HomeMy WebLinkAbout0076 PLEASANT PINES AVE - Health 76 PLEASANT PINES AVE.
CENTERVILLE -
A = 234-9-2
No. 42101/3 ORA
ESSELTE
10%
0 0 o c
TOWN OF BARNSTABLE
LOCATION 1� / G�'C� SEWAGE # 6"
., .tea` e 2,y
VILLAGE ASSESSOR'S MAP & LOT 44a�
INSTALLER'S NAME & PHONE NO. 3�Z� !�6
SEPTIC TANK CAPACITY j) G
LEACHING FACILITY:(type) (size)NO. OF BEDROOMS `��PRIVATE WELL OR PUBLIC WATER
r
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE', COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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No. .. e-7> Fee
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THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS CyA
3pplication for Mir ont * 9tem Cougtructiou permit
Application is hereby made for a Permit to Construct( r Repair( )an On-site Sewage Disposal System at:
Location Address or Lot No. Owner's Name,Ad//dress,,and Tel.No.
66
In aller's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.'7 7S- 6J�3� ''r ► � 1
Type of Building:
Dwelling No.of Bedrooms !?, Garbage Grinder( )
Other Type of Building—id/lia No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow �>-,It% gallons per day. Calculated daily flow `3%9 f, k gallons.
Plan Date Ci Ln Number of sheets / Revision Date
Title
Description of Soil i* S C°1,�4- : Ga""?: Z z "Arm a'sr/GI-
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system '
in accordance with the provisions of Title 5 of the Environmental ,ode d to place the system in operation until a Certifi-
cate of Compliance has been issued by this Board of He v.
Signed Date ' -/ -S!a
Application Approved by
Application Disapproved for the following reasons
nA
Permit No. 16 - Date Issued
— ——————————— ——————————————————- ————
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Certif irate of Compliance
THIS IS TO CERTIFY,that the On site Sewage Disposal System installed()<')or epaired/replaced( )on
by i' / for �---e 0 Pi J Y L-C-- t'7`k pi
' a 76 Pr e�ja.4 c c P Ps4/CTtii& s been constructed ' accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated ro
Use of this-s tern is conditioned on compliance.wit�i the,provisions set forth below:
No. l/ 3 2 Feel SZ
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Mfgpogal *pgtem Cougtructfou Permit
Permission is hereby granted to
to construct(---rrepair( )an On-site Sewage System 1 cated at Grp in'�
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
t comply with Title 5 and the following local provisions or special conditions.
Y
All construction mus be completed within two years of the date below. Q /
Date: 'Approved by
e2
23y —9
. No. � � � --." .-,- --�` Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS c[ 6t� �
C.IV,L /(off
01ppricatiou for Migozal *pgtem Congtructiou Permit
Application is hereby made for a Permit to Construct( or Repair( )an On-site Sewage Disposal System at:
Location Address or Lot No. q_ Z Owner's Name,Address and Tel.No.
7lv /�(,Ei4Sio^IT PtAlajv 4s14 C n/T, GA.J•1.134 4-4—C✓/j AIJ
Ins aller's Name,,Address,and Tel.No. Designer's Name,Address and Tel.No.'77.9` v
Type of Building:
Dwelling No.of Bedrooms Garbage Grinder( )
Other Type of Building u4.11? No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 3 o gallons per day. Calculated daily flow F gallons.
Plan'Date LA — �'i L Number of sheets / Revision Date
Title
_ s
Description of Soil T - t C I A� <A4A.b I IA—,/9.tsi6L
4
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental 9ode d to place the system in operation until a Certifi-
cate of Compliance has been issued by this Board of He
Signed I Date
r ' V
Application Approved by
Application Disapproved for the following reasons
Ill Permit No. ��� —Z Date Issued -7
'_ _ — — — — - ——— —————
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(3se S f qh 80selty
infiltrators as-.shown i .
2 rows -of q each ,
�v'' a
t ! }
1r i t v1���,
ti
--
- - _ -
:
I 00
tj Lot 9-2 ;� 4oh; N
lot 9-1 41490 sf Lot 9-3
0.;95 ac
,
_.
I
j , •
1500GST
a
i
.Profiles No Scale r
M
j •t
I
f ri ;Septic design _ is
} PR
o�asFD �) Bedrooms 3. ;
'Req. leaching 3.310 ,gpd
tank 1500 gal . {
n
{ ,so ;Zo f d. Leach area
{ r� Q --- - - —---_ _ x 7
.f la• �; 1 Bot. 15x24t;-
�j ;.n ism N; :Sides78,x2x.-74
^, SST l� Total 381=.8, gpd
y 4 a �' - r,,z
L .o . -. — a
/eac/`ri�f.
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�,APleasant pines �\ Site Plan of Land in Centerville, MA
Ave. �_ For Leonid Levitan
___ Being lot 9-2 as ..shown__.ori___plan._ recorded"-'
Town LO 4-0 wider _ $
in bk. 525 pg. 42 �-r 1
Elevations are on N G ;V D
G 14/9 asgt-kN
Testit #P-8708 -------------------------------=------- .
P Date: Agent Barnstable Board of Health
Made. 5-30-96 . - --_
I -- Date 6-13-96
Wit. Ed Barry Scale 1 =40 ;
1 No water encountered All Cape Engineering iZRv, �o- �Z 9�
Perc. less 2min per 1•,""' 49 Harbor Road
Hyannis, MA 02601
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No.:t2490.
53,1
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