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Home My WebLink About0027 CESARS WAY - Health 27 Cesar's WAy " Mdrstor s Mills A= 122 - 028 Fxs...< THE COMMONWEALTH OF mASSACHUSETTS BOARD OF HEALTH App irFation for DiipusFal Marks Tonstrnrtiun 1hruld \ Application is hereby made}for a Permit to Construct ( VY-110"r Repair ( ) an Individual Sewage Disposal System at: .2 �E/i:f!/ .!Y✓� .. :err+W /y�6. .. .Cvr- ........... .... ^... ....... ......•----•................••-----••-----------.........---- lo—t ^ Location-AAddr95s N or Lot No. CMat°�'E \+. ,<. n< �1:.., L C<-i3Lt0 /C�,P�?t��Cl.......�!� � Owner Ad Es Installer Address d Type of Building Size Lot /_,c....................Sq. feet g= .....................Expansion Attic ( ) A/o Garbage Grinder ( ) AID Dwelling No. of Bedrooms.............,.... __.._._..__._ A4 Other—Type of Building ..........'._ / ...... No. of persons........4,1 ........ Showers ( ) — Cafeteria ( ) Q' Other fixtures ---------------- ----------- W Design Flow............................:................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter_,:____-__---.. Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sgt 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-_-_--__-__-_-_--..____- . . ----•------------------------------•----------------------•----.....--------------------•--...---............----------•----------•-•--...................--- C) 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 iITL U 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 bpKd of health - �ae Application Approved BY ....... ' ._....... ....... 1 .: / ....... . ........... Date Application Disapproved for the following reasons--------------------------••---•-------------=-----•----------------------.................................... ..........................••--......-----------------------....-•----...---------•--....-•-•-------------'--------...-------------------------------------------------------•-------.................... Date PermitNo..........................•---..------......--------•--- Issued....................................................... Date THE COMMONWEALTH OF MASS/-. JSETTS BOARD OF HEAL ............ ..............................OF Apphration for Disposal Works Tonstrurtion rumit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: to -------------------------------------L__o_c_a__tio__n....A--d-d--r-*-%------------------------------------ ......It-----------------------------------or-Lot-No------------------------------------------- ------- ---------------------------------------------------------------------------------------------- Owner Address - R......... f� . .............. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder 4 ....... — Cafeteria 44 Other—Type of Building ............... ...... No. of persons............................ Showers ( ) Otherfixtures ............................................................%_ ..................................................................................... Design Flow.............................................gallons per person per day. Total daily flow.............:-.............................gallons. 1:4 Septic Tank—Liquid*capacity............gallons Length................ Width.__............. Diameter__.___...._..... Depth................ Disposal Trench—No..................... Width.....__............. Total Length.................... Total leaching area....................sq. f t. 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.......____.____..._.__. rXq Test Pit No. 2................minutes per inch Depth of Test Pit._._................ Depth to ground water......._._...-_......... 1:4 ............................................................................................................................................................. 0 Description of Soil........................................................................................................................................................................ W U ........................................................................................................................................................................................................ ................................................................................................................. ..................................................................................... 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 .ssued by the bpKd of health C�a,� �6E ...... Si . .... ..t .4 ----------------------------------------- ------------------ ------------------ Application Approved By........................... Date Application Disapproved for the following reasons:................................................................................................................. ....................................................................................................................................................................................................... Date PermitNo................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Tntifiratr of Tompliaurr THIS IS TO CERW' t 44 , That the Individual Sewag��sp S;fst or Repaired,pfn constructed ................. ... by...................��.:........... ............................ --------- .....I..........I.................................................. Installer at...................L3�j4...... _�eM,.Axn -------------------------------------------------------------------------------------------------------------------- has breii--install p-in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the applicatio'nWfor LN�s"pos'alf Works Construction Permit No......................................... dated___...._._._._._.__...._........__..._.......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUED AS A GUAR*NTEE THAT THE SYSTEM WILL FUN�TION SATISFACTORY. Ae' DATE...................... G . .. ................... ....................................... Inspector...... ....................6....... THE COMMONWEALTH OF MASSACHUSETTS pi t X BOARD OF ( _4p ............................................................... .............. ......OF......... No......................... FEE.�.. . ........... DisposA&r o To I lt' n vrrmit Permission is hereby granted........................................... ... ..Y_<.Al .......................................................... to Construct ( -)Ir Re air an Individual Sewage Disposal System at No...._..'.......L_ .......... ..... ............. ...... I ......................... ---------------------------------------------------- Street as shown on the application for Disposal Works ConstrucjjgnRq�os�z�......... Da --- .......................... ....................................................................................................... DATE....................�_, Board of Health .................................................... FORM 1255 A. M. SULKIN, INC..I BOSTON i 1 t Lo ' r J LO 21 JL61 k. 6;t 1 Pit ; ,toneT. { , L. i zZ -t ` I Sk9 : . ' i I G Lod 5l .......... 1 217'Jf�5l S F. i Lot: .4. Ir t.. t ' '4 I--a I i . -- j . Lot. 6 x6:�: a p9 � pit, ., ` I 2� f di �'O+�)OSe 9. } ; ` ` y� Stone N : ; � S�• ' , Gar � . . I ,,.. _,.�..., , 9� f PROFILE; cal _ . _1 -� i I�4' S�`ALE 86 \ -4. _ .__. __. _ i :_._ �., . .._ _. . - R--_.-.5.?.50' G.S.T. ...._ a_ '71 za ,..4t0 . PLAN ,aCAI 11 _ 30t CEf3AR-'S' AY-1 ; 4Q'r V�� de., lla.te: 12 /21/84 9L r_ All Cape En�;��eq�jzng 9`.0 49 Harblor :Road I j ° Fiitil Hy?nnis, vvass: 1 ' SKE ICH PLAN LAND IN 'OSTERVILLE IAA. or ' Rober : 'P ; Shields , Jr - _.:. 'Bei;nc- lot :5 C sar. ':s .Way.'' as shown !on a Ulan in k 24 gags $a, Rar.nst�-3hie Re.�;i str,� of Deedg .gK boo 4 Elevations -sh pvrn are on an assumed datum. --- --- -�------ -------- iAunt :^Barnst,, ble F oard 'f Health TE`'T I TT T`.4TA 1, ade 4/5/$2: . I 'lit . Ron Gifford I '0 water encount'e` 'ed Top �Tedi �. r f )and i FRANK FRANK ( CONERY � C0PIER ` O.623 _ .09 DIAL f . L of 2.2 \ Lo l 21 1-61x6 ' i'it Ilk \ — I 2 ' :;tone \ \9a = 6.7 �; qo _ Lot 5 3�. 21, 355 Lot 8" =- Lot I`roposed c�, Gar . - - - \ \ PROFILE til \ Pd0 S;;-`ALE °Q \\ I I 942- w -- -- 94.4 ]_000 A u - -C l De `sac G.- 50 T. PLAN SCALE S T , llate ; 12/21/84 ` Gt�,'=l�lZ ' T,/A`I 40 ' !��.ic e 94,E '.11 ai�e E-n�ineering 49 Har?br iioad -- Kj'?ll 0:=�601 "ad. S`1'ERVILL ; ,i";, SKETCH PLAN O LAND IN Q . for R,obort I1. Shields , Jr. Bein:Y lot 5 Cesar' s 'clay, as shown on D ,.Mall in book 244 page $9, Barnstable Re i�,'.:r,r of Deeds . Elevations shovin are on an assumed d.-�tum. --------------------------------------------------- '� ate : 11�ent : Barnet: l_i1J� io;:.� of lle-lli;ii n ;.Tm l ! 11 )n ('fifford ,v, t r en.c(),,,lterec� � v 76 To l c ct V I % eo.i p�(N OF 0 F j u r-ld �� 1 g FRANK FRANK CONERY CONERy 1 o 9 No, 85Zl,�Q No. 623240 q IL fS/pNAL 85•0 ,{ AsBuilt Page 1 of 1 LOCATi�ily��s� ` 9 SEW.A ,PERMIT NO. \ VI LACE ` US y e, INS A L ER'S AME i ADDRESS e / w s ' I U hL D E R OR OWNER i DATE PERMIT ISSUED v - - DATE COMPLIANCE ISSUED 4 oT 3 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=122028&seq=1 4/25/2019