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HomeMy WebLinkAbout0098 DUNASKIN ROAD - Health q B bVAOjskjf4 R a CPln�'ervsI1t Z zq - o4z-7 TOWN OF BARNSTABLE VvAlkS �A LOCATION V5 i5u�,v A Cry S lcf) SEWAGE # VILLAGE ��,,���. x� ASSESSOR'S MAP LOT INSTALLER'S NAME & PHONE NO.� SEPTIC TANK CAPACITY / jam MA LEACHING FACILITY:(type) � (size) NO.OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: cj ,, X 7 DATE COMPLIANCE ISSUED: D '" VARIANCE GRANTED: Yes I DvNRSK IJ LOCATION " SEWAGE PERMIT NO. f? d Vr VILLAGE INSTALLER'S NAME i AD RESS BUILDER OR OWNEIT YtiZ- :5 c A&,(o A/ DA-TE PERMIT ISSU- E D DATE COMPLIANCE ISSUED O Qo4 F 30 00 No — ps............................ THE COMMONWEALTH OF MASSACHUSETTS DcPa'u"qgOARD OF HEALTH Z7),cyt2 TOWN OF BARNSTABLE Signed Date Appliration for Di ipwi al Work,i C owitrnrtion Vantit Application is hereby made for a Permit to Cortstruct ( ) or Repair (X) an Individual Sewage Disposal System at: 98 Dunaskin Ave Centerville ...............................................--- --....-•---------•-- •--•-------..........--- ------------...----...............-------•---•---------------------... .... - Location-Address or Lot No. ( f __.___.Scanlon Owner Address W J_.P.Macomber Jr. Type of Building Installer Address' V YP am` p ( ) Size Lot-Garbage Sq. feet t-, DwellingNo. of Bedrooms...-.--.-.--3-------------------------- Ex ansion Attic r ( ) aOther—Type of Building ---------------------------- No. of persons-.-..---------_-----.------ Showers ( ) — Cafeteria ( ) QOther 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 ( ) W Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0.4 Grr Test Pit No. 2................minutes per inch Depth of Test Pit..............--.... Depth to ground water........................ 1:4 .....................•-----------••-•...............................--•---------•-••--------._..........---------...--•-•-.....................••-•-•••-•---- 0 Description of Soil........................................................................................................................................................................ W Sand & Gravel V ---------------•--•-•------•-•--------....---------•••---•----....-•---•---.......------•••-•-----•-•--•----•---------------•----•-•---•---•------------•-•--------------...................---•--..---- W ---••------------------------- -------------------------------------•-------•- U Nature of Repairs or Alterations—Answer when applicable-------------Omit...cessl00o1........Install................... 1-1000 gallon tan'. 3—infiltrators --------•--------------------------------------------------•----------------------------------.............------...-----------------------------...---------------............---•-----•....-••.....--- 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 n iVuedy the bo d health. Signed . ..- G.�i�'� � .... ............91.2./..9.3...... Date Application Approved BY ...... .... , .. . �` .�,.�..-. ............................. ........................... Dace Application Disapproved for the followsng reasonr: .................................................... ... ........................ ........................................... ........................... . ........................ . ... ..... . ............ Permit No. ..... .�J... T.p� .................... Issued .................. Dare 30.00 No.. -.... Fa$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diripw3al Workii T ontitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: 98 Dunaskin Ave Centerville 1 ..-----...-•-----------------------------------------------------------------------•---...-•_----- -•---••••--------•-•-•-•••-•----•---•------.....---=--•-------•••--•----•------•............------ Location-Address or Lot No. .......5 c a n 1 on ----------------•-••-------•- -•-._...._....._-----•----...............-- Owner Address W J.P.Macomber Jr . Installer Address UType of Building Size Lot----_--.•_-__-_--_•-_______-Sq. feet DwellingX- No, 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. WSeptic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter................ Depth................ x Disposal Trench--No. .................... Width_.................. Total Length-------------------- Total leaching areae._.................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..:t.................................... Test Pit No. 1................rninutes 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........................ C4 ..............•-•-----------•------•-------•-------------•---------•••-•-------••-•-.....-------•--•......................................................... 0 Description of Soil......................................................................................................................................................................... V •--••---••---•----------•-------------------------------------------•-•--.Sand---& _Gravel t W G - . -•----------------------------------------------------------------•--------•-------•---•------------•----------------•------...---••------------•••••-----•------------........---•-•-----------•--- U Nature of Repairs or Alterations—Answer when applicable............Omit...Cesspool-.__Install..................... 1-1000 gallon tank 3-infiltrators •---------------------------•---•---•--------------------------•--------------------...........--•------••------_._...-----------------•---••--•-----------------•-•-•------•---•----•-•----............ 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 n is'ued by the bo rd f7health. Signed - /%% � y� 2 Date Application Approved By ........` xA. ............. T....,�s-�.-.--, -� ........................... .............. ........q.. .) ..-..,..... Date Application Disapproved for the following reasons: ...................... . ........................................ ................._................................... .......................... ................................................................. .......................................................................................................... ........................................ Permit No. ....... ..----- Issued Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C ertifirate of (fomplianre THIS IS TO C�RTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XX ) .P.Maco. .. . .. e .....by ......J-- r Jr.. . ....._........... .....m .. ....... . ---------------.---'---...sr,Jicr _ _----......... ...------- ------------------------------------ Ia 98 Dunaskin Ave Centerville at .............................................................. ....................... .......... ..... ........................... ......... ...... 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,. Z DATE........ ..........1.6....... J._-...13.................._.... .._..........._.._. Inspector ..��L.. ----- --...........------ ...............---- - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE $ 30.00 Disposal Workii Tuntrurtion "Vrrntit J.P.Macomber Jr. Permissionis hereby granted.............................................................................................................................................. to Construct ) or Repair 7M an Individual Sewage Disposal System at No... 98 unaskin Ave Centerville --------------- •------------------------------------------- --------------- •...... --- Street [ � -..(q as shown on the application for Disposal Works Construction Permit No---�3.-;� Dated.._._�'_,�:a .3............ .............................. ... C� .................................... Board of Health DATE............ -'"�==�"•-f-- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS