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HomeMy WebLinkAbout0076 RACE LANE - Health any. rS / o6 1Y1 ae h STo nS YYl, C L S r LOCATION SEWAGE PERMIT NO. 2 6 L, ,3 VILLAGE r A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER `L wo DATE PERMIT ISSUED DATE COMPLIANCE ISSUED i� t ��` � 1 �� d 83- O , 10.00 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .--- T-----_--....-----.0 F.....Ba own rnstable......----.....................--------------------•--•- 4117/ �J, ppliratiou for Dispuiial Works Tonstrurttuit ramit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 76 Race Ln. Marstons Mills ........................ .............--••-----•-••-••--•---•-•-----------------............... -------••--�--•-...••-•-....----•-------------........---•--------. -•--...•.......--•------- Mel Joseph Li Address 6 Race Ln Mars�ons Mills Ma 02648 ......................-.......................................................................... ••----•---. -... ----.....-......--------....•...........-•----•. - .. ... w A & B Cesspool Se4VRi e 128 Bishops Te=r If annis, Ma 02601 Installer Address Type of Building Size Lot••----------------•-----.---Sq. feet Dwelling—No. of Bedrooms,................•...........................ExpansionLAttic ( ) Garbage Grinder ( ) p., Other—Type of Building ............................ No. of persons............................ 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. 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........................ ,:4 ......................................................-•....••••---••••--•-•---•-•--............••--......................................................... 0 Description of Soil......Sand........................................................................................................................................................ �., ----------------------------------------------------------------------------- w UNature o rs or lterations—Answer be 'cable...Install 1000 gallon Septic Tank, D-box and �--gal on leach pit.-d..... ... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary Cod —The undersigned further agrees not o place the system in operation until a Certificate of Compliance s =4 . d by the d Signe ---- ... 9/15/83 Application Approved By.................. %__.__ 1/. ....'.-� ........................9/e��3 -- Date Application Disapproved for the following reasons:.................................................:...:.................:. .........-••--._. -----......._ .......-•-•-•........................••.-•............------------.•---•--••--•-••-•----•••••••---•-••--•--••-••--••---•---••.._..••------•-•---_.......-•-•-•--•••---- ---------Date-------------- Permit No..83.................................................. Issued........9Z.. /83 Date 1117 F w10.00 No.......: ............ ss...... ... ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. n............oF.......�axnsta)^a:e.....-............................................... Appliration for Uiipasal Workii Tomitrnrtiun rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 76 ?ace In. `arstons !,ills .................................................................................................. ---.......--••--•------•-•....-------------•--•---•---•---•-------------------------...---------•- Location-Address or Lot No. ''e� Joseph' 76 base %n ?`arstons !-`ills, t�?ia 0264_ ---...--•-- __...........................•--•---........--•--------•-------------•---- •-•••-•----••--•---...------•-------._.....•--•--- .... ............._-•---- W A 'c F; Cesspool SeMbe 128 7 ishop°s Terre d a yannis, lea 02.601 a --------------••--•••••--•--•---•---..........----...............•-•--..................---------- ••----......-•-••-----•••-------•-----•--......------...................-•---•-•-•--..........---- Installer Address Type of Building 3 Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion ptic ( ) Garbage Grinder ( ) PL, Other—T e of BuildingNo. of persons............................ Showers — Cafeteria P-4 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 Trencli—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.__....n,,;,-....... 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-_____-____-_--._.---.-. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------------•--. ..-- - --•- -- •-•--....-----•------•--------------•---......................................................... DDescription of Soil ------••---Sand-- .:......................•---•-•-------------------------------------------------------....------------------------------........._•----- . - ---------------••---------....•---•-...---••---------------•------- -- x t Install 1000 `g,allon Septic Tank, D--box U Natur ct-1�J6bs orAlte aloacl e wer when applicable......'. ...... 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 further agrees not to place the system in operation until a Certificate of Compliance ha bs e 9/15/03 /issu d by the ar of he'a th. I,. Signed :............. .` "'.. : Application Approved By................... ...... ......_.. . / 9/vlt}3 Date Application Disapproved for the following reasons:............................................................. -•------------------------•------•--------------------------...-•------------------------..........-•----•--------------•--•-----•-------------------•-----•----------•-------------•--•-------.......-- Date Permit No..ti3---------•-------------•-•-•--•--•--•--•------_.. Issued.-_-----9/..../83.............................. Date t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ......................OF.................................................................................... Trdifirate of Toutp ianrr THIS I� TO CE1R�IFY, Tha Xhe d idpu�l Sewage Disposal S,stem con trusted ( ) or Repaired (X ) uess ,00 SerVice �� z. s o s ':err. r. annis :?a 026s1 by-- :.. -•- ----- ----------•-------•---------.........._...............•---•--•--......_-----..._...•-•••-•---- 76 '!:*lace I:n. i�`arst or_s ::ills ?`a 0264 I_staller. l.�el Joseph has been installed in accordance with the provisions of TI1 F 5 T State Sanitary C de s described in the — p ? application for Disposal Works Construction Permit No �._....._. da.ted------------------------------------------------ THE 3 ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM ILL FUNCTION SATISFACTORY. DATE__...--•---•-•-----•------•--------•--•-•-------------------------------------- Inspector... :. _..-----------------------------------------------------........---•-•--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH +'o�rn rarmstable �; _ ' D .........I.........OF..........................le.....--••...------....... 10.00 No.................�.. FsE�.._... ......... Dispopal Works TOnstr ion rani# A °- r Cesspool .Service Permission is hereby granted........ ------------------------------------------------------ ........................................................•......... to Cona�ruc � ) r c );,.�j.,Wd a id>��e�xrage Dispo�olSylso eph ,� e T.Pi t_ �o_: �, na at No. - --- --- ....... = Street83-as shown on the application for Disposal Works Construction Permit No._. ............ Dated._____.. `'3 .. �'---• -- ------9/ 483 Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS