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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