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Home My WebLink About0073 CENTERVILLE AVENUE - Health ?3 ce-ntervi ite Avc. ce�rfx�►I�� . S M E A No.2-153LY UPC 12934 emead.com • Made In USA 3A4gycj,�o i . SUSTAINABLE FORESTRY ITWIVE c. edRborScuming 60 TOWN OF BARNSTABLE LOCATION �� , SEWAGE #617—/-5- VILLAGE " ASSESSOR'S MAP & LOTA ��,�-I�S INSTALLER'S NAME & PHONE NO SEPTIC TANK CAPACITY 6 LEACHING FACILITY:(type), (size) NO. OF BEDROOMS 3 T-T OR PUBLIC WATER BUILDER OR OWN.E LA DATE PERMIT ISSUED: ''� � . .v DATE .COMPLIANCE ISSUED: VARIANCE GRANTED: No Ca� �C�� o .. i _ r �� '�- �� , �� / s No. ... ............��9 .. THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH T ±�1......................OF...... ... PL ....... Appliration for Disposal Works Tonstrurtion rumit Application.is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at 7 .. tiIT,!✓ /I LLE:-•�?;✓E -•�-CR»�1GV1-LLE...... . .......................•.........--••••---- ............................._.......... Location-Ad ress or Lot No. '� :P_. :r. !4:r!.s............................... ........................................................:.................. .._.... ........ W — � ........................................ ........•--•............................. Address .•-----.......-------- .....Address ..... -----q:...... Installer � Address Type of Building Size Lot............................S feet awellin -No. of Bedrooms.0 37 T�I 12 -F-r._.......:_Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................. No. of persons............:............... Showers ( ) — Cafeteria ( ) 04 Other fixtures .. ,...... W Design Flow................:...:.......................gallons per person per day. Total daily flow:,...�3?..Q................:.........gallons. WSeptic Tank—Liquid capacity i.?40.gallons Length.,5.- .... Width....t5......... Diameter................ Depth................ x Disposal Trench—No...................... Width.....8........... Total Length.....2..........Total leaching area.?-z7..._...sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet............... Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed b ..--. Date.............................. Test Pit No. 1: ..Z.....minutes per inch Depth of Test Pit.....l.!............ Depth to ground water...t4o....tA!:!' !Z fs. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.......................: a FaU TO Description of Soil.......QV IHA21 Cry..... M. _ A .`aA.JP, .... .. .............................................. W ........ ..............................................•----•--------- ....------------ ....... ..-......---------........._...... x •---------------•... •..----....------.............-•----------•---••----------•--•-•--•.....-•----••-•--•...------------••---•••-- U , Nature of Repairs r Alterations—Answer when applicable...A' ANI.' ?®!J.......... �,� L ..................... G I►a T�`�!- ..►�� _ .... -r'` ...----•----------------------------=-- ------•-------........ ..._............ Agreement The undersigned agrees to 'install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i11,1.1 5 of the State Sanitary Code-The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss ed by t e boar of I h. ...-•---•. . -• ------. -• .................... ..... ...... ............... Datf Application Approved By............. � . -• .�....n..l_. � Date Application Disapproved for the following reasons:...................................................................................... •-••---_...._-- -•-•..................................................•-------...........---•----y....------..............-----•-•--------...........------....---------------------................----••-•••--......._ . Permit No............ ...�..�_��..1_.... Issued................ ... .................. D� ...... . -Date . L No._..._................. F$s....... ... ... THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH ......................OF....aA.R''..arsT .1PAx............................................ Appliratinn for Dispersal Warks Tanstrurtuan f arAft Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal system at: GRy16VtLLB...... ....... -....-......_... ....-_.....----....._.................. ` Location.Address or Lot No. ..MrIF : • _ M 2.�:....P .T�2 11 !S•........................... ........................................... ..---...............:......... _--- ........... W � u Address Installer Address Type of Building Size-Lot............................Sq. feet awellin No. of Bedrooms.0 3-)..114 Mtn...........Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ---------------------------------------•---••- d .....................••............. Design Flow............................................gallons per person per day. Total daily flow.....--..3.:.............................gallons. WSeptic Tank—Liquld capacity! ?.gallons Length..- .. Width..._ _....... Diameter................ Depth................ x Disposal Trench—No..................... Width.... ............. Total Length....it.......... Total leaching area..2-�.......sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet......:............. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~y Percolation Test Results Performed by..................................=........................................ Date........................................ ,14.a Test Pit No. 1. .__ .....minutes per inch Depth of Test Pit..... ............ Depth to ground water...AQ...yt4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ pG ----------------------------------------- M ..... ! .P.. -----•---.-•-- --------------------------------•--------------------------------------..............••----....t ------. - - U Nature of Repairs or Alterations—Answer when applicable... ! ............... 1 .................... GAS. ItiIS'�!AL4....tJ1± ....5 �°tG41r1E ... ............ Agreement: it., _t The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLU 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/hheeaalth. Signed— i/`' F�' ��"'.�/� �� 1 gate l Application Approved B .................................................-- � •.... .. �: .. Date Application Disapproved for the following reasons:...............i.......................................................................................... .........................•-•--•----..........-•-•----•-•-----•-.......-•-----......-----.....-•----------......-•---------------•-----•-•----......--...-----------............---............----....... Permit No..... ...�.. .j..d._.... Issued...........................................Date ........_ Die l- THE COMMONWEALTH OF MASSACHUSETTS r� -----"""'`� BOARD OF HEALTH ........Q.w.�...............OF............ s .................. Tertifirate of Toutplinure TH S .S--.,TO CERTIFY, That the'Individual Sewage Disposal System constructed (� or Repaired ( ) b1 � .. a��. :�::......... - V y................•---•.0 - ....---•------.........---........-•--•-................---............................................_.......... Installer at...........................................•----------.............................-----•--.....--- ------------••----......-•-•-•--- ........................................................... has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......� _--.i................. dated-------------- . ........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. \ DATE....................4, .!. ! •-- .�.... ...-----............... Inspector. ... ^^ `�................................: .............. �- ------•-----•---------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS lY BOARD OF HEALTH T ` .......................................................3 lE ..OF...5 � ..""'..."'.""...."�............. No. —I�� Fzz........r.........t.2..�..... Dispos`arl. Works Tonstrurtion Permit Permission is Hereby granted..... 'l. P� `}-''� e5— to Construct ( ls)or Repair ( ) an Individual Sewage Disposal System atNo.•............................................................................................................................................................................................. Street as shown on the application for Disposal Works Construction Permit No :JT Dated.....--,S) --------------------------------------------------------------------------------------------.............. Board of Health ^� DATE.................................................•-•--••....-•--•-•----....-•--- �a Fov,.l i q� Ca EL 4<v-Id 4Z.Sfo I 4 - q Z Ex 1ST Pi 4 p L Gl3.w4 .43.i(fo x dZ.G9 .42-91 3 co 34 i 3fl I.. N0T'a .EXTE/l/a ORL4. ,9 PR4. CA 84.E VE•R r.. 6Coot9LE : /"w /O" MANHOLE COVE,25 710 4-J/T.4114J ' o-o-•-o-o- Proposed 9r0Un4::/ Prof'//e rrrtrn. %4'per- l� CH&A 40 , V.C. Oil -POO�' � • ,. .:,r4 s �rn/nimurr� 'g"•wer � _ 2 •LAYE2 0� EQlJi9G TO SEPTIC • �TANK ZNA a/S7.- Bcox l�l �� SQo 5ALL j� G„5'umP m r�� A +�1P II, /Ooo Gr9'L: S�PT 2' j 41 J ..4' 4 >�4.`:PP 4ALLE`�.5.__. .. �J T ., ( ZIaF STot�1E A2ot.lt.lp 9 .. ........ A6.4 12'+ i 4Co•G I 1..� C S L7 /V 3 1�I 187 hIG. ASSoGr of aSTEk'yIL.LE + 3, B ED,20oM HOUSE aAT E•: TEST �Y� � 44.�i d �1 j - r - doSPos�r-� N N rnJ r1A.�Jc�( T►JER ; Lsaa►1S 3.LE. S.C�.i-� 'I �'r,es /TNESS :..._._ LEI 45 PERC. ,2AT� ?,� M ssleEz�rinY _.._ .. 21�+ t.'>Et,IG1 I MAIzL 33o ELeV EX15 Ir.1G ' _ _ E1-. �.oa FGOW RATE GALS.�.aAY ASSUMED pal -- 41v.3 p'� •°QI I ( $Ef�T/G T✓9Nk . ,.3,� X /•S'= 495 a e To7-5711. 3 F31<G�t2GaG�}.) PI='}0 st:v 4 a 9 iJAI C I r.l :t 1'j I L. . �1=LLILIG GAR?�1= V121vF-WA�( PoLIE _ �. D _�_ '�I I VSE: lo'c?� Gf�L. TigNK � MEDIUM. Ex1sT. I � 44.8 _>A..117 18 pi I-z 0 � LOAM � 43.8 30,4 1 45 7 ' a ? • ApPeaX L oG: NA.S.Z 'x �?w•2.b G S. = 32.9 6.P,D. 116H H lJE N'v G. 40 _ 32� I.d ,� t✓-_ 01 Co To MCI tJr�l 1'S/DEGIAG : d3. ° 4Z5 G D. 42.3 __5An1D 4g,1 7 A r'1 fr+- I 'p' ; 4, 44. I F'RE G -T GAL `�'S l J 12 aF 5TCJt,I� TOT L,` ... '"VS.EI . � A5 L� � GES5�oL - 4� 3 -- �o �s 0 4�.0 .n� .... L• • ,1 Ef Elz TO CEI2TIFIEP PLOT . pLAt`l r�Y h1EPIvM Z LoW 6. (,, ELLEI? It.IG. HAIt4 5T,, `eARHOUT'-I �r . MA- 4,4,E A __: ' dZ ._ I l.Di 6 _LOCAT10t I. 17A"jE : 3��I87 7p GOAR5E S t1 D I I o 4 c3 + I 1 -, ExSsR�Ls �(� P�1 M_pE BPGk I U SC7 5 Ar11� i31 �. 1 E-AIJ M t 2 l M 5A t7. ul I _ _ tiJ� cl. ,► tzro :-t~ Lv�►-IT get G,�'� :1� , , _.: .. g�•7 O. I " 35.3 13Z Ct2AMp7 t,lo t.JATf-Z EQ tJ►.J�"FQE.L O w 1i OF A. PAUL ; • a 5Ir F r� EERING �srIb'At V�ti .� 749 Main Street Suite B Box 266 \ Osterville,Massachusetts )2655 .. S OCIATES OF ' � (617)420.2223 STERVILLE t Consylting and design engineers Clvil and structural i TOLERANCES :REVISIONS 'POLERA L IN 1 ._ �ST I�L��Y►.�,T� ' - • \ ,E%CE/V AS NOTBDI - NO. ;' DATE BY DECIMAL _ / 1 311colen P.J,a FoR : :Mk'.: ..=MRS -PE rRL1'(15 " Ufa T6 73. 4SIJTERN/I LLB: A4E. , 612^I6VILI..E MA• T..BIB?�JG• _ 2 PARC SL:. A. Pi._ 614 106- FCj. Zej p. o 0 e x/sa`i n 9 a/e va-f'i on . .S:E. •�U�i2.E•M FRACTIONAL ARPIQO,V,GL ' DRAWN BY SCALE I�SLEAJGa EP MATERIAL proposed G/� va-t ion ----- -Q-- _ T ,�'r"On•f � , �_,Q�Q�L/ CJ� r/-7E,7LT4 CHK'D DATE AWING NO. 1 ' ' n 9 COrrfOVI'S ___s12t��TAf31-E /-/ASS ANGULAR 4 3 (O S� „� .+ .�� r , ^ wi S TRACED APP'D 8� io3 corr�our•s recLr • F ,,,,,__.._. // _ - F • •. f r r