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Home My WebLink About0389 OLD CRAIGVILLE ROAD - Health 389 Old Craigville Road Centerville A=247—062 SMSAD No.2-153LOR UPC 12534 amoad.com - Made in USA JAcYc 4 ' No.... .....:�y.7S ,. Fxg e.l:�...c'�......!. THE COMMONWEALTH OF MASSACHUSETTS j BOARD OF HEALTH j Z U ✓j --- �. .................................................. ....O F..... .�P...q l Appliration for DhipagFat Workg Tomitrnr#ion rami# Application is hereby made for a Permit to Construct ( ) or Repair (/-<an Individual Sewage Disposal System at: dL Ic� C �P. C�4..... ifG^ S Location Address ri or Lot No. ..................................................... --•-•-•--•-----••----•--•---•---.........--••-•----^•--•--•-------....-•-----................-- Owner Address /P (/ ` ' L a ............ Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms___._. ___ _ ___________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other 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 ( ) Percolation Test Results Performed by_______________________________________________------------------ _.____.._ Date........................................ aTest Pit No. 1................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........................ xf ....................................... O Description of Soil....... ------------------ 7A0-__________h_St�/ll°r. �3??_ _ . x V ••---•-------- • -- - ------------------- w 1.5.. vl�j/h -----------WL_ -� P....__._ �P s � .. 7�y�'p �.�� y--�.:........_.Ke Ci f x Nature of Repairs orYlterations—Answer when applicable �//1j c° _ S d'_p_l: ...... U P PP 4 ----- '2 ..: --- ......Erb......5/ /.0.;_ '----.5: -----,y---.. ------ ----,�r� Agreement: L'{ � P4 Oo� q:s to i%r, (?o1/1r;o" ®P %�' S s o&l% The undersigned agrees to install the aforedescribed Individual Sewage Dis�sal System in accordance with the provisions of TI'L a 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance hasa' by the boar of health.Signed. ---•--- ------!.. �..-•----------•---- f - .Date Application Approved By............... ..• -- --__ -----� --- ---------------------- Date Application Disapproved for the oll wing reasons:.......................................•-•--•-------_--_•-----------------------•----------.._..------•--...... --•------•-------------------------------••--•--......------•-----------•------------------••------------------------------------------------•----------•---••-------------•-•--------•--••------••----- Date Permit No.------:S> ._-1.05------------------- Issued....................................................... Date -- ------- - - -- �~ ---------------------- ------- No...... '�.�._:. !►�5 Fps./.. ..._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HENLTH f Appliratinn for Disposal Works Tonstrnr#ion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair �an Individual Sewage Disposal System at: , ` Location-Address or Lot No. .......• •��° __./ ............. ................................... .... ........_..._.................---...._........ Ow / Address Installer Address UType of Building Size Lot............................Sq. feet f-1 Dwelling—No. of Bedrooms....._�...............:....................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers Oar YP g --------•--...----••-------• P ( ) — Cafeteria ( ) 04 Other fixtures ..................................................................•-•--------•----.._._.......-------------------•------•-••......•---•-•------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Dept h................ 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. 1................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........................ ....... D ram•-•-•-•---�t.V.4. Y� `�.... �••�•---._ �?1 .. .... S._..... - ...... Description of Soil..--�fd•,�....--- - - �! i' "�}�' �� C'�� W -----• . ---- - x V Na 4 Repairs or Alterations—Answer when applicable-bd _----1�_ l ..... .0.......: P.. ....Ti,*"?.,* f ...... ------ wb 0ry........ Z.7 S e.e.e1----- ----------------------I'll........................................................................................ Agreement: 71 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 'ss d y the board f health. Si ed. . .1.��t ...... 1 - a l S - - Date Application Approved By........ ---•• •... ....A ...... ........................................ ........�.Z.... 20--�-- Date Application Disapproved for the f ll wing reasons:........................................................................................................... •.....................••••---••••-•--•--•---•--..........•--•••-•••--.................-•--•--•-•---••-••-.--•-••-•-•-•-•--....----•-.....................-----------••.....----•---•-•-•--------••....... Date Permit No.............. s..`?o5----------------. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH reV-0.......................oF... �r!�aS..l,��✓�P............................................. Tutifirair of Touts haurr THIS STO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (� by .._. .D' ..�. ..L'�c� �J_-..-.•------------------------ -----•---•----._._..............._.---•----............__.._................-- .._........_ qq. / / �taller _ at..••---•---�--:`------•-•...:Q_.r�hC ....... _ t�rio �has been installAd in accordance with the pro ns of TI j_ Qf Fe State SanitaryAe as described in the application for Disposal Works Construction Permit No......................................... dated..............r..............:.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL . UN TION SATISFACTORY. DATE........... ........................................... Inspector....... .-------------•----............-•---------.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARQ,OF HEA(�`LT� gS-► ► ?_j �.cv ................oF...ur/{!/.,. r--,�-.. ...�/ -�!°--------...................... No...................• F$s..,r. ........... Disposal rksu-tutrudion Permit Permission is hereby granted��i/ � y 1 i.5............................................................................ ..__.. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo... ......-- ............. Street as shown on the application for Disposal Works Construction Permit No......:s.. 5 ated.... .-. ......----••---.......•---.--- _. -------------------•- : Board of Health DATE FORM 1259 A. M. SULKIN. INC.. BOSTON t r . 1 r November 25, 1985 Health Department Town of Barnstable Ref: Sewerage Disposal System Gentlemen: In order to expedite the construction of a garage and breezeway at 379 Craigville Road, before freeze up your consideration of the proposal listed below would be appreciated. The present system consists of two cess pools which are now operative. It is the owners intention to up grade the disposal system in the spring of 1986 to meet the present code. Your approval of our construction permit at this time would greatly be appreciated. Thank You, 4 /< vG� Wayne Kurker, Owner Gy�s r vh ,6 Robert�l, Builder. h-S . �• G!r/cc�J - C1i /s., I bt- L &CATION SEWAGE PERMIT NO. (9 t I Gnat �<Li t�� v I L L A c E 1NSTA LLER'S NAME & ADDRESS B U Il D E R 4R OWNER DATE PERMIT I S S U ED DATE COMPLIANCE. ISSUED ?'�' �� SS__ �� e-CX- A 6 Q CAa\ 7— Ob O"L. LO-CATION SEWAGE PERMIT NO. VILLAGE . INSTALLER'S NAME & ADDRESS B U I'L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE. ISSUED `7j ) CA\