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Home My WebLink About0532 SKUNKNET ROAD - Health o Is-- oaa 5 M E A D No.2-153LY UPC 12934 smead com • made in USA WITIATIVE C�dF0�r8au�einp i I N ..8v _1j 8 ®....... .... THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH ................TOwn...;...--.....OF......�.arnstable AnittrFa#iaan for Dispm ai lVarkii Tomitrnr#inn rumit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Skunknet Road, Centerville Lot #3 ................_..... • -----....----• ...........-----•---........................------ ---•-•-•--....••--••--•............_..........•--••-•.....••-•---•----...............---•--..•-•-- James K. SMIftlj1-Address Barnstable or Lot No. .... __..................... ................................... _........._.._.....•-•--------•...._.......................--•--------••--------••-....---------•- _Owner w _ Vetorino Broo thers Barnstable Address Installer Address Type.of Building Size Lot_ ,�JS .......Sq. feet Dwelling—No. of Bedrooms..............:3.........................Expansion Attic Nq Garbage Grinder (V9 Other—T e of Building .............. No. of ersons....._...............__._.._ Showers a YP g ---------•---- P ( ) — Cafeteria ( ) dOther fixtures --------------- ------•-----•--•------------•-•----••.....--------- W Design Flow............... o.....................gallons per person per day. Total daily flow.........�-.3....�.....................gallons. WSeptic Tank—Liquid capacity LO.O.Qgallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width. ................ Total Length...........T..._...Total leaching area....................sq. ft. Seepage Pit No �....._.._... Diameter.l2............. Depth below inlet.._.y............ Total leaching area.a(2?r.�----sq. ft. 2 Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by...... ,ri X� !L :..lvX C�........................... Date...... -_5:7 P...--. a Test Pit No. 1._ L—....minutes per inch Depth of Test Pit...... ....... Depth to ground water.tioA�_?f�....._. f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+' --------•-•-•------ -------•-----------•...•-•---------------......------...--•-------•••---••..._.......•••----------••••-------------..............-•••--- 0 Description of-Soil......0__5..........\_ ........ ?__ 5 0 x x ----------------------------------------------•-----•--•---•-------•---------...----•----------•-•-----------------------•--------------------•-------------••--•••---------•---•-------._.....--------- 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 iITLL 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. ed........ --•................ ........-- ..... _.� 1 Date/ Application Approved BY---...... .e. ..._..�_ ...�__ ... ... .................•-•------•--- ------...11l��-��-•�Q----- Date Application Disapproved for the following reasons: ---------------------------•------•-------------•-=-------••--------•---------••••-- --------------------------•••---•••••----...-•--•-------......------•---••---------••---•-----------•••-.--••----------------•---•----------------•-----••---•---•----•-•--------•----••------------•-•- Date PermitNo......................................................... Issued----------.....------.................................. Date LOCATION f�6.4' SEWAGE PERMIT NO. 7. VILLAGE I N S T A LLER'S NAME 6 ADDRESS 0 UILDER OR OWNER GATE PERMIT ISSUED;; � DAT E COMPLIANCE ISSUED H II , � �S� � r�� ,,h� ,, ,�' �� r ,., No. .... ............... Fins....�....a:'. ...--..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............Town OF......Barnstable. Applirtt#iun .fur Disposal Works Tonstrurtion ramit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Sku.nknet Road,. Centerville Lot #3 ................_................................................................................ -----......--------•-------------------------•------------•-•----••-------........._......•--••--- James K. Sditlr-Address . Barnstable or Lot No. •--•.................._.......-.._.....- ........................................ ••-•-......................_....-----.....-----•...--•---•-------•-•-•---•--•-•-•--.........-•---- w Vetorino Brothez s Barnstable Address ------------------------------------------------------------•--•-•------ ....---•----•--.... ......------.......----------------------......------................-•--••--•••-•............-•-- Installer Address UType of Building Size Lot_s..fl<........_........_.Sq. feet 1—, Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures . W Design Flow..............1.\.ia.....................gallons per person per day. Total daily flow.........? . .....................gallons. WSeptic Tank—Liquid capacity; aO.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—13o--------------------- W%_#............... Total Length.......Lr..,e...... Total leaching area.... _--.-__.-....sq. ft. Seepage Pit No-----------------_-- Diameter.................... Depth below inlet.................... Total leaching area..Qa'6.... . ft. Z Other Distribution box ( ) Dosing tyk ( ) -l3�ixr�AN /e....t�' -`30 a Percolation Test Results� Performed by.. ----- ---..... Date Test Pit No. 1................minutes per inch Depth of Test Pit......!3r....... Depth to ground water_ti..................' (4 Test Pit No. 2.........._.....minutes per inch Depth of Test Pit.................... Depth to ground water.................... P4 ------••--------------------------•-•-----------•---•----- ----•-••----•-•-•-•......------................................................................. 0 Description of Soil...... .........V::1(;a1.y\--------1�.......... - ' U ................. �... 'a......... \ '_ ............. ......_.................._........................._.........._._.._._...................... 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 TIT1,;4. 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. d---••-•-----�-- ......... . .................................................... .......................... . � �•--- ---------------• -----•••-- •----••-- . ...................................... ----- oAPPlication Approved BY Date Application Disapproved for the following reasons---------------------------------------------------------------------------------•----•------------.....----..... .......... --- ----------••-- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Totem. Barnstable ..........................................OF................. ................................................................... Trr#if iratr of TOlutplitturr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by Vetorina _.3rother.. -------------------------------------------------------•---.---------------..---.-----------------.---.-.---------------------------------- at.__._____Lot #5 Sk-unknet Road Centervilh, --------------------------------------------------------------------------------------------------------------------------------------------------------------------•---------------- has been installed,.in accordance with the provisions of T, I 5.of The State Sanitary Code as described in the 672 application for Disposal Works Construction Permit No.( . ................................. dated-....................... ...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FPNCTION SATISFACTORY. DATE...... ......5- -•-- ,1 ........................... Inspector................... — ---•--------------------.------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town tl •a ..........................................OF................•---._..::_.Barns....-•----ab-...--e-........................................ � ...�. N ......................... FEE........................ liaposal Works, Tronstr ion rrutit Vetorino Brothers Permission is hereby granted ...................... ......••....•----•- to Constr t x ) r Mai In vid 1 S .wa e osal System ( d� y� �p at No........�Q_-----?r....-----------�1e.. o a . v L.en..e l .Le Street as shown on the application for Disposal Works Construct' m No.__ _.__. ated......................:................... Jpr DATE.. ... 6)1 Board of Health .`.'..'.... •-------...-•------•................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS t.►�? C�Aa:kiAGC— (��1t.I::�C.�G. -,,L m.�4 rLvw � t Ib y S- `,"n, If,tIFO-nC `f"A4-ttC . �?. C>.r (�jG 0/. • 4-95 6-P.D. -+ U S'E=- Aiec SPA ,as_ PIT_ f'•t � A.r-rOAA 40EE - ram=. ,-f� T.f -- TOTAL •�pCSIGs.! =�.P.'C�.. - a` �• ` -t-t>TA to t�a l t_�f E=c_a.,c✓ 3?� f G> 'GDL�Tt01, 't�Tc"= j�'ts l eft;s iJ 571Z U-SIS. 02 VieON. } ITO- FUG C1lJO.LT .gyp p iI.• - LaA�1 tutu J TaktK t =`l3 I PIS. if lARM61 WAS"M V �L 1`3._ u a SG ra•L�- - Sc.n.,�r,fi�Si`..• ��'��.-t`C—. !1�!3�$a� E1.1 c_a t-� :1 1=L51.1 Gfa1��f�t_�l5 ail l T'1-� rl-1 -, jlT}ls..Llt i� ,.OT At+ID �ETti'�AGt 'E4`tJi�CNt%►-ITS Cal~ TNt pl:.Q0 Fog- �';,�"�'•`l VATG 1� � _ �!> r�tc. c� c_ A15`l twsre�.ui-w;