HomeMy WebLinkAbout0058 PHEASANT WAY - Health 58 Pheasant Way Fmrly: 55 Pheasant Way
Centerville
A=207 161 028
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UPC 12534 i
No.2�163LOR ' r '
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The CO Fi e epartment inspected the new construction located at # 61 or # 63 Pheasant
Way Centerville. Because the road was not constructed in entirety in this area and the
abutters are -using an alternate Iaccess through a driveway easement, they (COMM.) requested I
address changes for 3-4 properties. I'll try to keep this simple. The permit (I believe ) I
was issued for Map 227 Parcel 143, a.k.a. #. 61 Pheasant Way. During construction, the
owner had this parcel. deleted and the land was combined with Map 227. Parcel 142, _ a.k.a #
63 Pheasant Way. All the land with the old house and new house are now all on Map 227
Parcel 142. Under the. ordinance, when two or more buildings are on one parcel, they become
unitized. The new addresses for these two homes are # 50A for the new house (formally #
61) and #,50B for the old house (formally # 63)on Map 227 Parcel 142. The others that were
changed are as follows:
MAP/PARCEL DEV LOT OLD House# NEW House# Road Name
t207/161 28V.-._ 55 58 Pheasant Way, Centerville
207/16.2 29 5 59 56 lift fill lift
A�TOWN OF BAR
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LOCATION PAPG15gh_t Wu y SEWAGE
VILLAGE CeMlee d,�/e ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. 41,2
SEPTIC TANK CAPACITY
i LEACHING FACILITYAtype) J�/p;,✓ Q, i/��9r� (size) U _
wNO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATERe,6,�
UILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: " , 1Y
VARIANCE GRANTED: Yes No ll
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THE COMMONWEALTH OF MASSACHUSETTS
P3 S-� OARD OF HEALTH
.......... ...D ............OF.............
� iJ S...........................................
Appliration for Diipniittl Works Tonstrudiun Permit
Application is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal
System at: a
............t_eT Zt; L.!� '� !'�c 41 •-.. .-.--_\`•`AA.,.-�-» .............. �t wE
»» .»..--••--• -.!'! ..... .....----•-......••......................
.-- -Location-Address or Lot No.
Owner Address
:...... 2...._.....
Installer ..........
Address
Type of Building Size Lot...._`i y ......Sq. feet
aDwelling—No. of Bedrooms......... '------------------_----_-..Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons..........................-- Showers ( ) — Cafeteria ( )
dOther fixtures -----•-----•----••--------------------------------•-.............-----------......-•--------••--•----••-----••----..................
W Design Flow.............A.0........................gallons per person per day. Total daily flow..----.------.--- ` ...... ......gallons.
WSeptic Tank—Liquid ca.pacity..�°p�.gallons Length.....%)** Width:.h '!�� '*. Diameter................ Depth.•.S.:.g��
x Disposal Trench=-No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No....... ............ Diameter.................... Depth below inlet....:...9....... Total leaching area..G.3.'1....sq. ft.
Z Other Distribution box ( X) Dosing tank ( )
Percolation Test Results Performed b .... ... �f v�� �4-ac
s- 21-8
� . y ........-•--•..............•----;.•---•--•-•---._... Date.........----•----•--•--..............
4 Test Pit No. L.`.y..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....................-..-
9 .........---••-•••••--••--•••••---••••••••......--••-•••.....•••-••--.....••--•-••-•••-•.....................................•-•••........ ..
O Description of Soil... _.....................Z ': o.o.k t S !3 I �f /5F� " /�E o: 0..`.a-¢St
V ........... ------
. ................•.................-........................................-•--••---•------•-----•--•---------....------..-------•--•---.. .....---.........0.......
W
UNature 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 iITL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been • s ed b the board of health.
Signed............... ........................../
s
Application Approved By.`- .............................• ••••---•-••-----••-----.......... ....... /-.9Z.....
Date
Application Disapproved for the following reasons---------------•------•--...... ............................ ..................................
....................0................(.�. .�.`..... ..................................................-...-•--•-••--............................... .Date............
PermitNo...........................0............................. Issued-...........................•........................
:»
�� Date
t . ;2o t /
THE COMMONWEALTH OF MASSACHUSETTS
335.3 BOARD OF HEALTH
' v l�L...........OF............. t "?2 N ......... ,
Appliratinn for Biiipasal Workii Tomitrurtiurt 1ermit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at:
............t—G1 7 ........................;... ( ...`' . �;1 v w 4 c ......... ............................
.' Location-Address or Lot No.
.� ..! Crs ' �` t` -� lam' •- ._.....
c..._f :._.._.. - GI
Owner Address
Installer Address 2`
Type of Building + Size Lot...............1...........Sq. feet
r. Dwelling—No. of Bedrooms......... ...............................Expansion Attic ( ) Garbage Grinder ( )
a`4 Other—T e of Building .............. No. of ersons...._....._.._....._..._..__ Showers
YP g --•----.....-• P ( ) — Cafeteria ( )
Q ;
Other fixtures .----------•----•-•----------------------------•----•.••••••--•••••••••---•-•......--------••----•••-............•••--•....................•--......
W Design Flow.............+14........................gallons per person per day. Total daily flow................:4-,.--1...................gallons.
WSeptic Tank—Liquid capacity..Z±- gallons Length......... Width_.+41.'Jx.:.. Diameter................
x Disposal Trench„No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No........ ........ Diameter.................... Depth below inlet........r�_`.'...... Total leaching area....�%_IZ....sq. ft.
Z Other Distribution box ( )() Dosing tank ( ) /�1 ,,e -- A,,,;_t
Percolation Test Results Performed by.... .:_....................................:....................... Date......... ........
Test Pit No. 1..�:.77...minutes per inch Depth of Test Pit.... Depth to ground water......!'t .......
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ...•••••• . ...•-•-- ----------------------------- --- ---•.----------- .........
O Description of Soil....'%!:'� U- t y " ��,,,, Sw ,3 ?�r - i�! �'''.L:":..' `PA=`S•••-
U5 .. .✓.r G
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 TITU- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been 'sued b the board/of Health.
Signed ........
• ..............
-?? �Z-
/ Dat
Application Approved By ..__>'`�....-��.......................... �/•�-i9z-
Date
Application Disapproved for the following reasons:............................................................................................................
........................................... -- -----...................................----•-- -•-----------------------------------------------
.._..-----Date............_
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
....................................OF.....................................................................................
(Iertifirate of fanmptianr
THIS IS TO CERLIFY,f That the Individual Sewage Disposal System constructed ( ) or Repaired, ( )
by................. .`�� `^ ....t............................----.......--•----------•-----------•-•----------•---•--...-----•-•--•-----------.....---.....-•-•-•----..................--
Installer
at.................4.o Z: .......... 5 (c'P.................................................................................................
has been installed in accordance with the provisions of TITLE. 5 of The State Sanitary end- as escribed in the
application for Disposal Works Construction Perml�3�.........-_l.�_.."..�L_(.... dated-...� 2.��5-�.•••,-,.•,-,-•,-
i�
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE............... ........r k—:-. ... .. ...................... Inspector............
�--------•-•-------------•------------------.----
r
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................................................................................
No......................... FEE........................
Dispasal arks Tunstrurtinn Il.ermit
Permission is'hereby granted------......s 1�n ••- . ' -------------------------------------
to Construct ( ) ort Rerair ( ) an Individual Sewage Disposal System
1 Street
as shown on the application for Disposal Works Construction Per No..�Z._Z1(.. Dated.........../Z.�.. :
Board of Health
DATE................ .
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