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Home My WebLink About0042 WEDGEWOOD DRIVE - Health 42 Wedgewood Drive "\ Centerville A= 189 — 140 *PG%ndafI0Yr 4210113 ORA 10%@ P4 I o `u t I �4 1 I No... � r1 �. ..�!v Fes$..... ! P THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH S ................OF......... ...---.............----- Appliration for Disposal Murks Tonstrudivit thrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 1. 7... .----------•-•••--.......`.......IIEZ... ..........................--•-•--------•...................... - ......................................... •- -. Lo ation- d rl or Lot No. ----....... .i��s �r L``----- 1C�. .�. l.A ....._.... ••---•-•-• -qq �iQxls��l� ner ............•-----•---•-•-----•.Address Installer Address Q Type of Building Size Lot.i_`��_)_0Q8........Sq. fpet Dwelling—No. of Bedrooms......3..................................Expansion Attic ( Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ................................... w Design Flow...........___.�4...........................gallons per person per day.. Total daily flow......... ........................gallons. WSeptic Tank—Liquid capacity. gallons Length�'_?-.<-.r. Width.` ...b... Diameter`.. Depth. 71B._. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter... ........... Depe jI below inlet............. Total leaching area_7?�00....sq. ft. z Other Distribution box (� j Dosing nk AAj 1 '-' Percolation Test Results Performed by_._.: X ..1.`�'( �4 .................. Date____.._. aTest Pit No. 1.... 2-----minutes per inch Depth of Test Pit..... ........... Depth to ground f, Test Pit No. 2__._.._ -...minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' __..----•------------------------------� ..�At.�...�--'-----------------,-...-•------....=._. ..... Description of Soil......Q_-..Z� L�2!�'� =•-- >�5 .--�-- w 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,E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beM issu by e bo d of health. igned n ........ --- -=------•-------------•- ............. e Application Approved By-- A...--. . • --. ----•---..... (✓......---•-•-•---........-•----... ,jQ �/I - - Date Application Disapproved for the following reasons-------------------------------------•------------------.......-------------------------------------------------- -----------------------------•-----•-•--......_..----•-•--------•--------•-----...........-----•----------------------------•••-•---•--•---.._._...-••--------------------------------••--••------------ 4j Permit No..."....1 ....... Issued.......................................................Dau Date 14 O 11��- Fss...._7 J.............. THE COMN ONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH a.ru.ti`...............oF.... �Z.ru 5. 4� �- , pplira#ion for Disposal Works Tonstrnr#ion Permit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal Systemat: .. ...................................... ----•-------------------•--------•----•---- -�••-•-•------•--•-•-------..__......_..... Location-Address or Lot No. .................................................................................................. ............................................. ___--•_-_-•-------- _--------------- ..__.._..__ Owner Address ----- - .......... �c- •_� ........ .................................. ------------•-----••••--•------ � `� er Address U Type of Building 3 Size Lot-• S�.C� .......Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( (� Garbage Grinder 9c) Other—T e of Building No. of persons............................ Showers — Cafeteria aOther fix�ures .----•••---•-••--••----...-••••.....................••.•-•••••••••--••-•......•--•--••---••-••-•••••-••-••--•.....__..............-•••--••--••...•.... W Design Flow_..-_-.-__•5.............................gallons per person per day. Total daily flow._...._35 ........................gallons. WSeptic Tank—Liquid*capacity_ gallons LengthP_>.:'6... Width.A -JU.. Diameter__. --____..__ Depth.S*=-•6... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No................ .... Diameter...5............ Depth below inlet.............. Total leaching area.ZQ0....sq. ft. Z Other Distribution box 84 Dosing tank '-' Percolation Test Results Performed by._.. �? !'A.( ........•......... Date..�.'1.4 4 Test Pit No. 1..... ��------minutes per inch Depth of Test Pit.......,+.............. Depth to ground water_ sQ_;_ t• u��wQ� LL, Test Pit No. 2._____ ...minutes per inch Depth of Test Pit.................... Depth to ground water........................ .........•_------------••-••••••--••..........••--••----•---••---•..............••-•-/- .... ...-----.....-"•••--•-"--•-...--- O Description of Soil---- C>'.��-:.5_..... o ��,. :JU �C?t. --..��-: _.. .. __.5�4 _ __ 1Z .1 .��-- x ` ! ...... ;zs �:iu ..-•---------------------------------------------------------------------------------•_-....----•--..----------------- V W ----••-----•----------•--- -•-------••--------••---••--•-------•-•---•-•--•-••----•..............•-•--•-•--•----••----------------......-------•---•----•---------..•._......._.....----•....._......... UNature 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be- issupfl by e bol/d of health. Signed . ....- ----------------•---'- ................................ c C / Itt eApplication Approved By G '' 9' /d �e A -- o Application Disapproved for the following reasons;.---•---------••-----...----•-•'------------------------------•-----------------.......•--...•••••.._...----•--- ..--••.....................•-••••._........_........•--•••-••--•---••-•••""--•'•-"•----.....------•...._.._----"•...'--•-••••----•-•-•-••••--•-•............-•-•••-••----•••-----•••-•-•--••--------- Date PermitNo.-" O. ----------------•-- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...�V..vY.....I...............OF..�L/ /\/V 2.1� .. ........................... (Irrfifirate of Tompliattrr THIS IS AO CERTIFY, That e Individual Sewage Disposal System constructed ) or Repaired ( ) by---------------------- -1-----F-(.11.�L.. ------............._..--------------------------------'•------••------ ---- A Installer // at------LO1..._.tz'...--•- Q � � �k�C�l CC/Irk.EVIL.. :_-_._-_•---------------------------------- has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code described in the application for Disposal Works Construction Permit No..... _ '__ _...... dated._./b. ..a �.._ __._.__._.._�_ _ 1 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUI LNT THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......................L ?•---•--•-----------_. Inspector................. �.----•----------......__.._..............._-'---- THE COMMONWEALTH OF MASSACHUSETTS Q 7��-7 /�/)` n/ BOARD OF HnEALTH Nt�>. " 1••l1.(i(/.(V..........OF..... A. 1.Y.. .�...I ............ 174 FEE...- ........... Disposal Works o -#rnr##ion Permit Permissiois hereby ------------------------•-----------------------...................-•--•---.........._.. to Construct ) or epair ( an Individual Sewa Disposal.System at No...... _•.... d�� 5� street r) nn as shown on the application for Disposal Works Construction Permit N�d._._ '�U Dated_ � 1� _ .._.. ...............'--------•--------.......--------•---------------............•••--•---____..__••----_•_... Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS p.ES/G/V OA 7.74 S/�/6LE F.4�y/L Y -- 3 BE0.2oorvl -. A10 CAdQa44sE G•e%u0E.2 OA/LY FLoW = //D X 7-/ I ®7 7 d/S�S,4L /T•-USE /e00 6'A4 . .S/OEW.CLL Ae,,=1 /SO 5..� c� w. . . BaTToiyA.P�d = Sa '/O3 • Z T'oT4,C of / _ < <` �' I ,/oZ • �Z k OF P_ic .� /GZ7 S•Z SULLIVA�J 29733 t + ~ V� c/STEAD ass70 A L E��G�`�`j }• + I , tvi to. %9•sv to ��1 Sol, S T�►7c.� —i3.O,�y[ �Cd� 4 /Y ✓ lev aoo '( �' oisr• /.c/K LEficL/P/T enl ,, G'E.2T/F/EO PGOT PL,4�/ �� ,SGaLE• v i Q.a TE 9/. s tar- - 62 a , / LE.2r/may Tf/,QT TyE��.�-4r�/Si/aw.V //E.�EO.c/ GOMPL•Y.S Gs�/lX/Ti'/E'S/OE�,/.�t/E B.4XT�.2 F�(/J�E/.tiG. 4iv0.fz0_cr0A4e ,2E41J/�EkIENrS O� T,,�� ,C�E6isrz�,ecp/,wo sveriEy � l0 1 t 'gLLz c, vJaA-,,a,v/iY.ST,e- ' -!/�fE�YT•.Sv,C�I/EYQit/O T!/,E O�FS��._ �._. zZ0►a E. �C••:5��E8 S 2��0�10• .Sh�K/i!/,yE.�EaN.S,�ovGD A07-IC,E (JSEp ToE.sT�1lL/Sy LoT- vN�.,� TOWN OF BARNSTABLE LOCATION `C '`� ` �1I Y' EWAGE # 7— VILLAGEC e mte r , y ASSESSOR'S MAP 6zs=L.OT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 00'0 LEACHING FACILITY:(type) 10007 (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATE d!1 BUILDER OR OWNER C (oC v 0. DATE PERMIT ISSUED: 0 DATE COMPLIANCE ISSUED: 42— 3 7 VARIANCE GRANTED: Yes No y