HomeMy WebLinkAbout0223 WEST BAY ROAD - Healthr aa3 uanP- i�„a a�., u�P
L�„�� 10 ��� ` SEWAGE PERMIT NO.
VILLAGE
INST LLER'S NA)d E ADDRESS
4
OR OWNER
P
..�. AW, `
DATE PERMIT ISO ED
DATE COMPLIANCE ISSUED � ` t�..` Yy
z Q
KNO
No:.l11-.c � ...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.......I...........OF........................................................................................--
Appliratiou for Uiupuuttl Work,5 Tunutrurtiun Vanfit
Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal
System at:
10
. .. `a l...l `d..1 ....2�YJM I Lei �8
................•---•---•'-------•-•��V..............................................
Locatign.Addr ss o Lot No.
yl�� � ![V. 1�►! ` .....................................
Owner Address
W
Installer Address
QType of Building Size Lot.. ?(.f.(_.6.....Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons............................ Showers — Cafeteria
Qt: Other fixtures -------------------------------------------••-•--••---•-••-•---•--••••--------------••-•-•-----•-••-....._....---.................•--•................
W 'Design Flow............................................gallons per person per day. Total daily flow..._....................._..................gallons.
WSeptic Tank—Liquid capacity.1 .(W.galIons 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. 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........................
•--•--------------------------••-------.............................._...._.............•-•------•-•.........................................................
0 Description of Soil...........................................................................................................................................-............................
x
W -- -=-------------- ------- -----•---------------•-----._.....------.........--------................. -•---...( .......
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 be n issued by the board of health. n
... . .
ApplicationApproved BY ----- •- ••••••.. ...........................................................
Date
Application Disapproved f e owing reasons--------------------------------•------------•---------....--••-•--------•---•-••-----••••.......................
.................................................. .._._..................-•••....._......•------'--.........---'-•--'---••-•--•--•-•-•-•-•. .........................................................
Date
PermitNo......................................................... Issued.........................................................
Date
+ 1
.� __ ----- ----
s
-:
Fps....:......................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.................OF....................-.....----..........................................................
Appliration for Mipas al Workii Tonitrurtion Vamit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
..--•-----•-•--....-•-•-----..... .
_..................•-•-----..._._....----------•--•-•-----....... --•-----•--••-•••--••-•-•-•-•-----------------•---•-•••-------•--••-•------------•-•-••-----------
Location Address or Lot No.
............. •- -------
..................
•-------•---•----•-•--•--- ..........
•-•.........
Owner Address
............ ............................................................. ..........6........................................................................................
Installer Address
Q Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures _________________________________ _
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
C� Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
x Seepage Pit No______________ i_______ 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........................
----------------------------------------------------------------------------------•-•-•••=--•-•-•-••--•-.._.._..-••--•--•-•----._......._..._..•-•••--_•••--
0 Description of Soil........................................................................................................................................................................ '
V ••• ----•----•-••---••• --•-•--•-•-•--•-----•----•---•-•---••--------------------------------•-•.......- --------------__._....•-•--••----------.........--••-------.._....•--••-
W --------------------- ----- ------------------------•--•.._._..---•---•---•---•---••••••-...••--••---•_-
UNature of R irs 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 Compliance has been issued by the board of Health. „
---' / t ................................... •--••--
ApplicationApproved By.. .-.. ---- = ........................................................... .......... -• ----- ...............
„ Date
Application Disapproved f e owing rea.sons:...............................................................................................................
-
.................................................. ---•----------•----------•-•----.........._...__•--
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................................................................................
Trrtifiratr of Totnpliatta
TbHS TO CERTIFY, That the Ind-vidual Sewage Disposal System constructed ( ) or Repaired
by.........-_.... --- - ----•- .............................................------• ----- .........._-•-----......
_ •• ....................Installer
at........ . .---•-•-----•-_ ••••----- ...••-..... . ------------------**
been installed in accordant wit i the pro 'sions of TITS 5 of The State Sanitary Code J d ibed in the
application for Disposal Works truction Permit No._-_ __Y_-:_ -:: _._.... dated..- _-_ _... .__7______________
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A 6UAIR NTEE THAT THE
SYSTEM WILL FUIJCTIOV SATISFACTORY.
DATE.................... ���_____----•--•--------------••---- Inspector.------- ------- --
"�. THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_ a
..................................OF.................... __...._......._..-...._...._......__._.._....._.._.........
F E_:6.... .........
�i� o rk� �on�trttrtion rrutit '`�� �� ,e-
Permission is hereby granted-- .... ............•------••----•-----••-------••-----------•---•-----------..._..----._............_.........._.... ..
to Construct ( ) R n Indi d a ewage Disposal System
atNo. Z.2_3....... ..........................•..........................................................................................
Street
as shown on the application for sp al Works Construction Permit N ....... ____________ Dated..........................................
Board of Health
DATE--- =--------------------------------•--------•---•••----•-•••---•------•-_...
�`'"'�•;,,iyy" FORM;4255 A. M. SULKIN, INC., BOSTON
„Y�
p'J --
No....83 2_ - 110.00.....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
....................... own..--.....OF.........Barnstable.....
Appliration for BhgpwiFaf Workii Towitrur#ion Errant
Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal
System at: ($& O ySfe r, Gv ae y
208 --........,..Oyster Harborsx -.026j5.. -•........................•-------------•-----------------------•---•--..........------.
....
Location.Address or Lot No. 02655
Joseph Swan 208 West Bay Road: Oyster Harbors�..MA . .....
--........._.... • .. --- -- --•.
Owner Address
W A & B Cesspool Service 128 Bishops Terrace, Hyannis, MA 02601
Installer Address
Q Type of Building Size Lot.... ......... .........Sq. feet
U Dwelling—No. of Bedrooms.............4............................Expansion Attic ( ) Garbage Grinder ( )
04 Other—Type of Building ............................ No. of persons.............5------------- 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........................................
aTest 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-----...................
P4 -•••--------------•...••---•••----•••-•-------•---••-•--.....•=--••---------•---•------------------..........................................................
0 Description of Soil........Sand.......................................................................................................................................................
x
W
UNature of Repairs or Alteratio —Answer when applicable..installation of a -1,000 gallon, ID cast'
stone packed leach pit �overflow) .
---------------------------------•--•-----•-----•-----------------------------------...............-----••-•-•----------------------------------•--..._...•------- .....................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITiZ 5 of the State Sanitary Code—The undersigned fur :er agrees not place the system in
operation until a Certificate of Compliance h �,.u.ebye b
9�28�83----- - -------- . . -- ---------------
9/28/ j
.... . ..........................................Application
-------------•-••--•--------=....................................
......................................•-•-------•-----------....-•--•------••---------•-.......--•----•----•---------------------------------------------------------.......... .......--
Date
Permit No._.E3- .. Issued.............•./2$/8
............................................ ........................
Date
THE COMMONWEALTH OF MASSACHUSETTS
CCC�i� BOARD OF HEALTH
Town O F.................. Barnstable
............... ....................... ...................................................................
Curdifiratr of f�ompliFaatrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x)
c..B..�es�pnnl..SPx�ricp-,...128.._Bd.shops...T-erimca,...Hyanna_s,...MA.....112LOI.....................................•......
Installer
at........ZQ8-..Wezt..3a,Y--Rd...,.--�ster.Ilarhnrat--A2655.----.Jnsaph_.8wan.............................................................
has been installed in accordance with the provisions of TITLE r of�he State Sanitary Code as described in the
application for Disposal Works Construction Permit No.._83-__0 ................... da.ted_.9/28/8.3.............................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.....r'gl..y.......1 3............................................... Inspector- --. ........ .........-----------•-•-----•--....................---------
G
No....83-............. F�$...$...lo
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
................. ....Timm.........OF..........Barnstable.....................................................
ApVftrFa#ilan for Disposal Works Tonstrnrtinn Wrani#
Application is hereby made for a Permit to Construct ( ) 'or Repair ( X) an Individual Sewage Disposal
System at:
208 West Box..Rd.., ter_Harbors:.. .....02655------•-------------------------------------------------------------------------------------------
.TOSe h Swan Location-Address or Lot No.
....-----P -------------- 208 West Bay Road,-�Jt: .e_. .. � b4s.►...IA..__02655
Owner Address
W A & B Cesspool Service -------------------------------------------- 128 Bishops Terrace,
Installer Address
UType of Building Size Lot___________________________S q. feet
Dwelling—No. of Bedrooms.............4............................Expansion Attic ( ) Garbage Grinder ( )
'k Other—T e of Building No. of ersons______________ ____________ Showers — Cafeteria
a' 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..................,.....................
a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.....................
�14 Test Pit No. 2................minutes per inch Depth of Test Pit-------'-..._._..._.. Depth to ground water........................
a' ------------------------------------------...........-------•--------.................__._........::.............------.......-----------.......----•-•-•_---
O Description of Soil....... a
V ti
W
V Nature of Repairg or Altepr ttiorys—Answers when applicable._ nstallatiori of a..... 000 �allon� pre-cast,
stone aclk, leach it l overflow).
-------------•----......-----------------•---...-•---------------------------------••-------•_.....•••••-•••••-••-•••---------•-----------•••••--•••----•----•••••••-••-•••-••••••-•--••--••----_•••-•-
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 Compliance has�bbee i ued by the b and af'l�ea''K.
�... (_�� 9/28 8
and.._ -•_---------••---x'.=;=�`� �s � 3
v ...........
g�28/ e
Application Approved By-•--•--•---•...-•---•-----•-•••---•-•••......... - --•••------••--- ..----••-•-••-•---.. .....-• •••• ----------=---------
Date
Application Disapproved for the following reasons-----------------------------•-------------------------------------------------------------...-••...•--•----•---
....................................................... ••-•------•...•••-----•---•--------------•-•-----•••----•-•-•-•-••••-----••---------•-•---•-••-•-•--•-••-•••-•••••-----•---••••-••-••--...._..--
Date
Permit No.__3.=..-------•--------------•--•--.._..---•-•--_.. Issued..............9/D 8/•83----••---•--__-----
te
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............Town Barnstable
.....................................O F................................................
Trrtifiratr of TomptiFanre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (x )
zxace4..H -s-,---M' ------02-601............................................
Installer
at-••--•_208_West-Bad' Ltd..-,-••(lister-HaxboxA._.42655.._ ---Jm.aph._Sman---------------------------------------------------------------
has been installed in accordance with the provisions of TITLE go ''Oe State Sanitary Code as described in the
application for Disposal Works Construction Permit No.83-________________________•....... dated--9/28/83.............................. 1�
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE ,
SYSTEM WILL FUNCTION SATISFACTORY.
// .............•--- ---_..._. Inspector...----•---------------......-----...---------------•---•--•-•----•-•-•...._._......
DATE.....•9 --•.........1.83
THE COMMONWEALTH OF MASSACHUSETTS i
BOARD OF- HEALTH
Town . Barnstable
d 6(� ...........................................0F.....................................................................................
No.••.3 ................ FEE.$...10x00...... 1
Disposal Works Tnntr i.on rranit
Permission is hereby granted.........A._&._B_-QeE�zpQQ1.$nTv csL-------------------------------------------------------------•
to Construct40g)W&tRT6 %d) aV&gj AA,, e ft3 .§yjt eph Swanat No 1
- PP P 9/ 8/ 3 t
............................. ��....�'---------------•-----....._.•---•••---..._-••---
as shown on the application for Disposal Works Construction rt No._ ated.__.__._ 2 8 ..................
9 ,AP. Board of Health
DATE......................... /-------_••--
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
I
( 0
LOCATION SEWAGE PERMIT NO.
® ?° Ill-,S7',&<4Z R�
VILLAGE
A & B CESSPOOL SERVICE
128 BISHOPS TERRACE, HYANNIS, MA 02601
BUILDER OR OWNER
DATE PERMIT ISSUED ,a-o
DATE COMPLIANCE ISSUED (�
67-C> .�
1
7
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