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HomeMy WebLinkAbout0130 NYES NECK ROAD - Health 1/3 u Nees � 601 L O CATION a /� S E W A G E PERMIT NO. VILLAGE -2 - 0_-72 -C10/ I N S T A LLER'S NAME i AD DRESS co Yn t U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 'E I p ;, .• ��� ��°��`��6�r � � al. l `r � ' � �a ��9� � ;� y7-? a i � � � . � 9) No............ .... .......... THE COMMONWEALTH OF MASSACHUSETTS , t BOAR® OF HEALTH �., .. .......OF......... --- ................. F 3 liratiou for Dhipogal Work, i Tomitrusttnn rnmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal system t - es._,� r-!F:. .rc�.._.......C1.�rx�flip.. ' -3 '-------------------------=-=-------- . I- cation- ddress --------------------------•-----------•------Lot No. ---- --------- Owner Address W a ................ ....... Installer Address PQ d Type of Buildin Size Lot............................Sq. feet V Dwelling No. of Bedrooms____..____ ___________________________Expansion Attic ( ) Garbage Grinder114 p� '14 Other—T e of Building No. of persons____________________________ Showers — Cafeteria 04 Other fixtures .---....----•-- ----------------- W Design Flow.....11-Is------------ gallons per person per day. Total daily flow-----------.3 _v-_.____..______._gallons. WSeptic Tank/-Liquid capacity -gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—N�_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_________ ___________ Diameter________:...... Depth below inlet.............._. otal leaching area... D ..sq. ft. z Other Distribution box ( ) Dosing tol - D�rle "�! `-' Percolation Test Results Performed by______ __-GUG l- ____.______ /_ _ ---- Date____� ��/�-�-=-•------- ,� Test Pit No. I ........ per inch Depth of Test Pi ___________________ Depth to ground water......................... Test Pit No. 2................minutes per inch Depth of Test Pit____________________ Depth to ground water........._.............. O --------------------------- ---- ---------- ......t- ............... !.._._.. ... -•-•----- Description�f Soil--------1� � �- o�it _-�-- -"------�--..- -- -........... ----- ----- -- - - - .� ! �-*� 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 iTTI." 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 f health. Signe -� - --- a--- ....................................... -•----------D •te.............. Da Application Approved By----- r 1.,.:= = `---�/--------- Date Application Disapproved for the following reasons_____________________________________ ___________________________________________________________________________ ....-----••---------------•--•--....----------•-•-------------------•-----------------......---------•--•--------•------••-••---•------•••-•---••------------------------------.... •----.._._.... Date PermitNo......................................................... Issued-....................................................... Date No�..C..�.... � • '�-' � • ,t - Fps, . ... a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. Q.GIJ..'' ...... .._...OF......... .. d. J'..�� 1. ,���lir�a�ivaa fur -�i,��u,��al ?I��rk,� (�uaa,>��raar�iun rruai� Application is hereby made for-a Permit to Construct ( ) or Repair ( �) an Individual Sewage Disposal Sys p lteT Pt yci 6:.---••-• . . � .. 't1� N- - - Lo tin ddess or Lot o. .......................................... ..........•-............•--•-------••----. -•--.....................................•---- Owner Address W Installer Address UType of Buildin Size Lot............................SQ. feet Dwelling NO. of Bedrooms........... ...........................Expansion Attic ( ) Garbage Grinder pro) aOther—Type of Building ............................ No. of persons__--__._________--__-___-___ Showers ( ) — Cafeteria ( ) Q' Other fixtures --------------- --------------- . -- w Design Flow._ ..�t ._......•..................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank/_Liquid capacity� _.gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—N - -------------------- Width.................... Total Length.................... Total leaching area_._............._...sq. ft. Seepage Pit No.__.... _-____ Diameter --_ Depth below inlet........ otal c m a ea_. ..Q.>✓.._s ft. P .....a g� q z Other Distribution box ( ) Dosing tt,�k „J. I"- 7 Ale �d , i '-' Percolation Test Resul s Performed by....._(�'. .__11._ 1•-_ ......._.... I _-!/- �_.._____.. ... Date....__ a l--- ,� Test Pit No. 1. _-26--____minutes per inch Depth of Test P• ................... Depth to ground water........................ Test Pit No. 2..::............minutes per inch . Depth of Test Pit.................... Depth to ground water_ D Description f Soil �' `3K' .......................... w ,1;1 --------------- --------- �ri- 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'TT LE, 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. x Sign it ✓. .::A 1, Application Approved By------. •. . .........•-• --� r---•--•--•------- `Dat �r-------- •• 41 Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- _........-•-•••--•------•-....--•------•--•-------•--•----•-•-----•-•-•--------•--------•--•-----•••••••-••----------•-------------------------•--•---•--•-•----••-•---...----•------•---•--•----------- Date PermitNo.....................`.................................. Issued---....---•--•-----•.......................•-•--•--•--- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......na4..J.•'J"i........:....OF........ � .. . et. TrdifirFatr of TomptiFana THIS IS TO C 1 Y, That t e Individual Sewage Disposal System constructed (4''r or Repaired ( ) by-- ---_-------•------- .. t ----•-stalle ------ ................. -ai� ........................•--•----....-•••••••. at ,Cd .�`r '.. . Y. C f•--- �c ._. .................................... has been installed in accordance with the pro isions of � 1` of The State Sanitary Code as described in..the application for Disposal Works Construction Permit N . �_..___.17 ............... da.ted...... ��._._._.:.__..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUKRTIOP SATISFACTORY. DATE............................. .... �•�d. ......................... Inspector.... rC�'�' --•--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL l # .' ` w�..... FEE.L ........... uiupuu - orku 011mi#ra Uaat rrutit Permission s hereby granted e. �-------- ---------------•---------------------•----••---.......----•----•--........-----.... to Constru t ( or R airy( ) n rvidual ewage os s em 4 M x3a„ ,�.� •� •- at No. �,/ Street as shown on the application for Disposal Works Construction Per No.. .......... :.... Dated.._..=j_" f'f�'..!'_J..._........ •--...•-- f�lr � 1�"�' v-----•------•--------------------- /Board of Health DATE---- ----- ---- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS E.JOSLIN WHITNEY8� Box 462 WHITNEY &D BASSETT ,lrchiteas and Engineers Hyannis, Massachusetts 02601 July 16, 1981 Board of Health Town Office Building Hyannis, Mass. Re: Sam V. & Ruth J. Nablo property, Nyes Neck Road, Centerville, Mass, Dear Sir : We have inspected the Sewage Disposal System as shown on "Plot Plan, Land in Centerville-Barnstable, Mass. , Property of Sam V. & Ruth J. Nablo, Scale 1 inch = 20 feet, December 1980, Whitney & Bassett, Architects & Engineers, Hyannis, Mass. , Revised June 25, 1981. " We find septic tank,-distribution box and leaching pit in location shown on plan with the elevations of the connecting pipes to be within reason. Very truly yours, Whitney & Bassett E. Jo L n itney k EJW/ahw s Ex g T, f'i 7.- V. 6 IL -�- r, Bf iz / - ' P U ;- -�c/L �. 'i� �/'/ONE L 1,�1re7 G . r _ l Ix i . 0 pf Z"-X/5T i WOC)40 I Oq A4 621000 L OAM rz ---__-- _.-- k 7 _ ,q Jk1 �o, matoil I� �Fi 1 7 ffi V `> fe IN, 3,57 A�= 57-- TF3T NoLE-5 �Vc v. /7. / 9,5 2 I � tvl-y% T y 'j�� v 70 07 ~ � ' 1 t 1 y i �- �- INS � _vN i ` 6 0g0 12 \ tO �p ` \ CO. Co \ F-Xt57- U/ 5 T .5©X /ST f[.' NJ ICOO r °�� - LERfN'.AIG rFT XPPgN5toAi * /E. JOSLIN WHITNEY ' Y } 4 IVL) 11V 6 Z /V 7-1- z- -gxi�lv 5 Tlqgz 55, 140 A?7- 5O } WHIT NFY r' `7t RL E l f lvef �'� �� G Lc' ,vr L IC' / 980 - 4 - �o K/I T-NE -Y 55E-7_'raR'CMiTS- T5 C/NEE ma's t . t