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HomeMy WebLinkAbout0105 BRIDGET'S PATH - Health 105 BRIDGETT PATH, CENTERVILLE A=170-226 j No. 42101/3 ORA ESSELT'E 10% O 0 0 0 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. � -- - �.r t f ;y � - �. � � , . � � p �a ' �� .,. � . . � �:` Cr �: i � .�.;� S . � � ., ��, � � � „r �r� yp s �� +, ' 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 . •I, )( 6 i,•ae ' SEEPAGE ° , • i. ' • r - ° o 0 1 d8 PIT s t 20- MIN. :;..% • • a A ' �' r •r . FODATIO 7 — UN ......I y `."'.." ON. • I Y2 - WASHED, 'STONE 1 M ELEVATION A � . D•;V TION SKETCH -- '� . - 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, .,� �� • ,moo. ., Fes • h// II +, _ K'R i'� r+rl' • :. + ` - } ` �r �♦ �•/♦ - r - - it ,� .fY�}_ , _ ,. s, _ �, : . • ,'r +�pPa9q' •f .+ ,� - .i _ it 7 - + - - �`„ § e-•!'r �+ y' �Af . ' 'i .i � +• '{ l •,. '� / ,rye. - v r 'III it r' •. -r •V + .Fry, r + " jP Ap'� •, � ., ..� N� +. ,• " 'r _ �" � � .' � (lr;, � •' I� ! k •',�,+ + •�� . 'Jif.F t �Tr .•Y �``7 r/ fl.� '_* .�f ! /y` � .V+r - II - t . �"� ,�� ; �. ' •fig T �� � .•' � ,"y�� ' / ,: J :� . . , '. n h G9G, tV k �• 'r' . � �`»17G. -+ {ram V �i �.� .+ a •� + ' r # .. � �•4N,y^ - .. / C,� .4 ! it o .�' +iJ K * to t • ? + . r r rONw :4• 4OC*7&,,67 !N 7 H+C P/,'4 p • * : s 3R , 9 � AV.0 .46�x+- MJ 'a TNT ? �f1Nc4 Q AR 100 JAMES v LAPSLEY14 TS Jf - • r - 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 .. < tr b