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Home My WebLink About0418 SOUTH MAIN STREET - Health 418 South Main Street Centerville A=207 - 008 SO UPC 12534 0.2-153L0O MMIM�Ir �- P�tr,� �v mix v� � �10 e,�� t u� ��-' TOWN OF BARNSTABLE LOCATION SEWAGE # , �5 VILLAGE ASSESSOR'S MAP & LOT )-0 7_-00 S — 10 INSTALLER'S NAME & PHONE NO.y- Gi,1.17 SEPTIC TANK CAPACITY jS` O r-r LEACHING FACILITY:(type� 7— (size) q 4 NO. OF BEDROOMS Z-/ PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER %, r-C. f - DATE PERMIT ISSUED: - '6 -7 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No a/� o, � - .,. A `� �C r �`� � � i � 1 ,.6� � Q�'� � � � �� No.....T:S.�� F.R$:4...2Q..JQQi... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Mown: aarnst able ........... . .............O F....................................... ApplirFatiou for UiipuuFal Works Tomitrurtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair j ) an Individual Sewage Disposal System at: 41&...Souj;h-_Main -Street QUteEy ille- .....--••----------•--•--...---••--------------------------------------------••....._...-------- Locdio tdress or Lot No. ..............°......--------....---•--------...-•----. Owner Address .............................................................. ----••----•--•-••--••---.............--- Installer Address d Type of Building Size Lot.................... .....Sq. feet V Dwelling X No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures --------------------•---------•-•----•---•-... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 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-----------_............ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ---•--------•••••------•--•-•-------••••-••---••------------------------------------•--••-••---.............................................................. 0 Description of Soil........................................................................................................................................................................ x U w Sand & .grave x -••-------•----------- .....................................................................-•-----------------•-------•-•-----•••----•-••----------------------------•-•-------......-•--------------- U Nature of Repairs or Alterations—Answer when applicable--____-_ 5pQ__G_allaia... -a'nk.... ............................... --------------------------------------------------------- ------------------------------------------------------1 �D�© lon �? t Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTTIZ' p 5 of the State Sanitary o —The undersigne further agrees not to place the system in operation until a Certificate of Compliance has be e the board o iealth. Signed- -- --.�. . . . .............................. //l-87---•----- Date Application Approved BY.:...........*A ..--- --• ------------------------ ----------•------ --•---•-•----- - Date Application Disapproved for the following reasons:--- -----------•-•-----------------------------------------------------------------------------------------•-- -------•--------------------------------------------------------••-•-•---....-------------••------•------•---------•--.....•-•-•-----------•----•-------------•-•-•-•••••---=-=-••----------••...----- Date PermitNo.----- . 7.�. --------- Issued....................................................... Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA Fizz THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............... Appliration for Di-opasal Works Tonstrurtiun rumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: :.................................... ' ....... ............ Lec-t:on-!Address or Lot No. ..... ... _S.r:......................................... ........................................... _.--.....________...........--_........__..___ Owner Address Installer Address d Type of Building Size Lot............................Sq. feet Dwelling,,),=No. of Bedrooms___..______ 4..............................Expansion Attic ( ) Garbage Grinder ( ) aa Other—Type of Building N of ersons____________________________ Showers g ------••--------------•--___ o. P ( ) — Cafeteria ( ) Otherfixtures ----------------------------------------------------------••-•-•--••-••---•-••......•-•" W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.__._._____gallons Length................ Width................ Diameter________________ Depth______________-- 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 ( ) Percolation Test Results Performed by---- ------------•----...-----••----••---•--•-••--••----••-••......•--•-_. Date........................................ Test Pit No. 1________________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........................ a ---•----•-•'-----------------••••'-----•-------•....,-•••-------••..._•--•---------••-•-•--•------•----•--._......._......---•----------••.........--....... 0 Description of Soil........................................................................................................................................................................x U •-•-•-•'---•----•'--••-•-•----___-- --------------- ------ --...------------------'-'------•--•-- W2 v?.. ...� UNature of Repairs or Alterations—Answer when applicable _ - ___ r _...................................... iW� ji.at� UV.b t.Lusk' '+.s 4"w. Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of ' j 5 of the State Sanitary,Coe—The undersigned furti:er agrees not to place the system in operation until a Certificate of Compliance has be"en sued by the board of health. a 1 .r•1 .'l i' Date Application Approved..BY.............( . .. �/ V'`• Date Application Disapproved for the,following reasons:-•-•-------•----•---------•----•--------------------------------•----•----------------------------••--•---_--_.. --------------•--------•----------------------------------•-•-------_--•••••-•••-------....._..-------------------------------------•--'--...'•-...-•-••-----•'--'-------•-•-•-----------•-•-------•-•-- Date PermitNo.---- _ . ... ------------ Issued........................-............................... Date THE COMMONWEALTH OF MASSACHUSETTS y r�. BOARD OF HEALTH C�rr�i�irtt#r ttf f�unt�littnre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( } _ _ Installer at_�• 7 sti ;I j r � 1 '+ F t t H t v �------' has been installed' in accordance with the provisions of TZ T E j 9,_The State Sanitary Code as described in the application for Disposal Works Construction Permit No._I7-•-____!�---1t__�__...... dotted________________________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE---------------------- ---'..�_.-._ _. ............................ Inspector----.... ---- �D........................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH R� FEE........ =' �i��rr��l nrk� �n��#rUan lernti� Permission is hereby granted_tl R_ .• c .1 f:........•••--•---'••-•--•.._..---••--•---••----•-•---'•••....---•-----._...--•--••-••................•-••---•- to Construct ( ) or Repair, ( ) an Individual Sewage Disposal System at NTo....1' .......D!'-t.1:L :^; n t r r t :c.n i E C V 1 1 1 _........---'-•--------- •...............................-•-----•---------.....---•----•-•-•-•-•---------._..._...-----•--._.---••-••--_._.._.........-- street 7 as shown on the application for Disposal Works Construction Permit l:_S� Dated.......................................... ��++ Health DATE............... . ... S.............................. Board of FORM 1255 HOBBS & WARREN, INC., PUBLISHERS N+uA - +� �y�u�a3 _ wtuboaCK EEJTRI� Tton� t �lVtt�U T' RW t�t `/z 2s t - u1' -ram P i 2 3 l2: x Ib 8 FZp� E i � �N�AlSC� u wJ _ w►�LD�u� � C�N�'�vt ALE � ��• 3 WttleovJ w►tS0olt? 3 �t�EN �l`f - t FT. x - 1V walba 3 lljLtJbCW 257C5�t Pl?t_t_�or�l ty�uDovESt�LL : r --�� i Z X�3 2 J. � J' f �'A��- s t x (�� ►'�O'b e""- L) Perm woo �. i L 5 • vi 4 . Al WtQbDQ t - V,,i�,.� i 5 -- --- -7 L t_ CAN�'e�v ►�