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Home My WebLink About0188 WASHINGTON AVENUE - Health ( �38 �1ash� -ton r��,✓�.�- 13�-o�g` �� ,� r T LOCATION SEWAGE PERMIT N0. -VILLAGE INS A LLE ' NAME ADDRESS BUILDER OR • J_WJI R e , c, DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �� l 6 16 �eiui, THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ......................Town---......OF........Barnstable.-... App iration for Biipnsal Works Tomtrnrtiun amit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: ......YAj�UX,9.tQJ...AVQ,....... --M,A.....Q2655................................................................................................. Virginia Location-Address or Lot No. 026......................Gilpatrick....-•.................•.....-.......---•--.............. .......--.Washington-_AY.e._�..-Osteryillex--�'•..... Owner Address a A & B Cesspool Service --•-•----------•-------•-----•-•-•-- 128--Bishops Terrace,-Hyannis, MA 02601 .--... Installer Address d Type of Building Size Lot:...........................Sq. feet V Dwelling—No. of Bedrooms............ 4 ................................ Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building -------.................... No. of persons---.--2.--.----.-..-_--_-- 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 ( ) aPercolation Test Results Performed by........................................................................... Date........................................ Test 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........................ ------------------------------------------................................................................................................................... 0 Description of Soil...............Sa?ld.......................................................................................... x U W -------------- --------------------------------•---------------------------=----------...-----------------------------------------=----------------------------------------------------.-...-------••-- V Nature of Repairs or Alterations—Answer when applicable-.installat ion_of-•a-1-,000-_gallon,,---pre_-cast, stone packedleach pit (overflow)._ ----•--.....--•------------------------------------------------------------------------------------------•-••----...-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI:L is 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 lth. Sig _....-... ' Z/ 6�82 - ate ' Application Approved B ... •----.......•••--•-------•--- -•------ .........7l 6 82 -------------------------- Date Application Disappr ed r he following reasons---------------------------------------------------------------•-............................................... .............................. ..... •-•• -••------•-.-...-•---•---•••----•-•---••-------•---....••--------------.....•------•-------••----•••••••••-••---••-------------•-----Date------...---- Permit o.... -----..-. Issued-----�$�F ?/ 6I82 2.- -- - Date _ FEs..$ 5.00..... No....R2._.. ..�..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... ............Town.........O F........Barnstable.....------------......---...---..................-•---- Allp irtttiun for, Biipuattl WorkS Tomitrurtiun ami# Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: ..............IiTashiw►g n._Ays.......Qste=11-34..VA....WL55............................................................................_..................... Location-Address or Lot No. Virginia r� tr.Lck.......... .... - Y�ast?in Qn..A�e.. ,_..Cs:�e ! .1]s. '�...Q �.SS pa Owner Address ............................................. 128._k�:.sk�4p�..Texxae¢.. iyanns�►... A....QQl Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms__________________4.........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons......Z................... Showers ( ) — Cafeteria ( ) QI 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........................................ 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------------------------ ------------------------------------------------ ------------------------------------------------------•-------•--•••---------••-••-----.... ODescription of Soil..............._sand.............................................................................................................................................. x - U ------------------------------------------•--•-------------•---------------------•-------------•------....._....._..__......__._....------...._...._..-------------....---..__...........•••••-•--••-••- W ....................................................-••-•-•---••--••-------- ---•-••--•••••-•--•••----••••••••------•-••••••••---•-•-•••-••--••••••••••••.....-•••-•-•••••••••••••••._._...-•-•_•_•-•- UNature of Repairs or Alterations Answer when applicable.__1n6till1ati.Q11-_Q#--a._ a,•••.remmat, r?:Wne..pac.1wc1..1eacb__pit_-(p"e -OV)•'L•-••-••--•--•--•-•-•••••-••-•••••••••----•-••••••--••---•-...••••-••-••••••-••••••••••---•-••••••••••••.._....•••-••••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of ILTIE 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 lth. -?`-- /-•--/-•6 ,2 Signe"cf_��-t:_•_�;z-�- -----��.all�i_--�---•---`•- -•--...---•---••- Application Approved By=--=•; r -----------------------•...-------------------.._..................... 71-•611.............. ,f -------------••--•--•-•--••-•---••--•••. Date-•-•-._......_ Application Disapproved'f� the following reasons____________________________,________.____.__.__.___ // / _ -f_-......-••...................•-•-•-•••--•-----•••••-•-•••--••...•-•'-••••••••••--•••-•-•-••----•••-•-•--••••••••••••••-•-•--••••••-••••--••.__.._------ ..............•----------.j.!---•-��° Date Permi ....... 2.-........................................... Issued_ `- 6��-2------•---------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............. own.................OF..............--..R.arnstable._..........._..............._...-•---... �rrtifirtt#r of f�unt��ittnrr THIS IS TO CERTIFY, That thee jndividual Sewage Disposal System constructed ( ) or Repaired (X by .. ) A & B Cesspool Service, lti Bishops Terrace, Hyannis 1.A 026 01 _ ---------------------•---•-------•--•-•---_-- ------------------------•-•----•---•-------------- Washington Ave. , Osterville, MA 02613t°=r Virginia Gilpatrick at---------------------------------------------------------------------•••-••......_•••••--• -•••---••---------•-....•••••••-•••-•--•-••-•••••--•••••-••-••--•-••••._._._.._.._.._.......••••••-••-•- has been installed in accordance with the provisions of GG TI1I;r5 o�Th�g,State Sanitary Code asrfJd in the application for Disposal Works Construction Permit No.............. dated-...............s7d�e-_-_// _..__..3� _.__._.___.__.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. Jam DATE.........��.6/82..................................................... Inspector........................... 1 `�' ,-•---------••••---------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................Town.........OF........�arnstable.--............._. . No..ts2-3,5. FEE$...5.DQ......... Disposal Workii Munstr ion amit Permission is hereby granted..................A & )EI Vesspo of_Service to Construct or Re air X) an Individual Sewa Di posal System at No.....s...........4 s_ ingtoli Avb. , Ostervillq MIA 6s - Firgini.a r__i trick I ..................................•--•-••••-•............................................ Street as shown on the application for Disposal Works Construction)P�{erat No......%�______ Dated____7�.b��?..................... � - - j/ 6/82 • ------------------------i_._..__...•-Boand of Health........................................ DATE......................................................................... ..... _ ' FORM 1255 HOBBS & WARREN. INC., PUBLISHERS( r No......................... Fix ................. A THE COMMONWEALTH OF MASSACHUSETTS OF......... -- --- -- 4�✓ •---------4 AVVI tilon for Mipmal Worms Tomitrurtivat Fiernfit CIA 11 Application is ereby mad for a Permit to Construct ( ) or Re it ( 4�a�_nIndividual Sewage Disposal System at: ............. .�....----�/`�' -- R--•--- -- Locatio -Addre -- Lot Nddresso. ner ...............A - a Installer Address ype of Building Size Lot____________________ _____Sq. feet Dwelling o. of Bedrooms.............._.............................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Pa 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........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit...................: Depth to ground water........................ 01 Test Pit No. 2.............___minutes per inch Depth of Test Pit.................... Depth to ground water........................ 01 -------••••-------•••••-----•••-----••••----••-......................................................................................................._-•--- 0 Description of Soil.............................................................................................................---------------------------•------••--•-•••-------------•-- x U -•••-•-----• -----•-----••----------------•---------------•--•----------•--••-•--...•-•----•------•-•---....---------•••----•••----•----.._..•---•-••-••------•-----------..._._......------------ W --------------•-••••------••-•••-•--•••---•-••-••------•••••-•--•---•••-•••••-••••=•--------------------------•---- - ••-- -••- 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 Article XI 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. gned.__..._ .... --------------------•--.......-------------•------•--------------- - ------------•--------- at Application Approved BY -<� - Dat Application Disapproved for the following reasons:.....................................______________________.................................................... ...................•----••----•--•-------•---•----•------•---•---------------•---•-------•-••-•-•---•---------------•-------•----- ••• •------•-•----•--•-------•--•------•-•-.................. Date PermitNo......................................................... issued........................................................ Date No....... FER49.................. ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD, OF HEALTH ...........................................OF................... .............................................................. Appliration for Uhipogal &ftii Tom Ar rtiott Vrrutit A fi tion is ereby mad for a Permit to Construct or Re '.r'( an Individual Sewage" Disposal "'c PP _4N System ai- ............... .................... ................. Lot ..... ..... ......... .. .. . ........... .. ............... Locati - ------ ---- 4 or ...................... No ........... ... ........ .... .... 01 Tner Address & ...... ...... ..... . ...... I. .... ...... ... .... .......................................................................... Installer Address U ni ype of B ild Size Lot..... :.............Sq. feet i Dwelling o. of Bedrooms............................................Expansion Attic Garbage Grinder P-1 Other—Type of Building ............................ No. of persons............................ Shower's Cafeteria Other fixtures ... --- ----------------.................I Design Flow:...........................................gallons per person per day. Total daily flow............................................gallons. Septic Tank;—,-Liquid capacity............gallons' Length................ Width________________ Diameter____-_._---_____ Depth__.............. Disposal Trench—No_........ Width___._._._.._._.____: Total Length............._gth...... -.......7t...... Total leaching area....................sq. f t. Seepage Pit No-------------------- Diameter..__:-___._ Depth below inlet..................... Total leaching area...................sq. ft. Z Other Distribution b&*`( Dosing tank Percolation Test Results Performed by.............. .................. -------------------------------*------- Date........................................ Test 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.___....._.......-...._. 1:4 .................................................7............................................................................................................. 0 Description of Soil........................................................................................................................................................................ U .................................................................................................................................................................. .......................... ................................................................................................................. ... ------ -------- ... ...../.../- U Nature of Repairs or Alterations—Answer when applicable.- ....................................................................................................----------------------------............. .......... Agreement: The undersigned agrees to install the afoledescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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. .......................................... --------- -------- 7P�------------ a�t, , Application Approved By_ .. .............. ate Application Disapproved for the following reasons:.............................................. -7............................................................... ....... ........:./. .................................................................................................................... ................ ........................ ................... Date PermitNo........................................................1. Issued... .... .......�Z ...... ..................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD 0 HEALTH OF... ........:......... ......................................... Q-TWrtifira of (giant iattrr T S IS 0 CER Y, hat the vidu Sewage Disp s em 'constructed or Repaired AIF by... ..... .. ...... ........ .... ..... .................... .. ... ........ ... ............................ ............. .. ..... I staller .at........... .. ............. ....?Vtt ........... .. ...... ........... ..... ... ..................... has been installed in a rdance with the provisions of Article of e State Sanitary Code ac/desgribed in the or application for Disposal Works Construction Permit No.___ __:_-- ...I.... .............. dated----- !/..7.. ............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNC O SAS-I.SF CTORY. . .. .. ... ........ .......................1, Ins DATE............. ..... ... Inspector.::.LOS .......... ........... ........77- ............ THE COMMONWEALTH OF MASSACHUSETTS. BOAR F HEALTH/ � A. -, ' A &-e .. .... .......... .....OF .. ... . . . .... No.... ...... FEE...oZ,4, -Dispoll 10 11 i, pr tit Permission isXereby granted...—.---— i...... .............. .... . ....... .................. c ........ i. I 4L to Constru (M R Individual S age DA&os?eSystem l _1yr) e A at N ------------- .... ..... . .....k� Street as shown on app'lition.for Disposal Works Con structio er it N. ............. ....... ....... ------------------ .7 oard of Health,.e.Z - DATE...... ............ 1...7.......... A/11 FORM 1255 HOBS W N. INC.. PUBLISHERS