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Home My WebLink About0173 ZENO CROCKER ROAD - Health (2) 173 Zeno Crocker Road Centerville A= 170 - 217 UPC 12534 ' No.2 3_R mar .� �.. ,i THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............................... .........._0F....... !41�-r,.�.s- _5.c .... Applirntiou for Diupugal Works Tomitrurfiun runfit Application is hereby made for a Permit to Construct (r✓) or Repair ( ) an Individual Sewage Disposal System at: �' ... `�---....: ..G � .. ..... -�r� =�o . . ..............:................... - Location-Addressor Lot No. Own _ r ss_ Installer Ad ress bb Type of Building ,� Size Lot..-1 t ....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building p-, yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other�efix�res -------------------------------------------------------------- ------- '------------- W Design Flow........... -----------------------gallons per person per day. Total daily flow----------?��.....................gallons. WSeptic Tank—Liquid capacity..l0 gallons Length--& . Width................ Diameter--.----......... Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. � 3 Seepage Pit No-----------I----.---- Diameter.--....�:�------- Depth below inlet....... _�y... Total leaching area.. ....sq. ft. Z Other Distribution box ( Dosing tank ( ) aPercolation Test Results Performed ........ Date-- C7 1f�_` . Test Pit No. l._G -----minutes per inch Depth of Test Pit.----- Z ...... Depth to ground water------®.__.....--. (Tq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..........,............. a .............................................-••"'--'•-••-••--•'-"••-••-•--•......----'-------••---•.......'-------•----••••-•-'-'-•.....---•--...-•-.----- Description of Soil - -'_ ..... .A. a_�.?Fi S l W UNature of Re airs or Alterations—Answer when applicable. eement, ' ersi ed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with e �'sions of TITU 5 of the State Sanitary de— The ersigned further agrees not to place t e sys m in operation until a Certificate of Compliance has b i s ed b of health. Signed... . . ......................• D e Application Approved By.............. . ... .. . .--•--- Da Application Disapproved for the f ll wing reasons:---'-•---------------------••--•----•-•-------------------'•......-"-'--•-•-•-•- --"•"'-••••"•---••-•••--•- -•--•--------••-----••------•-----...----•-•-•--------------•--•------•--••"---•----....------------------------•'-•--•"'-••'•-•-•------"•--'••'•--------"--•-.....-•------'---••-•-'--•••......... Date Permit No........ ............................. Issued............... .I/,) 1 ti FEic THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..................... ........---.....OF........ Applira#iou for Bispuual Works Tomitrurtion "unfit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual_ Sewage Disposal System at: ..... ........................................ . ......... Location-Address or Lot No. ......-•--- Owne -- �)J_�ele u_ 0�1------- ----------- .1/ *--- Installer .................................... Address Type of Building Size Lot----! 7i_ lJ....Sq. feet I—I Dwelling—No. of Bedrooms........�/�................................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixes .................................. W Design Flow........... ..................••___gallons per person per day. Total daily flow.............77,:�c.....................gallons. WSePtic Tank—Liquid caPac>tY- __��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 leachin area.: - P � g ...... ....sq. .t. Z Other Distribution box ( ✓) Dosing tank ( ) � Percolation Test Results Performed by..l +..4:( .. .. `�5_ G_-••l: ?�_.:••••-_-- Date___ ":_��%.:.` Test Pit No. 1..G..2____minutes per inch Depth of Test Pit.......t_Z_.`....:_. Depth to ground water----- .............. rs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W •••-•••••-----------------------•.....---•-...•-•.....•--_•-•-•••••--•-•_-•-•......•-_-_-__•--......---•_--••_........-_--...•_-_-••-•-•-----......._..- Description of Soil ..-'. ..-•-- � z�.Pa.`l•`J�------- .................................................. W UNature of Repairs or Alterations—Answer when applicable............................................................................................... --------------------------------•-----•---------_----------•------•-----------------....----------------•----•_-----------------------------•-••---•-- ........................................... Agreement Th to signed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provi i of TITLE 5 of the State Sanitary yde—,The 'ersigned further agrees not to place the sys em in o r 'o un •1 d Certificate of Compliance has be ,i ued b�. �b rX of health. -'` Signed........ f .......................................... J Date APPhcation Approved BY .. 4- ., - i. . %—tuj Application Disapproved for the f of r so ------ ••••-••-•/------------------------------------------------ -------------- ---- -- ...........-°-•-----°------•----......•••-••----...-•---•--_--. --•_-••-_•-_•----_-----_ ....... ) •--. {'H ate Permit No.- .~ �J_.� Dat........ Issued r ......------•---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT � �f 4 Trrtifiratr of Tompliaurr , THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed '---I o.Repaired ( ) by........ .......{'`✓/�, �.!.1._.. `":_.f.: I. ..:.: -----...... -_-• .................. Ins - '�Y taller F ! has been installed in accordance with the provisions of TiTT S of The State Sanitary Code s °�r,� in the application for Disposal Works Construction Permit No-------- _ems- ':_3 q ........ dated__________ ___ `�: _._._....•... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C STRUE® S A GUA ANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....................�..�.24 j-----..... --------- Inspector..... •••_-_••--- ••-••--_-............................................ THE COMMONWEALTH OF MASSACHU TTS i ' BOARDF HEALT x ..........................................OF... :.f...... :---..:�----.-�..-.. _✓=.SR..............•............._.. tie NO....� F:...�. EE....... ......"'_' • �iu�u��1 ur�u �o�a��rila�t� anti#, . Permission is hereby granted ! ` /.f• �-" � �� ................................... to Construct (jf�)-,-or Repair ( ) an 6Individual ewage Disp sal Systetrr atfi----^•-•-- - ---. .,-........---�_......-x-r�_.._ ........;_ _ Street - ............ S .l... �. as-shown on the application for Disposal Works Construction Permit No..�_S.-344 Dated.....� _1.,. .'��............. "r. oa d of Health DA1L..................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS SITE PLAN SHEEr I of 2 SCALE: 5� 'rtLG/ �T t,aruG:\` 1\ r�va Una vGG• S0 x �7 O '". 2 144, - t , 3 5v I r �2, _tom OF MAs�gcy WILLIAM WARWICK No'. 19771 0 4 ISTER��a� ` FOR RE6/STEREO LAND SURVEYOR L,p'r ZONE "�- G= �; y, -L, ".. M,j, 9 h PLAN REF. DATE BENCH MARK DATUM " WM. M. WARWICK ® ASSOC.,, INC. DOMESTIC WATER SOURCE `S aj W�'` SOX. 80I - NORTH FAL MOUrN FLOOD ZONE. T-30�J �`` �''�'` �' �' � I MASS. 01556 - 017) 565 1638 LEACHING DASIN SECTION NOT TO SCALE Shcc>1 2 a71 z 24"C.I.MH COVER EARTH f/LL BRICK AND MORTAR COURSES AS RE40• TO BRING "• ._.r•_ , ._ COVER TO GRADE INLET i8 fLOW L/NE e-�I"TO�r WASHED PEASTONE FREE OFIRONS, PIPE FINES AND DUST/N PLACE ' a OPENING W/TH 4%B" — �4 TO l%p WASHED CRUSHED STONE FREE OF 7 OUTER DIAMETER IRONS, FINES AND DY/ST /N PLACE AND /S/4. INS/DE DIAMETER • ' ' 1. CONCRETE TO BE 4000 PSI 28 DAYS Goo 6FA �- •' T71-r 2. REINFORCED WITH. 6"x 6" NO. 6 GA. W.W.M. 3. 2'AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS 4p" �I--�-6°�� 4. NUMBER OF PITS REQUIRED O0jC1- M/N. tZ�CEED 9 TIMES NOTE: EXCAVATE TO ELEVATION o� OR - EFFECT r DIAMETER (NOT TO EX EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN TYP/CAL PROFILE GRAVEL TO DESIGNED GRADE. 53 y /B"STD. LT. WGT. C.1.MH COVER . sZ.y -•• yl •y y1• s1,2 4"B/T.FIBER PIPE OUTLET LEVEL DWELL/NG FLOW LINE T/GNT JOINT TO FIRST JOINT 2(O 14" �$.� O O 1 I 0 0 1 V 0 1 1 1 II 00� 00 1 1 1 1 'i .4�j,.a16 .`STD. PRECAST CONC. �.(0 0T. BOX TO Be1 0 0 O 0 1 1 /S 1 1 , Otl GAL.SEPTIC rANK $i 2 ,1 11100 0 0 0 1 1 1 • INS AEON LEVEL, 1 STABLE BASE 1 1 000 00 1,1 11 if 10 0 00 1 1 1 `S P I C TANK TO BE 1 if 000 00 1 1 I INST L 0 ON LEVFC, 1 I 110010 0 1 11 STABLE BASE. 1 1 1 p 0 0 O 0 1 I I'I r 1 1 1 p0C, G 0 1 1 1 1 l.�4CHllyf BASIN , I 1 e 0 0 0 e 1 I , BASE TO BE LEVEL SOIL AND PERC. DATA PERC. RATE — MIN. /IN. TEST PIT NO. F�6$a— .TEST PIT NO. 2 � Q�I 0 TEST BY: �tGW - PS�' w 1 5v t1._ WITNESSED. BY.: Mjj�p1UM 5Lrn1D TEST PIT GR. EL'• h� v <12•" 6,cFAviiit� DATE Nv�1�NR WA,TV;�{z DESIGN DATA GENERAL NOTES BEDROOMS NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. DISPOSAL Nv SEPTIC TANK, GIST. BOX AN LEACHING BASINS TO BE STANDARD EST. TOTAL DAILY EFrL� GPD. PRECAST REINFORCED CONCRETE UNITS. SEPTIC .TANK Iv°o GAL ALL ,SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED.TITLE 5 OF THE STATE ENVIRONMENTAL CODE SIDEWALL AREA .- GAL,/SQ.FT. MINIMUM REQUIRE MENT$ FOR THE SUBSURFACE DISPOSAL OF BOTTOM AREA I_ GAL./SQ,FT, SANITARY, SEWAGE EFFECTIVE ON JULY 11 1977. LEACHING REQUIRE_A�°O .SQ.FT. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ACTUAL LEACHING AREA OF HEALTH. 7-42 Q;FT. r; AT -COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLINGI.THE 3�l1A.1 BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL. SEWER LINES 1/41 ./ FT. UNLESS INDICATED OTHERWISE. U SE WA GE DISPOSAL SYSTEM MARTIN.E. o L �I v MORAN23417 UA /sT AA el SCALE AS INOICATED DATE! WM, X WARWICK.® ASSOC., INC. BOX 801 - NORTH M4 AO(/TH MASS. OZ556 (¢/1J.565-Z658 PROFESSIONAL ENGINEER LOCATION SEWAGE PERMIT NO. s 263)0 34y VILLAGE ( CS Day R11kL:L- ALL LLER'S NAME i ADDRESS n S 0 U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �_ � � _ Rs pwl- { No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYicatiou for 3Bigogat �§pgtem Con!gtrurtiou Permit Application for a Permit to Construct O Repair(, Upgrade O Abandon O ❑Complete System Individual Components Location Address or Lot No. /—7 3 C-t9c1c., 12 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 1 L, Cnv(ai u W A 2 b Installer's Name,Address,and Tel.No. 0 36 Designer's Name,Address and Tel.No. o Biala F d Type of Building: Dwelling No.of Bedrooms Z Lot Size 151.6w sq.ft. Garbage Grinder (A/C) Other Type of Building No.of Persons / Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) A10 I/I V1 A r, 3 I!—Js 091 Lb 0 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health / Signed [v .,, ✓ Date 3 Za B , Application Approved by er Date�06-6, Application Disapproved by: Date for the following reasons Permit No. `�CS(}�ca /(� Date Issued No.. G-�JCJ CJ °`' Fee .• �9- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓✓ .PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 9pplication for laioonl *paemc Con! truttion Permit Application for a Permit to Construct( ) Repair jo Upgrade( ) Abandon( ) ❑ Complete System Individual Components Location Address or Lot No. /-7 3 Ze..,0 C✓t✓r 1c., Owner's Name,Address,and Tel.No. ~ Assessor's Map/parcel /CV~ r/ t CO (If j LAJ0-2 Installer's Name,Address,and Tel.No. f< - 36 Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Z Lot Size /-Sr OW sq.ft. Garbage Grinder Vc) , Other Type of Building 'No.of Persons / Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. --Description of Soil Nature of Repairs or Alterations(Answer when applicable) AIO(/t �'+ r 6 O Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal J / Signed c� � " ✓ Date �J( Ko -� Application Approved by Date 2/0 1 b. Application Disapproved by: Date J� for the following reasons / rw-� Permit No. 60 CQ /0 Date Issued I ——————————————————=———————— ————— ——————— o� SQ p�c 4,,k, THE COMMONWEALTH OF MASSACHUSETTS 11- BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS,TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by n, ke^7 PGd at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. oZ 00 6 -/° 5— dated -?.2a4� Installer Tu", �/�� 1 C.��j, Designer fVb� #bedrooms Approved de�.i n flow- N4/ gpd The issuance of this permit shall not be construed as a guarantee that the system wt1l�cltio asjdeiigned. Date lU Inspector ✓UW ' -------------------------- ------------------ No.2�n(9 l o s Fee l �U THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS =igpoga1,*pgtem Con6tructiou permit Permission is hereby granted to Construct ( ) Repair (✓) Upgrade ( ) _Abandon '(L System located at 113 201-) J CQaZ(?r and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date �J/Ji0 O Approved b`y =-- - /'