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Home My WebLink About0010 VISTA CIRCLE - Health 10 Vista Circle Centerville A= 193 -258 - - - I TOWN OF BARNSTABLE LOCATION J-07- ao JIST�* Cin-c-L.2 SEWAGE # VILLAGE C-6" rti-Vi LLB ASSESSOR'S MAP & LOT f 13- ;.S INSTALLER'S NAME & PHONE NO. f-tLi Con,'1 i SEPTIC TANK CAPACITY S-a LEACHING FACILITY:(type) Pi71 (size) 60n NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER PU81-dc— BUILDS OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 1 VARIANCE GRANTED: Yes No i� i V(5 T4 CiPccC a� 5$ aG 0 1� � a 0 31 9 No.- . .... Fss...._.. .� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE App ira#iun for Kiopuual Works Tonstrur#inn Famit Application is hereby made for a Permit to Construct (VI-or Repair ( ) an Individual Sewage Disposal ystem at: 1 .V/STA C//zc1.,- �ENT�✓iG L G ............... Z0 T'� Z o Location-Address or Lot No. ....... ... �S'T.9��LE� --------------------------------------- --------- ��V 72J/iGGGf..---......------....--•--•-•--............--- owner Address a ........ .... W Installer Address UType of Building Size Lot__z �_� ...Sq. feet Dwelling—No. of Bedrooms............ ..............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g ---------------------------• P ( )--- Cafeteria•( ) Otherfixtures ------------------------------------------------------.-------------------------------------------•-•- W Design Flow..-_........-5-.r........................gallons per person per day. Total daily flow..........�_`�-..................._gallons. WSeptic Tank—Liquid capacityAgi�o.gallons Length Width. Diameter................ Depth-- Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......... Diameter......?N� Depth below inlet... � �..__ Total leaching area.. 9®....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) �1c8 '-4 Percolation Test Results Performed by__�AX7-' _ AJV-'�._'_f? SvLL"yam Date '9.-- -` aTest.Pit No. 1._L..Z__-minutes per inch Depth of Test Pit---/3 ..... Depth to ground water_.�'__--__,_-. Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------___-_-___.__-____. a ................... -• ..............................................._...--•••---•-------•--•--•---------------•---••-•-...... O Description of Soil o '!-/Z 1"�`9 -._�`Sv---- -Sai......----�Z_.._---.�8 .. ME?� x V ---------------------------•-------------------•--•••--------------•----------------....._....------•....------------------------------....----------•-------••----------.....---•--•-••---------------- W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------.................. U Nature of Repairs or Alterations—Answer when applicable................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in act ith the provisions of TITLE 5 of the State Environmental o e—The undersigned further agree not to pla the system in operation until a Certificate of Compliant a een issued b e board of health. Signed - ^ `Z `/- ---------------------- ------------------- - ---- --- --------- ---- ------------------- Dzre Application Approved BY . ... ....- ----- ---- -a-- . --- Dzte Application Disapproved for the following reasons- ------- - ------------------------------ ------ --- --- ------- -----......... --------- ---------.-...- -----.-. --I.,------------------ ........... ------------------------------------------.---- --- ------------ Permit No- ....... --- ----- Issued ------ . ' /Fi&B t Ym ... . THE COMMONWEALTH OF MASSACHUSETTS `' BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Disposal Works Tonstrnrtiun lirrutit Application is hereby made for a Permit to Construct (4o<or Repair ( ) an Individual Sewage Disposal System at: • -VIS7i9 /Iz�GE �TE ✓�GL�' ...Z07- d Zo __.- ... ....... --.r-- ----•.................... - . - - - ........................... Addr ss /s or Lot No. ..... ...�_ ..._.. -- - .y ------------------•----------.....-- ........C... :7VT 72Y/LL B...... ................ Owner Address "`j" ............. ......... � Installer Address Type of Building Size Lot.. f�,_0 3 Sq. feet Dwelling—No. of Bedrooms.............4......__...._._.........._Expansion Attic (' ) Garbage Grinder ( ) Pk Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ......................... W Design Flow............. 4.....................gallons per person per day. Total daily flow........... ........................gallons. WSeptic Tank—Liquid capacity/4P!Q.gallons Length_a?_ 4.".- Width.4.'��. Diameter................ Depth..A-5-' _ x Disposal Trench--No..................... Width.................... Total Length-----_------------ Total leaching area....................sq. ft. Seepage Pit No.........Z___._... Diameter......lL...... Depth below inlet.... Total leaching area._!"..;?_...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by..�� _ tiy�_ P:SuLLiyA,,l Date.��_ 'R lf,8 W ---.. Test Pit No. I...G..Z...minutes per inch Depth of Test Pit.... -3 _N._ Depth to ground water..._.........__.. 91;4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground,water......._._..........___. a ---•-•--••------------- ----......_..--•---------.............--._....------•--........................................................ Description of Soil ........................................... ..... -- -- ---...........----- W M -------------------------------------------------------------------•-•------------------•••••-------------------------------------------•--•------------•----••----••-----•-----•----------------------- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -------------------------------------------------•-•-----...---........------------......----........------....-•--•-------------•-•-----------•---.........--------...------------.................---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acco dance ith the provisions of TITLE 5 of the State Environmental Cone—The undersigned further agrees n�'ot to place the system in operation until a Certificate of Compliance a een issued b e board of health. ^l !2 - - Signed ---------------------- -------------- ------ ------------....- ------ ... ._i. Date Application Approved By `-------- ------------------ I Date / ` r -�. Application Disapproved for the following reasons: ........r�..... ...............\------.------...-------------------- ------------------------------------------------- .... ------------------------ ------- ----------.----------------------------- ---------------Permit No. - ---... . DaYP - ....: / .......... ... Issued ....... . .h --��.'�......... ...... r THE COMMONWEALTH OF MASSACHUSETTS` BOARD OF HEALTH TOWN OF BARNSTABLE ` (f.erti i ate of (gomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( &0.0'�or Repaired ( ) ,. by ..................... .... ................- ]I "� / y i"i st- t at 1. a! '..••-.-:----....P ;1...!`:-----... .�..� �, ...... has been installed in accordance with the provisions of TITLE/�o The $.�tEnvironmental Code as described in the application for Disposal Works Construction PermitNo. .vld...... i. dated SHALL NOTBEONST AS A GUARANTEE THAT THE THE ISSUANCE OF THIS CERTIFICATE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------_--------------��, � � ..--------- .---------..._---- Inspector ....................... ---; -.--------------------------- ------------.----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �,► i�oq. � FEE-.- TOWN OF BARNSTABLE O No....... ...._.�.,.. ........... Disposal urkb�Tunutr ion Vrrmi# .��.. Permission is herebygranted........... J. .......------•.......................................................................................... g i to Construc ( r�R�p ) an In i enrage p- y -._ ........ is stern �_ �� ......V at No.- ,-.. -..._.. Y Street �/ � as shown on the application for Disposal Works Construction Permit No.r... ............. Dated........ .� d.�...f_._f�,-1�"'- ................................_..... .. ...-•---.....----------........._ ,............... DATE. !. 1 J... ..................................... Board of Health FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS /Z�• y7 � ) ,+a /'$ i Lor Zo / tiP4� —Q 2/'\ b -pON, 1 fyo / O I Z j p�p� Z ti > PZ7 vi 7D *F EG'STEtii'.@"`� Ire AR Bs3SEn a A i i 7 Io . 118 r `' / i170 LOCATION Zli�:� SCALE . �.�.`. ` ?.. .... LATE `. .,. PLAN REFERENCE M �,'� �i �; s.�w•�� oaf F�'. f3�. .38�. . . Z 8 ' 1 CERTIFY THAT THE 2�•iz,'_-�;_' SHOWN ON THIS PLAN IS LOCATED ON THE GROUND ."I AS SHOWN HEREON, I/isTi3 � ' C/2GLC �\ DATE .S'TgielCt� — A*W770 REGISTERED LAND SURVEYOR y / /z7 DO e TOP OF FOUNDATION -„ CONCRETE COVER CONCRETE COVERS 4"CAST IRON 12"MAX. r ' OR SCHEDULE 40 12"MAX. P-VC. PIPE 4"SCHEDULE 40 PVC.(ONLY) ' PITCH 1/4"PER. PIPE- MIN. LEACH PITCH 1/4"PER.FT PIT PRECAST INVERT ° a LEACHING ° EL..!�/•/.Z. INVERT INVERT o . Q•:' PIT OR SEPTIC TANK DIST. w EL./Zq.6Z. EL/!�l B7. : >_ EQUIV. a INVERT �50o BOX o; EL.�z°:8.7.. GAL. INVERT INVERT 3sc~ia 0: :.�: 3/4��T0Il/2 EL/Zb:o<f J-, w 0• � EL!/•q.Sn ;• �: WASHED ' � �"'� STONE o ZS/ '� ./f PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE 5 G 76 _ SOIL LOG WITNESSED BY : DATE Jam• . /.!/� TIME. .9"'�� a�/d,'S �� ??� . . BOARD OF HEALTH TEST HOLE i TEST HOLE 2 SuL4/V*9v ENGINEER ELEV. ELEV. .. .. . . . . . . /! Loaa• DESIGN DATA : �Z. /rZ•�o NUMBER OF BEDROOMS . . . . . . TOTAL ESTIMATED FLOW . . ��. . • GALLONS/DAY BOTTOM LEACHING AREA �� . SQ.FT. /PITICA,D. SIDE LEACHING AREA . . .�3�' . . SQ.FT./ PIT 3Z9.9 GARBAGE DISPOSAL .!`An 4. .(50% AREA INCREASE) TOTAL LEACHING AREA SQ.FT PERCOLATION RATE � S. ''g^! . �. MIN/INCH LEACHING AREA PER PERCOLATION RATE .8 SQ.FT/C,P.D• �!!9. .WATER ENCOUNTERED NUMBER OF LEACHING PITS .7?1X/P. "'73 . lV'771 APPROVED . . . . . . BOARD OF HEALTH` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE. . . . . . . . . AGENT OR INSPECTOR OF o LojZoEDV�r,�� 11 SR v !LLEY /STi9 /2�G� No. )5100 �O� F0/STEP�� SANITAR�PN YA s PETITIONER : K l!`•n,� ,ate• . ue/ . . . i APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS LOCATION LAKEVIEW A-:7- 3 �� t ;;�_b NO. VILLAGE CENTERVILLE DATE APPLICANT R. ARTHUR WILLIAMS, INC. FEE ,35.ap ADDRESS # 2 OAK STREET, CENTERVILLE TELEPHONE NO. 428-5717 (Non-refundable) ENGINEER BAXTER & NYE _TELEPHONE NO._428-9131 DATE SCHEDULED JANUARY 8. 1986 0930 (Applicant' s signature) • • • • • • o • • • • e e • o • e o e e e s e o o • • • e e e • o o o • • • • • • o • • • o • • • e • • • • 0 0 0 0 • • • • • • • o • o • • • 0 0 • 0 • • • • • . SOIL LOG SUB-DIVISION NAME LAKEVIEW DATE JANUARY 8. 1986 TIME EXPANSION AREA: YES R NO �T �u� triQA►..9i�� M`Ct—, _ENGINEER ? TOWN WATER_X_PRIVATE WELL � e BOARD OF HEALTH ALFRF.D FULLER EXCAVATOR SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes ) NOTES : Q , 5G-77 PERCOLATION RATE: Z--Z-vi-k t`y TEST HOLE NO: ELEVATION: TEST HOLE N0: ELEVATION: 1 Lc>,►/l 5vciso�t. 1 2 2 3 3 5 M � 5 6 L 6 7 J7k 7 8 8 9 9 10 10 11 11 12 t 12 13 K;a � 13 L1S14 15 Lo-r l� C�4�l(� 15 16 �O e_ 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD �<, LEACHING PITS Y LEACHING TRENCHES_� UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: i NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT