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Home My WebLink About0020 KNOTTY PINE LANE - Health r 20 Knotty Pine Lane Centerville A= 191-106 I [Centerville, Ma. ] LOT NO. : ADDRESS: 20 Knotty Pine Lane OWNERS NAME: Susan E. Sweet SEWAGE PERMIT NO. : LVNEW: REPAIR: x DATE ISSUED: DATE INSTALLED:08- / -91 INSTALLERS NAME: Cash' s Trucking , Inc. INSTALLATIONI OF: 1 , 000 gal . leaching pit/stone packed. ,WATER TABLE: FINAL INSPECTION BY: DRAWING OF INSTALLATION ON REVERSE SIDE : �-_ -�" � z5� ,.. , �� , ,� c THE COMMONWEALTH OF MASSACHUSETTS �St�b� 9 A p BOARD OF HEAL - ° `°� ° E D TOWN OF �O TO NS OF C�'— -''' S��nerl n corm Appliration for Disposal Works Tonstrurt' Frrnt' � , 1SSi°� Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage'' ` System at: .....20 Knotty...Line Lane, Centerville, M a...............••---•---•----•------- •----......_._.._..................... Susan E. S w e eoetion-Address or Lot No. ......................__ ............................................... .........-----------•----..__...._............._................_..........._----•••-•---...... W Cash ' s Trucking°wn�nc. Address Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .Expansion'Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons____________________________ Showers — Cafeteria a 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........................................ 04 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........................ 04 ------- ----------------------- ----------------------------------•--•-•-----•---------___----•----------------- --------------------------------- .......... 0 Description of Soil........................................................................................................................................................................ U -------------- -------- ---------------------- ----------------- ------------------ -------------------- -------- -------------- ------------------------ ...........______----- W ---------------•----------------•-------------------- --------------------------...-•--------------------------------•----------•----------......._...--•--...-----•---•--•-•---..-- UNature of Repairs or Alterations—Answer when applicable_._i n s t a l 1 i n q a 1 ,0 0 0 _9 a 11 o n••-•••-----•--------- 1 e a c h n-g...L)i t s t o n e _ a c k e d..._..-•------------------------------ Agreement: The undersigned agrees to install -the aforedescribedsIndividual Sewage Disposal System in accordance with the provisions of TITAU 5 of the State Sanitary ode—The undersigned further agr-efs not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed_ "�. f ' < - 2- 0 1 91 ----- jT .., I --- / Application Approved By.. /(4W a ate r r,.r �., •- Application Disapproved for the following reasons( ,«h -_______r...................................................... j^ -1 ! l.d 1 .............................................. ....... .._ ............_.._. .......... 1- -; _ ) 1 Date ' Permit No...... ...✓. l-- p-ram -- Issued... ,..,7 �.f-••---......_ ..� � . No._.q ....! - RY 11� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF '� `�`"" y Zjrhrmfto, BARNSTA-BL , ppliration fnr.,Disposal ,arks Tonstrurt' - Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Dispos2 System at: .....20 Knotty...Li n e Lane, Centerville, Ma. ........................••---.....--------........................__.............._... Susan E. S w e eoVtion-Address or Lot No. ------------------7----....----------- . --...-----•-------------•••---••---....._.._ ........................................................ ........................................ W Cash' s Truck in9ol" Inc Address Installer Address Type of Building Size"Lot----------------------------Sq. feet a Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( `)— Cafeteria ( ) QOther fixtures ,'I=---------------------•-----•---------------•-.---...----..................................................................................... WW Design Flow............................................gallons per person per day. Total daily flow................_.._..:.....................gallons. A4 Septic Tank—Liquid capacity,...........gallons Length:............... Width................ Diameter............:.: Depth................ `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 ( ) t Percolation Test Results Performed bY--=....................................................................... Date:........................................ �- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to'ground water........................ a� Test Pit No. 2................minutes Per inch Depth of Test Pit.:::-.__: ::..-.... Depth to ground . .: ______ • - .-: .--.:-... --: I O Description of Soil ---.•--- ........ ......... ......... .......... •-•---. -----••• ..... .. W •-----•---------------------------------------------••----.... ------. -- •--•---_.. ..-•-- - - - - xIN --------------------------------------•--------._.........--------...--.......---•-......:.............................................. U . Nature of Repairs or Alterations—Answer when applicable..-i n q a l,0 00 g a 11 o n leaching---pi•t/stone packed-' Agreement: -•................ i The,undersigned agrees_ to install the afor edescribed�Indlvidual\Sewage Disposal System,'in accordance-with the provisions of t_I.1E -..5 of the State Sanitary Code—The ut d'ersigned further agrees not to place the system in operation until a Certificate of Compliance has.been issued by the board of'health. Signed -f..,.' '' `'.� - ! - 0 1 ... ....... .... Application Approved By.. .... ........ . Application Disapproved for the following reasons- -------------•----•-•-----•--•-----------------------------.............................................---••- -� Date ...............Permit No� -.----�•��- .r -----.... .......--•---....................Issued........_... ��. 9.�...... • .. "1' ._. _ _.. . . _ . . _ ._ _. �,,..M..,,,„...„_,,.,„„,. _ ... .• - are ;. •,- . -THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 TOWN of BARNSTABLE er _ w0tifirate of T-antlrlittnrr THIS-IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X) b r-'_ _. Cash'.s...Trucki.jjgj.... nc....... ... ................... �...: nstaller at...#20 Knotty Pine Lane, Centerville . ------•-•--•......•----•-----•-- •----------•------•-------•...................••--........................---------•-................ has been installed in accordance with the provisions of TI 5 of State Sanitary Co e. s sc ibed in the application for Disposal Works Construction Permit Nro•--- -.'"-..1..... dated---.--- - -------------•- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C S RUED AS AJG/,ARANTEE Ttl T THE SYSTEM WILL FUN CT ON T SFACTORY. DATE....:...................: .. � � r. ............................. Inspector.... _ ._.... ....... \ } THE-"COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN of`E" ��' No... BARNS TABf � J_'. FEE.... ObViloal Works Tonsirudion f rrmi# Cash' s Trucking, Inc Permission is hereby granted..:.... ........... ...................... ....... to Construct ( ) or Repair ( X) an Individual Se*,age Disposal S stem . atNo..20 Knotty Pine Lane, Centerville, Ma. owner/Susan E. Sweet] ..........................................................................------... Street as shown on the application for Disposal Works Construction P rm't No._ . _.___ti �oof t d.....�1.�.�..`?.�_..'...... ..... ............. ................. � �� - 1. 9 I d He th DATE---------------------- -t/ ' • 'V