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Home My WebLink About0032 NATKA DRIVE - Health LOT 64, #32 NATKA DRIVE, CENTERVIL. A=169.127 ° Illl UPC 12543 �a No.�...�R `�Srio `'� HASTINGS. MN ASSESSORS MAP N0: No.._ C�.....b. PARCEL NO.. Fizz... ................ ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... ......................OF.......... .............----....i:- ........................ Appliration for Diipuuttl Mirkii Tow4rurtiun ramit Application is hereby made for a Permit to Construct ( ✓S or Repair ( ) an Individual Sewage Disposal System at: ....:.��?!.._....��..' .........................................�T c N----•-.�. ✓�.--•C�`✓r` -----------------------•-----•........ �T .` .........---•---••---..........--... ........ . . Location-Address or Lot No. /11 Owner Address p oo a l ... 8.... SJ......................... ............ . ........ Installer Address dType of Building Size Lot---/Sf__16.2.....Sq. feet V Dwelling—No. of Bedrooms.2.....3..............................Expansion Attic ( ✓) Garbage Grinder ( ) p`4 Other—Type g ..---..... No. of persons............................ Showers ( ) — Cafeteria ( )Other—T e of Building _.--_41a a' Other fixtures .................................. W Design Flow................. ...................gallons per person per day. Total daily flow.........1 a........................gallons. WSeptic Tank—Liquid*capacity.ld.C�Qgallons Length--. o: _`. Width.:57,.., ...`... Diameter---------------- Depth...`1./...... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........./.......... Diameter......�_-.--..... Depth below inlet....61............ Total leaching area...w' .....sq. ft. Z Other Distribution box (\/) Dosing tank ( ) _ Percolation Test Results Performed by.............d`'I.{�I.0 .L�! ......C�. �'`'td/.Q�!�Date..__ ��C?. BC._._...... 04 Test Pit No. minutes per inch Depth of Test Pit... ........ Depth to ground water..tl,., P... !✓G= L=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---------------- ---.-.-. O Description of Soil...2.......7l Ogg l... o` !...............�Z-.......... �crr� 9E! __ .c,� x w x •••---•-•-•-----------------•--•---------•-•--••-••---------....--------•---••--•-• ............................................................------------------... ---------------------------- 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 TIT E 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu e board of health. igned......... .23 .,G Date Application Approved By-•••------•-----•. ----- D.................. .. ....... Date // Application Disapproved for the f ollo ng reasons-------------------------------------------------------------------•-•---•----••--••-• ---•---•--- -----••- ............................•--•-•-----•--•-•---•---••-•-•------•••-•-•--.....---••-••--•.................••..........----------------••••----•-•......•••••--•----•------•-•--••••-•-••-••......•---•••. Date PermitNo......................................................... Issued-....................................................... Date No... F$s............._.... .... . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...Z.....................oF...........-70."J.e......................d.9-_0. ...... Appliratilan for Dispuittl Works Tonstrurtiun Iterutit Application is hereby made for a Permit to Construct ( Vr or Repair ( ) an Individual Sewage Disposal System at: ....:. p.7.._...- G-y---...----• N 6_T k` 9 !2.9_..C !� ................................................o% 6/ y' Location-Address or Lot No. ...... -=Y`=�•-`- -•------•-•............................................. . ...... ........&W:-_25-='al...... .1 .:... W W Owner 51 ress v _�� 1 ..........0 G4 - .:.. Installer Address Type of Building Size Lot____lf_ 4.=I_....Sq. feet aDwelling—No. of Bedrooms__t .".�3..__........ ..____.___Expansion Attic ( Garbage Grinder ( j aOther—Type of Building _____ pO ....... No. of persons................... Showers ( ) Cafeteria Otherfixtures .-------••----------------------------------•-•-------•---._.....-------••-------••---•--•----....................................................... Design Flow.................. .`_....................gallons per person per day. Total daily flow________a_a d..._....._..__........._gallons. WSeptic Tank—Liquid capacity.......V2ra �allons Length__._Lo:_, _` Width__S7.-.5.'__ Diameter________________ Depth.... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No..........!......... Diameter.......V......... Depth below inlet..... ............ Total leaching area...&.eo....sq. ft. Z Other Distribution box ( 0 Dosing tank ( ) _ _ Percolation Test Results Performed by............... <..�!�..... ate`10i'Ql4D •/ O 8( 6 - Test Pit No. 1_./"'1M Z"minutes per inch Depth of Test Pit..../'y.......... Depth to ground water...Aza4 A..ewc. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•-•-•-•--•••-•-•-- ••••-•........ r._... ..... ........... .. ... D Description of Soil..--.-.-•-.._%0�30 z/ �- a g`� /� C W •S- V ----------------- ------------------------- •••--------•---•-•--------------------- •-•-------------------------------------- -•---------- ----------------------------------------------------- W VNature 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 TITLE 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 a board of health. / signed........... ... ........................•--•--•---••-•...-•-•-•---.....•. ---� 1 1 Date Application Approved B �......-- = _ •V --_...._.�te'� i Application Disapproved for the f ollo 'ng reasons-.........................-----......----....----_-_•---_-----_-__--........_..--- � _./.....__ ---•-•...................•-------•---------......_...------•--....__...-•-------....---------...---------.-•••--•••••-•-•-••-•-...._.._........._.............._._..--•-•••...••----•....._-••••......._ Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS y, BOARD HEALTH 1..�.� .- .......oF.......:: ..... ......:.1�. ............. (Intifirate of Tuutplitturr THI I TQ CERTIFY That the Individual Sewage Disposal System constructed ( \/or Repaired ( ) by ... ...P .t ,�........ G9!1/iv l• ...............................................11 :............................................................._........_ / y _ Installer. at......._..kQ�---�•_•-�--_....._. .1._ ...]DR.........C ✓_l......................•------------••--•--•---------------•----_______----------_-------------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Coe described in the application for Disposal Works Construction Permit No.._.____ ------�_/!?_...._.. dated___..___�_ ?:� __ .............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE.... SYSTEM WILL FUNCTI N S TISFACTORY. DATE...................... I.q- -k--------------------------- Inspector..-•- - .......... •----........ DESIGNING ENGINEER MUST SUPERVISE INSTALLATION AND CERTIFY IN WRITING THE COMMONWEALTH OF MASSACHUa KT*YSTEM WAS INSTALLED IN STRICT BOARD OF HEALTH ACCORDANCE TO PLAN, � ? .., ..........................oF.......J..!�n. ...........Kfs;;��............................. �50 �.. No Fn 1iupuuaIpl Works Tunu#.ructiun rrrutit Permission is hereby granted... �'C o ��L r /� ww ........................___- .-___.... -- to Construct or Repair ( ) an Individual Sewage Disposal System atNo. U.r �•----•.... ......... -- s ........... Street as shown on the application for Disposal Works Construction Permit No �_'�__6 Sated............ .�z ��6 --------------- ---------------- ---- --� . ....---.........._- `` Bad of Health DATE............. �4 -------------------------------- FORM 1255 A. M. 1,LK1N. ._C_. BOSTON �L 7z /s.may 7 2 io7-d L I /L �La�/ � 3 3v ��ij � F - 7,5 00 /ice/ 2 M/� � L_�SS , . �c-,D.��/r � � 2��-•. ;� /� � � � Ile,-C-zn _ _ Ore.0 O �c Y3So�L /00 /A / L Ea c y79o7 Z C6u 7.�14--- /S�To S.r MART.1 9N j E., 4a2 Airs 1� MORAN � l - �55C5• �P � �a�- t�� -l3/i-4® � LOCATION SEWAGE PERMIT NO. GY 321047hW IC:iQ, VILLAGE r (fe,,. C(o'U/ INSTALLER'S NAME A ADDRESS w S C4 k 5 t to, A, B U I L D E R OR OWNER DATE PERMIT ISSUE-D DATE COMPLIANCE ISSUED I Joao &A-L '4vk i S it 609.5 1Q Z� v ZVI Dr O#v Ens w a Board of Health Town Hall Barnstable, NIA. 02601 �Z, RE*f Lot 64 Natka Drive DearBoard: I certify that the sanitary system shown on a plan for Robert Manni, dated 6-10-86 was installed according to plan design and is more than 25ft. from the drainage easement on same plan. Thank you t ' z � . 403