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Home My WebLink About0003 HENRY F LORING ROAD - Health 3 Henry Loring Road Centerville A= 172—213 iMEAD No.2.153LOR UPC 12534 smead.com • Made in USA l� a TOWN OF/BARNSTABLE LOCATION / /NrE_karg & / SEWAGE # VILLAGE el?,-(e-r ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. � 9' , &Goy-��✓rS �tiC SEPTIC TANK CAPACITY fi�;gg LEACHING FACILITY:(type) (size)�pGG�� NO. OF BEDROOMS '� PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER A DATE PERMIT ISSUED: r'" DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 4 f 1-sh Qe 6 ` FR$.. ...3 ....'��._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratilan for Disposal Works Tonstrnrttun rumit �n Application is hereby made for a Permit to Construct ( ) or RepairXQXX) an Individual Sewage Disposal System at: 3 Henry Loring Road Centerville,Mass . ................_....._.._................ ........................... --...-------.....-------...---•-•-------------•----------•---.....---------------...........----•- Barry Mc Kee Location-Address or Lot No. ......................_.......................... .......................................... -•------..........-----------------•----ti------•----------------•-------------------•---•••------ # J.P.Macomber Jr. Owner Address Gx] s P1 Installer Address c Type of Building Size Lot_...........................Sq. feet U DwellingUNo. of Bedrooms._._.._...._3.............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of- Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) C4 Other fixtures -----------------•-------------------------•----------. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'ca.pacity............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........................ 9 --------------------------------------------------------------.-•------------------------------------......................................................... 0 Description of Soil........................................... - -n--d ...................--...--------------------------...------------------------------------------------------.x l U •-----•----------------•-----------•---•-------------------------------------...--•-----------------------•-•-------------------•-•---------------......----------------------------•-------•------•---- W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable..................:...................... ..........-__-__:____-___-_------------------- ----___. ••----------------------------------------------------..:-1 J0�---gallon. leaching;--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 be:�sued' by the b and f health. Signed . !//�� 8�3 �9 Application Approved By ........................... ----------- 8-------�d�Gd Dare Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------- ------------------------------------------ ------------- ------ --------------------------------- -- ---------------------------------------------------------------------------------------------------------------------------.............. .......................---------------- Permit No- --------------—6-------.`��......�........... .- Issued Z� ;.D-f d e .... No.-._-v_... w FEs... ... 0.-00 , t THE -COMMONWEALTH OF MASSACHUSETTS , BOA-RD OF HEALTH TOWN OF'BARNSTABLE Appliratilan for Disposal arks `Tonstrudinn 1hrmit Application,is hereby made for a Permit to-Construct, ( ) or Repair Y(XX) an Individual Sewage Disposal System at: 3 Henry Loring Road Centerville,Mass. .. •--• -__.__ --•.......... .. ......... - -• --------------------------- - --- -- .............................. on Locati -Address or Lot No. Barry McKee r J.P.Maeomber Jr.°`"ner Address �+ -----•-----------•----•-••----•--------------------•-•--•---•-------------------•-•------•-------- ----••----••----•---------------•-•-------••••------••--•-•••-•-...----•-----•--•---......_...--•- Installer Address Type of Building Size Lot............................Sq. feet Dwelling XXNo. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria i, Other fixtures ------------------------------------------------------.-•-•----------•----•••••------•---•---•-•--•-•-...--•-...----•-...........-•-•----------•-••... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic 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 ( ) aPercolation 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........................ C>� --------------------------------------------------------------------•------------------------------ -----------------------.-------------------------------- 0 Description of Soil------------------------------------------------------ v -•--•••--•••••-•-•••---....---••------••-••••---•-----------••----•-••-----Sand & Grave 1 W4 •----•••-•••........ ..... x ;------------------------------------------------------------------------------------------------------------------------------------------------•••- U Nature of Repairs or Alterations—Answer when applicable.............................:..:..................................................._......._.. 00 I ' ----------------------------•-------------------•-•--------------------- --------•---------------------- -----1�------° �eackl r. •-t i t_,__... Agreement: j ti 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 been i ued by�the board o health. yy� Signed f. ,. .� -. ��/f��' . -- -------------- ------8134/9Q--- ApplicationApproved By -------------------- '----- ---- ....................... .......... ............................................................. -- \ _- . ........................................------ .--------.. .............ir ......... �fe _... Application Disapproved for thi3 following reasons: ......................... .............------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ...............................-------- Date Permit No. ` C�- — .3 Issued J �r� � Dg .. ...-...... ...... �C THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE k"I'ler#tftCate Df (gomplinu e r THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (KXX)T by--------J-=-P .Macomb-e.r----i'Tr..-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Installer at ..........3--Henry--Loring Road Centerville,l�dass' has been installed in accordance with the provisions of TITLE 5 of The Statj Environmental Code as describ d in the application for Disposal Works Construction Permit No. ...........-V..... .. ...... dated ............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE----------- ---- ..-- ----------------.............--.. Inspectors . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No...'.', FEE.. ...Kt00__ Disposal Works Tuns#riulian 11rrmi# Permission is hereby granted.....J P.Ma C omb e r J r. ................. •-----......... to Construct (_ ) oy Repair KXgT, an Indio dual Sewagipisposal System tienr Lori Road Glen ervl e atNo. ....................•-..........--.........------------............---•--•---.•--•••-----------•-----•-•---•----•-•••---........-----••-•----•-••-••••--••••-•-•--•-•---..... Street � ,# as shown on the application for Disposal Works Construction Permit No.9Q_3`73 Dated"`` - 3.................... •-•-•...................... �...---------.............••--...........-•---...••... ------ - Board of Health DATE..........----------��<_7_��v_.........--•-----•-•-•- FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS TOWN OF BARNSTABLE LOCATION /-hjyyo LorIAr SEWAGE # 0 VILLAGE ��9 ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. &GOB-�B/T�ci t :Jch C 9 t SEPTIC TANK CAPACITY LEACHING FACILITY:(type) , (size) NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNERi� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED. j I VARIANCE GRANTED: Yes No j e t �. l _ _ I