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Home My WebLink About0020 LESTER CIRCLE - Health 1 �I a - t 53 �30 9 t - / THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 3 TOWN OF BARNSTABLE ` 5 Appliration for Uhi-V oal Hlorko Tatuitrortion run it Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 20 Lester Circle Centerville .....-•-•.....................•------------••---•-•-----•--•---------------------------...--•-•••. -•--•-••--•-•••----••-••••--.......--••-......----•-•-•---•-•----•----•..._......----.....---•--•• Knull Location_ilddress or Lot No. Owner Address aJ.P.Macomber Jr . Installer Address UType of Building Size Lot............................Sq. feet Dwelling-X No. of Bedrooms______________________a-----------------.-Expansion Attic ( ) Garbage Grinder ( ) PL4 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 ( ) 0-4 Percolation Test Results Performed by.......................................................................... Date...................................... 0.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water....................._.. riq Test Pit No. 2................minutes per inch Depth of Test Pit--------.----------- Depth to ground water........................ 9 •-••-----•--......---•-------•........................•--•---•-••-•-•-•-•---••-----------•-••--..........--•--•-•---•--•---....•-•--•-•---..............._... 0 Description of Soil....................................................................................................................................................................... x Sand & Gravel U •-••----•---••--•-•-----•----------•---••-•-•-••-•--•-•••---•--••-•-•-•-•-•----------••••••••••-----•---•-•-------------•--•------••......•..._..------................................................ W UNature of Repairs or Alterations—Answer when applicable.-.--..------- --Adding of additional leach1.ing -•-D i t•--t°-an---ex i s t i n_g•.t a n'o�. &•--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 Ce tificate of Complia ce has e iss ed by th board of health. Signed -- - ------------------------------ --------- 1...19 .:.. �e Application Approved By ---- ----------------- ® R /. Application Disapproved for the following rea o r: ........................................................................................... --------------------------------------------------------------------- Permit No. - .- ... Issued ..... ... . ...... ......... ---- ---- e...... --------- are.... TOWN OF BARNSTABLE# i72--(S3 N LOCATION ;Za G / SEWAGE # - '43 VILLAGE C�,y�cP. 10� LL. a ASSESSOR'S MAP & LOT��Z INSTALLER'S NAME & PHONE NO. P` ./A A C 0✓tit lfeA t S G.el SEPTIC TANK CAPACITY / o ® e) LEACHING FACILITY:(type) / 7� (size) ,; a - a NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No l.� Ao e I No..---•--•- • ....... ` ' 1 °� THE COMMONWEALTH OF MASSACHUSETTS } BOARD OF HEALTH TOWN OF BARNSTABLE - Appliration fnr Di-tipw3al Wurk,i Tomitrnrtiun rrrmit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 20 Lester Circle Centerville .....-•-----••...................................•---------------------••••-•----•-------•----•-•- •••-•-•••--•--••---••-••••----....----•----•-•--•-••-•••----•--•--•-------......_...------.....•-- Location-Address or Lot No. Knull i ......................-.......................................................................... --- ---------- -------•-------•---•--•-•••---•----....-••-•....................----......... Owner Address W J.P.Macomber Jr. � Installer Address UType of Building Size Lot............................Sq. feet ., Dwelling No. of Bedrooms______________________3____-________-.___-Expansion Attic ( ) Garbage Grinder ( ) A`4 Other—Type of Building ............................ No. of persons_-____-_____-__..___.__..... Showers ( ) — Cafeteria ( ) Q' 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. 3 Seepage Pit No------------ --------Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water....................... G Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ----------------------------•---•-•-...------------------•--------•••••--•-----•-•--•--------•..........-••-•••--••••-•....--•----•----..........--••--.•---- 0 Description of Soil......................................................................................................................................................................... W Sand & Gravel U ---------•-•--•-------------•-•--------••-----•--•----•--------•---•••----•----------•••-••-•-•....-----------------•-••-------•-•-------•-•----•-------•-----•--•---•----------••.............•--...... . --------' - - -------------------------------------------------------------------.---------•---•-----------r_..---...--------.------..ti-I... Adding of additional leading U Nature of Repairs or Alterations—Answer when applicable................................................................................................ pit- to_an_._existi-nq_- 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 been issued by the board of health. Signed . /.rg ./ ::. ..`(i4 8.. �914 . - -- :...... A lication Approved B i !%..�/-�/-�%il' f -e / ..... �-*-------------------- ----..._f �..T-./.- . PP PP Y P,:�.. .. r Da[e r Application Disapproved for the following rea.6onl• ................. .... .........................---. .. .-- .------......... --. . . --------------------------------- ------------- /........../ 'i-._. ( Dare .... Permit No. I----- .........�...l........_...Y--------- Issued -----------?0....`. ..................................... Qazer THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cex#tfi ate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX ) J .P.Macomber Jr . by .. ......... ......... .... ... .... ........ --------- - -- -- ------- --- -------------------- ----------------- --.......................................... I."all- sr,Jlrr at ... 2 -0 Lester Circle Centerville ............................................ - -------_------- ------..._..-----------------------------......------------------------------------...--------------......-------------------------------- has been installed in accordance with the provisions of TITLE 5y f The State Environmental Code as described in the application for Disposal Works Construction Permit No. ----- ...... -._.' .. '. ...L.. dated ------------------------- - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. _. DATE...../ ..'.4.' !`t. h--- Ins Inspector ' ....... .,... -- P .. -.... -- - ... --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF- HEALTH .1 J` `� - L � TOWN OF BARNSTABLE A, ..No... ................... FEE... ... t rn tt1Iffiorkii Tuni#rnr#aan "rrntit Permission is hereby granted_...J.P.Macomber J r. ---------------------------•-------------------------------•----•-----------------•-------•---------.......--.----- to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at No.....20 Lester Circle Centerville Street ( i All shown on the application for Disposal Works Construction Permit No.�(..Y..___.__�___ 17ated.............:: ....�.......i....._...._. ................. ..... ... j( ✓J DATE...............�-•)--•--...--•-----/-.....///---..................................... )e Board of"Health FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS f -s No._ 2............... THE COMMONWEALTH OF MASSACHUSETTS A T _...............OF.... ... .. . .......... ...... ............................................. ) ';� Aplifiration for Disp atial Worko Tonfitru ian Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at V .. .. .......... !. ... ..............................•--•-•--..... ..........................Loc.. .. . r udd ........................ ... ............o.. of No. ................... .... dress. .........•••........... ... ................................ ............... . ..... ...................... ... ..... .................... .........:..:r nstaller Address /Z� UType of B ' ing Size Lot....11..!�vSq. feet ..a 13 Dwelling—No. of Bedrooms.................... .. ...................Expansion A is ( ) Garbage Grinder ( ) A4 Other—Type of Building .................... of persons........... ._........ Showers ( ) — Cafeteria ( ) Otheres .......................... ....................................................................................................... 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......._ epth below inlet.................... Total leaching area.- ft. ft. Z Other Distribution box ( ) /sing tank ( ) aPercolation Test Results Performed by........................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-_--_________-__._-__._. �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --- ODescription of Soil..------- ----- --------------•------------------------------------------------------ U ---•--••-----------------------•-------------------•-•••-•-•---•---•---•-••-••..._..---•-•---•-•-•-••---•--•-•--•-••---••._.....----•----•-•------•••--••---•-•-----•--------------•-•-••-••-•--••----•- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- V Nature 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 Cod —The undersign rther agrees not to place the system in operation until a Certificate of Compliance has been ' ted by the a o h It . ate ..... . •. ................ --------------- ---------�-�-•-- Application Approved BY Zj- ---------- ate-.-. Application Disapproved for the following reasons: 7 •----••--•---------------------------•-•-------•-•---•-----------•-•--••---•-•-----•-_.. -------------------•------------------------------------•-----------.------•--------------------------------------•------------------------------------------------------------------•- / Date PermitNo......................................................... Issued----- ----- ............................... Date No... r .`' -�~ F$$..... ................... r THE COMMONWEALTH OF MASSACHUSETTS , BOARD OF HEA NTH E N r r ................................ Appliratiou for Biavvfiul lVorks Tonstrurtiott amii Application is hereby made for a Permit to Construct ( ) or Re air ( ) an Individual Sewage Disposal System a ," a ...... .1 .2. ...}..)� h.... ... C'y}+ti IifM. . ......................................,.................-.....,.....• ... Locat n rgss � 7 r or Lot No. .... .................. �('Y :...:: �.L d ' :ase...../.'.{� ...... ..y:,. :: a: .tee 1 � ieLrJ ........,......................... r ......s. %ar ......,r . ................. �' - Installer Address Type of Building Size Lot...... . Sq. feet Dwelling—No. of Bedrooms.:.:.....................-:• .............Expansion A is ( ) Garbage Grinder rs ( ) Other—Type of Building ........_A`J �` s% s lo, of eons............ .............. Showers — Cafeteria d OthAtr.__S:V es -----------•--•---. Ii------•--- ----- --- --------------------------------------------------•--•- : Other Design Flow...___.__ ._...._..gallons per person per day. Total daily flow.................-�.%;r`u-----------------gallons. WSeptic Tank—Liquid capacity f�C!gallons Length................ Width----------:----- Diameter................ Depth................ x Disposal Trench—No..................... Width.;....._ Total Length.................... Total leaching area....................sq. ft. --- Seepage Pit No..................... Diameter.�f.'.� F,];bepth below inlet.................... Total leaching area.., Lo._sq. ft. Z Other Distribution box ( ) sing tan ( ) aPercolation Test Results Performed by.......................................................................... Date..................................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water__-___.___-_______-__-_. fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water____-______------_--___. �-I - O Description of Soil._._._. .. _.._. ._.- r'%�w'w' t .-- •-- ` �, - --------•-------•------------------------------------------------------------------------------------------------------- U ------------------------------------------------------------ -.-------- --------------------- W U Nature 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—The undersigned-4�urther agrees not to place the system in operation until a Certificate of Compliance has been ied by the�ioard ro``f healt . /•f 7 Da Application Approved _ a' - '� .� .-� Date Application Disapproved for the following reasons:.................. ---------------------••-------------......---------------------.....-------------------••-•-•---- Date PermitNo............................=-----------------7........... Issued........................ ............................... Date THE COMMONWEALTH OF MASSACHUSETTS . �i BOARD OF HEALTH OF. .. r !.................... .... �......t ........................................... fer#ifuate of (Sompliattre THIS �-S"1-0 CERTIFy;"Tharhe Individual Sewage Disposal System constructed (' ) or Repaired ( ) ! list', a .... -. at.......... .C_:it�.Z._------'� ----- --- _-.'�1 "'v f!--- v4- --'-✓.........---•---••-------•-..._...___.......-----�.�-._. .. _. ....... --�, has been installed in accordance with the provisions of Article hT ! f The State Sanitary. *,sides jb chi-3-n the application for Disposal Works Construction Permit No.........../...-........................... dated......__,___......__ ......................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEML FUN TION SATISFACTORY. ,� DATE._... . ..-.�' Inspector...... ...--•---/ ` L�........................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OFHEALTH lOF 2- No..... .......... FEE........... .......... 19ispnii fiVork,i Tong, Wiott Permit Permission is hereby granted .... to Construct ( )x,6r SR air ( �y � idivrtlual Sep ge Disposal�Syste ~ o ' .... Dated..= .../.._..._^_.. �..... Street as shown on the a . N _application for Disposal Works Construction P � r G Board of Health DATE-------------------------------------------------------------------------------- FORM 1255 HOBBS & WARREN, INC., PUBLI.SHERS