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Home My WebLink About0114 MONOMOY CIRCLE - Health I r■■■■■■■■■■■■■■■■■■■ rJ � `1■■■■■■■■■■■��■�■■■■! 1��■ ■■■■■■■■■■■■■■■■■4� �■■■■■■■■■�■■■OMENS■■■I TOWN OF BARNSTABLE LOCATION SEWAGE # o VILLAGE .,j�r�� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.q. . M4 C a yyi b el 14� . L y,C. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) / (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: �. VARIANCE GRANTED: Yes No \ ` Ile cr / 7j G No. __.- ... Fxs.. ....32!.00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF.BARNSTABLE App iration for Dispoii al darks Tnnotrur#iun Frrutit Application is hereby made for a Permit to Construct ( ) or Repair �X) an Individual Sewage Disposal System at: 114 Monomo�r-•-Circle Centerville --•- --.....----•----------------•............... ........._......---••--•-•-••-••-..__........--•-•-••-••--•-••••--._...................__...--•--- James Vansco..Location-Address or Lot No. ........................................................... W J.P.Ma e o m-b e r Jr Owner Address Installer Address Type of Building Size Lot............................S feet U DwellZ No. of Bedrooms.................3........................Expansion Attic ( ) Garbage Grinder (• ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------------••-----------------•--------•--------•----•--•----•-•--••--•-••.._....---------•-•......__._._. 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........................ f..L, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ M ----------------------------------- •............... ---------------------------- •-------- ••-••_•• --------------- •----------- •---------- •--------_----- 0 Description of Soil........................ San d & Gravel W UNature of Repairs or Alterations—Answer when applicable__________________________________________________..___.._.___._.______._...__.______________... ---• 1-1000 gallon•..lea.ch...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 ce has b;0issue by the b and o health. Signed .. . ' . ..-.--- .-- ...-....... 11/16/90 Date Application Approved By ------- .......-. - .. '�'�-- ..... ��( ------ Application Disapproved for the following reasons- ---------------------------------------------------------------------- - --------...-..--------.-....... ....-...---------- ..................................--- -- -- - ----------------------------------------------------------------------------------- ------- ----...........................................------------ -------------------------- ------------ Date PermitNo. f1 ---------------------------------- Issued ...-..-............-..------------------------------...-----------.. Date r' No......... � �/-.. Fxs.. .... J�.O .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Tonstrurtiun rrutit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: �� Mo olx►c�� ('i w^ a C ntPtr�ri 11 Location-Address or Lot No. .._James V81r1nL _.(,?V-.------•-----------------------•-----------.._........... ..............................................------•-----..................------................ Owner Address a J.P.Macomber Jr. ....-- Installer Address d Type of Building Size Lot............................Sq. feet U Dwellin XX No. of Bedrooms.....................•__-____________..__.�Ex anion Attic g � p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............._.............. Showers ( ) — Cafeteria ( ) Otherfixtures {................................................................................................4 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........................................ W 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........................ a •-•-•••-•-•------•----••-----•----•---•-•••---•---•--•--••••-•---•••....._-•----•----•---------••--•......................................................... 0 Description of Soil................................................................................................. .. U .....--•-•-......•-•-•---------------••-.Sand---&---Gxaye.......••------•-•-•------•--••-•••-•-•-•-•-------••...-•---------•-•...•-•-•-•--•-••••••-•----..__.........•••.._..._••-•-- W ---------------------------------•••-. •-------•••-----•--•--------••......----•-----•--••••-•• -•----•-•••----•-----------------••---•-•-••--•-••-•-••-••-•••--•••-•-•---....._......•----•--•-----•- U Nature of Repairs or Alterations—Answer when applicable........................__.............._...................................................... --------------------------------••-----1-100.0••.gallon••leach__Ait_.....-•-•-••--••---••••••---.. ........ . .. Agreement: or y The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with 1 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 ce has been issued by the b,and of health. ------ � �. ..........................11/16/go Signed -- --.�/ �---��yf'/l.�e..�.. ...------��fi ---••-------------- -------- . `Date t Application Approved By ... ....................... ... ....... ------ Application Disapproved for the following reasons: ...................................................................................................................... .rac'..+. i Z Date Permit No. .... . ....'SY/....................................... Issued .............................. ------- -------------- --- -- Date ` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 1 - (11.ertifira#E of (11-jantlatianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) by.......... ...P._Macomber....Jr.,-...... ----------------------------------------- ----- -------------------------------------------------------------- --------------------- Installer at .......... 4--Mpn.0 y._Cimale....Gen:t aria)le.............................................................................. .. ......................... has been installed in accordance with the provisions of TITLE 5 of The State Environmental/od as described in the application for Disposal Works Construction Permit No. .. Q..: �.... ......;A........ dated % 6 .-�2.................. _ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UED AS A GU RANT ETHAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.... (' 1- - ✓ 4 .................. ............................................. Inspector ------.......................... ..;/..........--- ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE N ... FEE. t . 9:fin_. Disposal Works Tunstrurtion rrrutit Permission is hereby granted......J.s.F.Ma.cc?t;ber...Jr................ =--------•---.......------.....----.........----........._...-•---...... >� to Construct ( ) or Repair `6X�i an Individual Sewage Disposal System at No..114•.MarlPmov... ixc]c...Ce_n-tery:tllA....- Street as shown on the application for Disposal Works Construction Permit NO.V.O. .._ _--•. Dated.._/�_ .: _o. ----- - _ . DATE 'Boar Meal h 1 16 Q�------•-•................. FORM 36508 HOBBS&WARREN.INC..PUBLISHERS