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Home My WebLink About0223 ROLLING HITCH ROAD - Health (Old - 1cl -C)7.-I- /// S M E A D KEEPING YOU ORGANIZED No. 12534 2-153LOR AAW"LE MIN.RECYCLED WITIATIVE CONTENT1090 c.br�aAnwsou g POST-CONSUMER xww.c(Wropnmprp 5 olm MADE W USA m ARGANIzEn AT S m.com ' M ASSESSORS MAP NO: /%-� q PARCEL NO: 0 2 a No.-��-=�.l.,� Fps............................_ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH APPRovEa 8arnmobto Co�roG.� ^^^"�a�4 TOWN OF BARNSTABLE Appliratiou for UhnVaiial Works TvugtrurRoW99Wut1t Application is hereby made for a Permit to Construct ( ) or Repair X ` ai},Individual Sewage Disposal System at: 223 Rolling Hitch Road - .......--- Swartz Location-Address or Lot No. ......................_.......................................................................... ..........--.........................................----------- .-...................... W J.P.Macomber Jr . Owner Address -----.... Installer Address Type of Buil 3 Size Lot............................Sq. feet Dwellin —No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aP Other—T e of Building _________ No. of ersons____________________________ Showers YP g ------------------- P ( ) — Cafeteria ( ) A4Other 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. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed bY-----------P------------------•-•-----•-----•----------••------ -•-••- �te-------------------•---------•-•--.._... 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........................ ..........-................................................................................................................................................. 0 Descriptio of oil ___ _____ W and & 1rave 1-. ------------------------------ t v ----------------------------------------------------------------------------- W x .............................................................-.......................................................................................................................................... U Nature of Repairs or Alterations—Answer when a p 'cable______________ ------------------------------------------------------ 1-1000 gallor�i each 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 beep uu I the boar f h lth. Signed -.- ,.. - - Q/12Z92..... ---- - ------------ pDace Application Approved BY +^....... -��------------------------------------------------------------ - �Date.^.� . Application Disapproved for the following reasons- -- ----------- ----------------- - --------------------- -------------- - --- ----------------------- ----------- ------------------------------- -- ------------- ----------------------------------- --- ------------- ------------------ ------------------------------------- -- ------------------------ ................................... q� O � Dare - Permit No. ..------ /..ate �r ...................... Issued ------- ........................ to Date TOWN OF BARNSTABLE LLOCATION 2 2,3 lJoikk H,-'r OR, SEWAGE # VILLAGE Ce,✓rl6r Udl a ASSESSOR'S MAP & LOT123-6 72 INSTALLER'S NAME & PHONE N0.4 ,/?�YJ(tLpJ�'��j��-rrSG., s/C, SEPTIC TANK CAPACITY LEACHING FACILITYArype) U (size) NO. OF BEDROOMS=PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: , 1 ', DATE COMPLIANCE ISSUED: �- VARIANCE GRANTED: Yes No I � � i 41/ `/ice // 1 o F . F�s........ ...30....... THE COMMONWEALTH OF MASSACHUSETTS . BOARD OF HEALTH TOWN OF BARNSTABLE- T A lir�tttun for Disposal Murky Cnunstr iu � �� itr� _ n Trutt# Application is hereby made for a Permit to Construct ( ) or Repair ' X� t Individual Sewage Disposal System at: 223 Rolling Hitch Road f`Pnt e ...---••-•...............•••---------------•-..._.............--•---.....--•-•-.............------ Swartz Location-Address or Lot No. • _............ ............. .-........... ............................... Ownn er Address W J.P.Macomber Jr, .... Installer Address Type of Building 3 Size Lot............................Sq. feet Dwelli4 No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:: Septic 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 ( ) a Percolation Test Results Performed by ---------------- •-------•------------- Date Test Pit No. 1................minutes per inch Depth of Test Pit.._.._......_....... Depth to ground water........ _______.._....... rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •-•-•••----------------------------•---•-•---•----•-•-•-•--•-•-•---•-•••-•-••-....•----.....-•-•--•.._..._...--•--•--........••---•-•----•-•---........-•---- P4 Description,of Soil.................. = x banct oc uravi t v ...-•-•-•••---•------------•••---....-•-------•••-•-•-•-•----•----•-----•--•------------••----••-•--------•--------•-•-•-•••-------•••-------------••••-••-•---------•-•-......---••---....._•--••- W -----------------------------------------------------------------------------------------•---I......L...-•-•-•---•--•------------------------•-•-------------•••••-•-•-•-----.....-----------------_-•--- U Nature of Repairs or Alterations—Answer when applicable.- _-......v__ ....... ------------ 1-1000 ',al on leac p1 ' -----------------------------------------------=----------•------.... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in ia'ccordance 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 boar .of health. Signed - [ a_�10�>:1/,t 1. � / - 8/12/92 -- ---- ..s------------------- _... ...... --- --....-- -------.... - Date e� Application Approved By ............. =y .�e�..-..-... ...................................................----------- l Date Application Disapproved for the following reasons: ........... ......... ................................................. ------------- -------------------------- ----- ---- ---------- --------------- -- -- ----- -------------- --- ------------------ -- ................................. G Date PermitNo. ---------/-. .. ��- ...................... Issued -----..................................................- a' Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE &r#ifira e of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (' XX ) by .......... Jr. ----------- ---- -- -- ---- -------------------------------------- ..........................................................................................................------- -------------- t at ..........223 Rolling Hitch Road Centervilts�u�.le -- -- - -- -- --------------------------------------------------------------------------------------------------------------------------------------------------------_---------------------------------------- has been installed in accordance with the provisions of TITLE 5,qf 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----------------- -- ---------- -- J`.. `�--. ...-.... Inspector - ------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE $ 3) On No.....1.�� : FEE..................... ... ;Disposal Works Tunutr ion rrutit J .P.Macomber Jr. Permission is.hereby granted------------• -- ---------------------•--.-----------------------------------•.......................................................... to Const�rct ( ) or, Repair.( X) a Individual Sewage Disposal System at No.................... tllvcn t�oaa Eri'G�']:"7'I.L.rC. - •----------------------•--.--------•--------------------------------------•--�--^--�--------------------------•-.----------------•-.----.-•--- Street �•� �/ r as shown on the application for Disposal Works Construction Permit No..��(--:�2"�._'_. Dated.......................................... ...............................4 4--------------------------------------------------------------- DATE----------- _ 5 1 ^/.o-•...................................•.... Board of Health -------- ------- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS