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Home My WebLink About0102 CAP'N CROSBY ROAD - Health (2) c�� Ue6b� b! Nod J.: /v Fims.... ............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH (-a :. App irFation for BhipogFal Workii Tomitrurtion ramit Application is hereby made for a Permit to Construct'( ) or Repair ( ) an Individual Sewage Disposal System at 1ik ion-Ad s or Lot No. ,l? _....,...� ,�. ............................ ....... ....................................- -------------------.--•----------.-. -------- VC wn � --•--.------Address a -_. .._. Installer Address t � � U Type of Building Size Lot.._S.K4. ..-Sq. feet Dwelling—No. of Bedrooms...............�-......................Expansion Attic ( ) Garba je Grinder . Other—T e of Building .... No. of persons............................ Showers — Cafeteria G� O er fixtures ........--------•---•---••-•-- . W � 3 Ions. Design Flow.......... ...�----_._.__.__.______._ .gallons per person per day. Total daily flow.................. ___._.__._.__._.gal WSeptic Tank—Liquid capac'ty-�� gallons Length................ Width................ Diameter.---.------._-- Depth................. x Disposal Trench—N//o...... ........... Width.................... Total Length........7......... Total leaching area...................sq. ft. Seepage Pit No....../........... Diameter..../ ........ Depth below inlet....40........... Total leaching area�� .__sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit................--.. Depth to ground water..---.----.............. (i Test Pit No. 2................minutes per inch Depth of Test Pit:;.................. Depth to ground water..--.................... ----------------------------------------------._..._......_._...........-•-•------------......................................................... 0 Description of Soil........................................................................................................................................................................ x 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'T I,; 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certifi/.. ha be sued by the board of health. �.� .-----1--' --; .. n ----- ........................................ ----- - ...----•-- ApplicationApproved . .............................••---------..........................---- --•--- f .......... Date Application Disapprove reasons:-----•----- -------------------•------------------------------------------------------------------ •-----•-----------•..................•-••-•--- •-----•-------------------------------•---••-----•-----------••----------•------•-----------•-----•-•••--•---------------------------•---•--•-•---------. Date PermitNo......................................................... Issued....................................................... Date 1-2 Fms... ..�................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................................OF.......................................................................................... Appliration for Disposal Works Tonstrnrtiun Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage,,Disposal. System at: i) =Y.....}.--- ... ------t=J.............. ..... .:. _.. f. ...._ ... t ocation Address or Lot No. r.:xt + ........, :...:..........� ----•---- .....................................................•---......----................. oW ny Address W ...... ...................................... --••..................__................ ......_........................._.......... Installer Address fer Type of Building Size Lot.______*�_ r Sq. feet Dwelling—No. of Bedrooms .•_................ .._..•..........___.._.Expansion Attic ( ) Garbage Grinder ( '04 4 Other—T e of Building No. of persons............................ Showers — Cafeteria Other fixtures -•--•••••-••••••••••••••--•••--•-•-••-••-•-••-••••••--.................................................. - W Design Flow.... `>.•.G9:..................... .gallons per person per day. Total daily flow__._......_.3•..=�.��.._.......--......gallons. WSeptic Tank—Liquid:capacity:f..•:•••-gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No......Z........... Width_;............... Total Length.................... Total leaching area___.... .__.__sq. ft. Seepage Pit No...... ........... Diameter....`........ Depth below inlet_._.G%....._.... Total leaching area` .?...sq. ft. Z Other Distribution box. ( ) Dosing tank ( ) '" Percolation Test Results Performed by....... --•......---•-•••••-••.....••-•-•-•-••....•--•..........••-••---_. Date........................................ Test Pit No: I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 4q Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... W' ..................................................................•-----•---.............--•-----•••------•-•••--•.....--••••-••........-••--.._....---.••--- Descriptionof Soil..............................................................................................................•........................................................ c.> 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 T ITYEE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Complianc ha�b rNued,by the board of health i Sign s s z ' � ---- A ------------ Application Approved B -� PP PP Y•• - ,r" D Date Application Disapprove" f or.>jlie following reasons-................................•............................................................................ ....-•..............••------------•--•-----••---•-------.._....--------....----------------•-...---•-•---•-•-••••••-•••-•••••--••••------•••---•••••-••••••---•--------•••--•••-••-------•••-••--•••--- Date PermitNo...................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Cnrrtifirtttr ,a$ f�nnt �ittnrr THIS IS TO CERTIFY, That the In ividual Sew Disposal System constructed (��r Repaired ( ) ...... ....... "" 1 r....... '^'r c by -•- -•....... ...........................................................•-- i / 11 at_ . r.✓� `t • FfY ,1r' �'---� "� .. ..- ------•-----•----------------•------------------ -- --------------'----- has.been installed in acc 'dance with tlx p isions of TI�L, j.osf�The State Sanitary�oSe es�cribed in the application e -' i d--- application for Disposa'IVVorks Construe ton Permit No. '`:"'-":._�`�:�:_":................ da.ted_.�'':_._._.._.______.___.._..___._._.__..... THE ISSII NCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU15P AS A GUARANTEE THAT THE SYSTEM WI F CTION SATISFACTORY. DATE....4 .Al--b-••••...................................................... Inspector•. --- ... ------------------•--------------------•-----•--•--•---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _. .I 3 1 -� OF FEE....::................. Disposal Wear T-Fnnstrnrtion Uvrrmit Permission is hereby granted.........-- - ......••-•-•---••-•-•••-••-•---•--------•----•- to Constru or r ) *, Ifidivivffial & gate Disposal System at No._ �. -� .....%ter " ,..�i f .................. as shown on the applicatidn for Disposal . rks Construction Permit Street ��C t" , at ' ' --- ......................................................I............................................... - &bard Health DATE.................(.P0 ,3................................... --- . FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - - Ts 4 PF r�C TE s-r �F—WAGE Dis PoSA� ��y�T�tit U `��GN for c C 0stosl a e,r d js t - . sandy e-)-:16 s®,�t ran i.ots / Cap ttajn Crosbl Sand C enterv'I 11 e� AA,4, F€Oz a0 — :00 Pre.Perc, L-,4A1 TEIe,y ASS O C, "leoate = dine �a�� GvtiSUt--r, F/V6"K ,E,SAWD,A4 3 rnin �in � pr'r z7, IqP�� WG '4z73-P3 a of — (?,007 xoi � vA OF Te5TEo: Apr',1. )4,1g8 t� ti ��xcavator: D, a rle� HARRY R .26575 p Ir) f•I.DOr ��.c�c�s-rEP��`� EL. IOU'p _ NAI �t455umed� _. Tot o� -wail _j Fri A/, 6 Pe.E L, 98..o t EL ><XISTING Gam, El, 97,5 ;xx ►nv; 9y,�o'"� CAe needed) 11000 GAL., P.C. Con C. CELAR F,LooR P.G clwzInr, 9350' 461- 9), 10'Mlf� 07,E T. Dis p o U/Iz'� TANK 0 f 3/q to %'�. washed stone z CA Lc, A11 around , 104 •l 0�.y er o n t'o P, Vert. Pr2op i LE DIr D is Po SAL, SYSTrAt JYo-rF; D 15 POSH L v yST �►-( To B E: CaNSr, VCTED IM STR I CT /A0a01eDAlVc pF Gotit�.(. of AA-SS. E/vV10e. LODE l/TJ-F#Z6, -- AN - 4: �. �Costas Tsolcr,'ixdls' � _ f. L ot ' 8 / W 35, 462 � i � 17 C H ARL'f S N. SAvERY , R, 1.s. SAII;7. E4"Rr, Ars9.S 1982. RTJFY THE. HfRLcBy CL c Se \ � \.[ * o �Zt— \ r{ r �uf�nr►o�J loCl�TtoN 'T•'o Q No.26 o. CAP C dosy ,DES GA/ �engle - ly dwe�l�n9 , ed.ro&n 5, No gorlbage dispoec� 0o x 3 -- -6to "Q -D:: SCpticTank voI— RE.g`D� 330 G;P; D x 1 5 -4� do i,000 rsA �, TANK O-K , DF S i CSNFD BY. U5c (o ' D , a. x G'.. tall D, P, + 2' Stone LAlv7-zpY Assoc. o E. SAI\(,D CA p"-ry x 10 x x z. O ... 377 ri X ` 2-x ,63. (5 yl�7�8.� To TA )- c,4 P I Ty LOCATION SEWAGE PERMIT NO. 2�� q�- &,,�L e,6 —4nL� 1 VILLAGE INSTALLER'S NAME AND ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED._ 3 � ,�` 3 DATE COMPLIANCE ISSUED ASSESSORS MAP NO: PARCEL NO.: n �/I THE COMMONWEALTH OF MASSACHUSETTS S� BOAR® OF HEALTH (� TOWN BARNSTABLE Appliration for Uiopoiia1 Works Tonotrnrtton Pamit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: C('P a Crb, \- f 102 CROSBY HILL DRIVE CENTERVILLE ................__.............................................................................. ----....---•-...•---••--............------------........---•--------...-•----•..............----•- Location-Address or Lot No. COSTA. ..........--............................................-......................................... Owner Address a CAMMETT CONSTRUCTION, INC. ______________ --- �Q '� QUTH)?qRT,_-MA,---0267.$......_._ Installer Address dType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.._.._.....................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ------------------------------------------------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity------------gallons Length................ Width................ Diameter---------------- Depth__-_-_____------ W Disposal Trench—No- -_-_--_--_•_.-.----- Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-� 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------------_---------- C4 •-••----••---------------•-•------....-••---•-----------..._----------•----•---•---.....---------•--......................................................... 0 Description of Soil........... AND AND GRAVEL x x ----------------------------------------------------------------------------------------•-------••-----••---•••------•----•-•••---------•-•--••-•-•-•--•------••-•-----•••••---•--------------------... V N t re of Reppairs or Alter( i ns—Answer when applicable..___ONE__TANK,__ 0XXXXXXRX=NRXM�1_?�___X__ [ 1� 1000 eal Tank, (�1) 1000 Gal leach pit and D—Box for downstairs bathroom -------•-•-•--•-----------•--••---•-•••---•--••--••--••••-----•--••-••---•-----•--•--•----•-------------•---•--------•----------•-•-•--•••---•-•---------•---•---•-•-••-•-•••-----•----•----•-------•-•- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i s:t.: ,of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has keen issued b the board of health. Signed.... . • • ... ............................................ ................................ Date Application Approved By...............( "'. ..... I Date Application Application Disapproved for the following reasons:--- -•-------------•----•--••-•-•---•-------------------------•----------------••------------------------...---- ..••-•-•----•----•--•--•---------•-----------•--------••--------------------------•--•......_............••-••--------------------•-------•-•-•-•-•------------•----•-••--•--••------ ------------------ Cy Date Permit No.......$-•1-•'=X7_;)----------------------- Issued---------•---•-•---------------••----•------------•--- r Date No Fizz....c � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN--- -----------I.....-.OF..............BARNSTABLE---------------------------- .....------------ Appliratiun for Uiipuaal Works Tatuitrurtiun Pamit Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal System at: 102 CROSBY HILL DRIVE CENTERVILLE .......-•---•-------------------•------------.......--------.....,.._•----------•-.......---...... .........--••----------..__._....-------------------------....-----•---....__..._.....--•-------•- Location-Address or Lot No. ......... OSTAS TSOLERIDTS-------------------------•---...•---------_-•---- .......SAME Owner Address CAMMETT CONSTRUCTION,---INC•..._•----------•---•- '.a9�__ � ..14Q._YAOUTHPORT: MA.--0267 .......... Insta'ier Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms-____3....................................Expansion Attic ( ) Garbage Grinder ( ) a,. Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) � Other fixtures ----------------------------------------------------------------------------------------------------------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Ix Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter________________ Depth................ Disposal Trench—NTo_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----_-------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ ,.-I Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_______-_______________- (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_-______________________ R+' ------------------------------------------------•------•-------..__..........---•---•---•--•-----...........•-•----------•...-----------------.............. 0 Description of Soil.________R� AND GRAVEL x U ---------------------------------------------------------------------•------------------------------•------------------•-•-•-----.._...--------- W x --------------------------------------------------------------------------------------•-------------------------------------------------------------------------------------------------------•-------- Ta ure of Re airs or Alter ti ns—Answer when a licable_.ONE T�,______ _ _ _ ,..____________. U �1� 1000 Goal Tank, 6 1000 Gal leach ppit and D-6`ox f or ocanatairs �iat�irooiit Agreement": The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iT i EE 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 board of health. Signed-; f'-` i Date Application Approved By---- -•-•-------------------------------- ------�' /-'!-__ 5 Date Application Disapproved for the following reasons________________________________________________________________________________________________________________ -------------------------------------•--...------•-----------------------...-------------._._..__..._...------•-------•-------------------------------------------------------------------------------- Date PermitNo.-----8 7 . ......................... Issued-....................................................... Date e THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --.--TOWN........ .....BARNSTABLE OF...... .. .. ........................................ Trr# i tr_uf-TtintpliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired } by- - Canmett ConstricVion, Inc. ----•-•-•----••-------------------------•-•--------------•--•-------...--•-----•-----•-----....---.._..-------------•---••------ at________102 Srdiab.► Hill Drive Centerville,- P�` ."eb2632 rias been installed in accordance with the provisions of T 1 NIJE j Of The State Sanitary Code as described in the application for Disposal Works Construction Permit N'o...... �--___�_ �_.___ dated________________________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT rHE SYSTEM WILL FUNCTION SATISFACTORY. e DATE......................... .......................... Inspector------------------- ....... ..............•---------------------......----------- THE COMMONWEALTH OF MASSACHUSETTS pp . // BOARD OF HEALTH 1\i O.F r .17--a. _ ........................................_OF..................................................................................... FEE..;10..-------•--- giupuiFal Work.5 Tunu#rurtlun rrmi# Permissionis hereby granted.............................................................................................................................................. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo............................................................................................................................................................................................... Street pGo as shown on the application for Disposal Works Construction Permit No0Z:_/.��,___ Dated.......................................... ..................................... r 4 _ Board of Health DATE ....................................... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ` TOWN OF BARNSTABLE LOCATION 1<3 ,1, C Yb T J'kQ Wit, 1 _SEWAGE # VILLAGE �`di 1 _ ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO._Ce, w, a•-4 t l t� � �� SEPTIC TANK CAPACITY 1 6- Q I66 e LEACHING FACILITY:(tgpe) / = rw (size) NO. OF BEDROOMS___PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No _ f r � n e�