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Home My WebLink About0082 GLENEAGLE DRIVE - Health 82 Glen Eagle Drive, Centerville A= 191-159 No. 42101/3 ORA ESSIELTE 10% O O 0 0 No..---. � Fmc.4....3.9.:.g....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Uhnip iul Workii Towitrnrtion Varaft Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...8...2.....G...l.en Ea l.�... ?rive.� ntrillpe Nelson Cook Location-Address or Lot No. Owner Address aJ...P_Macnmkzer Tr•-----------------------------------------------•--- .................................................................................................. Installer Address UType of Building Size Lot...........................Sq. feet ►, DwellinXXXNo. of Bedrooms----------3--------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------..--.-------------- Showers ( ) — Cafeteria ( ) Other fixtures W Design Flow--------------------------------------------gallons per person per'day. Total daily flow............................................gallons. WW Septic Tank—Liquid capacity------------gallons Length------_-------- Width---------------- Diameter---------------- Depth---------------- 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........................................ 0 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...---.................. 19 ............ ---------------------------•--------.......---------...--•--------••-•--•---------•--•----•....-•----•-•---...-------•--------•-•--•----------- 0 Description of'Soil......................................................................................................................... .............................................. U ---------Sand-- &...Gr-avekl W x --- •--------------------- -------------------------------------------------------------------------- ----------------------------------------•-----------------••-•---....---------••----------•-•. U Nature of Repairs or Alterations—Answer when applicable.-Add---- ..- . . -- . ---gall m.............. ---------leaching••-o.it-•to...an-- existin-g•--tank....$...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 Complia ce has b n 'ssued by the at of health. Signed - ------------------------------ -----------3./-_3-019.5..... Dare Application,Approved BY l,� PP PP -- - ------------- ----- -- -------_........ -----------:------------------------ -��,�..... Dare Application Disapproved for the following reasons: ..._... .....---................... ......---------.........--------------------------------------------........_ --------------------------------------- -- - ----- --- ---- - �---------------------. �.e Permit No. Li .............._ Issued Dare N05�_?;�F FE:B..�....�k!t.0 THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH TOWN OF BARNSTABLE Applirtt#ion for Diinpwi l lVarko Toni#rur##nn rumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: _82 Glen Eagjg Drive Centerville. = . . ........... ----------------- Location-Address or Lot No. Nelson Cook Jr.. Owner Address a J..R Q..Xa. jaher...u_ .................................................... ................. ................................................................................ Installer Address Q Type of Building Size Lot............................Sq. feet Dwell in'cXNo. of Bedrooms..........3--------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons_----___.___-_---__.____.- Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------------------------------------------------------------------- -----------------------------•--------••------------•---•--- 1 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. l________________minutes per inch Depth of Test Pit-------------------- Depth to ground water....................._.. fi, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 9 ---------------------------------------------------•--------....----.........--•-••.....-------•----...................................... .------------------ DDescription of Soil----------------------------------------------------------------.01V................................................................................................... rxSand &_..rr velcl--••---•-------•----•-------•---•-•-----------------•-.--------------•----•----•--------------------------------------•------•-------•-•-------•------ 4 -....._ d - W UNature of Repairs or-Alterations—Answer when applicable.Add.._a ditional...1__-1 000___c�allon---_- leachinr pit to an existing tank $ 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 Complia ice has been 'ssued by the oar of health. Signed .... . / `/�...- _.... -3 3-010-5 Dace •�� Application.Approved By Dace j Application Disapproved for the following reasons- -------------------------- ---------------------`..----...._...........---------------------------------------------------- ..- - ------------ -------- -----------------------------.-------------....----------------------------------------------------------------- .... .... D ------------------- - ..�� Permit No. Issued ..... _�... D...'~.�i. . a<e Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (11'ertifirate of Complianve THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired,,�XX ) by J.P.Macomber Jr- -- - .._..... ...._..... .....- - ...._----------------------------------------...__.---------------------------------- -----------------:-- ------------------------------------ 82rlen Eagle Drive Centerville at .... ................................ .. --------...._...---------------------------------._.- ------ ------ ------------------------------------- ----------------------....----------------------- has been installed in accordance with the provisions of TITI_ of—The a /E vironmental Code as described in the application for Disposal Works Construction Permit No. ?--✓... "... .,/ .. dated17 ._ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIONS ISFA RY. DATE .-/ `.. ... .... Inspe �.... � <:��%'2�'�- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ��`�„ TOWN OF BARNSTABLE $ 30.0 No.•..... .............. FEE........................ ork� �nno#r�.r�#ion ��ermi# Permission is hereby granted ...P.tlacomber J 7- -------.-_-----------------------------------------------------------------••-•-•--- to Construct ( ) or RepairX(XX�an Individual Sewage Disposal System at Nog2...Glen Fagle Drive Centerville._____„..................... Str as shown on the application for Disposal Works Construction Permi _ Date ___ .' (-� •-•------••-......--• t-+�� ----------- �---------------- ------•- 5 �.` / Board of Health DATE------ -- --------•-----.r...�.- ---------•-----•-•-•-------••• FORM 36508 HOBBS&WARREN.INC..PUBLISHERS TOWN OF BARNSTABLE LOCATION l SEWAGE # VILLAGE CP_ ASSESSOR'S MAP & LOT" INSTALLER'S NAME&PHONE NO. N sir MACa 'ihkC r 90,0017 C_ SEPTIC TANK CAPACITY IDOO LEACHING FACILITY: (type) a tV-`S (size) t00 b NO.OF BEDROOMS OR OWNER PERMTTDATE: � " ' � COMPLIANCE DATE: 1 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by a