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HomeMy WebLinkAbout0042 NATKA DRIVE - Health 42 Natka Drive Centerville A= 169— 126 �fiff UPC 12534 � w ... i 49-ITOWN OF BARNSTABLE LOCATION � p✓V" 'l4GCt G SEWAGE # <5(3,leec 01ILLAGE ASSESSOR'S MAP Cz LOT 14 " 1 ' �INSTALLER'S,NAME PHONE NO. r Y it' jou A SEPTIC TANK CAPACITY LEACHING FACILITY:(type) I —(size) Q "NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: .51CR DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No rz / A ZZ c 26 1 7?1 E-� !7 20 G N 26f ASSESURS ,' NO: ;. rr No................_...���P PARCEL NO.: ......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..OF.. Appliration for Bigpatittl Workii Tonstrur#inn 1hrmit Application is hereby made for a Permit to Construct (✓jor Repair ( ) an Individual Sewage Disposal System at ....... ............................................................... - -&3 ..................... ------------ A tion-Add rJ enc, �.^� Lot No. ......................_............. .1......... . '-•••• . ...--••----•---.......................�..... _......-•----................................. Owner Address Installer Address UType of Building Size Lot_.A .�'..............Sq. feet Dwelling—No. of Bedrooms.......... .............................Expansion Attic ( ) Garbage Grinder (X/)O aOther—Type of Building ............................ No. of persons.....................--.---. Showers ( ) — Cafeteria ( ) dOther fixtures .--••---•--•-•---•-------------------•---------•--------------•--•-----•------------•------------•-----------------------------••-•-_---------------- 04 Septic Tank—Liquid pacity/��.gallons p Length `ayWidth� IQ.`floDiameettteer�..-�----•... Dept h................ dons. Disposal Trench—No..................... Width-.(.--...._........ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..--.1------------- Diameter.--_�k_._.....__... Depth below inlet..... ..-......_ Total leaching area...--._.____......sq. ft. Z Other Distribution box � Dosing tank ( ) Percolation Test Results Performed by---------------------- T�! .� f Date..... t_. Test Pit No. I....... ......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.--.....--.............. cw ................ 0 Description of Soil ._. Z............ ..... -----2-� ---�--. --------.cLg_�� '4�/� -.... - -..._ U VW -------------•-- .......................................................... ----------------------•-----------•--------:_...........---------•-----•--...------.... 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 iITLi� 5 of the State Sanitary Code—.T e ndersigned further agrees not to place the system in operation until a Certificate of Compliance has bee4is the board of health. Si ned ---------••-•--•-•-.........-• _G .Application Approved BY -......... -------------•----•------ Date Application Disapproved for the following reasons:.................................................._........................................................... - ------•••------------•--....------•---------•----••--•-•--------------•-----------.....------.......•-----•---•------------•-----•-•...------•-----•------------•--••-----------------------....._.._.. ' Date Permit No.... .-•----. -•---- - Issued.... --- ---- -- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................:......----•-------......O F....................................... Appliratiun for Disposal Works Tonstrur#inn f rrnat Application is hereby made for a Permit to Construct (✓f<or Repair ( ) an Individual Sewage Disposal System at: j: lion-Addr s c Owner Address a .✓Fes!... --:..._....--•--... .._ :............. .•- ....-----.....,�. � ---•------- Installer Address C Type of Building Size Lot.......��.:....... 1....Sq. feet aDwelling—No. of Bedrooms.......................:....................Expansion Attic ( ) Garbage Grinder (40 aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ----------------------------------------------•-------.-•-•....---------._........------......._....-3 �._......................... Design Flow............�.............�...�.gallons per person pqr ay. Total flow............................................gallons. w �j WSeptic Tank—Liquid capacityZ..______.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......................f`. ........ T!..../.� c� �,:� Date----.1..�. ... '.......-... minutes per inch Depth of Test Pit....-__ - Depth to ground water..........:............. Test Pit No. 1 l .••--•. �C7 PLO Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 .... ................................................................................... D Description of Soil.-----...-© Z, L Gi- "�...- ...—����'�o// v ................... -- .--------------------------------------------------------------------- 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 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 by the board of health. S�ig..neGd............. ................................................................--•-------------....------...------•-•---..._....-•-- •.....0' a..t. ------........ Application Approved BY = 1- Date Application Disapproved for the following reasons:.......................... ... ......................••-•----•-----------.........---------.......-----------...-------•--•-•----•-•---..........---------.....--•-•-------•----•----- ......................................... I � Date �p��JJ Permit No..--�-�-•-----r----��----�..-..» Issued.---...-•---- =-Z------------------- ---------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD ,OF HEALTH ...................................� O F......... ........................................................... 01rdif iratr of Toutpliana THIS IS— 0 CERTI Y Tha he Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.............. ..�- olacc �..........1! !.n.n. ...- ---• ..................................................•_ I tal�r - at--------------- :�-----__.�.�..---_-___ ...... - ._.. ., -__. . :� -... has been installed in accordance with the provisions of TITLE o Th Mate Sanitary Codejas described in the application for Disposal Works Construction Permit No.-•-------..�................ dated.......: / -2 c ` ......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ - Inspector................................................................................... THE COMMONWEALTH OF MASSACHUSETTS (~" BOARD OF HEALTH �GG �--�• � j..tiw ?.............oF............. ? ? G`� '� No........1�-...a�P F$$........................ Disposal Works Tonu#rur#ion f rrntit Permission is hereby granted.... 1 .. ...... .h:r ...............................................»»».. to Construct (X) or Repair ( ) n Ip ' dual Sewage Disposal_System /j. Street 2b as shown on the application for Disposal Works Construction Permit No.� ..�_°_� ted,,....................... ...... DATE. _v Board of Health FOR�01,-1255 A. M. SULKIN, INC.. BOSTON w; p Y Z:Z-=. 5/ I '^ t, //? ' o f rn+v / 1p \ 57� 1 n - �� yo.o IAV An ".i-. o 0C= TA ^� 0 , �FZ o fiY L/ OF — MARTIN 71 N