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HomeMy WebLinkAbout0957 MAIN STREET (COTUIT) - Health =957 Main Street f _ _ A 035 010 - - I 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 ' r- I Cy � n � n w , !_= -'Iw r o � o 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°.... w Fxs,. 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 FI 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 b 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.... .---------------------.....----------------•---------------.......--- � \ f � k 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 \\ P \ FORM 1255 A. M. SULKIN, INC., BOSTON \\`