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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiun for Disposal Workii Tunitrnrtiun ramit
Application is hereby made for a Permit to Construct ( ) or Repair �X) an Individual Sewage Disposal
System at:
22 Hitchingpost Centerville
-------------------------- ...................................................................... .........----....-------------•--...•-----....----•---•-....._.....------...................------
. Location-Address or Lot No.
..Larry-.Benne t t . .............::...................................... ..................................................................................................
W J.P.Macomber Jr Owner Address
,a ......--.
Installer Address
Type of Building Size Lot............................Sq. feet
aDwellings No. of Bedrooms..............3...........................Expansion Attic ( ) Garbage Grinder ( )
a Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
d 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........................................
1 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.....................
..-
fL4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a -----------------------------------------
•-------------------
•-----------------
---•-----------------
--------------------------
---------------------•---------
0 Description of Soil................... -..................................................................................................................................................
x Sand- & Gravel
c.� --•-----------------•--•--•----•-------------•--------•---•-••--••--•--------•--•-•----------------------•-----------------•-------------••-----------------••-----•-••••...------.....------••---.----
W
U Nature of Repairs or Alterations—Answer when applicable_____________
l_1000 gallon----l_eac_h---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 iss d by the Ppand f health.
Signed ----------------- --------- ---/-------------------- ----------- 3/2 0 ----
Date
Application Approved BY ............ . .. .... ------- a• /��
............................................................................. Da[e - Cf
Application Disapproved for the following reasons- --------------------------................................-- -------------------------------------- ----------------------
---------------.....................................................-- ------ -- -- ---------------------------- -
--------------------------------------------- ----------------------------------------
Date
Permit No. .�.1..- �---� --. -------. Issued
Date
/-2 3
o0
No. --......._._....... Fps........................ .
-- THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH ~
TOWN OF BARNSTABLE
Appliration for Disposal Works Tonstrurtiun rnmit
Application is hereby,made for a Permit to Construct ( ) or Repair P) an Individual Sewage Disposal
System
22 tchingP-ost Centerville...... --... .:...:.- :: ...........
s
Location-Address or Lot No.
•a!"1"�T._R !?.ne .-----.......... ••-------•-------------------------------•-- .... - -.........................__
Owner Address
w J.P.Macomber Jr.
...................................... -----•-----------•-------------- ... .. ----------------..........----------•-------•--••-----•-------...........-••-••......---
Installer Address
Type of Building M Size Lot............................Sq. feet
aDwellingXX No. of Bedrooms..............3...........................Expansion Attic ( ) Garbage Grinder ( )
p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a' 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.........---.--...-- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( ) '
Percolation Test Results Performed by.......................................................................... Date........................................
a
Test Pit No. I................minutes per inch Depth° of Test Pit.................... Depth to ground water.....................--.
(za Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth fo ground water........................
a --------•-------------------------------------------------------•••••-•--•----------•-••-•--••••••-•..........................................................
ODescription of Soil...............................................•------------•------=----------•---------I----------.....------------............-------•-----------•----.........------
xI Sand...&...Grave 1...-•••----------•---------•----••...-------•---•.........................................•••-------•-----••----
v
w -----------------------------------------------------------------------------------------------------------------------------------------------------------••----------------------------...._.......--
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
..........................................................-----------------------------1_-1JO�J---�a_llon--leach,_wit......
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 furiher agrees not to place the
system in operation until a Certificate of Compliance has been,issued by the board of health.
Signed ."/_Z.................... ..........���?��?n....
Application Approved B
........�.......................-----......r......................... ................... '�--^-.C/..'..rJ..
te
Application Disapproved for the following reasons- ---------------------------------------------------------.............-------.............-----------------------------------
......... ................................................... ...
-+ar rj S Date
PermitNo- --------------- ----------------------------------------------- Issued
Date
i
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OFMEZALTH
TOWN OF`BARNSTABLE
Cgertiftrate of Tompltnure
THIS*IDS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (.I )
by.....J..e-P-aMa-c'�.amb-Qi.r....41-.Z..-s............._......................--..-.-..........................................--............................................................................... .........:......
Installer
at ....22....Hi t t'h in_gp.o t.-..lane........Centex- ' i_l i e------------------------------------------------------------------------------------............... ......................
has been installed in accordance with the provisions of TITLE 5 f,T'h--2tate-Environmental Code as described in
the application for Disposal Works Construction Permit No. ............................................................... dated ................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUEq AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE--------------� f.-. / �-...................................... Inspec - ........:f.
0
i THE COMMONWEALTH OF MASSACHUSETTS
r
BOARD OF HEALTH
�G- 5 TOWN OF BARNSTABLE A,
NO......................... FEE.#;?..-_0.2Q
Disposal Works Tunutrurtion Prrutit
Permission is hereby granted..........J..P.Man?rrl}e.n.-Jr.................................
to Construct ( ) or Repair 1fX ) an Individual Sewage Disposal System
atNO2... ae tee,rmille.....•----•------------• ...........................•-•----------••-----........
Stree
as shown on the application for Disposal Works Construction Permit ' oG......._.... Dated..........................................
Board of Health
DATE................................................................................
FORM 36508 HOBBS Q WARREN.INC.,PUBLISHERS
TOWN OF BARNABLE
LOCATION 2—_2i TGG��tic �c>ST % SEWAGE # C�`"�
VILLAGELZ& ASSESSOR'S MAP & LOT 17.5 0 �3
INSTALLER'S NAME & PHONE NO. `} // Al Xel,7tSp4 .f;7c_
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) ��,J" (size)T>��li�
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED.-
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD O HE LTH
.......
..........................
Applirtttion -for Uhipagal Hforks Tattstrurtion Vanift
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
�.0
/l,� •. --• ` •----•-------•--------------------• -------....-
Location• ddress o t No.
---- ............... .................................
w /• Owner Address
Installer Address
d Type of Bui di Size Lot../I _ � _._ __ Sq. feet
Dwelling o. of Bedrooms._ ---------------------------------Expansion Attic Garbage Grinder
aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers Cafeteria
a' Other fixtur s ......................................................
w Design Flow------_-.... .6.............................gallons per person per day. Total daily flow---------------------------------------.---gallons.
W . Septic Tank—Liquid capacity. .0.w..gallons Length---------------- Width................ Diameter----------...... Depth.._--.--.----_.
x Disposal Trench—No.-._.-_ .-_. Width-------------------- Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No .................... Depth belo 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.-.-..---------------__.
Description of Soil----- - - ......:D
x -------------------------- �® .
w
5 �
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 he undersigned further agrees not to place the system in
operation until a Certificate of Compliance has 4ise., y the a of alth.
Signe --- -- - -- ---- -••---•----•---------.---------------- --
Date
Application Approved BY------ `-� . ------ - ----------------
Date
Application Disapproved for the following reasons:-...---...-•------•----•------------------------------------•-•-•--------------------------------------------•-•
--------------------------------------------------- ----------........----------------------------------•..-------._..........--------------------------------------------------.------ .................
Date
PermitNo.......................................................... Issued........................................................
Date 4
.......................................................•.•..........................................................-............- .
THE COMMONWEALTH OF MASSACHUSETTS ovv � /r/ os"
BOARD OF EALTH
..........OF............... ... .. ............................. ,vv oe
Trrtif iratr of filoutplitturr �-
TH IS TO C IFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
b ----- ---------- -----------------------------------------
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has been installed in accordance with th provisions. of Ar V& I- _State Sanitary Code as described in the
application for Disposal Works Construction Permit Nob-A ------------------ dated....H.'...1-.74-...................
THE ISSUANCE OF THIS .CERT5FICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE..........`/.........-/!� ..•••-- --•--••---------=----------- Inspector.. .. --•---...•---••--�:-_,'-------•----------
No..................... FicH .............
THE COMMONWEALTH OF MASSACHUSETTS
—BO— ARD20F �HETH
......OF........ . .. ................... . ........ ......................
Apphration -for RaVviial Works Towitrurtion Vrruift
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at
................................................. ...................... ......... ..............
/ 1:��4 ow,, C.
................
n-__ddress
............................................. ................................. -----------------------------
7-:X or L 5/ 1
Owner 'le.......Address
................................................... ... ........... ......
;............. ..... .............. ...... ................................................................
Installer Address
Type of Buil7din Size Lot..:�//..I Sq. feet
Dwelling o. of Bedrooms._.
....................................Expansion Attic Garbage Grinder
Other—Type of Building ---------------------------- No. of persons.--_-_......................*..................... Showers Cafeteria
OtherfiXtUrys/-------------------------------------------------- ........ ----------------------------------------------------------------------------------------
Design Flow_-__-__--.-.6.....( /I----------------gallons per person per day. Total daily flow----------2-50..........................gallons.
Septic 'FLiik—Liquid capaCitV-JAh)--gallons Length................ Width...__........... Diameter__-_-..--.-..__ Depth....___.__......
Disposal Trench—No. Width.................... Total Length-_-.___-----_-__-- Total leaching area--------------------sq. f t.
Seepage Pit No...1,2W---510-" Piameter-------------------- Depth below inlet........_........... Total leaching area---_------------sq. f t.
Other Distribution box ( ) Dosing tank ( ) 4- p 6� — /0-
Percolation Test Results Performed by.-------------------- ---------------------------------------------------- Date___..........__._........_..___.........
Test Pit No. I................minutes per inch Depth of Test Pit-..-.--___-_____-_-- Depth to ground water------------------------
f14 Test Pit No. 2-----------_--minutes per inch Depth of Test Pit......._....._...... Depth to ground water------------------------
9 --------------------------- __id ......... . ... ..........................*-------4.......Y.. .........f j.
- ------ -- .....
Description of Soil-------~ 7:7 -V..... - -- --------------------- - -----
U ------------- ---------------------------- -----------------------------------------------------------------------------------------------------------------------
W
-
Z ------------- ---------------------------- ------------------------------------------------------------------------------------------------------------------------ --------------------------
U Nature of Repairs or Alterations—Answer when applicable.-.------------------------------------------- ------------------------------------------------
------------------------------------------------------------------------------------------------------ ----------------------------------------------------------I--------------------------------------
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 is u y the of alth.
igned/
.... .. ....... ................................................... --------------------------------
�44.....
K() Date
Application Approved By----- ---- ---- (----------------- ........ - - ------------ --- ......
Date
Application Disapproved for the following reasons:----------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------.........
Date
PermitNo......................................................... Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
L BOARD OF EAL,TH
0 F................X..
........... ......... . .....................................................
%Lprdifirate of 01,11mpliaurr
TH[ IS TO C IFY, That the Individual Sewage Disposal System constructed or Repaired
by. Z. ......... ..... ......... ................/.... ..... ------- ...................................................
---------------------
..........n— ..........................................................
.... ........
- ---------------- ---has been installed in accordance with th provisions of Ar tate Sanitary 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.
DATE.............//---------- ---------1-7....................... Inspector---- -.`::7------ - - - - ------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..... .... ..... OF..............6.. ..........................................
No......................... FEE...
-----------------
Permission S y granted-- !1--------
- ----- ------- ------- -------------------------------------------------------------------------*--------to Conosil,,t/(� ) or Repaly( 6 ar Individua]"�S ge D* stem
-----------------------------------------
at NO ....... --------- Street ......
P --- ----
as shown on the application for Disposal Works ConstructionA,) Dated-----/1 _/_-/-.7j�.........
/'10
--- ------ - -1---------------------
Board of Health
DATE.--•-------------•----•---•-----------------------------------------•---------
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
LOC OKI /-3 SE\Na(,E PERMIT UO.
e-I_4 —SC
VILLAGE
�ry
II�IST�LLE��S IJ�►NlE � ADDRESS
5UI D R 5 1 F- ADDRESS
es
DATE PERMIT ISSUED
DATE COMPLIQ dCE ISSUED : �l/�5
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20 FT milt
B FT MIN - • y
4rl PVC PIPE CLEAN SAND
Voo /Oo,c CONCRETE _ MIN PITCH
COVERS 1/8" `PER FT CONCRETE
COVER
A
LIQUID LEVEL
.. LA
A.. AS 2T: i i YER 11
PIPE ho o o / •, • •
IN ITONs
WASHED STONE
I/4 SEPTIC TAOd!( _ DIET. '. ° • ' • • • • • • ° ° ° °
R FT
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BOX ° / • • EFFECTIVE' ' 3/411- 1 I/2
° 1 • 007TH •.• / / WASHED STONE
°
1 . • s • • • • . / ' PRECAST: &&AGE
y ° ° , 1 • • • . • . . / • PIT OR Et1/
40
UVVERT ELEVATIONS 6 FT DIA.
INVERT AT BUILDING 9�°� FT. 10 FT. DIA. C (SEE TABl1LATION)
:INLET SEPTIC -TANK �s''s FT. GROUND WATER TABLE
"Oi4TLET SEPTIC TANK `��•� FT. SECTION OF
*LT
DISTRIBUTION Box- 4�FT. SEWAGE DISPOSAL SYSTEM
T DISTRIBUTION BOX 9 s'9 FT. SCALE= l/4 = / O'/SEEPAGE PIT � n FT. TABULATION
DESIGN CRITERIA DIMENSION A -?'FT. .
_ DIMENSION B FT.
-NUMBER OF BEDROOMS DIMENSION C FT �'h
'G`ARBA"GE DISPOSAL UNIT
TOTAL ESTIMATED FLOW 200 GAL/DAY. ' SO)L LOG SOIL TEST
NUMM OF SEEPAGE PITS / ELEVATION DATE OF SOIL TEST _
SIDE LEACHING PER PIT /1d°t SQ. FT. RESULTS WITNESSED BY
BOTTOM LEACHING PER PIT 7 g SQ. FT. D&4'4 PERCOLATION RATE MINA NCH ;
TOTAL LEACHING AREA ESQ FT. ,
RESERVE LEACHING AREA C SQ. FT. Ino r � TI► � �''
+1•'Ut �'' . �': V� kOBER?
�, BRucE �i f
.+�-` ELAREOCaE '+ f o fix n x, 9
ELDIE ENGINEERNG
33- Na MAIN ST.
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CERTIFIED PLOT PLAN {
NEW':CONSTRUCTION ONLY =
IN
TOP OF I FOUNDATION IS FEET
ABOVE LOW POINT OF ADJACENT SAAAS TAAL A S46 'r
ROAD.'
SCALE: / -x'.0 DATE:0*iA� jf
® EDGE ENGINEERING CO.lAI CLIENT 40 rlvne 1 CERTIFY THAT THE EQU a `T"`t A
OII3TERED LESTEREDNTHIS PLAN IS LOCATED
CIVILAND d08 N0. T GROUND AS INDICATED A1�4D
C FORI,S TO THE ZONING LAWS
ENGINEER VEYOR DR.BY� �,�? OF DARNS BLE , SS.
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CH.BY=
S3.,Nq. MAIN ST 712 MAIN ST. �P /` 9? a6
SG .Y4RI 100TH,'MASS. HYANNIS, MASS. SHEETLOF A DATE REG. LAND SURVEYOR