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HomeMy WebLinkAbout0074 KNOTTY PINE LANE - Health 74 KNOTTY PINE LANE a CENTERVILLE A = 191 - 101 IY No.---81-.Sod ...............................00 THE 1" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............:........T own---.....O F......�r ns -table--.-.. ------------------------------•-•-•-•••••-•...---- App iration for Dispaii al Warks Tiumtrar tiun rrutit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: .I L.K otty Pine..L??.:.,...Centerville_,.. ..._026 2 ..----------------------------------------------------------------•- •Location.Address or Lot No. .Patrick Cullinan 74 Knottr Pine Ln., Centerville , MA 02632 ------------------ ....---..... ..._..._......-------••••---•--------•----•------ ----------------................ Owner Add ess A & B Cess�ool Service, 128 Bishops Terrace, hyanniq NA 02601 .......---••••.................... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedr .........................................................Ex ansion Attic� g— � p � ( ) - Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 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........................................ a ,.a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_.___-.--_-.-__.: --- fr4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.-._-..-._-----.._-_---- Q+' ..-•-•••-•-•••-••-•-••---••-•-•-------------••••--••-------•--------.....---••-••...--------.....•-•......................................................... 0 Description of Soil.....S a-A...................................... x U ' W x ••---•-•-•--••--•----•----•---••--•-•---•-------------------------------•---•---••---•--•--•------•--------•--------------------------•---•---•-------. -=--------....-----.... U Nature of Repairs or Alterations—Answer when applicable...iis tallat o.u_.of__ stogy P eked.. � ..pit...(.over.oW) ........................... .................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIIL LZ 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 boardroflth.Signed... .-•...................�.. ...:x .. . . 9� 1�81 .•. Date Application Approved By............. :..� ...................... .. ............... 9/ ate Date Application Disapproved for the following reasons:------•-------------------------------------------------------•-----------------•-..............-----.......---- ............ ......... .----------------•-------------------------- ........._.......... ------------ ... / Date Permit No----------81- ....... Issued-_... 1l gl-----•--•--•-----•----•---•--•---- Date No.----81...50 7 Fx$.......$...5..00..._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOW op.- Larnstable .............. Appfira#inn for Disposal Works Tonstrnr#inn rumit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: ,'j? Knotty-Pine,-L .t Centerville MA -02632 .................................................................................................. .•. Patrick CullinanLocatim-Address �4 Knotty Pine Ln. en or t N �ery_.__________ , ..... • )"A 02632 A & E Ces.�pool Serve; 128 Bishops Terraced` yannie NA 02601 ...............••---•-------•----•-----..............................--- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.......... ...............................Expansion Attic ( ) Garbage Grinder. ( ) 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --••----...•--•----•--------•••••---•••----------------------•------•-•--•-----------•-•-•••................................................................ O Description of Soil....Sat$........ W UNature of Repairs or Alterations—Answer when applicable..AZP:t 7.la.tion of-_a_1_,000 e��lon__pre-Cast, stone hacked leach pit (over low)_______________________________ --------------------•---------------•---------------------------------............--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 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 hea lth. Signed... c, yc 9 1/Sl -u:l�— � -------------------I 1....1.'....--------- P, D to Application Approved By----------- 1! ........................ ............... / -�1`7-�1•-•------ Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ..............•------------•--------------------......-•-------•-•--.....-•------•-------•--------••---•.--.._......•-•-••-•-•--•-•-••-•----••-•-----------...•-•••••-----..._....----------•••--------- •.......................Date Permit No..........81 Issued. 9� 1�91 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T own.............oF..............I3arnstable ................................................................... Trdif irtt#.r of Tomplianu THIS&I'S 1N_Qgjr aye4j&1hel '` or Repaired (X) by...............••---•-----•-•-•----........_.........-•----------................---- 74 Knotty Pine Ln., Centerville, MA D2632 - Cullinan at......................•-----•--•----•••-••-----........--••-•------------------. has been installed in accordance with the provisions o TITLE 5 of The State Sanitary C�jde s described in the application for Disposal Works Construction Permit �-._..SQ ....................... dated__.. /__.1 8.1........................... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.... ,..11g1........................................................... Inspector....------------. /'.............................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town PArastable 81- So ..OF..............................................:...................................... 00 No.....................7 FEE.......$$.....5............ Disposal Works TUnnu#rnr#io�n rrnti�. Permission is hereby granted..._.._A & B Cesspool Service, 12 Bishops Ter.,........................................Hyannis , 02601 to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at No....7.4.-Kziotty.-Pine... n..x..CeYtteryillel_.Y1A....02632..-_.-0ull naxi----------------------------•----------•----...-•---- Street as shown on the application for Disposal Works Construction .eet 81�...........:. Dated.._g-- 1 81 ............................. 9 1�81 B of Health DATE.-_-�.... ...-•-•------•--......••--------•............................................................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r ti LOCATION / SEWAGE PERMIT NO. VILLAGE Opt-4e co 1 I Ls IMS A LLE�S NAME i, ADD.RE4S �- ass�og6 1 servl f GUILS R OR OWNER DATE PERMIT ISSUED 9 DATE COMPLIANCE ISSUED all ) ri re. \ 1 o` • Affidavit of Residency Craig R.Johnson 74 Knotty Pine Lane Centerville Ma. 10/12/2017 Craig R.Johnson 74 Knotty Pine Lane Centerville, Ma.02632 I Craig R.Johnson had purchased this residency in March 1995. It has 4 bedrooms. I have never added on this structure. Parcel# 191-101 Thank you Craig R.Johnson I I i Lr Ld uT6 (*!e1.!vWq FAN Oo E o al a3; AI prices are in USU CP 2017 Mineral Tiles.Siternap ', Got Questions? Customer Reviews