The URL can be used to link to this page

Home My WebLink About0435 HUCKINS NECK ROAD - Health 435 Huckins Neck Road Centerville A=233 - 047 /// I SMEA61 No.H163OR UPC 10259 j smead.com • Made In USA No........tS'7s'_ ........ 3 3 D Lj';� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF" HEALTH TO.wn................OF........Barns tab le..------------------------------.....------------ tpco Appliration for Diipooat Works Totrnrtion ami# no u3 Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: .....Huc kips Neck Road --•---•-----------------•-•----......---------•---•----------......_..----•••••••.._............_. Location Address or Lot No. Donal . -•--••••-----....-•-------••............................................ caner ddress a Joseph P. Macomber_ & Son Inc Centerville Installer Address PQ 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 ( ) P4 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. Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by------------ ------------------------------------------------------------- Date........................................ ,aa Test Pit No. 1................minutes per inch Depth of Test Pit-------------__----_ Depth to ground water........................ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil.......SEl,21d #---GY`a,Ve7-...... ------------ ---------------•---••--•---......_..--••---------•-•-•---....------•---......_..........-----...-•-- -----------------------------•---•--•-------•--•------------------------------------------------•-----------------------------------._._..._._..---- x V ---------------------------------------------------•-------.-._..._._..__...------•------._....----------------------------•------------•----------------------••--------•---------•---------------•---- ----------------------------------------- - ------------------------------------------------------------------------------•-----------------------------•-•-------------------------------- U Nature of Repairs or Alterations—Answer when applicable.---1-1000 gallon tanIt & 1- overflow g,a.11on -------------------------------------------------•------••-•------------------------•--••------------------------------------------------------.....---------------------------------•--........-••----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT= 5 of the State Sanitary Co — The undersigned further agrees not to place the system in operation until a Certificate of Compliance has en ued by the bo d o 11 alth. Sign d ---- _r. �_.. 1 _ ..--------- �.... _.:��-�. Application Approved By------- ��...............................Date Application Disapproved for the following reasons-------------------- 7 •-------------------------------------------------------------------------•-----..._.....--•--------.......--------------•---. -------------............................................................ li Date PermitNo--------------------------------------------------------- Issued..... ..................................... Date No-------. FEB_'�.,!..4 ,.;.., ,THE .COMMONWEALTH OF MASSACHUSETTS. BOARD OF HEALTH ` fJ$'1 ..:..:.........OF...-...... n� _........_. r_-u-tab?e I 'Utilfos ai Works 0aa��r Application is hereby made for'(, Per Permit to Construct ( ) or Repair O an Individual Sewage Da posal N-M �..� f.°•�F t.. �Y�1i^... j'+D`Tt- yam`5 . `.......................... ............. ...._............. .. SR Location-Address s r or Lot No. n x' T .... . F' yy�q �a Mttrt_1_��yy .... ....._..... _ ... ............... ..--.iX Lam.........._._ .. t Ownerl ,:1 ti Address W t �.�t 1Tta"si� '� :s YI Y1 _...._.... Te :ga b.�e.. + `- Installer z t.r, ,Y $ "';'"" Address "F d Type'of tBuilding I _ Size Lot...............: ...:Sq 'feet �'• Dwelling ,;. No. of Bedroom$ x Expansion Attic ( ) Garbage~Gander ,1( 14) per, ,+ Otlier Type of Building 'I No. of persons_ - 'Showers ( ) Cafeteria (, ) �� Other fixtures .. 't t 4-{ •�: --'-•-......•'--"•---........ )` ... ......•..... �» 3 .. . -----► s D'esign Flow_s........................... gallons per person per day. Totah daily flaw---..............._ ry..gallons. W Wept*jank• Liquid capacity #j gallons Length________________ Width Diameter------- Depths Disposal Trench—No. ........... t Width' .......... Total Length Total leaching area sq ;ft. $, epage Pit .No..................... Diameter .._. ._ .. Depth below inlet ::?Total leaching area .._. sq. #t. z Other. box Dosing tank a Percolation Test Results Performped by. Date_______________ W ----••- y1 Test.Pit No. 1................minutes. er'inch ' Depth of Test Pit _ .Depth to ground water (i, Prt No. 2...........r....nunutes Per anch, Depth of Test Pit Depth to ground water { t H o . 4. n a --•--- Q {v t. D,escrition of So>1 '>.•_ r vt-•---------_•_••____-_____ 4 .______________••__•_---- W s � U Nature of Repairs or Alterations Answer when applicable_-_1_!t10Q0_ ........................... y overf ldw --•- .... 77 Agreement: r ° t The undersigned agrees to;Install the aforedescribed Individual,Sewage'Disposal System in accordance'�with }' tl e�provisions of'111 . 5 of 01PS,tate Sanitary Code—The undersigned further agrees not to place the system`m operation until a Certificate of Compliance has li en �s„ued by the boaiid o healthy61 ,� f r igrie l •. i. _..,f D 4 e r ' Application Approved BY ��` �'�' "$ = ~-- ;, 7!1.; Date Application Disapproved for the following reasons:--------•-_-• =----------------------------------------------------- ..-'---- .._ ..................................................................................................-I'll------------•----------------' --------------------------------------------------------- Date r tx Perrnt_No.................. ._. Issued 1 Date ti .t•. 1 -. THE COMMONWEALTH OF MASSACHUSETrS Li r� c: It r x v BOARD OF HEALTH + l f1�r► »+ OF �1 Sail ............. ,.�_ ..L..- �•, F' ;. s .,a �# ................. } " } (9rdifiratr of Tviioli aatrr ` THIS IS TO CERTIFY, That the Individual Sewage Disposal System constr"ueted'(° ) or Repaired ( ) y ' Abs e..�.. _.... :�g� o�i �-- ---_fan.--1' ----------- ----:. -. ^ -- y 4 f i Installer i at Mickins _Kec.�.._Road� -t;ent�xV�11� = - � Miller. --- , has been installed in accordance with theo;provisions of T 45 of The State Sanitary Code s de cribed in the pplica'tion for Disposal Works Constructlon Permit No.-- !�__,�*'�.�!"`.. _.._ � da.ted- .:-�* " � �.. _.� JHE ISSUANCE OF THIS,_CERTIFICAT.E SHALL NOT BE CONSTRUED,AS:A GUARANTEE THAT THE 'SYSTEM'WILL FUNCTION SATI•SFACTOIZY. DAkTE. .... Inspector_`:_ _' ' `-------------•-•--•--•--••-• _-• •-••---•-- . Yot Tr4E COMMONWEALTH OF MASSACHUSETTS g - BOARD OF HEALTH } FEE ^;,• ��'�� yfi t �'F Y g 'S vie �_ _..a. - - +� 7.8 . +. ermrssion�is hereb rantec�L� } PtPT i:_. T?t -0mbE. � =.�_^s_�3� '" .............� to Eonstruct r( ) or Repair ( );an Indivl(fual Sewage Disposal System at No �.17 Kerak .--- ----------- '�l l r A, ....+� �,? Street ` `- �. n•x ;�t4f as shown on the,application for Disposal Works Construction P,er o ..__ '. Dated____ ' .. _ �\\__ Board of Health 5; DATtE /// " ' FORM, 1255 •HOBBS & WARREN. INC �PUBL'ISHERS -3 "-'{' • - ?' "'`" ASSESSORS MAP NO: 23 Rm 0ggt y PARCEL NO.:—�7 A G E PE RI�1T NO. /V VILLAGE 1 .4STALLEIVS HA14E ADDRESS UA)UOUJA) 7/4, k&atit4k -l�� o,� Fug;, . 2-U,ILLDER OR OWNER AL ' o��A,ptb D A T C PERWIT ISSUED DATE roMPLIAHCE iSSJED /ace e zs, PaeCA { Ir L O C A i- ON SEWAGE , E RMIT NO. VILLAGE e14 I N S T A LLER'S NAME i ADDRESS BUILDER OR WNE ` J DA T E PERMIT ISSUED DAT E COMPLIANCE ISSUED _ 7 -7 L �� - _��, � .� � � �� f` �� '-� � ..- �, � `�� . ;� � � _ � � � � � �= _� ��- } ,£ � . "a _ � ..., No......................... ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE'11��41 fc3 .......... ............OF........... +r.�.. Jo .�p�l ration for tipoia1 orks Tong u•rm .rr it Application is hereby, made for a Permit to Construct or Repair an Individual e pp � }� ( ) p ( ) Swage Disposal System at��" .... . . .•••........�....................00 z ------------------ ------ ---------W --•-------.............--••-•--------- Locat' n•A ess ,G /�� ,�0 t o. ... do ... ...................... W .�(A�ey _ `f-/ ��,/�v /ran/,�y�/1//f �® � !nJ //� /,•/�/ -Add Installer 4:•. /.G //�� a ...✓-•L/.�� /.0---�.er,6-/'- .G_-l1.'l t-5�.�?.�.a...-•-- "-�---...._l.�:l_S.G__��l.a:l6P_._..�1.�.... l..C..-.. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..........I..................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria P4Other fixtures -----------------------••-•---••--••---••----•••-••-------•-•--••-----•----------------------------------------•-...----•--•---------•---......•--•-- W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. P4 Septic Tank�Li uid ca acitY/M._gallons Length th...:............ Wi th.._...._____._.. Diameter................ Depth................ Disposal Trench—No............... Wiclth_... T tal L Total leaching area....................sq. ft. Seepage Pit No.............(....... Diameter- 11,.. I .................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY---------- --------•--•-------------..._...--•---------.. ..........._.. Date......................................... a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 4, Test Pit No. 2................minutes per inch Depth of Test Pit.___.__.._.___..._. Depth to ground water........................ Description of Soil------------------------- _(2 -- ...._... _ ----- --------------•---------------------------------------•------------------------------•••••••------- _..---------- ...•............. U Nature of Repairs or Alterations—Answer when applicable.__." ,..- t� �.._, (,�.. .- _ I -------•-•---------•.......... ................•-•--...-•.............................. 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 'ssued b the boar of health. P P � Y Sign a -- s � ,-- _7 •y,J� Date Application Approved By. �" ..................... � .. ..,_ ." Application Disapproved for the following reasons:......................... ` i Date r� e" Date Permit No.............................. Issued...-..- Fn No......................... s..... ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEI& I TH �.---........OF............ �.est � :�__..._�.�/...-"-.. Appliration flir Bioprifia1 Works Cnjanfitrurtivit Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: IX Loca tion_Address l /f f/y or Lot No ,,a✓/Vgt .... ..i• 9X ,y,I'... �/�, _:.,C..:�f. : ,.X,�` ............. ...... ...,,F.!J.te :.,.^.'....'�, j :,,, f Z.-: .'�'C ..................... Owner Address,,, Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................. .. .Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria PaOther fixtures ...................................................... 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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------------------------------------------------------------•--•---------------------•--•---•---.............................................-••--••--••-. 0 Description of Soil.................-----------------------------••--•-••-•--••---•--•----••--•-----------.....-----------------------------•----•--------------••-•••--••-•-........--•- U -•------------------------------------•----------------•-•-•----------------------•----------••-------..--------------------------------------------------------------------......----......•---....•••. ------------------------------------------------------------------------------------------------•-••----••••--•----•--=9---- U Nature of Repairs or Alterations—Answer when applicable.___ _C t/t � , .___-___-•-----_---•-•---•---••-----•----•-----.----.•_. ----------------------------------------•-•-•----------------------•----•------------------------•-•----.....-------------------------••--- ....................................................... 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. Sind- - ------•--` _ •---- ., -`� -• ,� ................................ wDate Application Approved BY-----... --•---------------- .........1 ! --------- ,/` Date' Application Disapproved for the following reasons:..........--------•--••• •••---------------------•-•----- .............................. .........................................................•------------•--•-•--.................•..------.I--••-•-••••-••-•-•••••••-•-•--•--••••-•-•••••-•-•••--•--•-••-•••-•-•••••-•••--......••--•---•-- Date Permit No. Issued... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD IOF HEALTH f .............. 2..........OF:. ....4�4......................................................... �rr�if ire#p f ��itta�rr THIS)IS TO �' TIFI', That the I dividual ew;gt3�Disposal System constructed ( ) or Repaired by---� - :' �- . ', ..._.l:... .� /� sisal er~ has been installed in accordance with the provisions of NCO; �I of The State Sanitary Code as described in the application for Disposal Works Construction Permit Nq,_�- __�_. -•----•-••-•......• dated----- 2_7:?,:`---•-•------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS'A GUARANTEE THAT THE SYSTEM Wtil L UNCTION ATISFA,CTORY. i° �, DATE..... -� p ( .....�... .�� / � ...................................•------.. Inspector -� ....--••-•--••-•---.......... ........ l ` THE COMMONWEALTH OF MASSACHUSETTS BOARD Q1F HEALTH OF No............. ........ FEE.-2.............. Dispolia1 V S Q411in rill rruti# Permission is hereby�granted.....Jj A.. � ---� �t� �'��:' `�. :.......................... to Constru /( ) or Reg it�( -an Individual Swage Disposal System ,t at No...._ ./--�✓ -• f/ .ram �f 1. ::........ . °�-�.�„r? ,:: e, ..........k•_Vr�.. . ----.....--- -.y s street f - as shown on the application for Disposal Works Construction Permit. No.,�_.__.._.�^._�'_'Da ............... -•--------- r,r - �-y ,1 t ~/ Board bdf H€aIth r ATE. . ; �..I ._j..... -�_./.-.�?' ��' �.....------•. 1 FORM 1255 HOBBS & WARREN, INC., PUBLISHERS •f � � LOCLI,TION Ewa�E PERMIT U0. - - - - - - - = - - - - IWST"QLL ERy p &NAE 6- ADDRESS BU1L ADDRESS DIaTE• PERMIT 155UED D ATE COMPLI &KICE IS—SUED; — _ _ is ): ,---, ;; ��.� � . � � � � . . ' � r��, �' � _ � �� j�� ry t o �.� � _ � .