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Home My WebLink About0008 BANFIELD DRIVE - Health man � re.Lc� � �tv'� �� 7 t �i TOWN OF BARNSTAI3LE .� l7 _ I�JC1�.TION �[��h�/�'%�� , SEWAGE #_ --- VILLAGR_Ci_ _ ASSESSOR'S MAP & LOT (��31-Ua5 INSTALLER'S NAME & PIIONF. NU. h�Zee se" , SEPTIC TANK CAPACITY LEAC HING FACI.LITY:(type) �� (size)_y � NO. OF BEDROOMS .a PRIVATE WELL OR PUBLIC WATER_N_� BUILDER OR OWNERv( _�� _ - DATE PERMIT ISSUED: 3 ' DATE COMPLIANCE ISSUED: � to - VARIANCE GRAFTED: Yes No �� R �177 / t T - i E No... =-. 4 . Fxs.......$....2 0..0 0 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town Barnstable Appliratiou for Dispo,ial Marko Totwuttrfiou Vautit Application is hereby made for a Permit to Construct ( ) or Repair �X ) an Individual Sewage Disposal System at: -•---••----.._.:.S...Banf.ie.]. .:.8d......Co .... ........... .............. .......------...•.............--------------•-----....-------•----. Location-Address or Lot No. Peter A. Secor -----••----------•--•--•-•---•.............•-......-••--•---•----•--•-- ..........--..................................................................................... 0,,,r Address W J .P.Macomber ............... ........ Installer Address d Type of Building Size Lot_........................Sq. feet U Dwellin �No. of Bedrooms...............3_..........._..._...._ .Ex Expansion Attic� g _._. p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QOther 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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water----------............... rX4 Test Pit No..2................minutes per inch Depth of Test Pit.................... Depth to ground water.-.._________-_--_--___- a ---------------------------------------------------------------•--------------......--•-••••-•••._-•.........•••-•••-•-----••--•-••-•••..........•--•••-•-•-- Descriptionof Soil.. Sand-•.............•----•-----------------------------------------------------------------............................. x W x ----- ---- - - - --- - - - 1—].b•b 0-g a�•T o ri---pit-..----------------------•-------- U Nature of Repairs or Alterations—Answer when applicable---------------- •--------------------------•----------------------------------------_------------------•----------•------------------------------------------------------------------------------------..._.....-••••--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with l•1'a^ the provisions of f'1 ilT:� 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has en issu b e oard of Valth. Sign 1� ... .8 3 8 8 rel Date Application Approved By----.------ ------------------ --------- -•-••••....$'°-- ...... Date Application Disapproved for the following reasons:----•-------------------•----•---•--------------------------•------------------•-----------•-•-............--•-- ------•--------------•--------------......---•------------.....----------------.....----.................._......-•------------------------------------------------------------------------••••-••------- Date Permit No.........13_D.-..�.atq--------------- Issued........................................................ Date No.-- FE:B THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town OF Barasrt.able ................. .......................... ......................................... ........................................... Appliration for Disposal Works Tonstrurtion 1hrutit Application is hereby made for a Permit to Construct or Repair XX ) an Individual Sewage Disposal System at: ............ Location-Address ............... ..........................................or.Lot.No. Peter A. Secor ... .......................................... ............................................ .•.......................................... Owner Z�ress J.P.Kacomber Installer Address Type of Building Size Lot............................Sq. feet U ...... DwellingX No. of Bedrooms............... ................ .. Expansion Attic Garbage Grinder 44 Other—Type of Building ............................ No. of persons........................... Showers Cafeteria Otherfixtures ....................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 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-----._.-___-___.-.----. 40 Test Pit No. 2................minutes per inch Depth of Test Pit..._................ Depth to ground water..._.-__........__..___. P4 ............................................................................................................................................................. 0 Description of Soil.......................................$and...................................................................................................................... W U ......................................................................................................................................................................................................... ...............................................................................................................................................................V 1-1000 gallon pd'f U Nature of Repairs or Alterations—Answer when applicable............................................................. ................................... ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TA!TLE 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 byl-thePoard of health Signed,A74-f 41' .............. 8117/1P8............... Date ........ ............r Application Approved BY----------- Date Application Disapproved for the following reasons:.............................................................................................................. ........................................................................................................................................................................................................ Date PermitNo........... ...L.4.il............... Issued_....................................................... Dite THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH M ........... ............................OF.........P.ar-lstable ......................................................................... Tprtifiratr of T-ampliattrr Tly'SrI� TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaire&Q , M�icomier by------------------*................................................................................................................................................................................ 8 Banfield Road. Coll-luit Installer at............................................................................................................................................ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......k.a...... ...... 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 Barnstable ........*........*.....OF..................................................................................... 20.00 No...... FEE........................ Disposal Works 011uttutrurtiuu prrutit Permission is hereby granted.....q.?...ma.c.omber...................................................................................................... ....................... ..... to Construct or RepairX- '("- ) an Individual Sewage Disposal System at No...A...Aanfield -Roaa Cotuit ................................................................................................................................................................................... Street as shown on the application for Disposal Works Construction Permit Nols.--.Y.2 4 .1_ Dated.......................................... . .................................................. .....................................1 DATE. ........................................... VBoard of Health FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS