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HomeMy WebLinkAbout0056 CEDAR LANE - Health rr I 1 I TOWN OF BARNSTABLE LOCATION, I- ecle.l IV. SEWAGE t VILLAGE Z2jI, r-VIAl ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. 4!,—tfco �p SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE'WELL OR UBLIC WATER BUILDER OR OWNER /P-ec ,miry DATE PERMIT ISSUED: DATE COLIPLIANCE ISSUED: ;5 �V&O VARIANCE GRANTED: Yes No Sao 1 c� LOCATION SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME i ADDRESS N 0 N LDA PERMIT ISSUED COIAPLIAWCE ISSUED } UN e No.....80.- d�.. Fss.........�_5..00. THE CO ON ALTH OF MA A S/TT/ BOARD OF HEALTH ...........................T-W.n.....OF....:- nstabls. ........ Applirattilin for Disposal Works Tomitrnrtion thrmit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: Cedar , ...5A-AXPELMI.I.Piataf!itle,..B.A.....02655................ ...... Location-Address or Lot No. St. Peter's . g9pal••Parish House__..-_.••_..._•. 56-.Cedar_St,-, Os e v i �,,••,MA-_•,0265, ............... Owner Address A & B Cesspool-,Service 128 Bishops Terrace,_-Hyannis,--MA •-.0260i_,-.-• ............................ Installer Address Type of Building Size Lot.... ......... .........Sq. feet U Dwelling—No. of Bedrooms-------------------_3--.-----_----__-_--Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons.............. a Other—Type g ............................ p 3_.•--_---.. Showers ( ) — Cafeteria ( ) Otherfixtures ----------------•-------._...-------------------•--•-........-----•••••--•---•-------•-----•-•-----•-•---•---•------.........----•----...........---• 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f1 Test Pit No. 2...... .-,.'minutes per inch Depth of Test Pit.................... Depth to ground water......................... a DDescription of Soil._... 5 --•-------------------•--------------------•--•••----•-------•---------•-----•-----•--•-••-•--•-•--•-••-••••-•••-•-----•----•-•--•-•....----•------ U --•---------------------------------------------------------------•-............................................. W UNature of Repairs or Alterations—Answer when applicable._. nQta-11- ti-Or1.._Qf-__a...1,0Q_.septi_Q._tank..and_ a_-1,�000..gallon_.stone..packed__p .- st..leaCkl ..bmexl1w)................................................................ Agreement: 1 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 further agrees not to place the system in operation until a Certificate of Compliance has been issued by.the o 1 f Signed . ............... ..... ../?��%cr�.e-�.... .. ....� 6,1261$Q----......_.... Date ApplicationApproved By.................................................................................................. -------fi126180................ Date Application Disapproved for the following reasons--------------------------------------------------------•---•-----------------•---------------------------••--- •--------•----------•----------•................•-----•------•••-•••-•-•----•-•--•---•••-----•-----••-----•-----•--------•---•--••--------•-----•------•--•--------•-•----••-•-•-----•••-----•-••-•----- Date Permit No.. 2: ............................................... Issued- 180 -6 26 -•--•-•-•-------•••--••-•--•--•--_... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................T.Q"..............OF..........=S.tabs.Q.............................................-----• Trrtifirtttr of f ourpliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X ) by A & B Cesspool Service. Bishops Terrace, Hyannisa MA 02601 -- 7.7.5.-62 !............. Installer at..56 Cedar St. , Osterville. MA....0265 •St. Peter's Episcal Parish House has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.0.................................. dated------6/_YWAq......................... THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 6//27 80 DATE...--••-•------... � ..... --- .._ .- ----••-•-- Inspector........ ......� t No................_....... ... 5000 THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD -OF' . HEALTH ........ .........iTi cOn.....OF...... ,.., .•..`�tga---------------------------------------------- Appliration' for Bi-qVnlia1 Works Tnntriirtinn Errant Application is hereby made fora Permit to Construct ( ) or Repair. (1C) an Individual Sewage Disposal System at: ` CedW .... ..... Iamt---M 1 j...��_....::4���5............... -----------------------.... -- --- ---•-------.._............. yy, Location Address n or Lot No. ii 6 Peter .' 8h House � • Q Owner Address W A B Ce!Rv _S6 ce ..:.. 128 B�rtahs3 _:Tl 4_.._ � s.. ..m ..'a .... . .. ...... . Installer 1 Address Type of Building Size Lot----------------------------Sq. feet U '" Dwelling No'. of Bedrooms......................3...................� g .,— Expansion .Attic ( ) Garbage Grinder. ( ) aOther—Type of Building ............................. No. of persons..............3........... Showers ( ) — Cafeteria ( ) AOther 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........................................ aTest 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........................ ------------------------------ •............................. .----------------•------------------•----._._--_____--------•••-- ...... ODescription of Soil-----------... -••---...--•---•--.......-•................•-•---•---•----••---•-•---------•------•--•-•------•-••----.......-••--.........._:....._......-------- U ---....:•-•-•-----------------•............----•-•..............------------•-----.............---------------------•-•----- -:•--------------------- ------•---• -----•--- --••-•......---- --••-------•----•-•----•---••-•. ...- ---- U Nature of Repairs or Alterations Answer when a placable 'IP&MU 40D_Of �a 1 ���� .. a 140W eft-6 - c a . o )_ Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLzp. 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 d o Signe �/ � .. .. ..................... t 6AV �___- Application Approved By.................................................................................................. ....... Ye_..... Date Application Disapproved for the following reasons---------------•------------•---•------------------------------•----------------•----•--••-......-•----•--•_....- •---=••-•................••---------....:.....,_.:• .............------•---•---•------•-------•----------•----------•----•-•-•------------•......••-•-•-•-•-----•---•--• Date 80- 612618 , PermitNo.........,-............................................. Issued_.................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD, OF HEALTH Tom..........................................OF...............;......� ................................................... Turr#ifirtttr of Tout rlianrr S t Ig vduaI Ai Di,p l S tmnstbtti � I Tf by ed ( ) �e MA q2655 has been installed in accordance with the provisions of T "'LF 5 of The State Sanitary scribed in the application for Disposal Works Construction Permit No. ................................ dated---. � _..._...._....._.__._.__ 4 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUEDAS A,GUARANTEE THAT THE ` SYSTEM WILVUNJCTION ,SATISFACTORY. 27180 DATE..................... .....---................................................. Inspector................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 80— Tale ...OF................... ........................................ 9 No......................... FEE.........._5---....... rrani� � • Cee of �, s"ho Ted; Foie 02601 Permission is hereby granted................. ......-- --• -•---- ----------••--•----- -------- -----•.._ ......-- ..............--•-••-- to Con t ii Re p";; AIj djg`Iuj j g D �sj,e @tefi 4dscopa FaTish IE1t se at No Street as shown on the application for,Disposal Works Construction P N ...�:__ __ ___ Dated_........�z��8�..................... --•-- ,� _ -1., ------•-•-•••--•••••------••- 6/27/8p Board of Heal DATE.:....-•---------------------------------------------------•---•-•-•........•... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 4