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Home My WebLink About0007 LESTER CIRCLE - Health 7 LESTER CIRCLE, CENTERVILLE A = 172 145L25 If I� TOWN OF BARNSTABLE LOCATION SEWAGE # Ty_ 730 VILLAGE Cr�f�•ry,�� ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) iv X 50X a NO.OF BEDROOMS__ BUILDER OR OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and LeachingFacility ty (If any wells exist on site or within 200 fddt of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by c a �� _ ell, R . •s, 7- G s� TOWN OF BARNSTABLE .� LOCATION / ZeSAV— 6 rc% SEWAGE # � ��® VII.LAGEt l ��„�c'v'y,'I/e ASSESSOR'S MAP &LOT •I VSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) /0"( 3�if o? • NO.OF BEDROOMS 6� p BUILDER OR OWNER G, .9-► i PERMITDATE: /` 3'�1q COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 7�r E , a � 13 20 1 r G ..: No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for Migogal *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lotko. Owner's Name,Address and Tel.No. Assessor's Map/Parcel 7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wh W4041 a/4K.t S.), /1 IR Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when ap�iIicable) St�� S 1 h �� s cP�/5 �. /pia cJ� TOO 9464 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this ar of alth. Signed Date f/ 3-99 Application Approved by Date /t= e7l'— Application Disapproved for th ollowmg reasons Permit No.��~]` E' Date Issued ——————— ————--- ---� No. .r^. Fee S ye—) THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: _ Yes 1 PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for Mlzpaar *p5tem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. AU4(a r� Type of Building; Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building f iJ No. of Persons i �� Showers( ) Cafeteria( ) Other Fixtures i 4a Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. F Description of Soil � 4 Nature of Repairs or Alterations(Answer when applicable) h � � I 7 I!7 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this BrffZfyf Valth. Signed Date Application Approved by, Date Application Disapproved for theCiollowiAreasons Permit No.� �, Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance ' THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired Upgraded( ) Abandoned( )by bag— *AftQV4{ at 7 1,.9 A-",,l.. C has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated ' Installer Designer �r, The issuance of tl��pe ;t s all�° construed as a guarantee that the syst "functio asd,Lg A./ Date Inspector U / V 0 --------------------------------------- % No. y Fee . THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS _ lwiopooal *p!5tem Construction Permit Permission is hereby granted to Construct( )Repair( Upgrade( )Abandon 1 fob System located at�-��, �e �,t and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: fj Approved by 116199 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) A; hereby certify that the application for disposal works construction permit signed by me dated //— 3— 99 concerning the property located at st* C/rc%f CPh i-rir �Xo meets all of the following criteria: • The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are no wetlands within 100 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than five feet above the ma.dmum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor method when applicable] • If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14) feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W. Elevation the MAX. High G.W. Adjustment . DIFFERENCE BETWEEN A and B SIGNED : Qz--- DATE: �<' 13—! I (Sketch p posed plan of system on back]. q:health folder.cent we2 7' R,30.0p- ' Y y.,471,co- N Mtn `Sc� 4 V _ 1 ....___ ...__ _- -•-�� ._. ..f.-_..__ per.._..__..... �r 1 , Tti Y�• - � )ey K `C-; c5j/ i r�1 2� RES. ZONE. 'RC" This MORTGAGE INSPECTION plan is For FLOOD ZONE.- "C" Bank Use Only TOWN: =_________ REGISTRY OWNER: DEED' REF: Z392121----------BUYER: JZEELMANCZ_ DATE: _,?f2_3,/9� PLAN REF: 257/94 __� �_ SCALE:1 30 FT I HEREBY CERTIFY TO ____—______ _--- _ _______ _ ___THAT THE BUILDING =' l PAu� yANhEE SURVEY —"')IVN ON THIS PLAN IS LOCATED ON THE GROUND AS A. CONSULTANTS "n THAT ITS POSITION DOES _ CONFORM MERITHF.W N ' Aw S7TBACK REQUIREMENTS OF THE 9 No.d2 4 oz;; 40B INDUSTRY ROAD 1'W-F-----_--_______AND THAT ° SEC ifF�%� �` MARSTON'S MILLS, MA. 026-48 'r SPECIAL FLOOD HAZARDsi ^�TED__8.!19/B5 °Ku Lowe . -- TEL: 428-0055 i -�, L- No...... ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH N" . /Csck�.tj--------------oF.......RaRN,S'.nilf-................................................. r Apli irativit for 43itivusal Works Tonstrudian rrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ��, @t 6rec l e ,. ................................ ...: ...............N j .hs�ill.:f: . ....... ��•� L" on•Address_ or�t No ............_..DDEr.e� t......=' 41s.....1�. ........................ ................1.23:. 1/A. I:. i.. !4_...�k�?�V��s.......... Own r r s Installer Address UType of Building Size Lot----/A�(.n. .....Sq. feet Dwelling—No. of Bedrooms.................P......................Expansion Attic ( r.} Garbage Grinder ( ) a 04 Other—Type of Building .....MAO............. No. of persons............................ Showers ( ) — Cafeteria ( ) aOther fixtures ------------------------------------•-----------....------------••-•--•-•.....•--•---••-----•-•---•-••_...._ W Design Flow.....................................gallons per person per day. Total daily flow.............3. .....................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 Belo inle _._..._..._... Total leaching area. ._ ......sq. ft.-,"'. z Other Distribution box ( ) Dosing tank ( ) D - ` � -' 0 -' Percolation Test Results Performed by.......................................................................... Date....................................... aTest 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......................... P' ---------- ----- ---- ................ ------------ ` of Soil -�� j- ////� �1 •1 / ,L•L/gr! =' < - t�-------------------------- Description � -•---- r U Nature of Repairs or Alteratiofis-Answer wh 7napplicable.................................................................. .....:....................... ------------- ------------------------------------------------------------------------------------------•--------------------...---------------------------------------------------------.....----...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Coe The under g, d further agrees not to place the system in operation until a Certificate of Compliance has bee - ed by and of lth. Si . _ -- .--- ----------------•---.. ................................ Date Application Approved By------ •- . ---•- ----------- --/� Z_ C; " --1 '.�..........................•......... ... ... Date Application Disapproved for the following reasons:......................-------- ............ :_____ -----------------•--.......---•----•------------------------------------------------....-•----------------------------•---•--- -----------------•----•--•-----•-•-••----..._------....----------..... Date PermitNo......................................................... Issued..................... .................................. Date LOCL&TIoKI SEW�.C,E. PERMIT MO._ _LsiP2 — \/ILLhGE . e� .e�.•l — — — — — — — IWSTALLER 5 WMAE 4,: - ADDRESS - -BUILDER 5 Q & .AE ADDRESS DATE PERMIT ISSUED '- - — — — — — — DATE COMPLI&MCE ISSUED — — — �i �J�Sk Ca �1 r � 1, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .---... .. .0+ d.Aj............. OF........! ................................................ Applirtttinn for Utoposttl 16orkii Tnn#.rur#ion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: f r . s a, Cry_/C' ....... � 1........�. ...r + ................................ ................... ! ::...........................,........... Location Address or Lot No .................t .................... -,.--Owner 3Ajr,ess 'yyi/ a ....................... 88 s. `ts!'? £... —.d f. +:?tSi ....... ; dA ., �l.fc:....... ............................................ Installer Address UType of Building Size Lot....?' .a b-•-__.___--Sq. feet Dwelling—No. of Bedrooms................. .......................Expansion Attic ( r.} Garbage Grinder ( ) Other—T e of Building ' ` a YP g --•----==-•---------------- No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ----•------••-••-••••--••---••-----•......-•••---•-•--•-•--•---......••••--••••••--••----••-•-----•.............•-•-••-•--•••••......•-••----•------- W Design Flow................::P.........._.._...gllons per person per day. Total daily flow.............:;1O'�............ ....__gallons. Septic Tank— x Disposal Trench Li No c. ackt _s�W Width LengthTotal Length kith................. Total leaching area..Depth................ Seepage Pit No..................... Diameter.................... Depth below inlet........ ......... Total leaching area_ �,?...__.._sq. ft. z Other Distribution box ( ) Dosing tank ( ) e)h - /•' -� .i - cF——i 3- 7 J_ aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit..........._........ Depth to ground water-._.___-____.__._____-_- fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Px ......................................................... . . . . .. �......_c,_ODescription of Soil f 1 I............................. .:.. - f W ........... ... ..� ......... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ -----•-•-•-•--------•-----------•--•---"---••-•••••••••-•----•--•-••--------...-•--••-•-...•-•--........-•-•----------------•-••-•_...-•--•-•.....__.........--•--••-----•--••--._................-----• 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. / Signed...................................-.................•--........._..............._.... ................................ d a Date .....__..... Application Approved By... -'�.%r-..ti_::... ,-�.�//". •'•== = � ,)-%=... �- .... -- /o c... . Date Application Disapproved for the following reasons:.......................`-�-••---.._-•••••--•.........................•••-_._...............-•---..._......... ..................................................."-----............_...........-•-.......•••---••-----•...........••--•-•-•........._.................---•........................................... Date PermitNo......................................................... Issued.......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... OF. t ( ati$irtttr of (P omplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.....................`k ..r 'fi ....... ......-•••------••. -"..................................••............_.._..----...-•--•...---............................. Installed!/ + at_............................................... -" -`----" .....................................ec-4� . �� l c has been installed in accordance with the provisions of Af ticle XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.l;:_._.3°2-5.............. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........../10...... d U - /9'7,f' ..... Inspector........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH %- �l' •r•J......... OF...... 1rfr ...... r:... ..................................... .� Dispoiial Norkii C'gntrnr$inn Permit + Permission is hereby granted.....--= r,«'-..... .t ?__.�.................................................... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No................ ....s'-'" . : ....... �r'.?.0 1 :...................- ...._ .... Street i ` as shown on the application for Disposal Works Construction Permit No'...-:....... ?.. Dated..........1............................... - - - A % ` DATE----�---�� ------•---�-�-- -----•........................... 'Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS gbtal -fit i 51 4P 3 i a 4. l..i.l cp ci Q a CID z W y1 _ Q R= 3p 00, CERTI FLED PLOT PLAN O C;AT 1 `O N:. CENTERVILA- S C A LE: .l ��` D ATE_ v ci us-r aq 1415 R .F E R E N.,C' E : $EINCq Lcrr, ..a5 A3 SHO LJ K O 0 A . •PLf4►J RECORD ED AT 'T N E L'�pRtJST AOLE.trOU1�T`IE Isz.R�I O� - Sep DeEbs 1 Q PLAtJ �=K a5'l Pww q4 17 A T ,`1 H'E`R E 8 Y C E R T 1 F Y' T H AT T H E 8 U I L D.I N G R E G. L A N D S U R E Y O R "S-WO W'N O N THIS . P L A N 15 L O C A T E D. ON . TH.E . G ROUND AS SHOWN HEREON AND -M .A T i.r DOES. CO N FORM T O T 1 i E P`t H OF 4f4. _ Z ONIN G BY - LAWS OF THE TOWN OF sq W H E N_ C ONSTRUCTE D. GEORGE �yN LOW,JR. 1ARNSTA8LE SURVEY. CONSULTANTS, ItiC . TE�`�� WEST Y.ARM0UTH VASS . � SU.RVE