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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