HomeMy WebLinkAboutApps-Permits-CompliancesNo.81 -- °� ... l� Fics.... ......�.......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH �!
a............... OF ... `..� .......................................
Appliration for Disposal Works Tonstrurtion Vrrmit
Application is hereby made for a Permit to Construct (-) or Repair (p,) an Individual Sewage Disposal
System at
1
Co. L lA I� �' R _
.....'.--- _................:.-................------_.._...........- �.�.±5---.............- t.o. __--_-__-_••--••----------
Location - Address or - %� 9
--------------- ................. _.. g -.�? ......1......._..- --------------
W A & B Cesspool Service Address
a.....................
Installer 128 Bishops Terrace ;ddHyan . � � 02601
Type of Building Size ot1___...,�..................Sq. feet
U Dwelling —No. of Bedrooms ............. .........................Expansion Attic ( ) Garbage Grinder )
Other — Type of Building No. of persons...... _____................. Showers — Cafeteria
POther fixtures ____________________________ _
W Design Flow...............5. ______.___.yam,gallons per person per day. Total daily flow _-____--_______/42—__________________gallons.
WSeptic Tank — Liquid' capacity0 gallons Length ______'_...... Width ....... !';.... Diameter________________ Depth ..... it -------
Disposal Trench — No ..................... Width .................... Total Length .................... .Total leaching area .................... sq. ft.
Seepage Pit No --------- /.......... Diameter ........ V......... Depth below inlet ___..__''_........ Total leaching areal -61 7 ... sq. ft.
Z Other Distribution box ( ) Dosing tan�() �tiPercolation Test Results Performed b .______.____�__- _�`' _ate----... u_uA-P _____________
Y................ .
aTest Pit No. 1 ..... .____minutes per inch Depth of Test Pit;, Depth to ground water__ AST )o5!NP
Test Pit No. 2.-1 minutes per inch Depth of Test Pit ..... 4............ Depth to ground water _____/!....... f____..
t�...........................................................•---....---............................... ........................................................
O Description of Soil ....... C42A_/V......... --------- �9 �' �' 7 .57`"Q! J S------------------------------------
x
W_...----•-••----------------•-•--------------------••-•-•--------•••-•--•----•--•---------------------•--•-•-•••--=-----•••--•----------•--------•-------_._._._------•--•----...-•••-•--••--•--------
UNature of Repairs or Alterations —Answer when applicable in stallat.. on___of • a__ 1, 500 _-gal loff__ -ca<�t -
septic tank, 1 distribution • box, and 1-1 t P6® --Fall on _Sre-cast,___ stone___paacked__ lta ch__pit___� ovel ow) .
Placil�:stone around the leach pit.
Tht 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 er a�rees not to place the system in
operation until a Certificate of Compliance has Jj&n issued by the b r of
Signe - .............°L ' ..14,81. .......
ate
Application Approved BY ........... f,/. tl'�!_--- V...........1,&/f t Date .............
Application Disapproved for the following reasons:----__._--•------------•--------------------------------------------------------•---------------------•---------
•---------------------------------------------•-•--------••-•------------•..._..........--.---•-••--------------•----------•-•-------------•-••-...................................
ate
Permit No.....81-
........................ - - - Issued- ...........
h�`�
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.................... ` own....-...... OF.....Yarmouth
...........................................................
TrrtifiraU of Tontplittnrr
T S TO C DTII, , Tha I d'vidual„ ewage Disposal System constru ted �paired (- )
AG�esspoo�-service, Il Bsl�aps �errraace, �iyann s, MA 0201- 5�5�d44
by- •---•-----•----•-•-- ---------------------------------------------- ----...-o---------•-•-----c - - y •- s ___M -------------•-----------• -------------•-•-------------------
186 Cranberry Lang South Yarmouth, MA ION& - William Carmen
at____--_-------_---------- ---------•--------------•-----------------_---•-•-------------------------------------------------•------------------------•---••-•---------•-•----•--------------------
has been installed in accordance with the provisions of T T TE 5 of The State Sanitary Cod esc 'be irYtie
application for Disposal Works Construction Permit No. --- Ile
%-•------ dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAI ANTEE THAT THE
SYSTEM WILLF N TION SATISFACTORY.
DATE...............11.11-d-1--------------------•--------------•---------•-- Inspector---.. C.. _ ..:................................
R4 .. .,.Q.Q...........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town ..OF
........ ..................
Application for Disposal Works Tomitrnrtion Famit
A lication is hereby made for a Permit to Construct
PP
System at:
186..QXant— ex�:Y. �tA..., o, ..XaxmQutY� ,.. MA..._.Q2664
Location - Address
WilliamC�r_.me3�._.- - --------------------------------------------------------
Owner
A & B Cesspool_ Service, .............................................
Installer
Type of Building
Dwelling — No.
) or Repair ( X ) an Individual Sewage Disposal
or Lot No.
186--- Craxiherr ..Ln...,auth,..1�1A---..D264
Address
128...Bishogs..T.e=aae..... Hya rmiz,...MA----- Q2..Ql-----
Address
Size Lot ----------------------------Sq. feet
of Bedrooms ............. 16 ....................... ..... Expansion Attic ( ) Garbage Grinder ( )
Other — Type of Building ............................ No. of persons .......... 2.........__...._ Showers ( ) —Cafeteria ( )
Otherfixtures -------------------------------------------------------------------------------------------------------------------...--------------------------------
Design Flow............................................gallons per person per day. Total daily flow -------------------------------------------- gallons.
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.
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..
---------------------------------------
Descriptionof Soil..Sand----- -------------------------------------------------------------------------------------------------------------------------------------------------------
•----------------------------------------------------------------------------------------------------- ............................. ---.......................................................
Nature of Repairs or Alterations —Answer when applicable in?tAllatiQn__.Qf._a..a..,9QQ_.gal1QrL..PMa-S:ast,
stone packed leach pit __(overflgw)___off__the..kitchen..................................................... ...........
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 further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of alth...
------------ Z. 8�2wl........
Signed .... %" Date
Application Approved By ............... _
---------------------- ..........8/28/81
Date
Application Disapproved for the following reasons------------------------------------------------------------------------•---------.............................
....................................................................................................................................................................................
Date
/I 2�Jz.%.
Permit No ............... 81..-----!-F-------------------Issued_---- ---------
1_
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............... ` ...Q.M....... OF ......Xll4=Q'.Ab............................................
Tatifirair of TOMPliatta
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x)
by....-_Di&bops.Yoke_...-Eyanni.s.,_._NA.... D26II1-_.-... 756 ---------------
Installer
at.._ 186 Cranberry..L �.... So... Y ?no> �h,-- ;A.--.Q��l--- -_ Wmx__laa,rmen------------------------•-------.-.-----------.---.-._--------
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.._...81:..................... ....... dated ------------ 8/28/p-1--------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® A G _ RANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE ......... V2V81--•-------------------------------------- Inspector-•---------•------------------------------------------------------
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