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0034 EASTWOOD LANE - Health
34 EASTWOOD LANE COTUIT A= 025 - 037 - - -- - - - - - - - --- -- - - 1 ,l li , I i i 1� LOCATION SEWAG P IT NO. 41 VILLAGE , Gail A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ..�� ��T' �� i � �' �1� 1 _ �� �� 5 � .� �� � , s No.. .. Fs$.....15-00,....._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Barnstable TQw ...................OF........................................ .... bis 031 Appliration for Digpos al Works Tomitrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 3.. Eastwood Lane....Cot....Ma. ---•-....-••...�0A..%............................................................ . Location-Address or Lot No. Edythe Davinis .._3k. StWQ.tad..Larl...............•---....----•-....................... --•••••--- -•-•••••-•-•..........................•••••--....••••..... . Owner Address a ....... ••&.B Cesspool_.Service....................................... .... Installer Address QType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 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........................ ;T.q Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 •-•-•-•......----•---•-•••••--------••-•..............•••...---•..............--•........................••-•-•••••---•••••-•••--------........_...•••.....•. 0 Description of Soil....................................................................................................................................................................... x ---------------------•------------- ----------------------------------....:..............----- ------- -----------------------------------.........------- --------------------------- -------------------------------------------•------------------------------------------------•-•--•-••---•--•-.10V0--gal-•stone--packed.-over-•f II"&--------•........ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of AITI% 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 bo of ealth. Application Approved By........ G � .. ..... �S ---------- Date Application Disapproved for the following reasons:...................................................................... ....................................... ••-•••.........•••--••-••---••-••.._....•-•-•••-•--•-•••----••--•••-•••-••--•-••------•-••-•-•----•-•••••-•........•-•-•-•-•-•......-••••-•••--••-••-••••••••••••-••----•-•---••--•-•--•••••-•-••••••--- Date PermitNo........---...........�r�1��-••--•----- Issued_....................................................... Date Fzs......1. . THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH ---T,own ------------------oF.,_<:...- arns-fiabia .. ................_--......._................. Applirtttion for Disposal Works Tonstrurtion rrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ....:...%..Eastxo0d..Laae".00.t.' 4av............................. .................;a+,•-.3-------...--•---•-•--.........---•----........-------- Location-Address or Lot No. s--- -------------•---___----••-•--•--•-------•-------•_ . .... Eaewca _....- ....._................_........ Owner Address ,Wa ........A_.&..H..C�Wapom7-_.Sexv1cP....................................... ----- -- e ee� 3�aa.---02b4-1 Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—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 ( ) 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........................ -------------•--------------......-------•---------•--------•-•-•-•-------•--••......._...•------•-•......................................................... 0 Description of Soil......................................................................................................................................•---..........................__. W ------ ------- ----------- ------- -------- -----.._.................. UNature of Repairs or Alterations—Answer when applicable.-.___100© �x...................8'tone packed over f"�ow -••--------------------------------•--.._._....--•---------•------------=---------------•-------------..........------•--•-•----..._.._........•-------------•-----------------------------••--•----•-•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of TITIS 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 health. Signed...................................................................................... .........................._.... Application Approved B ... �'. _ : �............................•. ........................................ Y.................. 02 . Date Application Disapproved for the following reasons:........:.........••--•----•---••-•---..._-____________________..._________........___________....._......___ ............................................................•-----...._..-------------.........----------I---•-••---------•------•-•------••-----...---._....................--•---------------•-------- Date Permit No................................... Q�� _.__ Issued_.................................................... ... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................Town................oF........T!A 9s !�IQ.................................................. . .. .. . f�rr#tf utt#r of f�om�httnrr THIS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X) 'by................... r..s....................................................................................................................._...._ 34 Eastwood Lane Cot• Installer at-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------=••---_... 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......... ,'_' Ql .... dated...........771.1. _"-:19.s.......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS GUA ANTEE THAT THE SYSTEM WILL FU T N SATISFACTORY. DATE...................... � ........--•---•---------------------•----. - Inspector........... •--- ........ ...__.... ......._...._.....------•-•--• THE COMMONWEALTH OF MASSACH SETTS BOARD OF HEALTH Town .OF.............Z�arnstahle.................................................. ) a No.... - >.`. Fss...... t ........ Disposal Works Tons#rur#lon rrrmft Permission is hereby granted............!k .l ---__�'�"`a� __ .-- :Z --- .......___.. to Construct ( or Repair ( ) an Individual Sewage Disposal System atNo.--------. x"' -----•-.�- s:.........!�4.... ...... ...............................................__..............:................................ Street f as shown on the application for Disposal Works Construction Permit No.. .tea._"`...... Dated...... .::.... .................... DAE. ...__ � ...................... Board of Health.._.... ......._........» FORM 1255 A. M. SULKIN• INC., BOSTON - �~'`- No...... ..... .� .�. FtLa.....-/-v-,..,-..r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... ..... ......................OF.........................I........--- ---------------..---.-.....................----- Appliratiun -fur Uiupuuttl Workii Tunutrurtiuu Permit Application is hereby made for a Permit to Construct ( , or Repair ( ) an Individual Sewage Disposal System at: _ ---------------------------------------------------- •----L-cat' ddress or Lot No. .:. ��_Te1�, _n_�rJ..... r.. ......... --X .... 1 W Owners Ad essss F„� •-•---._ '- -' _ -•-...___.. _ ... - •----- --._'c.--••...................... . 7"t.�L1'��CIA------------_------ Installer _ Address U Type of Building Size Lot------ Dwelling—No. of Bedrooms.-2______ ________ --__-Expansion Attic / Garbage Grinder Other—Type of Building ____________________________ No. of persons........ ( ) ( )................ Showers — Cafeteria a' Other fixtures ...................................................... W Design Flow--------------------------------------------gallons per person per day. Total daily flow..............(_30_!2______--.__._...gallons. WSeptic Tank—Liquid capacit�/C)00_gallons Length---------------- Width................ Diameter---------.------ Depth__..-_-__.-.---- x Disposal Trench—No_ ____________________ Width-------------------- Total Length_-_-___----____--.- Total leaching area....................sq. ft. Seepage Pit No-------!----------- iameter_,6X.j5..-,_ Depth below i et____________________ Total leaching area._- _____-_sq. ft. z Other Distribution box ( Dosing tank ( ) -'��- I'`' 77 Percolation Test Results Performed by--------- 1.------____________________________ Date--_-_____----.-._---__-t--/-�-_�._--.. Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water-------Z--_.... ...... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--.._:-____--__.__-_-.-. -- ••••••a•--•-..._•• ... Description of So 1 ` L = :.__-_ .. r� _..= --------- - - --- ------- --------------y,� .:: y _ y _"= �a W _V Nature of Repairs or Alterations—A swer when Kpplicable............................._....._...r_..__......._..........._.-_.......-.-.,.-...._...... . -----------------------•----_--_____- -•-•-•-- -•-•---•--------•---------•-•--_-_-,_---••---------•------•--------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI 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 health. Signed------ _ - . ._. .� _ Application Approved By__________ _ ____ _____ - 7 _ `- 7- Date Application Disapproved for the following reasons______________________________"-_.___ _.._..._._______.y_ _.___._...___._____._..__._______ -...-____ice._____ �.__ _--___________________ Date Permit No................................................... = Issued �� Date No.-..................ol .. FizE...... ..........4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. .............OF........................................................................................ Appliration -for Uhipoiial Workii Totuitrurtion Vrrniff Application is. hereby made for a Permit to Construct or Repair Repair an Individual Sewage"Disposal System at: .. 2,_ ..... .74............................................ ... . *.. .. .. ......... ......&,/1 .................... or Lot No. 5 , L ................. --- ........... essq -z--------en..;4 Owner Ad 0 ........................... .. .. ...... ... ...... .........V_.Z . .............. Installer Address Y' .< Type of Building q. feet S U Dwelling—No. of Bedrooms-_."2.........L.........................Expansion Attic V6 Size Lot._.-.-_.___:.Garbage Grinder (Or/O Other—Type of Building --------_----------------- No. of persons.-------495--------------- Showers Cafeteria Other fixtures ----------------------------------- ----------------------------- ................................................ ................................... Design Flow............................................gallons per person per day. Total daily flow..............;3.0 P................gallons. P4 Septic Tank—Liquid capacitZy _C)j)0_galIons Length---------------- Width.-___--._...._.. Diameter___--.-----._.__ Depth-_.-__-___._-_. Disposal Trench—No_ .................... Width____________________ Total Length_.._..._._..____..._ Total leaching arca--------------------sq. f t. Seepage Pit No-______-________.__ iameter..6,('(6----- Depth below i et_____._ ___. Total leaching area------ -----------sq. f t". Z Other Distribution box Dosing tank Percolation Test Results Performed by-_____-.-- - ----------------------------------- Date_-___________-___-______---___- ... Test Pit No. I................nlinutes per inch Depth of Test Pit_--______-___-_____- Depth to -round water--___-ro....... Test Pit No. 2----------------minutes per inch 'Depth of Test Pit-.-_.___..,___._.__ Depth to ground water..... -------_--------- ...............------- ---------------------- ----------------------------------------------------- 0 /o,--- -------- --------- ....... . . --------------cription of Soil.......!�_0_7!--- ----- ------------------------ 44. ASA ------y- 0 7- ----------- Ix - U ..........7 ------------ t Z' --- ---------- ----------------------------------------------------------- ----------------------------------- U Nature of Repairs or Alterations=Anfwer when applicable_______________-1_------il----------------------------- ------------------------------------------ ......................................... ........................ ------------------------------------------------------------ -------------------------------------------------- Agreement:._ The undersigned agrees to install the aforedescribed.1ndivi&al Sewage Dispogal System in �accordance with e provisions of Article XI 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 health. Ine -----wt- T,-4 ...01, 981?_0 7 Application A roved By----- _Zr��pp .... ...... ---- - ---------------------- ------------- ----------------------- ,, Date Application Disapproved for the following 9 reasons:---------- .................................................................................................. .....................................................................................................-------------------------------------------------------------------4-------------------------------- Date Permit No....................................................... Issued------------------ I....... ......................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . .... . . .......Tao/t/..... ...._.:OF. .. . . ... .................... '01rdifirate of Q.111utphatta .1 THIS 4-S TO CERTIFY That the ndividual Sewa Di I/System constructed (P,�'Or Repaired by...._.. n ---------- .. ....... --- 1777 . ......................................................... ga er at----- ------- ... .... ---vo; �i--------L.. ....................................................rzt has been installed in accordance with the provisions of of The State Sanitary C. le as described in the appliapplication for Disposal Works Construction Permit ---------------- dated ...X.-.-77.............. c. ...... .. .... ... .. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE---------------------------------------------------------------------- ..... Inspector.....................................................................;�.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF�,,HEALTH r ° ................OF........ ............... No.--- -- j FEE----..15................ ... - - - T it Z Permission hereby granted - I / . to ConstructK ............. or R pair an Individual Se,,,,'Ige Diavo,a] System........... A), ------------- ��a/.. ......................................... at ...... . . ........ No.......... ..-40" 17� Street t 2 ?,7 as shown on the application for Disposal Works Construction Perm,iI7 No --- Dated...._i_ .................................. ZW eA........... ------------------------- Board of Healt DATE.......................................7---------------------- ................. FORM 1255 HOBBS & WARREN. INC.. 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