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Home My WebLink About0048 SEA MARSH ROAD - Health SEA MARSH ROAD, CENTERVILLE �IN UPC 12534 ' No.22,�53LOR HASTINGS.MN t,O. CAT ION I�SE' SEWAGE PERMIT` NO. S&1 9 py.9/es// !z b - c yiGc VILLAGE 6 INSTA LLER'S 04AME i ADDRESS B U 1,L D E R OR OWNER �v1-2/Z C5 7- DATE PERMIT I.S.SUE0 -5 DATE COMPLIANCE ISSUED I r' �. _�. � � ,� '-��- S/1>e' \ �C � o 1�2 r v6wA7 �_, _.� 1 N .:.� _�.._....... SUBJECT TO APP;£3VAL r THE COMMONWEALTH OF MASSACHUSETTS, PARNSTABLE CONSE17YA M BOAR® OF HEALTH C0MM)5,3)0aj - :7411AW,41.........OF....... {r.� ..... ............. Appliratiloan for Disposal Morks Tonstrurtiun Prrutit Application is hereby made for a Permit to Construct (fo) or Repair ( ) an Individual Sewage Disposal System at: fix............... ............... ' ----•------------------------------- --- Locas10 -Address or Lot No. ? .. tl+ '9'�11lGe±l!. fJ �'.7�....: ........... .1'Q, ....�?r1'l' Owner -_-.....-•--------------------- Address— Installer Address Type of Building Size Lot...2U .s 8...Sq. feet U Dwelling—No. of Bedrooms........._.........................Expansion Attic ( ) Garbage Grinder (A-1 Other—Type of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ---------•-•-•••--•-•--•-••-•••- WDesign Flow........................ . .........gallons per person per day. Total dail ow._-------••___3 . ................ WSeptic Tank—Liquid'capacity,/4jCQ.1gallons Length.:/4.'da. Width �_pF q ,eter................ Depth..,l........ x Disposal Trench—No. .................... Width.................... Total Length__ . ... ..... ` chin g area.....................sq. ft. Seepage Pit No........./--------- Diameter.........,�-[J Depth below inle .._ ��t Ching area._ft75_-%' . Z Other Distribution box Dosing tank ) CROSSMAy aPercolation Test Results Performed by.....__ ;o _y te......�4?�,$!4_e28/ Test Pit No. 1.....��..minutes per inch Depth of Test Pit__._ ��GfSI ound water.....,.v¢.gt,GE-. rs, Test Pit No. 2......nZ....minutes per inch Depth of Test Pit___.. . 'sf ground water._ ,.4?* 6.Ae.. Description of Soil....._?'�'�/.._.!.C.�1_0........Z ......._Q. �r__1Z'�_..�2a� U .......................1,�.,u...Z !r...._.T4,4jbl........%L.:!.....-_ 4301*.!�...... 1s�r.�l•_.7"d.....CG.�eICr�'F....... 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 iITI.L 5 of the State Sanitary Code—The undersigned furt ier agrees not to place the system in operation until a Certificate of Compliance has been 's ed by t r ea Signed...... ........... - -••••••--•-•••--•••---••-••-••••••-• Date Application Approved BY / ?_..., i/� S`....-�J . .. . •--•-•-...__... Date Application Disapproved for the following reasons:----••------------------------•----------------------------...----------------------------_------------------ -•••-•••-•---••----•...........................•••-•--••--........•••••••-••-•--........-•------.......--•••-•••----•-•--•••-•-••••---•••••••-••-•--•••------••••••••••-•••......--••••......•.._...-•- Date PermitNo.............•-•------.......---------....._•------------. Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS %` - BOARD OF HEALTH '�c .........OF......... Appliration for Disposal Varks Tonstrurtiun JIrrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: .................. ...............C £......................................................... Location-,Address or Lot No. 1 �' ` N ./-I I 4/� ` ,� / JGr�GiY /7 JT'j�iid i V�.� �_••�--i-•/s-e6/4d.. .... ;%csi?1:t...'r:..: .........1....... ..... W Owner Address - �-a ............ �1� -: rrc�} : ....---•.............................. 6 Installer Address d Type of Building Size Lot.... feet U Dwelling—No. of Bedrooms_____________��_ . _____Expansion Attic ( ) Garbage Grinder (/-'I aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) Cafeteria ( ) dOther fixtures .._....-•----------------------------------•---------.•-•-•-.._...•-••---•••-•-•---•------•-•-••••••-•••-.....•-----••-••.......-•-•--••...-•-••--_.. W Design Flow........................ �.........gallons per person per day. Total daily Pow............... 3 d_...._...___.___gallons. 04 Septic Tank—Liquid capacity,l�gallons Length__ ' _ Width... iameter................ Depth__ ... Disposal Trench—No..................... Width.................... Total Length__ �tAl X. eaching area....................sq. ft. Seepage Pit No...........e!_._.__.__ Diameter.........46` J Depth below inl � :___....._. Ching area__:�.Z79:: ;R. Z Other Distribution box ( Dosing tank R1oRMAN au, '-' Percolation Test Results, Performed by. ......___. K •% D ate...... ' '!"✓ _. ''' +f a * Pit No. 1....... _-__minutes per inch Depth of Test Pit- Tp O:I2" to . ound water...... °'�"_.x✓ _. 44 Test Pit No. 2....... -_minutes per inch Depth of Test Pit____ .. "G!5-0 l ground water..._,Ix _- -- . ___...----- D Description of So�il_......-7� ....`� 7 -0 Nv--!� y V .............................E!�::.......... ........._€'C.,°, .it;�l rr........... --'A•'----J•jx .......... _iJ/S.✓................................ M -----•------------------------ . �'.-----••------------------•----_____-------------------'-------------'-•-•-----..._____--------•-•---_____-^'---...__._---.__..---•------..._....._--- V 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 TIT1E 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 I rli 6f 1 " Date ApplicationApproved By___________ _X. f /*_.......--••----• / ..........................•-•--....-- ........................................ Date Application Disapproved for the following reasons---------------------------------••-•--------•---...-•---------••----•---------------••-......••---•----._....... ...........................•-•••-•--•-••-•••--•-•-••-----.__..----•---••-•.._..-••--•-----•--...•••----...---•••---..._..._..•---...------•---------•-•---•------•-•------••-•-••-•---•--•••--•-•-------- Date PermitNo......................................................... Issued_...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............. .....OF...... ,%y� ' •• .u :4.7 .............................. Ar vEntifiratr of f�laut littnre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.................. ��.....=---•• ¢�_G,. .......................•----..._..----.......--•----•--------..._ - :,._... Installer at.-••--••••......_---=•'---••••--•3...--•----•...;:--.......................t--............ ------ ........'l--------...._.......----------.._...------•-----... has been installed in accordance with the provisions of TITi E 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No... Z_ �________________ dated_............................................. THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................... 3 .... Inspector_..•.. ./... .............................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No....1- �,�?SJ FEE...... .............. Disposal Workii Tonstr'ttrtion Vprrmit Permission is,hereby granted.......... ___—:--"^ � --- --------------------•--------•-•_... .......... ____....... to Construct (�) or Repair ( ) an Individual Sewage Disposal System at No C U " Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... 7 /✓ /� $oCnr od' f Health DATE. • •••--•-----•••-•-----•- FORM 1255 HOSES & WARREN, INC., PUBLISHERS ONO .a'." • :�.' a C-aEKJE-P AL- MOTES � � - - - - - - -- —_ _ _,_, -� I�----A�.L E.t-E�/. Sk-�c��.✓►.S AQ,E ME-A►J 5EA �.E�/E�.. E�aSE•p O•� USG � G .5 �L+-ry►-'1 Ol.�►J E ---+", -+-.f i - --- — x, Q l TG t o q L t"i ►J E S /�, t�-t i rJ i M c� OF 0 A L t_ PIPES -ro �L"Z) I o.J TNT SY STEM S µA I_l_+�E GaST tZOv-J L-E AO P ` -C . 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