HomeMy WebLinkAbout0251 WHITE OAK TRAIL - Health Cga- a®y
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No.2-153LY
UPC 12934
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SUSTAINABLE
FORESTRY
INITIATIVE
Cer6fied Fitw Souming
M^�.diotopr�m.ar6 J
NX
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
[�=tM"toble Consa- .
Me^tTOWN OF BARNSTABLE
y� '`•
�lir��i�an
4ggeed
A p7ication is hereby made for a Permit-to Construct ( ) or Repair (XX) an Individual Sewage Disposal
System at:
251 White Oak. Trail Centervmlle
... .........._........ -.....-.......................
.. .. .... .. -----•---
Location-Address or Lot No.
Down ink......................
W J.P.Macomber Jr. Owner Address
,-� ••-•---•-•--------------•--...-----•-----...------nstal-•---ler......................................... .............................................Address.•••-----•...........................................
� I
Type of Building Size Lot............................Sq. feet
Dwellings No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
a Other—Type T e of Building ............... No. of persons............................ Showers
� YP g ------------- .----------.P--- ( ) — Cafeteria ( )
Otherfixtures -----------------=------------------ --------------------------------------------------•-------------------•-------•.........••----
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........................
44 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................
9 •--------------------------------------------------•---•-------.....----._...................................................................................
0 Description of Soil.............................Sa-rrd--&---Graire•1----------------------------------------------------------------------------------------------------
W
V .----------------------......................------•-•--------•.......-----------•---------------------•------------------•------------•---------------------------......------•----••-----..........--
W
x ------------------------------------------------------------------------------------------------------------------------------------------------------ ------------- ---------------------.-----
U Nature of Repairs or Alterations—Answer when applicable.----l—10--0 �a 11..n ..e a..h pit .
----------------------------•--------------•---------------------------------------......----........---•-------------------------------------••-----..................................................
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 Compliaqte has br/nsued by the ar of health.
Signe - � .w 4L- -5192.
Date
Application Approved By -------
......V. 1.ia.7.-n---9-�
Dam
Application Disapproved for the following reasons: ....................... .................. ....... . ................... .................. ................. ......
........................................................ ----------------------------------------
Permit No. 9 �.-.-.--....�.5 � -........ Issued
------.................---
-------------
Date
1 '
No.--J Z .1�3 , Fins........3�J.
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
y TOWN OF-BARNSTABLE
% Vpfiratiun for 11ispusal Works Tianstrurtinn Vrrmit
Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal
System at:
251 White Oak Trail Centerv6lle
----•--•----••-•------------••--•-.... .. --••-••••-••----•-•-----•-•........... :. ' •-•---------------•----------•----•- ---•-----•-----•----•---.._........------
Location-Address / or Lot No.
DO W Cl t Cl Pr....................... .... ----------------------------------------------
..........
Owner Address
W J.P "acomber Jr.
.................... ........ .........
Installer Address.
d Type of Building Size Lot............................Sq. feet
U Dwelling X_.No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ 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................ 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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 -------------------- -------------------- ---- -----•---------...---------•---•----•-••---•---......-----------------------•----•--------.---•---------
0 Description of Soil y . � ----- -------------•-•-------...-.................................................•-------..........._..
x sand & uraval
v •--•-----•-----•----•------------•••-•-----------------•••-•---------------........----------••----•----•-----------•--•.•••. ..
...
W
U Nature of Repairs or Alterations—Answer when applicable_--_-1-1000--gallon leach pit .
. -•--------------•-•--•-------------------------------•---•--------......-------------------•----•--••--•-------------.-------•----•----------••--....._.....--•--......--•--•--•----•
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 e has be,n issued by the b and of health.
J
Signed ...; _� n -r�l�!... ...,........................... --- 1.. /q?----------
. / 5...-y
p to
Application Approved By ......U- ..-- ---.... -
D are
Application Disapproved for the following reasons- ------------------- - ------------............................................ ...................... ----------....
........................................"- --.....:_.................---------....------------.......----... --- --- ..........................------------------------------------------------ ........--............-----------------
Date
PermitNo. ------Cf...a......... _5---3..................... Issued ------- ------------- ------------------------ ---------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Iertifi ate of C�jamplinure
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XX )
by-J..P,Ma c-omb-e r..--Jr .... .........................--------------------- -------------------------------------------------------------------------------
I Installer
at ..251....Whi-te....Oa:k...Trail Centerville ............................. -
--------------------------- -----------------------------------
has been installed in accordance with the provisions of TITLE 5 ohThe State Environmental Code as described in
the application for Disposal Works Construction Permit No. .............6.--------1. ..,��.. dated ...............................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL F�NCT�4!9N SATt FACTORY.
DATE................ ........ .. ............. .........-w--•...........................----------- Inspector ... ...............--- . --....................--............----
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
C� TOWN OF BARNSTABLE
No....J-a� -�. 3 FEE..$...30-•-00.
Disposal Works Tunstr iun rrmit
Permission is hereby granted.._._J.P..Macomber- -
--------------- ---Jr--
to Construct
at No....... t5( ) or Repair (KX)'an Individual Sewage Disposal System
] White Oak Trail Centerville
---.....-•.................................•-..........---....-----•------'-------......._..---------------------•--------------.........................................
y Street (� /
as shown on the application for Disposal Works Construction Permit No../..___:'..��Dated..........................................
........................_ �: ---- - ------
e, L7J Board of Health
DATE--------------- -------....---------------...
FORM 36508 HOBBS 6 WARREN,INC.,PUBLISHERS
7 TOWN OF BARNSTABLE
LC-.--i, nON OG4,/ SEWAGE # 22 - U-3
VILLAGE ASSESSOR'S ASSESSOR'S MAP & LOT� 'a 0
INSTALLER'S NAME & PHONE NO.J,)�A,, }2be'*' �✓LG,
SEPTIC TANK CAPACITY P-T
LEACHING FACILITY:(type) (size) ! ou aa
NO. OF BEDROOMS PRIVATE WELL ORB 1L C WATER
BUILDER OR OWNER ]
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: -/1, - /
VARIANCE GRANTED: Yes No l�-
.{ J
i
r
No.......!-r.�.-.... Fmic ...................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALT
...... C .......--- -OF....../D,C��. . .-
Appliratiutt -fur 43iipuiittl Worho Towitrurtion Vrrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
1-4
... -- .. .a------- -- ----- --------------------•----------------------•-••-... ...........-----------...
Location• dress' ( (j) /� L or Lot
- --- - -------- --- ...--- ------------•-----. .-•- ............................................................. I-<
4 f ` Owner Address
Installer Address
UType of Buildin Size Lot...� _ __Sq. feet
Dwelling—No. of Bedrooms... ....................................Expansion Att}c Garbage Grinder (t�C�
aOther—Type of Building ____________________________ No. of persons.--------------------------- Showers ( ) — Cafeteria ( )
d - Other fixtures ---� �.'�'s�-------------------•----.- ,-............................... ---•---------------------------------------------•----•-------
W Design Flow-----_ ..........................gallons per person per day. Total daily flow._..__._._.._...._._._.__..__.gallons.
WSeptic Tanl —Liquid capacity-t _-gallons Length-------&___ Width................ Diameter---------------- Depth---------------.
x Disposal Trench—No..................... Width-_---___-__- �,�_ .. Tots LLerl�h--- _--------------- Total leaching area....................sq. ft.
Seepage Pit No.._____J____....._.. Diameter..luW. Depth 113e1ow inle4- _ ____-_•-_.____ Tot$leac ag area......___-____._sq. ft.
z Other Distribution box ( ) Dosing tank ( ) e �,h
'~ Percolation Test Results Performed by___________________________________________________________ .. Date---------------------------------------.
aTest Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water_-_-..._--.--.__--_-..
;14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water---------------.--------
--------------- -------
0
O _ r
Description of S�11 '" ... C? G--------
` y� - � = .' -------------------
------------- .. ` terfitions� � - - .._ G ,--I------------------------
U Nature of Repairs or A —Answer when applicable--------------------------------------------------------------------------------------------- ---
----•------------•----------•----•-••---•--------------•---••--•-----_._---- ..........................-----------------------------•-•--------------------•-----------------------------------------...
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI 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 the board of heal .
Signe - ...............v
��7 Date
Application Approved By.. (.l ... .....�-------------
Date
Application Disapproved for the following reasons:..........................................--------.._..-----------------•------.....--•--.......----------------
------------•---••-------------------•-•-----•---------------------------•---•----------------------•-------------------------------------------------------------------------- ------------------ ----
Date
PermitNo......................................................... Issued........................................................
Date
LOC&T10N ' SEWO C.4E PERMIT UO.
\VILLAGE (LEI
IM57QLLER5 U&ME ADDRESS
BUILDERS V J & E ADDRESS
DNTE PERNAIT 155U
_ r
o
DATE COMPLM�.10E ISSUED :
f
3(D`
jr�.
0....... Fint ..........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HE LT
\7 ---------- OF.
..... ..................................
Appfiration -for Bitivoiial Workii Tomitrurtiiin Prrulit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at:
4- 1jo CA�- A< 6—It --e"L',
......................................................... —-------- ..................I.....................................................4..................
Location-Address or Lot
......... ,&.,4
.................. ....... ..... . ................................
Owner V9_ & Address
.......... ..............4........................ ..............................................................................................
Installer Address
d
<11 Type of Buil Size Lot.._ __. 6V'61 -Sq. feet
'I-- ------------
U
Dwelling—No. of Bedrooms-.-. --______________________________Expansion Attic �qv) Garbage Grinder WO
Other—Type of Building ........................... No. of pet-soils---------------/----------- Showers Cafeteria
PL4Other fixtures --- ------------------------------------------------------__----------------------------------------------------------------
Design Flow_______5
W - V---------------------------gallons per person per day. Total daily flow------------- ...................gallons.
P4 Septic Tanll"—�iquid capacityA 011V_gallons Length-_--_-- Width__-.-.____-__-. Diameter_--_...__.----_ Depth----------------
W
Disposal Trench—No. .................... Width____---____ Tot Len fl- ----- Total leaching area..-----------_-----sq. f t.
v Total leac Seepage Pit No.._.__.I------------ Diameter__1YM__,!; Tot
inlet`_________________ Wng area------------------sq. f t.
Other Distribution box ( ) Dosing tank - 0,b. )-- /.2- 7 G P e
Percolation Test Results Performed by-----------------------------------------------------------............... Date----..--.-.--__-----.----.--._----_--_-.
,� Test Pit No. 1................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--.--._.--_-___---_.--.
�+ -------------------- .. ...... ......................
.... .. -------/��-----------------
0 ... . .Description of Soil -------4)"-
--- --- ---- --- -------------- --------------------------
--- - ---------------------
U --------0 Z_,�. ......I,- W
W ------------- ...... ------------------
--------------- ...... .........�F. 4'_Z�
U Nature of Repairs ?terations—Answer when applicable.-................ -------------------------------------- ---------- -_-----------------------
-----------------------------......-------------------------------------------------------------------------------------------------------------------------------------------
---------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI 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 the board of health. 'I
S*ig ........
ne�r------ ......K.........4------- ---- ----- -
-------------------------------
Date
7
Application Approved By......Ar__� ____e------- ----------------_ --------- ........
C7"- Date
Application Disapproved for the following reasons:................................... ...........................................................................
................................................................................................................................................................. .............•........................
Date
PermitNo---------------------------_........................... Issued.------------------------------------------------------.
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........ ... .. ........OF............
...... . ... ........4.......................
'W"Wrtifiratr of Q-111implitturr
THI TO CERTIFY, hat the Individual Sewage Disposal System constructed (411, or Repaired
'e—
jj------- .-.(.....i ......... ................................... ....................... - ------
at------- &1 ......
has been installed in accorc nce with the provisions of tifl*Zt XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit N ....... --------------- dated_77__> ..............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE...........-.------------- ------------ 'r----------------- Inspector.... . .......................................
THE COMMONWEALTH OF MASSACHUSETTS
(7� BOARD OF HEALTH
.........I.OF........ .....................
No....... FEE._ ...............
B i-1i o arbi Tlomitrurtion Vrrmit
Permission is hereby granted_ ----------------
/------------------------------------7,-;','-- ---------to Construct or pair an Individual Sewage a' D"i
s.
.......... -------- _--
----- ----
at No.. _
-
Street
as shown on the application for Disp al Works Construction Pe It NIK---- Dated:-...J_-;2.A/,....-.;7,&..........
............................
DATE-------------------------------------------------------------------------------• Board of Health
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
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