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Home My WebLink About0078 SMITH STREET - Health l8 Sni4n &.1 *em;s , LOCATION _7f Sr .SEWAGE PERMIT N0. VILLAGE A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIA?vCE ISSUED r.a—� 1 t--� i \ `-:� ��f i �� f � rc. i - �� ., + '�' 4� , yak 9 �— 3 r� Flzs....1o:b0........ No...8..-... . THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...............Town.................OF.......Barnstable Appliratiou for UWposFal Works Tomitrurfiura rrutit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 78 Smith St. . ......... ...._-- -- ..... .._.. ............................................. ••--•••-•-------.....------...........----•-------•--•----..._.............------................. Macro `os idaress 78 Smith St. W. *annisport, Ma 02601 ......................_.......................................................................... ..........-----------------------------------------------......................... ............. Addr s W A & B Cesspool Service 128 Bishop's Terr. Hyannis, Ma 02601 ••....•--- ---......... Installer Address Type of Building Size Lot............................Sq. feet a Dwelling—No. of Bedrooms____________________________________________Expansil 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........................................ as Test Pit No. 1................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----...--............... ---•------------------------------------••---------•-------•----•----.................-•••-•---•••--......................................................... 0 Description of Soil.....Sand. ------•-•--------------•-------------------------........--------------------------------------------------------------------•-••-------••••-•••••.•---- W c., W -------• ----------------------•-------------••••. --.-_. x Install 1000 gallon septic tank and U Natu e of RReepai s or Alterations—Answer when applicable.------------------------- - -- ........._.........--. rtwo flow diffusors 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 t� een issued by the boar of h th. �-- / / 3 Signe 8 1 8 D ApplicationApproved By---•-•----•••-••-•---•-----------------------------•-•-----•-•••-•......•-•••-••-•--•-••-•---•--• •-••••-•-•-8/-•-- ............. Date Application Disapproved for the following reasons:-----•---------------------••---------------•----------•-----•--------------•--•----------.. a............... --•-•---------•---.........••--•------•................•.....................----••------------•----•...............-••••----------------•-••--•-••-•----•--•---•-•---•---•---•••----------••----•----•-. Date PermitNo.83---•---•---•--•-----------•........................ Issued--- 8 83.......................... Date No.... Fim$...: ..00......... THE COMMONWEALTH OF MASSACHUSETTS 6 - BOARD OF HEALTH .............T-own.._..............OF........Parnstat?le.....----------------•---............................... App irFatiou for Disposal Works Tonstrurtiou thrmit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: , ................................................................. ....................................................--•-.......................................... Location-Address or Lot No. .... - - �a3�nt°S 1. -• 7.S_Sm tk St. .e. tivanni.spor�:s..hia-•0?601 .. -- ... Owner Address W A ri Cesspool Service 128---ishO _'s Terr. ti ann�a Nia 02601 Installer Address PIP Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms......4K---------------_-------_.---Expansion Attic ( ) Garbage Grinder ( ) a p., Other—Type of Building ............................ No. of persons____....... Showers ( ) — Cafeteria ( ) QI 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........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---•------------------------------------------------------•-.......--------------•-------••-•-•--............................................................ 0 Description of Soil-----Sand-----------------•---.._........---••--•----------------------------------------------.........-------------•----•---------•-••... U -----------------•--•---•••-----••-.......------------------•----------------------•••.......------••---...-•-------------------------••-•------------•------•---•-------.... W UNature of Repairs or Alterations—Answer when septic _tank and two flowdi.££usors ---..............................................................-.................................._...................V........................................................................... 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 h th. Signe / ( -- - �-/. 111 3 Application Approved By---•-------------------------------------------•--.._......-------- 7'/ D/t Date Application Disapproved for the following reasons:..............................................................................................................- -•---------------------------------------••----•••------------••-••........-----------•-•••-----------.... ................... Date Permit No..�O)............................................-•-.. Issued............t`1 -13 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD 'sOF HEALTH? 'a<an .. OF... ................................aras ta. ...........� �. .....................•------•....... %antifirFate ,af f autpliFatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X by..A_&-b Cesspool Service 128_nishop's Terr Hyannis, R"a 0260z Installer at....78._Smith-St. W. N.yannisport, Ya 026C1_sta..._.... bacintosh . . -----•-------•-----•--•----•--••--•----.._..--••-----------•••---•-- 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....8 ._�_�................ dated_._..._�l_.rl. ........................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....... �. �... Inspect - ......------. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH F� .........own..........................OF.......:n-arnstable...........---..........•---..........----- �-10.00 FEE......................... �i��a�aal �rk� ��aa��rirrat fermi# Permission is hereby granted....A I; -Cesspool Service, 1?8 F..iShOp's 'Terr. Hyannis, )1a 026601 ._..--- ...-----••----....................... . to Const t or Repair ((X ll a Indiv'dua� Se , Disposal S stenj at No.... S i h St. W, Hydnn spor�, l�:a b�i ac_ntos.. ---------------------------------------------------------------------------••--- -----------------....-------------------------•---•-----.............................. Street _ as shown on the application for Disposal Works Construction Permit No--- ................................... Q- Dated, 8� 13 r ............................ ....A. ----------...---------------•......----.....•--.......-----••---- Board of Health DATE-----��-)J�83 FORM 1255 A. M. SULKIN, INC., BOSTON