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Home My WebLink About0034 SHIRLEY POINT ROAD - Health 34 Shirley Point Road 233-005 Centerville S M E A D No.2-153LOR UPC 12534 smaad.com • Made in USA qw-c-y-4h NAMMEWWWOIFI pF1FESflilgfiMN� VANWSMOGRUAM ��` 3 tf. 7S7f(Q�la TOWN OF BARNSTABLE ��• LOCATION SEWAGE # VILLAGr ASSESSOR'S MAP & LOT �S"L'�C, INSTALLER'S NAME & PHONE NO. -� ,�/� ZY, -7�� ?�q SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVAT WEL OR )',)WATER BUILDER OR OWNER DATE PERMIT ISSUED: "7, 1 - - 73 J DATE COMPLIANCE ISSUED: ✓ �� VARIANCE GRANTED: Yes 10 t. :> -ALL i,--,-,,ASSESSORS MAP-NO:—, d3 3 c 7 No...., : . PARCEL NO.:'=_C� LTH THE®�/!f�®AOf F TS HEALTH ��d Gtl *!vr1�1. .. ....................OF.,,.........X�7V_25 ............. ----- ------------ Appliration for Digpaaal Works Tnnitrurtion f amit Application is hereby made for a Permit to Construct (>,� or Repair ( ) an Individual Sewage Disposal System at Locatio -Address � I �t No. Gh/ /Ijo �I!� G M �V W Own (/ Ad ss Installer Address d Type of Building Size Lot.-��1.. �1�ea...Sq. Jet Dwelling—No. of Bedrooms.....�ti`4�..:....................Expansion Attic ( ) Garbage Grinder a Other—Type of Building .S`F:4� No. of persons____________________________ Showers ( ) — Cafeteria Other fixtures -------------------------------- ....._...I W Design Flow.............................. . gallons per person per day. Total daily flow--,� gallons. � Disposal TrenchJi u�do ca acrt _ a�llthns Length Length leaching area Septic9 P Y g g ePth................ W P g gsq. 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................................... aTest Pit No. 1................minutes 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........................ J ---------- ------------------ ..----------.�------------ --........ -.----•-------------- ------------ •------.----- O WDescription of Soil...... ��c�r---.. .�.�r.��....::...��:lo�.�r---•- `�' ----••---------••------------------•---•-•-----...----- V -----------------------------------------•--------------------------------------------------.---------------------------------------------------------------------------------.--------------- W -----------------------................................................................................................. QESI111VG. Iil�xtI\lC: ..`::.:- I1=E31!IS .. x INSTALLATION AND CE, h;: ... .I�)_WRITING-. U Nature of Repairs or Alterations—Answer when applicable................ SYSTEM WAS INSTALLED IN STRICT -------------------------------•-•------------•-------------------......-----------•--•---•-----•-----•---------------ACCOADAiVCEMPLAN--------------------------.------•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary Code The undersigned further agrees n t to lace e Vs em in operation until a Certificate of Compliance has bee by the bo d of health. � ` 9 _Signed--•.1 :.._ . . ................ Application Appro Application Disapproved for the following reasons:......................................................................•-•-......._....... ......_.._...__...--- ....................................................... ...................... •-•-••--•------------•---------------------•--•---•-••••----••-•--------------•---••-••••--......-------••••-----....... ---------------•--.Permit No. Issued_:_._.. - Darec 7l_4/.j--1 BAXTER' & NYE, INC. Professional Land Surveyors and Civil Engineers 812 Main Street •Osterville, Massachusetts 02655 Tel. (508) 428-9131 FAX(508) 428-3750 WILLIAM C. NYE,P.L.S. -President PETER SULLIVAN, P.E. -Vice President-Engineering RICHARD A.BAXTER, P.L.S.-Vice President September 13 , 1993 Town of Barnstable Board of Health P.O. Box 534 367 Main Street-Town Hall Hyannis,,} MA 02601 Re: Randy Childs 34 Shirley Point Road , Centerville Dear Board : In ' accordance with the terms of -your permit I have provided supervision and inspection for the construction of the above referenced septic system. Based on these inspections it - is my opinion that the system has been installed inaccordance with your requirements . I• trust that this meets your present needs . Very truly yours , r & Nye Inc . Peter Sullivan , P. E. Vice President cc : Randy Childs ' oC�Pjti OF 4111,v .c PETER SULLIVAN No. 23733 y N��QfY �'SjONA L ` MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS Nolo _. � t iFic di+ M✓�„ .... THE COMMONWEALTH OF MASSACHUSETTS �'J� { BOARD OF HEALTH ��=`=-" Appliratiun for DisVooul Works Tontrurtion ramit Application is hereby made for a Permit to Construct (>=) or Repair ( ) an Individual Sewage Disposal System at: �- _..•- / / Location-Address( d(.Lgt No. /A G-f s+ JGt Y .............................._. / .:....-Owner ....._.. �• /- -�........... Address .}..�.. ...J......... ��lc� W .....................................................r/.... ' ..!.:('J... ......... .. :ea�z_r.� Installer Address , d Type of Building Size Lot...:._. ..........._<-:----Sq. feet Dwelling—No. of Bedrooms.....T......t:-.......................Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building .: No. of persons............................ Showers � YP g ----•--_------'----=---•. ( ) — Cafeteria ( ) � 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ••-••-••-•••-••-••-••••••••--•.................................••--•.•.----•---•--•-------- ............---•----••---•---•-----•--•-••--•-----•------•----- D Description of Soil_____________________ ..................................I................... ------------•---------------- -------- -------...... V --••••....••---•--••--•••-••............................ ►� ----------------------------•--------•-•---------..................-------•-•----------.....------•---•-..............................-------------•---------------•------•............•............... U Nature of Repairs or Alterations—Answer when applicable-_:;'.....................................................:..................................... . ...•••-••---••••-••-•••--•---•-•----•-•-••-••••--•--•-••-••••-•-••••••-••--•••-••------••-••-•••--•---•--•-•-•-••-•••••-•--•-•--•-••.........---••-••......••••-•..............................••--..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with r the provisions of iI T IE 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. ,,,,_Signed•-• ....................................................t.. t.... ,"1_.-`-.�t Application Approv '" ........................................ Date Application Disapproved for the following reasons:-----•---------•-----•-•-•-••---•.............................•------------------------•--•••-••--•--........._ .......••--•-•••-•--••••••.........--••..............••••--•-...---•••••••-•-•-•---•-........•---•-•-•---••---•-•--•---•---•---------••---•••-•-...--••---••-•-------.....••••--•••--•••••••-------•--•- a PermitNo............./-f).... -----••-...•--•.._..... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD 0F�HEALTH ...�.W/�!................OF.....`?:sr�. .y....!....":.............. .Z. :.................... Trrtif iratr of Tontplittnrr TH_Ly_Lj TO CE TIFY That the Individual Sewage Disposal System constructed (X) or Repaired ( ) by �7i y+n- .( - - t : �-.�J._�.=x ! - • - r f ✓� ....... taller L .... .- ---------------------•--...... has been installAd in accordance wi i the provisions of T�TLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......C�_0•_.' ............. ..7io... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................ = 1I - ................ .... Inspector. ..................................................... THE COMMONWEALTH OF MASSACHUSETTS r�ill/L ,,r BOARD OF HEALTH Dispoott_l Morks To otrnrtion Prrntit n - Permissionis hereby granted................................................ .................-..................................................................... _.... to Construct ( ) or Repair ( /) an ivid al Sewage Dispo. S�fstem. { at No. . ......... j_✓_.1.e!�... ?' f , ..... (-- t;' ' f ...... Street r- as shown on the application for Disposal Works Construction Permit No...�.:- ...,. ated.....�.__.. ........................ �._......................._._____::� ...... DATE •- Board.of Health FORM 1255 A. M. SULKIN, INC.. BOSTON t RDA 7 �� TOWN OF BARNSTABLE LOCATION u, SEWAGE I "` VILLAGr ®�` '_ ASSESSOR'S MAP & LOT 46 INSTALLER'S NAME & PHONE NO: �� ,� 7� Pt SEPTIC TANK CAPACITY LEACHING FACILITYArype) (size) A® Jc & f NO. OF BEDROOMS PRIVAT �ELOR 6WWATER BUILDER OR OWNER14, DATE PERMIT ISSUED: "7 - J-7 7 3 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes �� N� �� ` � ('�� i � �� i ,� � �--, � `� � � � � � � � �- ��L� �; . � L_ __ _ _ a F'ERC TEST DATA P- 7 1 ? C, V:.tc. Nov, 71"`' 19 3 8 Tk.'L" bt Stc,ic �,15%h 'SRXTcrt S NYG /Itnea5: .T, ✓Vvir5, PE(-�C RAC rmri lc1 - - i � rl 514G _ � sc. -fa ssn c -YYl�rdw e�6�st p �r n rn e 48,4 ------- �IO,p�'o soil £ -- 1`' �it t F}GHI.NG G14LI.'>V'YS v N Z n SuL7 or I Subsoi I Ttf Z.s_�ZbN� . ��4�'I 4 - q6,4 Z�1 - -3$.O Z" I�Ert5TON6 Qv -7�P - -- -Cli--- L7�sf 15C�0 ndi rt, 6 , Nv INU INN �LLIL_4fi4.3Y --- 8oncy �a+iQ _ _ _ 43.44 �43..ei3 5`Ilon •44•16 Gaud - - T3 o n ey - YCIFx m u wt e=e=v o f i G ss Lrrrom o S t s-rirc�_ �lu►r1 WCQuA4V�T LAKE — ra.r e I I 'T 7' 96 - - 40,4 o6s. ,roUnc9- _//lca(wm Sfia/r{cd 5anp/ 9 _-£..1=_34►�- w..+er- w�fo�nc Cobb/£s - -' -t_ - - etc%- --- u T.a.kct i•uar�._ Sa ncD - 114N /VO G✓akr -- 6b.aCevCLc.Q 6roundtvao.lrcr �F '!`W-r F2 a 1=1 L E DESIGN DR-rA - SIr-1ie Famil�s - S BeAreoaN -Qo Gctr6a3c Grinder- --4' I3 WASHED STOr.1L' �a„ � r=1ow s s� Coo _ SSOgpd I epee Tanl•t : ong-_u5c ISOo G.I(am Tank - = - each,ilg Fuc.�l�ty �G_4IT��.a ��rh ..3rs1'onG. -- - s_►L �o+ r2c# 5F = SZO 3� ----- ----- - ��, -- -- 428 5FZ -- 740 Cip4_ 11 �pc VARIANCES BEING REOUESTED . 1, To a-liou--` 3 1h 11cv o+ 100 ic>r �vrvn a Icc c kj-, T alloi.,Lqo fccf-_-rh--.IIe� 09 100 feet -from a re.>�ruc c.Y-cck 1c p_we�lancl- .To mellow HO fcct In lIcu- o; (SO �-4+ ff—n u Icach,r� focili }p o W< fl. t •t i V 1 ST'A rr*�i uL r�.lATEft �� / welk. yp Al / d� a ` , of 44f'4'0 AV 46 pole, cargs t k3 rat.r :.�- - ' p�• 1 f'�g � � A `'+`�-•�-�-1�' �.�s.ems` _ � ` Y \ ' - _ - ! 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