Loading...
HomeMy WebLinkAbout0153 GUILDFORD ROAD - Health 7 153 Guildford Road Centerville, MA A =148 - 013 i �a it a No. 4210 1/3 ORA Pendaflex' AUX 100/.W i Lb 3� .00 No.._/a.:..�U' Fps..$...........�............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiuu for Biipuu�al arks Tour U 7- ovum Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 153 Guildford Road Centerville ................_................................................................................ ......-------•---••-•••-•------------------•------•---------•-----._...................---------•- Location-Address or Lot No. Engdahl ........--............__........................................................................ --........................--------•-•-----.....-•----•-----..............-----------.............. Owner Address W J.P.Macomber Jr. •.....................................•--------•---•---...........-------•-•.......--•----•------- ...•-•-....................-•------•---••...------.----- •••--•-•-......---------•-....-------•-- Installer Address d Type of Building 3 Size Lot............................Sq. feet U Dwelling—No. of Bedrooms______________________________ ___ Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............................ Showers Cafeteria Q' 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-•••-.•-•--•---•-----•-•--•-----•--•..... 0.4 Test Pit No. 1................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--------_............... a --•-•--••--------•------•----------------•---••-•-----•-•-••--------------- -•-•........ .---.-------- -------------------------------- ------------- •---------- 0 Description of Soil............................................ .....................................- -------------------------- x aa;ric---E_Grave Z v ---•••----••-•------•-----•-•••---••---•-•-•---•---•--------••---•---•------•---•--•-•--••-•-••-----.....••--•----------•--•-•-----•----•-••-....-••----••-----••••.........................•••-----•-•. -- - -- ------------------- - - - - - - ------------------------------------------- . 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has gee issued by th bo rd of health. Signed - ----- ---�-- ---- ...............................-- -----5/....................... Dace Application Approved By ................. . . ...... ... 5-' Date Application or the l reasons: ..................................................... .......... .. . -- --- .. ----- ........................................ pp Disapproved f owing -------------------------------------------- ---------- -- ----- -- --------------------------------------------------------------------------- - Permit No. .......� Issued Dace Ts. r ., • �® ff No.... FE$�....3C.CC.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH • TOWN OF BARNSTABLE Appliration fnr #wvasal Worko Tnnitrnrtion ` rrmit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 153 Guildford Road Centerville ... _............................................................ -------... .......................................... Location-Address or Lot No. Engdahl .......---------------------•............... •-----------------.--.-.------------------------------ ---••----.--.......-•------....-------••----- ............................................... owner Address W J.P.Macomber Jr. ........................ ........ ............................................ � Installer Address Type of Building Size Lot............................Sq. feet Dwelling A No. of Bedrooms.............3------___._-__--__---___.__-Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures --------------------------------------------------------------------------------------------------------------•----•---------•......•---------------- 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. 3 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. I________________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........................ 04 -------------------------------------------------------------------•-----------••-•--•...--••-------.................................................... ..•-- 0 Description of Soil---------------------••-----•-••---------•-- xSand Grave 1----------------------------------------------------------------- c.� -----------------------------------•---•-----------•---------------•------------------------------------------------------------------------------------------------------------------------•----------- W ...................... . a ------ ---- fy---------------..........._..... x -- -- -- ----- --------- -----------------------------------------------------------T-=1'3C�_.-gallon 7eacn pit . a 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 Compliance has been issued by the board of health. Signed `Lf---- .. .......................... 55-/(492------------ Date Application Approved By ---------------- ---------. ..... . ,_. �� 9 J7 t`............................. .`........ -----................. Dare Application Disapproved for the 7fllowing reasons: .....................1.1-------------------------------------------------------------------------------................................. ---------------------------------- -- -------------- ----- ------------------------------------------------------------------------------------- ----- -----------------.......-- ........... ............------................. Dat PermitNo. .. �...V-�----------------------- Issued ......------------------------------------------------- e----- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ger#ifira e of Grayliax><.ce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( xx) by J.P.Macomber Jr. ---------------------------I..........................................................-----...................................--.................................................................................... Installer at .--153 Guildford Road Centerville - ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of T,he State Environmental Code as described in the application for Disposal Works Construction Permit No. ---------!"�`------.r 9.-SG....-. dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. \ DATE.................................• ------ ------------------------------------- Inspector ........------ _ ----------- _... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH q c/ TOWN OF BARNSTABLE FEE...$ 3p. ..................... Diaposal Evrki5 T.onatr inn ami# J P Macomber Jr. Permissionis hereby granted--------- ------- ------......----•-•--.-----------•-------------------------------•---------------••---------••------................. to Construct ) or RepairX({X an ndividual Sewa e Disposal System at No.._1 .. uiidt'oerd Roca G�entervil- ---•----------- •-•---•-•-------------------------------•--•••--.------------....---------------•-------------------------------...------------•---••........... Street 3 /9� as shown on the application for Disposal Works Construction Permit No..;..__-_/.........._ Dated.......................................... a _ --------------------- ......................................................... DATE. - •-------------------------------- Board of Health FORM 36508 HOBBS&WARREN.INC..PUBLISHERS TOWN OF BARNSTABLE LOCATION /j- SEWAGE /# r a VILLAGE �/�j��;/;%/ �- ASSESSOR'S MAP & LOT��B- u/� INSTALLER'S NAME & PHONE NO. .� SEPTIC TANK CAPACITY 00 C) LEACHING FACILITY:(type) (size) /AV c7a. B i NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ,_ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� �—`_) �� i �`� �� � a 1 a � �� �;� 3 � . - � r CONr.RIDCE VENT rA s I a 8 RAdE EOPRDS }+ val i 5.0ll AGCE55 W/I A 5 Wr 00ARD TYPICAL Mffftf DOGr(VERIFY W FIELD) ROOF%ME5 116FACIAB z Q FRIEZE 0OAlV5 Q Q N U1Qo fOP OF FLAIE fOF OF FLAlf 0 W Ll FTTll z wcow; T ���� ���� ~ N 0 W.C.SMNGLE SIDMG ¢� a m rn W M DEID� Q O f0 WEAIFER f�� _ ����aooa o00o f01'OF FICAHT 51M ��MIVN �pON1' ���VA�10N 24'-a' T IZ A AWM5EN NPA:OIPE 24510 t fOP GF FLATE ® rw� O O N `./ for Of W i NAt3?A.N MPMN NA'3tOLlt p 24510 24NO (4CAAa _ 1. f 51PF FI. VAION II TQT�� 0 4 SLOPE T'fOWARD5 V DoGr) Z Q I I w 0 9'O" ro°OR 9'a'F 7'o"OR DOCK _ ( OF ELATE SCALE: t CONS. - 1'-0' }•" WON ® DATE: A 1 ly'1/2004 T m JOB NO.: 2.,(YE 91_O^ T-01 91-O" 2._0 ENG roPOF G�N�pAL N01�5: 24''(Y' I I E Fes' DRAWING NO.: I,) CONfR TGV 15 fO VEEIFY ALL EXI5TING CONDI11ON5 F I pSf L OOF TAN �I &DIMEN5101\15 IN fIf FIELD FMI MflON 2.) CONM KfOV fO WMFY MATEPK5,DEfAL5&FIN15HE5 NEW 6At?'AC,E 576 5.F. IN TIC FIELD WIM OWNEK K l A 24'O 24-0 A A ------- ------------------- I Z ————————————————— ZC�vQ' I I I I z ctia cl)w I I xN I F—M<00 I I I I Q 0�4 � I I I { ff.all CONC. Ut�. I I a 2 a 12 RI DOA O FO WALLS <4"CONC 9..A0 I I N N CONC.FOOnw6 5�52"TOWAV5 I I I I � I 1 woP fop of f01RJD. I I I I Af DOOV 71 I I I I i t W I PROP f0P OF F0U1V. I { Af OR 0OOF5 L--------— ---- ---------J I _ p� ----- ---- — ---------- — 2-I /4":9 1 2•• R 2-1 5/4 .9 /2•'-L W — teat. APRON Z A A � 24'-0" ^ i,,qr, 9_b,r I,,brr 9'_6r, I..qr, 24'o" cow.RIDCEVENf p00F WMING r�AN L.L 55 HMErof2Xlor5 FOUNPAVON PLAN rn�ICAL r?oo� coNsr. �.Ex on�rw,��n � Q � 1.2 x 10 P.AffER5 @ 16"o.c. O 2.1/2 CVX MYWO017 51EAMNG 5.A`.PHN.f ROOF 91Paa.E5 (� 12 �J 4.19 z FEMAPEP, �8 Z 5.2a12MEBOAM 2x9HANGERS 6.5WPr5ON H 2.5 HFJYICANE CI.U'5 T �.r� ALL P,PFT 15 @ 16'oc. v rw� v 2 x 8 CEL LNG JO15f5 @ 16"oz � V 2-1 5/4"a 9 1/2"LW cow.ALUM C) 5/8" 9FrcWvE f�ECOGE Gw.W. 5NN Z .--� 111'IC& WAI,I,CON5�f, ON 1 x-251?,WPM ofF rs 1.2 a 4 511A75 @ 16"oz. @ I6 oc SCALE 2.1/2',_PLYWOOD 9fA H% 5.w.c.gma.E s," 1/4"= F-V 6 4.fWEKVAPOR OAF.RER G/p"YMF DATE: �� f o VOCRs 11/1/2004 JOB NO.: q Z fw.8"cow. ENG '< FOUND.WALL5 DRAWING NO.: Tw.B"x18" CONC.FOOrrrb A fMWING 5FCTION @ CAM ME