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HomeMy WebLinkAbout0019 THREE PONDS DRIVE - Health q Three Ponds Dr Centtrvttte q3 — (q2 E / SMEADT I ........m ...W� No.2-153LY UPC 12934 smaad.aom - Made in USA 0 SLISTAINAW FORESTRY WNIVE a r IU J THE COMMONWEALTH OF MASSACHUSETTS q. BOARD OF HEALTH ....-.........,1..!.rti--......OF.......�.. ! .I ! "t Appliratinn for Disposal Works Tonstrur#iun Frrmt# Application is hereby made for a Permit to Construct ( ) or Repair ('�an Individual Sewage Disposal System at: vN`IZ�..... iv� . _.... .C e�w�. ------------------....... ...._......._.. Location Address or Lot No. ..............l z .---._.a ...t(. �-�. °rt a--fa............................ ......................S.kk�:. ..----............................._........_._..... ow r Addres w ..:.i....rr�: ..-MC40=1 c:c ...................... ...............(�.�`.. �... ....... M Installer Address Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms........_ .. ..................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ............... No. of persons..............._._.......... Showers — Cafeteria Otherfixtures ----------------------------------•-------•------.........---------•.-----••-----------------.......--•--•--------........._......-•------•-----•---• Design '� �------ ------------g P P P Y Y �3i:5......................gallons. W Desi Flow.........._: gallons per person per day. Total daily flow.._.._." . WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth........._...... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No.......I............ Diameter....1,.D.......... Depth below inlet..../a.!..._.__.Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by---- r................•............................. Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Lrr Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ x ...........................................................................----............---------•-•-------•---...----•----....................----.•-•-- Description of Soil............................ I----••-•-----------•--••--•------------------------•-•.................•-------..................................-•---•----................. U ---------•- -•--•-------•.......................•----------------....-----..........••----•--•-................--•........---.........._--•-........... ................ ......•--------------------------•------•-------............----------•------.....------.......--------------------•--•-•-----•--.....---•--•----•---.......................------..... U Nature of Repairs or Alterations—Answer when applicable------ 10........p-ice ...... ✓L �Sd....--. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 1I'll 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 byytthe board of health p Signed- �' e Application Approved By..... ._..... — ..�` erne /' //// Date .. Application Disapproved for the following reasons----------------------------•-----......................--------.....--•-•-••--•-......----....................- ..................................•-•.._..........---•-•---•----...----------------••--------•-------------............---••-•---...----•--•----........------------------------........_...._...•--•-•. Date Permit No..... ... '' ,1 ----��................._ Issuea. - --.... ........•... Date THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH = ....................... #Putt#iun'fnr DiSposal Works Tonstrur#ion Permit Application is hereby made for a Permit to Construct ( ) or Repair (,'-►)''an Individual Sewage Disposal 'System at: —Location-Address � - or Lot No.......................................... j + .......... h , -0............................�...................... t� ......................._..... Owner ......_ W. Address a " .................... r= fir_ OT__,T_I .......... f!�'11k fo A, ••-•••--••--••--•--••••................ Installer Y - Address ppqq T of Building V yPe` g Size Lot............................S feet .-� . Dwelling—No.-of -----._--...._Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons.......__................. Showers ( ) — Cafeteria ( ) p' Other fixtures ...................•••...........................! .......... --------------------•----------.....••••........---- --.gallons per person per day., Total dail 'flow....._.:!r 4..__................gallons. Design Flow..:.. +� ...... " W 8n •--;o�. • .• -----... g P P P Y� Y. _ _•_--..r WSeptic Tank-Liquid capacity............gallons Length................ Width..............:. Diameter................ Depth................ x Disposal Trench -�No...:...:'............. Width.................... Total Length...................:'Total leaching area....................sq. ft. Seepage Pit No... -j-.-..._.-._ Diameter..__J..O......... Depth below inlet.....6.!......... Total leaching area..................sq. ft. \'Z .. Other Distribution box ( ) Dosing tank ( ) '_4 Percolation Test Results Performed by.......................................................................... Date..........--............................ 04 .. Test Pit No. I.....:..........minutes per inch Depth of Test Pit.................... Depth to ground water........................ Lrr Test Pit No. 2................minutes.per inch Depth of Test Pit.................... Depth to ground water........................ W+ .--••----------------••----•--------•-----------..........-----.............................._•••••.......................................................... O i. Descripfion`of-Soil-•.............•....-----..........-----...----.....--•-•----...........---•---•--------------------.........-----.......----........---...............:.........•-••-•- U ` .--------------------------- •-------- -----•--- ----------------------------------•---------------••----------••---•-------•-•--------•------------- ---------- --------------- •------------------- W UNature of�Repairs.or Alterations—Answer when,applicable`---,11—40.......6L�-c_.....�?��........�Y��..--..�S�i...... . �...:�S_.V.. Vic-- ._._ f fir-. �!._-..--Lk.%31 -------s ,!c 1�-_kr................................... ...... { - c ► w Agreement:. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of I TIZ 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�$y the board of liealth Sign,ed - ------ _ 1.10_. .. �.j i 9 Date' A lication Approved B ...... ......-A Date Application Disapproved for the following reasons:........................................ ........................................................ ...................-..............................••---...........------•-------•--...-----.......-----•---•---:..-•-........___...---......--•-••-•--------...------..,......•----.....-••-•-••....._. -- ✓ .. Date Permit No..... f fn.. -..... Issued--- -;,1�_ •_ .-.. ............. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH A Trr#if iratr of Tomplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System,constructed ( ) or Repaired (%.,,),w by------------------C. k4 .:5 � �.j----•------•-----------•-----•---•--•-•._._.......-••••---•................•-•-•-•.........._._. ....... Installer at:........... �.��+I.. .---� `'��c `e .J��?y !O. - 4' 1-a°. -4-.1.. ..... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__. '�_ --I--� __. dated- a--7 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM ILL F T10# CATISFACTORY. DATE.. ...-'�........`. r: .......................... _ ...... Inspector. ..:::... ...:........ .1 _���--.� �— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0.11 :A:6_. ...................................... F=2zp.....V.. Ots' p asn1 Works 09ons#rudion Permit Permission is hereby granted............ p :.. !�?!�'f..Se T� __.................................. ............ ........... to Construct ( ) or Repair ( ✓)''an Individual Sewage Disposal System r= Street as shown on the application for Disposal Works Construction Permit No��:���D'ated_...���......... Board of Hcalt11 DATE... g TOWN OF BARNSTABLE \\V� LOCATION POKQ 4/Q - SEWAGE # VIL,LAGE__CS ASSESSOR'S MAP Sr LOT INSTALLER'S NAME & PHONE NO, SEPTIC TANK CAPACITY e�-�s��u LEACHING FACILITY:(tppe) ft'?e-c-o& (size) (onto u- q` NO. OF BEDROOMS-3_PRIVATE`WELL O C WAT�� � Pam, ►BUILDER OR OWNER if V)r e�i DATE PERMIT ISSUED: a-s- DATE COMPLIANCE ISSUED; VARIANCE GRANTED: Yes No r eF 3 ', C .�l1wC,.Sv•tvcvN�� No................ ....... .......'1::................THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH r �9 .............Town.................OF_.........Barnstable Appliratiou for Uiii oii al Workii C owitrurtiun ramit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: Lot # 30 Three Ponds Drive Centerville ......... - ..... ............. ----••----------------------------••--•_._... _........•--•-••---•---.........-•••••-•---•-•-•-......----...----•----•-•-----•--------------••-- Location-Address or Lot No. --- StlffAlk..) eat ...Trust.......-•------•••-••---•••••-._...- --P.O. Box. ......_.... .exl. �zjli.UJ...... Owner Address W Kevin Hickey......................................... Carriage Lane B rnstable Installer Address Type of Building Size Lot....15_,_010.......Sq. feet aDwelling—No. of Bedrooms........two____ ______________ ____Expansion Attic (n9 Garbage Grinder (no) 04 Other—Type of Building .-ranch----------- No. of persons............2............. Showers ( 2) — Cafeteria (no Q+ Other fixtures -------------------------------------------------- W Design Flow........110 allons per person per day. Total daily flow...........330.........................gallons. WSeptic Tank—Liquid'capacity ..00Vallons 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............ ft. Z Other Distribution box ( ) Dosing tank ( ) /7 Percolation Test Results -Performed by...._Ronald... ifford............................ Date.X�... as Test Pit No. 1....2.........minutes per inch Depth of Test Pit-----144'_-_.. Depth to ground water...T ale.._..___ Lz, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ R'+ ----•------------------------••---------....•••........---••-••-•-••--•.............._........-•--•---••-••••............................................... o Description of Soil...........................0`". - 3612 loam & subsoil ----------------------••-••--•--•••------ -------------------------•••••-----•-•--••---.-•-•- v ....-•---•------•-•••••••-•------•........................3.6.',---- .--144 .......Line... and--------------------------------------------•--------------------------••-------- 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 iITi LE 5 of the State Sanitary Code—The undersigneO further agrees not to place the system in operation until a Certificate of Compliance has been issued by the boar4,Kf health. Sie --•- ....................... . ......1/3 0/7 9•--.... Date Application Approved By----.. - ... ---- ---- .. . . - ----------------- ------- ........ ......... Date Application Disapproved for the following reasons-................--••-•---------------------•---•...--••••-•--•-•-------•••--•---•---------•••---.._......-••--- -----------------------------------------------------------------•---•------•-------------------------....---------------------------------------------------------------•-------------------------._.... Date Permit No......................................................... Issued_..... . 2 3— 7(}—. ---------................. Date No................ ....... FEB.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i Town........... ....OF..........Har nst abl e --- ---------------------------•-•--•---'....•---...._....---- Apphration for, UiipooFal Workii Tomarnrtion Urrmit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: Lot # 30 Three Ponds Drive Centerville -•- ---------------------------••------.........--•---------------------. ..._...-•-••-......-----•--•----------- .... t�fnik..� lLocation-Address or-Lot-No. ..... -- y Trust P.O. Box308 •. .. ........_G te?vie. W Kevin ,Hicke r Carriage Lar'�dressB rnstable ------.....•---••-- --------••-•----•.... Y........-•.................•-----•--•------ •-----•...... '---•--•--•-••-•--........----...t....••......•........--• Installer Address Sq. feet m �R r Type of Building A- Size Lot...15�_010....... U Dwelling No. of Bedrooms.__.___tW�......:.....................Expansion Attic (n� Garbage Grinder (nc) P4 Other—Type of Building _r anch........... No. of persons............2............. Showers ( 2) — Cafeteria (nc) a Other xtures ••--•-'--'•-•--' -•---'-- ...-••-•-. - ,r,,, W Design Flow............................................. allons per person per day. Total daily flow.._....._.330 . •_ gallons. WSeptic Tank—Liquid capacity-100f�allons 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. tank iOther Distribution box ( ) Dosing ( ) z ..:onald Gifford- Y a Percolation Test Results Performed by____________________________ ............................ Date__.. ____.__:__.:.__-1-1-_30•.78 p p .... Depth to ground water...none....____. Test Pit No. 1_._.2.___.___.minutes per Inch Depth of Test Pit____144- (� Test Pit No. 2................minutes per inch'' Depth,of Test Pit.................... Depth to ground water........................ -----------------------------------•------------------= ------------------------------------------------------------------ O Description of Soil..........................0'_.._`...36!!-'_1oam ,� Subsoil -----•--- x 36.. 144 .....ne sand------------------------------------- w: . VNature of Repairs or Alterations—Answer when applicable_____--.:-.w..........................................__......................•........_.. V. Ae. .,Agreement: y 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:undersigneed further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board di health. Si e 1/3 0/7 9 ..._ ✓// �r Date Application Approved By---•-- . `' ` - = -------rf` Date Application Disapproved for the following reasons:................. ---'-------------------= ......................................................................................*...........................................J ..................................................................... }r' % Date Permit No....• ....--- --............................. �� Issued_....--�•-.`...��`7 ............. Date THE COMMONWEALTH OF,'MASSACHUSETTS BOARD OF HEALTH :......Tom `OF..... aarnstable................................ ............. Trr#ifirFa#r of Tompliatnrr THIS IS TO CERTIFY,.That the Individual Sewage Disposal System constructed ( X) or Repaired ( ) Lot # 30 Three Ponds jDriVenstaller Centerville has been installed in accordance with the protsions of T r' S The State Sanitary Code as described in the application for Disposal Works Construction Permit No _�Q. __________________ dated_�....i-.31-..:2�....._.._._........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........-..- ...............•-f......-----------•••---..... Inspector-:' •-• • .. . --- :_ .....-._..___._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ep Town......................OF.........Barnstable ..... � ... ..•.................. No...................•..... FEE........................ �i��oo�af orko �ono�rion rrbti# s Permission is hereby granted........... evi_ri Hickey ..................... ••. ............. to Construct (X) or Rip r ( ll an.Individ 1 S .w a Disposal stem Lot # 0 Triree Pones at No........................................................................................................................................l�ri�e Centerville •-••--•--•--•-------•-------•----------..........•...---...-•----..--------------------•----'--'--•-"-'--- ...................................................... Street as shown on the application for Disposal Works Construction Pit /. Dated.... -»3---- ............... Boar o a th DATE........... '.21!' .7 7.................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS §' y.. LOCATION SEWAGE PERMIT N0. e VILLAGE Ceh Qrvl `( P l f-3 -/99- INSTALLER'S NAME i ADDRESS kp vI Vt , , ke� B U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANC.E ISSUED 3=2j _7f ��� e\ o ,�o fro' 0407- co'', 3013/, 9�O Q " 101, 99.1 ZO 7- 0 o,e 3107 RESULT6 z ® � D A Tc' 28 T'o L,✓/v 7-E e /S A vA / L J9 L E /NS P ,r OAJ � M / n/i /"IU/`� 13U/L. D /NG SET�,geK ,eEpU/,2E,^'IENTS F" RCOti/ 7- zo ' S /DE r'D ' RcA 2 /O DR / VEl,✓AY A./O7 TO BE LOCATED 0P0SED 8ED/c'000MS' 3 ` OVE ,e SE '1/ GE .5Y57-E .,^'7 UNLESS FLok/ -?-?0 GF�L � DAy N- > DES IG /V LOf� D /�/G /S USED S SEPT/C' S' Ys -r-E /"J CONs7-J� uC -r-/ oN , �yLL PROPOSED LEF�CN f�� EA 2ao �' COti/F0 ,2M TO /'-719SS. PE,�COL .97 /O/�1 TF".,'7" C'O D E � D.9TE' D J"ULy /� /q77 y�D Toc�/N of R ES ULT S < NJ'/Al /Aj<2 a,4,q .JS71A,9LE J�/EF� LT'H k'EGULJ9T/ OHS S/LL ELEV TO BE > FT 1,980VE ,eD. 2 Jo / /N. 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Ik Ioq �t�r�" IF E•L = vRONAW . 07 L D C J4 I / O J`/ : C '�J T R WZGE7z 6,RTNUR � S C L E / .. = .3 U' DFATE: /Ii-/75F � GIFFORD �J RE E"F,ec/\/CE: PE//,/G LO7T Jo J�7S SNOL•//�/ k0 0 1 O/�/ ,Q p/- AN R E C OR D E D /N T"NE 23J99N- 5TFg8LE OO c/ /\/7TY ;eEG /ST)ey OF DEEDS r Gh�e�✓D cdc1RT S "� :Td+�oc1 t. C. /�' J ' 109 � // Zt,17)` S E P7-/ C 7-,-9 A-/K 8 E - s� � T/ ON AA./D Q � o r � C c�c,�..� ¢� C v. ^'���/��(/7Tf�l�'���'' /►�� ,,.,�, /M v M ©� / o' �,� o M �>�O r�,E�7-y r z L / N)- S ,Q/\-/ D s E 7::'7-/c 77/-? C1 F-.,e ©/`-1 <0 U N D 7-/4�./. ` O THE Q ? o U/./ D c✓/�/ N- i';;;tN ,9/` D 7- 0 C)/`1F©,�/ - ' 7-/ 7-LDA 7 7z; BU/�- i? / ^JG ;eE U/kff 1-7 ET- A, of 7 P T G�/�✓ of flit �0, '__ J.4TE U V FY rqPt .'dV� Gz n1 T j