..........A..sk..�--Ceajp4oj..5.%L-V W.....12$._. eh9p$_.Te Vie.,... Y. 1§ '='`� ...0601... Inst ller at--••-----2 LongviQw__Orivea..Cent ervill®�I�,_.__.69 Pr _. Edw.__Gagnon. has been installed in accordance with the provisions of TITLE 5 of he State Sanitary Code as descffibed in the application for Disposal Works Construction Permit No.__ �-._. .............. dated_-..._-__--.:.1�121__,e....-._.__..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST U ® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................!AV 3............................................... Inspector-----.--• --------------------••---•---•---•-... .......................... THE COMMONWEALTH OF MASSACHUSETTS \ BOARD OF HEALTH R . ......................T.QM..........OF...............Ramatable.............................................. 10 00 No......_::........... FEE....................... Uhiposa1 Workii Tann#r inn rrmit Permission is hereby granted..................A--- -----------------------------------.............---............._...... to Construct ( ) or Repair ( an Individual Sewage Disposal System at A----- Z32 -Edw.(,,A . .... ....... . Street as shown on the application for Disposal Works Construction Permit r. --.y-., -- .... ._ Dated-----------------1-�....-12/8.!-_�......--- x DATE. ._.. 1/12 83 Board of Health ---------1....... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS