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HomeMy WebLinkAbout0019 CRANBERRY LANE - Health 19 CRANBERRY LANE Centerville A = 226 - 195 S M E A D No.2-153LOR UPC 12534 smead.com • Made in USA Oy MUMNTA grilKtwt LFIs« wwwsavWOVAKOW No......................... Fss..,...r-.. ...._......... THE COMMONWEALTH OF MASSACHUSETTS BOARD HE L tV'.........OF................ .... Applir�a#ion for Dhipus al parks Ta no rttrtinri jJrrutft Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at ..... ...f + .C- . -_ � /, ...... ............. ........ Lo anon-Add a or Lot No ....... .... . ...._.... .._/�'( ._....... E+ms„r-'- .._ .. .. or • f - / jdress-. nstaller Address Type of Building Size Lot......!.._?I_'. !::Sq. feet U Dwelling No. of Bedrooms_ .___�., g— _______________________________Expansion} Attic ( ) Garbage Grinder ( ) p, Other—Type of Building _ s _-D__..,__._.__ No. of persons__.__.{_4?______________.... Showers ( ) — Cafeteria ( ) Others ,.__.. w Design Flow__________________________ _ gallons per person per day. Total daily flow_______.? 0._._._:._._,_....___...gallons. WSeptic Tank—I_iyuid ca i ,_ _gallon -ength................ WidtL_ _._.__.___. Diameter................ DePp,th .............. x Disposal Trench—No. ..,..................Width.................... Total Length---- Total leaching area....l/ .....sq. ft. Seepage Pit No:.................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test suits Performed by......................................................................... Date................ .... .... Test Pit_No_ ________________minutes per inch Depth of Test Pit.___.__.___.___.__._ Depth to ground water-____. (z, Test Pit No_ ________________minutes per inch Depth of Test Pit.................... Depth to ground w.�atter_______ _______-_____. �i nn�.. tF ---- Illy ' t� O Descripti Soil__._.__�!-__,.._�. : � � F'D"Tf x c, • + - -r * �t.- ? �! is - -�?- - -...__.. w 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 TIT1Z 5 of the State Sanitary Co e—I undersigned further agrees not to place the system in operation 1 a rt of Compliance_As e, -ssue t board of Health. ...... D Application Approved B ....---•-----= f._:,Fl� _..._._.. Date Application Disapproved or th f ollowing reasons--------------------------------•-------•--------------...---------------------------------:..--••------...--•-- ----------------•---•••••...._._.....__._.._-•--•---...._----•-•••----------•-•---------.._._...---•----.._......----------------------------------------------------------------___- ----- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOA OF H AL ; ......................OF................................................._.._................................ Trrtifiratr of Toutpliatta THIS IS TO CE IFYat th nd vi�'u' wage Disposal System constructed ( or Repaired ( ) by -------- _- - -- •--•------------- ..._..-•-••- I t 1 at..................................................A................................... ---- - has been installed in accordance with the provisions of�I"' F crr The State Sanitar Code as desc ibed in the application for Disposal Works Construction Permit -o......._.__„__________ _______________ date .....°'�40 _ .................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUI. D AS A GUARANTEE THAT THE SYSTEM,,O L "CCTION SATISFACTORY. DATE._ P.1.y�..i .l--------------------------------------•----___---- Inspector. :. ........... HE COMMONWEALTH OF MASSACHUSETTS BOA OF H= A T/ tv //"-"`.........OF.......................... No......................... FEE -••.. ............... ?Qij�u Permission i ereby granted ...................•. -•---------......_............. to Construct ( ) e it ( a. S . 'a s osal Spp� . yC SmI r atNo. / /------------ -------• ----•--- ----- ------------------------. .. reet as shown the plication for Disposal Works Construction o_____________________ Dated................... .__._....._._ ::.... ------ y _____________________________________________ -• Board of Health DATE----------=--------------•------•---------•-•---•---•------•---•---_---•- FORM 1255 A. M. SULKIN, INC., BOSTON -� -�:_ __...... .... ...... _...., ....E-`x-. FRic - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE ..........OF............................. ..................................................... J 1111plir- ation for Uio oottl Workii Tontrnrtion Prrmit $kWApplication is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ! Ke 2 q ..............1.................t:.�.... .............;�'ri.2/.....t��:.r.�K...... ... .. :4:.._ _._ .�_ ............................... ..... ..::. ... ...... ...I----.......... L cation-Ad , or Lot No. vv' ..... .__.... �j er L� dress Installer Address ' d� UType of Building Size Lot.._______..j______________Sq. feet Dwelling—No. of Bedrooms_ _.. ...............................Expansio ( ) Garbage Grinder ( ) �p-, Other—Type of Building .. ... .............. No. of persons...... ` . ._______.___.___. Showers ( ) — Cafeteria ( ) a, Other f ................ _._..___..gallons per person per day. Total daily flow......�� ........................gallons. WSeptic Tank—Liquid capacit/�. .gallons Length................ Width..............n Diameter................ Depth................ x Disposal Trench—No. ---_/............. Width...Z,......... Total Length....Z_1......... Total leaching area..... 7 ..__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...................... �/....... a Test Pit No. minutes per inch Depth of Test Pit.................... Depth to ground water-----__ Gi, Test Pit No.Y ...............minutes per inch Depth of Test Pit.................... Depth to ground water......../............. is-•-• ----•f......• =0 ••`.............•yl••---- .... . � l2 . �yLkv Description of/�Soil--••••. � f/ ...... �' /� — q`�1.:�. __.......... U ..........- . aee_,w-a��a.4�?�ya "i<Ji k._ Z.r.��//...... 1 g V f L 4'-�.Y•(,=-i.G/y ✓.s . •-•---••-••- ........................................................................................................................................................................................................ UNature 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 TITLE 5 of the State Sanitary Code—T undersigned further agrees not to place the system in operation uatil a Certificate of Compliance ha b n -s ued th oard of health. f ed ...... _•. -•--•.......... .... ........./2'l . Date Applicatin Approved By--••••••• ......•_••••-•. ... ........................................................ �e� - .f .. ...... ate Application Disapproved f o the f o owing reasons----------------•------------•---.....------------..........-----•-------------------------=-----------....--_. .................................................... --•••--........---•----................_.........•--..............._......_............................... ......••. ...................... Date PermitNo......................................................... Issued........................................................ Date Crisafulli A.John �Jd 20/l o � , 19 Cranberry Lane Centerville,MA 02632 U 508-380-6595 ��YJLd� CONTRACT Customer Name so4" �V"!S��1 f Customer Signature LIL SKETCH Contract Date s'' `f Sales Representative Signature ATTACHMENT Customer Phone Ste— 3 Ffb '��S"9S' Contract Price �3„ �-FfCQ• a>o 1 2 3 4 5 6 7 9 9 10 11 12 13 14 ,5 16 I] 16 19 20 21 22 23 24 25 29 27 28 29 30 31 32 M 34 35 36 37 38 39 40 41 42 43 44 45 46 47 aB 49 50 51 52 53 5a 55 56 57 0 59 60 STFEL AAJ � C _ C,c[X G% C� ' 6 '0� fL 3 Ao� i• � �n J Y'�'// 10 IFS V1 , „ C.� �`��. ._ i ktT I �I 1 S IL • 18 ' .. 1] ,. .. i 20 21 22 23 24 ALL 25 26 27 28 29 1 i i � I �j s ! I 1 r , , F t _a 30 31 32 33 34 35 , NOTES: t u I all box equals one toot unless otherwise noted.This sketch is a good faith representation of the work to be done,it is understood that all dimensions derived from this sketch are approximate,and that all locations of outlets,light fixtures,plugs,jacks and/or switches are subject to change if necessary. L ` 362-4541 926 main street yarmouth mass. 02675 qJOwn Cope effifteefint civil engineers& land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys site planning sewage system October 5, 1983 designs inspections Mr. John Kelley — Town of Barnstable Board of Health permits Town Hall Main Street Hyannis, MA 02601 Dear Mr. Kelley: SUBJECT: LOTS 1, 2, and 3, CRANBERRY LANE, WEST HYANNISPORT (D. PAYNE) Enclosed for your review and approval is a Site & Sewage Plan prepared for Dorothy W. Payne's property on Cranberry Lane in West Hyannisport. The sewage system has been designed in accor dance with Title V, and the plan was approved by the Conservation Commission on October 4, 1983. If you have any questions, please do not hesitate to contact me. Sincerely, atin.� Wle Arne H. Ojala, P.E., R.L.S. AHO/mkh Enclosure cc: D. Payne t ~tea f:. ,. r 1 1.. •� .T •Q p .:';'( x, ,. - - 1 l I�- ' v r •L <. - _ ..6. . r _ it f/ • ' . ,: 4 F'•` " ."' a fir. 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