HomeMy WebLinkAbout0334 OLD CRAIGVILLE ROAD - Health 334 Old Craigville Road
A=247-017
Centerville
S"
UPC 17534
No.2- 53,COR
KASTINOS, MN
R
"ARCEL No.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Appliration for Mipasal Works Tomitrurtion Virrmt
Application is hereby made for a Permit to Construct or Repair ( kj�an Individual Sewage Disposal
System at: ?
Owne Address
Installer Address
Z Other Distribution box ( ) Dosing tank ( )
�i 9do j4'4-0
_________________'______________________________________'____________'_'____________'.
Agreement: '
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TL 1'1 LZ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
ar W� ;;,&
operation until a Certificate of Compliance has been jis ed by theA Af health.
-------------
Dat
Date
TOWN OF BARNSTABLE
LOCATION ,j 3 y ®L d GRA g of L L e4AEWAGE #
VILLAGE ASSESSOR'S MAP 6z LOT
INSTALLER'S NAME & PHONE NO. /�JLtJ
SEPTIC TANK CAPACITY /•— dL
LEACHING FACILITY:(type) (size) d
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER C! 7-0/I/
DATE PERMIT ISSUED: I
9-4
DATE COMPLIANCE ISSUD: 1 Z.
VARIANCE GRANTED: Yes No
r 1
1G�,n
,0
1 i �
N .....»I.. �j�p Fps....'......................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............ ....................OF...Z;...:.:A...!._!_!.a.r. r/........................................
, pplirFa#ion for Bispoii al Works Tunitratr#iun rumit
Application is hereby made for a Permit to Construct ( ) or Repair (,i)' an Individual Sewage Disposal
System at:
/ Location-Address f or Lot No
f `r i 1
\ �,�g;/"�Ow�,/n�e/r/y ,� Address
$d�- -A�"-`- 1, r-'=9"-......•.....................
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling o. of Bedrooms.___, ,7_________________________________Expansion Attic ( ) Garbage Grinder ( )
aOther
—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ------------------------------------------------------------••••------------••-•--••••---•---•--•--•••-....._..-•--••----------•---•--._..._......---•
W Design Flow............................................gallons per person per day. Total daily flow............................................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 below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed bY.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water______-.____________---.
P�4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
............. d . ................................................................................
Descriptionof Soil-------------- ............... v_... r --------------------------------------------------------------------------------
x
UW ji-•••---••-••--------------------•---------•-•••---••---•----------------------••-••-•------------••----------•-
' Nature of Repairs or Alterations—Answer when applicable--------_. '°"ZX ...............................................
-- ----- - ---------•••••--------------...............................................
_ Agreement:
The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with
the provisions of TITi
p 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,,ISoardsbf hheealth. '
Signe .14
d
` a
' - :6 '
...... DatqAPPlication APP -roved
DateDate
D
Application Disapproved for the following reasons:-----•-------------------------------------------•----•---------------• ........................................
.....-•-----•---•--------------------------•--••••-----------...--------------••••-----------•---•------•---•-•--•-----•-------------•--------••.......................................................
Date
Permit No..� _..---�2 ------» Issued.
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
r 'C�✓ ..........OF..,?` 1 >.�e :Il . :.....................
C rrtifiratr of Toutphaurr
TIU-4 IS TO C RTIFIYI T the Individual Sewage Disposal System constructed ( ) or Repaired
by `y. ; � .. ` '. � ----•- -------•------------••-------------------- ------
? � �;3�aller F� 2 ,r
r
-----------------------------------------------------
has been installed in accordance ` n the provisions of TI T E 7 of The State Sanitary Code a descrJ'�be`d in the
application for Disposal Works Construction Permit No.___� _____L__Z®(�__ dated---_-_-.�_-- __( ./- _______.
THE.ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAR NTEE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE_=:__-----•--f.. ._.l_L ----•---------------------- Inspector---•--._......��___....._.....------._.....----------------•-...._......-•---------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
NO s�VLp......
F
Pefr .......OF.-... ,:!v 1 ` 'r s r .....r................... ' A
_ // {
iEE......... ...........
Dispos a1 Works Tonstration Prrutit
Permission is hereby granted_:._i,%`f%d'� F _ ��Z`;' P'-„ f -
------------------------------------•-
to Construes ^�jr Re
pr (tom)°an Indivt ual Sewa eJµi�,sygposal system s }y
1✓ Street e
as shown on the application for Disposal Works Construction Permit N __� D'ted......... /�/-2sr: Q
C --
r✓ ' ---------------------------------------
Board of Health
DATE................=L.............................-------....................
FORM 1255'HOBBS1♦]IIiWARREN, INC., PUBLISHERS - 1
t,,
Zoning District: RB Modls°n
Existing Proposed Avenue
Min Front Setback 27.3 31.7' 27.3 25.3'
Min Side Setback 33.4' 25. 1 ' LOCUS
a
Min Rear Setback 18.6' unchanged
Max Bldg. Coverage 982 sf 1 1182 sf G�o'a �o�� -Ao
° ^
0
°
O
LOCATION MAP
Assessors' ID:, 2471017
Deed: Book 28927, Page 319
Plan: Book `118, Page 123
Lot 39a
�O
v A 66
CB/CTR R30. 6
0
a2 0 FND 0,9, STI�SET
LOT 39A
Off'
Area = 11,469 SFf
' o-n I or 0.26 Ac.f
<o
CD CD �o Q
util.
Pole I I
CB/LP 9 Y OyuFND
m�� O
Cd
31.7' o
6 c
c� Z g 5.3
p
0 �O
c r� MM
O_ O
O+ i??. ::is i
o. PROPOSED
ADDITION
Existing%.
Septic
System
Leach '
Pit ` ......• 8��$
50
CD
o-
OF MgSsac
MICHAEL
, LADUE
No. 37560
op's �� RAN ENGINEERING ASSOC . LLC
508-432-2878 941 MAIN STREET (RTE 28), HARWICH, MA
SCALE: "= 20 ' . EXISTING & PROPOSED CONDITIONS PLOT PLAN
Prepared For. CHARLES BANKS BUILDERS LLC
0 20 40 60 334 OLD CRAIGVILLE ROAD CENTERVILLE MA
PROJECT: 17-318 1 SCALE: 1 "= 20' DATE: 12 1B 17