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HomeMy WebLinkAbout0021 STONEY POINT ROAD - Health (���C�'0+�� � � / i �.. 73U LO CAT 1 SEWAGE PERMIT NO. , wone. ►v 0� VILLAGE Ou � IN TA LER'S NAME i ADDRESS lUILDER OR AWILLR, DATE 'PERMIT ISSUED DATE COMPLIANCE ISSUED g_ , � � -I)AUIS q -t�Nt a y No.IQ ?3® F�$......�...5..00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................ ---Town....-.-..-OF...............Barast. ab.le ........... . Appliratiou for Bhip ial amit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: Stoney Point Rd. , Cummaquid, HA 02637 •-•--------------------------•---••---..._.......---------------•--.....------........ _....••-••-••••••....-•-•-....-----••..-.--........-------------•--•---.................•-------•- Location Address or Lot No. Steven Davis Stoney Point Rd. , Cummaquid, MA 02637---,___ ... --• --..- A & B Cesspool Service 128 Bishops Terrace, Hyannis, MA 02601 a ••••...............••-•--••••-...•---•------•••-•--••••••-•••--•----....••-••••-•-••-••-•--••----• ................................................................................................. Installer Address QType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms_______________3__•__________.___---------Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ............................ No. of persons.......... ............... Showers ( ) — Cafeteria ( ) a' Other fixtures ...................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width________________ Diameter---------------- Depth............... W Disposal Trench—No____________________• Width.................... Total Length............._...... Total leaching area________-._.__-.--_-sq. ft. x 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_-______________..____-- Lt, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_-_________.___________- --•------------•------------------------•--------------------------------.._.__..........-•--•------......................................................... 0 Description of Soil.......D�- ----------------•---••---------------------------- x V ..................................................-------------••-----------•---._.......---•--•----•-•---------------...------------•---•----•-•---------•------•--••••••-••-•••-••••--•-•-•---- W ------------------•-----•----•-•---•-----••-----------------------------------------•-----------------•--•-•------•••-------•--------•--••----------------................................... U Nature of Repairs or Alterations—Answer when applicable._in;5tallation._of_.,,__1,.000__gallan__septi-G__t-ank, 1_•distribution_-box-ancl__ •_6Q0__ lion__px�-Cast,_..s�_9ne_-.pa�h�d_.(extra__st�ne.)___leaah-.pit Agreement: (overflow) . The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'iTLE y g g p - y S 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 boar o alh. . Signed��� -• ••-°----_-_:.. t�'1r-�. ,-1,1 .......�.2/7 540---•-- � D to Application Approved By-•••••--••• t/✓,.._. ..................... -----_------12715/$Q------ 0 Date Application Disapproved for the following reasons:................................................................................._............................ _ ................•---••----------------•--------------------------.--._._.-....--•-••••-•-••--•-••••••_...._ Date PermitNo.......... 0........................................... Issued......................... Date Fimic ..$...5.00....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........-------- -Town..........OF...............Ba=Stable Allp iratiun for Uiipniial Warks Tonfitrnr#inn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: Stoney Point Rd. , Cumma.quid, MA 02637 ...........................................................................•-•---••-.............. ......-----•••--------.........---•--......-----------•----•--•----...........---...........--•--• Steven Davis Location-Address Stoney Point Rd., uym na�uid, MA 02637 -------------=-•...........................•--•-- ............................................. W A & B Cesspool ServQice 128 Bishops Terraced yannis, MA 02601 Installer ae Address Q Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (. ) p4 Other—Type of Building ............................ No. of persons.........._33_.--------------- Showers ( ) — Cafeteria ( ) al 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 ( ) aPercolation Test Results Performed by..................................................... .................... Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •.............."--•--------"-•---...................---•------------.......-•---•-----............--......................................................... D Description of Soil......D .............. U -•-•--•----------------••-•--•--------------•-•----------------•-------------••-•-•-•----._...-------•------•----•-•---•-••--•-••--•----------------•-•-----•-••--••------••-•••••--...-•--------...... W .--------"----------------""-------"--"-"----------"-""--"-----"--"--------"-----"-------------"--- --------------------------------------------------------------------------•------------------------ U Nature of Repairs or Alterations—Answer when applicable.installation•.Of-a--1.000.-gajlon_.eQpi{i •. ank, ..-l.distribution box and a 600 gallon pre-cast, stone packed•--(extra-stone)..�each_-pit. Agreement: (Overflow). The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTL p of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the boa d of;; alh. / / Signedn���t�_�-_.-. �'.. ...:..........C...c:e�:tAIW.. `•- ---• ---•--"-•-' ate Application Approved By-----•--_ t d � _. 12/15�80...... Date Application Disapproved for the following reasons-............................................................................................................... .....................•---....---------------•--------..._._...----------------._......-------•-- Date 80- 12 1 /80 Permit No..-._....... --. Issued. -- .....[.-_5l . Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............T awn................O F.....Ba.nStabl e ...................................I...................... %T�rr$gfiratr laf Tuntpliana T 11S TO C IF , Tha dividual ewa e Dis sal S stem constru-ted ( ) or Repaired (x) A Cesspoo ery ce, t I shops Se ce, y s, 2�01 by....................•-•-----•---1-� ._ ..._.. .. B T rr.. � annS� ..A 0.......... at. ---Stoney------------- -----------• -----.. -"------.....----•---- ----Point Rd:, Cummaquid, MA 626 -- Steven Davis - -- ------------ ---- -------• •... ............. has been installed in accordance with the provisions of TI" of The State Sanitary Code aii/f i}66 in the application for Disposal Works Construction Permit No-------_-•__-.___-- ________________ dated-......_._...................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FF-yU-N—C-TTIIO,N SATISF CTORY. DATE...............`��--:�.�4�12' ,��� ....•.. Inspector...------. ......................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 80- ........T own...........:.O F........Bamistable $ 5.00 No............... ..... FEE........................ Disposal lVark,5 101,nnitrndion Prrutit A & B Cesspool Service Permission is hereby granted_.. --------------- ---•---- -------------- to Co ruct 11 or N air (_x) an I divi. 1 S. Disp al S stem one Point R�., C;ufimaqud, X t� gj -- tevn Davis at No.••--•-•••- .._...... ---- ..--- •.. -----------------•"--"---•----•--------------------••-•----------•-----•---....... as shown on the application for Disposal Works Construction Pe Street No�`.............. Dated.._....1../1 C/80 12/ /8Q s.. Board.+.+�! ealt .................................. DATE................................................................................ n FORM 1255 HOBBS & WARREN. INC., PUBLISHERS