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Home My WebLink About0014 CHARLOTTE AVENUE - Health f L Charlotte Ave tulto . n � Y, c- . TOWN OF BARNSTABLE LOCATION SEWAGE VILLAGE - ASSE SOR'S .MAP & LOT INSTALLER'S NAME & PHONENO. �Q SEPTIC TANK CAPACITY LEACHING FACILITY'Atype) '% Da (size) NO. OF BE'DROOMS _PRIVATE WELL OR rUBL=ICWATER 4' BUILDER OR OWNER. DATE PERMIT ISSUED: DATE- COMPLIANCE ISSUED: VARIANCE_GRANTED: Yes NO �/ �.13 P . 93- 6 0 / 7 No................-...APPROVED Fi ...... ..V.............. Befftesego ��r191�OMMONWEALTH OF MASSACHUSETTS $ `1 ee BOARD OF HEALTH WtTOWN OF BARNSTABLE Appliratinn for Diinpnittl Hlork.6 Tnnitrur#inn Prrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: • Local' x�/M —en��f '(T__ /{�••---•-- .............................. .................�-'-•�-- ___' i.. ----.........---......--......................... wnc � At3dress�, Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...-.--.--- -------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons..............-------------- Showers ( ) — Cafeteria ( ) dOther 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 ( ) aPercolation Test Results Performed by.......................................................................... Date...................................... Test Pit No. I----------------minutes per inch Depth of Test Pit.......------.-.---- Depth to ground water........................ (i Tesi Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------------------------------------ 0 Description of Soil------------------------------------ ..D--....------------------ ----- -------------- --------------- -------------------------..----- x w U Nature of Repairs or Alterations—Answer when applicable----------- -214..'s.-1 LL-...... /a-:-4 f14t... A.............1r. ---------- /. ..................................................... Agreement: Agreement: The undersigned agrees to install the aforedescribed Individual Sewa System in accordance with the provisions of TITLE 5 of the State Environmental Code—The ersigned furl r agrees not to place the system in operation until a Certificate of Compliance h e n issued the and alth. Signed G ...... . .. G- ... ...... / Date Application Approved By --------------� - ------------------------- Application Disapproved for the following reasonr- ------------------------------------------------------------------------------------------------------------------------------------- ------------------------- --------- ----------------------------------------------------- ---------- ---------------------------------------------------------------------------------------------- ---------------- �^ --------------------- Dare Permit No. ......`�...3........ C.� Issued ............. ----------- Date ' r e I ►� r 1 � /9' - 03` 7 No.. ................... Fa$......3.zl............ TtjE COMMONWEALTH OF MASSACHUSETTS —�--� -----A 'l➢ec" BOARD OF � H E A LT H TOWN OF BARNSTABLE Appliratiun for Bispmml Works Toustrurtiun rumit Application is hereby made for a Permit to Coristr uct ( ) or Repair ( ) an Individual Sewage Disposal System at: / _- `l a7� � / / .............. L ............................ ............----.................................................................................. Locatio -A�d�ress ---or—hot N'o:-- (�% ...� �!1..?------•-----------••--------------•---------....--- ..•.... a ��' Owne ` Address— .5.7A ... .. ---- -1------- .. ----------------- �� , ' .................................... Installer Address UType of Building Size Lot............................Sq. feet L.d Dwelling—No. of Bedrooms.__---___--._.- __________________--_Expansion Attic ( ) - Garbage Grinder ( ) aOther—Type of Building ___________________________• No. of persons---------------------------- Showers ( ) — 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 ( ) Percolation Test Results Performed by--------------------_-------•-•••----------•--•---•--•-•-•--•-•-••--_ Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ ri Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ Descriptionof Soil f.�......•-----•....................•-•-•-••-------. ---- -- ------•--•-•--------........._.. x w x •..... •------------- ----•-----......-•------•••-----------------------------------•----•----•--•------------------------•---...-•--------•--•--••••-•••--------•-•--•-•••-------- U Nature of Repairs or Alterations—Answer when applicable.__.--..._./.1-".4__.z._ e,_4.4......... .L..... 1.. Agreement: The undersigned agrees to install the aforedescribed Individual Sew ee 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 h 0 n issued(b� the board , health. C Signed -----------V--------- ---•------- ----------- ---- ----------- .- ------------- ......�`�.�G`....`u...... Application Approved BY .............. Jf -------------------------- ✓ -D:a te........-... Application Disapproved for the following reasons- -------------------------------- ---------------------------------------------------------------------------------------------------- ... ..... .......... . .............................................. . ........................... ........................ . -- ............................ Date PermitNo. ......� ..........��.c .Q----------------------- Issued ........................................................ Date ----------------------------------------------- ------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�er#ifi ate of Tomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by .. .. ........... ... ........_ . lea r�. ._ .-...... - - _......... ----------- In s railer at ........._.... a------------ ------------� .c: - - 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. ------73........G.5.�P...... dated ..._._...............__------....____.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. -�`� DATE.................... .. ....._ ��....�./.y,1� ..._... - Inspector ......... .. 4). .._---------------------- _-------------------- ----------------------------------------------------------- -------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH cq� TOWN OF BARNSTABLE No..f... .' FEE......... ............. Disposal Works Tunstrurtiun "nutit Permission is hereby granted........... Yfidividual Sewage C:.._.Ll.�i�•IrVA-t.Q'&.......................................................................... to Construct ( ) or Repair (�) an Disposal`JSystem ` atNo. 1. .... ?.t: __...... r� ��, -,................................................. .................. Street (` as shown on the application for Disposal Works Construction Permit No._�3=��f. Dated..... ....... `!ioard of Health DATE '.....---•-------------•• G FORM 36508 HOBBS Q WARREN.INC.,PUBLISHERS C'Z S e No....- P-71._....... FEB........ ...f0...rJ..... THE rs OARD OF h V�� Town OF...Barnstable ............... . ....... .... .............------....---•-- ..... XPOratiou for Ui�pn�a1 orks Tonarurtinn Vanat Application is hereby made for a Per tq Con truct ( ) or Repair ( X) an Individual Sewage Disposal System at: , ....2.4..CharQ1e t.e...A.uejaue..................................... .......................•......----------•----...............----•---•-------.............-•-•------- Location-Address or Lot No. ....F.....chi.ldIi....................................................................... -------C.Q-tuilt......................................................................... Owner Address a '_.... G..Rber..&..Son--Inc-.._....--•--- ....__...Centerv311e l ..... Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms.........................................Expansion Attic ( ) Garbage Grinder ( ) U 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 ( ) aPercolation Test Results Performed by.......................................................................... Date......................................... Test Pit No. 1................minutes per inch Depth of Test Pit.--.--.............. Depth to ground water---_-.-_.._-__-_.------. fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.---........-_......__.. ------------------------------------------------------------------•-----------------•---.....................----------------------------------............- O Description of Soil......... arid & Grave 1 W c., ......................................................•••••••-•••-•-••••-•--•••-••-••••......-•---•-•-•-•--••••-••-•---•-•-•----•--••-•-•--•...--•-•-••--•••-•-•-••••.................•••......-•••-•••. W •---------------- -----------•-•-•-••••••••-•----------•••----.....------......------------------------------------------------------------------------------------------------..............-•----••••- UNature of Repairs or Alterations—Answer when applicable---- -- 99Q---gallOn...pt___&__1-_1.0.00___gallOri tank Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL� p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has e;,ni--i's ued by the rd f ealth. Si ned••. ••-•••--••• •.. .G9� ----------------- � � .... .. ... ate ApplicationApproved By------ ..... .. .:.... ....•.....---.........-----.........-------------------- Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- Date Permit No ...... Issued.-----f`/l 1�..- 7 Date '�. No....... `.:.1. !....... Fss...... ` ...'.)'J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town. Barnstable ..._............................_OF..................................._.....-----........................... ....._._..._. rlirttila� fnr. n1 park C� frrtunCrruti t Application is hereby made fora Per to Construct ( ) or Repair (yt ) an .Individual Sewage Disposal 0. System at: rt CYr } 14 Charol,ette Avenue .... .......................... -------------------------.._......... E Location-Address or.Lot No.Childs i ......................_........-................................. • •_••••• ••-••••-• --__aatw-t-----.......................... .................•---..... .. .. �. . . W Joseph P Macomber OwneS�c Son Inc. Centerville Andress •--- .......................................................... ................ ............................ Installer j Address ' d Type of-Building i Size,Lot_________________ S._, q feet V,I Dw"81ing"'—'' No: of Bedrooms.__._ * "r' * _ p ( ); Garbage Grinder ( )..Expansion Attic P4 Other—T e, of Building ._____._ No. of ersons_____________ _ _ Showers Cafeter..ia 1 ' yP; g P ( ) — ( ? Other,fixtures -------------- -- ....................................................... a .......................... Design ' W Design;Flow............................................gailo`ns per person per day. Total daily flow :=............................... gallons es ` W ! Septic.'Tarik=L'iquid capacity............gallons Length................ Width.__ Diameter_-._--_________. Depth x Disposal Trench—No..................... Width'__..................... Total Length..................... Total leaching area.....................Sq. ft., e " 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 L_______________minutes per inch Depth of Test Pit__________._______-_ Depth to ground water........................ �. '. 44 Test Pit;No. -1...............minutes per:inch Depth of Test,Pit....._.__._.__._.._. Depth to,ground water.............. a d •--••----• ---••----•-------• pY E . p Sand--•dc--gave�: .. p , , g Descrt tton of Soil................••.._...._._..-- --_..... ................ .. _••••. •-- x ` U W ......................................................... ................................................ ..................................-............................... UNature of Repairs or Alterations—Answer when applicable. __�_11_..�'G_:.I--.1 Q.00---gss11nn. Agreement: , s. A. The undersigned agrees to install the Tore >Ibad,, Ind �uS age"Disposal System in accordance with ' the provisions of ITL: "� *tThe 1 ,� gees not to ttte ste in t p - 5 of the State Sanita , ode �-.,ag d operation.until a Certificate of Compliance has been issued by the board of health � � y Signed........................•--•-•-•..__..._----- ---• •-• •-•--•••-•-•. •---........................ \ 4' Application Date pp ication Approved By---•--�---- % Date 1 +. Application Disapproved for the following reasons____________________________________________ --••-•----•----•.....................................•----------------••---------•-----....._..._....-•--'•-=•----------••-----ae<...-------••--•---'•-------'=kn`.'-•-----------...-•--•-•----•--•-•--- ". a=^ Date r:Perms.No. rf.....` :..... Issued; .".......................................... Date .. f f �, THE�,COMMONWEALTH OF MASSACHUSETTS BOARD OF -HEALTH �111, , ' Town Barns ta.'3 ? t y f Trr#if iratr of Ta,mPhaurr -f s THIS IS 0 CERTIFY, That the Individual Sewage Disposal System constrted (. ).Aor Repaired �{ )T by•wppeph P- Macomber & Son !nc, uc x ... .................... �, ;haxolette Avenue , Cot tAlt Installer C ilda has li�enli. stalled in accordance with the provisions of T 5 of The State Sanitary Code as described in the_ a lica:ti�pri f r Dis osal Works Construction Permit No. -_: _____ 7A ........... da.ted..... 'y PP j Pt"7 .. T I$ DANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL JUNCTION SATISFi4CTORY. xiu: DATE ; `? � � - Z� r' Inspector... ------------------------------ t:. THE COMMONWEA&rH OF MASSACHUSETTS BOARD OF -,HEALTH ti Torn 9.arn.s ab lb No.. .....,1'7:. . f FEE ��`... �1........ tPermission ti.A.heieby grantedjos,C'•ph n.-•�cOrCmE:•�•.-_$c _PoI�...Inc r:....................•-------......._.. _---•-•--.•-•-- to Co u f ' or R airx' ).a Individual SSewage Disposal System l,{ h �LetNe A ei u Cotuit Childs at No / ' ------i -- ,. Street as shown on.Elie rx d, aayP v{�l ication for Disposal Works�C on/struction Permit No B Dated__._p- _ -•--7&4--R-..... nd Hea DATE: /.... ........................... FORK"l25 �HOe BS & WARREN. INC., PUBLISHERS 7 4 +