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Home My WebLink About0008 HUCKINS NECK ROAD - Health HUCKINS NECK RD, CENTERVILLE A= 251-149 S No. 42101/3 ORA ESSELT E 101YO O ® O O ASSESSORS MAP ft 00 PARCEi.P10 F>�$...30.00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratinn for Di_npwiul Work,i Tontitrnrtiun Famit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 8 Huckins Neck Rd Centerville ...---•-•-------------•--•-•-•---•-----........----...--.....------•---•-------•-.-.....•-••------ --•---•----••••----•----••--------•••-...-----•-••---•-----------..-..-------••--•--------------•- Location-Address or Lot No. ........aeak$-.�Q.&P-311IC- ........................................................ ....___....................................................................................... Owner Address W.E. Robinson Septic Service P.O. Box 1089 Centerville Installer Address Type of Building Size Lot-------------------- Sq. feet Dwelling—No. of Bedrooms..........a--------_---------------_----Expansion Attic ( ) Garbage Grinder ( no aOther—Type of Building ............................ No. of persons----------.................. Showers ( ) — Cafeteria ( ) dOther 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........................................ Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ L14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------_---- Depth to ground water........................ 1:4 ----------------------------------------••---------------------•----•-•----••---•------------... Descriptionof Soil sand-.-..------.•.--..--•------------------------------------------------------------•...---------------------------------------------------... x W U Nature of Repairs or Alterations—Answer when applicable--------d-box---&---Title---V--L.each-tx-ench........ .t - •----------------------------------------------------------------------------------------------------------•-----...----- ------------------••--..------------------------------------........-...•••. 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 Complia ce has b n 'ipsued by the b rd of health. Signed . - .......... /--....... . ..` --- ............ Dace Application.Approved By -., > -. ` i5 Application Disapproved for the following rearons: _................_._................... ............ ---........ .. Permit No. .... y r% Issued ....... ..-- �eE.. r' I !� K a -•---_ s FR ...3...00 'No....•- .......... THE COMMONWEALTH OF MASSACHUSETTS -} BOARD OF HEALTH TOWN OF BARNSTABLE Appliratilan for Di!ipwial Wor1w Tontitrnr#iian Vamit Application is hereby made for a Permit to Corstruct ( ) or Repair (x ) an Individual Sewage Disposal System at: 8 Huckins Neck Rd Centerville - -------------•----------------------•--••---.--•--- ...............................................--, ................................................. Location-Address or Lot No. WensMcK�nrt -----••---••------•------••••-•--•••......-•--•-•...... -••-----••-----....•----•-••----------------••----•---•----------------------•-----•------........ caner Address W W.E. Robinson eptic Service P.O. Box 1089 Centerville Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.______-__3_____________________________.Expansion Attic ( ) Garbage Grinder ( np Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) d 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. 3 Seepage Pit No_____________________ Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date--------......-----••-----•--•••--••-- W Test Pit No. 1________________minutes per inch Depth of Test Pit-------------------- Depth to ground water_._-_-___.___-_--__-_.-. LT. Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ ------••..................................................••--•-•--------•-••-•-••---------••............................................................... 0 Description of Soil .._... sand ...------•----•---------------------•--------.._...•-----....----•--- 7-------------------------------------------------•-•----•-------- x W -------------------------------------------------------------------------------------•---------------------.------------------------------------------------------------------------------------------ V Nature of Repairs or Alterations—Answer when applicable._._-.__d-bc»....&---Title___V_..Lea-cl:►_--tr E?nch........ .... •-••-•----._.....-•--....-•••................................. Agreement: The undersigned agrees to install the aeredescribed Individual Sewage Disposal System in accordance with the provisions of TITLE'S of the State Environmental Code—The undersigned further agrees not to place the system in operation until'a Certificate of Catmpliance has b on i sued by the bo rd of health. t Signed 1 "---------- - - .................C`...... [e Alication Approved B - :. ... �1 . .-.!. -------------_...-------PP PP Y 1 r. ................ .. Application Disapproved for the followangt'y' aso� .................. . .................................................. ... .... --- .......... -- .... . ... ..........._.................. . ...................................... Dale Permit No. '" ` ''...�� ..--- IssuedV -�. Darer THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 011Vrttf ra e of (1IImpliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X) by ......-W.�E• Robinson....S.epta.c....S.ervice---------------------------...--------------------- ---------------------- -------------------------------- -------- ` lns[aller 8 Huckins Neck Rd Centerville at ------- -- - --------------------------------------------- ------------------- ------ .._.---..--- -------------------...------- --- ....-------- -----------------.---------------.----- has been installed in accordance with the provisions of TITI.E75 of he State Environmental Code as described in the application for Disposal Works Construction Permit No. ..... .. .. ... .... .'". dated .. �.,.:.... .. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST .EA AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORYC� Gfv 7k�DATE `.. ...__....._........._ Inspec or'' "'1' ' ' . - THE COMMONWEALTH OF MASSACHUSETTS li BOARD OF HEALTH TOWN OF BARNSTABLE 30.00 No. ............... FEE. Moppal Workii Tomitrudian rrmit W E. Robinson Septic Service Permission is hereby granted -- .-- -•••--•---•...... .. •-- ----- -------- -- ---- to Construct ( ) or Repair (x ) an Individual Sewage Disposal System 8 Huckins Neck Rd Centerville at No._.. ........ •.----• •. ----•---- ------ ------- ----------- -------- ----------------------------------.....-----....------------...........-•--........... Street" . as shown on the application for Disposal Works Construction Permttl .%_-----��ated___ "... °'�.........-�..... ✓ � � Board of Health DATE... ; -- ----------- ; '�✓ FORM 38808 HOBBS 6 WARREN.INC..PUBLISHERS r CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) I, 4 hereby certify that the application for disposal works ' construction permit-signed by me dated 2~2--21 9 �5' , concerning the property located at �-� U c (,�� 'G K) ge� meets all of the following criteria: 1 • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. 4 C SIGNED DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. _ rA J G ,� '. TOWN OF BARNSTABLE LOCATION CF QJk 2 U t J 6 SEWAGE # p I 3 2 VILLAGE c ki"S N6 c k RoA-o ASSESSOR'S MAP &LOT ""l INSTALLER'S NAME&PHONE NO. U 1 E . SEPTIC TANK CAPACITY i.bo O LEACHING FACILITY: (type) ' 1 sArk +ar-wch (size) ;RX' X(nO, NO. OF BEDROOMS y'j7 JJ R OR OWNER PERMIT DATE: 79 z_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 'L�ji�c�C. O� Kot�SE ��.�k ,. �, '�B ��' i �� Ni C�~,2zy x 60' f�r�C�