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Home My WebLink About0259 POPONESSETT ROAD - Health 259 Poi of essefRoad Cotuit A= 019-171 TOWN OF it,.5 RNSTAELE LOCATIONSEWAC,E VILLAGE ASSESSOR'S MAP L(_-)T INSTALLER'S NAY.r; & PI-0f1lR N00 P/�/ __�ro-��.r__ SEI'11C TANK CAPACITY��/_�� L- - LEACHING FAC:ILITY:(type)---- (size)- � cJ NO. OF BEDROOMS FRIVATE WELL OR PUBLIC WA'CEH. —__ BUILDER OR OWNER-_ DATE PERMIT ISSUED:--,--. ._p__-.�._ DATE t_>:n3;ei'llf;",flC_E ISSUED: _� VARIANCE GRAINTEG: Yes —No_ • J. ` �,i- w -� `` � ,` i` �� `� � '.i i � �� z - - - 6 - � �;�, , . � , �, �� b �, 3 _� _ �� .,. . 4 a ` No .. . .. Fxs....... ....20.00 THE COMMONWEALTH OF MASSACHUSETTS rl BOAR® Off' HEALTH \ ...........................................OF..........Ba-rnst•able 1 Appliration for Disposal Work, Tuntrur#'tun umit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 259 Pop�onesset...k�Qas...�otu . ..................................... --••-•----------•--•-----•------------•••-............•-••----•-----------••---------------•--••-- rr Location-Address or Lot No. kQL1Y..............................................................-----------•-•---------- .....-----•------------------........................------------------------------------••------- Owner Address J.P.Macomber --•----------------•--•-----•-----.----.. ..............----•-----••-•-•-----•-•----...........-•-•-•--••------.......................--•--- Installer Address UType of Building Size Lot............................Sq. feet DwellingXL No. of Bedrooms...........2...............................Expansion Attic ( ) Garbage Grinder ( ) a'4 Other—T e of Building No. of persons............................ Showers YP g -------------•-------------• P ( )--- Cafeteria ( ) d . Other fixtures ........................-....-...---............-..................•-•----••••---••••-------••--•--•--••-••••....... W Design Flow............................................gallons per person per day. Total daily flow............-.0.......... ..............gallons. WSeptic Tank—.Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth..._............ Disposal Trench—No. .............. Width........-........... Total Length...-............0... Total leaching area....................sq. ft. wR��eepage Pit No---------------------- Diameter.................... Depth below inlet.................... Total leaching area.......-.0........sq. ft. ,z ./lOther''Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY...................................................•......... ....... Date.........--.................•........... . Test Pit No. 1........0.......minutes per inch Depth of Test Pit.................... Depth to ground water................0....... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......_--__.-___--_____. a ..........•.................•...... ............•................................-•--•--•-•---••••------ --------- ------------- •------ 0Description of Soil.......................... ......................................•Sand---------------•--•-•---•-•--••---••--••-•••••••--•••-••---•-•-------•-...........•---- U ..................................••••-•................•.-•-•-•....................••..........•-•..............•-•..................... ........•................................. W 1-1000 gallon tank U Nature of Repairs or Alterations—Answer when applicable.............................................................. 0 ....11 o n...l...e......ac.......pit .............. ------............ -------------------•--•--•------------------------------_1-10 0 h --- . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with T T I'1 x--. the provisions of 's t IE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b en issu th oard of eal . Signe ... . - . .4............•••......... •-••••----.a/2 a,/ .. ate 4 Application Approved By.. ... Da Application Disapproved for the following reaso :............. ...........................•--•-----•- ........... ----•-•-•-•---- .................... ................................................ r Date PermitNo. .......... ................ Issued................-...................................... Dsxz V Ar u,h No.. ...... Fs$.............- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TO T!.................OF..........Barn t b1e Appliratiou for Eliaposal Works Towitratrtion "P.rrtttit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 2.5.....9 P e p o n E s,s e t...R4 a s�._.0 o t u d.....•---•---•......... .............•--•----•--••--•-----•----••----•----•--....---••----•--......------......--•-•------ .. --•••---• Location-Address or Lot No. Codv......._......................... ......•-----••--•----.......................... ..........------............................... ._.....-•----.._....._..••-----•••---••-----•- Owner Address 1-2a ------••-•--•-----------•..............................................•............------•-•---•-- Installer Address UType of Building Size Lot............................Sq. feet .-� Dwellings No. of Bedrooms...........2...............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons...-----_-__.____-_-________ Showers ( ) — Cafeteria ( ) Q' Other fixtures -----------------------••--•---• • W Design Flow............................................gallons per person per day. Total daily flow----........._..............................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ Disposal Trench—'_Vo. .................... 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. 1................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------------------------ ....................................................................................................-•-----------------•------...._.....----••-----....._._...------------...........--••-------•------.......................................................... 0 Description of Soil---------------•----.....-----------------------------------------------•: --------...----•-------------•-------------•-----------------•----•----------••-•--•--_._.. x Saint; U ---•-------------------------------•---------------------------------------•-----------......-------------•---...---•----••--•-------------------------•-----------...---.....------------------------. W ----••---------- . ---•---•-----------•--••......------•-------••-•------. ---------------- U Nature of Repairs or Alterations—Answer when applicable............._____________1_�_I_�0.0_..�i�i "izf�'t•.. xa'fair --------•-----------------------------------------------------------------------------------------•-----••-------------------------------------_...------•----••-••-•--•---------•------•-•••--•--••---. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT LE ;of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. a Signed i,v, ��i ,r.�/ ....ii /�r = --•---••----•....-•-- ••. 3/2 c�/)38 ✓/ i �,.. ate .. '^�. Application Approved By....P.A.Z2.4-Z'41 . ....C;-�..t..-E�, � �'L•..✓��=.-�-- -•--•--•cam -- `� Application Disapproved for the following reason' ------•-•-•......................•---------------------------....,,.......................................--...._-•.......------.....--••--------..----.----•---•----•--.---••-.......................... / f Date PermitNo... �------------ - - ................. Issued-------------------------------------------------------- D + THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town...................OF. Barnstable 5 ........ ...................................................................._.............. Trrtif irab of TootpliFattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X� by...........J.P.Macomber_....... ......---•-------------------------------•-•-•-•-----•----.............................--•-•-----•••-----.._..._. 259 Popponesset Road Cotuit Installer at.............-------------•-----------•------••---•------.._...--•--..........•---•-----------•--•-••----------•................----•-•------•--------------•-------•-----....:. ..................... has been installed in accordance with the provisions of TIT of T e Sanitary Code as described in the application for Disposal Works Construction Permit No.__._ .....��... e dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. __D DATE.........................I....... � = ...................... Inspector.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � � Town able .........................................OF.................................._Barns........----..t................I................. $ 20.00 NO .._ -.. . FEE........................ Disposal Workii Tonstrativit firrutit J.P.Macomber Permission is hereby granted.............................................................................................................................................. to Construct ( or Repair ( X�an Indivi ual Sewa Disposal System at No...............2�9...Popponesset Roa Cot. . u.. ........ Street as shown on the application for Disposal Works Construction Per o.._....)......y....__._.. Date9........ ............. .. /-? Board of H DATE............... ........................... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - AsBuilt Page 1 of 1 TOWN OF 11A RNSTABLE LOCATION CS VILLAGECC5&L __._ .ASSESSOR'S MAP 8r LO'T ��-- INSTALLER'S NAME & PHOrIE NOV I SE1111C TANK CAPACITY__�.Oan L. LEACHING PAC1L[TY:(type) ^� (size) 0 Q/- NO. OF BEDROOMS -PRIVATE WELL OR PUBLIC WATER-�� BUILDER OR OWNER_ DATE PERMIT ISSUED:-___-_.— Y G� DATE CoLI`,:'ljf NMC:E ISSUED_ VARIANCE GRANTED: Yes No L-- \ti 4 1 t http://issgl2/intranet/propdata/prebuilt.aspx?mappar=019171&seq=l 5/12/2014