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Home My WebLink About0039 SHEAFFER ROAD - Health (2) 39 SohauWr Rd., 6mk, No .... .� Fss..� ... 30.00 . ^ THE COMMONWEALTH OF MASSACHUSETTS 0a BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiun for Uiupuual Workii Tuuitrurtiurt ramit Application is hereby made for a Permit to Construct ( ) or Repair)VM an Individual Sewage Disposal System at: 39 Schaeffer Road Centerville .. ..... ------------------.........._..... - - .._............................. Location-Address or Lot No. William Howes W " J.P.Macomber Jr. Owner Address Installer Address d Type of Building Size Lot............................Sq. feet U t Dwelling X-No. of Bedrooms---------- 3...............................Expansion Attic ( ) Garbage Grander ( ) Other—T e of Building _...._..._. No. of persons............................ Showers a YP g ------------------ P ( ) — Cafeteria ( ) 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 ( ) aPercolation Test Results Performed by........................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit............_....... Depth to ground water-----•--_____-__-__-,_-. 444 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 .---•----------------------------------------------•-----••--•-•-------..........--•••-•-•--•-•••--•......................................................... 0 Description of Soil...............................................................................:........................................................................................ cx.> Saba ._Qraye-------------------------•--•-----------------•-••••-------------•••••---------•------------••....--•------•----- W UNature of Repairs or Alterations—Answer when applicable.....................................•...._..•.____........... ................................ ....-........................ allon...p t.......--- 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 be iss d by the board�f h alth. Signed -....... � .... ..�. .t------------------- V9/90. Application Approved B ....... =.... - Date Application Disapproved for the following reasons: '------------------------------------------------------------------------------------------------- ...........................------------ Date Permit No. ..... ...4---�------- d--- ----------------- Issued ......................`.-16....... .. .... Date No. ...... �_� F�$... ...30.00 .�._. } (� 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Allpfiration for Uispoiiai Works Tontrn.rtion 11rrmit Application is hereby made for a Permit to Construct ( ) or Repair?(XX) an Individual Sewage Disposal System at: 39 Schaeffer Road Centerville --• __......_......... .............. ............ . .._....... .............................................. ------------------------------------------- Location-Address or Lot No. William Howes ... .._.__._... .. ........ ................................................. ............................................ .• ..............=.................. W J.P.Macomber Jr. owner Address l a of Building Size installer....... SAddress e Lo ............................S t feet V TypefA Dwelling No. of Bedrooms........... ( ) Garbage Grinder( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria al Other fixtures -----------•------------------• - W�r Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity_.__._...._.gallons Length................ Width................ Diameter______--------- Depth................ + f 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........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground *,ater........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground Ater-------_................ ODescription of Soil...............................................................................--------------------•----------- - = '- t x 5��►_nc�_. ._r ra�T 1--•----------------•-•---•----------•----•-•-•--------------------------------...... / \ .................................................. ........................... \/ W I 4 r U Nature of Repairs or Alterations—Answer when applicable.........................................................................................:.... . i t .............................. nit— ........................................................ Agreement: v i The undersigned agrees to install the aforedescribed IndividualSewage 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 been is�d by the board -f health. Signed--- ...�.......�.... ' can Dace Application Approved B�� ... ��' :�' �- ---. .� d' --------------------------- .'� Date Application Disapproved for the followingreasonr: .....................----------------------------------------------------------�:.................---.--_------------------- ----------------------------------------- ------------------------=--- .------------ ---------------------...---------....--.........------------�- �-- ......-- ------`..-- Permit No. E'.. / �.. .......... Issued ................................,.... Date THE COMMONWEALTH OF MASSACHUSETTS ` BOARD OF HEALTH 4 TOWN OF BARNSTABLE 10.1ertifira e of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired({X ) by---..J...R..Ma,0 P.r- Jr.A..............................---.............................................------------------------------------------------------------------------------------------------------- �4tti. Installer at --...3.9...Schaef'.f.e.r...Road..... -------------------- ...........---------------...------------------....----------------------------------------------------- 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. ... A2.......�"!? dated ...`7• THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE %`''`.. ." � ---------------------- Inspectors.- ` . .._ /-�? �'�! r � --.R THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4 TOWN OF BARNSTABLE No.... .�.............. ; ' FEE. ... :� ... Di llosal Works Tonstrnr#io' n "Prrmi# Permission is hereby granted..tT-a =M8..c. mb z:..Jr............................•-.................----......................................-•----. to Construct ( ) or Repair�(X?X) an Individual Sewage Disposal System atNo....... ..).Rn d...CP.rtte!m_1.Ile........................................................................•-----..............-•-••.... Street �" as shown on the application for Disposal Works Construction Permit No.P'&.��ated.......�.!7!. �.. / ..i Board of Ilealth DATE........ ............................... FORM 38808 HOBBS&WARREN.INC..PUBLISHERS C