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Home My WebLink About0161 POND STREET - Health to � `�or�1 S�t�^-ee�- 1 � l� - t 1 S o s��Q-- / — - -- - - -� f ---- - — � 7F7�iCt7h�WE TTS P"90'A R QL-B--FF H E n,i 1H TOWN OF BARNSTABLE Appliratiun for Dispuiittl Works Tonstrur#iun Frruat Application is hereby made for a Permit to Construct ( ) or Repair *X) an Individual Sewage Disposal System at: 414 Old Stage Road Centerville r --- -- ------ _---..._......................... .. ----------..... - = ASS€ ,SNAP-€ 0......... ...Y Location-Address or Lot No. / ....Flynn.............................................................................. ..............................DR!'FLiffi- Owner Address _ _�. w J.P.Macomber Jr. a ........• ... ............... Installer Address d , Type of Buildini Size Lot............................Sq. feet Dwellin� o. of Bedrooms-------------2...........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e 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 ( ) ►-' Percolation 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------------.------.---. P4 --------------------------------------------------------------------•----------••------------------ 0 Description of Soil..........S'ani�. x .. ...&---gavel---------------------------------- - ••----------------------------------------------•------------- •------•---------------- v .--------------------•----•-•••••--••-•----------------------••------•-•••-•-----•••------------•••-••-••-----------------------•--------•--•---- w U Nature of Repairs or Alterations—Answer w, ej ff icable 1.L 1111gaI-Ion 1:eacfi...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 Compliance ha bprpn issued by e bo d of health. Signed = .................. .......------ --c-------------------------------- --2/11/9-1-----...... Application Approved By ..................... ---- Mt Application Disapproved for the following reasons- --------------------------------------- ------------------------- ---------------------- -- ---------------------------- - ----- -------------------------------------------------------- ----- Permit No. .-.....� Y/........7 ------------------ Issued........-. --------------------'-Date .....-'---.............--Date............ 'l THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH fj• TOWN OF BARNSTABLE Appliration for Disposal Works Tonstrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (�X) an Individual Sewage Disposal System at: r/ ...•_414 Old Stage Road Centerville. ................................................. .............. ___�__.............•-- •--- ------._.... -•- - t Location-Address or Lot No. .....Flynn____----------------------------------•--•----------------------------._..._ _ Owner Address W J.P.Macomber Jr. ,� --•------ ........................... Installer Address dType of Buildin. , Size Lot............................Sq. feet DwellingXl"No. of Bedrooms............... ____--_-_-____-_----___-___Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e 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........................................ 1.4 Test Pit No. 1________________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........................ 0+ --•--------------------------•-•--•---------------------------------------------•---........._---•--......................................................... 0 Description of Soil...............................................................................------------------------------------------------------------------.._...---------------- x Sand & Gravel v .-------------------•---•--•--------- -----------------------..._.....__........--------....----------...--------------------------------------------...........----------------...------••-••-------. W -----------------------------------------------------------•----------------•---------------------------•---.--------------------•---••--------•------------------...--•••-•--••---•••----••-•----•---- VNature of Repairs or Alterations—Answer when ap livable e____________________ :____________. 1-10( 0 gallon leach 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 Compliance has been issued by the board of health. Signed ... !Sl '!ii- /12 4Pc ...' ?l l l/Q 1 //rr Date..---------- Application Approved By -------------------- v-.....6. _ _-%ems_.-_��__- � - �'.-.� Date Application Disapproved for the following reasons: - --------------------------------- -- -------------- ---------------------------......-------------------------------------------------------------------------------.............................. ---------------------------------------- Date Permit No. .......... -------------------------- Issued ............................ ° Date THE COMMONWEALTH OF MASSACHUSETTS / BOARD OF HEALTH TOWN OF BARNSTABLE Certificate a (90MIlXuxnre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) by______ J.P.Macomber Jr. Installer f at ..........414...01 ..... tage---Road....Cente-rville....._-------------------------------------------------------------------------------------------------------- ------------- 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. .....C .-.... ............... dated ..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. Ins ector- 1 ..:../......,..,ll'._/..... - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE N FEE.... 30.00 Disposal Vorks Tunstrnr#iun Errant Permission is hereby granted....J_..P.MaCOmbex�-_J ...............................................•--------........................................ to Construct ( ) or Repairx(XX) an Individual Sewage Disposal System at No......41�_ Old Stage _Road _Centerville .- -----•...............................................•-•-•...............-•---- Street (?, as shown on the application for Disposal Works Construction Permit No.._J ,��3Dated.......................................... ........................�.�...\.__ .. -----------------------------------•............ .._ DATE............... ��-r ..................................... Board of Health FORM 38E08 HOBBS at WARREN,INC..PUBLISHERS r TOWN OF BARNSTABLE LOCAT ,0N SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. rid-6(M-a.r, SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) (17 NO. OF BEDROOMS PRIVATE WELL O LIC WATE BUILDER OR OWNER v,,/ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 1 �� Z �•, � � .� =� r �� ,. r —� s. ..� .. ^1 � � v �o � i _ � �, a � � v Cs � � `° z �� . � '' t: . �' 06 y LO°CA,TION SEWAGE PERMIT NO. VILLAGE INSTALLER'S NA E & DD ESS e B U I'L DE R OR OWNER z2z C �,/)6y->, aa DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � ,� __._ . _ �Q� / 1 /Q � -- r --.�_� ��a' �t . �' `, � ,a fi -CIO No....... ...... Fps ............:...... THE COM/A C COMMONWEALTH OF MMASSACHUSETTS g� ----C-'-C--L�Y. ....OF.................Q� '1�J ...... Appliratiou for Di-wiml Works Toutitrurtiutt lirrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: W Loc tion-Anddr �+�+.ql r t No. Owner /^ _ --- Address '...- a l ----•................... ._......_..._....__ -•-•--..... .. ... t Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms............ ........................Expansion Attic ( ) 'Garbage Grinder ,( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( - ) a 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 ( ) PercolationTest Results Performed by................................-.......................................... Date........................................ aTest Pit No. I................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........................ R+ •---•---•--------------------------------------------------•---••--------•--._...........'----..._._........................................................ 0 Description of Soil......................................•................................................................................................................................. x V ---------------------•---------------------- -------------- -•-----•-----------=---------------------- ti -._.--•-•----•----....._.:.. -----_----- W = ---------... // < UNat re of Repairs or Alterations—Ans hen ap licable.___--I.i t ____�---__�__b__�_-0--_ ______________ A eement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of I I'= 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een i sued tw the board of ealt Signew. �. .... ........ Date Application Approved By------ / ..------••----•-•-------------- Date Application Disapproved for the following reasons_...................................................._................._......................................... --------------------................................................................................................................................................................ G Date PermitNo......................................................... Issued.... "Z A-4........................ Date 3 Fits ....... ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD—OF HE H �. ......OF........: .�s x: Appliratiou for Di ipasal Works Tputitrurtiun rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal- System at: .. ; 4 .......................5 Lo tion-Addr s 'b+ r: t No. �+ K�a .........-- .. .. .. ...............................------------------------------------------------ r. O _nepr Address Installer t�M r Address Q Type of Building ,,, . -� 1, Size Lot____________________ _____Sq. feet U Dwelling—No. of Bedrooms_____ _____________________ _.._...Expansion Attic ( ) q..;,- Garbage Grinder ( ) p-I Other—Type of Building ............................ No. of persons.....................__.__ _ Showers ( ) — Cafeteria ( ) Pi Other fixtures �k: ......................... ---------------- W Design Flow.............................. __gallons per person per day. Total daily flow __gallons WSeptic Tank—Liquid capacity__ ________gallons Lengti .. ,_'Width ............ Diameter',___-_ t epth x Disposal Trench—No. .................... Width.................... ToalhLength_•____.._._____.__. Total Bleaching area_.-_. ____.____.sq. ft. 1 fi Seepage Pit No____________________ Diameter .__ Depth below inlet=°.............._.. Total leaching area___..___.__.___ sq. ft. r- z Other Distribution box (, ) y; DoSing tar k,t( ) � x= f I Percolation Test Results Performed by. .,`- ............................... ..._........ Date . € ;�. a P P F 'st Pity"...............x ._,:;,Depth to ground water �_______„� Test Pit No. 1...............minutes e>'inch dDe'th of T,e fs, Test Pit No. 2................minutes per inch Depth of Test Pit----:__._._._._____. Depth'to ground-water° ;._ 4 _________________________________ ...................................................t Descriptionof Soil ............................... .............. . ......................................................; ^ ................................................................................................................... .. e Aions—Ans hen applicable __"" _ _Q_ ._U ._....__- en --- -- ------------------------------------- ---------.-. .•. em The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iIT i E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has -etn sued y the board of�ea Sinr�_._...... ......_....- � g Dat Application Approved By......... ------- ---•- --..... leele. . ..--- - ,.s ................... ... Date K Application Disapproved for the following,.reasons:............ ` - ____._____._... ._____.___._.___._.._ .. .r:.. Permit No......... °"" �° x Issued..... -_..... Date THE q dMMONWEALTH OF MASSACHUSETTS . •""' �" .•.ir ,.Y. Sx,. � A t. BOARD OF HEA TH ;�. � . 'k 5` ; P .......OF... ' '" - ... ....:. .... .................... } z K n M� t 'k-5rdifirate of Tompliaure k� ea•W,d.,WMt T IS C�ZTIFY, hat the :vidual Sewage Disposal System construc,ted ( �-) or Repaired ( ). by... `T�...-----(- .... --- . e ; Installer has be7 installed in accordance with the provisions of T > o The State Sanitary Code as desc ibed in the -----••--• da.ted---4_-'-_=�_'�''.�__.�' ._.----------------• application..for Disposal Works Construction Permif,No.____.____._'�' � "' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEMJ WILL FUNCTION SATISFACTORY DATFs} 7 7/1. Inspector 'yi f`s•t6�' `y"-2 � ZCIrF k „�;,. � /' 1` 1:: IR F }'�• a .Art 7f.£7" rY.k -•,✓ E- F` a �'!t xb� rqx;+q�'".r��1 2§' {'��a'�" "��.r,>. r a r CX_:yr w Y. � �� ' r�.�.� 4 ffi• �Y�� ' 4•,� '� f- yr at'+�'*-^ f 7t4 '� '�f•4 -'� ,..�..,.» -as,,o " ...+ 1'`` s."us:e x`• 7•.:+•� <E r a ;W - "q n< r. THE COMMONWEALTH OF MASSACHUSETTS BQARQ „OF HEALTH ...OF.. .:I ............................................. No............:............ FEE ...... 4... tr� k "or ua�t rruti } Permission is hereby granted.• t':-_.... ......................................... to Construct t o4e air (41-1 Individual ewa a Disposal System" ( ) P at No.................... . ` n. ......c..... i ___....__ '.__..A .........' __• _ ..................................... Street c as shown on the application for Disposal Works Construction Pe- -t No Dated.. .7 .......... ;,. - ... L+ Board of DATE. alth FORM'J255 HOBBS & WARREN, INC., PUBLISHERS No-----f1-.12)_ Fis...... �. ..'� THE COMMONWEALTH OF MASSACHUSETTS ff ��D�jj BOARD OF HEALTH TOWN OF BARNSTABLE Appl ration for llhiposal Works Ton,otrnrtiun jJanfit Application is hereby made for a Permit to Construct ( ) or Repair (LX an Individual Sewage Disposal System at: 1 ...., ,.,, .... _...----•-Q ----..........................................................----------------------------------- Location-Address or No. a �. O n r �D. b2C°`�`� ..... . ... .. ........ .....--- ------------------------------------------ -......-----------------------•--_----------..._..---__._.-. Installer Address Type of guilding Size Lot___________________________Sq. feet U Dwelling=No. of Bedrooms..•______._............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a' 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........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P ----------------------------------------••---------•----.....:......------------•-•--------••----•-•......................................................... 0 Description of Soil.....................-.........................................................-------------------=---•-------•------------------------------------------•----•-----_.. x U .......------•........................•-•-••-------•--•----------•••-•---•--•--•--•--...-•--•-•-•----------------------•-•----------------------------•--•-----•••-----•--•---------...--------...._------ W ......-•------------------------•------------------•------------------------------------------------------------•-----------------------------------------------------------. UNature of Repairs or Alterations—Answer when applicable_______________fA60o_.._ ._.__.._.___. gyp_._ - --------------------------------------------------------------------------------------••--•......�.�! .k... -�.e>.--- ----;-- ='----------------•---------•----------•-•-- 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 Cotance has been issu by the board of health. Signed Date Application Approved By --------- ----------------------------------------------------------- ------....2,_l = �- Date Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------............................................... ---------- ----- -- --------------------- -------------- ------- ...........................--------------- -----... .-- ......------------.-------------------------------------- ---- ----------------------------- Date PermitNo. .......?1...... ---- D--------------------------- Issued -------------_---..... ------------------. ...---- ------ ate No... /l._ 3- Fizs.......... THE COMMONWEALTH OF MASSACHUSETTS ! BOARD OF HEALTFf TOWN OF BARNSTABLE Applirati on for llhiposal Works Tonstrnrtion Permit Application is hereby made for a Permit to Construct ( ) or Repair (V� an Individual Sewage Disposal Systemn •�' � Location-Address or Lo No �Q Oner......................................... Ad �9.. �J- __.............._..... ... .................................. Installer Address � Type of 9uilding Size Lot___________________________S q. feet aDwelling—No. of Bedrooms......___. ____________________________Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures -------------------------•••-••. . 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 (,:7) Percolation Test Results Performed by -_-,-.- -------�-------------------------------•-----.._..._..._. Date........................................ aTest Pit No. 1................mintites per inch Depth of Test Pit.................... Depth to ground water-__________-_----._-.._. Test Pit No. 2................niiniites per inch Depth of Test Pit.................... Depth to ground water........................ ---- ODescription'of Soil---..---•-••------•---•--•-•-••.............••-•-•-•--•------•-•--•-•-•••••....:---•••-------•---•---•-•-•---•------•••-••••--•••-----•--••-•--••............•---••••... V "•••-••-••••----••••--•--•-•-------•--•••--•-•...••------....-•---------•----•---•--------•••------••------••-•----•-••-------•----------- ----------------------- 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the 1 x � P system in operation until a Certificate of Compliance has been issue�by the board of health. Signed � . -------------------------------------------------------- ---------------------------------------- Date � Application Approved BY -.--.--- Date Application Disapproved for the following reasons- ---------------------------------------------- -------------------------------------------- ------------------------------------- --------------------------------- ---- --.---------------------------...-----------:........................................................= PermitNo. ... ....................................................... Date ------91 �, --...-- Issued ------------------------------------------- --- ----to ---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE T rtifira#e of QUO t lirxnre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by--------------------P°'��,l �s.r -s—-----------------......--------------------------------------------_----------------_- -------- ---------------_--------------- ---------- _ Installer at has been stalled in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for/Disposal Works Construction Permit No. .... ... -..... ...... ............ dated . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. v DATE Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No....`:..I....').. TOWN OF BARNSTABLE FEE../2�...................... %Vocal Works nsirnr#ion "permit Permission is hereby granted:.-...---• r ..r—Y .:....... to Construct ( ) or Repair (X) an Individual Sewage Disposal System m Street nn as shown on the application for Disposal Works Construction Permit No.,7/.K3.... Dated.......................... -�................ Board of Health DATE..............................................................••--•--•••-----... FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS