HomeMy WebLinkAbout0056 CEDAR LANE - Health rr
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TOWN OF BARNSTABLE
LOCATION, I- ecle.l IV. SEWAGE
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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
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LOCATION SEWAGE PERMIT NO.
VILLAGE
INSTALLER'S NAME i ADDRESS
N 0 N
LDA
PERMIT ISSUED COIAPLIAWCE ISSUED
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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---. � _..._...._....._.__._.__
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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................... ........................................
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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
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