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Home My WebLink About0008 CROCKER STREET - Health 8 Crocker Street Centerville A 210-141 � �12543 i.g 53LOR � - HPSTINGS.tA" No.-Sfn... C-A Fins, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH a/0 -------------------OF4fxkv-. �3-.�....------------......------------------ Applutt#uan for Bispnittl 19orks Tonstrurtion 1jamit Application is hereby made for a Permit to Construct ( .111*10r Repair ( ) an Individual Sewage Disposal System at: a Foc f0 Z .... ®_ ..L:L.... ... -........... N• � .--...LO T.-L%41 ..C�.T F"_..1 L_LE,.k......................... Loca ion A dress or Lot No. \ Owner .Address KD..1..coz.f3......................................... ••---:Y fl:-Y QUX. .-- Yn..001-.,S_r...................................... Installer Address 7C Type of Building Size Lot _'......Sq. feet aDwelling—No. of Bedrooms..... .................. ......Expansion Attic ( 4, Garbage Grinder No. of persons............................ Showers — Cafeteria p, Other—Type of Building ......... ......... p ( ) ( ) a' Other fixtures .--•-•--•---•----------•................................. W ......................... � --®-•---•--•-•--------•------•----------- W Design Flow.:-.....�im gallons per personper�y. Total dail flow........- .....--.--. ............ga lons. Septic Tank—Li uid ca acit -/®W_gallons ;Len K Width'--y,-. Diameter__ Depth...�---------- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...... ..._._.sq. ft. Seepage Pit No ® :_.... >ameter.__._ �......... Depth below inlet..... .......... Total leaching area.� __....sq. ft. Z Other Distribution box ( v Dosing tank ( ) aPercolation Test Result, Performed by..�/� c'M ........................................ Date., , / i..............._. Test Pit No. 1................minutes per inch Depth of Test Pit......f./........... Depth to ground water-___---le............__. f=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...................... x .........................................................................•--•--....-----•-•-••-•••-----••••••--....._...••------......----•-••-----••••-•••-- ODescription of Soil........................................................................................................................................................................ x W --------- --------- •--- -... -.... ---- -------- ------------------ ............----------------------------------- --------------- •------------------------------------- ---------- ----.----! --------- x -------------------------------------------•--------•-------------------•-----------------.....----------------------------------....--•------------.....----------......---•-----•-------•...------•--- 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 TIIL U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board o h th. gined.�:. = :::.. =-----l. ............. --- Application �._.. �.... Approved By.....` �.:. =fit.. _ ...... ... .... .. ............•----• .�.... _p�� Date Application Disapproved for the following reasons-------------•--...-•------....--••-•--------•---------------........------•---------.....------..........•••••- •-•-•---••--....----••---.........•••-•.......--•-•....................•------........•---......_..---•--.---•-•--•------------------------•-----....---------------------...--••------------....--•---•- Date Permit No...... �. ..................- Issued............. 42.Z.......... Date Y � No................_....... Fas.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appfiration for Disposal Works Tonstrur#iun "rruti# Application is hereby made for a Permit to Construct (. r Repair ( ) an Individual Sewage Disposal System at ... : .._ .__. .._. ........es�r........ .................4�.�'.-...._._........... .................................................................................................. t .;'g ocalion Address or Lot No. f e Owner Address w Installer Address d . Type of Building Size Lot_%==:. ,':--....._Sq. feet Dwelling—No. of Bedrooms......................................Expansion Attic Garbage Grinder (ejil aOther—Type of Building _-_.. .:.�T..�.......... No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -------------------•---••---•-....-•------------•--•--....----------------.....-••------------------- ------.......------.......------.....•---•-... w Design Flow...... :..............................gallons per person per_�a.y. Total daiIX flow__.... ` ........____ ............gallons. WSeptic Tank—Liquid'capacitye J ?s.!..gallons Length.. .�..... Width ....._._.:`.._ Diameter................ Depth.......... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit .... Diameter.....fV......... Depth below inlet..... :........... Total leaching area. '...._.sq. ft. Z Other Distribution box ( Dosing tank ( ) a Percolation Test Result Performed by._ s .r r `"` "� �' e�.�` •-•-•-•---------------------------------- Date.�!.1: =-= �..; ............... Test Pit No. 1................minutes per inch Depth of Test Pit......Fes.......... Depth to ground water.fr-..':�............__. 4, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 •---......•------------------•--•-...........--•-----------•-•-••-•------........-------•--------.....-•----------•----•--•------............-•--•----------- ODescription of Soil........................................................................................................................................................................ x 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 Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of h th. Signed---... �- - - ApplicationApproved By.................................................................................................. ......................................... Date Application Disapproved for the following reasons:----•-------....-•--------------•----------------------•---•-•-••--------------••--------------•--•---••------- ----------------------•----••----••-•----•------.....---------•--.......----------••••----------•-••-••--•--•-................._..----------•----------•-------•-•--------------•---•------•------•-•-•- Date PermitNo.-_.?_7-=.....14.0•--•................ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................OF....:f. 'rtia:>J.ga .:.................................... (Irrtifiratr of Toutplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (ter)"o Repaired ( ) by-------------------------------------------- ----------------------------------------------- ---••----------•------------------ --------------•--------...--------••-•-•--------- --------- Installer at.. :'. '..../.`'.f.............:._ 1�'°......-�- ,1�+ ------ has been installed in accordance with the provisions of TITIE 5 of h S ate Sanitary Code as described in the application for Disposal Works Construction Permit No.... __.."'_ e ._. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.--•---••--•----•-•---.7..::.... ................... Inspector.............. .�. ................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF, HEALTH ...........................................OF..................................................................................... No......................... FEE........................ Disposal Vorks Twuustrurtiott Vvrrmit Permissionis hereby granted........................................................................................................................................ - to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo........................................................................................................ Street as shown on the application for Disposal Works Constructi ermit No. .___� atted.....................1-- ------- //7 1.7 .Bo r o Heal" .54.............. DATE.__._._. ..��.. \.E FORM 1255 A. M. SULKIN, INC., BOSTON � TOWN OF BARNSTABLE E( 67SEWA� �- LOCATIO GE # " 2 *0 VILLAGE C E,� ,Q rJ�C,�� ASSESSOR'S MAP & LOT R i 'INSTALLER'S NAME & PHONE NO. /,3•C. ,k — p ily `�SEPTIC TANK CAPACITY /600 S S LEACHING FACILITY:(type) (size) /G@Q (;&6 �O. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER Pw-r BUILDER OR OWNER �a a®� • • •4 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i/ �i V ` fv � CA Q E1. . 5.� rop or fgL1 M rxW COA CA W COVERS COA40R1E7>E' COVER EL 45.3 4**Cho" 40 Pvc • f!V: WAAM�W PIPE-•+ASK ACsiTPf My A001v PIER/rT !i -1b N!- TA it /VV ?r M/127PT 1�3 rAST EL �$Z 3�rx MW EL 44, SG EL :•:A ENT 1000 �u., � Iv�r~tZ. 44 7 �xT :; atic10 5 ' 5 --�- G; a 10 4 PROFIL E OF - EL, 34 a AV GROUW WA rW TA&Z �i SEPTIC SYSTEM Q SOIL L OG a4rr.� 15 e� -�2�►- GENERAL NO TES r"T m" 1 2 ALL PIPE 4" SCI-I - 4n RVr T a. A EL. .45 42 43 A 153.95 SAME DESIGN DA TA _ 1 . 5 jGRAVE�Aut&,MR aF fiEpRooAn 3 cp- 45 TOTAL FLOW 330 CpO LQ I PIR — $42 Fr. BOUOM LE CA" AREA Sot Fr. f . t z L O - GARBAGE VISP SAL sox hwome N TOTAL LEAaAW AREA $4 Fr. I ) 44 EL 34 P�E14�C"7 W RA rE r1/ti/Ml o — wA rim s�ACowrw w 44 w 43 CAL COCA n OMits� sl 21 ti PITS? -T - (1 )78�n Q TrT 1 7;4n I W I � i 22` SITE PLAN OF LAND LOCA TED IN R=20' 45 L=29.23' 44 CENTERVILLE, BARNSrABLE of 135.47' W-POLE _ PREPA RED FOR �S��NAL �qti U -- -- -- -- -- -- - - --- - a JOHN � A��R SS JACOBIGp, FDiMA ER� No. ! o��oNW of TREE T fALVA Sco o CKER MEdi OF PAM/L o. MEW N 82*6 SSI��~ - �NC SURYE'��Q I Y CONSUL TANTS YANKEE SUR VE 143 ROU TE 149 (P,, a BOX 265) 0 20 40 60 MARSTONS MILLS, MA 02648 PLAN REFERENCE: 193/93 RES. ZONE: RC FLOOD ZONE: C DATE:5/6/89 SCALE: 1" 20'