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Home My WebLink About0168 RIVER ROAD - Health tz� I .. LOCATION SEWAGE PERMIT NO. VILL(/AA/®GGE A & B CESSPOOL SERVICE 128, BISHOPS TERRACE, HYANNIS,' MA 02601 BUILDER OR OWNER, t q, ' DATE PERMIT ISSUED �o 83 DATE COMPLIANCE ISSUED L � o A4i i No....83 Fxs.$10.00........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T own Barnstable ..... --- ------------.....OF............................................... Appliration for Disposal lVorkii Tonstrurtivaa 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 168 River Rd. Marstons Mills, Ma 02648 ................--.............................................................................. ••........-----•--••-•-•••-•-•••-•............•--.............••...............................••. Kenneth White 168 168 River Rd. Manton°s Mills, Ma 02648 ....--••••••----......................•••-•--•---•--•-•.....--•--------------------.............. ..........--...................................................................................... W A & B Cesspool SgiVice 128 Bishop's Terr.:dHyannis, Ma 02601 a •--•---•---•-•-----•-•...........................•-•---...•-•--••••-----••-••---••......•••....... ..............•---•---•---•---•-••---•••-•••...•••.......................................••••..•-- 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............................ Showers — Cafeteria Otherfixtures -------------------------------•-•-•------------•----.....------------------------------ --------••--•---•-....---...........-------•-•--...-•-•-•---- 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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G?, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ..------------------ ODescription of Soil--..San-------------------------------------------------------------------------------------------•---- -------.---....--•---------------........__. x U .............................................--------•----------•-•-•-••-•••.....•-•----•-••-•--------•---------------------•----••--••-------------•--•--............................................ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... •---•-----------------------•-------------------•--------•-•---•--•---------------...--•-•----------------...-----------------------------•---....................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLZ 5 of the State Sanitary Code—The undersigned furtl r agrees no to place the system in operation until a Certificate of Compliance h su by the b dofV 9/20/83 igne =--...----•-•-•--------•..... --..... •-.... ............................... Application Approved B .. .._.._ 9/Date/83 .............................................. ........................................ Date Application Disappro d f e following reasons:................................................................................................................ .. ...... ......•••...............•-••••-------•-•...••-------.....•--•----••-•••------•--.-•- Date PermitNo._83.-•-••-----...--•----•--•-......---•-•........... Issued_.......9-....../83................................ Date No.....--=� 8- •>� F�$,. 10.(10......._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Parnstahle ........ ......... . -----------...OF.......................................--------------•------------------..........--.---- Appliratinn for Ui4pntial Workii Tnntrnr#inn rumit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 168 river Rd. 1\;ars''cons �Tills, }i!a 02 648 ................_----------....---.........---•----•------.....--.---------•-------•------------- --•••••-•--•-•-•---••-•-••-------............--•--••-•-•----••---•--------------------•--`--,-,----•- l> W oLocation-Address 168 �'Ver RCi. ?;arB Ol.0 ill8, a d V!� Kenneth rig. , ,s a ......-•----..•................•--....-••-•----.......--•---....---....------•-•---•---•-----•--_. .....•-•••-••••••••••-••••-••..._.....------...-•--•-------------.._...................._......... W A w s: Cesspool 39YVice 128 Pishop's Teri:d�yarnis, Ma 02601 1.4 Gq Installer Address 4 Type of Building Size Lot............................Sq. feet 0-4 Dwelling—No. of Bedrooms............................................Expansion} Attic ( ) Garbage Grinder ( ) Pk Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) PI Other fixtures •----------•-...--•-----------• . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Gd 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 ( ) 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--__-__----.-__----__-_- --- W Sand-•------------------ - -------------------- ----- ---------------------------•----•---•---•-------------------------------------------------------- ODescription of Soil---- -----------------------------------------------•-•-----•----------------------------------------------------------------------------------------------- x W •••••-•--•------------------••-----••---•----- -•-•----•---•-••••-•••••-••••----••••••-••-••••••••••---•••••••••-----•---•••••-•-----•-•----•--••••-••••••••••••-•••••---...........................•••- VNature of Repairs or Alterations—Answer when applicable............................................................................................... -•---------------------------------------------------------•------------------------..........-•-------•--------------------------------------------------------------------------------................ 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 furth r agrees not,to place the system in operation until a Certificate of Compliance h ee issued by the board,of'lie t� , /f 1W9/20/83 'gne' Yjo---•-•. ••••• ..••• ....._...-•••---••--•-•••••••••. ✓ y O/Dat/83 Application Approved Bye Date` Application Disapprov for following reasons-------------------------------------------------------------•------------------••----• ......... .--- ......................t•......•-•••••............-•--------------------------------------------------------------------•-----------------------�----------,........................................... Date Permit No.-.. . .... Issued..............�� ------•---•----•---....D te------. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH "ct•ri. narnstal-le ..........................................OF.................................................................................... Tnrtifiratr of (Snntplianr THIS I,$' TO CERTIFY That th In :v'duai, Sewage Disposal System constructed ( ' ) or Repaired (X ) tI D Cesspool Service 1?t� .; s ?o s ; err. ?i annzs , a 02601 by-------•----------•------•---..--•-------••-----------------•-----.--..---•-•--.-----•---------------------------------•-----...--•---•---•--------•-------------------------------•----------•--- 1668R5.ver Rd. �`arst ons ',.-ills, Ya 026 taller Kenne __________________________________th Wh7 tee at---•------------------------------------------•-------------------•-----•--------------------- )-•-------------- has been installed in accordance with the provisions of TATLE �5 of The State Sanitary C /e a/scribed in the application for Disposal Works Construction Permit No.._...__.......0... ----/.....__.._.. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST AS A GUARANTEE THAT THE SYSTEM 1�I�.L ��J,�ICTION SATISFACTORY. // 33 DATE............. -----------•--......................--------...•----•..--- Inspector... . ------•-----•---------•--------•-------------•••-•-•--............... THE COMMONWEALTH OF MASSACHUSETTS 3 BOARD OF HEALTH Town Larnstahle ....... ..................OF...........----........ $10.00 No............... .J. FEE...............,......... i rn 1 nrk �n t tr pionFrrmit A Cesspoo Sery ce Fish 's ^err. u5►anr�is, TVIa, 02601 Permission is hereby granted---•-•-----•-•-•-•-----•_;•._.....•......•-----••-•-•••••-••••-•--...--•••-•-•••-••••••••••••••••..................•-••..............._. to Cons tct:r{iv4±prR ep ''fan nlJin v duad;.SeffMoDisposal System Idhite atNo............................................................................................................................................................................................... Street /93 as shown on the application for Disposal Works Construction Permit No.3..___-,•- __:.__ . ed....9/........ ..................... PP P C' ...............•••••••••-•-..•--• •--•-................................................. 7/ 83 �,' and Health za DATE................. - FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS TOWN OF BARNSTABLE LOCATION{ �(c? (�f� �� SEWAGE # VILLAGE k8IONS Ita ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. St7?Ut(E �?b� SEPTIC TANK CAPACITY L��c� p�y LEACHING FACILITY:(type) f�RC Q� j�lJl�'I�/t3 (size) li 000 C4ttOU NO. OF BEDROOMS PRIVATE fWELL OR UBLIC WATER BUILDER OR OWNER 6N t�if 1T 1`1� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRAN • Yes No T va XS t GCuu• i G 41 4 � 6 qd