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HomeMy WebLinkAbout0236 HOLLY POINT ROAD - Health 236 HOLLY POINT RD. CENTERVILLE A = 232 047 �*lll� 1+QEcYc«a��. UPC 12534 N0. 2-153LOR �Posr.coNS°`� HASTINGS, MN r ''' - ASSESSORS MAP NO• No. -�� , PARCEL NO: / Fss. ... ..... .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF -BARNSTABLE AVVI atiaii for Diapuaul Workii Tomitrurtiun j1ermit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at -• ✓;��� 1� ,( ...... a` / .......---•--....._.. .o���..................._........._ '�;• o ation-Add s ff )) or Lot No. ..... ......, ............ _. k!............ ........................................... .......................... ........_....._ Owner Address Installer Address Type of Building r/ Size Lot............................Sq. feet Dwelling—No. of Bedrooms_________ ______________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No, of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures .. -• ----•-•-•-•-••••••.........•. -•••-•...--•-•--•-...•--...-••---•-•-•--•------••-•. = Design Flow............................................gallons per person p day. Total daily flow_--_.._____...._...__..__._........___..._..gallons. WSeptic Tank—Liquid capacitylM..galIons Length... ...... Width..... ....... Diameter................ Depth........... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet............. al lea * area._.._..___._._....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 3 ��� `-' Percolation Test Results Performed by......................-------------------------------------••-••--- Da e ........................... aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............................................................................................................ O Description of Soil............. •-... ® E... V ...................... .... .......... W WAS UNature of Repairs or Alterations—Answer when applicable________________ --� �.AN. Agreement: The undersigned agrees to install the aforedescribed Tndividual Sewage Disposal System in accordance with the provisions of TIT Ur 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be th boar lealth. Signed --- - ------- --- - - - -...._..-•-----.-.... .......................... ate Application Approved BIL,--••--•------"�®!-.. ...� .............-.... ---- -••--- .... ..__.._. Date Application Disapproved for the following reasons:............................................. ............................................................... _ -------------------------------•------- •----•-----------•---------------•--........ .......................................................................................................... Date Permit No....z... '� /J,/ ... Issued.._.:i` & "! `x.�. !-.f.. ..: -__....-•-Date.......Date . ..... ...... -•---- THE COMMONWEALTH OF MASSACHUSETTS ? BOARD OF HEALTH TOWN of BARNS' ING ENGINEER MUST SUPERVISE Trrtifiratr of (go N AND CERTIFY IN WRITING THIS IS9 ERTIFY, a e Individual Sewage DispA - by_•••-•-•........ . ... . ...._..._. ........ �...-•----•--........•--------.._...-------..........._..----•----•........---•---------::.....-----............---..._......_. 2// Installer at... t?----•- _. _......--••--•-•_••-- ••---•---•••••••...••-•• ................................... has been installed i ccordance with the provisions of TILE 5 of The ate Sanitary Code as dI-scribed in the application for Disposal Works Construction Permit No._ — ! . ----.----- -- ---------•--. dated--- - -•------------��--'�- ---��'-.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON RUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................................................................•-•........_. Inspector....................................-...................................-........... .2: Ficla THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF •BARNSTABLE Appliratinn for Dhspoiittl Workii Tomitrur#inn "Prutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System . ......................................................... ................. Lio ation•Addr`y,s/ v or Lot No. 1';' l' i ..._.......�", Z........... .....-----•.................•------.........----••._......-----................................._.. ..........--....... ........:.. ... Uwner �(j'- ............................................Address..........----.......................... . (�( � Installer Address Type of Building . Size Lot............................Sq. feet �., Dwelling—No. of Bedrooms........................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............0............... Showers — Cafeteria a' Other fixtures . ... d -.... . .... W Design Flow............................................gallons per person pg day. Total daily flow....-........-................'..............gallons. WSeptic Tank—Liquid capacity-�_�_-gallons Length......S�........ Width.....y...... Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....-...............sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... To al leaclZe g,area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 3 2v7/�iUJd�I Percolation Test Results Performed by.........................................-.....................----------- Da ---..................-----............ .-4 Test Pit No. I...........0....minutes per inch Depth of Test Pit.................... Depth to ground water........................ Li, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a --...--•--••----•---••-••.... .........••-•-......................................................•..................................................0....... O Description of Soil.....................s .. U .................................................. .... ............................................................................................................... W ............................................. ----•......----------•-------...._.........•••.........__..............•---•----•----•••••........---..........-•--••----••.................._.......... UNature of Repairs or Alterations—Answer when applicable...................................................................................0............ ..•-••••---••••-•••-•.......-••--•---••--•.............••----.......•-•-.................-•--•-..........-••...........•-••-•••..................-•---......_.....•••--...0............................. Agreement: The undersigned agrees to install the aforedescribed Tndividual Sewage Disposal System in accordance with the provisions of TITT.i 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 health. Z. r .. Date Application Approved Bye.......... .'' - =- % '_`��fide—. . Application Disapproved for the following reasons:.........................••----••-••--•••..._..--••--•••-•......-••••-----•-................................ ...................................•..................................................................................................................................................................... Date Permit No... ........_....../ ................ Issued.....F.....-`3 ....:, '. ... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN of BARNSTABLE Trrtif iratr of Toutpham THIS IS T QERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY..................� r! ¢-........ - _....--••••-•...•-••---•-------••--•••-•-••-••--•.........................-•--•--•.............._........................•...... y installer at.... �......�............ J....L._ ?/f -•.. .......................... has been installed i?�Iccordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit NoY ...'�. date(]..�� ._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE T Af THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................................................••-......--•-•-•---......... Inspector................0.................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ' TOWN of gA NBUPERYI3,,E,—�� No...... -... 1 A WAS[ TILLED �.�.............. Uinpo�al� orkii Ton it Permission is hereby granted.........�L! ....... �.......�JL- 4.....---••••-•-.....-----•-•... ................ to Construct ( ) or Repair ( ) an Ines vidua.l Sewag JDisposal System at No...-.�% �..... . '= f�..... ............................................................... u .......•.......... .... Strcet� ,Q r- as shown on the application for Disposal Works Construction Permit. Dated. ............../.. , f � ' ag .......................... ...................—......................... Board of Health DATE........ -----• ............................................. mirrIF1 K, �+ *JJATUraga; I c. � .W SAVI 11,A—P c r TOWN OF BARNSTABLE LOCATIONa3� No W ?bttn 4 SEWAGE# VILLAGE (f en/'v° f C _ASSESSOR'S MAP&LO'1�=✓ INSTALLER'S NAME&PHONE NO. � - P619CQP1A b e/` SOS Lvt L SEPTIC TANK CAPACITY LEACHING FACII.rrY: (type) 5— (size) NO.OF BEDROOMS BUILDER OR OWNER �. PERMITDATE: 13 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 1. - .� ��� rye-ram"� � � 5-� �' ,.. �\� � � � �q ...,� - � /�cccss �lQ�/fo% 70(c Ai 9r tfe, cv/C1 F/ocvall{ks0r_S 4 5• OEARse O v I Z OAV PoNO� 14.0 1500 Got I on Sept Io Iank ��x / eQC/yi�y Fac./. yr - E/ 93 TrIc T ON �� MAP Assessors Map 292 � E Parcel 0¢7 SYSNo1 +o „on Area : ep, 90o sF+_ _SYSTEM DESIGN JEST HOL Dee I gn F(ow : 3 bedrooms 0 //0 go I /day - J30 9a I . EL L . /f. Sep fIa Tank : 3V= gol , x QQX - _�60 dal • Use IGOO Tank Leaoh i ng Foo i 114 y : 'Uyjra4-r9e4:1 C�ronrrJgr Ji'// Bottom; 48'r/2x 0.75 a/%ram Sides : (4�f 2'�P x x D.15 np ��sF 4t® 9 a — Rra f� T OT AL = szz G a I .7' 330 Xis, 475 p NOTE: Garbage disposal I s perm " Isd with this design s 1J� RSF P� /1i0 �. N0. P 1-82 77 DATE : OcAu4er 20, /99lf- 2 2 PERFORMED BY: Martin E. Moran . P .E. � "" WITNESS : E'. Barry DESIGN RATE : < 2 min Bn . AWES: o Z riXTSTIM ?1PPTIC TAIM � LT.ACR PIT ARK To RP PIMPPD AND RKMIIVKD. 27 0 ce � _ �� �� �• d:PSSPOUL IS TO RT. PI➢MrPn AND RACP_PiI.t.rn VI Ttt CI.F.,Ah SARn„ _ i AMF"'iV 71p:"'icPAlllrD UNDER ANDSJITNYII fo` '7 ►' OF T11P PROVOR" LKACHINC STSTM. Xe ���v• r /edex VeI 41,V-94C7 /-lay bales cbtie C (104-Z4V -4.7 lYL , 15.J 75 15 / /04o�oasec��r,�i�ry 21.3— ` 'Q. btJ►eMl UTIL �� J�r01ht 6elrosr .�y9. 8 POLE 2- fir dtdro�K D►nrnr Rea 111 20 5 �1Mil Alta TOP 20..J O l CB DH RoeM o� �L/GHT%'1Os9 FND C o peg 1 frr. 8a��1 K1 w f.+ y SET APPROX. FLOOR LAYOUT N E N G I N E E R I N G I N-C . ./,�•= �` �r Mq�Rj � I=T 941 MAIN STREET . SO . HARW I CH . MA 02661 432-2878 S I TE PLAN SEWAGE DISPOSAL SYSTEM IN CENTERV I LLE FOR ; GL OR YA A . GEL THAN ;��� I Nrl s 236 HOLLY POINT RD. CENTER V I l_L E. MA �� No :. EPROJECT . 94 -332 SCALE . l -40 DA TE S� /� LEGEND EXISTING "KT EDGE ... ............ EXISTING CONTOUR r-- _ ____�j� RDE� - IN Na. EXIST. SPOT ELEV. 15.7 INSTAIJATM AND�� BUFFER $BTBACR LINE ---------- THE SYSTEM WAS INSTALLED IN STRICT ACCORDANCE TO PLAN. PROPOSED CONTOUR .,...