HomeMy WebLinkAbout0195 WIANNO AVENUE - Health (2) 195 WIANNO AVE
OSTERVILLE
A 140 -142
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,:�6L0 C A T ION ? SEWAGE PERMIT NO.
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VILLAGE _
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INSTA LLER'S NA E i ADDRESS
A5241 J'
Jooez-
t U I L 0 E R OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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No 80:... ��.. FEB ..........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
........................Town._.....0F.......14r stable.....--....................................._.........
Appliration for Bhipoii al Worko Tomtrnrtilan "unfit
Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal
System at:
19S...Wia ma.Ave. .1�.�.....NA.....Q26..5....... ............................•-----•--•---------....
Location-Address or Lot No.
..oyd__Wat..on... ... .......................................................... 19:5..XiarinQ..Aue.d*...0ste=i11e_,...MA.....026J .
Owner
Address
aA .. .. Cessol 28_Iies. era
....... _•_•......................................... hag � .....026al.....
Installer Address
Q Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms................3..........................Expansion Attic ( ) Garbage Grinder ( )
a
p,, Other—Type of Building ............................ No. of persons..........3............... 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 ( )
'-� Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground "water----_.-.__-------_---_-.
rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.__-______-____--._-__.
------------------------•----••----------------...._.....----------------.............-•-•--......-----------•--...•--•-------••••-•-•....-•.••••.
ODescription of Soil................. and----------------------------------------------------•------------------------------------•------------------------------------------•--
U •------•--•-•....-•---•••-•----•••-••......••--••-••••-•-------•••••••-•--•••••-•------•---•••-•----•-.....----•---••••--••-----•-•--•-•---•----•-••----••-............................................
w
U Nature of Repairs or Alterations—Answer when applicable---installa_-Litu__Of_.a..1,.0a0--ga1..-tax�T-.I------
distribut..on-box-ar- a ..Basked---leach--pit.................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iiTL: y g g p y
5 of the State Sanitary Code—The undersigned further agrees not to lace the system in
p p g s been issued by th?bo rd o health.
o eration until a Certificate of Com liance haSi d� --- . ........ ... •-• •--•----•-- - ... ----7/18/ao-----------
Date
Application Approved B
_--- 7/18.8n-----------
PP PP y.--- --•--• • ; /
Date
Application Disapproved for the following reasons:....................................................................-............................................
.........................................................................................................................................................................
Date
Permit NO8-------------•------------------...... Issued ,(18 80_.._.........
Date
No 80-•- Fizs.$...5..00...........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Torn.--.....O F......Ba=0Ub20.........................................................
4
Applira#iaan fair" Uiipaaa al Warks Tnnitrnrthin a mit
'Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
19.5.. lanno Ave..,..:o tc 111j?.�_.. 1 -Q26, ........ ..._.. --..........
Location-Address or Lot No.
Bo./CI,W&t.9__On..............••-----._..............-•-•-•----•-........-•---•----...... 19.5_YlannQ ....02635........
Owner Address
a A & B Cesspool Service----•--------------=---••-----•------•----.... ._B saasrpa.�e c2*._Hyannis,__ZA....D260.....
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms...............3..........................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons..........3................ 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.
3 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........................
(z, Test Pit No. 2................minutes per inch Depth of Test Pit-______.-._________- Depth to ground water........................
Q+' . -
ODescription of Soil........................................................................................................................................................................
x -
V ......-•••-•-•••••------•--••-••-••----......•---•----•-•----••...•••-•---------•--•••••--.....-•-•••------••••---•-----------•-•---•----------•-•----••••-•-••••••-•••-•-•-----------•---•--•------------
W
U Nature of Repairs or Alterations—Answer when applicable..i stad.lati.011._.of_.A__1;QQQ-_.ge.L___tank,__.1••___-
distribution,.box-arid,-1,000_.gal.-.pre-Est,._-$t4xle_. i-oked..leacY%pit --------------------------------------•--..:'.
Agreement:
The undersigned agrees to install -.the aforedescribed Individual Sewag/Disposal System in accordance with
the provisions of'TI y g � g p y
5 of the State Sanitary Code— The undersigned further agrees not to lace the system in
operation until a Certificate of Compliance has been-issued by the board of health.
7/18/810-----------
e
Application Approved BY -Ai;w... --------------•---•------- ..............1-0
...........
4XDate
Application Disapproved for the following reasons--------------------•-------•----------------------------------------------------•---------------................
.................................................-................................................. --------------------------------------------------- ...........................................
DatePermit No................. Issued._.... ............................................7 18 80
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........................:�. ...O F..Barnstable...........................................................................
TWrtifiratr of TaantpliFatta
THIS IS TO CERTIFY That th Individual Sewage Disposal System construcsed ( ) or a (X )
by A & B Cesspool: Service, 128 Bishops Terrace, Hyannis, MA M 01 77
---------------•------------•-----•---•-------•----•-•-----------••-•---•-----......._
Installer
at .195 k1_ianno/Ave., Osterville, MA 0265 Boyd Watson
Y
-----------------------------------------------------------------------------•-----•------------
has been installed in accordance with the provisions of TIT, ' 5 of The State Sanitary C c�1��8�escribed in the
... CCU
application for Disposal Works Construction Permit No..............a _ ............ da.ted_..-----/_.__ _.....__....._.._......._......
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS RUE® S A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.......2 _..- .� . Inspector.... F �.. ....�-.-•-------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
80- T.ow.n...OF...Barnstable.........................................
.... .. . ..... . ... .. $ 5.00
No........: w FEE........................
Dispniital Workii Tuaanntrtuliaan Vantit
Permission is hereby granted_A & B Cesspool Service, 128 Bishops Terrace, Hyannis, MA . 02601
............................
to Construct (( ) or Repair ( Xa an Individual Sey e Disposal System
at No..195.Wlanno Ave. �DsLen ille, MA 02 55 - Boyd Watson....
..........:......................................•----------••••-•--.---•--
Stre
as shown on the application for Disposal Works Construction Per No.8.:_—___. _ Dated............ 18/80
........... ----- ---
Board of Health
DATE..........................................................
FORM 1255 HOBBS & WARR*EN, INC., PUBLISHERS
• C
�. LOtAT10 SEWAGE PERMIT NO.
VILIA6t
INSTA LLER'S NA E i ADDRESS
5
i UILOE R OR OWNER
Aqvo/ wlSd
GATE PERMIT ISSUED '�fS��►-�
DATE COMPLIANCE ISSUED ••�'"�
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