HomeMy WebLinkAbout0021 STONEY POINT ROAD - Health (���C�'0+��
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LO CAT 1 SEWAGE PERMIT NO. ,
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VILLAGE
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IN TA LER'S NAME i ADDRESS
lUILDER OR AWILLR,
DATE 'PERMIT ISSUED
DATE COMPLIANCE ISSUED g_ , � �
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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