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Home My WebLink About0047 THIRD AVENUE (OST.) - Health 11�r C�18-ODZ = �� I 7 LOCATION " /yoc. SEWAGE PERMIT NO, Z/ � VILLAGE A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER r'.xt� DATE PERMIT ISSUED DATE COMPLIANCE ISSUED i .1 , �df�e i 83- 57/ .� F.r Fss $ 10 00 THE COMMONWEALTH OF MASSACHUSETTS BOARD Of HEALTH -� ••----............ ......-...-.OF.Barnstable----------------------------------------•-•••....._..-••-••-•- rl 4- zs Appliratiou for Diipasa1 Workii Tomitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: _ 7 AM t t... ----02Lj - • -•--•-- Location-Address or Lot No. Jeffrey Parker ?�7 Ave._e___Osterville..--MA ,0265 j - ................................................. .......... Qwner Address A & B Cesspool Service............................................ 128 Bishops Terrace, Hyannist---MA 02601 Installer Address dType of Building Size Lot_______ __________________Sq. feet aanso e Dwelling—No. of Bedrooms________________________________ Ex pi �Attic ( ) Garbage Grinder ( ) a, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' 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........................................ 04 Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ f1-4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ..........................................-..........................................-....................................................................... 0 Description of Soil............... _________________.__________________._. x W V ---------- --------------------- ••---------------------------------------------------- -,_---------------------------------------------------------------- •---------------------------- -•--•--•-•-----------------------------•-----------...-•-------------------------------•--•-----••----•----•-•--._....---_._-•--------•,----•------•---------------••--•--•••-•••------------------------ UNature of Repairs or Alterations—Answer when applicable.___installation---of-a-•1-!000_•g4llon_stone..... _Packed•_leach-•pit...byerflow) --------------------•----••----•--•-------------------------------------------------------------._...-•-••-••--•••••••••-_----- 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 Compliance has en issued�by the boar o h Sign --- •....... ..............`_.. -- r 7,11•�83__......._ / Datp Application Approved By............... ---- 1.111_.8 ---------- Date Application Disapproved for the following reasons____________________________________________________________________________________••-•---••-•-•-------._.....- ......................................•--.....__....---------------------••------._...-----•--------•--•---------•-----••-•-----•------------------------------•--------...--------------------•--•----- Date Permit No.__83.-................................................. Issued------........7/11(/-83 Date .......................... 83- 5/y $ 10.00 No.-- ----•--. F�s.............................. j THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............".".T.awn--..........OF.Barnstable-.-........----------------••---•••......-•---............-•-- Appliration for Disposal Works Tnnitrnriiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 47 Third Ave., Osterville.__FA ._02655 ................_.._.._.... .......-•-..... -......... --........---•---•----•-----..............--- Location-Address �/�`�T - or Lot No. Jeffrey Parker 47 Ave. Osterville.................. 05........... - - •-.......-•------•-••------------------------------------------ ..----•---------- caner Address W A & B Cesspool Service 128 Bishops Terrace, Hyannis, MA 02601 Installer Address Type of Building Size Lot....... ..................Sq. feet Dwelling—No. of Bedrooms...........................................Expansior4Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ............................................................ -------------------------------------•--..........--------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic 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 Othert 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........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ IC x -••----------••--•------------•-•---••-••---------------------------------------•---•--..._.._------......................................................... 0 Description of Soil...........7 --Sand-•--•----------•-•....--•---------------•------•--------•---•----•-•---•-••-•-•--•--•-------••••---•-•------------------------•--•-----------•- W ---•------------------------------------------------------------------------------------------------------------------------------------------------------------------•--------•••--•••......-•-.------ UNature of Repairs or Alterations— nswer when applicable...-9_nsta.ilation of a 1,000 gallon stone packed leach pit (overflow). -------•------ -----------------------------------------------•-• -•--- -----•-- •--•----•• • -•--•---••----- ---•----.----- •-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI1 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 the boardo he `e [!/ �1� Sign z. r r'%_..cr-- -/-�` . ,----7 3 =— - •. r �11/8 Application Approved By................. i 7(d 3 `s ..Date Application Disapproved for the following reasons----------------------------•-------------------------------------------------------------------•---------....._ -•----•..................................•---•--•--•-•------....-----.....----•---..........--•---------.-------------•-••••-•--------••---•----•-----•---••-----•---••-•-------•--•--••--._......•----- Permit No.. 3........................... .... Issued 7/l 1/83 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town..........OF.....Barnstable ..................................................... Cwrr#ifiratr of TuntpliFanrr TI 1 1f & pt5c1IFSYi'viCe the1J 1 i{lu�l Sew e Dis osa l sco ruc e or Repaired x s e , s ops 6b1 ) p ( ) by --------------------------••-------------------------.-.••---------------------------------.--..----------------------------....-----..-...----------------------- 47 Ave. Osterville, IMA 02655 Installer Jeffrey Parker at...----- -----------------------------•-•---...--------------------------------- has been installed in accordance with the provisions of TJ5IF of The State Sanitary �?11 ya.%-described in the application for Disposal Works Construction Permit No..................ZY.............. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILT FU tCTION SATISFACTORY. DATE................1...........-••--•-----------..........-•-----------•-...•--_.. Inspector........ .... _...---------------------------....---••---•--••-••••-•............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T own Barnstable 83— �r�,G� ......................oF..................................................................................... $ 10.00 No....................... FEE............:........... Disposal Worko Tu'lans#rnrtion rrntit A & B Cesspool Service Permissionis hereby granted.---•-••-•-•--•-•----------------... -•+---.--••••.-----.........------...-••••-•---•-----•---------------------.........---•••......---- to Co r Re 'r Ind' 'du T e 's S t ' �AV 40,p st r�i�'�e, '1~A �2 g _Te$�re yf�ae&er street the application for Disposal Works Construction Permit No.�3 as shown on ......__.___*Dated 11�83 00 7//a/83 oard of Health DATE................................................................................ FORM 1255 A. M. SULKIN, INC., BOSTON