HomeMy WebLinkAbout0008 SACHEM DRIVE - Health 8 Sachem Drive
Centerville
A = 209 — 005
SMEAD
No.Z-INWR
UPC IM4
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t TOWN OF BARNSTABLE
LOCATION .,•�� '�.y- SEWAGE
VILLAGE (' , � ASSESSOR'S MAP 6 LOT
INSTALLER'S NAME & PHONE NO. GG✓�
SEPTIC TANK CAPACITY
4
LEACHING FACILITYA ype) (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER �C
a
DATE PERMIT ISSUED: :1.7 _ 9
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No t/
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No. �...., �� ..............................
WROV�1) THE COMMONWEALTH OF MASSACHUSETTS
0"tea6=Vt:=E=Dar"B0AR® OF HEALTH
w��
TOWN OF BARNSTABLE
pate
. if ip iration for Di!5pwial Works Towitrurthin ramit
Application is hereby made for a. Permit to Construct ( ) or Repair NXX) an Individual Sewage Disposal
System at:
8 Sachem Drive Centerville
----------------------------•-•----••-•-----.......------...--------------••--...........--------- ----------------------------------------•-------------•--•-------...................-•-••.......--
Location-Address or Lot No.
Skinner
-- -•---.... ........
Oe ner Address
W J . P.Macomber Jr.
Installer Address
Type of Building Size Lot............................Sq. feet
.4 Dwelling-X No. of Bedrooms................3
............................ Attic ( ) Garbage Grinder ( )
aOther—Type of Building -------------------------_ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
04 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.
3 Seepage Pit No--------.---_------ Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
0.4 Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
40 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
C4 ------------------------------------------------------------------------•--------------••-•---...._..._.....-----------....--------.............---......-•--
0 Description of Soil---------------------•-•-------------------5and--&---0-raYel._....._.....---------------------------•-•----•- ......................................
x
V ........................................................•-----------------••--•----•--------------------------------------------•------------------------•--------------------------........._......---•-
W
------------------------ -----------------------------------------------• ..............................................
U Nature of Repairs or Alterations—Answer when applicable.-._-.-_2_-1000 gallon tanks 2—
--------------------------------•----------
Distr -but Qt�...boxe .-�000-- �_s1xl.__ ? k�_.. ts.......
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 has 7bn�sued by the b d o health.
Signed . --- .............v.,/� . . .. .... ............................. .......9./..27./9.3.:......
Dare
Application Approved By .......... Date
.... 7.-
Application Disapproved for the following reasons: ............................................... ................ ............ ........................................
........................................... .............................................. ........... -- ............... ..................................................--... ........................................
Dare
Permit No. ......9.�...�...Jr.Z Issued ................................................................
Dare
01'
� ... ��'� oq (J 30.00
No- Ftvs.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Z_1 9"TOWN OF BARNSTABLE
Aopliratiou for Diripmml lVork,i Tatuitrnrtion Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair NXX) an Individual Sewage Disposal
System at:
8 Sachem_Drive •Centerville•_•-
----------------------------•------------------•------............------------------------------•
Location-:address or Lot No.
Skinner
......................_......................................................................... •-•-•----•--•---••--------•-•---••--•-----••------•••------••••-•-••----......-----..........---•-
Owner Address
W J.P.Macomber Jr.
Installer Address
UType of Building Size Lot_-_----.--•--•--••--•-___-.-Sq. feet
.� Dwelling-X No. of Bedrooms..............._...........................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( )
04 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 ( )
aPercolation Test Results Performed by............................................••-•••• .` ............_.... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
f1f Test Pit No. 21...............minutes per inch Depth of Test Pit-_.-_-_--._.____.... Depth to ground water........................
94 ....
.-•-••----------------------------------------
•.......•----•.............
•.....
•------------•----------
.-----------------------------------
•-------------
0 Description of Soil.............................................. and-• &..
x
UNature of Repairs or Alterations—Answer when applicable._.-_.-_-----1000 gallon tanks 2—
Distri:bution.•boxes, s- Q9Q..gala'arl..lea.ch-•-pi..ts.�........................
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 b en issued by the bo rd o health.
Signed ------ - ----- ----/ ......,......................... .......9/2�./9 3.:......
Dare
Application Approved By ..........ct �-...:_......4'_--';', a.-'................................. ..................................... ......
Dve
Application Disapproved for the following reasonr: ... ............................ . .............................. .. .................................................
... .................. . . . . ............................. . . ...............................--... ._...................... . ... . -- -- ..... ........................................
Da.
PermitNo. -.--... �`.�--.-.-. .' ...� Issued ...................................................................
Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(11'Er#ifira e of Qlamplianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( XXk
by J.P.Macomber Jr
................ ...._._ - - ... ...._................................... - ...-----------
8 Sachem Drive Centerville
at ............................................................... _.............
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........--._ )......_c_....--...._..-�.......----- ....................... _...----- Inspector ...............J;. -----..---------------------...._...........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE $ 30.00
No.13:�.�y ... FEE........................
Diopooal Worhp �onotrrtion rrutit
J.P.Macomber Jr.
Permissionis hereby granted................................................----------------------••------••-•---••------•- ......................... ...............
to Con truct ( ) or Repair (XX) an Individual Sewage Disposal System
Sachem Drive Centerville
atNo-------------------------------------------------------------------- ------------•----•--•----_--....-------------------------------------•------------------------------
Street
as shown on the application for Disposal Works Construction Permit No..��-��1 Dated.._.._.. .n.. � ...�
�� a Board of Health
DATE................. ------------.._......./--.................................
FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS
AsBuilt Page 1 of 2
E C TOWN OF BARNSTABLE
LOCATION S �cj ,¢�r a,„ �r SE WAGE #
VILLAGE CDO,t , A ASSESSOR'S MAP 6 LOT . Bd 5-
INSTALLER'S NAME & PHONE NO. /11
SEPTIC TANK CAPACITY_
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED: 2.7 - g_3
DATE COMPLIANCE ISSUED: f D --II-
VARIANCE GRANTED Yes No Ll----�
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