HomeMy WebLinkAbout1519 SANTUIT-NEWTOWN ROAD - Health (2) l51 q 5o.rrlui-k ekN-oWn
62S-CC)I - C6iu-i$ oAD
LOCATION J � S E W A G I PERMIT NO.
V-1L LAG E
fNSTA L_LER'S NAME i A-DDRESS
BOLDER OR OWNER
DA T E P ERMIfT iS-S-ItE D
DATE COMPLIANCE_ IS-SUER
r
Mec�cn6s
13 oe
Icco 4�
No.322-ir ... Fps. ..00..............._
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
...................... _Town---.....OF........Barnstable.....
Appliration for Bhipoii ai Works Tomitrttrtion ".truth
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
151R.. ...................•--------
Location-Address or Lot No.
Rose a Mederio 1 1g--lyewto�7--�d,:;-. �x1tL �.,...d` ................................
--...._..-•e -•-_ .................. ..........
Owner Address
W A & B Cesspool Service 128 Bishops Terrace, Hyannis,-_N1A 02601
Installer Address
UType of Building Size Lot..... ...................Sq. feet
,., Dwelling—No. of Bedrooms......................3...................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—T e of Building ............... No. of persons................ Showers — Cafeteria
C4Other fixtures ...............................................................................d -------- ----•--------------------------------------------------------
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.----.-..-------.-..---.
a ----•-•-•-------...--••----•-------------------•-------------•--•----••--•------•---•--........•----•...-----••----•........----......----•--•---•......-----
Description of Soil sand
U -------------------•---....-----------....-••--.....-•-----------------------••-••-------•----------•••-----------•------------------•----------
W
x -------•-------------------------------••----------••---.-----------•---•-•--•--•-•---------------••--------•-------------------•-------•----••-------------•-•--------•-----•---------•----•--•---------
U Nature of Repairs or Alterations—Answer when applicableInst.allation..of..a..1.,.QD.Q..gallon,,_.gre.-cast,
st one packed leach pit (oyerfl9�0
------------------•---------.......-----------------•------------------•---------------------------•----..__......-•----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iI'i iE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has�bbeen e ssued by the ar f health. 0
gned(.�. Z. ......... t,--8------
D to
ApplicationApproved = -•------------------•-----.......---••---------------•----------------------•-------•- .................
Date
Application Disa rov r the following reasons:-----•---------•----•-•---------------------------------------•-------------•--•------------••-••--------•--••--
........................... ..... ..••---•-••----------------•---------•-----•------•--------•--•-•-------•------------------------•-----------------------------------------... --------------
Date
Permit No82........................•••-•-----•------•-------_.. Issued-.-.. 11/.9182........--
Date
..............
�f
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.-"......................T Mo .......OF.......... ax l .... .`......-...-.._.
Appliration fur Diupunal Works Tonstrnrttun rantit
Application is hereby made for a Permit to Construct ( ) or' Repair ( X) an Individual Sewage Disposal
System at:
........................... .............•...................................................................................
Location-Address or Lot No.
Rose Mede 3 o> - •--- --•-- 15.19_New.on... ' ................................
Owner Address
a A & B Cesspool Service 123 Bishops Terra ?Yannig,-•-YA----02601.....
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms......................3...................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons................. ........ Showers —
a YP g ---------------------------- ---•P--- ---(---->-----•.Cafeteria ( )
� Other fixtures -----•-••••••-•-••---------------••....._..._ .......•••--••----•--•-------•..................._ _.....
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter------.......... Depth................
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........................................
W
Test Pit No. I................minutes per inch Depth of Test Pit._--_-............_. Depth to ground water_.-._----_--_--._.--.---
f14 Test Pit No. 2................minutes per inch Depth of--Test Pit.................... Depth to ground water.-..•--_-_-._--.---.----
--•-••-••-•----------------•--••-------•••••-••••------•-•-•••.....--•----•••••.•...........-----•..........-•---•---•----------..........----••......---•--
0 Description of Soil.......sand.......................................................................................................................................................
W ......-----•--•................................•-..._.._...................._.. -••...----------•-•-•••••••••••--•-•-•--•-••--•-•--------•••--••-•-•---.._.........----••----_...•.
W I
U Nature of Repairs or Alterations—Answer when applicable. nstal�,at 0n__e '__a__
stone- Packed le ach pit (overflow), `_.................•••••••........--•••••---•----••-••-••--••-------------••••----••---•-.._._............--
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITL% 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.
............... ts" � . lip 9/82
Application Approved 11Ye 9_/_8.2_
•--•--•------•---•--••......-•----•--•••••.....---•••..._•........................•.
Date
Application Disap rov- f the following reasons:------••-------------•••----•--•----•-••-----••-•---••••---•••------•---•--•••-••---••--•---••-•--•---........_
--•--------------------•----------...---•--- -•------------
Date
Permit No82.................................................. Issued.........11� 9/82
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.........................Town......OF........P z` stable
................................................................
�rrtifiratle of-ATuntplinurr
T S TO CCEFTFY hat tlj52 ntjiyicluaolnSe;aje Dispos S;�stgm cogstruc e ( ) or Repaired (X )
i i:0 o er'v�ce, rss18IIn s eT2' ce, II211s, l�A O OI
by.......
-- --•-------• •-•-•••-•-••••-------e-------lee-----------------------•--------------- --.•-e ----•-----.... ---------------•-----.-----.------------------•-----------
1519 Newtown Rd., la.ntuit M - R od�s'*6deri os ' .
at......-•--•.....................................•-----...----_.--•.•--•--•--------------------------------------.---------•---------------------------------------•---•---------------------------
has been installed in accordance with the provisions of TIT L-2_5,0 . e tate Sanitary Codel��c��ibed in the
application for Disposal Works Construction Permit No........................... .�__-..____ All, d---. .--_------_--_............._.._.....-_.......
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C NSTRU D S A UARANTEE THAT THE
SYSTEM 1 Il L EUNCTION SATISFACTORY.
11 9 82
DATE.•----•----••-- ..............•--•--------......_....._------•....--•--•...... Inspector............7 --- ------------- ..............................................
THE COMMONWEALTH OF MASSACHU ETTS
BOARD OF HEALTH
Town Barnstable
t _ ........................................OF............---..--.................................................................. .00
NO.......Um......_.__ FEE... ..._ ..5....
I�uun1 urkv Q-1111nntrnrttun rrntit
Permission is hereby granted..................A & B.llesspool Service
I --------- .._..
to Cons k ( e or eR i �(S)ri Ui divi ual Se age DM�gees gstem
atNo..............................................................................................................................................................................................
Street 82 �
as shown on the application for Disposal Works Construction Permit No.... �. Dated.....11�..9�� ........_
................................ .. ••-•...•--------......._..•--......-----•..._._............
Board of Health
DATE........111.902
.....................................................FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS