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Home My WebLink About0242 SEA VIEW AVENUE - Health 24, i LOCATION ® ! CWr��LSEWAGE PERMIT NO. IV A �? VILLAGE ;o I N S T A LLER'S NAME i ADDRESS 1 JOHN A. AALTO BACKHOE Sri` F 150 walnutree Wll Barnstable,: Mass. .02663 � I U I L D E R OR OWNER e'o im I' l 45, DATE P ERMI-f ISSUED - DATE COMPLIANCE ISSUED -;, ' v✓A s W I'V G1-0N AVE ,_la r; L/q ' No, y: Fps.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............OF....... / - ................................... 13?--off 4,ppliration for_ Di,ivusal Works Ta utitrnrtinn rautit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: af�-S S1Av��/af ... .............._................. . - ........_..... .......--....-- •_.... ....cation-Address or Lot Igo. Owner Address Installer Address Type of Building Size Lot. -.Y ........Sq. feet Dwelling—No. of Bedrooms_____________`3............_..._...._.....Expansion Attic ( ) Garbage Grinder ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria Q Other fixtures ---- - ------------ Design Flow.11®)(.3_... '=54..............gallons per person per day. Total daily flow........ Wx Septic Tank—Liquid capacity/ ..gallons Length................ idth................ Diameter................ Depth........ _._-. Disposal Trench No. ................ Width.................... Total Length___.....•........... Total leachingarea....................sq. ft. Seepage Pit No.___...._. __.. Diameter.................... Depth below inlet.................... Total leaching area..................sq. it. Z Other Distribution box (X) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date-.6_-'/9—� -_..____._.... Test Pit No. 1................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........................ --••---------••--------•---------•-•••----...._..•-•--•------------------------•---••...._..-•-- Description of Soil._. 1 '!._ 3��!-----•-----------. � .-----�t�?:--_-_1Wj x ....... . •-••-•-----••-•-••......-•-•••-••••--- --------------------------•-----------••-•-•-----.--•---------------------•-------•------•----- W VNature 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Complianc has bee=issue us lth. tned....................................................... ............................. ..... yljo�..---•-- ApplicationApproved B •••-----•-------•------•-----------------••-•••------.........._............•---_... 1,7 4 Date Application Disapproved for the following reasons:............................................................................................................... -•---...----•-••---••-----------------------•------------•--•-------------------•-----...........-•----...__.....-------•-------•------- ............................................................... Date PermitNo................................................... Issued....................................................... Date _—•--------------------------------- �' i N411: �.ld.. Fps .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � J ?...............OF...... /11�+�b"t "' ..... Appl ration for 14spusal Works Tnnstrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: c0Y...� Y+gw... ..hf.�- .............. ......•-----.. r . -- - - .......- ..... .... ....--••--. � cation-Address or Lot o. -- - .............................................. •••-•---•------------......:� r/r� .. . y j /�y1 }{� .O.wne+r� Address Installer Address UType of Building Size Lot ._Z:5P.........Sq. feet �-1 Dwelling—No. of Bedrooms............. ....... Attic ( ) Garbage Grinder ) Other—Type of Building .._...... No. of persons............................ Showers a YP g ------------------- P ..-(----)--- Cafeteria ( ) Otherfixtures -----------------------. ............................................................. ---------------- ......---- W Design FlowlrI.QY.I&... ................gallons per person per day. Total daily flow....... "5......................... WSeptic Tank—Liquid capacit3&P.q..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total.leaching area.............-------sq. ft. Seepage Pit No.10 t ".*... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results ,Performed by.......................................................................... Date_�3."'/'.�+ ----_...._.___. a Test Pit No. I...........:....minutes per inch, ,Depth of Test Pit.................... Depth to ground water......................... Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil_..Lwm.."!-.� v ................. ,#JV.....Aft....... x U -----------------------•--•------•----••-•--------------------------------......-•----------••-------------•---•------------------•----•-----------...................................---............_ UW -------------------------------------------------------------------------------------------------------------•----------•---------------------------------------------------.................=......... 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 TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Com lianc has been issue the�ea N€-healt . P P � 1 --•---..... .---r. ....... h. ...... �=�---_... -----••-•-----...... ......••-_../�,jgned. Application Approved ....../,. --- -------------- PP PP Y----- -41-1-o ------ Date Application Disapproved for thwing reasons--------------------------------------------------------------•-----------------••----.......•-----............_ --•-------•---------------•-----------------•------•----.....--------•--•--•-----•---------•-----------------------•----•-----•-------•-•----------....------------•-•---------. ••----...------------. Date PermitNo................................................--...... Issued...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1rU.................oF.......... ,l r "✓.. �'"'� ................................. vardifiratp of Tontplianrr I RTIFY, That the .Individual Sewage Disposal System constructed ( or Repaired ( ) by -------•-••-••-••-•-------- ------ ------•...--•-•--•-••-•---•-•••-•.....----------._......_......_...----••-•-------•-•......---- -- 1 ! Installer at__...5._._.._L e ,t�tG , .----•-----------------------------•- -----------•--•--------•----------------•-----...........•--- ................................ has been installed in accordance with the provisions of TITLE 5 he State Sanitaryo . as described in the application for Disposal Works Construction Permit No..� "''�, --.----------- dated____ ____________________.___.__.........._... THE ISSU NC F THIS CERTIFICATE SHALL NOT BE CONSTRU • AS A GUARANTEE THAT THE SYSTEM FU ION SATISFACTORY. DATE......... ................................................ Inspector. --• --•--------------••--•-••-----------•----..._.....----...._..-•-•-•.....-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No., � � , .. .. a .......:.....oF............ i��1 �. ?a�' ........---------- FEE .............. Dispels 1,7 Tnnntrudion Upanfit Permission is hereby granted :_ __ :...:............................... to Construct ( o ( ) an Individual Sewage Disposal System at No Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... .....--••--•---•--------------------------------------------------_-------•-------•-•--•--••.............. Board of Health DATE................................................................................. FORM 1255 A. M. SULKIN, INC., BOSTON - a* IAA/A.! N Yf.7 ."ter- I� •�-+ ._ .._-. i G�i(�4 . � ` _ I of�..�. /- .yi�/y �P-A��✓ i.f 7 4- -� -- lot _ N� cis _ 4 ZoT2 $'7 A i w rra�4 T�f 5�'��5►l�,c.. 19�z -T4-5PtY,,&L ?T - Vrr, /"I' �n 4 Zt�A L$ ' \ �ppF HYDt:.avT [ZLO �Gv.Taw o 19-9 dr � Fug �.•�21 LtA&A I Fso &� i c, Z k- A//'�.� /�..' ,� sll L, A,4e- 41.. J! i 440 ?goG �-t''� i I� c:.M i►�' DfLC.E%S C '1D THlt��N a 'I + al tip! F "�A 7 v NO. 2ri7b - 10 L! v'