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HomeMy WebLinkAbout0028 BENT TREE DRIVE - Health 28 BENT TREE DRIVE _ T CENTERVILLE A = 168 051 s i r 16 NO..b..........w.----- Flcs.......... .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH pW. ................OF........... ��'\S: ^' .................................... Appliratiun for Dig unttl l nstrnrtiun runtit Appl• o is hereby made for a Permit to o .uct (7�) or Repair ( ) an Individual Sewage Disposal System at j t'� 1 Location-Address hA _ t Nr:: �Y---t-- A-SS a..:......... ............. ....... .._ ![ =---........-__......-- Ow er r ------------- - 1.4 Installer Address Type of-Building Size Lot__15,,R4.......Sq. feet U Dwelling—No. of Bedrooms_____________3......._.._._.._______.___Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons____________________________ Showers — Cafeteria a' Other fixtures -----••••---••••••-•--•-•-----•• - W Design Flow............S.S........................gallons per person per day. Total dajly flow..____._3?C7___.______:__.......___.gallons. tOo o S 4 W Septic Tank—Liquid capacity..........__gallons Length___43_____."_ Width............. Diameter________________ Depth__.6_._"�___ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------1_-_........ Diameter------)_©-------- Depth below inlet______..�!_._______ Total leaching area__S_I.V9:i...sq—f t < Z Other Distribution box (/,) Dosing tank ( ). '_' Percolation Test Results Performed by--___�a ._ t�_ e__i. L................... Date.__... a� ...... ......._ ,4 Test Pit No. 1.................minutes per inch Depth of Test Pit_____t3`�``___ Depth to ground water___,Y onR e.... Test Pit No. 2....!�:.Z._minutes per inch Depth of Test Pit_____-10...___. Depth to ground water.................. et a ---------------- ••••-------•-•••---••••-----••-•-•--•-•-••-..:_..__........_...-••••-•--.._.:_..------•---•----•--...•••-•••-._....__._...--•--...--- 0 Description of Soil...........�e2-......PlI-n.............••---•-•--•-----•-------•--••••-----•--•-•-•----•••••-•----•--•--•••••••••••-•---•-----••---•-•-•------••....-••- x wr.LIST S ty�hlV 1� - _--- - -------•------------------------------------------------------------------------------•---•-•-•••--------••� ••-•-.•-�--•-,;:. = :_..:.-_._...._.....__._ IL,ty i a� ..::....._. U Nature of Repairs or Alterations—Answer when applicable______________....__ _._ :_..�t__ *:�_.f'lr!�TIFY IN ►'r� r t�F .. 1ALL-t-ktiou1' .A = �--t�AAR--I-IaTALLE® lh. ... ��--� Agreement: ,•,r,PDANCE TO PLAN- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITALE 5 of the State Sanitary Code— The unXr'-sIgIned further agrees not to place the system in operation until a Certificate of Compliance ha en issu d b d of health. Sine -_.__ . --••-•--- --•-•-- ._.--• --•---•------- -•-•• ........................ `C gD l Application Approved By--••-••--••-••-•••-•-•... ._---••••-•-•- • --•-•------•----_--•---••--•---•._...._•••-••-- -•-•-•-•.�____.. ....... � Date Application Disapproved for the follow g easons:.............................................................................................................. ....................•-•-----------....._......__....___..._...--....... -•--••--------••-•--••---•••___.._.. ---------- - - - --- - - - - --- Date PermitNo......................................................... Issued_....................................................... Date 1b I 16ti No ........... l Fnis..........I. .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........OF........... C. -Lk-Q.................................................... Appliration for Disposal lVarks-Tonstrurtion rermit Applicationis hereby made for a Permit to Construct ) or Repair an Individual Sewage Disposal System at•. r 4 Drill...................................... .......................................... .............................. Location-Address or,Lot No. .............. ASS 01- ..........................7..................................................... Ad css T ........ 1.....: ;;��.......................... .................................................................................... Installer Address Type of Building Size Lot../ .......Sq. feet Dwelling—No. of Bedrooms.........i._-3..........................Expansion Attic Garbage Grinder P., Other—Type of Building ............................ No. of persons...._..__._.______._.__.__.. Showers ( ) — Cafeteria Other fixtures ...................................................................................................................................................... Disign Flow............5.5........................gallons per person per day. Total daily flow.........3-3.C>.......................gallons. 04 Septic Tank—Liquid capacitv!' c..gallons Length..2a'.L.".. Width... Diameter.-.--.-_____---_. Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq..f t. Seepage Pit No---------I........... Diameter--__-_-10........ Depth below inlet........ ......... Total leaching area..5.49a...sq_. f-t_. 4 Z Other Distribution box (A) Dosing tank Results 2 ..............Percolation Test Performed by.....8cx 9.��A... ................... Date....... (e�. ..... aI Test Pit No. I....--- minutes per inch Depth of Test Pit_._._. Depth to ground water_._.O-j 0 tl-4! .efl-CV-'A --------- ........ .... Li, Test Pit No. 2.... ...minutes per inch , Depth of Test Pit----1242 Depth to ground water........................ -----------------------------------------------"-----------------------­-­---"-------------*'*'*---------"------------------------".................... ... 0 Description of Soil---------.S��. .......oick.n......................................... ......................................................................... ......... ----------­--------------------*-------­-------------------"----------------------------------------*------------- ---------------------**-----------------------*---------------------- ........................................................................................................................................................................................................ 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 T I T LE 15 of.the State Sanitary Code— The ull further agrees n4 to place the system in operation until a Certificate of Compliance has,-been issued by-tE of health.he oa�d .... ................ ........ ------------ ................... ..... Signe�&�_ _A D ..................... Application Approved By..... ................7 ............... -------- ...... Date Application Disapproved for the f?ollow'�7"..easons:.........................................................................I........................................ ................................................................ ...................................................................................................................................... Date PermitNo......................................................... lssued_.=..................................................... Date ————————————————---——————— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Vu. . ...................OF........6.1.. ................ (9rdifiratr of Toutpliattrr THIS)t t O C RTIFY t.e Individual Sewage Disposal System constructed (,Y\) or Repaired at by------------ .... .. .... ... .......... . ......................... . .. .................................. . A ........................... Installer ........ ... .................... ......................... ... ............ ............................. .. .......... I..........! ..... T J 'has been installed in accordance with the provisions of T :.:7 5 of The State Sanitary Code as descrieb d 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 FUNCTION SATISFACTORY. j DATE..............................r.................................................. Inspector..................... ........................................... -—————————————---———— ————————————————————————————— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................................................... Noo� 13��o .... ...............OF......... S_ __)'1'� I FEE........................ Disposal Workii Tonstrudion "parAft Permission is hereby granted.........Kl--&-�_-_.....6ut(............................................................................................. to Construct) or Repair an Individual Sewage DisP2,4, SYstern 0 at No. J:t St-r-eet"*------------------------------- ................................ z �!,A) Dated------ z � ....... --I? as shown on the application for Disposal Works Construction Permit d.�& ----------- ........................wvq�v. -ul ..... ­ -----­----­----------- .... ........... ' -,­ - ---- 13'. rd of health DATE.......... ............................................... I LOW & WELLER, INC. Consulting& Design Engineers Land Surveyors P.O. Box 119 Yarmouthport, MA 02675 Offices: George Low,Jr.,R.L.S.(1981-1987) 714 Route 6A William G. Weller Yarmouthport, MA A. Paul Simard,P.E. 362-8131 Everett H. Hinckley,P.E.,R.L.S. 29 Main St. Orleans,MA 2"38 November 23, 1988 Thomas McKean, Health Director Board of Health Town of Barnstable Town Hall Hyannis, MA 02601 RE: Sewage Permit 86-1330 28 Bent Tree Drive Osterville, MA Dear Mr. McKean: Please be advised that we have supervised and inspected the installation and construction of the new sewage system for the above referenced location. We find that the system has been installed and completed in accordance with the approved plan. If you have any questions, please do not hesitate to contact US. Very truly yours, Everett H. Hinckley, R.L.S. , P.E. LOW & WELLER, INC. Consulting& Design Engineers Land Surveyors P.O. Box 119 Yarmouthport, MA 02675 Offices: George Low,Jr.,R.L.S.(1981-1987) 714 Route 6A William G. Weller Yarmouthport,MA A. Paul Simard,P.E. 362-8131 Everett H. Hinckley,P.E., R.L.S. 29 Main St. Orleans,MA 240-0938 November 23, 1988 Thomas McKean, Health Director Board of Health Town of Barnstable Town Hall Hyannis, MA 02601 RE: Sewage Permit 86-1330 28 Bent Tree Drive Osterville, MA Dear Mr. McKean: Please be advised that we have supervised and inspected the installation and construction of the new sewage system for the above referenced location. We find that the system has been installed and completed in accordance with the apFroved plan. If you have any questions, please do not hesitate to contact US. Very truly yours, �U>✓�z. f C. Everett H. Hinckley,, R.L.S. TOWN OF BARNSTABLE ti µ_ .. . .._. .' �0,. LOCATION 4dT SEW GE # VILLAGE �e� h �, ' (� ASSESSORS MAP 6zL T v INSTALLER'S NAME & PHONE NO.JRenr (��q SEPTIC TANK CAPACITY Z6)c) 0 LEACHING FACILITYAtype) (size) /0<3 d NO. OF BEDROOMS__I_PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER I DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: `o a / 7 _ "7 VARIANCE GRANTED Yes No 1 a 3 � � �v fd-� 1 �� r. __ ___ _ _ 4 j 3�a 3Z 30 z_v l� I(J©7Ta E�CT��IID ALL f�PF'LlC�? ,�LE 9_• 9 . P �' oro-4_o_ T HO,�lZ. SGFIL� : /"- /o` ,- 1 0 ! `.i (/E iE' T. SCF3L� ; / .._ /O' MAC!-�4LE COVC-,25 TO 4-,J1TH/1tJ ProPos�d ground. Prof'ile _ FLor l - -- P SCNE D. 40 f?V C. o�e Crn//7/Mt)rt) EQu19L.. To SE PT1 C ¢ y - io z _ ., - z 2 ;u, t DlST' B®X o, %OC>o GAL._. 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