HomeMy WebLinkAbout0020 TOMAHAWK DRIVE - Health 2,0 ��MghAWk DO
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SMEAD
No.2-153LY
UPC 1204
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SUSrAINAW
FOREMY
WITIA K
MRra wew
�w
APPROVED Fx s 30. 00
e�Rsta�i�C�7"Ms�l"vaUon DepartmenteDepartment ..... ......................
J� THE COMMONWEALTH OF MASSACHUSETTS
e� Date 1 OARD OF HEALTH
si S LE
TOWN OF BARN TAB. X Ice .
Appliratiuu for UhnVi ial Workii Towitrurtiurt Frrutit
Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal
System at:
20 Tomahawk Drive Centerville
...............•---•--•--..............--•--•----------...-•--------------------------------_..... ----------•-----------•-•-------•--------------...------------------.....------------....---------
Location-e\ddress or Lot No.
JohnLee -•---------------•-------------•----------------. ------------------------------------------------------------•-----------..............---.........
..............•-•---. ._....-----------...-•--
Owner Address
a J .P.:Macomber J.r......................................................... ------------------------------------------••-•--------------------•------•--....._----............
--------.--•---•..•- Ic[staller
Address
d Type of Building Size Lot............................Sq. feet
Dwelling X- No. of Bedrooms-------------�!----------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons-------.-..----------------- Showers ( ) — Cafeteria ( )
dOther 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........................................
a 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.........--.........---.
a -------------------------------- -•-----•----------------------------------------••-----------••---.............-•--•-.......------•----......---......----
0 Description of Soil...........................................Sand & Gravel
-------------------------------------------------------------------------------------------------------------------------
U ------------------•----.......--------•-••----------------------------------------------------------------------------------------------•--•--------......----------------------------------------------
W Nature of Repairs or Alterations—Answer when applicable--------0m i t---c e s s p o o l s . install 1-15 0 0
U -4allon Tank 1-distribution box 2-1000 Jallon leach pits _packed____in...stone,
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 ce has -�e-n is ued by ty b rd of health.
Signed ... � �. ............................................ 1.2./..1.3./9.3.....:._...
Dace
Application Approved BY 4--- --------------- --------------------------------------------------
[e
Application Disapproved for the following reasons: ................... .......................................................... . ... ...........................
.......... .. ................................................................................ .. ................ .. .. ......... .. ........... . . ...........
D.a[e
..
Permit No. ............ ......C3...15---19------------------- Issued
Daze
73
No................-....... FEs.....$....3
THE COMMONWEALTH OF MASSACHUSETTS
/-'-/- 53BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiun for Di-nVoml Wurkii Tunutrurtiun Permit
Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal
System at:
20 Tomahawk Drive Centerville
.............•--------.............-•--•-....-----------.....------•-•••------•.....•---•••--..... ----•-•••-•-••-•----•-•-••----••-•-----•••---------•--••-----•----..........-•-----••-•------••••-
John Lees Location-Address or Lot No.
W J.P.Macomber Jr. Owner Address
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 ( )
alOther fixtures ---------------------------------- ---------------_--------------------
w Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity------------gallons Length---------------- Width-----.---------- Diameter---I............ 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........................................
Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
PLI Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
Gr ..........................•-•...._...----••--•......----••---•-•._.......----••............-•----••..........=..............................................
Description of Soil.. Sand & Gravel
-•.......................•-•--•----•------------..._...---------•---------•--------•--------•-•--•-••--------------........
x
w
U Nature of Repairs or Alterations—Answer when applicable_----Omit cesspools . I n s t a 11 1-15 0 0
gallon Tank 1-distribution box 2- 000 gallon leach pits packed in stone,
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 ce has een issued by the b rd of health.
Signed `I ................... 1.2/13./.9 3-
CDace -----
ApplicationApproved By ------------------- -- r3 --�-• .......................................................................
Dare
Application Disapproved for the following reasons- ------------------- -----------------------------------------------------------------------------------------------------------
...... . ............ -- ...................................... ......... ............................. ..............................
�3 - Gg9 Dare
Permit No. ............. . . ...................... .. ...... Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
lLeltifirate of (1110 iplianre
JTPTHIS AI TO rERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( XXX�
la. . c om`. e r Ur'.
by ----------------------------------------- ------------- -- --------------------------------------------------------------------- ------------------------------------------------------------------------------------------
20 Tomahawk 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................... "" .f �'- -------.. - Inspector ----------------- -----------._------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
$ 30.00
No...9.......- FEE........................
DifiVopal Workii Tunitratiun "erutit
Permission is hereby granted ----------------------------------------------------------------------------
to Construct 2(0 �I omahpaa rk XDll J.P.Macomber Jr.an Individual Sewafj Disposal System
ive Centervi e
atNo............ ..... •--•-------------------•------•----•----------------------------------------- --------------------------•--------------------------------------------------------
Street qq? //GG e,
as shown on the application for Disposal Works Construction Permit Noll [�9_2_ Dated......�� 1�?......Ilk 1\
/��...
... __Y.... ..__--_-_---_._-_.-_-.-_____...____.......
�� •• .............. Board of Health
DATE----------- F� •----
FORM 3e5oa HOBBS R WARREN.INC.,PUBLISHERS
TOWN OF BARNSTABLE
LOCATION SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME PHONE NO. '�) , P
SEPTIC TANK CAPACITY / C>
LEACHING FACILITY:(type)),-P I 4-�S (size) 1000
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
. r
BUILDER OR OWNER,,
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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No.......$9:. r Fps$...5.�Q4............
THE COMMONWEALTH.OF MASSACHUSETTS
BOAR® OF HEALTH
.......................T own----.....O F.............Barnstable......
Appliration for Disposal Works Tonstrnrtinn Vrrutit
Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal
System at:
R26�2.... .................-.....................................................--.........................
Location-Address or Lot No.
John Lees ....---•-•---------•-----•----......--•-•.....................•-•--.•.... 20 Tomahawk Rd......Centery_ille_,--MA----02692-•----
Owner Address
A & B Cesspool_Service _________________________ 128_Bishops-Terra_ce,_-Hyannis_,_.MA__ 02601_,-_--
Installer Address
Type of Building Size Lot---- --------- - -----Sq. feet
Dwelling—No. of Bedrooms...................3.......................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Buildin
a Other—Type g ............................'No. of persons.....................__----- Showers ( ) — Cafeteria ( )
Otherfixtures -------------------------------•-•-•-----------••-•------••---------•--•------------------.
W Design Flow.................. .......*.............gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid'capacity............gallons Length................ Width................ Diameter.............._. D'e"p"t'h................
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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
.---•----------------------------------------------------------•---••-•--•---...........-•-•-.•---••.........................................................
0 Description of Soil---------------------Sar ......-•---•-•------•---•--...--•-----••-•------
V ..................... ...................................................•---------...-••---------------...-------------•----------••---•--------------....------............................--•--..--•-
W
x •---•--------•----------------------------------------------------------------------------------------------------------------------------------------------------•----•----------------•-----•••-•----
V Nature of Repairs or Alterations—Answer when applicable.........installation_-of a_-1.000--gallon pre--cast
stone packed..leach_pit__�oyerflow
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLi: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has een issued by thr
ealth.
Sig ......... .... . j- -••--- --------9� 8�8°_..----
nl / a i
Application Approved By........... �-``- °1�°L •%..
•••......---•-•......•. ................9 80.......
Date
Application Disapproved for the following reasons----------------------- ----------------------•-------------------•-•--------..._..Da---------•---...
........................................................ --------•----•---•-----------••-•-•------------•--------------•-•----•-----------------------------------------------------------•--------••---
PermitNo.......................... • --- ----------
p. ate
80—..I 1 Issued_... 9� 8�80
Date
No........ -7 Fiz$.$....!L0.0........._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.......................T own-.......OF..............Barn stable
Appliration for UhipasFaf Works Tnnitrnrtion ami#
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
20 Tomahawk Rd., Centerville....A....02612... ..----•---••---------------•-•----•--.......-----
Location-Address or Lot No.
John Lees ------------- 20 Tomahawk Rd,jt..Centery l e�--MA-•--Q 6 ...---
............................................................................. ._ .... .....
Owner Address
W A & B Cesspool Service 128_ Bishops-.Terrace•,---Hy_anns,..NiA.....�264,..----
a
Installer Address
d Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms..
............................ .Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ............................ No. of persons.....--............. .... Showers ( ) — Cafeteria ( )
dOther fixtures -----•-----------------------------------------------------------------------------------------•-•-•----------------------••--•----------------------
w Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
W Septic 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-.._-.-_---_---_-_-----.
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
---•-•---------------------------------------------------------------------------------------------.........................................................
0 Description of Soil.......................Sand.....................................................-----------------•------•-------------------•-----------•-----------------------
x
w
xN ture of R a rs or A1teraYion —Answer when a llcable--.....-- rista118tion of a 1,------ 4tllon_- e_-cast
U stone pace leach pit koverflow). pp
-- - -------------------
---------------------------------
Agreement
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITTIS 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has_-been issued by the boa d�health.
Sig S- --------V V" ------.
f t/
Application Approved BY 4. / .I....--•-•-••---•----- 9
........ .-- . _ ........ �a /8o
Date
Application Disapproved for the following reasons------------------------------------•-----------------------•------------------•----•------------.._..........._ '
..............•----------.....-----.....-•----------80—..���/.....---•--...........-----........------....................................----8/8..---.....----...Date........_.....
Permit No....- ------ --------• .... Issued ..... ---------
Date 1
' THE COMMONWEALTH OF MASSACHUSETTS
k. BOARD OF HEALTH
Town Barnstable
OF.....................................................................................
Tntifiratr of TompliFanP
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X )
by-------- A. & B Cesspool Service, 128 Bishops Terrace, Hyannis. MA 0260�,...-..2.7.5 62 k.--•----..
---............
staller
at.
20 Tomahawk Rd., Centerville,- ... .MA 026 - John Lees
---- ................... ------- --------------------•...- ..... .............
has been installed in accordance with the provisions of TTLE r of The State Sanitary Code/as described in the
application for Disposal Works Construction Permit No..-�.--_.. ---------------- dated..........91..-818Q_..._........_.__.....
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTR E® AS AGURLANTEETHAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE...........9�Za/-80.....--•-•----•-•--------------•------....---------- Inspector .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
..................OF.....................................................................................
No...80....��..... FEE....$..5•.00 0....--
Dispwial Work.5 Tlastrnrfuan amit
Permission is hereby granted.....A & B Cesspool Service
to Constr ct 'Foi►fag,jje%k.(XCen�'eInj ' u l �waj& �osalJo�i i Lees
atNo. ----- -----• •--.----- ---- -------
Street /
as shown on the application for Disposal Works Construction Pe m' No�z_..... .--.. Dated........91-..M�0
..
_.________l�.. , ._._._�_).........................................
DATE 9/.. /80....---•....................................... Board of Health
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
LOCATION SEWAGE PERMIT NO.
—2 D
'a41LLAGE
I N S T A LLER'S NAME i ADDRESS
3 U I L D E R OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED :��_��
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