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Home My WebLink About0011 COVE ROAD - Health (2) 7 ii _1 NO.. FE:4.... ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town .....................OF.......Barnstable Appliratiun for Uaipuual Vorkg Tome raartiun FurAft Application is hereby made fora Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 11 Cove Road Centerville ...........................................--........................................I............ -•----••----.......---•-•••--•---•--------------.............----•---•-------........-----......-- rke Location-Address or Lot No. ...................... Owner Address w J.P.Maco.mber Jr a ................................................-. -----------------------------------•..........--- ------•----------•-•------------------------...-•-...-------------•••--........-•-•--...._.._. -- Installer Address Type of Building Size Lot............................Sq. feet a Dwelling No. of Bedrooms..........2...............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ......t......-•--•----------------------------------------•-•-----•-----•--------•-•---•-•-------------•----------•---......--------................ 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 ( ) Percolation Test Results Performed by........................................................................_. Date........................................ Test Pit No. 1......:.........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........................ P4 -------------------------------------------------•-----------------------------•---•--------------------- •-•--------------------------------- -------------•- 0 Description of Soil.............................. v .....................................................-•-------••--•--•------------•-•----------••----------------•--------•---------------------•----------.....-•-------......----•------•........---- w ----------------------------------------------------------------------- _ U Nature of Repairs or Alterations—Answ pplic Y-'j`lV56 a on Agreement: . The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'MILE LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue b the oard of h lth. Signe ._ _ . --- --------- ...................... ....... Application Approved By. - ----- -- -- -- --- ..... t ---------- Date Application Disapproved for the following yeas ----------------------------------------------------------------------------------------------------------------- - Date r / Permit No..... �, Issued_- l Aate ... .................... 11F.H4 > THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `e ...OT`j�J........................OF.......LJa n c..r t�ia i71e } ................... ........................,.................................................. Appliration for Diupog al Works Tomitrurtion lirrmit Appl�rcation is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at` 1-1 'c me road Cen terx- ..11e ................-......................•........................................................ ......................_.......----••------•-------.....•-•--•--------••••......---.....---------•- Location-Address or Lot No. !''.Z'i '';k -........................................................................... ................................................................................................ Owner Address S t^a............ . t..1. Installer Address UType of Building Size Lot.................... .....Sq. feet Dwelling—No. of Bedrooms.......... :...............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No, of persons............................ Showers ( ) — Cafeteria ( ) QI Other fixtures ...................... WDesign 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-..-_----_--_---•---.--. fZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' -------------- •------------------------------------------------ •-------------------------- ---------- ------ -------------------------------- .------------------ O Description of Soil............................... -------••-•-----•-•-•--•-••-------------------------- ------------------------------------------------•-•--•••-•.....--•-•-••--- U ••••-••-•--•-•-•---•---•••••••••-•-•-••--•------••-•-•-••••••••----••---••---•......•••.......•.••-••••--•----•••••---•••••••••----•----••••---•--••••-•-•---•••••••-•••......-••-----•-•--•--•---••••. W U Nature of Repairs or Alterations—Answ r he applic�le__•-------•-_ � ` c::a 1.tCOCI L�.Xl . .. ..Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the,provisions of TITLE: 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 board of health.+ a% r sz� �� Sign >, ,_r_ s ..fit'' 4 r t Application Approved B r•• •�' t` Application Disapproved for the following real ...........-•--------------------•-•------------ D t Permit No.....0_ 1 ...+,_ _.. ..•..•_._.. Is------------------------------- sued...1__-1__• - '•_ / ate THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town......................OF :rn s a 1e ........... . . ? .........................................................At Tntifirair of TompliFaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired CX' ) at................... ...................................................1_ Cove Road Ce17�;ewsr:� le Installer ............................•-••••••••..........................---•........................................................ has been installed in accordance with the provisions of 12 T^ r. 5 o �Ze Sanitary C �as� ed in the application for Disposal Works Construction Permit No._-- ,� dated-....-/T' T . . .......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARA TEE THAT THE l SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.....------...---------------------------------•-------------•--•••--------•••-••-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH n .._ . .........Tn%m...................OF......Barns jahiQ...........................---.......... No.-- .. ...... FEE......-`:?: Disposal Workii Tunutrurtion "remit Permission is hereby granted---- ....................... ----------------------------------------•---•-------- to Construct ( ) or Repair T� ) an Individual Sewage Disposal System at No.............11 Cove Road C e n e r : l.le ----•---••....................................•--•••--•--•------••-•--.-•--• •----------•--------••-••....••--••-----•-•......••----• ---- - Street as shown on the application r Disposal Works Construction erm,it No.-{�_ '. _ _ ated... �"�%?-r - o •. Boarre 'Health DATE._.............. -- - -�- --•--=�!------•---..._.... U i FORM 1255 HOB S & WARREN. INC., PUBLISHERS No. ...... ( F�$s..�. ........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 1 ............-..I-.0 WK).........OF..... ........................ Apptiration for Diipntitti Workii Tnnutrnrtinn ramit Application is hereby made for a Permit to Co truct ( ) or Repair ( Wan Individual Sewage Disposal System at: .n -E�VC_....�----------- ------il.., J ------......... -...:---------------------------.--.......------ Lo t No. •-_._ o .....-••----- O erd ddress Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Ga Other 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 ( ) Percolation Test Results Performed by.................. ....................................................... Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -----�t ...... ------. 0 Description of Soil--------- .�>�1 1�' - .........----------------------- -----------------•---•---.--••-- ----............_.. x V -•-•---•••-•-•-•-••--•--•••••-•••••••-•-••••-•-••••••••-•-•••-••--•••••--•--•-•••-••••-•••.....---•••--••••••••-•-••-----•••--•-----•-----•••--•••-•---••--•--•••••.........................••--•--••--- W -----------•---------- ----------------------------------------------------------------•---------------------- ---------------------------------------•---•----.... U Nature of Repairs or Alterations—Answer when applicable.....1 6.� __._ •Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in ' operation until a Certificate of Compliance has b n •ssued by the board h 1 . Sig d = 1 ( / •• Dalz�l te A lication Approved B ? Date Application Disapproved for the following reasons---------------••------------•-------•---------.....------------------------------------..........-•--•.......... ------------------------------------•••.............._...--•------------------------.......---------.._................................................................................................ Date PermitNo------------------------------------------------------ Issued.... ............................................�� ,. Date Fps ! °. ........ No. - ._..._...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i Appt ation for Disposal Worko Tnnstrnrtinn rruti# Application,is hereby made for a Permit to Co ruct ( ) or Repair ( 41*an Individual Sewage Disposal System at . ............. :...... , � ........f..................................................................... ...7-C. Lo on-Am o t No. laoa Owner , , Address } - ... ..-�—u—InE____________________________•-----•--------____ Installer Address 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 ( ) Other fixtures - W Design:Flow..:.::....:.::... ::__________-__,__._gallons per person per day. Total daily flow............................................gallons. 4 Septic Tank—Liquid capacity............gallons Length------------_-- Width................ Diameter................ Depth................ 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. 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.......................... a •-- ---- O Description of Soil......... W i_____:. . --------------------------------------------------------------------------------------------------------- - ` UNature of Repairs or Alterations—Answerpwhen applicable._.__ "___ .> __.. �,,k, -10 _`_ �_ ` � _ ,,Agreement The•undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with ' the provisions of TAME 5 of the State Sanitary Code—The undersigned further agrees not,to place the system in operation until a Certificate of Compliance has bg n 'ssued by the board�o h It A Sig cl .........1�:.. - -�t�--P/�t""1 t,�,,;,�--- Application Approved By.. /............--•- Date Application Disapproved for the following reasons:........ ..............----••------------------------------------------------------......-----------------.k :...................•----------•-....--•--•----•.....---------- ------------------------------------------•-----•------------------------------------------- •------- ' Dates Permit No--------------------------------------=--------•-------- Issued------•---•-•-•-••---•---•---......................... 'i Date 'e THE COMMONWEALTH OF'MASSACHUSkjTS *, -" BOARD .A OF HEALTH �, a F .'.......... r?Y . OF.... L� Y 1••s,. �). . ... �. .. .... ,k ' �rrtifirtt. oaf outphaurr tby 4 TH S TO CERTIF��That the Individual ewa e Disposal`-S stem co tructed ( ) or Repaired (�'J I je tiler — 7T " h a a.n ar e s ribed in the s lias been installed in accordance with the provisions of I I r ` e State S t d� 3 application for Disposal Vuorks Construction Permit No.__ ___ __�______._____ dated _. �_ ...�____________________ ," THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU ® AS` GUAR LE THAT THE,-,, ..t SYSTEM WILL FUNCTION`IprT1SFACTORY , ��a,+3t rf `4hY}�,aza�'A�'�' q�x� ,.z w�'.JC:.. .x i� i s.x, DATE . _..___. Inspector d a+t yew 7 •.w ffiiw 6�°u k sty wa y m a � M ,� "Ik*rrp rF THE COMMONWEALTH OF MASSACHUSETTS ' t BOARD OF HEALTH P �8j J ..... .. ..OF... �,E-8-•• •�.5�. � ...................... No....:.................... FEE.. . .. Disposal Works Tnntr ion rrmit Permission is hereby granted�500 :-�� _.. _ � __- _._ `... t'� ...__--$w r�--._._.. to Constt ( ). or Repair an yl�uaI Sew=age Di posal System c { at No. Al1 �.4 y 16-1-4�-�C---- -----------------• ----------------------�. at :__ Street 7- ;1as shown on the application for Disposal Works Construction Per 4 No._- 4_;� , ... Dated ..---- ""7L. �w / �r. Board of Heal' DATE�- //.. t --` P----------------------------•--•--•-•----------- - FORM A255 HOBBS:& WARREN, INC.. PUBLISHERS