HomeMy WebLinkAbout0957 MAIN STREET (COTUIT) - Health =957 Main Street
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LOCATION SEWAGE PERMIT NO. �
957 Main St. 84-141
VILLAGE
ontiiit1 V_Qq'35
A & B CESSPOOL SERVICE
128 .BISHOPS TERRACE, HYANNIS, MA 02601
BUILDER OR OWNER f
Arthur Stavaridis
111 Marlboro St., Boston, MA 02116
DATE PERMIT ISSUED 2/23/84
DATE COMPLIANCE ISSUED '
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No ' y,�..._ FEB...$....15.00......
THE COMMONWEALTH OF MASSACHUSETTS * , r
BOAR® OF HEALTH
.................. T.own...........OF..........Barnstable..---................................................
Appliru#iun for Disposal Works Tonstrurtion Pumit
Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal
System at:
--�tA......Q2615.......................... ..................................................................................................
- ...Location-Address or Lot No.
Arthur Stazaridis ___•,_-•-•..............................................111...Marlboro__St_._,__,Boston,_ MA_ 02116 _
Owner Address
a A & B Cesspool_.Service 128 Bishops Terrace, Hyannist MA 02601
-- --
� Installer Address
UType of Building Size Lot............................Sq. feet
�. Dwelling—No. of Bedrooms................... .......................Expansion Attic ( ) Garbage Grinder (X )
Other—T e of Building ............... No. of persons........... Showers
a YP g ------------- P ( ) — Cafeteria ( )
P4Other 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 ( )
a Percolation Test Results Performed by.......................................••--•-----------•------------•---- Date.............
:...
Test Pit No. I----------------minutes per inch Depth of Test Pit................--.. Depth to ground water..._...-_-..-._---..-.-.
Ps Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P ----------------------------------•------•---------------.........------.........---•--•-------.............------•--------------•-•--•---........-•--•--•---
ODescription of Soil••=.... and......................................................................................................................-------------------•-------------
U ..............................................-••-•-----•-•----•---•---------------•.............-•--•••------••--•-•-......----••••••••----•--------•--•--•--•-••-•-•••-•-••-•-------..........--------
W
VNature of Repairs or Alterations—Answer when applicable.Installation of a 1,500 gallon septic tank,
distribution :box and a _1=000 gallon leach pit �overfl�w� stone �a.cked.
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 fu gretes not to place the system in
operation until a Certificate of Compliance has ,- ued y the bo h
g �Z.................................
2 23/84
2X23/Me
Application Approve ..._
Date
Application Disapprove r he following reasons:................................................................................................................
..................••-------•...............•--•----------.....-••------------••••-----.......••-•--....•-•----.................--•••-•••-----•---------•-•--•---•------•••--•-------•-•-••---....---•--
Permit No.�. ........................•-•--•---------•---...... Issued...........2/23/.84....•---------Date------
Date
Nam:-.� ..._ ...1 '0°....
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THE COMMONWEALTH OF MASSACHUSETTS Ra
BOARD OF HEALTH
................... own------.....0F.........FArnstable
Appliratinn for-Disposal Works Toustrnrtion Famit
Application is hereby made for a Permit to Construct ( ) or Repair' (X ) an Individual Sewage Disposal
System it:
957..11BAD-3t e.i..0.9t MA.-- 02635.......................... ..................................................................................................
Location-Address or t '
Arthur Stazaridis _ ___________________________________________________111__Marlbor.. St_._, Bost�onI......----02116 ...........
a A & B Cesspool ServicewneT 128 Bishops Terrace, hyanni_s, MA 02601
.........................................
Installer Address
PQ
d Type of Building Size Lot__.-..-_------------------Sq. feet
Dwelling—No. of Bedrooms..................3.......................Expansion �ttic ( ) Garbage Grinder (X )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures -------------------------------------------------------••...------•••-•--------•---•-•••--••••-••-•-••••••----------•---•-••••--•••••--...........----
WDesign 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 ( )
a Percolation Test e Test Pit No Performed
p 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........................
Pi _
0 Description of Soil......Sand........................................................................................................................................................
x
V
W
----------------------------------------------------------------------------------------------------------------------------------------••---------
U Nature of Repairs or Alterations—Answer when ap licablelnstallation Of a 1,�bb gaYlOn septic t8nk,
. ------••---.
distribution box and a 1,000 gallon lead pit (overflew) stone paoked':' """"""" "'
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT1E 5 of the State Sanitary Code\ The undersigned fuyYl'igr,agrees not to place the system in
operation until a Certificate of Complianc has sued by the bo
r ................................
2f23/ftte
Application Approve -- ...............................................................L
..................... ........................................
Date
Application Disapprove or he following reasons-----------------•-------------------------------...----------•----------------...----•-•-------...------------.
..------•-----------------------•-•----•-•--•......-----------•---••••-•••-2•-2--•84............................
Permit No......................................................... Issued.........•--/3/---•---•---........Date...---
Date
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THE COMMON','EALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
.................................OF......................................................................................
(9rdifirtO of �nr�t�li�n�r
T IS I 0 CER IF T at th 1 w sa co ruc or Repaired x
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IA & TCesspoo Sei^v�'ce, ei : ' ' o '1 °, §I� t , 61. ? p ( )
y..._.... _..•-•----�-s-.-"--��-�•------------------------------------------------------- •--••----------•---------...------.....
957 Main St., Cotuit, MA' 02635 - I'lftT.Tlur Stazaridis
at.....................................................................................................................................................................................................
has been installed in accordance with the provisions of T IE ` of The State Sanitary �/t/described in the
application for Disposal Works Construction Permit No.......... l.................... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRU A GUARANTEE THAT THE �1
SYSTEM WIIX F NCTION SATISFACTORY. \,
DATE. 5 / -d•�-------------------------------------•------.......... Inspector.... .---------------------.....----------------•---------------.......--- � \
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
'�F- ,/ /� .............T°wn..................oF............Barnstat�...e----••--•---•-•..........•--................. $ 15.00
N6.........�f-./......... FEE.........................
VUO
A & B Cesspoo Sery I
Permissionis hereby granted.....-,--,..'_T.,.,-------------------•--........---.-------•------••--•-•-•••-•--•••----••....-•---•--••••---•--•-•--•-•••-.........1..............
to Cons Aai�I�t.;p�otui t�7�7A di��aa1l5Sew R� a,§} Tdis
at No.. ------------
Street — 2/23/84'
as shown on t/appl* tion r Disposal Works Construction Permit N .. ..._.__.. Dated....:.....................................
�`--------------- ---- ------------ •-
•--------•------._
Board of Health
DATE--------•••• % t \\
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FORM 1255 A. M. SULKIN, INC., BOSTON \\`