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Home My WebLink About0150 CONNERS ROAD - Health (2) ce-Att.rvi lit 2S A - 013 a S M E A D No.2453LY UPC 12934 emead.com o Made in USA (.®r-c--L%-4 SU��NABLE INITIATIVE coMed Fnbor sourcing �O r LO CAT ION SEW "4!�?J� - PER IT NO. S VILLAGE 0 1 L _q: y INS.LA l ER'S NAME A DO Rp S v e U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED r • ;;: • . �;' _ - _ _ . �o ►a�� ,, �� / �� D� .S � �� ,No ........... ............................. THE COMMONWEALTH OF MASSACHUSE77S BOARD OF HEALTH ...............TOW-17....0 F.. 0 0 2.�5 .�)c............................. Appliration for Bisposal Marks Tonstrurtion jinmit Application is hereby made for a Permit to Construct or Repair (><) an Individual Sewage Disposal System at: 0, ............... .................................................................................................. /L r.e) ...........C=Jln�bi O Owner C c...................................... rw .er e............6. _ .b ........................................... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder P4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ............................................................................................................................ Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter.--............. Depth..............-- W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area----_-------------sq. f t. ZI Seepage Pit No..................... Diameter.--.........---..--. Depth below inlet............._...... Total leaching area..................sq. f t. 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.--....--.....--.....--. f3. Test Pit No. 2................minutes per inch Depth of Test Pit---....._......._... Depth to ground water..--.................... ...........C.'�. ..........d............................. I--------**----------------------------".................................................. ..................... ... .... . ........................................................................................ 0 Description of Soil. ......................................................................................................................................................................................................... ............................................................................................................... ............. ....... U Nature of Repairs or Alterations—Answer when applicable-------- ............ 3? ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'THE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in A.-I operation until a Certificate of Compliance ha been issued by the board of health. Signed.--NU4(3&Vjq�..... >...\\%U%_S.L4MtjkA L Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons:................................................................................................................ .........................................................................................................I........................................................I..................................... Date Permit.No......................................................... Issued....................................................... Date No.. 'Syf.... Fps.:............. . ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH &s I/ ...OF......i ,,F�a`.'py%°� �h .............................. Apphratiou for Bigpos al Workii Tonstrnrtion rumit Application is hereby made for a Permit to Construct ( ) or Repair (A an Individual Sewage Disposal System at: ......... :% '....�..�.'2,?' &"a .......................................... ----------- ............ ....-----.........................------. Location A�ldresaf or Lot N ■r f ,t�f* /j1 C ` /' �+ yam,! � °t l am } •� '� . .._._4. ✓ eA. ..K�:ewGJ. .... ... ............ 4 ._P .. _F.,.py.�.d.. ..... y............_......._.................... --..._. h r '` 2!'r O'nX ,yl � �+F � A d'ess 6-6_I l_FFrEA�f�" tsx ��1...:�+� �...yJ ' _.....d.. ......... +............................................. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No., of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) aOther 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..................................... aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water..................... (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.......................------------------------- . --------------- ---------- ---------------------- -------------------------------------- O Description of Soil...................... - , 1 a = ``= y =' '=- x W -•-----------------------•----------------------•-•-•---------------------------------.............•---••------... U Nature of Repairs or Alterations—Answer when applicable........y!�. :___. _____.. _1 ________________L ✓.c' _ ` ° .. Agreemenu`n"d'_ : The ersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Ti :'ITE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has,bee)n issued by the board of�health. �£ . . ...� 5 4/- R 4 r f i$_L f wf It 1 e 6 a Signed ._.:>_ l Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons---------------------------=------•--------------------------•-•-------------•--•-----------------------------_.. ............................................................................................................................................................ ................... 11 Date PermitNo.................................................... Issued.-------------------------............................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH gee ..............v"%--v-)'4�'./ OF....... ......................... ............................ ............. Tertifiratr of Tompliaurr THIS-IS. TO CERTIFY, That the Individpal'5ewage D4psal System constructed or Repaired (k+ \ J2 ' by----------- "................................................... Installer at........r. Xz........... .... ................... .. ............................................... has been installed in accordance with the pr Ir f, ovisions of I 'LE of The State Sanitary Code I rribed in the --------------------- application for Disposal Works Construction Permit--NoT�lr....!;N. ................. 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 ...................... ............ ........OF......... 5' -Y FEE........................ No... ............. DispaiiaLMorkg Tonstr ion , r Writ Permission is hereby granted----- --------------------------------------------- to Construct-k., ) or. Repair (, stem,�' -an jpdividual--,S. ewagq Disposal ........................... ..... ......at No......... Street -. as shown on the application for Disposal Works Construction Permit No....8.. ......J.....y----/Dated.1 r/............... -------------------------------------------- ----------------------.................. ............ Board of Health DATE............................................................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS � . �//�/�/ ,. 9.y, � � �-� �. � � r t ; ' � S JauC a1C ANTHONY D. CORTESE Sc. D IT 01A//// Commissioner oLc�Y,evr�le �Gad'u�c� oLa.�rQ,rrc��e, .�Llad�ac�ii�4e�4 (�2�1rG PAUL T. ANDERSON Regional Environmental Engineer cupy October 15, 1981 Joseph P. Macomber & Sons, Inc. RE: BARNSTABLE--Subsurface Sewage Disposal-- Box 66 Pumping Prior to Septic Tank for Mrs. Centerville, Massachusetts 02632 Heyworth Backus, Connors Rd. , Centerville Gentlemen: The Department of Environmental Quality Engineering is in receipt of your letter dated 24 September 1981 requesting prior approval to pump the entire downstairs flow generated from a one bedroom apartment at the subject site. The flow would be pumped into a recently constructed septic tank located approx- imately 9 feet above a proposed pump chamber and pump. The flow from the upstairs portion of w the dwelling flows b gravity P P g y g ty into an existing subsurface sewage disposal system. The Department does not recommend pumping into the septic tank but whereas the subject dwelling is reportedly in a location which would be difficult or impossible to service, the Department hereby approves the proposal in accordance with 310 CMR 15.06(18) with the provision that the installation meets the require- ments of all other State and local agencies. Very truly yours, For the Commissioner Paul T. Anderson, P.E. Regional Environmental Engineer A/kd/JH cc: Board of Health South St. Hyannis, Mass. 02601 Plumbing Inspector South St. Hyannis, Mass. 02601 Mrs. Heyworth Backus Connors Road Centerville, Mass. 02632