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Home My WebLink About0217 BUCKSKIN PATH - Health 47 Buckskin Path Centerville " A = 171 — 018 T 3 M EAD� ft Z4=WR UPC lum .n�..a�ooa� • ra.a w�► .A MR. FnimNo....... ........... 42!... THE COMMONWEALTH OF MASSACHUSETTS BARD OF HEALTH f _. . .f1.w4�.............OF......:.. ................ Allp iration for %iji gat Works Tonstru tinn Vantit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: / /Gs /� C ,Cv -- .......... a..r.. .............e � .........�.... 4 ......_...... ..:. ....................................... Location-Address or Lot No. ........, F��..: f '� ...................................... .............................• -•---•---....................................... Owner Address w � ........... .. Installer ................................ ............................................Address.......................................--•- UType of Building u'4> Size Lot......`s.P.4.d..Sq. feet -� Dwelling—No. of Bedrooms........3...............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Buildin" No. of persons............................ Showers — Cafeteria YP g ...----•--•-•--.......... P ( ) ( ) OtherIx ures --------- ...................................................-------------------------------------------•-------------------------------•-•---------- w Design Flow.........,................................'.gallons per person per day. Total daily flow--------_?jg-Q._.r.....................-gallons. WSeptic Tank—Liquid capacity/d,00-gallons Length................ Width................ Diameter................ Depth................. x Disposal Trench—No..................... idth.................... Total Length......._............ Total leaching area.........._.. ft. Seepage Pit No...�6D-/J- ##Dian e;� r.................. Depth below inlet.................... Total leaching area.J�._......sq. ft. z Other Distribution box ) Dosing tank ( ) '-, Percolation Test Results Performed by............................................. ------------•--------•------ Date....................................... aTest 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-----: .:-_____•-_____. 1:4 -•••••-----•----...-•--•-----•-•------------••-----------•---•-•-•-•---------•-•-•---•-------•.--••-......................................................... 0 Description of Soil............................. x -•••- .......... ...................................•-------•-•-......••-••----•------•---•-••••••-••----•--•----------•-----••--•..............-•-•-•. --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 Article XI of the State Sanitary Code—The undersigned f her agrees not to place the s stem in operation until a Certificate of Compliance has been issue ' "boarh th. 23 Signed •. -••---••-- .... .. .._� ..... Date Application Approved By............. ._..__.._. ........--•--------------••----------------•------------ l �....... .. Date Application Disapproved for th ollowin� reasonr-------------------------------------------------------------------------------•----------------.e.............. ......-----••.-•-•-••.................•-----•-----•------••-•--•-••.••---•----••---------- / � Date Permit No......................................................... Issued.....�----� :;��...................... Date .* No............. .------- Fss............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH :...✓ r Y Apphrativa for M-4p.owal lVarkii Cnonstrudion Pumit Application is hereby made for a Permit to Construct { ) or Repair ( ) an Individual Sewage Disposal System at: - `p ...... �: i+ ! i� -_.,.-• , -•------. ......_..,...�............................. ._.. ......................................--..._ Location-Address or Lot No. ..... _... .......... ` ��.�':�.".�w...................................... ............ ......._...................................................................... Owner Address � ............................................. ..,.,..........,.. ....................... .................................................................................................. Installer Address Type of Building Size Lot...... : T :%:;';J..Sq. feet Dwelling—No. of Bedrooms........z;. .....Expansion Attic ( ) Garbage Grinder ( ) p-, Other—Type of Building ............................ No. of persons............................ Showers ( .) — Cafeteria ( ) a' Other.fixtures .......... .................................................. Design Flow.......... .. ..................:.......gallons per person per day. Total daily flow-------- :_ ".C. ...................-gallons. 9 Septic Tank—Liquid capacity/� 6f gallons Length................ Width................ Diameter---------------- Depth............._. Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No ! a " ' .' � ;__: �.=Diamc�t�r.................... Depth below inlet__._................ Total leaching area.__f.Lr..:.�ft. z Other Distribution box O Dosing tank ( ) Percolation Test Results Performed by............... .......................................................... Date................................------- a Test Pit No. 1................n;usutes per inch Depth of Test Pit----------------_... Depth to ground water.___--________________ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_---_-__-_-----_--_.-_- ------ R+ ••------------------------------•-- --•----. ---------------...--•-----------...............---.... .................................................... 0 Description of Soil.............................................. -------------------------------------------------------•---...-•---------------------------------------••--•.•••--- Y.�r p Sy /'+'.+ W VNature 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 Article XI of the State Sanitary Code—The undersigned fuy ier agrees not to place the system in s' operation until a Certificate of Compliance has been issued, boar tea h. yif f A b y . . X",Signed-__( _ _Lam, (... Date Application Approved By--------........ = ................. �4 •-•..................•--• ......... ------- - - A ..._... Date Application Disapproved for Cher. ollowiny rcaso`ns:. ----------------------------------------------------------------------------------------------- ..............-.......................................................................................................................................................................................... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tra firatr rrf Tomphaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (; ) or Repaired ( ) b �: _P"�3 .I ------------------------•------------------•------------------------------------•---.......----•-..................••--•- 'at �! I istaller r has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......A!-_-.•-.__.__--__--_-----_- dated--- _--Za- {' _._✓_............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM DATE WILL— F. UNCT OATISFACTORY. ../ • .. . -------------------------- Inspector...............................................CL%/ _ L.. ................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No........!!. FEE/...7 ............ Permission is hereby granted........---='--------------............ -----:.:....�._............................_..................................................... to Construct ( 4 or Repair ( ) an Individual Sewage,Disposal System W. at No........... r.... .z�..✓.�...... ., a � �.................... .::........ t._� .. ......_. . .... Street as shown on the application for Disposal Works Construction Permit No...... . ......... Dated.-----` ...... .k ; -^-� •..-- Board of health U /: X� DATE.....--------------------------------.......•......................-............ FORM 1255 HOBBS & WARREN, !NC.. PUSLISHERS ' GARVALHO MASTER BATH 0 demo bath Interior as needed I remove existing shower stall •expand/re-frame shower to 34"x42" ° •add blocking for grab bars In shower[2] j •install pre-fab shower pan[white] lip •re-plumb shower for showerhead+handheld •add niche with shelf in shower •add 17urock to shower walls ea . •tile 3 shower walls and niche n^ 35 iw---1 •install NuHeat floor warming mat 24 X'72 •tile main floor 0 •install new exhaust fanAlght in shower � •install vanity with stone countertop frame and Install new recessed medicine cabinet i � I I Dim esmeiN iQ. Den[°N taAN9 AW PROVIDED FOFt m! ALL DIMENSIONS AND SIZE Bf: �' SCACE: DATE: ..Y ` RTISAN ITCHENS INC. IV84 ARE arvalho Residence .ADl use ev me GIeNoOR N{SAOeNt ��=/ DESIGNATIONS aCATION 9 PLAM.MAIN me Mona OF min SUB7ECr 70 vg2iRCAnON ON 1 2I7 Buckskin Path TIMANDUNNareeoseDonneuDe loesrE AND ADJUSTMENT 4/28/?A16 937A Main Street Osterville,MA 02655 508-428-8828 Centerville MA 02632 ""'"°°T°e"1S$fOe1' T°FIT srE`°"D"'°`us' I/r-VA�A a _ ,p i. J