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Home My WebLink About0256 BUCKSKIN PATH - Health 256 BUCKSKIN PATH Centerville A = 171 — 034 S M E A D No.2-153LOR UPC 12534 sm*ad.eom s Made 1n USA 1l9tUS®NnlSPtOW1C1 DE SFI OF DE SO CERTIFlED SOURCING W W W.SRPROGRAMIOQCs A '(7 3— 30.�� No.........-- Fps............._............... Barn HE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH WN OF BARNSTABLE Appliratiun for Diopuual Marko Tomi#rnrtiun Prrmit Application is hereby made for a Permit to Construct ( ) or Repair P)Xan Individual Sewage Disposal System at: 256 Buckskinpath Centerville ................_........-...................................................................... -•.....-----------------...--•--------------------............------........-----...............-- Location-Address or Lot No. Fred Hembree ......................-.......................................................................... ................................................................................................. W J.P.Macomber Jr. Owner Address ............... Installer Address UType of Building Size Lot............................Sq. feet �-, Dwelling L No. of Bedrooms.............. P ............... No. of ersons..........--................ Showers Cafeteria a - ---•-•-••---•----------------- .... d Other fixtures W Design Flow............................................gallons per person per day. Total daily flow.---.-.-_................................gallons. W Septic 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----.............--.--.. 44 Test Pit No. 2................minutes per inch Depth of Test Pit....---............. Depth to ground water......---............... W .---•------------------------•-.....••------------••----------•--••-----•-•-------------------------......................................................... 0 D ° c°fG pie •-----------•-•---------•-----------------------------•-•---------•--------------------------•----- W x ------------•--------------------------------------------------- --------------------------------------------- U N ure of Reim rs or Ater tion ns r hen ap 1' 1-l000 gallon leaching pit. ----- - - ------- - - - 1- Istrl lion off. eIsIng gal]ori tank and Zeacfi-•-• It-------------------- ........-•••----------------•- -----•••-----•-----•••----•-••-----•------•---••---------......-------•-•-•...---•-----------•----••---•---•-••---------•---------•---•-••......•••.......------•---..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compli ce has bee issued by the board of health. Signed -.. /`'. 1 ' G ------------------------ �.111 93 Dace q Application Approved By ................ ..... LL .- Dare Application Disapproved for the following reasons: ......... ............ . ............................ ------.......-----------------. ........-- -- ........-- .................................... ... ..... .. ................ ...................... ...... ........................................._--------- ........................................ ff_ Permit No. / . ...� /S� Issued - ...................................Dace Dace W l No THE COMMONWEALTH OF MASSACHUSETtS `. VFimB.... 0....0—0— '(3 BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Tonstrnrtinn Famit Application is hereby made for a Permit to Construct ( ) or Repair XXY)Xan Individual Sewage Disposal System at: 256 Buckskinpath 'Centerville ................_................................................................................ ...-•----•-----------------•--....---.....--------------.....----------........................_.. Fred Hembree Location-Address r or Lot No." ----•--•--------------. •- ...- ................................................. ................----.........---------------..._.._...----.....------.........................---- W J.P.Macomber Jr. Owner Address Installer Address � feet Type of Building Size Lot...........................S q. Dwelling X No. of Bedrooms.............. ............................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type e of Building No. of persons............................ Showers Ga YP g ---------------•--•--------- P ( ) — Cafeteria ( ) QI 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.-------------------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........................ rZr Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ a ---••••-••--••••-•----------••••-•--•-•••-•--•--...--•------•-•....-----•-••-.......--••-----------......................................................... 0 D -s ription;of of-••- j--------------------------•-------------------------------•------------------------------------------------•----------------------------------------•---.------ x � irau 6c ve 1 V .............................................--•---•••-•-•••-•-•--•-•----•--------•••--.......-------••----•-••••-•---••--•---------•••---•---•--•---•-••-•-------•------------•----...----....._..._.. W - - - ---- --------------------------------------------------------------------••----••--- v 1-1J00 .a116i leaching pit. 1Naist°ri utionAUo t:°n sAe 'is IngpPitv`�0---allot.-.tank- and 1:aZ pit. ...-•-•-••••-•-•-•--•-•--•-----•----.....•---•-------•-•--••-••-•-••----•--•-•-•-•-•--•-...-----•---••-•-•-••--•-••-••---•------••---------•--•-•••----------•-•---•--•-•••-------•---•-----------••--•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Ch..-- ce has beeenisssuued by the board of health. Sign �� / -m------------------------f �A lication A roved B .--- PP PP Y - C �D Application Disapproved for the following reasons- ------------- ----------------------------------------------------------- ----------------------------------------------------- ................................................ -- --.................................................................................................................---------- ------------------ --------------------------------------- ---- - l Date PermitNo. --/.�-- ------------------------ ----- Issued -------------- ---------!--------------------- Dhre r' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE &rtifi ate of Q-111amylialare THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired,�XX o by ...P.Mac omb e r....Jr...-------- -- ---------------- ----- ------------------------------------- -- -- ----------------------------------................................... ------------- at -...�56 Buckskinpath Centerville Installer has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ------- ............. dated ....................----........................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .. ``T- -----_------........... -------- Inspector ........ ------................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No. FEE. �-3�� TOWN OF BARNSTABLE ...30....00 ... ... ..... ..... lhspo�al Works Tyns#rnr�ion amit .P.Macomber r. Permissionis hereby granted-------- -------------------•-••-----....-----•-------•---------••----..__....................................................... to Con truct ( ) or Repair xX ) an Individ Sewage Disposal System at No. ._h . --uckskinpath Centervle ......---•-•-•................ Street / as shown on the application for Disposal Works Construction Permit No/ti - _ Dated.......................................... - ' -----------------------•----------------------••--- d •--•................................ Board of Health DATE............. �� FORM 36508 HOBBS&WARREN.INC..PUBLISHERS TOWN OF BARNSTABLE :LOCATION 251� 6(164 sglH /90� SEWAGE # c VILLAGE C,61 -,,f11i'lle ASSESSOR'S MAP & LOT - 3 INSTALLER'S NAME & PHONE NO.y• !' /PIolP7 Jep'-7�-So,7ffjfd SEPTIC TANK CAPACITY J LEACHING FACILITY:(type) / (size) ► NO. OF BEDROOMS �j PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER a DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: �- 43 VARIANCE GRANTED: Yes No I, kit 11 3 TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE *� � ASSESSOR'S MAP & LOT I-171 —b-S4 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY I baC� LEACHING FACILITY:(type) (size) 1066 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER R%JL2>UC. 8�i1tflF2 dWiJE R...• BUILDER OR OWNER kLPAtJ SM NLL- /T:7p-so NAGrAe zee, DATE PERMIT ISSUED: /7 `f DATE COMPLIANCE ISSUED: VARIANC N Ye r I V� a ' 8�►GD o�E� �tCisr