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Home My WebLink About0053 VANDERMINT LANE - Health (2) 3� VM&64- UNO , ey LOCATION SEWAGE PERMIT NO. VILLAGE A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER IL z1v . DATE PERMIT ISSUED DATE COMPLIA?vCE ISSUED _� i a � p I'S Ps v No.83 J. FRs....... ...1 .:��.. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town Barnstablae ...................... .---......OF.......................................................................................... ApplirFatiou for Mipvii al Vorkg Cnumitrurtion amit Application is hereby made for a Permit to Construct ( ) or.Repair (x ) an Individual Sewage Disposal System at: ....?2..Vandermint L?A:...HY.a?1Xl?s_,..�k9.....Q �R_1...-- Location-Address or Lot No. ...Richard White2 Varlao ?Ant._J�X1-..,... ---••--- Owner Address a .-_A .. B_Cess ool__Service-•-•--......----••--•------------•..•..... -128-Bisho -► x rixhs_,._. A. 4 �Q16--- P Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms...................-3......................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............... ........... 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. i................minutes per inch Depth of Test Pit.................... Depth to ground water...--.----.............. fi Test Pit No. 2................minutes per inch Depth of Test Pit.---................ Depth to ground water----.................--- ------------------------------•---------------------------•------•..............................--•........................................................ 0 Description of Soil.........Sand..................................................................................................................................................... --------------------------------------------- -----------------------------------------•---------------------------------------------------------------.............................................. U Nature of Repairs or Alterations—Answer when applicable.installation-.of._a.-1,.QQQ.. all4xt,..s .Qn�....... packed leach fit �overflow� Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has4een i3sued by the bred of igne _ ..�-......... C`=.f:z_ r ``�. 7�18,83.. ApplicationApproved By... ....... ...................•---------............-•--•-----......--•--..................-- -•--------7/-1V ............ Date Application Disapproved or t e following reasons:................................................................................................................ -------•------•-----......-•------•---•--•------------------------------------•-•--.....-------------•------------------............--------------------------------------------...-----------._......-- Date Permit No........ ..... .83 Issued 7.... 83 ........................• Date - ---- I - • THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH J.oWn ,'arnstablae ..................O F..................,............._...... Appiiration for Ui ivoii al 10orkS Cnnnitrnrtinn amit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: --..5 ..?ZA4... ...... .-•---------------------•-----............----------------------- ............................. Location-Address or Lot No. ----zichazel. hite --........- ----0�601.--•--- Owner Address a A _ Css�pool Service 1?c� Ftsho�s "'errace-,- bra n.is-�..^�A �2602--- ........................... -----------••......----...........................-•-- ....... .a • .._.. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms....................3... .Ex anion Attic a g— •-•--------------• p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons..............?........... Showers ( ) — Cafeteria ( ) Otherfixtures ............................................................. ••--••-•------------------•-------------.....---...---------....-----••...--•....... 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-__----______-__---_-__. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....._.................. ---•---------------•--------------•--•••----••----------....------........------..................--......................................................... 0 Description of Soil.........Sarid......................................................................................................................................................W U --•--•------------•-••----•-----••----•------••-----•-•••-•-•-•••--•••--•......--•-------------••---••....---------•-••-••--•------••-••-•--•••- W -----------------------------------------•---------------------------•--------------------------•--------••--------------•------•--------••--•-------•--•------------•-••......••----••-•••---....... V Nature of Repairs or Alterations—Answer when applicable lnstallittl.on.-of 2.--�.9.001Jail.on_t_•stone_-_... ...packed:leach -pit ------------------ Agreement: vr2i-1,.................................................................................................................................. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance _ .een i9sued by the . . board of . g � :. h,Sined / . fir ----------------------- Application Approved By-- ........................................7�11,3 Date Application Disapproved , r t f ollowing reasons-----------------•••-----•-----------------------------•---•---•-••----•-•---------------•-•--•----•---•----•--•- ----•...........................•-----•-•.....-••-•--•----•-•.....-•--•••------••-•...-------•.....-------•-•----•-----------•••---•-----••---•--•---•------.....---•---•----......-•-•••-----....-•--- Date Permit No.................... 3-......--- Issued - --- ?�1$�83 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................:'own........O F........F:am.stable..........•••....... Trrfifirtttr of Tumph anrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X) t by. -A..��..i'..Cessp ool.::ervice.e.:.1.28 �iishops..��erra.ce,.._a yannis� =�A �260 nstaller at-•••--•••-�2 v�nde�rmint Ln.-� '-1��:--I......-�?�@1..__.---Fzcha�ct__'.lhite----------•---••-------------------------•---------------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Coe as described in the application for Disposal Works Construction Permit No�'� 24................... dated_...._.7/vA3_____-___--------_----- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIO • SATISFACTORY. r DATE......................7� /83---...--•--------...---........ Inspector.... ......-----.....----------------•-..................----•------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f1lown........OF........."arnstable '' 10.00 _ ..........ri3 No.----•-•-•-----.....'�.. FEE........................ Disposal Workii Ounntrnrtinn ramit A # B Cesspool Service Permissionis hereby granted.•••---••--•-•-•-•-----•-......--•----------•--•--------------•--•---•-•••--...----..._:....................................................... to Constru lef�derm �i rlhX) 'yannlis u IA Pa�lg Dispo,*, gs tdb'lte at No...................................................... .. = . -•-••-----•----... ..... Street as shown on the application for Disposal Works Construction Permit No._>�B�oa .......... d.._........_7�18�83 •-----•-------------------------- ------------•----••--..........•. =°............ DATE. 7_ 0...................................... of Health . FORM 1255 A. M. SULKIN, INC., BOSTON