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Home My WebLink About0026 BONNIE BRIAR DRIVE - Health 26 Bonnie Briar amd 145-030 OsterviY�e 2 4 2,:) (SAT) 13 49 C---'N F.V I I-L-` ! 1-1i j; 5 U'd,�9 G 2 j b Make application to local Fire Department. Fire Department retains original application and issues duplicate as Permit. (11/1 0-4,&6a10X1Vd1A5 APPLICATION and PERMIT for storage lank�emcval and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 36A, 527 CMR. 9.00, application is hereby made by: -71 Tank Owner Name(please print) Vasys X Address 132 'Rosemar Road Dedtiam, MA 02102C cNY Sato 77r -------------- E i -Sf Corporation --- nvrCompany NameCc.or Incilvid'ual C—.,L-)\ Pti,rP"I Address 148 jan Sebastian Drive Address &—� San wicri e -FIN-P—rw P" Signature(if a 1 yfo e I Signature(it applying for permit) Q IFCI*Certified Other 0 IFCI'Cariltled C) LRP# Other i TankLocati n 26 Bonnie Br-iar Road, Osterville, MA. Tank Capacity(galions) Subsmnca Last Stored . Tank Dimensions(dlarrieter,xXjerigth) Remarks: (Pd Firm transporting waste_. Envirc-Safe Cori. State Lie. Hazardous waste manifests) &-AMI''�3781.0 4 MAD985269323 Approved tank disposal yard Tank yard# ocj YPe Of inert gas___Tank yard-address 235 S t.r e e-t , Lyn r�, MA • Cousex.vation Dept. : Date City or Town rr-n# -019-20 'nnit#P, Date Of issue Date of expiration "JI 81 2005 Dig safe ripprovai number 20052603,773 Sa?Teil�rpe si. Number-30 Fig 0-322-4644; Signa!urs/Title of Officer granting permit --r, A M it -V After rprrcyal(s) ('Consumptive Use'fuel oil tanks exernpl,6d)send Form FP-290R signed by Local Pre ren-ariment to Otfise of the State Fire kiarsh@l,UST Regulatory Com.-pilince Unit, P,O.Box 1025, S!ow,MA 01775. 1r-!@mafion@l Fire Code institute LOCATION SEWAGE PERMIT NO. PQ >1 21 ie ZU VILLAGE4yr )l INSTA LLER'S NAME i ADDRESS BUILDER OR OWNER - / 7y DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED Is 3 No......... .7f..... Fxs...:�2- THE COMMONWEALTH OF MASSACHUSETTS BOAR® ... ...............OF.. .. ...... .............................. pplira#ion for Uispm al Works Tonstrnrtion trnti# i. Application is,hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal rystem at: ......0'a;•Lo7...._.!s1�:11i �.��.......... hr4'r:...... ✓.:..... -• -•-•--.�®........ - ..................•- Loca'on-Address or Lot No. W ___ l ...............................Address --.. .. Installer Address Type of Building Size Lot.-�6 C S feet U YP g F ••--•-• q Dwelling—No. of Bedrooms............................................Expansion Attic (-- ) Garbage Grinder ()t ) Other—T e'of Building No, of persons............................ Showers — Cafeteria Q' Other fixture............... W Design Flow.............:.6.:.4...._.........____ gallons per person per day. Total daily flow............ �...............gallons. WSeptic Tank Liquid capacity_ .......gallons Length.............•.. Width................ Diameter---------------- De�Pth_.. _.-......_. x Disposal Trench—N ..................... Width•.................. Total Length--------- _... Total leaching area.._.... ...q. ft. Seepage Pit No....... .__,_.... Diameter._.....1� .... Depth below inlet._..... • rea.�..............sq. ft. Z Other Distribution box ( ) Dosing t �j ) ' a Percolation Test Results Performed by..... �t..... ut V1..._-.-----•---------------•. Date...�r_"_ ".. �__..___.... ,-1 Test Pit No. 1.....Z......minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................mI u s per inch Depth of Test Pit.................... Depth to ground water........................ - ------------------ ------------- -- O Description off Soil: - V :.-•-•---------•----•------•--•---------------•--------------------.....-•-•----•-•-......•---•-•-•-•------ W -•----•-•-------------------•-----...._.._...-----•---•--•--------•--•-•---.........-------------•----•-•--•-•--•--•------•-•----••----.....---•----••-............................................. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The indersigned agrees to install the aforedescribed 'Individual Sewage Disposal System in accordance with the provisions cf TIT�.Y'. 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. Signe :.. ._...... " ..................•-•--------------..._............................ I........---.....<::....._ ` t! Date Application Approved BY - r .......... = r Date Application.Disapproved for the following reasons:................................................................................................................ �. ,, Permit No: • - Issued....�V •.••....----- ---•--------Date .......... 't (7)fj No.............. ........ Tins........:�.............�"�. THE COMMONWEALTH OF MASSACHUSETTS BOARD 'OF H.EA H - -----1...............OF............. e:.: ...,. ----------------•---••-•--•••--•-- Appliratiun for DiupuuFal Works Tanotrurtton ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 1!.�.C.1.. !� ....? ih 1.f/i�.. ../4JYr r-------�-�-v- .... t:�i� ��. .� .. -.... .. • � ---•-_...... .__.. .... f Loyca�ion-Address or Lot No. /ff°re�...J V �J ............................... r Address a / . �,Y ,; Installer Address U Type of Building ?? Size Lot__a€..r�___ . ............... feet Dwelling—I\o..of Bedrooms......%?..................................Expansion Attic ( ) Garbage Grinder QX ) a'4 Other—T e of Building No. of ersons____________________________ Showers YP g ---------------------------- P — Cafeteria ( 04 Other fixtures .--•-•-•--•------•---------•-- -------•----•-•-----._.-----------------•--••-----------•--••----•.-•--............................................... W Design Flow............... ".4.........._..._ _.._gallons per person per day. Total daily flow........... __. __' ...............gallons. WSeptic Tank• -Liquid capacityir_ gallons Length................ Width................ Diameter................ Dept t.___.____-_-. x Disposal Trench—. o. ...:............... Width__:_._____-__._.__. Total Le ........ _.____ Total leaching area.. a :_ sq. ft. Seepage Pit No...... ........... Diameter___-..� _.__. Depth below inlet___.___ ........ Total�l�cI�narea_:__..:______.._.sq. ft. z Other Distribution box ( ) Dosing nk ) ` Percolation Test Results. Performed by._-_ - -_.__ y _ .: l__ ___________________________ Date___ _�_ __. ':._.__._.... M Test Pit No. 1....2___.__.minutes per inch Depth of Test Pit____________________ Depth to ground water...... fs, Test Pit No. 2................minutes per inch -Depth of Test Pit.................... Depth to ground water........................ O Description of.Soil... ..................i ---------------------------•------...-----------------•-----•------------------------------------------------------------------. --------------------------------------------'----•--•----•--•--•...... 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 iT'•: y g g p y 5 of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. Signed__. -•---------•----------------------------------------•----•-------.-_-__ ................................ �i .,.�"' Date Application Approved BY-----. ;... � ' g� ! 1°�i ,/jr i �..... O��. ------ Date Application Disapproved for the following reasons--------------------------------•-----------------------•------•-----------------=---....._....---------•--•••. ...........................•-------------•---------•-•--------------•--•---------------••--•-----.......... ......................... Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH .............. !,r. ..O F...... , .............................. . atifiratr of Tamplianrr THIS 1 U ERT I', fit`the Individual Sewage Disposal System constructed or Repaired _ � g P �' ( ) P ( ) by,, .�, %'� x> � �I" ------•--•-•----••----------------•--------------•---•-•-•----__-__---_---------------------.---------------•-------_--._---------- Installer at � !1L" - --------------------------..------------------------------------_-_-._.-._-_--------------•---•--•------------ has been installed in accordance w h the provisions of TITf j of The State Sanitary Code as described in the , application for Disposal Works Construction Permit No"_:_ _______ 4__ ______ dated... ..___-./, .-..�_.�______________ f THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------..1..�...'. .`7 ...................................... Inspector...... ..... --------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD F HE 6" ........... 10. OF........: .�, °' •-• a No......... ,. FEE.......................... i; rr. i ouuf� ko QlArdr, ion rrnti� Permission;is hereby granted__ `"` -� '= .............................................. i to Construct or Repair .( ) an In vldual,,$eyge Dispos System ' r } 7�-- A� at No...�.._. f w. Street as shown on the application for Dispo al Works Constructio ' rmitNo...... --_ ______. Dated._. �-.7_5 ...Z.�...... .. .....-------------------------_ DAT .............. ........E.' _ q Board of HeaA -FORM 1255 HOBBS & WARREN, INC., PUBLISHERS',v � '• t y., t.v`�-' -.I-...I. L r art _ I. t f fri F •t y rot F s5 i {• ''}3. ` i r - t T „"f A Jc f11 d,.r �,' i J G:. i �,5+-Y, , -- If i r y( *, \r_i`-:_t .r�ij hfv ,.. { r '' r,+' + a r f , P> M_ a_. 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L Ys;. -,€ c c J j - ..ts r+ Y , 6' i y s I , E 4 r J y` a r.t ' 5 . j iM, , EXpANSJD"t, „ o j� f, , „' : u , ;_ r - L d. � s , ( !/ ,_� , N , .A a P t r ^' O r ,. : T Y ; g+" d I' , I TCST a p J� !OD'� ` ,sa`,ZD �r n l;' y./ '�� tia, Ft �t Ak � i j t,..., N, t� ,rs t .a-, i rt d C f n ,lS Y i,s * P:r�• , : 1: # c,z .v.. O - J ^ hPJ• lit I - ►.�' �— 4 t �`. tF ;, 27L Fe rt 7 S/ r. I tt t�/'/ R° ��-;l, LFP> T' s i �, ;I \,. / 'Q S y - � /v �`� t,:...ik .A• d F' y, �,1�}� M-- 3,Y1 t i Y .`a. 4 I,�', is !� Y, f/A/ >. : /-I �1 iw �r-y , t M k., �/�r l�V B�RT f' .tr. Y t a n e t s 'R'`. ` t .« <i.r s w.';. ,,y::Ir 1 i �,'. 1,k kV0..221f/1,.o t'_� III i t . t R ` Y s} n j �', P } x a "' t YM 1 " r +t i t A 'p t {lT., j r.' a �� j 1 "�Ar e g" ,�,- �"i- t t M � i tir +r� `.�r � �O �G/ST��'�,�(V� #+� " y s 1 + S/pt4AL Ea ` Ii: ', Y a+ Q k t. 1 {' t Ft}t\ /- , D} { F _F T1-x q \4 ! e )t `x . x � f . : L t'' t'2 d fy d e; - F;,. r, t �,- r f �j X r a J \ , r*' fr z d i i r / ^i t ,•^•�.,' �#- i s.. i :t _t Y t,..# jf+e * ? s.. + k ° , , r p -, ,j'. - -+. i r u .. t ' ,i.. , r „ LEGEND k' ` 4' P ray EXISTING SPOT ECE TION 0„0 z `' -z - t art;. 3,_ CERTIFIED PLOT PLAN EXISTING CONTOUR =- - 0 - - - , _FIAIISHED SP T EL'EVA1 I. L DT 79 30NNIE 1321aR DRir/E FINISHED - CONTOUR 0 ��. ' +� "°` �STC/'�'%// __ , _ � s{ �� 1 aL? . r�{fin ♦`t' ,.f, �' - x r s I N d APPROVED ®OARD OF HE`ALTHI � � `� ' }t, - � F , F, ` i' t Y� k: DATE - ' AGENT,-.F. — -' ,k 7_ j � fir ' SCALE `/ /r 3 U.'' DATE 6��79 t. OREDGE�E"NGINEER/NG CO. IN M icK unis, ,, J , I. F $ _ -- -- CLIENT - I____--, I CERTIFY-THAT, THE, PROPOSED <, EGISTEREL� REGISTERED JOB N0. 7904z BUPLDLN(3^ SHO:WId 'ON THIS 'PLAN ,,Va :,, ` ' E ' CLVIL LAND ' CONFORMS TO THE° ZONING �:IAWS :_ ENGINEERS S_URV:EYOR DR. BY .- �,' , .P _. OF, : BARN.ST BL E^-, MA S 33 :NO 'MAIN ST ;`, T2' MAIN ST. CH. BY �� 7 I ,;, `: .SO.;'YARMOUTH, MASS._.`.. HYANNIS MASS. / C - ' SHEET . nF _�__. DATE RYE,G LAND' SURVEYOR ai W74, rp .jr .1'r`fliif3kT�N�.;,i`i �, r4 -fGi. .'Y<,r <, .�. -,Pc, ,, _ -'. - 4, ,,'ti .E .x ..1.li, •r i a0 FT' M/N /VO?EE/TNER T.�IE SEPT/C TANk OR G Y/ A// /2� EEL O /EE�4C141,oV0 h/TARE OR /G FT MIN. : `r a.. GRAO � A 20+O�AM ETER` COyC.P1FT� �Oi�ER SWA4 L &.F 0 AP004SH7-1 TO GRA PE.64IV EX—r VA j CONCPETB - 4NPI�C, P/PP d hrE.4✓y. C�1.5T /RON Coi/E`R'.5/>'ALL L3E IJS�L7 r: 1 n 3 o co /B -CH a - 2CONCRL�TE C o YER t /_ CLEAN SANG 6AC/CF/L� _ ` y - • - L/QUID LEVEL . 2 LAYER 6^ JRON P/PE 1 y o v o p °o OF /1B b MIN.P/TCN GAL. ° a ' • • • •• • �� 04 WASHFO' SMIV4C SEPT/C TAA/X • a o DIST. . • . • • • ► S. s z e,� •D D 1 1 ILCFFECT%✓� •. R`-n.. _ 3/4^_ /. 2. .. �. wr ° : - • • ° � • • DFPT// • • � ' e oo WASHEDSTONA �Q- y ; o • • • s- • • • • 1 e, oo , a PRECAST SEEPAGE .: V Eta°.o • • . . • • • e v P/T OR EQL//V. �Z.�` a . P e �` r •.•,.: ._. ' /NYERT AT BU/LD/NG'„ 00.D FT FT D/AM. _ - INLET SEPT/C T.4/VK 99 S FT ' FT. O/AM. C.�SEE TABL%LATJON> OlJ7LET SEPT/C 7ANK AFT INLET D/$TR%BUT/ON B.OX99. D FT SECT/ON 0,4c G/?puNo. WATER TABLE 5.O(/TLETD/ST 'FT r° //yLET.:LEAC97NG oiT r` 9fT SEIWAGE O/SPOSAL SYSTEM r ,LEACH11VC P/T . TA�I✓LATlDN � l r SCALE % _ /• D~ F DIME/VS,/ON A F FT DES/G/w CR/TER/A r. IVLMQER OF BEDROOMS" 3 O/HENS/ON_ G 4 FT. ��"�. GA•q��.Eo/sPosAL uw/T SD/L ...LOG , , � � =�•-_� - n ,� 3 3 v TOTAL EST/IrIATEO FLOW �G.AL.�DAy'' SOIL TEST #2 SDL TEST.: ' u/VtBEJQ QF t,E�aCJv/NT p w - d' -�7 /7/ PITS - f`ELLsY. /o Q p 'EL�Y OATS OF SO/L'wTEST. 'S/DE'LEACH/NG DER PI Sa f'T O! /Z RBS�/LTS W/TNESS�D BY T /� //✓l'�I $ :60TT0 L.6r4EN/�/G PER PIT �8 $Qt, PT. SvfSSo/L �`RCOLAT/ON RATIO#/ S M/N�/INCH _. TOTAL LEACHING, AREA 26 SQ. .FT. Iz;r RBSBRyE LL+,4C'NJN6 AREA► Z G 6 SQ F,T. G•D;4%�S - .- s _ 2 - M.: x, - r s ►/� 4 / w y a T ,l3aN _ . �- ..'� } t• .G� e�a,/..;EIT�yr < '. _`,. - S/•� �� a s � �ryw "•�/�G "��A! /-L•--�•�` ._I,. • •G • , a ' .8UNlKiS'-r1' .wt - - . n Qr� - .t. a4. --l- ti- //�'•No-aZT VL` b OJ +� .�" } 1- '4' 1 -r!t Ek /+. /`y.�/.s /-�[t (� R a a ,} y ; �-! �/��I�. A ,Q. � �....s'� �� x•.. � \G a �Ci r.a t F' r 'S �- R is �r 1 ,+ I r _ ec ,,,M;;� '.`h �;-�''� (�/y�j� IgT6 .��', ,s_' ` ,' y�;' - � Qy�7 0;' ,Y �,, ,ns .3...r- :�,.,a;4 �` .t` .:�.:`!l�' /!O1�Iyl.!/..�� '�i3./.+/O•JyJrtl/V- �-j,,,. :•� e F:{t'2 �'3 y'`nt1• t�{' x � •a� K i_ ;.� � �/ •O ...m;.. ,r:. 1�—�.1d t -u� p�'e i 5. 5 - 4-. O LJN /Yly4• TP.I�4' AWC.Or�Jy11//��Q ��y�YiOIgA#�/t�/►�4.i..1� .. a+'r-mod' a_� •t ' `h n.t. `a , t ��c �: Q •'�#4T� A7- 49L.G•� _K �f '�ry �'�, :s t �:3.Irg4. r:L al - Y� . '.�. •'•�:.'� :}Y '"PY.,, f y i �/1/ '-YJ" -�! �� i . -.-..".s,,�. -'••.t.. :•-. ..�� ,� "�. • _ .. .. j �' iaS�7.: ^r . 4 r-sK+7s � �th�," d ' n ^ ti 'i No......9:n! ' z Fos....... THE COMMONWEALTH OF MASSACHUSETTS "' i�- -.BOAR® OF HEALTH ----------- ---------To.wn.:.....OF.....Baraatable.......-:............................................ Appliration for Uiipoottl Works Tonstrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 2a....C-edar-..Street,....1I3ra—S------------------------------ ................................=.................................................................. Location-Address. or Lot No. GracLP...Chin....................................................................... 27 2•..Third_?1&c.e.,.-.Baldai ,...N.Y.. 1i510 Owner Address w A...&.3...C.eeepnnl...Setri.ce------------------------------------ -12B---Biahaps-...Texraze,,*...Hjinnia., .Ata . 02601 a Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms....•.......................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of ersons............................ Showers — Cafeteria a YP g P ( ) ( ) a' 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........r.......... 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..--.................--. 44 Test Pit No. 2................minutes per inch •Depth of Test Pit.................... Depth to ground water........................ •--•----•-------------------•---------------.....------•-------------------.........----•-••--.....•......................................................... ODescription of Soil.....SAnd--------------------------------------------------------------------=--------------------------------------------------•------------------------------ x W - -----•---------------------------------------------------------------------------------------------- V Nature of Repairs or Alterations Answer when applicable InstallatioM Of > 1AOOb gal�.ol1 . s gm.__packed;_leach__pit (overflow)_. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIME 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 t,y the board health 6/21/79 S ed .. .f„; l� 1s.......................... Application Approved By...... i '_. __.___ _ . . 6�+��e�79 Date Application Disapproved for the following reasons:-----••--------------------•--------•-------------------------•---------------------......-•-•-•.............. ....................•----•--------...----....--------------...---•--......-------------------------------••••••-•...-•--•---••••••---------------------------------------------------- ................. �� 6/21/79 PermitNo..79..._...-- ••••-••••...........-.............. Issued_------------------------------............Dau----... Date Jr _ No....7.9-. - FEE.....!!5.00...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............- - - -T.own........OF....Barns.ta.bLe...----------------..-..--------.--.------------------ Appliration for Disposal Works Tontrurtion truth Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal System at: 2 5..X.e.dar.-.Str.Pet.,...K�ranrais-----------------•---.---..---- -•----•----••-------......................--------•---...........----.......--•--..--.........---- Location-Address or Lot No. Gra ce...GhIm.................... ..------ ---------------------------------------- 2.7.82---Thlyd...�laze•9....Beadw�k L-_N-J,...11510 Owner Address aA..&...B._.Caaans�ol.-.9e=.ine..................................... 128..B�sh4.p8...Terrace,.._Hvann s-.--Ma+-- 02601 Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building .._.. No. of persons............................ Showers G.1 YP g ----------------------- P ( ) — Cafeteria ( ) al 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....................................... 1.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth .of Test Pit.................... Depth to ground water........................ --• •------------------•--•••..........•---....................-----................----••................---•-•-•.........-•-•---•----•- D Description of Soil Sand- ... -----------------•---------•-------•-----•--•----•-•-•--------.--- x w U rflo a ganto a On ONature of Repairs or Alterations—Answer when a wlivable_._ -----------------------------•--•--•-,--•-•-••-•--••----................ .................. stone...PacKed.l.each... it.... ove- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE y g g p y 5 of the State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has bee issued 4 the board of 1 th. ..2 .� 6/21/?9 Application Approved B __ pf �� Date Application Disapproved for the following reasons:................................................................................................................. ---------------------•----------•-••---•.......•---•-•--••••••----•--••---•--•---•-••-----•-•••-----•----••-...---...-•-••••-----•••-----••---....-•-•-••---•----•----...-----•-•----------_......••--- 1 _ 6/21/79 PermitNo..79....................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town...........oF....Barnstable ............................................•--• (9grfifirttte of TI-Intplionrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired j ) by..... .. _..C.easpaal...Servi a.,_._128.-_$ishape...Terrace_:.._H y_annis_,.._Ma....02601._.._. Installer at....25._..C.eA.ELr..St4o_* Hy.anni.8...-------- .........Grace.... hin--------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Cod j as described in the application for Disposal Works Construction Permit No.__.79-....Z .l....__...... dated__..__- ...217 ..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT.THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......6/2.1/-7.9-.................................................... Inspector....................................................................'.........-•---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town .......oF.... Barnstable .._ ................. ............................................................ $5.00 NO.....79...._ FEE........................ Disposal Works.Tons#rudion rrntit Permission-,is hereby grantedA...&...B---Cesspool Service, 12 Bishops Ter. , Hyannis ----------------•------------.__.....----•--------•-•--•.....---...._. ..................-••------...........---•--........ to Construct ( ) or Repair Ann�s X ) an Individual Sewage Dis osal System r.� 2 Cedar St. Gracehinat No. ' �.-.. ............. Street as shown on the application for Disposal �t�orks Construction Pe t No� ___ _ ... Dated6�2�:�7�...................... DATE......... 6/21/79 Board of Health f •.............. ..... (� FORM 1255 HO'BBS & WARREN, INC.. PUBLISHERS,.