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Home My WebLink About0089 SCREECHAM WAY - Health - - - oal -- log 1 i L0'�CAT 9 00N SEWAGE PERMIT NO. oT 9 SG�c��pw. wit 93- S9y VILLAGE INSTA LLER'S NAME A ADDRESS �as�Pb S ►7ua�f� S U1LDE R- OR LOWNER JDAJ✓ /7G NG AN a DA T E PERMIT ISSUED3 DATE COMPLIANCE ISSUED G 36 TAak b 4 4ax PT Non....... FEs.............................. THE C41ONWEALTH OF MASSACHUSETTS B0�OARD OF HEALTH OF.......................................................................................... Alip iration for Uispnitti Workii Tnntrnrtilan Vernfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 4 ocati n•Address or .t No. Owner ® Ad ress ,., _..... :..... ........ Installer Address d Type of Building Size Lot...........................S et U Dwelling—No. of Bedrooms........... ---------.-Expansion Attic ( ) Garbage Grin r aOther—Type of Building ............................ No. of persons........................--.. Showers ( ) — Cafe eria dOt �fixtures ................................ . W Design Flow_.., ..'6............................ allons per erson per day. Total dail flow.;.. _. -o_... .._................_.. Ions. c4 Septic Tank—Liquid capacity/4�.gallons ength...R.-_...... Width......f�..�-..... Diameter................ D t_�T.......-.. W g — g h �P-•-- 1 Len th---••--�--- hl `5 x Disposal Trench No..,/............... Width.. Tota g Total leac ng area. `/ _....._...sq. 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.---.................... ------------------------ ••------------- •.............. -..... -.-............. .-------------- ••----------------------------------- -•••-...... •............. ODescription of Soil........................................................................................................................................................................ V ....-----•-----•-••--••-•----------------•------•---•--•----------......--•--.........._......._..........................................-------•.............------............_...._.................. W •--••----•------------------------•--••--------•-•----•--•--•---•-----•-•-•--------••------------.....---------- --------•--•-•----------....----•-----------------------------------•---•-••------••-- UNature 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been 'ssued y the board o health ............ * � " Date Application Approved By ------. ...... ..--•-•-••-•-•--------•......................•-•-----•-. Date Application Disapprove or th folloFne� reasons:.................................................................................................................. .........-•---•-----------•.................•------•--••-••-•---•--------•-------•-•..........------•---•..........................--•--•----•--••----------------------- .•----•-----------•----•-•---•- Date w Permit No......................................................... Issued_......................... .---••--•-••......------------ Date f. No Fss.... .. THE CO"ONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --.................. ...................OF......-..-....................-............----- ............... Appliration for Ditipwittl Workii Tono rnr#ion ami# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: . ... .... ' ............................................................... ocatio -Address or Lot No. 40 o caner Ad ress ' InstallerAddress d Type of Building Size Lot............................S U Dwelling—No. of Bedrooms-----._.._. ------Expansion Attic ( ) Garbage Grin U pa,I Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafe ria Q, Other fixtures ---•-• .................. •----- ----------------•---:........_...... wR' Sc g Tank—I .gallons per person per day. Total daily flow.......... .. :...................... Ions.. Design Flow..... �/ p Liquid capacityl .gallons 1•ength_.. T_..... Width__....7`.....__ Diameter________________ De th_ --_---.. W x Dlsposal Trench—No. ..�.............. Width_..._...__......_.. Total Length.._._._.fi�.__...... Total leaching area._ 1 .....sq 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........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ••••------••-----------•--••----•-•-•-•------•----....•...............................................•--...••-••.......--•-•--•--......-••-•••--•••-••.---- Descriptionof Soil...................................... ......................=................................................ x �., ........................... w UNature 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 TITLL, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been sued the board of heah. ned _... ._ .. .'' Date Application Approved B < :``� t Date Application Disapprove for th ollowing reasons:.............................................................................................................. --------------•------------••----•----------•---------------••----------------•-.._......-------------•---------•-----•-•-•------...------•-•-•-------•--•---•------•----••--•----•----••-•----......_.. Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............................:.............OF..................................................................................... (9rdifiratr of Tontpliantr THIS IS TO C F T t the d vidual Sewage Disposal System constructed ( or Repaired ( ) bY -- •-•--••-•------• -----�` Installer at ---•-- --- / has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Cod scribed in the application for Disposal Works Construction Permit No......._ '' 1 THE ISSUAN E OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM Wl NCTION SATISFACTORY. DATE Inspector..... ...... ...................................................................lA. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................... ....................... OF..................................................................................... M. `! f FEE... .. Uiopooat Norkii Tjano rttr#ion Errant Permission is reby granted-----� / ...•--•-•-•-•----------•-•-----•----------------••••.._......................---•••..........................-- to Constru or R Sewage Disposal System atNo. .......----•------.---•-•........---•-••---•-•------•-----••-•---•- .......... •--- ................... Street as shown on the application for Disposal Works Construction Permit No.._ ._. iRn7,.0_ Dated..--- ........................ .. ---------...•---....... -r•d---o-f--h---e-a--l-th-.......................................... DATE �IA143 ............................................. FORM 1255 A. M. SULKIN, INC., BOSTON N, TOWN OF BARN/SpTABLE pJ / LOCATION S S`�� if � C.41)J1d AtIAV SEWAGE # F VILLAGE c t 4— ASSESSOR'S MAP & LOT(i,?/, /45 INSTALLER'S NAME & PHONE NO. drv��y? SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �` ""'� `(size) le)00 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER B_U&Xe-R OR OWNER eg DATE PERMIT ISSUED: � � DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No R r � , ,. v i2 0 No.. •4--'j-46-/ FiEs.............................. APPROVED THE COMMONWEALTH OF MASSACHUSETTS gamsmbb ConservetiW D0Parcme6O A R D OF HEALTH GS�� JWN OF BARNSTABLE Sign Date lirtttil�it for Diopoottl Workii Tonotrur#ion Frrmit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 89 Screecham belay Cotuit .......................................... •-•---•----•--•-••.._..._......----- --------•-.....-----•--•---------------------•...------........--------••-----••------....-------- Location-Address or Lot No. Cullen ......................_....--------...............----•----------------------------------------- --•---•--•-•--------•---•--•-..._..-•---------•--••...•--•-------••-------•--------------.......-- W J .P .Macomber Jr. 0,9 ,r Address Installer Address Type of Building Size Lot............................Sq. feet Dwelling- No. of Bedrooms........3----------------------------------Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type of Building ---------------------------- No. of persons--------------2_----------- Showers — Cafeteria Q' Other fixtures ------------------------------ d -------------------- --------------------------------------- •---------------- 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. f 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-___-.-.--.-_._---_._.-. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 •-----•-•--•-----------------------•----• -----•----•---•---•---•----•-••-•-•-•-•-•---------................................................................. 0 Description of Soil........................................................................................................................................................................ x Sand V .....---•••••••-••-•----•--••-•---•----...--•---•----••-----•-------•-------••-••----•--- W ---------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------•-- UNature of Repairs or Alterations—Answer when applicable 1-10..0 a 11 on leaching pit _..o an------------------ existing tank & nit . --------•••-. -- --------------•------------------------------------------------------------......----------------------------------------•-------------------•----...---••- 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 Compiia e has be n ' sued by the b and health. Y P Signed ------ / .. +. /--/9 4 Dace Application Approved By ................... .. ------- ,t e ►,v► e, _.............:.................. - ._r..�o._�. L! ' Date Application Disapproved for the fo owing reasons: ....... .... ................................................................. . .. ....... ........... .................................................... .......................................... .......................... . ........ . .............................. Permit No. ............................... C'� Issued ........................................................Date...... Dare t '& y,�! No..P.n.3 1.a.9 FEB......$.....3.0 ..00 - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH A �. TOWN OF BARNSTABLE Appliratiuit for Di-nipmial Works C omarnr#iun rnmit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 89 Screecham Way Cotuit .....----•----------------------•--••----...._......----•-•-•--------..._----•------•---•---••--•• ---•-•-------•----•--------------•------•----...--------••----•--•----••••---••-••-•••••••....---- Cullen Location-Address or Lot No. W J.P.Macomber Jr. Owner Address Installer Address UType of Building Size Lot............................Sq. feet Dwelling X No. of Bedrooms--------3----------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons______________------------- Showers ( ) — Cafeteria ( ) Otherfixtures --------------•----------------------------------•----.---------------------------•-- 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........................................ a Test Pit No. I________________minutes per inch Depth of Test Pit-------------------- Depth to ground water..................... fr Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .r P+ ---•-•----•------------------------------•-•-------•---------•--------•--------------.....-•----------------•--._..._........•---------•...........-•------ Descriptionof SoikdHj-------------------------------------------------------------•---------------------------------------------------------------------------- V .----------------------------•--------------•----•••-•---••-----•---•------•-••---•---------•---•---•-----••-------•------•----•-----•---•-----------•---•----••-•--•--••----•--•---...-•............. W __ _ UNature of Repairs or Alterations—Answer when applicable__..Add 1-1000 gallon leaching pit to an baisting 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 Complia ce has be n issued by tie beard health. �. � �?. c 7/5/94 Signed f� .................. .. ... --- ................. . .................... ..... Dare ApplicationApproved By .................. � ...�t_r- �.- ,,................. ........................... ----- 7....1 ... .... l! Dace Application Disapproved for the following reasons: ..... .............................. .... ..... .................................. ..._.................... ......... .......................... .. .. -- ......._.... ..........--... ......-- ................._... .. .....-- ........... .................. ........................................ C((-/ - 3 V 7 Date PermitNo. ---- - -------------------------- -------------------- Issued .... --...-- ...... .................-- ..... . . Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�Erttf rate of C�ontylianre '� THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired �XX ') J P.Macomber Jr. .... .._...--....... ... ...... .......... ............... ..................... . ................. ..... 89 Screecham Way Cotuit In"""e` at .. has been installed in accordance with the provisions of TITLE Hof The State Environmental Code as described in the application for Disposal Works Construction Permit No. -y5.- ..-.. _�/ _......._ _..-. dated ................ ----------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. , � �j / DATE..... �"" ....-......./'....-_'T'... Inspect r " - e%' ti s THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH q 3 TOWN OF BARNSTABLE $ 30.00 No..._[..�� FEE...:.................... Q rber Jr. unu#ri�r#iun Permissionis11 hereby granted.............................................................................................................................................. to Constdru�ct 4cY eor Re��a�ir Y) 8otu vtdual Sewage Disposal System ecnatNo..............................................•----------------------------------------------------------------------;------------------------------------------------------------___--__..... Street C as shown on the application for Disposal Works Construction Permit No.r_q'__�V6_e_1_�-. Dated.._.._.-_ ----------•-•--•-------- ----- 1 t Beard of Health DATE..................7------•-•....------�-�--- v FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS S ys TE"M C�R Oo=74 E NOT TO .rC/,74 E 70.o FON. � F/ EL fN/Shy GRf70E F/N/SN GPgOE OVEN F/N/5.�,� R/70E OVER O/ST. 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