HomeMy WebLinkAbout0012 LAKE DRIVE - Health 1.2 ake Drive,
Centerville
A= 230 — 076
AsBuilt Page 1 of 1
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TOWN OF BARNSTABLE
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LOCATION� ��9/C ,J /� SEWAGE A► 6�2
VILLAGE-Lek, �� ASSESSOR'S MAP de LOST,',Z,�p7G,
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY
li LEACHING FACILITY:(typeK/�/D-d-
NO. OF BEDROOMS PRIVATEWELL OR PUBLIC WATER
BUILDER OR OWNER ...
DATE PERMIT ISSUED:_
DATE COMPLIANCE ISSUED: ct
j VARIANCE GRANTED: Yes No L
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http://issgl2/intranet/propdata/prebuilt.aspx?mappar=230076&seq=1 11/28/2011
/ TOWN OF BARNSTABLE r
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LOCATION �i9�C 2 �{� SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. J
SEPTIC TANK CAPACITY
LEACHING FACILITY:(typeW F—/p-d d /—'�/,SSe,Cycfsize)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER A A4d4 L,,� .,,L,
DATE PERMIT ISSUED: =T,fi y
DATE COMPLIANCE ISSUED: I
VARIANCE GRANTED: Yes No
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF !-HEALTH
/ TOWN OF BARNSTABLE
Appliration for Biinpwml Workii Towitrnrtion trrntit
Application is hereby made for a Permit to Construct ( ) or Repair O(x) an Individual Sewage Disposal
Sy tear at:
'- A Labe Drive Centerville
,�-- ....................••----.......-•--------•---•----------•-------------------..........--.--.... .--------•-----------------------•-•--•-......--------•.......--------•---••---......-•-......----
Location-Add.... or Lot No.
HenrX.Epstein
--------- ------•---------------------------------•-----------•---•--•---••----------....--•••----.......--
Owner Address
J...P-Matesamber...Jr._.....-................................................ ................... -------------------------••-•-----•--•--------------------•-••---•-------•----
Installer Address
UType of Building Size Lot............................Sq. feet
`. Dwelling X-No. of Bedrooms------------------3_-----------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building --------------_----.---_-- No. of persons-------2------------------ 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.
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........................................
a Test Pit No. I................mmutes per inch Depth of Test Pit.................... Depth to ground water........................
GT, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
1:4 ---------------------------------•.....---•-----------•-------......--------•------•----------...---.........---------------------.......---------------. "
0 Description of Soil-----------------------------------------------------------------------------------------------------------------------------------------------------------------------
U -----•---•-•-•--•---.----•-.....Sand---&--GYavaI---••...............................••....
W
----- --------------------------••---------------------------------------------------------------- ------•---------------------...-----------------------------•--••------••----•---•-------------••--
U Nature of Repairs or Alterations—Answer when applicable.-.-0m i.ty..�.e s.%i _._._. _ns a1.1_.__ —154p......__.
gallon tank and 4 flowdiffussors side to side .
.............
• • ---
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 Compliance has eee issued by the boa of health.
Signed J�-.. � 8/8/94
- -
ApplicationApproved By ....... ... 9 ----------- -------- .._........................................................ .. ......... ..............
Date
Application Disapproved for the following reasons- -----------------------------------------------------------------------------------------------------------------------------------
---- -----------------
........................... --- ...- ----------i. t-------------------
G� � Date
Permit No. I � ��
Issued �. - /Z? �L y
Date
No..... _ n
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiun for Di-lipuml Works Tomitrnrtiun rumit
Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal
System at:
4'Lake Drive Centerville
Henry Epstein
Location-Address or Lot No.
W T Owner Address
Installer Address
UType of Building Size Lot............................Sq. feet
..� DwellingX-No. of Bedrooms.-.---------_----:1-----------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ............................ No. of persons-------_7.------------------ 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........................................
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-----_--.__..-_.-__-_--.
C4 ...•------•---•..................................•-•--••-•---........-----------•......------...--••-•------...._..-•••-......----........•-- ......__......
DDescription of Soil------------------------------------••--- ------------------------------------....._.__...--------------....-•----------------------------------------.......--------
V - Sand S Gravel
W
--------------•----------------------------------------............-•-----------•----•----...--------------------------------------------------------------------...._..-------------•.............._.
U Nature of Repairs or Alterations—Answer when applicable._._0m i t-_ ------- n a 1.L.__1_-_l yfa .........
gallon tank and 4 flowdiffussors side to side.
---------------------------------•------•----•----...__............
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 Compliance has been issued by the board of health.
Signed 1� f � 8/8/94
------------------------------ ---------- ---------------------------
Application Approved B � r.-�.. ..l'- � ..._.....-_.-
f Date
Application Disapproved for the following reasons: ...................... ...... . . . ............................ --.......... ---. . .........
......................................... .......................................... .......... . .................................... . ........................................
141 _ 41 Date
PermitNo. - ---------------------------------- -------------------- Issued -----------_� l.,7 r1.y
Date l
----------------------------- -------------------------------------------
THE COMMONWEALTH OF MASSACHUSE17S
BOARD OF HEALTH
TOWN OF BARNSTABLE
Vlertifirate of Q1.1vII1TCpliance
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX)
J P Macomber Jr.
by ... -------------- -- ------ - Imt.dier
-------------------------------------------------------------------------- --------
at
4 Lake Drive Centerville
has been installed in accordance with the provisions of TITLE f.The State Environmental Code as described in
the application for Disposal Works Construction Permit No. �_.yl� ...._.._..._... dated ..�,/;.)C(, ._...................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE..^--------------------- --.._--------------------------- Inspector r17,. .-_?a............
----- ---------------------------- ----------
----------------------------------------- ---------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
No. .................. FEE_._....30 :00
Dispuiitt1 Workii Tunitrurtiurt' "Vrrmit
Permission is hereby granted-----J.P.Macomber Jr .
---------
to Construct ,( ) or Repair (X�5 an Individual Sewage Disposal System
4 Lake Drive Centerville.0•------•.....-•----••---•---•--- ----------••--------•------•--•-------••-••-•--•-----•--- ....--------............--
at No....................................................................... f
PP P street Cjcj � 'x
as shown on the application for Disposal Works Construction Permit No. /.. /.--__ Dated....____.-.� ...........................
C_.� !
/` � ----------- ---------- Board of Health
C
DATE........•---.•----------------- ----•-------...-::--:---
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I a I r+hey lnacd�Y Pgne 'i+h.+rn�hmet DRAWING TYPE:
q penings w
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n+ernetionel P�uildinq Gods Wr vtlls mq the SHEET NUMBER:
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wt time of aonstrua+icn � O °
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E zisYmg framing to remain ,('� N Q r
ExisY'inq framing Yc remain `U .rI F W u o
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%O"x%O"x 1 2"eontre+e footing �,
v a`�aL_•, � C
a a
maxis tinq Framing
New Fra�ninq
This plan was deigned in aaoerdance with DRAWING TYPE:
the mreraa+icnal K-esidenrul Gcde 2009
�di+ion and the ryassaehusetts�BO Gt-7� p�uildinq r�eG♦��o^aka
�i I.00 Bth Cdition.
Note:
All 11-1emc n+,4 Olmensicn.are to
be Yi+a verlfled by General Gon+raa+cr SHEET NUM6ER:
- at+'.me of tons+ructicn
A 4 0
71 0 11;
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�iimpson H 2.5 hurr cane+ies
2/2 xB Headers(+yp l t�• } Klw
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1/2^APA rated"full-high+"sheaYh�nq(+yp.l I.. � p 'Q
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w/2 zB ledger ay'.) Q Q
raimpsonm��Gonnea Yors e 1!o"o.G � E I
w/2 z8 led (f yp.1
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'i 1/2"N.P.Insulation �2 I yp� L
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j WAIF WELL 1/2^APA cared"fall helgh+"zh¢a+hinq(+ypJ J
j 2 M Wall stud e I!o o c (+yp.l
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raimpsonm LUh 2!o WO 2 n hangers _J
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u
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W N K m
W N Q 3 D
1/4"APA ra+cdsubfloo
-2 x 1 O Floor Joists e l!o"
y
B"x I do 6w wall se+on a -" B"H.O.Insula+i V
2'Poured concrete footing. Z J
(cur ex<+mq garage fleor slab to allow .. .. ...... .. . ... ............... ............ 'VI/ Q
far new support wall.11 �, f'°a at '' O ^` N a�
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This plan was d¢signed in acuerdance with
fhe 10 DRAWING TYPE:
Edlfion and+he l-Ia�sachuse+t 7aoGrlR-
- s I_00 B+h Ed�fion. puiidlnq heation"G"
Nc+e,
All 1"I¢sur¢m¢n+�.f Oimens�ens are+n
be sire�er�fied by General GenYraa+or
..+time of can.+ruo+inn SHEET NUMBER:
A402