The URL can be used to link to this page

Home My WebLink About0064 CRESTVIEW CIRCLE - Health WL 64 Crestview Circle, Centerville 1, A= 252-051-019 Lot 47 No. 42101/3 ORA ESSELTE 10% O ® O O �ecAarA.�,.�.�.a;;...d.�.wmam7i.,_ - ...._ _ sa{1n...0 sea�euYY1,�� 1. .:-n..�a.CYyc�.arcu.� u..:m:...�� • ;• _ a�,. _ a,.w�._.:...�...:.s.. P - W&P C� Tx NOV._ a19 FYmc_i..06... � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Divjipooal Works Tomitrnrtion Urrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal Syst(e,/m at, ��\ � ...- -.i... ---•- ---- ........................................................ Loc t o dress �/ or Lot No. _.. ............. ....../`.K.....................•. ---••..............-•••••••--••-•-•-........•-•--•--•---'-'-'••----............................... ow? '�/l e Address Installer Address o(t O D Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms __..._. �. --------Expansion Attic ( ) Garbage Grinder ( ) aType Building "t✓L, sk.No. of persons____________________________ Showers ( ) — Cafeteria ( )Other—T e of Buildiu .............. a Other fixt r��. d ----------------------- 330 lions. W Design Flow____________________________________________gallons per pe�ser► per day. Total daily flow_...-._-_-__._-_-----_-........_. _.._....ga WSeptic Tank—Liquid capacity-LOPP.gallons Length._............. Width---------------j. 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,tgnk ( ) Percolation Test Results Performed by.._...: . . . .. �. ............................. ......................................r a T � - -�-t�'�'`---•--•� -----� Date Test Pit \o. 1---J ---__minutes per inch Depth of Test Pit____________________ Depth to ground water.... (%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil------ ------•••--- x w -------------- ---------------------------------------------------------------------------------------------------------------- ----------------------------------------------•••••......--•---'------• V 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 TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Complia ce has b n issued by the board of health. Signed - - -- -------- ------------ ...... l.D t0 //v .� Application.Approved By ----- -- ------------ - ---- -2 e Application Disapproved for the following r sons- -----------------------------------------------------------------------------------I................................................. .............. . a -,- -- ----- --- ---- ------------------------------------------------ Issued -------- -- e . . ....... ..................PermitN .. ....... --.... D Dace r (12 i 1 THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Dhip t ial Workii Cfnn,itrnrtion Fautit Application is hereby made for a Permit to Construct or Repair ( ) an Individual -Sewage Disposal System at��l _ n (� 1.... ,-" "--- ...................•-•-•-••-•-'---••-............----'•--"----...... ...................................... .......................................................... Loeafion�:ddress t, ( t P or Lot No. ... / _ .'u-e.. _ W ................ — ........................O.riGzy �lt� ^�� Address '-•-- {S /U Installer Address , t Q Type of Building Size Lot-----............3- ............Sq. feet Dwelling— No. of Bedrooms._______.,__-�___________________________Expansion Attic ( ) Garbage Grinder ( ) A4 Other—Type of Building %� ✓L.�R-No. of persons___.-_____-__-------___-_ ShowersCafeteria ( ) a' Other fixtures -----------______________________ _ f W Design Flow-------------------- _----_______----____gallons per person per day. Total daily flow...____-_35U.._..._._.__..._......__gallons. 1:4 Septic Tank—Liquid capacity- `P0gallons 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 t nk ( ) `-' Percolation Test Results Performed b � __-_.6, vc`�C'�'_____._ Z^�5 - y Y ---••.. Date..... -----off•--- Test Pit No. 1__ __-_-.....minutes per inch Depth of Test Pit.................... Depth to ground water... ___-_._. ------ 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a ..•••-•••-----------------------••---------.._._....-----------••••--••-•••--•---.._..........•-•.............................. -------------------- xDescription of Soil........... --- <'`"-------------------------------------------------------------- U ••••--••-•••••••-•••---••••--------•--••-••••-•-•••--•-•••-•-----------------------••••--••••••----••---•--•-•-••--••-•-•-•-•-••-•---------•----••-•................................................... W 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 Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed C.� itw ^ 'l�H`..--%1C�t�....(r.:... . �. pt.��l ff /"/� --. .......,—.��-/.v, ..............................— Dace j� Application Approved By ...., /J�--/. :.-.. 4......-.........- 1/% .. .�----- D acee Application Disapproved for the following r .rons: ............................................................_..._------._. _ ---- Permit No. ..:.f... �...* .V..�.!..... Issued / .. .,............._------.._ /..Dace / THE COMMONWEALTH OF MASSACHUSETTS V BOARD OF HEALTH TOWN OF BARNSTABLE Gerlifirate of (gantylian e P T IS IS TO CERTIFY That the- Individual ewa e Disposal S stem constructed ( ) or Repaired ( ) by .. �� ------------------------------------------------------------------------------------------- at ......... "..1:....._.?....1.._......C�-� ��-( �'�•f ---------- ... ..... ......... has been installed in accordance with the provisions of TITLE 5 of T e. State nvironmental Code as described in the application for Disposal Works Construction Permit No. ....._-.... 1 ..' f , Pp P � ��..._t�.. dated .._............ ......_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. -� Cl iv,........ Inspector ................. ...'?-„�.:.. DATE...__. .. .... . -------------- p THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH, ( 9 TOWN OF BARNSTABLE No. .i FEE,�0. 9Uispwia Workii TonArtnrtuan_ rrntit Permission }s hereby granted tJwirA/ .---•-------••--------------•---.. to Construct ( ) or Repair ( ..) an Individual Sewage Disposal' Syst Street q� as shown on the application for Disposal Works Construction Permit N . _.__�.._.___p---- Dated........................................... ---•-: , - - - -- ---- G� (/ DATE-----•-------------/__.'�/_'.1..�J...._....--------------------•----•-- Board of Health FORM 36308 HOBBS✓!WARREN.INC..PUBLISHERS 1J�516 F.1 PATL : SWG�� FAMIL`( 3 $ED?—WMS o�EN .PA1 L_( R_oW s x l to- 33o SEPTIC TANS 33o xi �•4g5G1� I .. lei G (DOO / IZ1'211LG La0'O Cw�L /S 57a1J� 1� 47 S I D E Wd LL Aj AR�=_q = 166 16g SF X 'L,s ewp 1 'OOTTDM AerA '-- -w SF: : De516FJ _ 5¢5 TOTAL DAILY rloy/E = 3,SO gD !.oL. \\ .(M cs o m 11-8 4 TEGV(.AT1 oN QATE am cI I u U10/LE�f, o % �� — Fir / Rcct+a.r��) Yti PETER , _1— BA7CT s�jai NO. 29/33 v 3 At� ' P F_W 12CL�- rxrt, A'.101 TF-69 S��SnL P vc. INS 3 PIST 6ML Ivd �5 1vGb cur 1uv box �,'�, d�a 5 r1c SAur, / GqL �. 'rA N Z ; L �.•� Gna�csL '1NIjr WMNED �6, Au..- 5MUCTVQFs swr -TONE. /YtM TW4' 4!vEZP s z 6. 2 s+-Eau. sE -2a oPEu SPACE S�a�,vl�oN SoAo%o MAP 2S2/51 253 /19 + PLE FAN GnAV�:I_ `P�VE10�E 'PfZp�lL.r �!o s�e�.. Loc, �1oN : CEJJTE12v1u.� /1-4yAutJ15 ti)o lo4TuL SG,Q LDS I ci DATC-s MIL.9 laR';, I C EYT1 FY T44 AT THS cw w�D —PLAN E ROJC,r: 5(4cwN lE1zeoN <_'omFLYS w1TA TNS 5(pr;tjQE oP TRjE- TDWN OF �A�.NST�s PL 'B�. sos Pam. -16 ��Iv I�� r l-ocaT wITu1�l T11� �LoOD olt,l, LAUD coozT -PLAW 3W,69 115 c�,ti : IS Nc)T- a� oN AN ItJS vti4E�1T p LAUD Suev6,/acs 5urz lz- A1Jp rNE oW� eTS 4 4ouL� u� z�v I L E+Q1 N p-E45 T'D E%4ELISN RW-ClflEtZT`/ U N � �3E o ST�Z-2v 1 t. a- MAC , ' APPLICA NT s _6Ayslte 1301L.b)N& Go . INC, ��s16 N v�-ra --------------- Sl�cc Full_`( 3 5EDlzw s �o GA�3Ac, Gir1�EK I� 5hakc- PA I L- FLoW 3 X I 10 �D Is� ,EFrl C TANV— 33o also •d�5 ! r (DOO ID00 GAL�z�STDwE 47 sMEwdLL AREA '- 166 sr �� -o�r3 �r ^ , , ` ,IS - I�8 SF X 2e 5 =• d--lo laPt7 � ' - 80TfOM -70 SF; �� o Prto� t� `lg� le o ,z 18Gpp, \\ pw \ 15 TOTAL t*551614 = , 5415 Gift, d g -8 TOTAL DAILY Mo)V = 3-30 d !,oe- \ ( (-& 4 TF26a(-AT1oN QATE c uJ'UW �N PW \ o r �. PETER . . '79 IQ s �cp ., . 6AXTfh Sao:nc t Fio. 29733 LIM At 0 �>z 'S7VIEW aLs6e, �,��-� F�9O7 TF=G9 Lonw �',7 ; w _ "'777Crl�74r S�35nL P.V.C. � k, �° I noo Iwo 3 blST i�v GQL NO �ooq n�✓ iuv liox ,'�'�,7 e� seprlc Saun/ �AL G4 '' TANL �2a�rL WI j-i{ 2� 3�4'�� Q� t� Q WA49 P � 5rz tv cn s�-r STONE. � T' W4 4 v� 8 z Ge 2 � QLL BE -2n oPE1J �pa�,E S�BD�viyoN L$ 3o/ID/111 MAP 252/51 253 /9 I Saco V,u- -PC-\/ELopZ) 'Pie/U=I LZ- "RED Pam- P[A N LaG�1TroN DATC-f MA2 .9 lqQr2 sin PLAN C F�.TI FY T+I AT T�{E a.v sc.0 r�L QE't=E RE)JC.E SNcwW NE2eoN �MP� S wlt�4 Tub 51�EUtJE C; �jrr 7DWN OF -&AeIJirAaLr-- P` 7BL Soy P&. -Ig 1 T- l-oC,4T*G�D(� V,/I'tgiLl WE 'Pxor> �z.ol{,1, BAWD -'oueT .PLA14 3�g 7NK �c.1.ti Is NOT- �3Ai� oN /aN p�%t0Q4L LAWD Suev (oteys S rz/&,( AND rN£ OF�SE'f'S �f4oUlsjliJQ oD-r -&E Q 4kQ I L � EiJ61 N EE>L5 To EST4auSN pw-apa2Ty uNcS sTE2vILL.E MAC , `- APPLICANT, 7i�QySIt>: l3oL ,r ,, t LA 1o/da f��O TOWN OF BARNSTABLE l LOCATION . 4'��/fiGtJ r-J/L.. SEWAGE # .. 9—E(VZk VILLAGE��Z _ ASSESSOR'S MAP LO INSTALLER'S NAME&PHONE NO. �� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) .1,0046 NO.OF BEDROOMS BUILDER OR OWNER �y PERMTTDATE: - .3 COMPLIANCE DATE: �—1l- �d 4 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) v Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaShing facility) A Feet Furnished by DA z6e t AM6 5 9 1 0 1 _ Z 23 ZZ 22. 27, j ®3 �a yl o