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HomeMy WebLinkAbout0142 STRAWBERRY HILL ROAD - Health 142 Strawberry Mill Road 647-162 Centerville lli�?lu� �.,arcra.��a '1PCi2543 r10.53LOR — NASTINGS.fAN LOCATION_ SEW A PERMIT NO - u1LLAGIL INS TA LLER'S NAME A ADDRESS B U I L D E R OWNER ,k SAI. Z]a OR /- DATE PERMIT ISSUED DATE COMPLIANCE> ISSUED X i� r No.. ^ 2 F>s.. ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................................O F.......................................--------------........-- Application for Disposal Works Cnnntrurtinn Prruait Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ......... ' !Llt .....1 TF'`G--.�! ..S .....4_7.-i,/:'ff `...........................•----------•------ Location-Address or Lot No. .._. .! C rl:... ------.......,a1 -T dll�%"e......................................... Owner Address al j tu'..._.. !W?s......?!:�.................. ..........., !/� %fit-3. L............................................ Installer Address Type of Building Size Lot................... .....Sq. feet U ,.� Dwelling—No. of Bedrooms.............. ..... ..................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) p' 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------------------------------------•-------..........------.....-----------....------------•---......................................................... 0 Description of Soil......................................................................................................................................................................... x U •----------------------------------------------------•--•----....--•-----•---------........-•-•--......------------------'--------•------------------...----------------------...---------•'-.._.... U Nature of Repairs or Alterations—Answer when applicable........ r l ------tx4l..... ........ Qp U /-........jr-.. --------------•-• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T IT r E 5 of the State Sanitary Code—ke undersi ned further agrees not to place the system in operation until a Certificate of Compliance has been is e y t Va o lth. gned. -• •. --- -� .. .... . D Application Approved By...... ls�. ........ ..._._...--'-' -------- at Application Disapproved f th f ollowing reasons-------------------------------------•-------------------------------------'----------•-"-...--•------...._..... -----------------------------------•-----•--•---.....-----------•------------------.......-----....-----•-"•--'----------------•-•---"-'------•-'•-'----'----•---"-'-----'--'------•'------'-------•- Date PermitNo......................................................... Issued........................................................ Date - --A No...3 J Ems./ .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... ----.........................OF............................................... ........... Apptiration for Bhgpos al lgorkg Tnnitrurtinn 1hrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: a�'j " d!V 5�tAu�... . : .. .. ..... .... !.`... ?1.. ................ ....--........Aiw a ......... / ,Location-Address � or .� No. ......................................................----------.� .:u .:J ...........•-^^---•---..__......._............-•-•-•. ............C ..... O ner Addr s �!�.. .. ....... ............................................. .....__.._..._..._.._... -.417TA.d_.... ............ Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............. ....................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a4 Other fixtures ---------=---------------------• . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic 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 ( ) a Percolation Test Results Performed by.......................................................................... Date--------------------------------- -...... Test Pit No. 1................minutes per inch Depth of Test Pit.................•__ Depth to ground water_-_____-___-_-_---___--. G Test Pit No. 2................minutes per inch Depth of Test Pit............._...... Depth to ground water........................ --------------------------------------------------------------------------------•----•-•--•---_.............................................................. Descriptionof Soil......................................................................................................................................................................... x - ------------------------------------------------- V Nature of Repairs or Alterations—Answer when applicable /Wo -- �" x/gjV'-6 ............... ........ -- l a ----.-sT•-A77................. Agreement: ` 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 has been i ed'liy t .b a of_1 lth. ,,,� agned ..................... . .. ----------........--,�-...�..... ...... .. ..... .�...................................................... ............... k"e r D Application Approved By______________ Application Disapproved f o3' th following reasons---------------------------------------------------------------------------- ------- ------at.e-------w------ .......................................•-•----••-•----•-----•••--------------•---•--------_-_..._..--•---------------------------------------------•-•-••------••--_.....-----•----•----••-•---•-_----- Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................I.........I........_OF..................................................................................... %rrtifirntr of TompliFatta THIS S T EKIFY, That the Individual Sewage Dis sal System constructed ( ) or Repaired :.: (/ fr ..............-- •---.. ---- by -aT�_ at ra•t, ._ d.-::.....------ ----------------------------------------------:. ZLb ......... has been installed in accordance with the provauJof TIm ,, of e State Sanitary Code a6,de4in the application for Disposal Works Construction Permit No......................................... dated_.. --- -----.-----`- ` _ THE ISSUA CE F THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A ARAIdTEE THAT THE SYSTEM 1dlIIL FU TION SATISFACTORY. DATE..... .. �? ................................................ Inspector..- ------ •-•------------------•-----•-----------------------•----.........----•- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..� .....................OF....................... ............ �►� ....»., No............... ....... FEE.............. �i��rla�tt �rk� �nn��rnr#uan pranit Permission is hereby granted_.._ t�q�s 71- . t ------------------------------------------------••-•-................ to ConstrueA or Rep ..(�" an Iadivldual�Sev��getsp ystem • �Zorks .-^---z:. ......... ..................Street ------•---•---------------------------,_....A_......... at No. � . .........................�s � 1 . �`---•----•- as shown on the application for Disposa Construction Permit No................:. ----------------------------•----••--••---- ' , ......- Bd - -•-s ...................................... l DATE......................................................................--- ----- of Heath .-t FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ' I;r t 50.00' 7 I1 r1 , I: f 1 1 � . � r I \ {/Z vD.WP EtL-Tp Et.E'1 e1N AS REC1,-. - - �`- 9E PS L i ... . .. .... ._. .. ' I I N OV It,fG E::.P.£TP MI , t , I N�5 tP fr59otiYe i ur 4P -,.y 5 a5yr! �� c oo.oJ. , 01 - ➢�K _ ! or h 5 fD--.. Itt Y1'/N. Q -12 D �i o. �1 II l l 1 1 I I - �� 1 o ___...,._. - .G_�-Gt- __.1..\��.I.1/ii.IV I..0 ......... .. .............. . ........ ._. .... �.. ._.-.-.. - .S. .,vSlf.K -�nL.�.`(. AKRO- ASSOCIATESARCHITE -22 CTS is two 310..BarnsfaW Road; Hyannis; MA 02601 tel, 508 778.b060 : . .," fax 508 778 2558 . muwwc xweEn 51even M.Shurrlan,.RA Alrce:L.Oberdorf RAq 03�41 .._._. , I P- I NEW ww,pljq�. Ll 1 i — i nUl I - Nf. � � SGx�. 21 pvy'.. 15•vc �o Hsi. ,. - � _ _ pp V 3 b1i ELFFLAT`IUt) 3Co16 �... 3332:. :::i3�i`L__..... _;: / •., � I .. � .2o�e !�1� UII ' - _ i FE r 7 \I; �Jj I ILE al i1 vM(. L. -� lu ` ( 1 O i_ --- BFtvS:'1S.EVu x� Goel., _`e'�. _ --- -- . .. :. - 11LJ t �r �_J. L�('�-Hort_ _I .: S '' .' ••i.1Jf 4 IU S,UL YGF-N'JiX - i kif�:riEN �'�yQ-I �7rJ aur,ro-'•mot . - 1 r 1 �_ - 05 --fit_ i l _" - - --,. - i R e AN RO ASSOCIATES ARCHITECTS c �Xlh1:::PlAtsl . :I<l S f p .wxoireo wuwn er O own: I oq 310:Barnstable Road Hyannis MA 0260i tel 508 778=:6060 . fex 508-798 2558 z mp 3 1j Steuen M.Shuman,RA Alice L.Oberdorf RA �9 frt i IAJSU\:.w,V:$-.CTIEJ/ �c4o - - - !• ��V E'ur- rl=2 H:S_•sap wr-�x.+Ee' I if —�r—� WAu- I { I ' .,.�� E� - I .I _�-_ _ i- f' -..... -.._. VS6➢}: q-.. € h. .. 'D'; �I.I - .. . I I, I I ! j t_ �!, a -- — —�� z . 0 �,...... ... ac.:.e::KSNoseF:_."..,wv�eaar-_-. _. - - - '.�v=�.- • K AKRO AS SOCIATES.A'RCHITE:CTS a 310 Barnstable Road, Hyannis, MA... 02601`- 'tel.:5:08 778_6060 fax 50,8-778 2558. 36F 3 V Steven M.Shuman RA Alice L.Oberdorf,..R'A M