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Home My WebLink About0059 POND VIEW DRIVE - Health 59 Pond View Drive Centerville A=229-021 SMEAD No.2-153LOR UPC 125U smead.com • Made In USA -'��O fE tMNrrBP DMU E SFI OFrdESRPWjPM" WWWSFFWCAM,M y Fxs....$....2.�.�.Q.Q. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...T o wn.......................OF........B a r nat.alpl.e.--------------•--•--•------•--................... Appliration for Dhipaii al Workii Tnntrnrtion JIrrmit Application is hereby made for a Permit to Construct ( ) or Repair (X)� an Individual Sewage Disposal System at: Mrs.......Emily.. .Francke.. ---- --------• --•--•--- -------- Location-Address or Lot No. ........Mrs_._.�m .�.�C... a-n.t---ke--------------------------------------- Owner Address J-..P._Ma.co-mbe •--•--•------- -------------------•--_..............--•-..........................--_•------•---_•_.....---•----- Installer Address d Type of Building Size Lot............................Sq. feet U DwellingC$No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------- --•--- . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liqu(d 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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fa, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ...-----•----------------------------•-•--••----...._._..---------------..........-_-----•_-•------_......................................................... ODescription of Soil................................................................_Sand,......................................................................................... --------------------------------------------------------------------------------------••------------------------------------------------------------------------------------------------------•-------- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ----•----------------••-------------------------------------------------------------........1.-1000...ga1,1_oa...leaah pit..--------------------------------------•_. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued t b of healt . Si ne .--•_- !.� .:[ .� 5,h1..88....... g � Date Application Approved By.. - r�-------------•---------- ----------�_- �- Date Application Disapproved for the following reasons-----------------------------•-•-------_------------------------------------------------_--------__•__--........_ -•---------------------------•----•------------_---------•---------_-_----------_-----.......------....--••-------------------•--------------------------------_-------•-••----_••---------•-____-_-_--. QQ Date Permit No. ...................... Issued--------------- Date ga TOWN OF BARNSTABLE LOCATION �q PoMA VFCC41 SEWAGE # a.i VILLAGE ejAfjUijje- ASSESSOR'S MAP & LOT 3-�5 -®a INSTALLER'S NAME & PHONE NO. 6u, -� SEPTIC TANK CAPACITY LEACHING FACILITY:(type �• (size) NO. OF BEDROOMS RIVATE WELL OR PUBLIC WATER .�f BUILDER OR OWNER"25, F e DATE PERMIT ISSUED: r DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r''�a.v ' v G? � �� i � �� I � � / � � �� F �\1 No....1��-.; 1.3 $ 20.00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Toy.n. ....................OF........Barnstab.?:e--------------------------------................Appliration for Uigpoii al orkii Tomtrnrtion rrmit Application is hereby made for a Permit to Construct ( ) or Repair (X:j an Individual Sewage Disposal System at: Mrs. Emily FranCke 59 Pond VieV Drive Centerville ................_................................................................................ --...------•-----...............---•----•--•-•---...-----...--------------------------.---------•- Location-Address or Lot No. •_••.................................. .................................................................................................. Owner Address a .........1.2-Placomb4ar....................................................... -----.....------....--------------•...----•---........-••---------•---•---............---•-•--.... Installer Address Type of Building Size Lot............................Sq. feet Dwellings No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons........................... Showers ( ) — Cafeteria ( ) a 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 ( ) PercolationTest Results Performed by.......................................................................... Date........................................ aTest Pit No. I................Ininutes 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........................ a ••-•••-•-••---•--------•----•-----••••-••••-••--••--••••----••---••-----------------------•--.------------------------ -.... .--------------------------------- DDescription of Soil...................................................................SaxLd->...................-•-•---••-•--•--•-•••-•-•...-•---••---•----•---•-•-............---- U -••••-•-•--••-----•........-•-•--•---••-----•••........--••-•-•-•..........................•---•-•-•----•--•--•--•....•-----•-•-----••-•--••••-----•................................................... ------------------------------------------------------------------------•---•----------•--•------••:-------•-•-------------------------•-------------------------------•----------------------------••-- U Nature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------------------•_-•---.__-. --------•--------------------------•-----------------------------------------•--•-•---•-.-•--1-:i000 gallon 1eac�?._. "....................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I IL 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 .- Sign( /� 4? ' fA -------•---•------ 5/11/S13 / " 'Date ...^. .� Application Approved By................... � .._......... ----•----•••--•------- ---•--•... ' Dace Application Disapproved for the following reasons:-•-•------•---•---•-------------•-•-------------......---•---------------------••---•--•-----•••......•---.-: .................•---......------....--------._.......--•----•------------•------.•................_............-----------------------•-•------•--------•---•----•-----•------...---•--•--•-........-- Date Permit No....... -- ----�" -�----.-••-------------- Issued--•--••-----------------•-•---•----•------------------. ----- -- ---- --- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................. own....I.......OF.........Barnstable............................................ f9ertifirate of Tomphanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( Xk by.........J>P o 4_9Pmbar-------------------•---..•.....-•-- Installer 59 Pond Viet, Drive Centerville at...........................••----------•------•-•---...---•---•----......._--------•----•-- ••------•---------------.----------------------••------------------------------------------------------ has been installed in accordance with the provisions of TITLZ 5 oLThe State Sanitary Code as described in the application for Disposal Works Construction Permit No......... --------- dated----------------------------.___._.............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. \� DATE.................... ...................... Inspector------......... r d�---✓---------••----------------.....---.....•....-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH To-vin Barnstable Z ...OF..................................................................................... $ 20.00 No.... > FEE........................ Uhiposal Workii Tonitrudim amit Permission is hereby granted.................... 'P.MaComl7er ••-....................................................................... to Construct.C or Re air (X an Individual Sewage Disposal System 59 and 1ew� rive Centerville atNo............................................................................................................................................................................................... Street as shown on the application for Disposal Works Construction Permit No.._.. !`. T!� d.......................................... ........................................ 1 _ 61 and of Health DATE -------�9-•-r•- `b FORM 1255 HOBBS & WARREN, INC., PUBLISHERS d n7 c�N O � I � i 0 1 I i TOWN.OF BARNSTAFLE LOCATION <ClflSEWAGE # <V - VILLAGE ASSESSOR'S MAP 6t LOT ; INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) _ 11� NO.,,OF BEDROOMS fE i•nIPRIVATE WELL OR PUBLIC WATER BUILDER OR O WNERjgje5, ; ( fe DATE PERMIT ISSUED: i DATE COEIPLIANCE ISSUED: _ j VARIANCE GRANTED: Yes I ,