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Home My WebLink About0269 MAIN STREET (CENT.) - Health 269 Main Street Centerville A= 203-103 SMEAD No.2-153LOR UPC 12534 .�...e,oa. • wa.a uv Ir1�NN1�RTIN OSFI ,° m TOWN OF BARNSTABLE LOCATION 20 SEWAGE # VILLAGE �Pi///C/(�/l�e ASSESSOR'S MAP & LOT a03-103 INSTALLER'S NAME & PHONE NO.y ; )&4 SEPTIC TANK CAPACITY. LEACHING FACILITY:(type) �'/U[�/(�il=�uSo� (size) C3� NO. OF BEDROOMS-.., PRIVATE %ELL OR PUBLIC WATER BUILDER OR OWNER ®� 1 DATE PERMIT ISSUED: C DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 0 L� MA� APPROVED 'S` ftmsftle Conservation Depa meat Fps 3 HE COMhr"i ALTH'OF MASSACHUSETTS - OF HEALTH Signed a e - TOWN OF BARNSTABLE ,gyp ira#iun for Uiipuiia1 Workii Cnunitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair �X ) an Individual Sewage Disposal System at: 269 Main Street Centerville ................__.......•......................................•-------------....-•--•-••_..... ......--•----•-----••••---••-••••--••--•-•••....•••-•-•••-••--•-••-••-•-•..._......_.............. Joseph ValariotLiation-Address or Lot No. ......................_...- -........_... ............................................... ••--•-•••.....•••-••---•••-••••-•••---•------•••-...••-••-•-•------•-•.....................--..... W J.P.Macomber Jr . Owner Address Installer Address UType of Buildig Size Lot............................Sq. feet Dwelling—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 area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of.Test Pit.................._. Depth to ground water........................ ............................................. ............................................................................................................... 0 Description of Soil-------------- -------•- .......•--------------------------------------------------------•--------------•--•........ ---------------- x Sand &---G"ravel U ..............................................---•------------------------••----- W - UNatur opwaC i�rf'u lte r s s—Answer when applicable----------------------------------- ------------------------------------------------------------ •-------•-----------•-•-•.......•-•.......-•••--•-•---•-•--•-------------------•--•-•-••--.....•--•------•-...----•------------------------•-----------------------------•--------••-------•---.....---- 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 bbeen sued by the board of health. Signed ...� �L-ff.......,� � �. --------------------------------- -.11...2 - Dale Application Approved By ........... Ct .............................. ..... ..5°1......... Application Disapproved for the ollowing reafons ..............................:............. ......... r - . ........---.-.........................................'..................................... .-.....-.---...........Date...---...--------......--.. ................ Date Permit No. `---- ' ..............-----........ Issued ,.r�� No..!_s37.---- 30-00 ku`� � THE COMMONWEALTH OF MASSACHUSETTS `4--1 6bXRD OF HEALTH TOWN OF BARNSTABLE Appli ation for DiiiVusal Workii Taustrurtivit Prrutit Application is hereby made for a Permit to Construct ( ) or Repair 4X ) an Individual Sewage Disposal System at: 269 Main Street Centerville .................................................................................................. ----...--•-•---------------..........---.....---------....._...-----------.._.....---------....--- Location•Address or Lot No. Joseph Valarioti ......................-.......................................................................... ..........................................................................................--..... Owner Address w J.P.Macomber Jr. = ........ ........... Pq Installer Address + Q Type of Building Size Lot............................Sq. feet Dwelling X No. of Bedrooms......•....._3............................Expansion Attic ( ) Garbage Grinder ( ) P., Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) � Other fixtures .----•-------------------------------------------------•---•-•---•-•-•-•----•-----•-•---••-••--•--•-•-•--------•--......••-•-.......----•---------••- W Design Flow............................................gallons per person per day. Total daily flow..............................._............gallons. Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ W 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. L..............minutes per inch Depth of Test Pit.................... Depth to ground water........................ 4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------------------------------•---------------------••-•----•--•--------.....-•--------•-.------......................................................... 0 Description of Soil---------------•-...-------••----------------------—----•-----•-•---•- ----------------------------------------.------------------------------••-•------------- U --------------------------•-------------------Sand & Grave 1 W -•a U Nature of,Repairs or Alterations—Answer when applicable.____........................................................................................... r 3 YOwd if-fus sons -----------------------------------------------------------•--------------------------------------------------------------------------------------------------------------------------------------...•-- 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';ssued by the board of health. Signed .. ; .... ---------------------------- Application Approved By ........... - ----. .. 4, +<�, �,�.-... .............................. ---- -- l ------ Date Application Disapproved for the following reasons- ----------------- ------------------------------------------------------------------------------------------------------------------- ........................... ----------------------------------- ------------------------------------ -------------------------------.._-.....-.........---"-------------............... Date PermitNo. ----------/.../------ ----------_--------------- Issued ----------------------....................--- ---..--..... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH d� TOWN OF BARNSTABLE Trdifi atr of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) by------.J...P..Ma c omb-e ..... ........................................................ - _--..................... at ------- Main Street Centerville. Installer ------------------------------------------------------------------------------------------------------------------------------------------------------------------ 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. .......7/--n...5-3._';7-------.--- dated ------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE , SYSTEM WILL FUNCTION SATISFACTORY. r r 1 Ali - P , DATE Inspector ...., ''-- ��..---------.�.------ r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH q TOWN OF BARNSTABLE FEE•- , � ..s...._..... 0hipjapat Works Tonutrnrtion rrutit . Permission is hereby granted J r.Niacomber err.---------------------••---•------......-------- to Construct ( ) or Repair (4 ) an Individual Sewage Disposal System atNo..9�9...Main Street vi_1 P................-------------------••-•----•••------------••••••-•--•-•••-•••-••-•-••-•---•---•................ Street 22 as shown on the application for Disposal Works Construction Permit o._?.�__ __32 Dated.......................................... -•-•...................•••_.... . . .............................................................. DATE............... --• �1 --------------------------------- Board of Health FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS CQP& —'--' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH JDJS IS TO CERTIFY, T i -the Individual S6wage Disposal System constructed or Repaired LZ at. . ...... --------2--- --- -------9.S ........ --- ------------------ ----- ..... ---------------- has been inst lie in'acc'6rdance with the provisions of Article XI he State Sanitary Code as des *b d * th application for Disposal Works Construction Permit N 40......................... THE ISSUANCE OF THIS CERTIFICATE SHALL N OT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. � uaTE—.—'------------------- ............................................. _--------- ----------- - _~�— A No....... .. Fjma.., fir.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD O, H EA L11 :•,_ - OF Appliratiun -fur Mapouttl Norkii Tunutrurttun Vertu t Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: b.,.) n-AddrP sr or Lot No. ��---------•------------------ Owner Address aa�/ ------"'--------------------------------------------------------- Installer Address / Q Type of Building Size Lot----------------------------Sq. feet V Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) 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 ( ) aPercolation Test Results Performed by-•---- ----------------------•••--••••-••------...-------------•••--••••• Date---------------------------------------- ,� Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water..------.--------.- CZ, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water.-----.-.__-.---__--_...` 9 -•------------------------------------------------------•----------.--------------•---•----------------- •--------- •---- ------------------------------------- ODescription of Soil......................................................................................................................... .•-•---•------•------------------------------ x V ------•----•---•-------------------------------------------------•----•--------•-•--•--------••-----••------------------•-•-•---------.--------•--------•--•--•------------------•--•-•----•------------ ------------------ -------------•------------------------•-•---•--•-•---•------------.------------------------•---•----------•-----------•---------.-----.------------._----- U Nature of Repairs or ,'iterations—Answer when applicable---------- <__-.1 7--___--- ••. - —4-dw---------• /r i -1' - --------------------------------=----------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal S`yl�em in accordance with the provisions of Article NI 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. Date Application Approved By..----------�� = --- -.-.... _••-- Date Application Disapproved for the following reasons:.................... ........... c VA .. ��,_. .--•-----------------•------------------------------------------•------...--•---......................... ---- - •------ _ e ----------- Dat Permit No-----------_-------_-----..................... •••--._...._...........'` Issued........................................................ Date `------------------------------------------------------------------------------------------------------------------------ ----- ".... ' .. FEs.No. . :............... Y THE COMMONWEALTH OF MASSACHUSETTS 4 .: BOARD HEAL Prr' ail ..-..OF:.........r 110. .. :.. g Appliratinn -for ilspniat Worbi Tomitrnrtion Vrrniit Application,is hereby made for aPermit to Construct ( ) or Repair an Individual Sewage Disposal System at +� ........................................................... .................................................... Loci•on_Address or Lot No. ' ----------------------------- ---•-•....-••---•--------------•-----------------------------•••---•----------•------------------- k W,a Owner d ._.. ' - Address Installer ,� Q Type of Building Size Lot............................Sq. feet `' Dwelling—No. of Bedrooms------------------------------- - .Expansion Attic ( ) Garbage Grinder ( ) 1 ° Other—Type of Building ....: ........... p ( ) ( ) -___...._.. No. of persons............................ Showers ,_ — Cafeteria Otherfixtures -------=----- --------------------••-•--••----•--•---••-•---•-------..---- WDesign Flow...................................:........gallons per person per day. Total daily flow.-...-:---._!------.------:.------.---.....gallons. • W ` Liquid No capacity-------.�gdtins Length t Widtheter-..... .....-.. Depth. ...._. .9 Septic Disposal Trench'— l Total Length Total leaching area--------------------sq. ft. } i Seepage Pit No..................... Diameter.:------------------ Depth below'inlet..................... Total leaching area......------------sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed b -------------- Date--------... Y a Test Pit No. L---------------minutes per inch Depth of 'Pest Pit.................--. Depth to ground water---------.------- ......- 'v.Y f1 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------------ --------------------------------------------------------------------------------- ..................................................................... Description of Soil :...................... -•---------- - --------- - --- ---------------- ----------------•---------:---------------- --------- U Nature of Repairs or KIterations—Answer when applicable..._----jP.?_7_*A<- -...oaxgt<'*'`+.�.. ,��--4- -------- �------------------------------------------------- -------- -------- ----- ------------------ --- --- - 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,,e operation until a Certificate of Compliance has been issued by th boa I of health. Lgne ....14. ......../_r � ` ,tD Application Approved BY "�` .-'�.. 74«.� Date Application Disapproved for the following reasons: ... :......................... ... .. . •-----.. ........................................................ �• -*•-r � [ --.•..-..----•--' ---- ---.....•--•-------------- ------•-.-....-...-.--.. qj Date ' 0. PermitNo.-=-•-•-•-----•• --•--"---- --•--•---....... Issued------------- --- ------------------ - THE COMMONWEALTH OF MpASSACHUSETTS r BOARD, OF EALTH '• 1 yc SS f rrtifir tr, >Qf Quint iianrr _.. HdS IS TO CE TIFY, Tl the Individual Sewage Disposal System constructed ) or Repaired 1 ' by ...................... *--- --- �+ stiller ' .......... has been installed in accord'nce with fhe provisions of Article X f he State Sanitary Code as descr>be the application for Disposal Works Construction Permit No.."°' .-_f j�_ __..-_:- dated....•/ ".`...y�'". ___._._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR'UM',1S A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...........................................................................± ar ' Ins ector • s qI Y THE COMMONWEALTH OF MASSACHUSETTS BQARD O. HEA'LTH No : .. f .. FEE. "^. o k s ._ `��..•. �i�� rk� •��n�tr�r.=' it rrntit • ;�,. Permission is hereby granted.-_ ----- •_. _____..... .-•-• --- to Cons ruct A) or ep i ( an Indt i} ual Se`°age D,ispos stem It . 7street a as shown on the application for Disposal Works Construction P it No;A_ -. .... ated: ._.-..-. Y, - - ---- ---••- - . .. .. c � .�, T Board of Health t DATE._ � -- .•FORM .255 'HOBBS & WARREN. INC.. PUBLISHERS e M `�; .� .� /� • .='' _. ��-� ....._...-r---- �"� t w . t .!