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Home My WebLink About0073 SETH PARKER ROAD - Health 73 Seth Parker Road Centerville A= 291 —017 - 011 pen da Oe a sss/ts 42101/3 ORA 10% p4 I NS TOWN OF BARNSTABLE LOCATION L�� "� � 6� � SEWAGE # � VILLAGE �e_Av0rfAV j1,t_- /70 ASSESSORS MAP & LOT O l `INSTALLER'S NAME & PHONE NO. r a 2.2 -6 5�- o (SEPTIC TANK CAPACITY LEACHING FACILITY:(type) `/ rr (size) 4-J// %40. OF BEDROOMS-3PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED• 3 ® - VARIANCE GRANTED: Yes No ,/ Ac-A<- , Names Ftms............'.. ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD &F LTH ........ .. ---OF...................................... ...... .....•---............................... Appliratiou for Dhipvii al 10orkii Tongtrurtiou Prrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System .... ... ......................... -------•--------•-•------------------- --•-•--------..4 .--------.. ..--------•--------..................... VIbcatio Address or 4( 001- ................ ..................... ..... ................................ ........... ---.....------..................--^-----... r /"] .. s- Address Installer Address d Type of Building Size Lot.elrl---Sq. feet V DwellingNo. of Bedrooms.............. .Ex ansion'Attic— p ( Q Garbage Grinder pa, Other—Type of Building ............................ No. of persons._...__._.__-_-.____-___-___ Showers ( ) — Cafeteria ( ) p-' Other fixtures ._--- d w Design Flow.......... ......... ....................gallons per person per day. Total daily flow------3a�--........_._......._...gallons. 04 Septic Tank—Liquid capacity/gallons Length................ Width................ Diameter................ Depth___.-____---__-. 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water__-__-_-___-_-__----___ GXq Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water---_--_-___-_-_--__-___- 9 •--•---••••-------------------•-------------........-••------•-....---------------------•--•--------......................................................... 0 Description of Soil........................................................................................................................................................................ x U w U Nature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sew e Disposal System in accordance with the provisions of iI: `�of the State Sanitary Code— The undersigne urther agrees not to lace the system in operation unt' tinca of Compliance has been i e by the rd health. Signed ----------------------- ----- ----- ••--•••-----------...........--•-------• ...---•.T_--................. ate Application Approved By,..... ��t 4...... ... .. � Date Application Disapproved for the following reasons:................................................................................................................ ....••--------�-----------------------------------------------------------------------------------------------------------------•-------- Date PermitNo-----------------------------.....-------- Issued....................................................... Date Fims.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. .. -�-.....OF.......t '' : :.:.:. `� Appliration for Dispogtal Works (> oustrnrtion rumit Application is hereby made for a Permit to Construct ( P)-or Repair ( ) an Individual Sewage Disposal Systenvat l� 4:'"°Locatio, Address r or L�o ....... a i?x 1A . f, fYeL d Address W .... ........ ram 't!a'".i� "..................................... Installer Address U Type of Building Size Lot/ ._/!!^ ....Sq. feet 1—� Dwelling—No. of Bedrooms............_., •-_•_______________•--•Expansion Attic Garbage Grinder (41W aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Othertuure�s --------•----------------------------------------------------------------------------•-.. w Design Flow.................. .....................gallons per person per day. Total daily flow....'3" .. .........................gallons. WSeptic Tank—Liquid capacityj. .gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—NTo..................... 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 ( ) aPercolation Test Results Performed by.......................................................................... Date.................................... Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water---__---_____-__---_-__. LLY Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a .-•-------•--••.................•----••---•----•-•---••-•-••--•---........•----•......_................................................7..................... 0 Description of Soil........................................................................................................................................................................ x U -•-----•----•...-•••----••---•-------•----•••----•---•-------------------•---•--••••----•---•----•----....•-----------......•-•-••-------------•-----•••------------------------------------------------ w 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 i!-'I ;of the State Sanitary Code— The undersign�;d'"further agrees not to place the system in operation ,unt'1 rtinc of Compliance has been iss�d by th��•boar/�f health. Signed'' --------- 1 1 ate Application Approved By_______________ ______gip.`!/..v' 4 .................•-----•----•--•---•-...--•••------ Date Application Disapproved for the following reasons--------------------------------------------------------------------------------••-----------------.....-••------ ------•-•••••----•-•-•--••--•••-•••-----•••-•-••-••---•--•••---•-----•----•-•..................••--•--•----------....._...•--•••-•-------•-•--••--.--•-••--•-------•-----•-----•---••---•-•-------•--•- �f� Date Permit No.-•----. 5- ------ _=20-------- Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Trrtifiratr of Toutph anrr TH; -I T at th O C TIFY That e Sewage Disposal System constructed � ) or Repaired � } by---------- 5' �r t ^"'„""° f • - ,.---- Installer (� has been installed in accordance with the provisions of 11TIE " of The St to Sanitary Code as described in the application for Disposal Works Construction Permit No-"--`" -_-------- _ -•--• dated----- ; THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT mE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................ 1 - ................... Inspector.............. .... •-•------...---................................. THE COMMONWEALTH OF MASSACHUSETTS ----' BOARD OF HEALTH �1P�:�ta..........OF.......`+.. o.l t"'�.. [ -' .C........... tL ..�� .......:...... .. .... 0. FEE.. 'G .... i �a 1- �arnn #rnr#uan rranit Permission is hereby granted......... to Construct or Repair ( )an Indivirl(ual S,age- ispos System~ (/ Street as shown on the application for Disposal Works Construction Permit N;^`!?._._�_-.-S••E'•_ Dated.......�. ._. d-`'�•Z--�?__.... .?Yrw....ri.: ._.__.'""""' 'Y.___•_••---------------------------`---__--•--------••--------•-•-- y Board of Health DATEG� ---•-------------------------------------•---- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS i ��51GrF11�. kTA - ,. � �� 'DABt..�CF:OW . 11a x3 a: 33aamt�,��-3 � I S�ncTiw�c:: 33D x:csax: �4956�4ri? ,----T U s E t oara Gc�.11...ou S toQnc T a,►a rC � SZ.'�_____.--= �---� � �I y'� WM4 V.C-ZU514,'r-p STOUT 'cu,�►c��.-r�ow.r �� 4rrl•�SosF'C2.6s "3ZSCxP't a Till _ i� I tom' o _ SabF* � cxP C&VAetr(•Cos;:,a- t.o : so GPO 'C'a"l 4. - 7:2 fi416c.sj 74o w t 425 6x 7p N I To-rac, �htL Ec'PD A(-ST ?AN 13 �A'TER I4;, " v; No. tVa:2 U4B ;+ 97.33 ' a c lot 2 4u'P�lG ,si-, 5c iU0ISP ►rlcn. 1OaZ? ox Sz)"S 49'9 WY Rcr luJ ,�av 7 'I7 'ao l >t CERTIFIED EL-4 3,9 1-0 CAT t z:)N: e` E1.eo.9 r . . . . . � ►ti.�l . t r t.. 1, ER E �t-D suet i C.t=ZTtF`( -114 c 7'T1 4E'raLALJOA` O' 4 Htawt.l W MA 7747- 5=F-I-t,r.t� ��vi�. �.t�t Ia-1 7s At�i1 5E'i';��K "File Olt�E M>✓NT'S �F�T'�-1 E �STt��l t,�.�.�-- t�h� , 'r-ovs/F.j Z7F` tZNSTA I.E AUM tS I,aCA-VMM: WIT1-}tUTitE 'F'Lozm:?rwLAl -A TH15 R.AnI 15 NTST Stj? ONAN INSTRcJMI_I�II I� }-- Su.KVE`S AND T HE oFFSET'S SHOWN 5W)LI D �aT T3 E US Eq -`-a E�STX'{3�-l5 H I_z:'i' L l N E S. LOCATION SEWAGE PERM T NO. � VILLAGE 5 O A ESSORS MAP NO-- �'.f' � �r.. �® lam- ��: �Q 1--�'7--�.�:�..-..r��- • { INS R l � MA A. ADDESS S ap - AIX e U I L D E R 0 OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED !0 31 �o