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Home My WebLink About0068 HADRADA LANE - Health (2) 6p 2 1461 9ra ,GAkuo !le $ 30 .00 .... ... Fas.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7` TOWN OF BARNSTABLE Appliratiou for i oottl Worko Tonotrurtion Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair �CX) an Individual Sewage Disposal System at: Yankee .............•...........-•-.................---.....-•--•--••---------•--•--•-----.........--•-•- -•--••--••------•-......--••------•-....---.......---........------------------...---------------- Locat' u-A dress e n....ry i 11 e ............................................. or Lot No. •-•-------------------------•------.............. J.P.Macomber Jr. •-6$••-Ida-d��da---��e-._......--•-•---------------------------•------------- -----------=----------------------------•-••-- - Owner Address W Installer Address Type of Building Size Lot............................Sq. feet Dwelling—X:No. of Bedrooms------------------3..__-.----__--.__----__Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons.......2_..._._._.__....__. Showers ( ) — Cafeteria ( ) 04 Other fixtures _______________________________ _ _ W Design Flow............................................gallons per person per day. Total daily flow----------------------------n..............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....................................... Test Pit No. I................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........................ a •..••---•----•-•------------••-•••••--------•---•---•••--•------•-••---•-••••............................................................................... 0 Description of Soil.....san & Gr ave. . l .. ........... .. x ••-•-------•........ . . .. .......................... ....................•---............----....----........---------•--....-----••----....._........••-•-•••--•••----....-----•----•......-----•--• U Nature of, Repairs or Alterations—Answer when applicable._A d d ing._1_-1000•..gallon 1eaching...p.it to 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 of Complianc has been ss d by e board he th. . g/g/g4 Signed ----- ........ Date Application Approved BY .. c��' 5------C��r ............... ................................... I Date Application Disapproved for the following reasons: ................... ......................... .... ......._.......................... ....... ......... _......... ............................................................................................................................................................... ........................................ Date o Permit No. ------------------- Issued .------------_--------D ate- --- No....17. ._._. �/ .$....30.00 FEs. THE COMMONWEALTH OF MASSACHUSETTS ``�• %/}(� r /O f BOARD OF HEALTH / TOWN OF BARNSTABLE Appliratinn for Uhvip ml lVurltn Tuntrurtinn Vamit .3 Application is hereby made for a Permit to Construct ( ) or Repair �Xh an Individual Sewage Disposal System at: Yankee ..............•-------•-------•--•-•-----•-...........------•-------....•-••••-•---.._.......-•--- --••--••••---•-----•••••••••••-----•-•-------------•-•----••••------------•---......-----••-----•- Locatjgtenterville or lot No. a•^---------•-•---•---------------•------------------------- a J.P.Macomber Jr. Owner Address ....................................................................................TV--------•-- -------•-•-----------•••••---•-••-•••-•--•-•-•••---•••-•••••-•••••-•-••••••------------------•-•-- Installer Address VType of Building Size Lot--__-_..._--_---_-------Sq. feet aDwelling—XNo. of Bedrooms..................3------------------------Expansion Attic ( ) Garbage Grinder ( ) a - Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) d Other fixtures . -------------------- --------------------------------------- •---------•-•--------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacitv............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........................................ W 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...____--.---__-........ 0 ---------------------- ------------------------------------ --------------------- •---------------- .-------------- •--------------------------------- -.......... 0 Description of Soil.....Sand & Gravel x W -------------------------------------------- ---------------------------------------------------------------•------------•-----...--------------------------------------------•--•............---...... Z. Nature of Re ai or Alterations—Answer when applicable._.Adding 1-10 0 0 gallon l e a eh i ncr pit to existingrs 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 of Compliance has been is�ed by the board f he .Ith. Signed .......14.... . .�� 2/�� .............. 9/8/94 ..................................... Application Approved By ........ �^ v.. ... � -..�.. eC�- Date ..................................................................... Application Disapproved for the following reasons: ..... ........................... . ............................................................ ..................... -- ........................................................................ . ...................................... -.............................................................. ........................................ Permit No. c C/� ........�}....1.... ......,l.....L/.��- ---------------------- Issued ........................................................Date...... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (11'er#ifirate of (ILIumpliance JHIS IS TO CEERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) .P.Macomber Jr . by ..... ...................................... ....... ............ ............. .... ........ . . ......... ...................... --. ...... 68 Hadrda Lane Centerville Installer 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. ...........7.y-- - �.. .. dated -------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM jLL FUNCTION SATISFACTORY. DATE.. ......................... .... �.. 0" ..°- Inspector- ............... ....... j' I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE $ 30.00 No........f..::s.�i FEE........................ Mynoat Workv Tnmitrurtinn "rrntit J.P.Macomber Jr. Permission is ll hereby granted-----------•-----------------------•----------------------------------------- to Constgt I�ad.ra RepairYa Lane Centerville ue�age Disposal System atNo................ ....... • •••• ----------•--••-----.....-----------------------------------------..---------------.--------------------------------.-•---. PP p Street , as shown on the application for Disposal Works Construction Permit No..7.7,1N. .___K k Dated..... U._.... _ ----------•-•-••--•-•••-••--•••••• .........\�-----------------------------------------••--------- DATE............... --- -- ... L •-••....................... Bo2�rd of Health FORM 36508 HOBBS&WARREN.INC..PUBLISHERS