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Home My WebLink About0048 PRISCILLA STREET - Health 48 Priscilla Street Centerville A= 246—062 P I OPendafter �E�selte 4210113 0RA 10% R. fl `'LOCKION ' _ SEW&(:,E PERMIT MO. 1. VILLAGE : — - - - - - - - - INSTQLLERS 1J�P/lE � ADDRESS/� �_- 5s LC)O BUILD R S - Q &m bDF-)RF-55 . Ld -DATE PERNA T ISSUED ---DD.TE-COMPLI &I,ICE ISSUED , DiST i?,l)" THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .... ........... TOGGG` OF.......1g, Ah&a.. YA..L._. .................................... Appliratiaan -for R-spaaiittl Works Cn> witrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair >< an Individual Sewage Disposal S at: a ion-A dress 016o No. 6 Wji ......... �Q Owner address - ...... Installer Address Type-of.-Building Size Lot__________________________Sq. feet . Dwelling—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. P4 Septic Tank—Liquid capacity------------gallons Length---------------- Width------.._....... Diameter------.--------- Depth................ xDisposal 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------------------------------------._.. W a Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water.------..------.--.----- �14 Test Pit No. 2................minutes per inch Depth of Test Pit---___-_____________ Depth to ground water-_._----_-_--__.__-_---- -------------- ---•••'--"••••. •• -•••-- ----- -----•' •-•••••- Description of Soil. - - ------;-�---�' �1 -' ---- ---- ---�r V ------------------------------------------------------•--------•--•-------------•--•---------•-----------------------•--------•---•----------••--------••-•--•---------- W x V Nature of Repairs or Alterations—Answer when applicable..--__-_V414___---.___--� 'a.F--r°______..... -------- 6-Al/9/1L-•-----•---•----•-----------•---- -------------------------------•----••---------------------------- --------•-•----------------------------------- Q gre� , The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha een issued by thel�oard qf health. 4, Sig ------- ----------------------•__•-�-'---1�r�-•-'-•--•-•-•------•• ---- _------�-----•-•----...3- ....._ Date Application Approved By------- •-•- -- ----- - .. .. . •--•--•--'•-----•--- —----- �a- Date Application Disapproved for the following reasons______________________________ ____________________________________________________________________---.--.-•----_ -----------'••--'•'•'•------•---•---•••--'-•-•--.••-••---------•--------••"••---'--'--•-------••""---------------------------'--'-•---•---------•-------••'--'---------•--------- -------------- �s� PermitNo......................................................... � Issued... -------------------•--•-----•------- Date No.. •. ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `----- OF....... .:�-................. ApVfira iuu fur Ui!ipustt1 Works Tuuotrurtiou 13rrmi#; Application is hereby made for a Permit to Construct ( ) or Repair X an Individual Sewage'Visposal Sykim at: A dress no. Vwner SC�/'ddlG _ / /Idress ... .... ........... .. Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms---------- ________________________ pjnttic ( ) Garbage Grindera Other—Type of Building ---------------------------- No. of per of s 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. 3 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 "Pest Pit---__________.__..-- Depth to ground water..-.----.-_-..--.- (Xq Test Pit No. 2-----_----------minutes per inch .Depth of Test Pit.................... Depth to ground water........................ 9 ---------- ----------- ---------------•----....---------------------••-••----......-------------•---......................................................... 0 Description of Soil-------------- =-------------------------•------•---•------------------------------------------------------------------------------------------------------------ x W ------------- U Nature of Repairs or Alterations—Answer when applicable.-.-__---op*e-------------a ._ ----- -------- .---...... _ ----------------------- --------------------------------------------��' r�G ---------. greement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha een issued by the board f health. Sig ---- ---------I... Dir... - -�------ ------------------------ --------------••--------- Date ApplicationApproved By................................................................................................... ----------------------------------------- Date Application Disapproved for the following reasons:-------------------------------------------------------------------------------................... •----------- ----•-•-•---•-----------•--.....----•----•--••----•--•-----------•-------------•--•----•------•---......-------.-------------•---•-- ----......•---••--•---•--•--......---....-------••-••----•-•--•-•- 1 -Is Date PermitNo......................................................... Issued................................. ---•----•---------- Date y THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............../ 0 4t .........OF...... ' ` .d.ta.......................................... Orr#ifiratr 'Of Tlamvfiaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by....... ��' .. ...!............................-................................................................................................................................. Installer at ,1, G/4_ t*........ ' .Anne LL->.L-L.-,------------ '_5 ................................................... has been installed in accordance with the provisions of Article XI of Tlie State Sanitary Code as described in the application for Disposal Works3Construction Permit:',No., --------=--------------- dated............._____.__..._......_____............ 1f ,.fy THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT.THE SYSTEM WILL FUNCTION SATISFAdTORY. DATE- ........................................................... Inspector........................................ THE.COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' . ......... ->s? dC ........................ No. � G�� .............. FEE FEE.....------•----........ Bi.spofial arks ( nu rur ilatt rrmi Permission is hereby granted.......... 'lr�SS 'Q.�✓G •--•----...-•------------------------------------•-•-•-•--....._.........---.. to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at No........... f,�l.L. .� '----•-tir{ '......... Ck. ''E.lr6ilG G! Las S -------------------------------------•----•--••-•-..... Street as shown on the application for Disposal Works Constru,tibn 1'errinit„No--__l _..__. Dated.........�70 -• _•_ K ......................................................................................................... Board of Health DATE----------------------------------------------------------------•------•---- FORM 1255 HOBBS & WARREN. -INC.. PUBLISWtRS-'� Main Level r i I I'2r' 1O®®� 1rr Enclosed Parch Dining Room 74'IO' 4�5'�+7"�s S rr n SC�10 d 10' F N 1 y Rev'Left Bedtoom B a, Kitchen V 3' • 17 d• T �1 q Hallway a Z'`R= s" 77 r OSC� iw • `" ?r r A, $ la'9• �ronl Right Bcdr00t a I ay Living Room — ^ A �V - fmnt Left Bodmom 0C of 3 18'11' � b Ian sa IZr�--,� F F Main.Level MCBARRON-DRAFT I5O/2017 Page:32 OFO z , . 1 TOWN OF BARNSTABLE L�CATION tea c //i,� ! SEWAGE # VILLAGE - ASSESSOR'S MAP & LOT--7 INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY i LEACHING FACILITY:(type) (size) NO. OF,.BEDROOMS j PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER J ! A;f a DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: ) VARIANCE GRANTED: Yes No ' •s, 1, r� � r i � _ ��f( _ � Y�t� w �� I _ �� ' �� C� i• � 1 L _..---. No..;.M...lallg F�s...!Z :.............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............... n. .............OF. f� � .... Appliration for Disposal Works Tonstrnrtion Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair (• ) an Individual Sewage Disposal System at: �5? l.1SCj......._...........t'¢e��Q�!1Y1�5�421��-----•- -----•............... ---....----...-- ----•-------------------......-•---------• 1 L cation-Address or Lot To �a�in.:... 1.o-:.P��sc�1(�`?�, �� _:c t r ----------------- ....... ..............- Owner J. ddress a A1A__.0_AYiw................................................................... ...15 utc4n AF: +--- Installer Address Type of Building Size Lo ________________•--. Sq. feet Dwelling—No. of Bedrooms...............3..........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons......._.................... Showers ( ) — Cafeteria ( ) P4 � Other fixtures ..-•-•--•-------------•-•----------•---------------•---•--•-------•--.........----•--. .. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic 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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-----------............. f%4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Ix --------...••----•-------------••••••••---------••--•••---....•----•----•-------••-••--•----•-----...........................-----•----•-----••--•-•---....-- Description of Soil.......................................................................................------------------------------------...-----------------•-----•........------... Wx ........................................................... --•-----------•---------••-------•--•-------••----------•-----------••---•-•---•-•-•-------•-•-----•••-••••-••----...........--•------------ W V Nat re of Repa rs or Al erations—Answer hen a licab e..0t4._.___ 1.OQ_---Tia� .i - `` pp --_-�- ----- _�.��-� ,__��_�r �_��,__�.Cbl(ty1.e�• ..�.�tC16__i!tf._IQ�_�°i• Agreement: The undersigned agrees to install the aforedescribetl Individual Sewage Disposal System in accordance with the provisions of i i is p 5 of the State Sanitary Code—The undersigned furtl er agrees not to place the system in operation until a Certificate of Compliance has been issued b the board of health. D t Application Approved By.. 7 ! Date Application Disapproved for the following reasons:.............................................................................................................. --------------••----------........-•----...-----•----•-----------•----•--•----------------------•-----•-•--------.......---•----------•----•••-------•-••-----------•-•----------- -----•---•------._. Date PermitNo......................................................... Issued....................................................... Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA No. _... ......_.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,,r OF.....4. ' r' N ;4phratinn for Dispas al Warks Tonstrnrtiun thrntit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: I t 4 �f T Location-Address ; ,....,•r 1 or Lot No. i 1.......Y.......................................................... .. _ . Owner r Address, r r a ----�� 1------------- ...... •. .I.. _.. ..... ._•-----------------•...._.._....._..... Installer Addressr d Type of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms.............. ...........................Expansion Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures WDesign Flow............................................gallons per person per day. Total daily flow.........................:..................gallons. WSeptic Tank—Liquid cap acity.....__.....ga]Ions Length................ Width................ Diameter________________ Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Rit 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--___________•__--_____. 1:14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -----------------------------------•----....--•-------------........------.....-•-•---...-------•--......................................................... 0 Description of Soil................................•-•----•--------------•---...--•------------...-----------------------•------------•---•--------------------------------......._..---•- x U --------•-•-------•--••••-•-•-••••-•-•-----••---••--•------•-•-•-•--------•--......----•--•....---••----.....••------•-•------•--------------• ......................................................... W UNature of Repairs or Alterations Answer when applicable ! .__....�__.}'' j::_ _..._ '______ ________ - t>r� r 4. ..1- -1 ! III"C '°r+'-�c��.tA� (7�' 'I'li-f't4• 1 � ...C�f(lw".lq+s 1P(aC17 .=1 - r--I__ �f .C... -------------................--•:..---•--•----.-----•----•--•---••-•-•--•--•----••-----------------••......-----•-•---••••--- ••-•--••--•-------•--•---••-••-•---•---•---•-•---•---•-•...........---- r 7• J Agreement: i The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions' I'1 �of �T l-1----�y t 1...:- 5 of the State Sanitary Code-The undersigned further agrees not to place.the system in operation untlVa•.Certificate of Compliance.has been issued by the board of health. - t � r--try----.-- ........................... !_z, — Application Approved By............................... ................. .........V............................................... ....................................... Date Application Disapproved for the following reasons:..................................................................................................=----•- - -------=----------•-----------------......-----•-•--------•-••• ••-••--------••---•--------.....•-•..._..._......•-•--------------•. -••••-...-•-•--•-•••-••••------••---•--••-----•-•••......---•- r Date- PermitNo............. -------I -�i---------- Issued--...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS f BOARD OF HEALTH ...-' 1 1 .. OF. 1 .r . .......................................................... Tutifiratr of f omplinnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (-4) by---------- ------- .................................----•-----------------------•-••------•---------........--•--•------------•-•-----•---------...------•-- I Ins taller er at............1 ---•--. - = ------... v�.� =- ................................. has been installed in accordance with the provisions of TI1IE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No_-=T:�_ __l.....J/.._....... dated............. �,a-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION ATISFACTORY. _ y�A DATE............................. ._ 1A.................. Inspector....----6 "! THE COMMONWEALTH OF MASSACHUSETTS � �- �' BOARD OF HEALTH 1 .�r. OF.. N0 .....j �� FEE---`-'..-_....- Disposal Works TOns#rnrtinn rruti# Permission is hereby granted.............C_ �1�(��.1_._....------•----------•-------------••-•----------••-----.....-----....---..................... to Construct ( ) or a air ( ) an Individual Sewage Disposal System at iV o. f �-•----•---{..._ ° .... ................................................. street ...... as shown on the application for Disposal Works Construction Permit No'_'R__25!t.... Dated____i_: r_I_l._j_'ti .......... _ Board of Health A%1. 1255 HOBBS & WARREN, INC., PUBLISHERS i