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HomeMy WebLinkAbout0126 CAP'N LIJAH'S ROAD - Health 1.26 Cap'n Lijah's Road Centerville r A = 192 - 175 f irr S M Ea D No.2453LOk UPC`2534 smead.c®m • Made In USA IW{Why W I�YJIRWYYI YI�G RMD RFI MSR RCING VM17WROGmtCW3 r i Nog Fxs..... ...30:00 THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH TOWN OF BARNSTABLE Appliration lnr Disposal Works Tnnstrnrtion ranfit Application is hereby made for a Permit to Construct ( ) or Repair �X) an Individual Sewage Disposal System at: 126 Captain........Lijah Road Centerville -•--....._.. -- - ......................................................... -••-•-••----•-•------•--•.........._..--------••-----------•-•-----------•------................_. Location-Address or Lot No. ............................................................ ..........--..................................................................................... W J.P.Macomber Jr. owner Address Installer Address d Type of Building Size Lot............................Sq. feet U DwellingXXNo. of Bedrooms............3--•-------_----••---_-_-.__Expansion Attic ( ) Garbage Grinder ( ) p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q, Other fixtures -----------------------.................................................. 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........................................ W Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fT4 Test Pit No. 2................minutes per inch Depth of Test Pit-_-___.---_-___-•_•- Depth to ground water........................ a ••----•-•---•----•-•--------••-•-•••----•..............••-•--------.............-•---•--••--......._......................................................... 0 Description of Soil................................................................. •------------------------------------------------------------------••---••-•--••--••---•--.._..-•-.••--- v -•-----•-----------••-•-----•• Sand. &...Gravel...................................... W U Nature of Repairs or Alterations—Answer when applicable...................................•...._-____.__._.........._.............._............._.... -----------------------------------------•-••--------------••------.1_-lOJJ..�allon leaching....fit.-----•-•-------.._....---•----•--......------•-------- 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 Compliance has b n issued by the boa of health. Signed . !. --------------------------------- 1r�.�2- ...9.9.......---- Application Approved By . --- ------ '"'''"-' --- ---- ------- ---"----------'----'----'"-. 0 l Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------------------------------'-'--- -"-"-"--'--'-'- -----------------------------------------�- ------- -- Dare Permit ------ -------- .. Issued- .-- - l k C� No./ D Fss...... ....3C.•00 THE COMMONWEALTH OF MASSACHUSETTS f BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Disposal Works Tonstrur#iun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal --,System at: .126 Ca..... ,Li:jah Road Centerville --------------------•-----•-----------------------•---------------..........---•-----.........•- Location-Address or Lot No. ..�77a a!1`Q-....B g9�YYe-r............................................................ .................................................................................................. �sK Owner Address WJ k.:Ma_,c omb e r Jr. ....--•-•--------------------•----••-•----...-----•-••--•--•--•-••------------•-•-----------_..... Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling 3G[N9. of Bedrooms.............A............................Expansion Attic ( ) Garbage Grinder ( ) aOther —Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther 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 ( ) I aPercolation,Test Results Performed by...................................................................•..... Date...-..................................... Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water--___-__________•--___-. fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 94 --••-•----••----------------•••----•-••-....•---•----------••-••-••--------- ------- •------------ ----------------------------------- ---------------- 0 Description of Soil........................................................................................................................................................................ W ---•----------------------------•---------------------------------------------------------------•----••----•-•-------------••--------••••---•--•••.......-----•-••----•-•-•......-•------------------- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... .lC1(M... 1lon_-leaching fit.. 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 Compliance has be, issued by the oar of health. Signed ... '' ....%�/ . ..-------. ..1Q/2..3/.44�. Application.Approved By .. ✓....................... --------- - �.�...... - ----- ---- - ...................... --l/.� Application Disapproved for the following reasons- ------------------------ ...........................................................----------------------------------------- ... . -- --------------------------------------------------- --- l 1 - -- - ---------------- Permit _- Date ' No. .......-- Issued . . -/- Da e THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C emir ra e of C ontlatia re THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) by.....J.e.?..Ma_c.nnnber Jr.--------------------------------------------------------------------------------------------------------------------- ---------------------------------------------- Installer at -...a.226....Captain...L ;-ah....Road........ ehtery.1_1e......................-------------------------------------- --------------------------------------------------- has been installed in accordance with the provisions of TITLE f T' e State nvv.ronmental Coe s des ibe in PP P ..... C the application for Disposal Works Construction Permit No. dated . .-..... �--. J--. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UE AS A GUARANTEE/THAT THE SYSTEM WILL F NCTIOLI SATISFACTORY. ,� 77 DATE. /...... ...........................--- -------------------------------------- Inspect ..<... 1�.: . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 300 No,................... FEE............-••0•..$...... Disposal Works Tunu#rudiun "prrnti# J Permission is hereby granted.. JPMacomber r........ •------------------------------- to Construct ( ) or Repair (Lj an Individual Sewage Disposal System at No 12ti C*rta.1S�etltar�r3..�• P Street as shown on the a plicatio for Disposal Works Construction a mit N .. ....+SatedlD._... ----------------- D DATE -; ..... Board of�Health ...---,- ----••-- I FORM 36508 HOBBS 8t WARREN,INC.,PUBLISHERS TOWN OF BARNSTABLE + LOr: ATION L r�le n 12 SEWAGE # Fri — /" ® VILLAGE LEA ��l.i`I I ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. ! ,P M a CQ w,b r t^7-S0-n -k C-- SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �� (size) / G� L NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER B &SR OR OWNERS ,� G.e�Cs�✓.� ` DATE PERMIT ISSUED: ^ DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No I� J �S �� � `� n0 � i � \ ® / \ / / \ / � � � 1 � �' I 3�� �� / Cj ` Ol 3�'� , �y� i zl7kCh , I -`-AH LO;CAT. ION SE AG PERMIT NO. VILLAGE INSTALLER'S NAME & DRESSr�� oue 1 K3 C, ~` B�!IL D E R OR OWN ER DA T E P E R M I T I S S U E D 6 DATE COMPLIANCE ISSUED q - I6 - 76 J.k4A ��+ ` r e r f ZD 0SOTAC v +© P� t- No. y�y.... F�$... a................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / ` ...............OF....... "r......................... I Appliration -for 15isposal Works Tomitrurtinn Vrruift Application is hereby-made for a Permit to Construct (✓�or R r ( ) an Individual Sewage Disposal Symms/tp�q�" at: ^/'�/f///J�� ////�/ '� �d�Q _ I 7 !�'�w.. ..�!:. ...... L_-:.-6-J--_..... ............. ....C_ .._.•.��..�a...............-_Y_ I 7A ................;.?'t................................. AAdxaos or Lot No. ----Locations/7�'?�}+c�`' ---------- / Address"!Ze n ---•--.. ......................... ..............•------------...-----••............................ ..----•--------.--------•---•-- Installer Address UType of Building Size Lot,/g:� -----Sq. feet Dwelling—No. of Bedrooms............ ------- ----------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons--------------­_..____-_.__ Showers ( ) — Cafeteria ( ) 0.' 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_____e_ Depth below inlet____________________ Total leaching area.._-___-_________sq. ft. z Other Distribution box Dosing tank ( ) ,�.•- � t. -�'�'t'7� Percolation Test Results Performed by.--------- .-- ............................. Date---------------------------------•----- a Test Pit No. I............a__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...___..._-.___._____._. ----._..... / ..••. -•-•---•----- ----------- O Description of Soil------- 1?_'_�.1 .................... = . --..f �� - ' V 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss the board f hea Signe _ •-��i � . --.. ------- Application Approved By--- •- � ----- --- "=•--•-•...G? •. -- •------------------------ t' .c3 �®-------- Date Application Disapproved for the following reasons:................................................................................................................ .... -•..............••-•----•••----------- •-----...-......--.......... -------------------------- © Date Permit No........................................ Issued------G..` ...---•------••--- � Date �'/C./ �^ ems• �,r� r��' •`.r No......................... Faa................ THE COMMONWEALTH OF MASSACHUSETTS �- BOARD O� HEALTH ram.. ...-/,��/. Applirtttiun -fur Bhipood Works Tomitrurtiun Vrrniit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal !:Yst o 7 a , Location-Ad or Lot No. wner ----Address Installer Address d Type of Building Size Lbt..,,,*/ ....Sq. feet r aDwelling—No. of Bedrooms------------ _____________________Expansion A tic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of ;tic Garbage Showers ( ) — Cafeteria ( ) G� Other fixtures •----- ----------------------------------------------- •------- W Design Flow_....._.__.5.�.�___________________gallons per person per day. Total d.ily 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._.__._1�.._`�_46Depth below i/n/le___` _`y`�Total�,leaehil ------------------sq. ft. Z Other Distribution box ( �^ Dosing tank.(, )) {'j Percolation Test Results Performed b ° a Y------- --------------------------------------------------............... Date------------------------------------ .. Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water..."_-..._____---__.._.. �14 Test Pit No. 2----------------minutes per inch Depth of Test Pit.--_.________r_____ Depth to ground water............._-_-__----- / �' <' :: r; j ✓'!r%t r " ---------_-=--• ------ � -•---•-•--•-.... r'-' x ..... =-{--•------ fj ce- xDescription of Soil-------------"-----------"---"---------•------------------•--------•--------------------•- -------------------•---•---------------�----- --. U -------------••-•------------------------•-----•-••------------•-------•--------•-------•-----••----.____--------•-•-•-----....--•--•--•---------••---•---•-------------------•-•--_....._•-------- 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss , the board head Signed"----- -------------•••-•---•-•--•---- - . . 1 c Application Approved By-----_------<?,- _...//"• ���.-r __ r --'---Da j--,/ Application Disapproved for the following reasons:..................... ._._.._..._•-----•------•---__--•-•----_-_--••------------------------------••----•----•••-••-•--•-•-----------------...-•••--------•-•-•-----•--•-•----------•-•-----------------...----_---------•••-. 2 7 Date PermitNo......................................................... Issued.................................cZ v --.................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7— `^ (krr#ifirtttr of font Iittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( for Repaired ( ) by.... '=t1 / "/ �J -- ------------------------------------------ -------------------____.----____---- - -- at- e li '+�-----------------------— d Inst ------- / -- aller r. u � r r, rz c� J ------------------- I c,c has een installed in ace ?dance with�{he provisions of Article`X'I`/of"ThefState attar. Code as described in the application for Disposal Works Construction Permit No-----. _��s.__�.; _...___ dated-..._. ____ f r______ .....7-6 ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE---- -•-•-• . -_�'- � :C"�'32"a- Inspector THE COMMONWEALTH OF MASSACHUSETTS e BOARD OF HEALTH J �,,....... fir N ........ -f.; G I• Z FEE........ . . �i��u�ttl; lark, �•�n�trnrtivat �rrntit Permission is hereby granted K = �'�- ;----------•-------------"----------------"--.__.---------____-----•-"----•----•--•-------- to Construct ( or Repair (- ) ar Yndividuaf age Disposal System (1/ �__. L• ✓ _. ._; r 4.....____._.___..Street"_________________________________________________________________ _________ as shown on the application for Disposal Worl Construction Permit-No---------------------- Dated...._...9'_ -_._1............... �--- — DATE........................... ------�6- ___..._----------------------- FORM 1255 HOBBS & WARREN. INC.. 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An/ LOCAT/O/U 2 EFE 2 ANC E_ /07 22 /A.J _PL,"j/V �'J�O L 30,S SAG `�caQ SEz->T/C TA^-,,< AA-/D LE.4G.�✓i.�/G �/T �U'2 TO 45E CIF .�E/n�FnE'CED GONC 2C-.TE CO�vc,�ETE ST2E VGT}/ 3000 A>,5/ lt9/AA T L.L.E(S4fAj .---1=:*Cl::7/a/:-Z 0,1,./ S TEEL 2000 "- /O LOAD//vC, F3 y C- e. S/-/O�2 T /A/C• /4 TO 2 Y L,4 A/E. tIA QF U/z l V�tvA y Iv O 7- TZ� n L<::DC•4 TE_ IDE A/A-1 , ML] SS. 0VE.0 SY5 TL%fI un✓LE 5S /- -2 J cRAicy� DE5/G�v LoAu/NG L�SEv RAYMOND SHORT "I No. 27483 - BTE��O��'@ r OA TE AlEAL7A+/ A06A17- l 4 F>i�,eo V,4 L