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Home My WebLink About0050 SHELL LANE - Health �� S11el1 .Lane - cotUl .: i I, i I 1 -40�-o oaG i SEWAGE PERMIT N � `1` WATER TABLE �* g.�� LOCATIQN NO. STREET ,4*W.," /ilk, I NSTALLERS NAME & ADDRESS E C' b�I �11 N i 4 D ATE PERMIT ISSUED , Gfi DATE OF INSTALLATION l. 4 DRAWING OF INSTALLATION ON BACK + ti + S"A c ,( � r a 2R Fizz......$5...QQ...... THE COMMONWEALTH OF MASSACHUSETTS .SOAR® OF HEALTH .....................TQM.........OF......Barns table Aliptiration for D44posFal Works Tomitrn.rtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: ....5.4..She 11•_Lane v t......................... ......................._ Location-Address or Lot No. nnni P ------•.CQtu t--••-••---••......---__•_- Owner a ....Joseph P. Macomber & Son,.... nc: Centerville Address = ... ._...._ -.... Installer Address Type of Building Size Lot............................Sq. feet �. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type T e of Building ... No. of persons............................ Showers p-, yp g _________________________ p ( ) — 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................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........................ 9 --••-------•----•---------------•-•--•----------•-•••---••-•----•------•........._._.__..._••_-•-••.......................................................... 0 Description of Soil......SSnd & Gravel U W UNature of Repairs or Alterations—Answer when applicable-1.-1000__gal an...t_nk_..&--1--10Q0 ..---•----------------------•--------------------------------------------------••-•...-------...------........------•-------••-----------•-.._..-•--•-----•--••---••--••••-----••----P it.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iiTL% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has e i ed by the board Y health. Signed_ 1 .............. D e Application Approved By......... ......................................... Date Application Disapproved for a following'reasons--------------------------------•-----------------------•-----------------------•----------.. .__....•------_.. 2..1.. y 7---•••......•-•----•----••----_.. Date Permit No............... ...P,1Z_/ Issued. y ........................... Date No......., .N`...... Fss...... ..QQ...._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................TOM.........OF......Barns tab le------------------------.......................... Y: . ppliration for Disposal Works Tonstrurtion Prrutit Applicaiion4is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: ....S.Q..the 11..Lane.................................•--...........---------- Location-Address or Lot No. ....Bc1Yln1P_._Saxg nt.....•------=---------------•----------•--------...... ...........CQ.t-.vit...................................................................... Owner Address W- __..JoseAh__.P.__Macomber___&._Son,.... nc.......... Centerville-- -------------------------------- dr ... Installer Address Type of Building Size Lot............................Sq. feet .� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons ........................ Showers a YP g -------------------------•-- P (..-->--- Cafeteria.( ) Otherfixtures ------------------------------------- .......-------.......----••----•----••--------••--'-----....----- ------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic 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---...---------.....---------........... a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ LZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --•--------------------------- .... .. O Description of Soil......S; & Gravel W V ........---••----•-•-----------------•-•-••------------------•----------------......-•----•-----------•--••----...------------------•-----•----------•--------•---•......-•-•-•.......------••----------- W UNature of Repairs or Alferations—Answer when applicable._.1IQ_00Q...ga U,on...tank...&..l! 10.00-•-gallon --------------------------------------------------------------------------------------------------------------------------------------------------------------•---------------------tit_....----• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance-with the provisions of TIT 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been bed by the ,oar iealth. / / Signed.....,• !�- '----------------------•••--•--••-•....---------_._.. ... --------........... l! l D Ito 7 Application Approved By.... - - Date Application Disapproved for the following reasons:-------•-•------------•--------------------------------•--------------------------.......---•--•----•..._..... ...............................•--•••----............•---------•-......•••---------•••-•---------•....._.._.....:_....-•••-••-•------•-------------•----••---------------------•---------...----..._.... t/t-1 Permit No.•--.......--•---•........... . ...............•--••------.. Issued_--------------...-•--------•-------•..... na�.----- Date "`''uTHsE.r,COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH :............Town........oF.......Barns table............................................. " TrrtifirFate of Tuut Iiaanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X ) by........:JQaeph..P.....Ma c her..L.19.012....Rm....................................................................................................... Installer at..... O..She11 Lanes.... otuit...........................................................................................Sargent....................... 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......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAR TEE . �_ ...... .-.----..T. H.-A-.-T---T-H...E SYSTEM WILL FUNCTION SATISFACTORY. DATE..... ..... Inspector.......... . -- �J THE COMMONWEALTH OF MASSACHUSETTS ~ BOARD OF HEALTH �! ^ �O.....wn.......OF....B&X'.'35t..blG............................................ . No......... FEE..- •. Disposal Works Tonstrurtion Vvrrmit Permission is hereby granted..........jM.eP ... & So n. n3...��4 to Construct ( ) or Repair ( an Individual Sew age Disposal System at No.... 0.. hei . L A _�._.CQ 11. ..........................• ----------------•-------------...SAronf ...... Street as shown on the application for Disposal Works Construction Permit No...... .�_..... Dated........ ._.7y...� g fay; -- / Board Health DATE..... ........ FORM 1255 -HOBBS & WARREN. INC.. PUBLISHERS TOWN OF BARNSTABLE LOCATION //Z/, SEWAGE # d l d3Vd 0b VILLAGE �� ASSESSOR'S MAP & LOT _ INSTALLER'S NAME PHONE NO. A & B C M 775-6264 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 4 P/O oo (size) tz l d f NO. OF BEDROOMS :PRIVATE WELL OR UBLIC ATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes ' "' " No i Y r 7 vt r No... D r 66(, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH APPROVED b10 ate, TOWN OF BARNSTABLE App iratiou for Di�ipw3al Worlai C outitrnrtinn rit D= Application is hereby made for a Permit to Construct ( ) or Repair (c/ran Individual Sewage Disposal System at: .. . . 6./ : - ------•--------------------•-•--•••••------ - ----• l Location-Address or Lot No. .... ....(. L?_.._.._... 1 t��eS-------------------•----------------------------- ------------..... ................................................ ��JJ Owner Addre . Installer Address d Type of Building Size Lot.._..•...•.------•-•----....Sq. feet U DwellingNo. of Bedrooms._..._......._ ----_Expansion Attic Garbage e Grinder aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' 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. 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........................ 40 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 •-•-•-•••---•••--------------•--•••----••--•---.....••••......_...••-•-••-•-•-......•........................................................................ 0 Description of Soil........................................................................................................................................................................ W UNaatkire of Repairsor Alterations—Answer when applicable._ -n tA- .P......1- _ __.jd o.C'_.....l ej��_�._.. ..•-•-•-............ cisf --- . Ae----- �,Y,� t''r................................................... -------------------- ---------------.......--•----------•-----.......--------- 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 issued by t board of health. Signed ................. .. ........ ...... ....7l..,D 44?[V. ...Application Approved By .......... ....' `'S .� t !! M,e�.r.. 3- Application Disapproved for the following reasons: .......... ............... ..... ................... ............................................................ . ................ ........................................ ................................................................ ..................................................... ........................................ Dare Permit No. ......./...J�.:.�'�..�..,1--------------------------- Issued ----------- :�.. 'tea..-. .......... Dace .�--w•-.-w..�.-�.+,t4+...-o.•a-...-.r,y'�►L�..t4�.pe e,...=. „�s'i„�.eti,��,,..,,,�/i,,.:.�;.:.�-�+nd�.:-�^k�teR�:J�.t�v.:i.�wv+'{�`r�"w�+e�.,�.��+ '►%.n:�' s:di`_yt ,i,�,ii'- "' �;fo.'.iw�1 �...�....�'5.:'.:.�:_� ar THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `' 1 TOWN OF BARNSTABLE r7 Appliration for Diripooul Wi ork,i TouBtrurtion Virmit Application is hereby made fora Permit.to Construct ( ) or Repair (,-)man Individual Sewage Disposal System at: 5^ r ------•-----------------•---------......---•-•----------------•------............---...---......-- Location-Address or Lot No. ,--_---• ------------------------------------------ (�a C'Oo ncr _ �/f Address Installer Address Type of.Bwilding Size Lot............... q, feet U Dwelling— No. of Bedrooms............._9--------------------------Expansion Attic ( ) Garbage Grinder ( ) WOther—Type of Building ............................"No. of persons-..-----_--_____•-__-.------ Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------------------------------------------------------------------- -------------------------------•-•---•-•-------------------•- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. !x Septic Tank—Liquid capacity............gallons Length---------------- Width---------------- Diameter................ Depth................ 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........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit----_............... Depth to ground water........................ 9 0 Description of Soil........................................................................................................................................................................ V .....----•---•-•----•...----•...••----•.......................•---.-------•--••-•--•----------------=••------•-••---------••---•----•-•----.---...-•-•--••--•---•---------------•----•----------------•• W ....l.•....(7...r.l..P.......C..�.�J.t...t t./.�.....................................................................................................................................................................Y....0 Nature of Repairs or Alterations—Answer when applicable_T1St/ J/.......I-- /. � /l)Qa ...... ...... ....... _IabAk........�T...... m.................. . - .-•- . -_-.......... .......•--- Agreement: 1 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 issued by the board of health. Signed ................... a ..... ,,..z.................... .71r.)4z�.9.3.-- Dne Application Approved BY ........... . . Lc_n.2'v. . � ............... ........ .................... Date j Application Disapproved for the following reasons: .... ............... ........................ . . .. . ................................. . ................ ........................ ................................... .......................... ...... .............................................................. ..................................... q Date Permit No. ..... Issued ................ ........--- / ... ............. --, Dace ------------------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�Ertifirate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( v)' by ............. f:._ ..........l1- M.l-c7--............ ........... - ......... - .... _.... .......... .................................... `/ f / tostauer at .--��-/1............... ke./l........�1 t e--------------.._..t.... 1'c>J .............. ................. 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. Q./..._......._ dated ..._..................................___. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 1 DATE............................. . -- _ -------..__... Inspector ...... U . "'............ ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No......................... FEE........................ Dispimal Works �ua� tr tion remit Permission is hereby granted............At. a!!o-------------------------------------------------------- to Construct ( ) or Repair an Individual Sewage Disposal System atNo......... sae ,-......-.-------- --- ------------------------------------------ Street as shown on the application for Disposal Works Construction Permit No.;1��• Dated....... �.-- �. ............................................ (l./ y �;of Health ----------------------------------------------- / DATE............. = � - .................................... Board FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS 't