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LOCATION SEWAGE PERMIT NO.
'VILLAGE /
A & B CESSPOOL SERVICE
128 BISHOPS TERRACE, HYANNIS, MA 02601
BUILDER OR OWNER
6
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
D i<
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http://issgl2/intranet/propdata/prebuilt.aspx?mappar=350011001&seq=2 12/8/2014
LOCATION _"4 SEWAGE PERMIT NO.
'sVILLAGE €
A. & B CESSPOOL SERVICE
128 BISHOPS TERRACE, HYANNIS, MA 02601
BUILDER OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
it
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#A[f 550s ®11 '661
No..&!'.I... ....... Fus.........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
........T own..............OF...............Barnstable.
ApplirFatiun for DiupuuFal Warks Tonutrurtiun Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
50 Marstons Lane, Cummaquid, MA 026 �
Location-Address or Lot No.
Pearl Kelly 50 Marstons Lane, Cummaguid. MA_...0262...
Owngr Address
W A & B Cesspool Service, Inc . 128 Bishops Terrace, Hyannis�.MA 02601 .
-1 .............. . ....a ----•-----•------------- ---•--------......._
Installer Address
Type of Building Size Lot.._-__.. ..Sq. feet
U
U Dwelling—No. of Bedrooms..................3.................--....Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building ............... No. of ersons..................2--...-- Showers
a YP g -------------------------------------------P--- ( ) — Cafeteria ( )
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........................................
a
a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------
f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... D'gth to ground water........................
a ---------------------------------------------------------------------------------•-•----•--------- ----•-•----•-------------------•---•----•-............--
Descriptionof Soil Sand..............................................•-••---•----•---------------------------------- ----------......-----•---------------..........-•----
v ---------------•-------------•------------•----•......---------•--......------------.........--•---......---------------....------------------.
•----•------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -p----- -----
U Natye o r�u�rs on boar anc' sa leachrPiT.I s�o eblpacKec to l t!Qn Q -1_,000ga�l_,__-se tic tank
--------•-------------------•-------------------•-•-----•--•------------•-----------.....-•--•----------•-----•-----------------------------•----------•---------------•-------•--------.._.._..........
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 fur rees not to plac the system in
operation until a Certificate of Compliance has a issue the
Sign.
-------------------------- - ' ........................
j� ty
Application Approved By-------- -------•---••......------...........1. `e-- 6111- 717/84
Date
Application Disapproved for the following reasons----------------------------•---....------------------------•----------------------------------------------------
•..................................•-•--......-------------•-------------...-••--•--•---........-------•---------------------------••------------•---------------...-----------•--------------...-•-•--.
gyp'J / 7/Date
Permit No......................................................._ Issued_ 12 1 84-
Date
No.. ►;_! f° Fxs.........
=:,tt •a THE COMMONWEALTH OF MASSACHUSETTS
N .r F; • BOARD OF HEALTH
.................Tw,n..............O F................Ba,rrtstablo-----......--••----............................
Appliration for Disposal Works Tonstrurtiun Pumit
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
........59 ..G1mmaq d,..2iA.----0?6,32 --------------------------
Location-Address or Lot No.
Pearl Kelly
U....... ___ ..... .......................................................... ...50... amtma.Lane., Cu-_agUid ..1�A....026�7•...
Owner Address
aA & B Cessnaol Sgi�`vi4;e,...1M.A........................ .128. hishops..^esae.,...F4P_nnis$.. A....D?601....
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms...................3.......................Expansion Attic ( ) Garbage Grinder ( )
aa Other—T e of Building ....... No. of persons..................z....... Showers
YP g ----•---------------- P - ( ) — Cafeteria ( )
Otherfixtures -----------•---------------------------•--------------....----------------------------.....-••--•-•--•••-
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
W Septic 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.....................
04 Test,Pit No. I...........:....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........................
a -•••-•-----••••-•-..........•••------•---------•--•.....------•..............•-..........-----•••-..........................................................
DDescription of Soil........SAE d.......................................................................................................................................................
x
U -•--•--•-••---•---••-•-----------•-•--•--•------•-------------...............................................--------------•-•--••-•----------•--•--•-••----•-----.........-------•-...........__......
-------------------------------------------•---------------------------------------------------..-------•---- n--ta.11aU:!Z b f•-a-•1-;000-gal:-_-9eptiu--tank,
U Natdift f EbOtsonr Wters�hsa—]Aa*'�e gn�a bl#.n Y-------------------------------------------------------------------------•-•-••---.
--------••------------------------------------------•-------------------•--•----------..........--------------•---------------------...-----------------------------------....••--••---........-••------ ..
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Dispo 1 System in accordance with
the provisions of TITU 5 of the State Sanitary Code— The and gned t er rees not to pla the system in
operation until a Certificate of Compliance s n issued by the b ealt Sign �j�_ 12/17�84
_. -. ----•---------- ........D f
ApplicationApproved By------ --•--•---------------•-••----�----..-......-•----•-------•------....--•-•--•------- ...................V1�/84---
Date
Application Disapproved for the following reasons-------------------------•--•----••-----------------------------------------------..._..-----•--••-•••.........•-
------------------------------------•---------......--------••------.....-------•--...........---------•-----•-----•-------•-----•-----•-•---•----••----------••-•-•---•-------•-•-- ---•-------•-•---
11 Date
Permit No.............. - {.1.7_� -------------------- Issued 1?/1?/ \
Date E
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.........Town.......OF......Larnsta•ble
.................
(Irrnfiratr of ToutpliFaurr
THIS I TO CHgETIFY, That the Individ S w< e Di osal System const ucted Re aired X
A & BlUesspool Service, Inc. 1 3e3a ops errac�e, Nyann s, ��A( ?°�O1 P ( )
by ------------ ................
50 Vlarstons Lane, Cuimnaquid, MA 0263�staller— Pearl Kelly
at....••-•-•-----•-••-•-••--••-•••-•-----•-----••-•••••-----•---••••-•••-------•------•-••---•---•---•--
has been installed in accordance with the provisions of pV_T LF r of The State SanitaryC f ibed in the
application for Disposal Works Construction Permit No.__.....1.f-�Y................... dated __.-_':y
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL F NCTION SATISFACTORY.
12/ n.1_ ,84
DATE...... � ....... Inspector.
1A--------------------•--------•------------------•--•--------•--.-----
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF .HEALTH
�Tri r'arnstable
................. ...................OF.....................................................................................
No....f-=.............. FEE..... ..15��?C2..
Disposal Works Tnntrndinn rrntit
A & B Cesspool Service Inc.
Permission is hereby granted------------------------------------------------•...-•-•••-••--•-----•------•••-•--•----••---•...••--••-•......•--•-•...............-••......
to Const ct , ll or R air ( x� an Ind'v du Se > a po al S stem
ivrStons ane, CuTn�quc�, .A `� 3 — Peax�1 Kelly �.
atNo.. - •• .......--- -----................... ,
Street 0 /r
as shown on the application for Disposal Works Construction Permit Na__ 4___._ __ Dated..........................................' /
'w-7h
:.Y
7 Board of Health
DATE.................... 2/-----•--- ......................
FORM. 1255 A. M. SULKIN, INC., BOSTON. a