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HomeMy WebLinkAbout0091 HITCHING POST LANE - Health 91 Hitching Post Lane Centerville A= 173 —037 S M EAD® N0.2.153LOR UPC 12534 sn ead oom • M W91n UBA AA) No. � 1..... Fims.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD F HE LTH 1-lyfyt. ..........OF....... .. ... �< :.......................... , pphratiun -fur Uiupuual Worbi Ton.itrurtiun Vrrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewag isposal System at Hitching Pos & padlk t_ __ Lot . : .. 19.... ............ Location-Address or Lot No. Mr...-&__Mrs_,-....ester...Walla -_ ..... 64--Shepard_.Rd_ -;••,Braintree,-.-Mass.--__- wn Address Insta er Address Q Type of Building Size Lot-_------------------------Sq. feet U Dwelling—No. of Bedrooms------------J.............................Expansion Attic ( ) Garbage Grinder ( ) a-, Other—Type of Building _.._----_-------------- No. of persons_......2._._-.-.-.__--.-. Showers (1 ) — Cafeteria ( ) Other fixtures _2...toilets -_ 2 lavatories - 1---tub - 1:Kit sink 1- -DW d w Design Flow,-------------- Mons per person per day. Total daily flow..... d-- gallon~. WSeptic Tank Liquid capacity./&---- ogallons Length................ Width--------.------- Diameter_..... Depth-_------------ Disposal Trench—No .................... Width.........---..---.. Total Length--------j------.--- Total leaching area........_..-.---- sq. ft. Seepage Pit No.......... ........ Diameter..--./.�....... De th belo inlet......(�.......... Total leaching ar i..,, _Z_scL ft. z Other Distribution box ( ) Dosing tank �G 1 9 {'- ...--•-----•-••..•---- Date. a Percolation Test Results Performed by....... . .C1.t4.... .. .: .. .......:................ Test Pit No. 1................minutes per inch Depth of st Pit-------------------- Depth to ground water..-------.--:........... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.............-_----. Depth,to ground water........._..._..---.._.. Ix .. -- .---- -- -- _ ------- ------- - O Desc ' tion of Soil--- x :_ -: ----------- UGlr�t ,cZ.s ._s------------------------------------------------------------------------------------------------------------------------- w ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ 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 Article XI 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 health. _. Signe '•t�l/i sc�e---•-------------------•-----•-- 11 20 '78 Date Application Approved By..- --- •--.:�' .y,- ,.. 4---- .-..-. Date Application Disapproved for the following reasons--------------------- -----------•--------------.......-•---------------........------------------._...--------- --•----------------------------•---------.._...--------------...------------------------------------------------------------------------------------------------._...-------------------------- Date PermitNo......................................................... issued........................................................ Date No...............- Fas. ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD F HE LT ... ...7,0 -............OF. .. .... .......................... Appliration -for Uiopoottl Workii Towitrorvoti Vrrmit Application is hereby`made_,for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ----•------••--•-•-----='----••------•-------------•-----------••-•-••-----•--•-_--•-- -•------ .................................................... ............................:............ Location-Address or Lot No. r ........................................................ :. w Address-• Insta er Address UType of Building Size Lot............_---------------Sq. feet Dwelling—No. of Bedrooms-----------;._______________________________Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building __-_-.._._-_-______________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures _______________ `` _ W Design Flow_ ________________h-�_----------__ Mons per person per day., Total daily flow.._.. L'�____-_____________..__.....gallons. id capacity_/L!��!gallons Length................ Width................ Diameter......---------- Depth................ W x Disposal 9 -Septic `T enchL1gtNo/____________________ Widtli._.._____.__------- Total Length....... ........ Total leaching area----------- ___ __sq. ft. Seepage Pit N -------- Diameter_.._ --_____-:_ De th bel inlet______t'P___ Total leaching ar t_-,2- it. z Other Distribution box ( ) Dosing tankpC /�d l'— W Percolation Testj esults Performed by.___._. G6 E... ._ . ...................... Date_ ____.________: _:_________--- Test Pit No.' 1________________minutes per inch Depth of est Pit-------------------- Depth to ground. water...----.._.__-___-_--.. /rZ Test Pit No. 2... --------2_minutes per.inch DDepth of Test..{Pit._::________________ Depth. to ground water-..................... F+{ _ __ _ ____ -� -i_____ ______ ? A ._ ... O Des tion of Soil_'__ �` -' H�'lr9' (� • - --- --------•-•---. ---- ----- W •'" r� ----------- - -------------------- ----` -----•---•---•-•-•---•--••---- ----------------- --•• - •-- ... •--•— ... . - ..... V Nature of Repaixs or Alterations Answer when applicable .. ---------------------- -• ------- -`••---•==-••••--• ------- -------- ----- - ------ --- ------- - Agreement : i' The undersigned agrees to install the aforedescribed-- Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code-The undersigned further agrees not to place the system in operation until a Certificate.o"f CompliancAas been issued by the board of health. Sign --- •• ----••. . - _ ------------ Date Application Approved BY------- � .. .... . AApplication Disapproved Date PP PP oved for the following reasons:--•-••------------ -----------------------------------=------•---•-----__...._.._.--•----.....---------------__.: ---- Date Permit No. =='=` ---------=--•••- "', Issued -------- ---•-......................................... w• ; Date THE COMMONWEALTH OF MASSACHUSETTS -BOARD HEALTH Sti Ay 1....0F........ !l.!�l. ...... rtifiratr of wompliaurr THIS IS C TI T a ,tire In ividu 0 Sewage Dis osal y tem con ruc ;;' or Repaired ( ) by------- w -•••---- ta ' has been installed in accordance ith the provisions .of Art of The°State' Sanitary Code as described in the application for Disposal Works Construction Permit No. --- ___. -- +____. dated / _" �':_. 47 _"___-_____ THE.ISSUANCE OF THIS CERTIFICATE'SHALL,NOT BE CONST U.E®-AS A GU RANTEE THAT THE SYSTEM WILL FUNC ION SATISFACTORY ` Y 1%0 3.DATl �..---- ................ ............. Inspector.. -----•---- }--------- F' THE,COMMONWEALT14 OF MASSACHUSETTS BOARD OF HEALTH / ..:. ..:OF.. ........ � I............................ —No. FEE- ---,•--............... o'f6ittl k ` n o .oat Prrmit Permis ion ' e y granted__.. --_ to C n c ( or Re an Ind 1 ewa isp sal e (� .. L ; z .!_yl�Latll V .' at No t as shown on the application for Dis sal Works Construction P No_____ .......... zted `s r�------ ------ ..... ....................... DATE "•"" t . FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS. ., - IF� C 'I � 3 ,: 3� S4 ..B(T`,`Y `���i�/"+ ✓ ��r�� r}'wM T 1:.'� }i M'�y ��.. r � S F" { r' 4• "'1��'F.v' `r�M�� 4�'.:�„+Nlf� ��� • "�•`?{ w. 'r yf y+s�� fr{ .,5.. 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Ir''tt( ltpk w ,a. .�'rL TXary-��;'t ' ��„�'� � ..�{ � v :. �,., ;' y.'s { T'r Y { y, i �^ a,�h'��'�r�.•''r,�-""� ,F,> �:{°�r". FLOORPLAN Borrower: Steven B. Conrad&Kelly E.Conrad File No.: 04110010 Property Address:91 Hitching Post Lane faka 90 Hitching Post Ln.1 Case No.: City: Centerville State: MA Zip:02632 Lender:Soverei n Bank Wood Deck 58.0' 24.0' Bath 0 Kitchen Family Room CL 0 Bedroom q 14.0' I R-fl L 1 18.0' � CL First Floor Living Room Bedroom !N _O U 12.0' CL 2 0' 15.0' c --_ - 7 25.0' Not To Scale 40.0' 24.0' rn � c � Master Bedroom Q Master Bath a, m `o Master Suite CL Walk-in .Closet Chimney CL Attic 26.0' Eaves 25.0' 2.0' 1 5.0' Second Floor P.O. Box 1093 South Wellfleet MA.02663 Phone#508-349-0975 Fax#508-349-2774