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Home My WebLink About0457 PRINCE HINCKLEY ROAD - Health 457 Price Hinckley Ro'ad► 70-204 Centerville UPC 12534 ' No.2_ 153LORs� HASTINGS,MN tqk 4, C4�iD L 0 C TION _ SEWACE' PERMIT NO. �VILLACE I,"a Q. P. c1� INSTA LLER'S NAME & ADDRESS � I 6 . D S U I L D E R OR OWNER a i0r/,X- �0ATE PERMIT ISSUED DATE COMPLIANCE ISSUED —a 6 � n 1 0 44u5C �U I •I f p 00 THE COMMONWEALTH OF MASSACHUSETTS BOAR® O HEA TH .._7it.4.6.74..............OF........... . ----- ------------ ----•-----------...---- AppilrFatiou for 11hipmFal Works Ton.5trurtinaa Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sysat:. --.... .. ................ ........ . ........... .....--- /....... ----- -----------....._.._..._...---•----•-- �j ocation --.•........... ess or ....... — ........aG.r.- ................................. ............ner Address ............. /d --•---------•---------•-••--------------- ........... ...... -.................. .. I staller Address Type of Building a Size Lot/---6-_.�n.....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic (�� Garbage Grinder (�ij�C7 Other—Type T e of Building No. of persons............................ Showers � YP g ---------------------------- P ( ) — Cafeteria ( ) dOther tures..�-------- ----------•-----------•-------------..-•-------------------•----•-----------------------....... .... .-•---- g �f �� g P P P Y• Y 3- .....................dons. W Design Flow.......... ... gallons per person per day. Total daily flow......-..... WSeptic Tank—Liquid*capacity��`�"i'�allons Length................ Width................ Diameter...-----.---_- Depth................ x Disposal Trench—No....... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...- ,e iameter.................... 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----------.............. fZ Test Pit-No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 -----------------------------•----•----•--•-----...-----------....•----................••••------------------------••......•---- ODescription of Soil.........................................................................•.............................................................................................. x U ---•--•-•---------•-------•--------------------------------------------•---........----..._..••---------...---------------------------------------------•-----------...--•----------•----•-------.------ W ---•----------------------------------------------------------------------------------•------------------------------------------------------------------------------------.....-----------••---....... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ----•----------------•-------------------------------------•---------------....----------...........--------....-------------------•---------------•------------------------------------•..........•---- Agree nt Th undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with e pr visi of'ITS 5 the State Sanitary Code— The undersigned further agrees not to place the system in ope ion f Compliance has been ' �t��_yPof healt 4*1.. J Signed. ............................................................. - p ication Approved BY-----/ == `— :... i P -.... Date PPlication Disapproved for the following reasons:-............................................................................................................ --------------------------------------------------------------••--------. Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH..' ' ...... .............OF......... c" .f..s..:..:.................................................... -r F ApplirFa#iou for DisposFal orks Cnoustrurtiuu rrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syste)n at: • �' 1 i' ! �G�tr J ,�`' f"`........-•-----. .................. ..... .. ....-- .................... ..... ...-- aF r Location Address f x ,i• �" or Lot,No:' f ( ` r�'"! µ`''! r— t ...._... c ✓a f f- z r ...�i .+ ..... ...............�---•-----••-•---•----.....•...................................................... d Owner r" Address �a r Installer Address .,, 7"+ UType of Building . _• Size Lot/'.'-',___':...........Sq. feet �-, Dwelling—No. of Bedrooms...........................................Expansion Attic (/I)" Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures `= W Design Flow_.._.__. ?...a'-.._...................gallons per person per day. Total daily flow____._._____%'... __._r_.}_____._..._gallons. WSeptic Tank—Liquid capacity�.......'"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 leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date--------------------------------------- Test 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........................ ----------------------------------•------•-•-------.....------.....----...._----•-.........--_-••-••......................................................... 0 Description of Soil........................................................................................................................................................................ x c., w x ----------------------------------------------••--------••••----•----•--•-------•----•-----------------••-------•--------------•-----••-------•-------•---------------------•-------•••---------••-•--•- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... .--------•...............................•--.....----------------------------------................................................... Agree nt: h undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with e pr wisi of'I � the State Sanitary Code—The undersigned further agrees not to place the system in ope ion f f Compliance has been issued by the..board of health: 9 Signed. ...............r• ,.. c./ �r �� /� J ..6` - ` ..... r •--------••--------- .. ...; p Ication Approved By. •-�- -^a: - '_trr - -----..................... ... !_ Date PPlication Disapproved for the following reasons----------------------------••-----------------------------------------------•---------------------••-----•--•••- ....................•--------------------.....----•------•--•---.....-•--•---•-------...---•---•-•----•----------.......-----------••--------•-------------•----------•••----•---•-------•--•.......... Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Trrtifirtar of Tontpliattrle THIS IS TO CER IFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by - ................ .................................................................................................................................... In to ler at. d .........................�. .ra I .G it l r has been installed in accordance with the provisions of TWLE 5 of Tlie.5tate Sanitary Code s de m b the a lication for Disposal Works Construction Permit No._.. _ __ ` PP P AQ dated ..La ... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO STRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTI N S TI,SFACTORY. DATE.................------- 6 S:6_...._-•-•--•.._._.._••••_. Inspector......... ......--•...------------- .................... .................. THE COMMONWEALTH OF MASSAC USETTS BOARD QF HEALTH ..l.�rl ......... ,,�,✓..........OF....................................... . .......: „S- c'r' . - .. ► No... :.. FEE........................ i �rrr �t1 Permission s rki ony tru divit rrutit Y granted------.._��--0 ..------..&A.................................... ............................................. to Construct ( or Repair ( ) an Individual Serge Di dal S stem at ...._ er?x! tf -•--------------------------------------------------------------- 'Street as shown on the application for Disposal Works Construction Permit No._ -.,5— ._ Dated..../Z a-AS'""---- 2 1f Boa of Health r DATE...... ------- ••--- ........ g FORM 1255 A. M. SULKIN, INC., BOSTON - +�• r 111�5 1 N G-LE V A M 1 L Y .3 �+u 00 _ �f a-a zA� g A} a < 3 IS- x (�1 DAdUI FLovv ►..�0 3 330 6r. P,'D , P S S EP.T't c. TAN K = 3 30 x 156 G. D 15 POD AL.. Pi-r V SE i OQU G-AL-. _`j r : L.d l 0 y lyt� j'�j s s i o�wAL ifitz�p� • 156 6, F. 17 So 5t FF. K 1.O $•o G. P.'L7, OX{ST -rb-rAL DA%L.Y F�ovJ = 33o.GP,�. ;.. ? t KC0ZA.I 1 t , RP.' ; :� ��: 2 � 1 cQ_ LE5s f11 i s 52� S,F - - S4� ER YI ,, SULLIVAN •; > F.A ;1 c h' No:297,33 9 fvo VJ4.3 vt 4TS NA �.n s �v' x�� S/ B•=f 9g/83" Z'HPJ 3 rl A)Yt;.T�i�. S¢. '� 'i Ta•�fvo Sso _ . we. s �•' /.vim o U G •' S Z,o.'. ' e• P•T.. :o TAN/G it t.. NEE w i rH 1 /IVl% /Nt% ► SAND W 9 s H C--D •' ic?!4i✓ � J. G Ec /_f' ' - p ,y .eE�E.eE.c/c� 96 . '3 ZoWATOZ-E�41 / GE.er/,cy 7 4T Th!E roa vDkrio d ,,S 4wwtivV ,�/E'�EO.v G'�WPL•Y.S W/TX/Ti5/E.S%l>EL,/it/E B,4XT�,2 f'//YE, /NC' AMO cfE RWA— ,2EQv/�'EiNlENrs o� THE ,e.Ecsisr�.2c-�.Garvo,SliervEya,�S ToW.v aF . j h: i . - G oc cr�o W/TWIA-' T.yE oc gs- 7"L P"Ar/ /.s IVor aAjEo a�✓.4 tv/.ysre • • .shy?tT/.t!h�E.2EGN.3,�a!/G D��T GtE USEv i 7a E.s ll�LY.Sy "ev. .G/IVE,S BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville,Massachusetts 02655/Tel. (617)428-9131 WILLIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering January 6 , 1985 Town of Barnstable Bard of Health P .O. Box 534 Hyannis, MA 02601 RE : Lot 18 - Prince Hinckley Road Centerville Permit. No. 85-1099 Dear Board.: Please find attached an "As Built" plan for Lot 18 . The system has been installed in accordance with the revised plan . I trust that this meets your present needs . Very truly yours , Peter Sullivan, P . E. Baxter & Nye, Inc. PS/fmj CC : Robert Our Co . I" OF Alan Sma11 , Inc. PETER y SULLIVAN � '-4' No. 29F:;s J( SSIO-NA J =J.S MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS