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HomeMy WebLinkAbout0051 CAP'N CROSBY ROAD - Health Fr--&[ coPfi Crv�by� CGn`t mil l e, r gy - oqo KSMEAD KEEPING YOU ORGANIZED No. 12534 2-153LOR 0 LEFORESM MIN RECYCLED jQ INMATNE CONTENTIAW CerufieeFibersourcmy POST-CONSUMER www.dprogm g S"1290 MADE IN USA GET ORGANIZED AT SMEAD.Mu LOC TION / SEW C;E PERMIT QO. /—,VILLAGE- — — -- — •r-f- $ - C-) INSTALLER S W&Ml F- ADDRESS BUILDER 5 Q A MF- ADDRESS DATE PERMIT ISSUED D NTE COMPLI bJACE ISSUED . Y rip i . 707 No.........._��1���` Fss............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® O HEALTH ............ .. .. .......OF.......... ....... ...'.................. Appliratilan for Riipvii al Works Tonotrnrtiun amiZDisposal Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Se em sy Socation-Addres__�s or Lot No. .. ................................................ ........... Owner Address � Installer Address of- ........... Type of Building Size Lot.ZSvoD........Sq. feet aDwelling—No. of Bedrooms......... ..............................Expansio Attic -)— Garbage Grinder (/) p, Other—Type of Building ____________________________ No. of persons___._ __---._-__---_--__ Showers ( ) — Cafeteria ( ) a' Other fixtures ---------------•-------------------..........--------•••••--•-•------------•--------------•---••••••••••--•••-•---•-----•••-•............--•--••-•-• w Design Flow........ ...........J__®D.___gallons per person per day. Total daily flow.........+��o. ......................gallons. W Septic Tank—Liquid capacity .......gallons Length./a/.._.. Width......... .--- Diameter................ Depth.... ......... x Disposal Trench—Nam'................ Width.....__.......---- Total Length.................... Total leaching area..............__..--sq.�t. Seepage Pit No../............... DiameterAo __Depth below ' et. - _.. Total leaching areal B�Jos . ft' Z Other Distribution box (� ) Dosing tank ( ) �,J_P �--Td '17 ` '-' Percolation Test Results Performed b ........................... Date........................................ 1.4 ,.� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch De th of Test Pit.................... Depth to ground water........................ a' ---••---- t ------...... Description of Soil-- v -�..------. ........ -- x 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 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 issued by the bard//of health. igned��GU.... �� ' ate 00, Application Approved By----......! ' Date Application Disapproved for.the following reasons:--------••--•----------•-- --•---•---•----•--•-•--••-••-••••-----•---•-•-•••---•.....-•••---••••-••.....................•-..........I-------•------......----•-•------••----•••••-•-••-------------••-•••......-••••-••-•--......_.. Date Permit No......................................................... Issued-..... -7 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEA �Hi. ......... ... ........ .......... OF........49................ ... ..... .......... .............................. Tntifiratr of Toutpliatta TLqS Isff , That the Individual Sewage Disposal System constructed or Repaired b, -- ------- ...'0 ........6;��----—*----------------------------------------------**----------- .. ... ................. ............................... at staller #I .......................*--------------- --- --------- --------.......... -------- .. ..........I........................................................ 4 has been installed in Accordance with the rovisions of of The State Sanitary Q*le as de i ed in the SCr application for'Drispos I Works Construction Permit N&-'!------------------------------- dated----- --------- --- ................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE�I CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................................................I .................... Tnspecto ....... . ........................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF? HEALTH"-- ........OF........... .............. No......................... FEE....................... Bifipaaa�,Vvrkii ToniAr Wn*r-M Permission ji-tre'reby ted- 42� ......t.......T4 �-................... ... ................................................ , gran .................. to Con em/-) S 50'uct/( �)2 r air �� Zj �LQIndii'd I S bispo/-D S ------ I p ua ge 0 et .............. atN ..........L�. .......... . ..................................................... ........................................................... Street as shown on the application forDisposal Works Construction Per miVNo...............Y-.. Dat6d-.... .......... ............... 'B d of Health 'o"C' ............... DATE.... ...... .............................................. A FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA r C-7'7 37,2, No................_....... Fm$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE TH ....................... OF......... . Appliration for Uiipooal WorkB Tonotrnrtion Prrutit ��s Application is hereby made for a Permit to Construct ( ) or Repair ( ) -an Individual Sewage Disposal em at* .....................--•---••-:.....••...................•-----••--._.......-----..............--- ----------•-.....-•-----•---------.......----------------•---------...---------------...........-- / ocation-Address or Lot No. L �r _ � C fa_ ..... !.. Owner A dress? ...... ... ................•--•......---•-----•------.•.....----............----------•------.....-----.._ ...............................................................................--..........---- Installer Address dType of Building Size Lot.''..`'_: (^.........Sq. feet Dwelling—No. of Bedrooms......... ...............................Expansion Attic (` ) Garbage Grinder ( ) Other—Type of Building ---_-•_____________________ No. of persons.....4 ................... Showers ( ) — Cafeteria ( ) Q' Other fixtures -_--•-----------•---__-----. . Design Flow........-'.�............ .. . gallons per person per day. Total daily flow..._...4-�.......'�_......................gallons. WSeptic Tank—Liquid capacity.....__.gallons Length��./...... Width-f-.-_______-- Diameter................ Depth... Disposal .Trench—Nb�................. Width............�,t..... Total Length.................... Total leaching area....................sq. ft. �f!C?'7 `�(r I'Qf Ct_.U° . Seepage Pit No./................ Diamete .___.___.__ .._..._. Depth below inle _._..___.__ _._ Tot 1 leaching area�._..._._._ sq. ft. Z Other Distribution box (/ ) Dosing tank ( ) �i�� !/ C- 77 ' Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil--.-......�-✓--•••�••�•....---•- ....-��-...._ �y G� 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 accordance with the provisions of iITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ssued by the board of health. tgned'... . .............................................................. . � - r -p--------Date.......----•- Application Approved By-- ----- l _:.y .....j.............. . ... ! �, ZZ........ Date Application Disapproved for the following reasons:.............................................................................................................. ------•-----------------------------------------------------------------------------------••-- r� Date Permit No......................................................... Issued-.------. ------/ 7 - —Date ... tN OF Al �t1 OF Miss i THOM 4 Y /3 �„- ' sURv` yd sJ0 I' l•d4 2 : 'l N3"�* -'.+'"... "fi `'jYk't'"•ze. n"a "�, "t. k � ;� ,r �' K.�' `gip Est 3�•� -� §', � yt� iw .ay i. A,- ` "�' '�� e�`'s•{J. 1. ,,, --. w✓+' '.+'.`,sT 3 '"'firM+.t:4"z.¢"A t" •"q w.;t x 'ayr J.�`"4"t` y�7•, l A,; 141 � y. R .-.r Y. �,.,? r x.. F8 {.,6 �q�ti�`, ""_ - F- `.t'•� .sa ^ OO t rr r`y W. v/ 4 k`* d L O 1 f� yt ayy s RRc ��+ Ilk - s,.,n. r "s r. C�I K.�'�»gaa._ _� d •',y♦ "'t'e: � -y.s•' , . . .. ;� •_+".v'+ ',�'4:. Q.r���r� .�'- a*t� :O to a:�:' f"•. 3CD .d •� 4, a .it '.F 1Y a�Ns:� ��' // ;Do /�.^ .•^�_ n1 � ` � � -. .. 4" '.��'c- ,�'`*•. #fix,. /Ffi+'.� •" a 'y s P - � + ,{ .. H�{ TOMAS E. KEL'LEY CQ-.19 -S I+� _S1.ALl _ `'Jsf ` .•a•'Gy. A` fi. + `LAND SURVEYORS I'1 `9 SE4dAGF yREQUIREMENTSr� ,� s, 346 LONG POND DRIVE .D L + _ SOUTH YARMOUT , MASS.H All work, shall meet` the` minimum a•_° 02664 s requirements ,of the State _Sanitary , °T Code (Tithe .-5) and the Town of -Barnstab e. 1 a{ . Top of foundatl©a g Board of Health Requirements: ' '` 41+ above r 1 - 1500 gallon ,precast serptic 'tank. ` CERTIFIED PLOT PLAN 1 - Precast distribution box.= ' ~ Centerville Mass. 1 - 1000 gallon precast leach pit v, LOCATigjll %'. . — . _ ., with' two feet OV-3/47' - 1 1J2" scA�E.. 1p _ DATE f'"30-?? _ n washed stone plated around' the ` outside .of the :pit ; PLAN .REFERENCE A� L4 Bk' .ti�,. _ Pg ' #93_— Prepared ;for Charles ` Installation` shall be approved by the. �_ - 4• •=• ' Vpard of Health before backfilling; :• 'i-A !�'Stianle , lea$• 27, 197'ja Bohar>�no _ 9j��` j.. •7 @„'.e r • - o bgildiags area located within, ten _ ��, "�x�` � , , - r -'f eet of the property lines. , , I CERTIFY THAT THELLXP=a �.Q*. SHOWN a Lite ,•'' ON THIS PLAN IS LOCATED'ON THE GROUND iY ; • ' •Charles F. -Stanley AS-SHOWN HEREON AND THAT,IT CONFORMS TO . s Rolling Hitch Road ~ THE ZONING LAWS OF THE TOWN OF.,Lik t y denterville, .-Mass. , 02632 Batab�.e wH N RucTED. 1. �- A DATE--. ] 6-30�7�. . `• � �:Fy: PETITIONER : c EG. NO S VEYOR '' ---__-. _ yea.. a';•• 3� .... t A '��,' �`• N; It rov 'FOuNO CONCRBT� Co✓fRs CONC• Mt ,V 01 04 Er OR. boviv, �1 ` i •,'•' /0 MAY, ;t•�'.:; - 1o"m^it. I (4"CA 5 T IRON / Y P/Pt.�y��yW a •( �� ORANCfOc/Rc.' � • Pi•rCN�VI •�• 5 PIPS MIN r roy �9 I". 1 IN✓BR t / v✓va/ �- ?iT 0,9 aq(/i✓. fL , s N✓IERT ,2 /L1D.000 �r ?9 SEPTIC TANK ;ec; • 99-62/ 19 oX _ I W �- /o T WASHED S TpNF w ICE/¢°/H'�/y.'" N / /Nv£oRT /' _ . Y I �7d��LDrt, z.&i/GT/.1( ''��v✓r R r G17' , (v�/ti ►. �•eoP . � � 4 = 99.42• /Z, ' ' � v � '/�RII� OR o,ts-p' W i±, s � ," ;'`'"� :,.� •Z''8U/LT Fes•-•—�D'DMA• ,v5�� I f A Y 41-1,. • /,1 , ... � ` I 1 � Y :k` a d r: ` .k .1 c • .. 7 //✓D�Oi� .. _—�.. �—�....•. 1��`t�..�.•�_� � '•[:.��!!fi•it�.......• 11 • t ,';'s�: :i. • -P OF/L E OFt;�'= �•Rovvo wATE/�' TAHLE ,• S :,,1 ' • ,� S �'wA'GE O/SF� OSAL*. SYSTEM 1 ,. '- r a, t t :GTf7L ESTiMATEO FLOW = aw�c0v;$1019y Y rl}mot ', '•, - x � BOTlO�-/ Ltf)CC//N6 AR6R �„� ,Tq•FT• ,�P��r � r r y S O 1 L' • -EST r 1 TAKEN 0N '7 / r40779A 4E�CoWIA16 fl,2EA Z1o70 .r4 �r�P/T YOAT� CYer Ar ros ]n�O Ali �rrE^ i1✓. R A ,A l'Wiz`. #a k .� Y I j%j OF �14 E ,r THOMAS E. KELLEY CO. LAND SURVEYORS 346 LONG POND DRIVE FOI$TER�'��� SOUTH YARMOUTH. MASS- 0� No WATER `6NCOlx/v1'EREO• l� 02fifr� SHHS7. 2 oF2