HomeMy WebLinkAbout0105 BRIDGET'S PATH - Health 105 BRIDGETT PATH, CENTERVILLE
A=170-226
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No. 42101/3 ORA
ESSELT'E
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ASSESSORS MAP NO:
.5�'1�o_2 PARCEL NO- 6 3 0 0 0
No......................... FmN..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal
System at:
105 Bridgett Path Centerville
•---•--•.........................................•-•----.....------------------------------------. •-----------------------------•----------------------------------....-----.......----•------..-•--
Location- ,\ddress or Lot No.
Sitiora
Ow cr. d ress
W V.E. Robinson Septic Service P.O. Box 1089 CenAterville MA
Installer Address
Type of Building 3 Size Lot............................Sq. feet
Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
a' Other fixtures --------------------------------- -
d -------------------- ----------------------------------------•----------•---------
W Design Flow--------------------------------------------gallons per person per day. Total daily flow..--._.---__---_--•-----_--__-_-__---_-----_gallons.
WSeptic 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.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by----------- -------------------------------------------------------------- Date---•-----------........................
aTest Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water--.-_._.-.-----__--_.-..
f? Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
----------- -----------
--------------
---------------------------------------------------
.-------
.-..-----------------------------------------------------
* .
0 Description of Soil..............S.and..-----------------------------------•------------------------..------....._------------------------------------------------------.............
x
-------------------------- -------------------------- ------------------------- ------------------------------------------------------------------------------------------------------------------------
U Nature of Repairs or Alterations—Answer when applicable._7L-rl_Stal.l----a.... tonep-a_cked-.-Le-a-chpi.t.........
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE S of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been .ssued by the board of health.
Signed Z(ri...,... ....._.... .......
....................
..------
- .--....-.......... ......_:.....-
_ Dace
A lication A roved B l-r!... _... .. ...... . --
PP PP y - r
Dare
Application Disapproved for the following reasons: .............................:
---------------------------------------------------------------------------------------------------------------------_...--------------- ----------------------.--------------------------- ........................................
Dare
Permit No. ......T..S-~:r...2 ................... Issued .------------c:... ......�..^...... ..........
Dace
G 30 00
" THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
. pphratinn for Divi-Voti al Work.5 Toustrnr#inn ranfit 4
Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal
System at:
105 Bridgett Payh Centerville
.......................................•---••---•-••----....--------------------....------•------- ------•--•--------------•-----••-••-------••--••-••••---------••--......--•---•----•......-•--•---
Location-Address or Lot No.
Sitiora
----------------------_......................-^................................................. ------------•---••------------•--••-•--•-•-------••••-.......---••---••-••-••--•••....•--.......•-
�cr ress
W W.E. Robinson SepOotic Service P.O. Box 1089 CenAdterville MA
Installer Address
Type of Building 3 Size Lot............................Sq. feet
., Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ------------------_-.----- No. of persons---------------------....... Showers ( ) — Cafeteria ( )
d 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. l---------- ----minutes per inch Depth of Test Pi.`.../_....--....... Depth to ground water......---...............
�14 Test Pit No. 2................minutes per inch Depth of(Test Pit:`:-.-..-.---------. Depth to ground water........................
.................................................. •--------•----------•----•----------------.........................................................
ODescription of Soil..............sand. n___.,__._...•..-_-- pN-------------------------------------------------
U
w /I ev
------- ---------------- ------------------------------ -------------------------••.....---------------...--------------------•-----------------------.....-•------------••-••------•-••-----••...
U Nature of Repairs or Alterations—Answer when applicable..install--- _--stOnepaCkedlea_chpi,t.....
---
.. --- -----------•--••------•---------------------•-••....................--.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the
system`in operation until a Certificate of Compliance has been 'ssued by the board of health. _
Signed (�G�._F. ;- -,96
_... -.. - -..-... ...._.......
DareApplication Approved By --..014--tkt"t....l.I'l..._._... r o?-
Dace
Application Disapproved for the following reasons- ----------------------------------------
f
n Dace
Permit No. ----7. 5_-�w.. --------------------------- Issued --------------P . .`2 -- 5F- � ......
Dace
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
G
TOWN OF BARNSTABLE
Certificate of C11omplian e
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x )
W.E. Robinson....Septic_.Serv-i.c-e-------------_--....---_----------------------------------------- ----------------------------------------------------------
by 105 Bridgett Path Centerville"°°e`
...... ................... ..... ............
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ... S.'_�li t------------ dated �---'_o..,Z.-.- f. .
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATIS CTORY.
DATE------ "".......... ----------...-........__-------.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE 3000
No......................... FEE.........................
�t��ral�ttl nrk� C�lan��rnr#uan �rrnti�
W E Robinson Se tic-- Sexvi.ce.........................................................
Permission is hereby granted......-�-.-..�...... .......................... P.
to Cons ( ll r Repair (x ) an Individual Sewage Disposal System
Bz`i�dgett Path Centerville
atNo.......... ......-•--- -••. •---- •--•--••--- . -----•••••••....
Street 1Gz I
as shown on the application for Disposal Works Construction�Permit No..-..--.-"..-----.-.- P ated--- ----------- -- 3
- -: --
�] �/ Board of Health
DATE.............. ..... .... - -••-•-------------_--
FORM 38908 HOBBS✓f WARREN.INC.,PUBLISHERS
. t
TOWN OF BARNSTABLE
ATIOIe eI4 4 P 7' PEf T6/ SEWAGE # - l
VILLAGE 7-162? ``ILLS' ASSESSOR'S MAP &LOTj a
INSTALLER'S NAME&PHONE NO. PG ,d/NLS'® Al 77f-eF-77
SEPTIC TANK CAPACITY e )
LEACHING FACILITY: (type) /: ,d� R`T (size)
NO.OF BEDROOMS �J
BER OR OWNER
PERMITDATE: a' COMPLIANCE DATE: 7/l&!26
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of 1 chin fapility) Feet
Furnished by � �' ✓ /
j4ov s ti
r
�P7 e
�l ri9�1/C
7� G No....... ......... - FrRs...........2
...v�.�...........�
THE COMMONWEALTH OF MASSACHUSETTI.;
.` BOAR® OF HEALTH
T _._T.own... ... ..............oF...........Barnstab.l-e---------..-..---------------------------------
, pphratiou for Dhipalnd Works Corm ru.rtion jhrmit
Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal
System at:
5.....K1.4.......... ----------------------------Lot---4�`----------------------1! �----------
Location-Address � t
�°ath
... :A�!'!� lS.•._...SM.1.'I.! ---------------------- --------------------------Bri.dg
oµ ddress
.VE'rorze No �l o a.------------------------- `�I�QNsT�................................................
Installer Address 19$05
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms..............3............................Expansion Attic ( ) Garbage Grinder (no)
Other—T e of Building No. of tpersons............................ Showers — Cafeteria
QOther fixtures ................................................$.....................................................I.............................................
W Design Flow..............5.5.........................gallons per person per day. Total daily flow__:___---...-330-•....................gallons.
WSeptic Tank—Liquid capacityl000.gallons Length----�._6.... Width.4...�:0.._ Diameter________________ Depth.-.._...0.._.
Disposal Trench—No. --_-----_---._ --- Width.................... Total Length......... .... Total leaching area------6...........sq. ft.
Seepage Pit No 1_____________ Diameter------- ---- Depth below inlet....... Total leachiing area.?b7........sq. ft.;
z Other Distribution box ( X) Dosing tank /
Percolation Test Results Performed byPU! ....9-----SUT'VeY. i.OnSUlta??t�ate___..__1 5�7nOrie
aTest Pit No. 1.__.?.........minutes per inch Depth of Test Pit___-_____.l__ Depth to ground water________________________
Test Pit No. 2................minutes per inch Depth of Test Pit________----_-__-_- Depth to ground water----------..............
Q+' ---------------------------------------
-•--•---........: ..................
Description of Soi1....0.0-1.5 wood loam__&__subsoil, 1.5- .. .�__ 12 med. -yellow sand.
••-•
---• -- ---o •--
------------------•--•------•-----•--•--------••-•-----------.-----•-•---------------------------•------•-•-••---•---•-------- ---------------------------------------- FP�j#QF-1bJj�S6
V Nature of Repairs or Alterations—Answer when applicable......................... ._ . ...............9�
o�
Agreement: o B.CHAPMAN
U
'O �w rP
TIT
The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syst i a orAF e i�
the provisions of E 5 of the State Sanitary Code— The undersigned further agrees not c4�the s
/STE
operation until a Certificate'of Compliance has been issued by the board of health. �FSS�ONAL
Signeoi� Date ._...
— ` //iate�9
Application Approved By... .................. -- ----- ---------------•---
Date
Application Disapproved for the following reasons: ------------•--------------------------•----...•-•--------------••. •••---------------.
--•---••--•--•---••.............•----••-_....._......-----........----•---••----.._.........-•••• ...................................................
•••-••••----•--••-••-................
..............
// y --Date
PermitNo....................... ------------------------ Issued ''Z.4--�.7-7------- -------------
Date
' J
C Fim
No......................... . - .
THE COMMONWEALTH OF MASSACHUSETTS y;•
BOARD OF HEALTH
...--.O F...-..--...
--Tom. Barnstable
Apptira#iun for Disposal Works Tonstrurtiun ramit
' 41
Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal
System at:
.......
Location-Address Lt o
.....,!.._-- MA--1-1=---•----•----------•-- ............................................... �a��
o.
a jy g 'yO,wne (y Addressg�
----•--- -- ..._._ -•------- -------- -------- .... ------. %•------•---..__......_.....__---
Installer Address 805
Q Type of Building Size Lot______Z-___________________Sq. feet
U Dwelling—No. of Bedrooms..............3.............................Expansion Attic ( ) Garbage Grinder (no)
aOther—Type of Building ____________________________ No. of persons..............._............ Showers ( ) — Cafeteria ( )
Other fixtures -------------------------------•----•---------
W Design Flow.............55.........................gallons per person per day. Total daily flow.............3.3J0.......................gallons.
9 Septic Tank'—Liquid capacit3 ,Q.QQ__gallons Length...8_r_6»._ Width4'101-. Diameter________________ Depth...!t!0ft--
Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No..__1.............. Diameter._-.....l;it........ Depth below inlet...... __S.......... Total leaching area_2f.7---------sq. ft.
Z Other.Distribution box O Dosing tank ( ) r
Percolation"Test Results Performed b3)0.ap=...GG_d___Slirvey _.C,ipnAui.Y.zn SDate_______1/ /7 '________________
Test Pit No. I...2..........minutes per inch Depth of Test Pit....1.2:j_....... Depth to ground water...._hone.......
(� Test Pit No. 2________________minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 ------ --------------------••-- ---------------------------------•--- _-------- ••-•---•.._......_..........
e
D Description of Soil C).0',1, wooe_�.-•1QRm_-8c al ���1 s__ ,�`-�� � �2 A �i�d R ys? �__.aand.
W •---••-------------------------•--••---•--------------•--•------------•--._.._. .___----------•----•-----•-•--•------_._._....--------•--------•---- •---•-•----•--•----- I ... ------
U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------- __:RRNWtCK__�yw
o-•-----•-•-B:-----••-•--
Agreement: CHAPMAN C'„
The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syste
the provisions of TITILE 5 of the State Sanitary Code—The undersigned further agrees not to
operation until a Certificate of Compliance has been issued by the board of health. SS�oNAL EN
Sig - -----. - ---•--•----•----------------------------•------•----------...-------- ----------------•----•--••--•-•-
` Date
Application Approved BY' •-- ---- .. .. ------------------• :tL.//"------7
-------
�
Date
Application Disapproved for the following reasons: --------------•--------------------------------------------•---..........................
--------------------•--------...-•-•------•--•--......._.._.......--••---•-------•----.....- a-----•......----•--------------------------------------------------------.--------------------•--••---•---
y Date
PermitNo.................:...................................... Issued_...................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF'HEALTH
`�" t.z. �.....--.--OF......jt Alktv.: , ..................................
(Entifiratr of ( uompfianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (y+lror Repaired ( )
by----- _.. a?!( .1_# ! ____- 0 --------------------------
...---•-•---------------------------------------•----------•-••-•----•----•--
`'� ¢� }�y� Installer 10
`
has been installed in accordance with the provisions of 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit N F _ ____________________ dated_.. ,r_.1 ..,.�_r-_._______________-
6THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® A�'_A-GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE............. ••'Z •--- Inspector,-••• "`
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-•y w-
f � Ci!Vj..V.............0F... ..+t i kw_ ................................. ..d
- --.......... r FE ...- �.....
Disposal Works Tonotudion Vrrmit
.' �� t��
Pe`r`mission is hereby granted �"#r -- -----.. •--•-----...--.-----------
to Construct w(ry ') or Re Lair ( an Individual $ewage� Disposal S stem
at No..._ �(..� `--...__ a e. �'.._._ _t �...k 1fC �I-L C------------------•---
Street
as shown on the application for Disposal Works Construction Yermit r o_____ ______________ Datedf,._ 7?_________________
- -�' - --•ram---�- -- ------=----------•--•-•--...---•----...._.._
0 e"h
DATE................................................................................
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS - :�'-
LO CAT I N IDSEWA E PERMIT NO.
a 00� 61F s
VILLAGE t °��. 10
S
INSTA LLER'S NAME A% ADDRESS '
BUILDER OR. ;-OWNER'
DA T E PERMIT ISSUED
DAT E C0M;PLIANCE ISSUED z^ /- 7,9.
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' SOIL LOG ' .
r .r (,�rXf AeVleira.iAnr,Wgw�L-. __ /a;yi..5t/r:�'._4i.. _ _ f 94•�s 6
l z^PEA9T ONE LOAM 8, FILL:-"f 12 NAX - •. `X ' '
t4�C..'L.
�A1000 BOX L,.•• '• 1000 GAL.IO'M . I. o :.° ,b ° �r 24�� ARiZ� Qc: • Q3.S7 ,
GAL. I°..:°e` PRECAST OR o +. ..,..^
SEPTIC I':: •; --BLOCK o
TANK ' I MIN
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ON.
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ELEVATION A � . D•;V TION SKETCH -- '�
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1 i 1. s,-
r �PL R C:°RATE _ ,e;�' i w►.;./.
.> SCALE I° -'4' r '
Y• • TEST-. BY _S * `
+, TOWN INSPECTOR: ;AOA" ilstsC,eav' _
:'BACKHOE OPERATORS
- j
TEST MADE ON •t ,,�� I,
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JAMES
v LAPSLEY14
TS
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ls'.J7'/!''rfA1"sL A 'vA,rt,y A-4014/ j I
3 BIW ROW NS CA>* GAJ@8094 GRf o ,ie�x i to GR4./�s,e.�oAY ' 3 3c GA1.-/QAr ,
M�4r. s9GGpcc+l4 cE 0,wLse Ito w Q,e T,N/s 13Y.S-r&-r'!
s�a�y►'�r^t•c.s : Jae s g k 2,5 CVAZ,1A4y1.%x ¢ 4-?Q
BoTl46AP? 7 9 s,� x ) a 6194/vim�fl * %471:99
Tees 7e:7
AL
' ,E,LE VAT ION SCHEDULE
• PROPOSED,' SITE PLAN-
I� INV. AT FOUNDATION S.. ',f
' .SEWAGE 'SYSTEM' ;'DESIGN r�r+ .
2. I.NV. .INTO SEPTIC TANK =rQS"/ r �f • L
3. 'I NV OUT OF- SEPTIC -TANK
4. INV.' *,INTO. ,DISTRIBUTION BOX _.•� �'�/ : - f. +
SCALE:,I�'`2C � ?!3 N fir'19'7 I
5. �INV. OUT OF DISTRIBUTION BOX = ' C ►� 9 ,, . t 1 ' ,
•6. ••INV. INTO SEEPAGE PIT = 94 Sd' CAPE COD; SURVEY;',CONSULTANTS,
- ROUTE 132. .:.r
7. BOTTOM OF PIT HYANNIS ,MASS. r
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