The URL can be used to link to this page

Home My WebLink About0184 NOTTINGHAM DRIVE - Health _ t►�'In�j �, Dr O� No._�_ ...__. F$a....�-...-X................ �,. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH k In- Uzi, Town Barnstable ....................................OF..................................... .. Appliration for Dispatial 10orkfi (foustrurtintt Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...Nottingham• Dr. . Centerville Centerville................. ....Lot........ ......� ....................................................... . is lion•Address A shle Dr. Cenfe'rV °lle ...Norme s t Homes Inc. ........ ................Y--.........9................................................................---- James Dolloway °WrieL Five Corners Rd:ire enterville Installer Address U Type of Building 1 S - Sq. feet YP g Size Lot.__.__ OOO __ . .-, Dwelling—No. of Bedrooms.........3................................Expansigi Attic ( ) Garbage Grinder ( ) 04 Other—Type of BuildingWP901.STAT! _ No. of persons_............................ Showers ( ) — Cafeteria ( ) d Other fixtures . W Design Flow..................50....................gallons per person per day. Total daily flow................... ...............gallons. WSeptic Tank—Liquid capacity1000gallons Length................ Width................ Diameter................ Depth............... x Disposal Trench—No..................... Width._..g M.. Total Length.................... Total leaching area._....___.___ sq. ft. Seepage Pit No..................... Diameterftft C Depth below inlet.................... Total leaching area....30�._____sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by------------------••--•--------...-------------------.._........... .....__ Date........................................ a Pest Pit No. I................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........................ ••-•----••-•------------•------••-•--••---•-•-•-----------------•----.....-•---......----•----_.....-••-•-•--•------•-....-••--._...__••-•--•---........•--•- san & ravel Description of Soil...................-----------------�--------------..................................-................................................................................ x U ---•------------••--------•------•-••-•---•---------•--••----•--._...--•--------•-•••--•-------•--•---...•••••----•••-•--•--•-••-------------•-•••••-------•---------.....•-----•--...-----...._..--•-•- 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by the board of health. ./e�� Si ed..... • -•-• = ...,t •n'!-�d ....................... ................................ ^*� Dat Application Approved By -�... ----- .- L ( ff �� fiace Application Disapproved for the following reasons:.................------------•-••--------------•----•-------••-•-•--------...----------..._•-•---•------•--_.... --•-------•---------------•----••-•-------•----•-- -•-•••--••-•-•---•----------•----•--••---------•-----.......----•-_•-_.. Date PermitNo.......................................................... Issued........................................................ —_• ate------ -- - - - - ----------- -- No...A..'O.;2....... Fs$.... „... f... THE COMMONWEALTH OF MASSACHUSETTS . .BOAR® OF HEALTH TOWn.............. OF......Barnstable.. ..................------.----.....---.--.-.---. , ppliratiou for Iliquooaf Works Tontrnrtion rrtnit Application is hereby made for a Permit to Construct ( ) or Repair ( :) an Individual Sewage Disposal System at: .� ... > �. ;e................. .... .. .. ................. .............................................Dlp Lo iott dress or Lot No. ....X0;'Mst.. wn 40...za ........................................... ..kSty.e ..$ .9'..-Ceuta mule.... ..............f..,...-. Oer Address a Jamea..Dallavlay................ ..................... .21-ve...Corners...Rd_* s_._Qent.e r.�M.0...----------- Installer Address Q Type of Building Size Lot.... _ Sq. feet t I-, Dwelling—No. of Bedrooms.........................................Expansion Attic ( ) Gar agi e Grinder ( ) W aOther—Type of Building Wood...fra=. No. of persons.....6.................... Showers ( ) — Cafeteria ( ) QOther fixtures ..------•---••-•---•--•---.....-•---•-••-•--••---......-------------•-----............._.. W Design Flow....................0...................gallons per person per day. Total daily flow...,.._...., Q0...............gallons. W Septic Tank—Liquid capacity.160 allons Length................ Width................. Diameter.........._.._.. Depth................ x Disposal Trench—No..................... Width.....st..yy�__ Total Length.........._.,.::.... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter6x8paei epth below inlet......_...._.-_..... Total leaching area.... 02%-----sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth:of -Test Pit.................... Depth to ground water........................ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.................. Chi .•--_...._ ...•-•-•••••---•••.......................................••••-••••---•............_..--•...........--•-•-.....-•-----......._•-•-•-.._........... O Description of Soil.................... V .................-•....................................................................................................--••--•-•-••-••-----•-----•---••---••--•---•--•---•..............--•••-••. W •---------------------------------------•--•---------•--------------•---------------••-•----------••-----------------------------•---- •--------------------------------------------------..._.......... V 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 NI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beelx issued by the b o ard of health. Signed....: J�. 5 Application Approved By.__.._ .�,: l'� -c ......--- ate Application Disapproved for the following reasons------------------- •-----.•-----•-----....------------•--•-----•-•••------ ----------------•-•-••-------•.... ............................................................................................ Date PermitNo......................................................... Issued.......................... ............................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........T.O.M. ..................OF...%rns;'t able.................................................. Tutifirtar of 0.ontpfittnrr ' THIS IS TO.CERTIFY, That the Individual Sewage Disposal System constructed ( Repaired ( ) by-------------------------------------UEiYtl�g... lClW y....................-------------••-----•-••---•--•----•--•-•---=--------...-•----•-----..................---•-------- Insta r at................................10 -13J qt' n haP-_Tiro. •-•Centerville has been installed in accordance with the provisions of Article NI of The State Sanitary Codes descr•bed in the application for Disposal Works Construction Permit No.................... __ __ _.___. dated_._.____.__ :..'. _.___Zgro'_...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANT E THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................---•-. Inspector.._.. ` � ` ( ' 1 .'•. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4 Town �pM�.g� y�[�1 1y d t No........;,-.ja.,_. FEE.._,2................ J 4lispapaf Works Tolustrurtion "prrndt Permission is hereby granted James Doll® ..............................------y..-••----•--------•------•-•---..................................................:......... to Construct ( ) or R_e,,pair ) an Individual Sewa a Disposal System at No...........! 13..I�.Ot; A&dam... r.:x...ggxj erville Street l as shown on the application for Disposal Works Construction Permit-No....................: Dated.....7-7 _?!:2... .. .... . sr' ��-•• ` - � :• ''�i�. .......................... DATE.C' e' /" Board of`fl ealtlt FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS