HomeMy WebLinkAbout0055 WATERFIELD ROAD - Health �S WaA-er-�Re\d Ror_ccQ
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LOCATION _ SEWA E PERMIT NO.
VILLAGE
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A & B CESSPOOL SERVICE
128 BISHOPS TERRACE, HYANNIS, MA 02601
BUILDER OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
............... ...._------------......OF............................I............ ------------.............................
Appliration for Uhipasa1 Works Tomitrnrtinn "rani#
Application is hereby made fora Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
Water Field Rd. 0sterville 55
..- ------..__..............
•-•........................•--•-------........_............... .......----•......••----•-----•---•------•-•------•---•------------ .......... _
Paul Lymne os Location-Address 55 Water Field Rd iAt No.
OsterV �Ye'
......................-.......................................................................... --......-•--•------•-------•------•---------•----.............................................----
Owner
a A �c_.R._C�ssgool._ e7rYi�e........................................ .....128 BishoPs_Te.=ac e�yanri�la
Installer Address
d Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms.......... ..........:....................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—T e of Building No. of persons............................ Showers — Cafeteria
04 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 ( )
04 Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water..--.................--.
fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
, .
ODescription of Soil........................................................................................................................................................................
W
U -•----•--------•-•-----....•-------•------••-•-•---••------••-•--•-•-••---•--•-•-•....•••......-•-----•-•••-•---•------••--•-•----•---•-•---•-----•------••--------------------••••-----------------••--
W -•---•---•-------------------------------•------------ -------------••----------•----------•------•-----•----•-------------------------•-•----•••------•--•--....•-------•-----.....------••-•----......
UNature of Repairs or Alterations—Answer when applicable...l00Q--Gal-•stone paked over flow
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of T ITLE 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 b 57 Var�,dlllqffh.
Signed.d - --------•-•-----•-- .............
Application Approved By...............: ......................................... ------...... -� ......
Date
Application Disapproved for the f o wing reasons:------•--------•----------------------------•-----------------•-------------------------------•-.............._
........--•---•-----•--------•--------------•---•-•----------............-------•---------•--•---....--...---........................-----...----••------......-•-------•------------•--•---•----•-_-•---
Date
Permit No.........................................................
: Issued_.......................................................
Date
I.r i
Fizz MUM—
f. THE COMMONWEALTH OF MASSACHUSETTS
a
BOARD OF HEALTH
1Town
Barnstable
,� lirtt tnn f nx , i a ttl .arks Tonstr1urtion PPrutit
Application is hereby made for a Permit'to Construct ( ) or Repair ()r) an, Individual Sewage Disposal
System at:
Water Field Rd.`Osterville 55
....::......:..__....__------••---.....- ..... -...- .................... ........ •-----•----.................._......____......_._._.................---..........-•--
Paul Lymneos Location-Address 55 Water Field Rd:ot No. Osterville
.................... __ --........-•...................................................... . .............................................. ....._..........................................
Owner Address
CesSpo01--;service....................................... ...... ...........................
Installer Address
Type of Building Size Lot............................Sq. feet
14 Dwelling—No. of Bedrooms...........Z..............................Expansion Attic ( ) Garbage Grinder ( )
p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a Other fixtures ---------------------••---•--•......•----•......_. ....... _
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
Septic Tank-Liquid capacity.............gallons Length................ Width................ Diameter................ Depth................
x 'Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft.
3 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. 1.........:......minutes per inch Depth of Test Pit..................... Depth to ground water.........................
f=, Test-Pit No. 2_1...........:..minutes per inch Depth,of Test Pit.................... Depth to ground water........................
a -----•--------------------------•...............•----•____________---_..... ____......._--____...................................................
0 Description of Soil........................................................................................................................................................................ .
U ...............•--•-•-----•---------•----•••-•---•--_.......-•-•••...-•--•---_______-•--.........--•...._____....._...--••----•---...--•--•••.-- --............._....._.....-----••-----___________..
W .
U Nature of Repairs or Alterations—Answer when applicable....1affl_-Gal._atone...paked... w X..fIOw.....................
•-•-------------------------•-....••---•-------•------•-----------------=---•--.._.......-•-.......:.....---•-••--------------------------••••••---------•---...........-............._..---•------_....
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 been issued by the board of lth. ,��,
SI d �- A - - .............. ► to g, ►'► -
Application Approved By..............
Date
Application Disapproved for the following reasons:........................
:...............................................................................__-
............................................................................. ....................................................... ...........................................................
Date _ A
PermitNo..................................................._.._ Issued. - ._.. - ._...--------
Date
THE COMMONWEALTH OF MASSACHUSETTS c0
BOARD OF HEALTH
..........T QIM.....................OF..........Barnstable
......................................................
- Trrtif irate of Toutplitturr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X)
by......._!.......B.Cesspool.. � e............................................................::.....••---...---•----•-••-----••--•-•-•--....-----................._._ ., .
Installer
t55W�ter FieldRd.at _ --......_••---...._. et
�xv 11e.
.............................................
has-"been install-d in accordance with the provisions of TITI r�o�T4,Vtate. Sanitary CQde as desscri_ n the
L, - dd
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE
application for Disposal Works Construction Permit No............................... . dated........_.._.__........ .•.........._......
D"AS A GUARANTEE THAT THE
SYSTEM WILL F N TION SATISFACTORY.
-_. Inspector---------------
DATE.............. ..� ...................................... --------------..-- ----- -• . .......................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTHCIO
95_74(a To Barnstable
�. ��ts�r,auttl t .��un � # h�.erutit
Permissionis hereby gra _...--•-----------•-•-•-•.....................,_...._•----•-•--•-••-••_____...•--•--••......_..................______................._•-__
to Construct or vid e a stem
atNo............................... -••.:..--••--•.............................................................. j,•��6 ..---.......
Street,.
as shown on the application for Disposal Works Construction Permit No...................�te ................
a� g ....................................................................................................
r
B of Health
DATE........ ..........
FORM 1255 A. M. SULKIN• INC.. BOSTON
r
a L,..No................ FEs...V� .................._
THE COMMONWEALTH OF MASSACHUSETTS G
�� BOARD H EA TH
i � 1Y(.rLV1. .._....OF...... .. .. ---- ---------------------------------------
ApplirFa#ion for Bhip ial Workfi C iamitrurtinn 11amit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
ion-Address 1 or Loto.
Owner // Address
a ......................... ........
Installer Address
Q Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms......................................Expansion Attic (4,, Garbage Grinder
04 Other—Type of Building ------- No. of persons____•----------------- Showers Cafeteria ( )
dOther fixtures .----------•--------------------......................................................................................................................
Design Flow.....................................".._gallons per person per day. Total daily flow_.____....__.____..•..._._............._....gallons.
WSeptic Tank Liquid capacity-.M..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_-___---________-----._.
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a --•--------------------------------------------------------•---•--•-------------••-•.....------•----........................................................
0 Description of Soil........................................................................................................................................................................
x
U •-•----•-•-•----•-------•-••-----------•--•-•-'-•--•-•••-------•'•--------••-•---••'-••-'•......----•--••-•-'--•'---' ...' ----- ----
W --••--------------------------------------'--._.....-----"------------------.....-----"'--------------------•-
VNature of Repairs or Alter tions— saver wheq applica �:j-�_�_= _(]y�� //____.:__ _'_____ .�Lc.....
....................................... _ _•_•__•___•_ J..... ----KL•-----_ / .. ..4_ q.-----------_•-•----__--_---.............._..___-__-
Agreement:
The undersigned agrees to install the aforedescribed ,Individual Sewage Disposal System in accordance with
the provisions of'T11-717, 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 health.
igned •-''••---•••....
Date
Application Approved By•-••••... �/ y( � -•----T i/------------
Date
Application Disapproved for the following reasons-----------------------•---•' ---•-••7..,-
. •---------•-----•-•---•'-----------------'---•-•••-••--•----
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF// EALTH
I.....'1`'Lr!1 .:..OF................ . .. ...GL/. ................I......................
Trrtif irFatr of Toutpliane
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
by----- ------ -+incordance
------ --------- --------- --...................
_ In a
at-•• � Gt-a..........�5 Z eft------
r-
has been installed with the provisions of T 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit N 7 .._:__� 7.............. dated----.._71_G'j_'__7..�..--------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE 14AT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD HEALT
C7)
............. .... .......OF......... ... ---..............N ... .... FEE...J................
Disposal Works TDnn#ra ion rrnti#
Permission is hereby gr ted.............................................................--•------ ... • •--
to Constr ( ) ep ( 41'an Individual Sewage Disp ...gal y tem � ,
at
Street
as shown on the application or Disposal Works Construction Per i No.. .......... .. i ted--__T'1. 7 7---._-----••-
----------- F
DATE......................---------•--------•--------...........--•-•--•-••••_.•-- Board ofof Ht
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS -
r7
K.. Fig...........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F H EA TH
----.. . �. O F ---••------
... ... � �� " "J
AVVIirFation for Diipnsal Works Tonstrurtinn rrrutit
Applicatidn is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at q
.......... e .. .. .-------• ••-----•----•----------------- ...._.
�VAs Address
Installer Address
Type of Building Size Lot............................Sq. feet
�-, Dwelling—No. of Bedrooms---------,________. --.-
Expansion Attic Garbage Grinder
a.
aOther—Type of Building ----- No. of persons-----i"l------------------- Showers (I ) — Cafeteria ( )
d Other fixtures ---------------------------------------•-------•---•--
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
1:4, 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 Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed .by-----------------------------------•--•---------------...----•----------_. Date........................................
Test Pit No. I :....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........................
C4 ---------------------------------------------------•---------------•-----•---------......-----------........................
•- ....
••-•------------
••----
0 Description of Soil........................................................................................................................................................................
x
U •-•---•--------------------------------•--------••--------•-----•-•--••--------------•---•-...---------------•------------•-------------- -- ........................................................
UW --••---------------------------------------•---------------•----•------•----------------•------------ ------
Nature of Repairs or Alter tions— wer when applica e -�._ _"
; °Z, -- -------------------- ------•-••--•--------
Agreement:
The undersigned agrees to install the aforedescribed,:Individual.Sewage Disposal System in accordance with
provisions of'T L the
p 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 health.
gned
------------•------• ............ .
Date
Application•.Approved By--------= d_ .''+ �' ...........
Date
Application Disapproved for the following reasons----------------------------------- - ----••------------------••----------..---••--------••-----
..-------••.................................•-------------•----------•---••-----
Date
Permit No.................................:.: Issued..
-•--.._..•-•••- Date --••--•••----•----•-•••
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF WEALTH
.............../t.. ....OF...... ......'. .. ..zZ444.. ..................._...................
U'prrti iratr of ToutpliFana
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
, .
In a e'
has been installed 4incordance with the provisions of T j of The State Sanitary Coe as described in the
77
application for Disposal Works Construction Permit N --------AW_1.............. dated------- ' --
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. .
DATE.:....:.......... Inspector ------------=--•=-.................................
THE COMMONWEALTH OF MASSACHUSETTS n
BQAR�D' HEALT w
'l� ......OF......... _.__ ................... ro ,,
N ......... ... .... .. FEE----�_7...--••---•-•--
Etsposal Works TaInstrudion amit
k Permission is hereby gr ted-=------------•--------------------------•-- --•---•••------•-
%' to Constr ( . ) rRep r ( j41"an Individual Sewage Dis 0,al Ay em`
at No.. .
' Street
as shown on the application or Disposal Works Construction Per o._ � ,`__ ted_.__�".�..........�-----_-----
..
Board of Health ,
DATE .....::..............•-•-•-----••-•- �^
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - ,