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Home My WebLink About0271 MONOMOY CIRCLE - Health 271 MONOMOY CIR, CENTER ILLE. 5 A= 190-209 - I No. 42101/3 ORA ESSELTE 10% O 0 0 0 .L I TOWN OF BARNSTABLE LOCATION SEWAGE VILLAGE �� ASSESSOR'S MAP & LOT fa—Z INSTALLER'S NAME & PHONE NO.'J'MACUr be(' : HLM Tk►c, SEPTIC TANK CAPACITY LEACHING FACILITY:(type � �p (size) q' 5,ome /`vo �r NO. OF BEDROOMS .. PRIVATE WELL OR PUBLIC WATER 31 OR OwNFR DATE PERMIT ISSUED: b ` ^9 DATE COLIPLIANCE ISSUED• �" � `, �� c�i \� � I ,�j\ / � 1� �• � �\ , rt v�1 ASSESSORS MAPNO; l �� No- 41�el PARCELNO: 9 li m$.. -U...o.o.... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratilatt for Di!3Vn3ttl lVark.6 Towitrnrtion rumit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: _ 271-_-_Monomoy................................................ie enterville --•-----------------------------------------------------------------------------------•----------- Location-Address or Lot No. Payne ......................_.......................................................................... aJ.P.Macom,b°`er' Jr. Address Installer Address d Type of Building Size Lot.................... Sq. feet Dwelling X-No. of Bedrooms.............3-----------------------------Expansion Attic Po) Garbage Grinder �O) aOther—Type of Building ---------------------------- No. of persons-----------2--------------- 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........................................ W Test Pit No. I----------------minutes per inch Depth of Test Pit.......------------- Depth to ground water........................ (Tq Test Pit No. 2................minutes per inch Depth of Test Pit......-.-----------. Depth to ground water....................... 94 .--•----•-•-----------------------------•--•-----.....-----......--•----------------•-•-----••---•--.......................................... •-------------- U0 Description of Soil........................................................................................................................................................................ ..................Sand...&...Cimavel W U Nature of Repairs or Alterations—Answer when applicable..Adding...three---infiltrators.... -'-.__Stone 1.- s.i:ane nd meat Xa.s.i� .nq nk &...p......- 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 Complian e has be i sued y the board of health. Signed . ...... .. _... 6.1.2.81-9..8... :------ �..� . � - _ Dare Application.Approve ....... .. ----- --- -------------------- ------ - 5 Dare Application.Disapproved for the following rearons: ..... ----------------------------------- --------------------------------------------------------------------------------- ----------------------------------- --------------------------------------------------- ---------------------------------------- .J..-r� Permit No. Issued THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABL'E a Terfif rate of Tontylianre f THIS__IISTTO CERTIFFY, That the Individual Sewage Disposal System constructed ( ) or Repaired J�XX ) J.'Y.Macomber Jr. by ----------------- Insr,Jler ...................... at ... 27-1.._.Monomo ----Circle--- n.tervi-11-e---------------------- -------------_..__.... - - -..... ..... has been installed in accordance with the provisions of TITI. of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ...... ... .... .. .^i dated ` THE ISSUANCE OF THIS CERTIFICATE SHALL NO BE COTISTRU A AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE----... `�.... ....�� /.4�....... Ins for!n--- P .. _,-_._,.,__� THE COMMONWEALTH OF MASSACHUSETTS.) t BOARD OF HEALTH TOWN OF BARNSTABLE FEE $...30.00 Permission is hereby granted..-.J.P.Macomber Jr. ------------------------------------------------------------------------------------------------------------------ to Construct ( ) or Repair YX an Individual Sewage Disposal System at No........271_..Monomo C$t rcl Ce ervi le- --------------- street as shown on the application for Disposal Works-Construction Permit �� Dated....%0�..... ---------------------- ------- -- --- DATE. Board of Health FORM 36506 HOBB3 R WARREN,INC.,PUBLISHERS ,• l 91 . THE COMMONWEALTH OF MASSACHUSETTS , BOARD OF HEALTH TOWN OF BARNSTABLE t Appliratiutt for Ditja tt! i urk� C�utt� r r iun rrnttt Application is1li �eby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: --:,, 17 271 Monomo circle cente_ville., --;� ---.•-•f --k- y ------------------------------------•----- Lot No.----•----•------ -... Location-':•\dd rss -- Payne - p ---------------------- •\-•----- . ------------------ ------------._..... W J.P.Macom,Rdf Jr., r � '' � Address .................................................-•---- .............................. r ` -----------------------------------------•---•----•------•---•-----------•------ Installer .. �•, "*'�' f �'{ ``� Address Type of Building Size Lot Sq. feet ............................ t-, Dwelling)L No. of Bedrooms.............3_-..,_,-u ._-..-_--.--._Expansion Attic (No) Garbage Grinder �do) aOther—Type of Building ---------------i----------- No. of persons-----------2-------------- Showers ( ) — Cafeteria ( ) Otherfixtures .----..----- ------------- ( ` ' -••----------------------------------- ----------------------•---------------••-•------------------- 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.Lching area--------_-------_.._sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet..........)-E-..... 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...............--.--.... 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ -----------------•----------...----••----•-•------•--...---....--•----•----••---•--------•-•-------.......................................................... O Description of Soil........................................................................................................................................................................ v ...................Sand....&---GraYel W V Nature of Repairs or Alterations—Answer when applicable,.Addi11CT---tllree infiltrators 4 ' StOn� •--------------- 1_______s-tone_underneath.....Existinq- 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 Complia e has beorl issued y the board of health. Signed ------------------------------ .... 126.�95............ Dare Application.Approve By' ----- -..�.--- ---- :R4 '''•' c� Date Application Disapproved for the following reasons: ------------------- - _- .... ------------------------------. -------------------------------..--.-.........------------------------------------------------------------------------------------ ----- -------------------------------------- . Permit No. -. �- 7-' ' ,`�................ Issued ------------\.._ ------'..------". l � Date Existing Leach pit 1000 T, -z-2 f ` t ' ng Tank 1000 3 infiltra ors aroun 1 ' under.. 271 Monomoy Circle Centerville 190 ;p q CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) I, J n Macnmher Jr , hereby certify that the application for disposal works construction permit signed by me dated 6/2 8/9 5 , concerning the property located at 271 Monomov Circle Centerville meets all of the following criteria: • 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 14 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. // tr 6g SIGNED : ' DATE: 6/2 8/9 5 LICENS 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].