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Home My WebLink About0475 WEST MAIN STREET - Health Via fy aGA ( ZS }' v No.... ... A:3 �'° Fps....�...15.►.oo.... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH � Zj T own Barnstable 2 l7 Applira#ion for Disposal Works Tunstrurtion rantit Application is hereby made for a.Perm t to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: qS� S4 Falmouth Rcad H annis MA 02601 �annt S ...............al •----.h.R x. ..y.... :.. --------••----------------- ••-•-••-••••-••--•-•----......6.--•---... Location•Address r Lot No, Steve's Ice Cream Falmouth Roac�1 Hyannis, MA 02601 ..-•------------------------------------•------•--------------•-•------------------------------... ... -• ......... Owner Ad ss A & B Cesspool Service 128 Bishops Terrace , MA 02601 ... .. .. ...---•-•--•-....---••-•••-•-..... Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 44 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..........................-•••••-•-•-- aTest 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------------------------ .................................. ................. .-...-----------------•--......--------------•-••.................. 0 Description`of Soil.........Sand................................:................••-•----•-----•---------•-•------............•-••.................................................. x w U Nature of Repairs or Alterations—Answer when applicable...installat.ion-.of--a...1.500---ge.l-.-..segt.].Q._ �xlk�H.D. and..a..-lr_.auy..d-utY•leach Pit :..sI~one Packecl..............•--•••-•-•-•-----•-•••-•----•--•-...••-•---•--------•------••------•••-•---•-•....-_.... 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 t place the system in f operation until a Certificate of Compliance has been issued by }h.Signed.� 6 .. .. � Application Approved B 6 21aj Date Application Disapproved for the following reasons:--•--••-••-•.....--••---•------...--•-•••--•-•-••-••-•-------•---••••-•---------•------••••...-•••------•-.... --••----...-•-•---••••-••••-•••-•-•.....................•••.....--•......-••--•••-•--..................._.........................•-•-•--•-•••........-----•••...........••-----•----••••--••••.......... Date Permit No........ ---------•------------------•--........_ Issued.........6,21/8 - _ - .� Date No....184-... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ......................... ................OF Appliration for Disposal Works Toustrurtion Itumit Application is hereby made for a Permit to Construct or Repair ( X) an Individual Sewage Disposal System at: .............. ..pni 026ol......g,..MA ........................... .................................................................................................. Location-Address V, Falmouth RoaR:�OtWY&nnis, MA 02601 Staye.,5..Ice...OMAR......................................................... .................................................................................................. Owner A...&.13...QA4920.911ervice 128 Bishops Terrac4',ddrffkannis , MA 02601 .......................................... .................................................................................................. Typeo Building ........Installer Address I I Size Lot............................Sq. feet Dwelling No. of Bedrooms............................................Expansion Attic Garbage Grinder A4 Other.—Type of Building ............................ No. of persons........__...........__._... Showers Cafeteria PL4 Other fixtures Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width.__....._._.__.. Diameter________......__ Depth....__....__..-_ Disposal Trench—No..................... Width_....__........_.... Total Length.._...._.........._. Total,leaching area...................sq. f t. Seepage Pit No..................... Diameter.__.......__.._..... Depth below inlet._..............._.. Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing tank ( ) 04 Percolation Test Results Performed by.......................................................................... Date........................................ 0.4 Test Pit No. I----------------minutesperinch Depth of Test Pit.................... Depth to ground water.___...____._........__. r3, Test Pit No. 2................minutes per inch Depth of Test Pit..____.._...._.__... Depth to ground water._.....___.........____. Pr 0 Description of Soil...........San..................................................................................w......................................................................... d................. ............................................ WI . .................................................................................. U ...........................................................................................................- W . ......................................................................................... ------------------------------------------------------------------------............................................................................................................. U Nature of Repairs or Alterations—Answer when applicable... sepE!67 tihkl--;L:nstallation of a 1500 gal. -and--e,--im-a,v:y--duty--Ieach..p:tt.......atjone...pwkedA................................................................................................... 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 t place the system in operation until a Certificate of Compliance has been issued by the board � /th. 6/ 3� Signed .......... ................................ Application Approved By......... 61ftY84 .................. ........... X/ . ... .................... ........................................ 0 Date Application Disapproved for the following reasons______________________________.................................................................................. ........................................................................................................................................................................................................ 6/21/84 Date PermitNo..--------. ...................................... Issued-------...--- ......................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD "OF HEALTH ......................TWn.........OF............B!qm tabl e ................................................................... wrtifiratp of (&intpljattrr THIS IS TO CERTIFY, That the ndivi ual Sefag�,)ispo!W.1 Sy cfftrVM)�j o.r Repaired X f Ws e: ce, rya by.... Service, 12 ..................................................................................................................... .......................... at.............Falmouth Road, Hyannis, Fi 0260i"I"119teve's Ice Cream ...................................................................................................................................................................................... has been installed in accordance with the provisions of TI r4 5 of The State Sanitary Co(16/ jc%ribed in the E 27 application for Disposal Works Construction Permit No............ ------------- dated_____________..._.-._....____..___._..__........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. 6/...... ............................................... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............. - Town- ........... Barnstable ....................... $ 15-00 No.......... FEE........................ Disposal Works klullnstrWion Prrutit Permission is hereby granted.. A..&..B...Ce-ssp.00l...Service...................I.................................................. ... ... .. ................. ........----- to Construct orNRepair ( �an Individual Se Svst o................Falm(uth Roado Hyannisj MA �WOFis—PSffle"-"sIce Cream at N .................................................. Street as s 6/21/84 shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... Wa--------------------------------------------------------- rd of Health DATE.....................j6/........./84..................................... FORM 1255 A. M. SULKIN, INC.. BOSTON