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Home My WebLink About0547 MAIN STREET (CENT.) - Health (2) 7 t No. 42101/3 ORA ESSELTE 10% c o a (� co 151.24' p EX. 0 PORCH 0CIV ' PROP. CO EX. 15.9'x21.4' e — DWELLING CARPOR i 33.37' EX. v 0 Op DECK 1 TANK LP 0)33 2g, cfl EX. W/F o BUILDING N / EX. W/F BUILDING ZONE CVD ZONE RD1 ZONE RC2 SEPTIC FROM ASBUILT 13.00' 71.00' ON FILE AT THE TOWN CHURCH HALL HEALTH DEPARTMENT ROAD BUILDER TO CONFIRM ZONING LINES FROM GIS CER TIFIED PL 0 T PLAN MBLU 207-51 1 CERTIFY THAT THE IMPROVEMENTS SHOWN of k 547 MAIN ST. HAVE BEEN LOCATED BY A FIELD SURVEY. ASs90 CENTERVILLE, MA DATE: 3-4-2019 DRAWN: RBS ROBE SCALE: 1"=30' JOB #. S483 o SYKES ; DWG. CPP No. 35418 H EASTBOUND LAND SURVEYING, INC. 3_4_2Q19 SSONisTEDS�`�'o P.O. BOX 442 ROBB SYKES, RLS. DATE FORESTDALE, MA 02644 508-477-4511 No..-•..........._....... $3 0. 00 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Allp iratiou for Ali_npmiai Wnrkii Tnnitrnrtinn runtit Application is hereby made for a Permit to Construct ( ) or Repair �X� an Individual Sewage Disposal System at: 547•.Main Street Centerville ,Mass . ------------------------......-•------------••--------------•----......---...-•----...----•--•-- Location-Address or Lot No. LaFlamb._y--- ------------•------•--•------------------------------------------ aJ.P.Macomber Jr. Owner Address Installer Address UType of Building Size Lot............................Sq. feet �-, DwellingX— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ' ) 04 Other—Type of Building ---------------------------- No. of persons---.-----.---.--..---------- Showers ( ) — Cafeteria ( ) a 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. 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. I................tninutes 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------------------------------------------------------------------------------------------------------------------------------------------- ........................... W Loamy.._sand___to medium sand. ....----•------•---------- -- -- -- ------------ --} � U Nature of Repairs or Alterations—Answer when appplicable Lif ting 1 000 gallon tank and installin 1 -1 0 ci g. 5 gallon tank.....:•-- D .Box to...existing 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 Complia e has bee is ed by the bo - o ealth. Sine ..... G - ----- ---!�-------------------- ---1..1. .:29.195..:...... Application.Approved By ............ . .� Z�e Date Application Disapproved for the following reasonr: ------------------------------------------------------------------------------------------------------------------------------ ------ -------------------- ------------------------------------------------------------------------------------------------------------------------------- ..----....------- ............:--------------------------- Date Permit No. .........................___.............. ... .... Issued Dare No...._.I._............. Lf 7 cc v / FRICI 0. 00........ THE COMMONWEALTH OF MASSACHUSETTS I -.BOAR® OF HEALTH -i6WN OF BARNSTABLE Appliratiott for Diti-patiittl Worko Tomitrnr#inn Permit Application is hereby made for a Permit to Construct ( ) or Repair (TX,); an Individual Sewage Disposal System at: .547.. Main Street Centerville Mass. ---------------------------------------------------•-.................... Location-Address or Lot No. LKUAa hp_y....................................................................... W J.P.Macomber Jr. Owner Address Installer Address . Type of Building Size Lot............................Sq. feet .-t Dwelling!-^ No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—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..._............ x Disposal Trench— No ____________________ Width."-.y-_-____ 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 ( ) `-, ty Percolation Test Results Performed by.......................................................................... Date--------------------------------------- Test Pit No. I----------------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..-_-__-___-_:_-----.__. DDescription of Soil......................................................................................-................................................................................. x. Loamy_..sand to medium sand. c -- •• -------•-------•-------------------........- ------------ W --•-----••- ---------------------•-•-•----•--------------------------..-.-..--__------��- ------ � l Lifting 1000 allon tank and-- --- U Nature of Repairs or Alterations—Answer when ap licable_____ _______-..___..__..__..__: ._..____.__ _. .__._._.________......_...___.....__. _install_in _.. ..-1500---. D-.Box to existing---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 Complia e has been iss e0�'? d bythe bo - o health. Si ne ----- - -- -- -- -- -- --X .5......... Application,Approved By ------------ ----------- �/� —' Dare Application.Disapproved for the following reasons: ...... ' ... ........ "-------------------------------------------------------------- .----------- .......... -------- --------------- ------------------------------------ Date PermitNo. ..........................._............. .... .. .... Issued .....---------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD.OF HEALTH TOWN OF BARNSTABLE C�eetifi a e of Tomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired{CXXX) by --- o.o.mb-'r----J.r............. ----------..--------_ -----------•----------------.----------_ --------------..------------....---.-...-----..--...-------..-.-..-------------------------------------------------------------------- at -----5.47....Main....Stre.et--.Centervill-e-,.Mas-s-. ------- - -' - 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. DATE �1..'".....'✓--1 '-/ - Inspectta�.-.- " C"' .-.. �;�,,1 '"t ,, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �� ,t� 7 TOWN OF BARNSTABLE $30. 00 No.....------ ..... FEE..------ • -•........ %Vviial Workii Tani try ivit "permit { Permission is hereby.granted-------------•-------....---------------------------------.._....--------....------------------------------------.......--••.............--- to Construct ( ) or Repair ]�X) an Individual Sewage Disposal System atNo...547...Maim -_,------------ ---•-----•-------•-••-----•---•-••------•--'--••----...._..-•----•---....----- Strcet �- q / ' as shown on the application for Disposal Works Construction Permit NofrJ____------y?Dated___��/._�_g/� •-- �� z DATE......... ----- Board of Health FORM 36508 HOBBS S WARREN.INC.,PUBLISHERS I I I I 4 y CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, Joseph P. Macomber Jr, hereby certify that the application for disposal works construction permit signed by me dated 1 1 /29/9 5 , concerning the property located at 547 Main Street Centerville meets all of the following criteria: Plan on file Cape Regency 1 1 /2/81 • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 4 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. I i SIGNED : / DATE: 1 1 /29/95 LIC D SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted].; TOWN OF BARNSTABLE �� LOCATION ,��/ ~f /0�q./N �" r SEWAGE ✓ VILLAGE 6' 40// J//L ASSESSOR'S MAP & LO �J7" �✓�� INSTALLER'S NAME & PHONE.NO. SEPTIC TANK CAPACITY D LEACHING FACILITY:(type)��i , (size) /-a a NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER 4WtEe" OR OWNER 1,4 o4;A f��c DATH eERblTt 1Ssu!W: .9 4;," ; DATE COMPLIANCE ISSUED: " VARIANCE_GRANTED: Yes -No �� °' �� t a � � `�� \ �� ; ��• b�� i•�� \ ��. �'4 it.�{�` 'i; '�';�pt ''�'(�L� *�� !'lt�� _ . .� _._ _ —_.. h_— _ �.._a 05 No...... YY.... Fizz... ...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH ...........7,Itz - -------------------------------------------------- Appliration -for Ubpoiial Workii Tomitrurtion Vrrnift Application is hereby made for a Permit to Construct or Repair (A an Individual Sewage Disposal System s' a, 01 - --- __c ..Lre-, ........ ---------- er'Lot-----'---- No.**-----------*"-------*--------"------ ---------------------------------------------------- r Address ................................................................................................... Installer Address �ype of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic Garbage Grinder aOther—Type of Building ---------------------------- No. of persons_------------------------- Showers Cafeteria Otherfixtures ----------------------------------------------------_---------------------------------------------------------------------------------------------- Design Flow___________________________________________gallons per person per day. Total daily flow--------------------------------------------gallons. 04 Septic 'rink—Liquid capacity-----------gallons Length................ Width__.........._.. Diameter...__...___-____ Depth_..--.._._...... W Disposal Trench—No. .................... Width-_--__----._--_____- Total Length____-______------_-. Total leaching area....................sq. f t. �Tl Seepage Pit No_____________________ Diameter......_....._...___. Depth below inlet_................... Total leaching area------- ..........sq. f t. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date.-------------------------------------- Test Pit No. I................minutes per inch Depth of Test Pit....__...........__. Depth to ground water------------------------ Test Pit No. 2................minutes per inch Depth of Test Pit___.............___. Depth to ground water--._.-..._-_-_________- --•----•---------------- -----------------------------------I.................................................................................................. 0 Description of Soil__---__ ---- - --------------------------------------------------------------------------------------------------------------------------------- ........................................................................................................................................................................................................ --------------I----------..........I—---------------------------------------------------------------------------------------------------------------------------------------------------------------- U N�atu/�/7off IR2, pairs,or Alterations Answer when applicable.-.____ -- - _;��-------- ...6-A---91................................... ---------------- -------------------------------------------- -------- 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 issued by the board of health. • SigneP"k .....................to.. ............. ---- Date Application Approved By - ' . df................ ate Application Disapproved for the following reasons:............................................................................................................... ----------------------------------------------------------------------- ................................................................................... - ---------------�-7a-t-e,,,—. PermitNo......................................................... Issued.-//............................ ............. Date ----------- ------------ ------------------------------------- No.......3. l�_ ..... Fas.. '' ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............j----0,,V ..........OF..............}...` ........ ---............-.................----- Appliratiun -fur Rapoiittl Workg Towitrurttun Vrrui t Application is hereby made for a Permit to Construct ( ) or Repair (;,) an Individual Sewage Disposal System at: : Location A� ` n for Lot No. ddf's t ......................--................r..._..._......_................_....__.._........_.... cj /? 'Oyver // y Address... � •• ----•------r`-------•................Installer---••- ----•- Address '----.._._...._.......---'--------•----- d Type of Building �-` Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.-._•__-..-________-.-__--_. Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------- - - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tcuik—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........................ r,:, Test Pit No. 2________________minutes per inch Depth of Test Pit-------------------- Depth to ground water-----................... u+ --•-------------------------------•---------------------•--.........---------------•....................................................................... 0 Description of Soil------------- -----------------•-------------------------------------------••------------------------------•-•--•-•---••----•-••---------------------------------------- x U W -------------- ------------------------------------------------------------------------------------ ------------- -- VNature of Repairs or Alterations—Answer when applicable---------- ----- --� Ls-- ---- --- -•-•-----•-•--------------------------------------------------------------------------------------------------------------------------------------------------------------------------- .-------------- 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 issued by the board of health. Signed....................................................................................... ------------------------•------- Date ApplicationApproved By-------------------------------------------------------------------------------------------------- --------------------.....---------------- Date Application Disapproved for the following reasons:-----•----------•---------------•-•-------••-----------•------------------------•---•-------------•-.----------- -----•------------------•-------------•-----••----•----------,_,.-..-•------,--------._-------------•---•-------------------------..,--•----------------------------------------.------.---•-•--------- Date PermitNo......................................................... Issued-------------------------------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ 1. ✓t. ........OF.... ...R.... ........................................... (15rrti"r tr of f�uut�ritnnrr G� HI S IT ERTIFY, That he Indivi al wage Disposal System constructed ( ) or Repaired ( ) by ---- Inst # ... - - ---- v7 at'••-•. .•. -•••••-• • -- •---- -- ' . •-•-•-...... �/ has been installed in accordance with the provisions of . Pt c e XI of The State Sanitary Cod a described in the lapplication for Disposal Works Construction Permit N ___2�'____�'Z'�______---__ dated- ..__�- __ ~........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------------------------------------------------------- Inspector..................................................................................... THE COMMONWEALTH OF MASSACHUSETTS -` BOARD/,OF HEALTH , !s IL '� ),4,1 / ...... '\..................OF ! "� i� , f?...:f.G 1.— .................. No......` •. ....... FEES-- Big oii4 . k ` unMrurttlaat to ConstructZhr Re granted G an dividual Sew L e Dis osall S R tem �� 4 d ~ Permission ib Anted- b -' f „� ✓?. `" �' lf .yam / at No.J-�fii�� P �( ) /� P �,.-f----...�---.-•��`5-----,lam ,�-r'-�� ----- Street / as shown on the application for Disposal Works Construction Permit, o.._._...,< "_ D<ti = c - th ,y Boardto � DATE1�---- ------------�-`'•-------------------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS _ LOCATION _ SEWaC,E PERMIT kl0__„ _It�ISTAL�. R S .IJ�M _ADDR_ESS BUILDER'S _ADDRESS M,-TE PERNA T . ISSUED D ATE CONIPLI &IIACE ISSUEC - _ ___ 1 J'` o �� _ �� °.:� ` ` � ,