HomeMy WebLinkAbout0076 RACE LANE - Health any.
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LOCATION SEWAGE PERMIT NO.
2 6 L, ,3
VILLAGE
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A & B CESSPOOL SERVICE
128 BISHOPS TERRACE, HYANNIS, MA 02601
BUILDER OR OWNER
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DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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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