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HomeMy WebLinkAbout0020 TOMAHAWK DRIVE - Health 2,0 ��MghAWk DO T SMEAD No.2-153LY UPC 1204 emead.eom - made in USA 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 �, � "'Y1' � .. '� Y , �i II`\ - � \���� �� �� ' °� , ,, '� �,,. u I � ," ��\ + _ t ... rJ. +. � .. + ,� '`+ "+ 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 :��_�� e '� �°� - � ,�, ►� - � " � � `�� - ,� n�Y� ��