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Home My WebLink About0049 SHEAFFER ROAD - Health (2) yq 3he&rrer &.J l�k A ' 4 a No...7 _ ®7 F:ms...... .... APPROVED THE COMMONWEALTH OF MASSACHUSETTS ms le C nservat' Depart t BOARD O F� HEALTH OWN OF BARNSTABLE ( 6`6ned A Vlirat gat for Dirivwiul Wnr1w Cnontitrur#ion Pami# Application is hereby made for a Permit to Construct ( ) or Repair (X�X) an Individual Sewage Disposal System at: 49 Sheaffer Road. Centerville ............................•-•--....-------•---------......---------••.......................... ---••••-••--•-------•-••-•--•---------•-----------•-••----•-------•---------••-•--.....--------•-- Location-Address or Lot No. Herbert Harvest ......................-.......................................................................... --••••••••----•--•----••••.....•-••--•-------•-••-•----------••-•................................. Owner Address W J .P .Macomber Jr . Installer Address Type of Building Size Lot............................Sq. feet ,., DwellingXX No. of Bedrooms.--.....3.................._---.-----_..Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of persons.........2----------------- Showers ( ) — Cafeteria ( ) a' 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. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ►." Percolation Test Results Performed by.......................................................................... Date........................................ 04 04 Test Pit No. I----------------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........................ ----------------------------------------------------.-.----------------------- .......------ .--- ---- ------- -........ .._................ ...... 0 Description of Soil....S a n c1 .. Grave l x - ----- U •.•••---•..----••--•••--••••-----•••---•--••••--•-•-•-----•-•--•••-••---•-----•--••--•-•--••••••--•--••••-•---------------••••---•••••-•••--•--•••-••--•-•••--••••-•-•••--...-•-•••......--•-••......•--- W -------------------------------------------------------------------------------------- ------ ............ UNature of Repairs or Alterations=Answan when applicable------------0-mi.t...Qe.S.S QQL•....Add...1.0.0.0....Zia,1.IDD le'3.ch---pi.t....t.0... xi st l-T g....S.ept.tC.... abs X,...............................................................................................:........ 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 Compliant has be i ued y the boar of lth. Signed ... 4/27/94 Dare ApplicationApproved By .......... ...... .... ................................................ . ... Application Disapproved for the following reasons: ......................................... . . .... ............................................................................ N ......................................................G........................ ........................................................�................................................................ -- . ..........---.................. Date Permit No. ......../..Lf...--....a�. ...7------------------- Issued ................................................... Dare ...+.-�-•..srv�v.._�,.,:....rr..- �..,J�,�,--..�.�. -.w-t.ti�.+vs...,'...,;^v-f�Lr i,.�.+..�...-v.r s...yf;•��'ti...�..� `�J-1-,—�d�'a''�-1J�./'..��._'V�`- -�_y�. .. _ ._..NO..I4....�-�.. r k Fss...... ....30.00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH L. /TOWN OF BARNSTABLE U - Appliration for Diri titia1 Works Tomitrnrtiun Permit 'Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 49 Sheaffer Road Centerville ...-----•..........................•-----.......--------•--••--------------------...........------ ----••---•---------------••-•---..............----------------•-----...------......•-----....-•--- Location-Address or Lot No. Herbert Harvest ......................-.......................................................................... ---------------...-----------------•-•----.....-----------•--------•---------•••--....---......--- owner Address W J .P.Macomber Jr. Installer Address d Type of Building Size Lot............................Sq. feet DwellingNa No. of Bedrooms.___-__.3 ---------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons..........2................ Showers ( ) — Cafeteria ( ) a' 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. 3 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_.._..........:.......... f4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ GG 0 Description of Soil....Sand & Gravel x U Nature of Repairs or Alterations—Answ(mwhen applicable licable------------Omit._-CPS.�Aoo�.s....�dd,...1000...aallOn P - 4.. sep.t.ic.-.tank. 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 been issued by the boar of health. Signed /f..�.............. 4/2.7/9 4 Date Application Approved By .......... ..................................... - - ... ----------*............. Dace , Application Disapproved for the following reasons: ... ............ ................................ ......................................... ........................ .. ...............................:.. ..................................... . .. .. ............................................................. ......................................... Da re PermitNo. .......��Ll...-:.... �... . ................ Issued ............................................................ Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE l'TT1-Ertifi.rate of (1110 tyliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX•) by J.P.Macomber Jr. ............ ................... ---- --------------._------ ............ ................ _.......... ......... . .......-- . .......... Installer 49 Sheaffer Road Centerville 11 at ........... ................................................_................ . ........ .. ........... .. ............................... .................. .. . -- .......... 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. ....�_4C.-.... .......... dated ......................------------_._.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............. .J /.........._.... .. ._...I--------------------- Inspector ------ �.-?- .._............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE...............30...:.00... �i��r��iil iirk� �ian�#rivan �erntit J.P.Macomber Jr. Permission is hereby granted-------------------------------------------------•••-----•--•------------------•-•-------••..........•-----•-•-----•.._....................-- to Const4ii�ct �hJaffRepiftga� .lien ervilleTage Disposal System atNo............................................................................................................................................................................................... Street ��pp as shown on the application for Disposal Works Construction Permit No.- u-2,—/)�__ Dated--------- �-_ -- 1�! --------------------------�....r... ......................................................... DATE. n l ....................................... Board of Health -� , FORM 36508 HOBBS✓k WARREN,INC..PUBLISHERS