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Home My WebLink About0928 BUMPS RIVER ROAD - Health q 28 S✓MPs River Rd C�A "VrVi116 oy3 SMEAD KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSS INTRY UEFORE MIN.RECYCU:D INITIATIVE CONTENTIO%® NOW Fibs Scumft POST-CONSUMER wwwApmpromurp SW)290 MADE IN USA GET ORGANIZED AT SMEARCOM I LOCATION SEWAGE PERMIT NO. VILUAG•E , . v I T A LL.ER'S -NAME i ADDRESS _(Uq s \UIVLDER °:OR OWNER J l DATE PERMIT ISSUED69 DAT E C0MPL�I�ANCE ISSUED �� a �:P�2tY 1�1n1E 1Kfo &00 6AL Lft"W4& P► St-o�v� w TOWN OF BARNSTABLE G 1 ; LOCATION 9 2 F �U.M1aS X l y ex �Gt�. SEWAGE #/-0 VILLACF G e y t e e/01't.L ASSESSOR'S MAP&LOT�Zff INSTALLER'S NAME&PHONE NO. Cd44 1're,< 'A sod SEPTIC TANK CAPACrTY / O 6d LEACHING FACILITY: (type) If/T (size) `D d NO.OF BEDROOMS BUILDER OR OWNER ' IIZ16��12 PERMITDATE: Zr COMPLIANCE DATE: 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 %.e// �� J No, THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Application is hereby made for a Permit to Construct ( ) or Repair kX]j an Individual Sewage Disposal System at: �� - ----� F Q I.oC:ltloll Address s��'" ,�. ""f ------- r Lot No. ......................... -L-�•a.Z.-----•.%- ------ ! ----------------------------•--•---------------•--- Owner Address aJ.P..Macomber Jr. Installer Address UType of Building Size Lot............................Sq. feet Dwelling?— No. of Bedrooms------------4________________-_-_-_---.-Expansion Attic ( ) Garbage Grinder ( ) Pk Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) � Other fixtures -----------------------------------------------------I------------------------------- ...................................................... 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........................................ 0..a Test Pit No. I----------------minutes per inch Depth of Test Pit_----------------- Depth to ground water----------------------- 4.4 Test Pit No. 2................minutes per inch Depth of Test Pit--------------------- Depth to ground water_.-.--__--_-_-_--__-_-_. P4 --•-------•---------------- -------'-------------••------•-•---'------•-•--••-----'---------•-------'--•--•---•---•--•-•----•----------•-----------------.... 0 Description of Soil............................•--.................-------••---------------------------------. ---------------------------'--------------------------------'---•-•-----•--. x Sand & Gravel v .._......--•----'------'----'-----------------------••------------•-•-•----'•-----'----••--•'•••-------•-•------....------•-•--------------------'--'---'-----•------•--'•••-••---•--••••...------.------ W x -•----------- -------------------------------------------------------------------------------- ---------- ---------------- -------'------------•....-------•-'-----------.......-''----•-••-.....••--•- n C� Nature of Repairs or Alterations—Answer when applicable..Add Additional leachi..................... .........................................g pit ... .____ to 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 Compliance has bee issu by he board h alth. Signed iGi ......-. .... 3/1 6/9 5 Dare . :' ...... ........................................--APPlication.Approved B .. ....... 5 Dace Application Disapproved for the following reasons: ---- -------------------------------------._---------------------........ ......... - ......................... --------------------- --------------------------------- --------------- Permit No. "'u� �7�.......-. Issued . .c37'�' - .- � .......I---------- Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cer#ifira e of C omplianee THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or RepairedX(gXX) by ....... ........J.P,ftcomb.or---Jr- ---------------------_.............................................................................. at ....... ..._.L.. �:3��Os t ,.. ... ® ? ..... . 1 .�� ----------------------_...------------ ----------------------------------- has been installed in accordancelwith the provisions of TITI. of—The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..1. `,r ._. dated - 5. - _--o . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ��.. .DATE- � �._�...' . ....... -_........... Inspecto t�: �3� - -- _.....�..... - •- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ...`'. G FEE....... ......0-- RoVosal Workii Tomitrudion anti JP Macomber Jr.Permission is hereby granted------.----.-------------------------------------------------------------------------------------------------------------------------------- to Construct,-.'•_`-` �_-- ;�.- $�--' �yst�. ''t7 at No.----.--- / 3 P T em �V _ ................... �- as shown on the application for Disposal Works Construction Pero . o--------------------- Board of Health DATE.--. ........ � `9 � --------------------------- ------------------------ FORM 36508 HOBBS&WARREN.INC..PUBLISHERS 10 )0, THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiou f or Diopa!3al Wjarlui Tonotrnrtion Urrmit Application is hereby made for a Permit to Construct ( ) or Repair .(' Y an Individual Sewage Disposal System at: ....... -8 AM- �L .�•, Read Marstons Mid Is- - Location-Address or Lot No. .............••--..... a��....�...� -------- - == a� . ��•- .2 9�.�� Owner 1 Address a 7 P Macomber Jr. Installer Address UType of Building Size Lot..........:................Sq. feet ., Dwellingy—No. of Bedrooms------------ ------------------------------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. 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. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water... w Test Pit No. 2................minutes per inch Depth of Test Pit__..-..-.-______-_-- Depth to ground water........................ ---•--•--------------•--•-----.....------------....---•----....................--•............---•-......................................................... ODescription of Soil......................•-------------------------------------......--------------------------...---------------------------............................................. Sand & Gravel V ............................---•••-•-•-••••-•--••--••--•-•-------•••••......---•-•.... •--•---------------•---------------------------------------------------------------------•-••--••-•••-......•-- W n V Nature of Repairs or Alterations—Answer when applicable---- _ _Add----__ _Additional.__--_..._-__----___leachi.-__...__.........._:_g___...o.._..it................ to 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 Compliance has beerpissued by the board of health. Signed ...... - _-- ----- ....................... .............. -------:----- Date ' ------------------------ Due Application.Approved By ` _ , - ter Application Disapproved for the following reasons: ......_...................................---------------------------------------------------------------------------------------- .................... ...... ......................................................................................................................._....._..------------------............_.....Date------ ....._..... ................ ............ Permit No. " Issued Town Office Bui�uin THE COMMONWEALTH OF MASSACHUSETTS BOARD�-OAF HEALTH ......c'.w...!............OF................. v WS .........._hrt� Application for Bispsal Mirkli Tonotrnrtinn Permit Application'is hereby made fora Permit to Construct (. ) or-Repair ( ) an Individual Sewage Disposal System at: ............Y�.. ....... ..U.. :... .. .... ............. ..4�f�•4•�..Gd{�c.1�C ................................. Loc tion-A dres or Lot o. . ..... __ :..:..-- • •5 .................. ............ ............................................ ..... O er Address .............. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.._..: ? ___________________________Expansion Attic ( ) Garbage Grinder ( ) , Other—Type of Building ... ..... No. of persons............................ Showers — Cafeteria G4 Other fixtures.................. -----------------........ •---•-••--•-•--.-........ -....... WW 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. 3 Seepage Pit No..........t......... Diameter.....La......... Depth below inlet.._........... Total leaching area..................sq. ft. Z Other Distribution_ .box ( ) Dosing tank ( ) 0-4 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........................ a, , 0 Description of Soil..........................................................................................••-•----------•---.............................................. .............................. x V --------••----•-----•-----------------------•- •--------------•------------....... ...............................................................................------- ................................ ......................................... UNature of Repairs or Alterations-Answer when applicable....__...AdD-Z.------.�L�1�___: ..:..........` -�?.. .�C'1Q?t . .. . --•----': ....... T. Agreement: The undersigned agrees to install,the aforedescribed Individual Sewage Disposal System in accordance with the provisions of LIME 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 board of health. Signed.._____ Application Approved By..:.................... ___ �•� 5 .....----•-... ........................................ ---... Date Application Disapproved for the following reasons:.........................................-•----............................................................... -------•---------:•....................................................................................----....................................-----.. .Date............— PermitNo......-..............................................--- 'Issued----------------....-----------•---.........--••--_.... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................................................................................. (Irrfif fame of ft�ont�rti�torr THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-------------------------------------------1 ��szr ' � ' i�StallerF has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.............................I............. dated........................_....................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. f DATE..............................................{................................. inspector..............-=........----......................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH : tJ L �li/ . OF..................................................................................... iVo.._...._�............ FEE........................ Disposal iforkii Tan tnr#fwu rami# Permission is hereby granted............ ---•----- d == `'---`:............................•--..........-•-•---•-•-••----.............. to Construct ( ) or Repair ( ) an Individual Sewage Disposal .System at No. = lsoops Str tr - :... - - - eet as ishown on the application for Disposal Works'Construction Permit No d Dated tr2�!L/f �" G ... `" i..................df Health a S � DATE.. --, ... .................. •-- oar o K No.:&5 Fps............................_ THE COMMONWEALTH OF MASSACHUSE"17S BOARD OF HEALTH ........... ..............................OF.................. ..................................................................... Appliration for Diapaoal Works Toustrudivit 'riermit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: (-;I C_K, U Al-0 5 < C, ............................................... .....................=.�....... --- -------- ---------------7... Location-Address or Lot No. t`-'' .5 _,0 ............................................. .......... .............................. ................... ..... Owner Address .................................... ............... .. .. r -ife--------------------------------;--------------Installer Address 7.............ef ....... Type of Building __Z Size Lot............................Sq. feet Dwelling—No. of Bedrooms.........._................................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons..................... Showers Cafeteria ( ) Ga Other fixtures ................................................................... ..................................................... Design Flow..........:S. Z-2 ..........................gallons per person per day. Total daily flow......Z�7''Z..........................gallons. Septic Tank—Liquid capacity............gallons Length'.............. Width________________ Diameter..._.___._:.... Depth.______._._..... Disposal Trench—No..................... Width................./Xot0Length.................... Total leaching area....................sq. ft. 2 j Seepage Pit No..........I---------- Diameter.....1...r............'Dept1,,beloW-.inlet. ........... Total leaching area..................sq. f t. Z Other Distribution box Dosing tank 1.4 Percolation Test Results Performed by......................................................................... Date________.___._........._______________.. 1.4 Test Pit No. I................minutesperinch Depth of Test Pit.__.__....______.... Depth to ground water______._.__.____._._.... 44 Test Pit.No. 2................minutesper inch Depth of Test Pit_..____...____.___._ Depth to ground water_._____.._._____.._.___. P4 ........................ ..................................................................................................................................... 0 Description of Soil.................................................................................................................................................................... W U ......................................................................................................................................................................................................... ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable......... -------45_Z24)....ir----A.-t...... a!...5� ............................................ .........r.........I:e .....!_l....L., EK.Z.0.......e�. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of ' 5 of the State Sanitary Code—The undersigned further agrees not to place the system in A. I TITU r issued by the board of health. ._ppe operation until'I a Certificate of Compliance has been i' Signed....... —73 ....................... ------------ ....... -��— r Date Application Approved By........ . . ... ... 3 � &t ,// (, 1,9 S ... . ........................................ ........................................ Date Application Disapproved for the following reasons:...........................................................................I....................................... ...................................................................................................................................................................................................... I Date PermitNo..................................................... Issua.............................. ............Date