HomeMy WebLinkAbout0064 LAKE DRIVE - Health 0-14 Lake Drive
Centerville
A= 230—079
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LOCA�TTION Q SEWAGE PERMIT NO.
VILLAGE
I N S T A LLER'S NAME i ADDRESS
/-7 IVIIr-Dw17?rR
3 U I L D E R OR OWNER
DATE PERMIT ISSUED
y
DATE COMPLIANCE . _ISSUED
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THE COMMONWEALTH OF MASSACHUSETTS
F L °\ BOAR® HE TH
e Appliratinn -for Uiijinittl Workg Tnntrnrtinn Pumit
Application is hereby made fora Permit to Construct ( ) o&Rpair <'an ndividual Sewage Disposal
Sys m at:
--- -- ---- -•--••------- ----- -------------- '-'---•-- -'-''- •_---.......---"--'--'-'-•'-'..--'---•--••--•-•--
oca on-A or Lot No.
-� -• -- ••------ ... .."---------------'--•-----------•---••-•------------.......---•----••-------.•__.._....-....._--
Owner Address
-
FWj - -•• -------' - '�.•... S ..
� Installer Address
d Ty e of Building Size Lot_______ -----------------Sq. feet
U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building -___-____________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
p' Other fixtures --------------------------------------------------- ------ ---------
W Design Flow-------------------------------- _________ a ons per person per day. Total daily flow--------------------------------------------
WSeptic Tank Liquid capacity __ allons Length................ Width................ Diameter_____.-_-___-_ Depth_--_-___-_---
x Disposal Trench—No.____________________ Width_________:__________ Total Length-------------------. Total leaching area--------------------sq. ft.
Seepage Pit No_____________________ Diameter.................... Depth below inlet----------_.......... Total leachin --------- __ sq. tt.
Other Distribution box ( ) Dosing tank ( ) _J '; 7 C,A
a Percolation Test Results, Performed bY---------- -------------•-------••-----------•••••----......---.{ Date........... ---------------------
a Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water--______-.-__-__--___--
f� Test Pit No. 2----------------minutes per inch Depth of Test Pit-_______•.__________ Depth to ground water________________________
n+' --------•--------------------•- ----••••-- '--•---------------•-----"--•'----••'-•-_-'--- ....-----•-•-----•-------- ----•--•----------
O Descr' tion of Soil___________________________________•_ __
V 1 ._
_ ..__. -fit'
���_
W ----- --__-• ----- //�""!"" 11 U
U Nature of Repairs or-1 er ti s—Answe when a licabl -_-___ ..........
y--
Z ' - �-_-------- - ---
Agreement: ,
The undersigned agrees to install the afore cribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanita C e-The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has ee iss d by t e boa of 1
Signe --••-••-•••--•----
/ate
s.�
Application Approved By......--- ------------ -- ----- -- ----- - -- - --- - ----s------------- ---��- 7--��--
�y�/�-
Application Disapproved for the following
_r�ns:.---------••--- •--- --•-----• •-------•--•-•-••---••-•--------------------------•----•-----------------
----- ---- --e-e_ _
-•----------------
Date
PermitNo......................................................... Issued........................................................
Date
-54
THE COMMONWEALTH OF MASSACHUSETTS
BOARD HEA
.-.OF......... .. .. .... .... .... ... . --- ...... ......
Appliration for Di_gpoii tl workii Tonstrurtion Vrrulft
Application is hereby made for a Permit to Construct ( ) or Repair ( n lidividual Sewage Disposal
Sys tern at: ..
..
ocat n-Ad or Lot No.
t
'02 Owner
a ---_-•=-..-- --'••. ••-�••---_--- -- --�! :-------•--- - - •-- .. . - �,, --'-``------=------------------------Address •-•••--•---•-••-•----•-•---•-•------------
Installer Address
Q Type of Building Size Lot............................Sq. feet
U Dwelling No. of Bedrooms________________ _______�--� g— - _ _._•_______________Expansion Attic ( ) Garbage Grinder ( )
a-, Other—Type of Building __-------------------------- No. of Pei-soils---------------------------- Showers ( ) — Cafeteria ( )
as Other fixtures -----------------------------------------
W Design Flow_____________________________ a'ons per person per day. Total daily flow--------------------------------------------gallons.
WSeptic Tank Liquid capacity_ ___.___. alions • Length---------------- Width---------------- Diameter-----_..._-.____ Depth.__.______.__...
x Disposal Trench—No_ ____________________ Width-------------------- Total Length-------------------- Total leaching area.._-_._.____--._____sq. ft.
Seepage Pit.No_____________________ Diameter----------------____ Depth below inlet.................... Total leachil a ..---------- --- 1. t.
z Other Distribution box ( ) Do"sing tank ( ) ,. �! {�K � F01 G�,..rr s ..
aPercolation Test Results Performed by------------------------------ - ------------•--�✓ IF Date--------------------------------
Test Pit No. 1----------------minutes per inch Depth of "Pest ............... Date
Depth to ground water_.._____._____.____.....
44 Test Pit No. 2................minutes per inch Depth of Test Pit--------------------- Depth to grou d water...__-_.______________--
------------- -•-- ---•---- ✓�--`-------•---• ................................... ._..._ -:--.................
Descr'x tn "f Soil------------ -________________
---------
Wxr i ------ -•--...rV - - _1-
-•-•• ...................
V Nature of Repairs or Alter i s—Answe when a lira le - -: --..
f -. �-I - .'
Agreement: �-e. --CCYYCC � �// WP,`v!
The undersigned agrees to install the afored cribed Individual Sew ge Disposal System in accordance with
the provisions of Article XI of the State Sanita Co e—The undersigned further agrees not to place he system in
operation until a Certificate of Compliance has ee.. tss d by t boa of alt
Signe .... -•- -•-•- -•- ••-----•---•-
•-------
. . .. �.. -d' -- �•J"�" ,�. Va .Application Approved By----... . --- .._.-:: r`
Application Disapproved for the following reasons:. •------------- ---• ---•--- ...................................... ...................................
' Date
...jp��)
Permit No......................................................... Issued. =
Date
THE COMMONWEALTH OF MASSACHUSETTS
i`
BOARD OF HEALTH
!yt1.............O F....... •r ..............................................
�rrttfira of f omplialta
T S IS C , That the ndivi al Sewa ispo ystem constructed ( ) or Repaired ( )
by.....- � -- •-•••- .........
Inst ller
W.
_-_-
has been installed in,accordance with the provisions of Article XI�•�of _ he State Sanitary Codr s descri �j in the
application for Disposal Works Construction Permit No--------------- ------ dated.:.:_rAJANTEE
-2-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G THAT THE
SYSTEM WILL FUNCTLON SATISFACTORY.
'~ n.pt or ...............................................
°- r ..•Y 3:- , ,. . >
.a�::f6�� t.•o.....:.�wvL:�.vL-'ti+.rr �,it���_i:•"1__.n,',r�� �.,�Y,....::.=_.._.��_..�,.__ _�...... ..,_.. .. - ..,.. .,. -,� ,->.. ^•
t ._�..:..G:_ .-�a,_v...`.t.....•.-. . .;.w...c:s:x.:lS4..a..t,.•Gi.,r.�ww,:.....3.:,w,.,w._�...•i
THE COMMONWEALTH OF MASSACHUSETTS
�� BOARD F HEALTH
} 1i ..
......OF..... .. .. ...............: ......................
No....... ----- FEE......... . .........
i� >a tr rtiaa err it
Perm' sion is 7breby grante __._ t _ ,_--------
to Con ( ) Repai I ividual S wa e Dts S tem
t - '
Street
as shown on the application for Disposal Works Constr "tion Pe No._ ___ ___ _. ated_.� .z. :. ..... _•-•----
-- --= --• --•- -- ---- -
Board of Health
DATE......../ = . .. . /-------=--------------------------------
FORM 1255 HOBBS & WARREN:. INC.. PUBLISHERS
dot,'`
BARNSTABLE SURVEY CONSULTANTS, INC. MEMBERSHIP IN:
MASS. SOCIETY OF
PROFESSIONAL ENGINEERS
SURVEYORS AND ENGINEERS " & LAND SURVEYORS
POST OFFICE BOX 734
4 1 1 M A I N S T R E E T CAPE COD SOCIETY
WEST YARMOUTH, MASS, 02673 PROFESSIONAL ENGINEERS
TELEPHONE: 775-7719 & LAND SURVEYORS
November 20, 1973
Town of Barnstable
Board of Health
Hyannis, Mass.
Re : Sewage disposal system for
.. ' a., k .Mr. RNLarkWentraub on Lake
Road, Centerville, Mass.
Gentlemen:
Enclosed is a proposed sewerage system of the above
location.
Due to the closeness of Wequaquet Lake and the elevation,
of the ground in this parcel of land it is impossible to
locate a sewerage system without going to the Lake Road
side of the existing house.
In order to save the trees and get the amount of area
necessary for this system the flow diffusors are placed closer
to the house and also closer to the road than is prescribed
in the Board of Health requirements.
For the above reason a variance from the above rules is
requested.
Yours truly,
Everett H. Hinckley
cc:
Mark Weintraub
8 Still Road
Brookline, Mass. 02146
LAND COURT PROPERTY • RIGHT OF WAY • SOUNDINGS FILL PERMITS
PIER PERMITS • TOPOGRAPHY • SUBDIVISION CONSTRUCTIONS • SANITARY (ANDFILL
p (?�/j �_ 1 _fin _ ...^
i1l�Ord: .' C U i'Pff " lI COMSU 1L-TG=�II�To mc.
- MAM rn. 1..:7 6..•
PROFEOUi MAL aclrr;:_zs
Q LAND ZU;.XIEY01i0
Pool? OFFICE BOX -.794 --._ ~. k
4 1 1 M A-I N S T R E E T'
"CAPE COD SOCIETY
WEST YARMOUTH, MASS, 02679 : PROFESSIONAL ENGINGL 2S
TELEPHONE: 775-•771.9 & LAND.SURVEYORS
- November 201 1973
Town of Barnstable `
Board of I3ealth =
Rea - Sewage :di-sposal _system-for
Mr° .-Mark-Weintraub ori' Lake .
Road;' .Centerville;` Mass° -
Gentlemen: r
g +.:
Enclosed is a `proposed sewerage system of thee-above-
location. -
Due to the. closeness -of.Wequaquet. Lake -and-:the -elevation~
of the ground' in this parcel_ of land, it:is rimp-oss'ible"to
locate a sewerage system without--going -to- the Lake Road 1
side of the- existing_ houseo _ _
.In order to.-save the trees and get .the 'amount of area -. -
necessary for this-system the. flow diffusors are _placed closer -
-to the house: and .als-o closer 'to the-road than -is .pre scribed
. - a
in the Board of Health: requirements. . .
For the ' above. reason- a, variahLe-_ from. the -above rules is •`
4
requested
_ Yours truly, - " N
- - Everett H. Hinckley
-cc e
Mark Weintraub
-8 Still Road - y '`•
Brookline, Mass. 02146
f_!ND COURT PROPEtRTY :. a RIGHT OF WAY .. . e- :SOUNDINGS Q FC^ G'r trIY ti
�'� Pr—RMITS o- -TOPOGRAPHY q SUBDIVI;SION`CONSTRUC.TIQNS o SAN1TAF2V _PvLa�V(�FB11Q�',_
- � B
73 '
i t Soy 4cj!a- ;d,r!#.,rLi
� gal 'syst in'' f+� "
-♦ i y • fie ik alb{fir lontN7;i
� A r
EVG',rt3t F:- i stick ey-
i,. �> s!. ,wh�x�f�'+yt���'�`- -�s . . •; _ x �� ,_
5 ";Wee
4.'. ZC":�.�+l�LtaWs�ct�
�Your agtle at for a_
a s*wa0-bystem must .be� -20' from the h€us. and 10 0.lrotn
. tproperer= l . a� a beams � rc�u � -the �rt� of H�Ith
"
. bh ��� � ' ��Your * 0 ,� � � u � a * ,t
and,--7, .. from �hQ .prop�y Iiii"�ri'd muds .b 0�all .
�acCrer �ha�.�n' orb: f ,1
Vh
i6 system must conform ta. the _O't »equireMtntp �f
to l_ of-',�h �k 'e state 5a Ode*
o e
OF SARN
LTH
p /�•V�l/� w�V
:
< '�.a k? k :• fy7' gyp' r _ �i'.�..
�- ., �'LE SURVEY CONSULTATLS,. dINC. v MEM3CR=HlP IN:i,L. ..ti �° , IN
MASS. SOCIETY OF
PROFESSIONAL ENGINE_RS
;SURVEYORS AND ENGINEERS`- Y- & LAND'SURVEYORS
POST OFFICE BOX' 7a4 : -
b 1 1 M A'1 N S T R E E T ` _ -" CAPE COD `SOCIETY -
'WEST YARMOUTH. MASS. 02679 'PROFESSIONAL ENGINEERS -
TELEPHONE: 775-7718. & LRND-SURVEYORS
November 201 1973
_" . . Town of Barnstable
Board ,of health
-' : , -• - _ Re: Sewage-disposal .system -forte
Mr. 'Mark Weintraub- on"Lake_ '• • ��9
Road- Centerville Mass. T
• -
-- - Gentlemen•
Enciosed 3s •.a proposed sewerage system of the above
t M`' -location. _
x =~ Due.. to the. closeness of Wequaquet, Lake--and the elevation '..
r _ of -the -ground-`-in- `this )parcel 'of land:-it.-is .impossible to .r
locate .a sewerage system without-going '-to the Lake Road
side of -the existing-- house,'
In order to -save" the trees - and -get "the -amount of .area
necessary for-this system the flow diffusors are placed Closer `;-..' '
."'to the house,-.And also closer 'to .the--road than -is"prescribed -
_ • in the ._Board of Health requirements. .
- - -For the: above -reason a varianLe_ from the above rules is - -
- - : - requested: -
` _ 'Yours truly, - -
` Everett H. Hinckley
-cc: -
- Mark Weintraub
S Still Road --
Brookline, Massa 02146
ar`C; ' ' .. ._' I _ . - " _ - .- . - R( 4 .. .' w •= a •tea ° i _•' -.u3
COURT • PROPERTY`-_ • RIGHT OF'WAY • SOUNDINGS
�# Pt£it- PERMITS s . . TOPOGRAPHY ! SUBDIVISION CONSTRUCTI9'NS :�SAJ111ARYA1VDF�t�. =
_..bR_ .. _. - - _. z .. _ R � _ tea. • -. ... a.
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OF HEALTH
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