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HomeMy WebLinkAbout0008 SACHEM DRIVE - Health 8 Sachem Drive Centerville A = 209 — 005 SMEAD No.Z-INWR UPC IM4 .m od.mm • limb In M 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/ GO ` � i � i �5 �� �. � ,,, � Q1 � / � � i � , �3 ems... ./ .a 1 v D Fps 30 .00 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----� \ s� 1 Ii 0 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=209005&seq=1 4/21/2016