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Home My WebLink About0077 ELIJAH CHILDS LANE - Health (2) �7 � / a7a - l9 y ;� ✓C r 71 A 7� No............ �►�D n FE:s.....$....3 0.:.Q 0. HE � ?-� TL COMMONWEALTH OF HEALTH Ts Date TOWN OF BARNSTABLE Appliration for Di_1-,V !3M1 Work.6 Towitrurtion rumif Application is hereby made for a Permit to Construct ( ) or Repair �CX) an Individual Sewage Disposal System at: 77 Elijah Cht°&s Lane Centerville, ........................................ ..........---••--•---•••----•------••.....----......... -•---••••••••••--•-•---••-•---•---••••-------...•-------••--••------•-•--••--------•--••-•---.---- Location-Address or Lot No. Mrs . Mari Barrett •-•--------------••----...----•------------------------------------•--•- -••••••-•---•--....--•--•--••---------•••---•••-•---------•-•--•••---•-----...............----•--- W J.P.Macomber Jr . Owner Address Installer Address Type of Building Size Lot............................Sq. feet Dwelling X— No. of Bedrooms---------------3--------------------------Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ---------------------------- No. of persons.------------?............ Showers ( ) — Cafeteria ( ) Q 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........................................ 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........................ P .....------•----------------•------...---•--------•---•--•------..........--•••-•----•...........---......................................................... 0 Description of Soil......S.a-n.d...&...Grzmal............................................................................................................................. x U ---•••••••••••••••••...--•--•••••-•--•-•-•--•••......--•-•-•---------------•••-••••--•-••••••-------•-••-••------••••-•-•-•--•---•--•••------••-•-•••------••••-•••-......-------•••••......•--•--••• w -----------------------------------------------------------------------------------------------•----------------------------------------------------- .:....... U Nature of Repairs or Alterations—Answer when applicable----Add---1---10-Q0---gallon leaching __ _exist.incf tank & Pit y ---------------------------------------------------------------------•• 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 Compliance has b n • sued by the bo rd of health. Signe .... --- --- �. _ 4/70/94 Dare /............................ lication Approved B Y ....... pp PP ..__..� - ............... - =1 A Application Disapproved for the following rearonf- ------------------------------------------------------------------------------------------------------------------------------------ .............................._..............................................._..............._................................................._....................._....._..._..------------------------ ...._..........Dare ---------------- PermitNo. ----71/-----f fly--- ---- ------------------- Issued .......................... e....................................... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CITerti rate of (11jamplia re THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) by J .P .macomber Jr. ---------------------__------------------------------------_--------------------------------------- ---------------------._.___------------......._.........--------------------------------- -- Installer at ......77 Elijah Childs Lane-.-Ce.nte-rvil-l --...----.-- ------- ------ -------- ......... ... ......... ........ ......... 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. .......194Y ..�_f l/.............. dated ----_._-------------._....._-------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE'---------------------------------------------------------- . ......-- -----------...-------... Inspector ------------------ ---------------..._---------------.._...------------.------------ � Z2_ 30 00 f THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF- 'HEALTH I TOWN OF BARNSTABLE ' .c� liration for Di,ra w3�t. _ �� 1 Works Tomitrurttnn Prrttttt Application is hereby made for a Permit to Construct ( ) or Repair OCX) an Individual Sewage Disposal ` System at: 77 Elijah Chis Lane Centerville, ................................................................................................. .....-..............-••••--•------•-•------------•------------------------------...-----••-----•. Location-Address or Lot No. - Mrs . Mary Barrett .----- -- ._.. (s] J.P.Macomber Jr,'Owner Address Installer Address Type of Building Size Lot----------------------------Sq. feet U Dwelling X— No. of Bedrooms._-_-_----_..--3--------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons-------------I_------------ Showers ( ) — Cafeteria ( ) dOther fixtures ------------ -----------•------.-------.-------------.----•----------- W Design Flow.......".".`__________________________-------gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity------------gallons Length---------------- Width---------------- Diameter.--------------- Depth...--_-____-..__ Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. 3 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........................ f.4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ P4 .-..-.-•--•------------------------------------------------•-----•---------•----------•-------.--------------------------- ------------------ •---------- •--•-- D Description of Soil----._Sa.n.d...'&_Gravel............................................................................................................................. x U -----•---------•--•----••-•-•----••••----------•-•-•••-•--••---•-•---•--••--••--...-•---------------- •-••--•-•-•-------•-•-•-••--•-----••------•--•---•••••---••---------.................-•-•••------. w UNature of Repairs or Alterations—Answer when applicable----Add...1---1000...gallon leaching.__pit t-o an existing---tank &..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 Sf ned Compliance the health. ��20�94 g Dace Application Approved By .......... ,,. ., ,3 1.... ..��•k e ®.................... - - .---...................... v -----...c - -..:..... Application Disapproved for the following reasonr: ............... . ....... ........................ . ........................ ......._------------------------------------................................._--....................----------------------------------------....................---...---------------------------- ---------------------------------------- Date Permit No. ......, -- 0-l..._..---- Issued Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE IMET l!..�� Ertifirate Df IJ�omplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) J J P.macomber r. by ..... ----------------------------------------------------------- - _........... Installer at 77 Elijah Childs Lane Centerville _-------------------------------------------------------------------------------------------------------------------------------------------- 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. ------91;11------I_-7-y.............. dated .--------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE----------------------------------------------------- ---------------------------- ------- Inspector ..--------------------------- --------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No... y=� - FEE. ...30..... Permission is hereby ppgranted.......................................................................................J.P.Macomber Jr.. to Constr7c-4 (Eli.j ah e'FhIr lds LanevlCentervi leDisposal System atNo...............................................................................................................-----------•--.....•--•---•••-•-•-••---.....-•----•------•••••-•--•--•--_---•- Street cc � L C as shown on the application for Disposal Works Construction Permit No.-;i-�__�.- - Dated---- .......... �� ........................................................... _ e l/ ' Board of Health DATE r -----.--7----•--------- ---------- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS