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HomeMy WebLinkAbout0154 SHORT BEACH ROAD - Health 154 SHORT BEACH RD., CENTERVILLE A= �IIII /l ��ECYC,.`Jco Z UPC 12534 �o No.253�1 - -007-CpNSJ�� HAST M, MN I o ` fix' f� G �� ,. t� I J�� iI i ►7U e� peel vQ MCA o,S �cI CS �>oIf Ca-Se �e CA A SS �� � �{ a (JA r•CZ NF.P4TGZK- V _ ILIP �n•7;r r-- i iy rI A„ r . i 4 r uG�Y eL IGY 1 I N W i N Ile77 TT uG�L Y-16 1 N W I. u 0 I ET � u9 17L I TOWN OF BARNSTABLE LOCATION 151/ 5koa_,LJ6,ecxr_n SEWAGE #49 9 � /�J :�?n VILLAGE C`2i 1 r.t®1 ASSESSOR'S MAP & LOTI OL U A,f INSTALLER'S NAME&PHONE NO. morvia 6-Per` sah Mn C SEPTIC TANK CAPACITY I M O LEACHING FACILITY: (type) y a�n r_a r S (size) NO.OF BEDROOMS_ BUILDER OR OWNER IZZ PERMIT DATE:�-' ���10' COMPLIANCE DATE: ' Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ` h r pp • �� ( p No. emergency repair\, �� lee 0.00 THE COMMO OF SSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 0[pplication for Di$ ont *pgtem Curigtructiun Permit Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. 154 Shortbeach Road Cotton Real Estate Centerville,Mass . 02632 428-9115 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.J.P.Macomber Jr. 508-775-3338 508-775-3338 J.p.Macomber Jr. Box 66 Centerville,Mass. 02632 Box 66 Centerville ,Mass. 02632 Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder No) Other Type of Building RES, No. of Persons 3 Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 0 gallons per day. Calculated daily flow 3 x 1 1 f1=33 0 gallons. Plan Date_4 8/96 Number of sheets 2 Revision Date Title Description of Soil R a a n H G a n 8 Nature of Repairs or Alterations(Answer when applicable) Omit c e s s p o o 1. Install 1-1 5 0 0 gallon tank, 1 -pump chamber 1-Distribution box and four cultec recharger 180' s 4' of stone all around. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo of alt Signed Date 4/9/96 Application Approved by Application Disapproved for the following reasons Permit No. Date Issued ,r-. ..ram � :t" S: 'S. ..�..,,,�„� .� -.♦'� .-_`' -.ter+',.�_ .. 1ar-+—,.r«•- w.. ..r � .•. • .. .�...+.'�%;� r. +.. } i a®�No. emergency repair e 0.100 THE COMM .OF M SSACHUSETTS <,• 'PUBLIC HEALTH-DIVISION'- TOWN OF BARNSTABLE, MASSACHUSETTS f ZIppitratton for.Mtgogal 6p5tem Construction permit Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. 154 Shortbeach Road Cotton Real estate Centerville,Mass. 02632 428- 115 Installer's Name,Address,and Tel.No. 508-775-3338 Designer's Name,Address and Tel.No.508-775-3338 J.p.Macomber Jr. J.P.Macomber Jr. Box 66 Centerville ,Mass. 02632 Box 66 Centerville,Mass. 02632 Type of Building: Dwelling No.of Bedrooms 3 f-,Garbage GrinderIff 0 Other Type of Building R. S� fN'o. of Persons 3 Showers( ) Cafeteria( ) Other Fixtures y Design Flow 330 ! gallons per day. Calculated daily flow 3x1 1 0=330 gallons. �l Plan Date 4/8/96'' ' `Number of sheets 2 Revision Date Title Description of Soil Beach sand Nature of Repairs or Alterations(Answer when applicable)- -.011l t "Ce6sp001. Install 1-1 500 gallon tank, 1-pump chamber 1-Distribution box"and 'four cultec ' recharger 1801s 41 of stone all around. Date last inspected: 'f Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmenfal Code and not.to.place1he system in operation until a Certifi- cate of Compliance has been issue by this Bo ,of . 'all *" . — Signed Date 4/9/96 Application Approved by e : Application'Disapproved for the following reasons Permit No. ..-- Date Issued THE COMMONWEALTH OF MASSACHUSETTS - PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Certificate of Compitance - THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( �' )or repaired/replaced KX)j on by J.P.Macomber Jr. for as 154 Shortbeach Road Centerville Mass. hwA74constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ated Use of this system is conditioned on compliance with the provisions set fo ►belo : r , , -" 40.00 No. ' Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS lwigogal *pgtem Construction Vermit Permission is hereby granted to Jo seph P.Macomber Jr. to construct( )repairT(XX)an On-site Sewage System located at 154 Shortbeach Road Centerville.Mass . 02632 and as described in the above Application for Disposal System Construction Permit.The applicant recog izes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction m s be om eted within two years of the date below. 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