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Home My WebLink About0171 DONEGAL CIRCLE - Health 171 Donegal Circle L Centerville, MA. 02632 A=169-036 - /// I K ME:A De KEEPING YOU ORGANIZED No. 12534 2-153LOR 0cerfif FORESTRY LE MIN.RECYCLED dINITIATIVE Flble 8ou CONTENT10% www.sfiprapram.Orpiny POST-CONSUMER SF101M MADE IN USA GET ORGANIZED AT SMEAD.COM �- 61,1— / ? eE,2— 1,,�: 1 LOCATION SEWAGE PERMIT NO. VILLAGE u, cl\ (Jalerulllg� IN ST A lftN's NA E i DDRESS BUILDER OR OW — DATE PERMIT ISSUED L2242- v DATE COMPLIANCE ISSUED _�9,_ �� by i7� i '3 a dew ,axe 9A l No.82.~_!3_�°_-._ Fxs$... .:.00............ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ....................T.own... ......0 F.......Barns-tabl e.........----------...---............................... Apptiratiun for Bi ipas al Workii Tomitrurtiun .e mit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: ......11 Donegal--Circle,..Centervi�le,._.Ya4- 4263 .. ... .......... ......... Location-Address or Lot No.............. ....... obert-Ml?r;I1Y.,..�Jx: .... 1.7.1..Donegal-•Ciro,e+ �ri1].e.�...M.A.....4.2�?32 Owner Address a -•-•-- + ..Cas;apAal__Bei.v_i.ce--------------------------------------- ...W-A.....}2601..... Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.............................__....._.._..__Expansion Attic ( ) Garbage Grinder (PL4 ) Other—T e of Building No. of ersons...------ ................. Showers — Cafeteria p' 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water...--------.-.--_.------ fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ••-•-•-•-•------•--••••••••------••-•-•-•-•--••-••.......-•-•-•--•------•------••--•--•-••-•-----•-•........................................................ 0 Description of Soil......2and-----------•••------------•-•-•------•-•----•-----------------------------------------------------------•...••-----------------------------•------------ W ..................... ------•----•--•--••-•-------•--•--•-------------------•-----••------.....------------•--------------------------------------------....--•------•-----....---...................... ---------------------------------------------------------------------------------------•----------------------------------------------•---------------------•---------------------------•--••--•-•_--•_. U Nature of Repairs or Alterations—Answer when applicable-- xlsta-12ati4 ...Qf--a..l.,.QQ9..g�a7.Qxl_.��-C��t, stone packed leach pit•-byerfl•ow) -------------------------------------------------------•-------------•------------------------------._..._•---•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TiTL� 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 oard of health. igne --.......-•----...:..C_l....:.... --=-• "'`'� .�2��82..........••-- ate Application Approved By..... Date Application Disapproved r t e�f ollowing reasons:-----•-•------------------------------•----------------•----------•--------------------•------•-•.......------ ....-•--...•----•-•-----••-•----------------•------•----.......•-••-•---•.....-•----••--••-•--•--•.........--------•--••----••••-•-•-------•-----•-----•- ............................................... Date Permit No. 82- `3 Issued._... 3129�82 Date r'- Fut...5.jgo........... _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................J'own.._...........OF.....Barnsrtable•........---..............__........................-•---- Alip iration for Uhgpsal Works Towitrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: .....17....)one9&1...Ci=l2,--liente=i22,a,...r!A-----D263M............................................................................................... Location-Address or Lot No. .... io xt_?�1=phyY...Jr...-- r------------------------------------------ 1-71...Donegal... C3�r]s,...C�nte�rl�le.,...rrA.....�26 Owner Address W A..&._D.. esspoal..Sex^vies---•------------------------------------- 1- --B_:j 3 Terl'1ce_; r Installer P Adds .'f SAC?�� d Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms...........................................Expansio5 Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther 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. 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........................ P4 •-••-•--...•-•••---•--•-••••--••••--•-••••-••-•......•-•--•••......--•-........--•----------•--••............................................................ ODescription of Soil....SAPA......................................................................................................................................................... W U ------------------"-------"----"---"•----------...----------..........---•------...-------•-"----•----------""-"-------------"----"""-------"-----"--"-----------------.......................-••-•-. W x instal7ati-©ri-•o f--a-I;�IOII"" &l1t�i7 p =aat, U Nature of Repairs or Alterations—Answer when applicable............................................................................................... stone_ packed leach pit (overflow) . -• -•-••- -•--••••••-•-•••.....••••-•-••--------•--•-•----••---••••---•---•-••-- Agreement: `'H.v�.F The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 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 oard of health. '� 2 /82 gned�.•• .=�. " . ............ f:: � 3� 9 ............ _ - A- ApplicationApproved BY ....................................................... ........................................ ,�, Date Application Disapproved f o+f'thf ollowing reasons:--••-•••••--••---••••••------•••--••-••-••••---••--•---•--••-•-•--•---•-•••••-••-•••--••••-•-•--••••••.......... ................."-----------"""-----"----"--------•----"-"----------....--------.....__.......----------••-••••-•--•---•-••-----•••---•-••-•••••--•-••--•••--••••.....-•---•--••-•-----•--•--•...._..__ .� $2 Date Permit No........52- ..................................... Issued............... /.9/--- ----• Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH • ...................�....................OF.........Barnstable................................................. Trrfif iratr laf Toutlrliatta X THI TO TIF Th e v' 1 is to o ed or Re aired A & essp® ery de, j jfjQ`� a I ��i'i,"�� t4��t'Y� ( ) P ( ) by...............................•-•.....•-••--•-•---•----------•--...----......-----•--•••-•- at171 Donegal Circle, Centerville, NIA TOM32 - Robert !1urphy, Jr. •............••-•-•.._...••••-••..............•••••-•-•........... has been installed in accordance with the provisions of TIT _ 5 of he State Sa.nita,V ft described in the application for Disposal Works Construction Permit No.............../3.�....._....... dated_...._____..______".-_______-__--."-._-_"-.._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIO7 SATISFACTORY. 329/82 �! �- DATE................................•----- ._._...............•--•---•••-----.._... Inspector................. // ............................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �2- Town Barnstable 5.00 No......................... FEE........................ ?i ood n ii (90 tlan rrnti# y-` 1 � A & esspoo ery ce Permissionis hereby gran((ted...-••-•-----•-----•---••-•••. ............•.---•••••-•-••-•---••-•-•-••-•-••...•••--••....-•-•-•-•••-...................................... to Construct) l >�o°OnegaLal i2cJean 6g jA�ik..g gjisM6, ysteW Robert Murphy, Jr. atNo.............................................................................................................................................Street 2C)�82 as shown on the application for Disposal `�Torks Construction Per _ __: ._ .__ Dated........3�.................................. Board of Health DATE...........3AVA? FORM 1255 HOBBS & WARREN, INC., PUBLISHERS 1.