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HomeMy WebLinkAbout0251 WHITE OAK TRAIL - Health Cga- a®y i rr/ SMEA® No.2-153LY UPC 12934 smead.com • Made in USA �rcy. �J i k 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 I 32 S 29t .79' zz � C7� - -a N 4f I1 87 '+ ri ! STY- �-�oI &S,) !!•},.J � 1 ;; \�D' e .c�/LL ELE.✓..------FF�T Ae30✓E PO.dD PLOT- PLAN i L OCA T/ON: C n/TC Vet_L_E SCAL& _/_ 30 5_20-76 1 PLAN 2E FE�ENCE : 8E/n/ L07" 40 A S SHE � Z OF 2 AlAR65Y CEQTiFY T!-/A T THE EX/ST- r- t /NG FOUAIDA T/ON LOCAT/ON /S(a2ZAeEC7 , AS 6WOWAI AMID_ 0 _CONFO,e^-f YV/TN T/-/E SU/L•DIA/G SETl3,4G'��EQUi2EMFit/T 'I pr OF T.4/E TOWN 0F ,LaN57 __ l _ QEg. 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