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HomeMy WebLinkAbout0124 CROCKERS NECK ROAD - Health iaL4 � ►- � 0/ 9 - 06a ����` 4 LOCATION SEWAGE PERMIT NO. VILLAGE Co¢` A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER " DATE PERMIT ISSUED 94" DATE COMPLIANCE ISSUED 9-Q- Aj - -� .v �� ��� '�' 3 a3 dew Jo..83:...... I -- O U Flzs$.... ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --•..................Town.........OF.............Barnstable-----.---------------.........---••-..---------- Appliration for BiipooFal Worko Towitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal = System at: 12?k..Cocker__deck..Rde.,...C_otu t,_.. ....-02635....... ................................Data-• Location-Address or Lot No. Peter_.Hulburt 124. Crocker Neck Rd. t Cotuit, MA .02635 - Owner Address a A & B Cess,pool_-Service 128 Bishops Terrace, Hyannis, MA 1. 0260 • 0 --of � Installer Address Type of Building Size Lot............................Sq. feet a Dwelling—No. of Bedrooms......... ................................Expansion Attic ( ) Garbage Grinder ( ) p., 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.----.--.--.-.-.--.-.--. Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...................----. a -•••-------•---------------•----•-----•---------•-------•-•-•--......------•-----•--•••-•••••................................................................ 0 Description of Soil......................Sand__.___._..__..• U --------••----•-•-•----•---------•-----••--•---•---••••---•------------•---•--•---••.....----•••--••----...-•----------••-•------•----------••-------------------••-------------••---...------•-•--•---- Z ----•------•-----------------------------•--••--•--•--••-------------•--------------••-----•---•-•------•------------------•---•----•-•--•--•----------------•--------•--•---------•-•...........-•..... U Nature of Repairs or Alterations—Answer when applicable--installation of a 1,000 gallon, pre-cast, stone--packed leach pit (oyerflow) . -------------••-•------------•-•------------------------•---------------•--------------•----..........--••-•---......•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State S ' Code— The undersigned r :er agrees not place the system in operation until a Certificate of Compli ce has ee is uQd by tlf. 10/12/83 --- •----- ----•- ......... . --- ................................ Application Approved By..........-- ----- --..................................................................... .............10/ft/8$ Date Application Disapproved for f of wi g reasons--------------•----••••••••--•-•••-----•---•--•------•---------------------•-----•---•....---•-••--------•....... ............................................ --------------.....•-•••-••-••-•---------........•--------............................................................................................... Date ' Permit No-----83............................................... Issued-.........10/12/83-----•--••-••. Date------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................Town........OF................ wrrfifiraU of Tomplinna THIS IS TO CERTIFY, That the ItIdividual Sewage Disposal System construe ) or Repaired (x ) by A & B Cesspo. ol Servi...ce.,...12. Bishops Terrace, Hyannis. 6•.... .........-- 124 Crocker Neck Rd. , Cotuit, MA 026J3tal-lerPeter Hulburt at.._...Data ..... .-•-•---- ------.•- -------- --------------- ----- --------------- ----------- --.............. has been installed in accordance with the provisions of TI=F 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..$3�............................... dated-..---.10./-12/-83----------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..............10/12/83................................................ Inspector...._ .. . - moo..83----------....... Fim$...1A...Qk........_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................Town------...OF.............Barnstable-----------------......-----•-----------•------... Appliration for Uhipoii al Workii Tonotrnrtion rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: 124... Crocker.Neck R..•A..Cotuit�.. ''`A.....0263 ....... -•.......................................................................•--------•--.........---- ..........- _............N -...- Location•Address or Lot No. Peter Hulburt .12?►� Crocker Neck Rd._j_ Cotuit, .,A 02635 ... - ......-.6 r-------.---••---•----------------- ...._.. .... • Owner Address a A & F Cesspool Service 12F. Bishops `terrace, Hyannis, ,1 02601 --------------------- .................................................... ......------..----- . Installer Address Type of Building Size Lot............................Sq. feet a Dwelling—No. of Bedrooms......... ................................Expansion Attic ( ) Garbage Grinder ( ) p l Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 0.1 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........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit........... Depth to ground water........................ P4 ------•------•--•---•---••••••-•....................•••-------.....------------..............------.......................................................... 0 Description of Soil.......................Sand U ................•-•-----•••-----••-•-•-------•--------------------------•-•-•-••••------------------------------------••••----------•-•--------...-•-•-•--••----------•-----------------•-•------------- W UNature of Repairs or Alterations—Answe when applicable._.-Installation of a 1,00.. gallon, pre..Cast, atone �ac.Md leach pit overfl' ow . -----------------------------------•--••...---•-•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in ceaoperation until a Certificate of Complianhb e %i�s-sued by t rd Qfh` h: 1r 10/12/83sign - Application Approved BY � 8 -------------------------------•--- ........................................ - Date Application Disapproved for the.following reasons:.......'...................................................................................................... _ ......-•-•-•--••-------------•---•--.......----------------....------------------••-----•------.._........_......_.._.....-------•-----------•------------------•--------------------------•-•••--------. • Date Permit No.----�3 . ---------------------------------------•-----_. Issued------ 10/12/83 Date Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Pamstable ...........OF..................................................................................... Trrtifiratr of TomliliFanrr THIS�IISe8spo0lIF�e 'vaCe;h�Z '' iauflow' rraLe°sa�ill�i 's;° ruc661 ) or Repaired (X) by---------------- ---------------------•-----•---•--•-••----•--------•------------.---- - .... -----------------••---................--•-•-...-----------------•.....-•---........... ------ 124 Croclier Neck Rd. , Cotuit, rIA 02633ta rxPeter Hulburt at...................................................................................................................................................................................................... has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.-$3-............................... dated------- 0AVU_...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION ON SATISFACTORY. io/12f83 DATE..........-•--- - - ------•------•------•--•-......•--•--•-------... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 83_ Town Barnstable .............OF...........":_............................------•--................................. $ 10.00 No......................... FEE........................ Disposal Workii Tonotriwtion ranfit Permission is hereby granted.....__.... & B Cesspool Service to Construslt2 Ciro°ckep eL �n.14 �Wyf�-4*, eD s oSal §9�ff Hulbert atNo.............................................................................................................--•-•----••----•----•---------••-•--•------•-•--•-----......----•--•-------....... Street as shown on the application for Disposal Works Construction Permit No.._..$3 ---_-•___ Dated.......................................... 10/12/23 .................................................................... •--- 10/12/83 ------------------- ....... Board of Health DATE = .-------•-•••--- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS