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0107 STANLEY WAY - Health
107 Stanley Way Centerville A=228-120 S M E A D No.2.153LOR UPC 125U smsad.com • Made In USA A OIF �t urn r wswoouauE wwaoammaw IL 4 M p v � o � x � March 31, 2011 Mr. Thomas McKean c/o Health Department 200 Main Street Hyannis, MA 02601 Dear Mr. McKean, Earlier this month, Mr. James Ford met with you concerning a Title V septic inspection which he conducted at 107 Stanley Way, Centerville the former home of Dr. Philip J. Dean. Mr. Ford contacted me and noted that the system had passed inspection, but you would require floor plans of the property. Please find enclosed floor plans which I hope it are sufficient to meet the needs of your request. To complete the floor plans, I printed the basic floor plan from the town's tax assessor's website, and completed the rooms using estimated rooms sizes. Overall the plans are fairly accurate. If I can be of any further assistance, please do not hesitate to call. Thank you for your time on this matter. Sincere) Tmas J. can , .w 4 kell Stre ,Apt B p" 1. Auburn, CD Ma' e 04210 c Ys 207-740-2600 cell d. ,A GAF ' t Z-3 Uri l �'rc:� ,� cL ✓ S I f 1� r'wti P7/� �V liC� our j r . rc ti R µ v y ib Fxs........ ..�r�............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH o.^--- '................oF.... ... -...................................................... Appliration for Disposal Works Toustrnrtion rnmit Application is hereby made for a Permit to Construct ( ) or Repair VZ) an Individual Sewage Disposal System at: " Locatio ess � � ... .. ^.eir: ._. '�'.....--•--•............... ......fit..--•---•-• - •---•-------•-••----...---......... .... . -- Owner � Installer .Address UType of Buil g Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No, of persons..........................-- Showers ( ) — Cafeteria ( ) dOther 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 ( ) 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........................ Descriptionof Soil........... -- .. -- •.......... . ............................•-------•---------------•---------...-----------.......... U ---------•.---- .. .... ---- W -------------------------------------------------------------------'----------------......----------...------------. ----•-----.. U t re of Repairs or Alterations—Answer when applicable--- -. -------% . . I ------------------•------------------------------ Ag ei ent: The undersigned agrees to install the aforedescribed Individuai"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 bee issu y the board of Health. Signed-- ---- -------------- .-- ............................................. .....-•..... Da Application Approved By . Dat Application Disapproved for t e following reasons:-----•------------------------•-------•------•--------------••------------•----•---.....-:................••••- .........-•---•-------------••---• ........................................................................•-•--.... ................................... .................. ........................ Date Permit No.....Q .." ----------------- Issued-...-------.. at 'm 4: r No... .". .:..... ...... Fmc................: e . ......... THE COMMONWEALTH OF MASSACHUSETTS l ' BOARD OF HEALTH tt�..•` ................ ............................................... Alip iratiun for BiuVuuttl Workii Tonutrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair V'5'*"an Individual Sewage Disposal System at: '— 22++ " Location- d ess t or Lot o. ,.... ............................. �t yOwner ................... i s Ad e t � Installer Address UType of Build' g Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther.—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d 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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fa, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-....................... 0,, Description of Soil........... --- ------------------------------------------------------•-•.............--••---•-•- U ------•---•------------ ---- W ........................................................ - t re of Repairs or Alterationsi ' Answer when applicable_...._.. . . -�- _... • • Y PP �a - ----- . ; : ----•-•-•-------------•-------------------- - --•• --••--•--- 1i, y - Agr,en ent: ' The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with ' the provisions of TITLE - 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance -• y the board of Health. S gneds 4bee. ssued r-. ........................... ������ Application Approved By a . D�te , Application Disapproved ff or the'following reasons-.....=......................................................................................................... _ ..•• ----•••••-•........_ ...................................•----.....----•-•--•-•--- s �. Permit No...... J"...... y ............. Issued........ ,--• - ate -5' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..../ .`......OF..... .................................................... . CIrrtif iratr of TomVIittnrr T IS I �-T)O CERTIFY That the Ix0vidua wage Disposal Sy tem constructed 4 ) or Repaired by-.. .Z_1: C-?:�- .............................` `'' .,»/51. !./.a- / •`.9_.....--•............................. .--- at-- / Zitary-- has been installed in accordance with the p visions of TITLW 5 of Tli'e State Code s descr'bed in the PP IS_a . application for Disposal Works Construction Permit No_____ ___________�._�:�-_..._._ dated........ _�?_.Q_`..4s s.•_......_. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS T UED AS A GUA ANTE THAT THE SYSTEM WILL F CTIO SATISFACTORY. DATE....._...��... . ................... Inspector. THE COMMONWEALTH OF MASSACHUSETTS , BOARD OF HEALTH ...........No.... .. ........................................ FEE.... . ......... �t��rooku Cron trurtion rrmit Permission is hereby granted---• •• ......•••=......�,-�i .............................G t ` ��r�".w- .r__ ....... to Construct ( ) or an Individu 1 bewage-Dis osal Sy tem O Street as shown on the application for Disposal Works ©nstruction Permit No...`23 S'zba-Dated......3-- _-� ....... 6kr4ZeL FORM 1255 A. M. SULKIN. INC.. BOSTON LO CATION S E w A PERMIT NO. VILLAGE <�a �fC my INSTALLER'S NAME l ADDRESS I C:RA14G MEDEIRIS ft,,G-1 scc sng V Tg1upcoig ` I A2 �ertbr®t6cn Street .w M E_R Hymnis,_fts , 775-0828 ®,- s --g3 y W-`f ro 0-ATE PERMIT ISSUED DATE- C: OIMPLIAN=CE ISSUED ,�/ � Nk. '00, r7 p . n r k62, ..e Qrod a o j