HomeMy WebLinkAbout0144 CAMMETT ROAD - Health 144-CAlV METT ROAD
A= 099,-002 NIARSTONS MILLS
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TOWN OF BARNSTABLE
L( CAT10N tMj SEWAGE # ,
VILLAGE � ��nn. ( ASSESSOR'S MAP & LOT
26
INSTALLER'S NAME & PHONE NO. El
�,�, ;;�rtij/,�� C6!?���7
SEPTIC TANK CAPACITY �> d
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS PRIVATE WELL O UB�WAT
BUILDER OR OWNER / _ - �c-�-.�✓:_.
DATE PERMIT ISSUED: � X-'-
DATE COMPLIANCE ISSUED: '✓ 7
VARIANCE GRANTED: Yes No ✓�
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ASSES50R'S MAP N0. q17 , PARCEL �d
� CCATiON N0v:5C #-- I SEWAGE PERMIT NO.
VILLAGE
r • �.� . ��a�s -� Ste... � I � `r� �,c���
I N S T A LLER'S NAME A ADDRESS
siz
d U I L D E R OR OWN ER
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED
(A-0 j�Z
40
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No. .................D� FEB. ........... ...
THE COMMONWEALTH OF MASSACHUSETTS
BOARQ OF HEALTH
l o.U'.N... .---....'.....OF...............
py qJ-002-Allpfiration for Diapnstt1 19orkii Tnnitrur#inn rrrmit
Application is hereby made for a Permit ( ) or Repair ( ) an-Individual Sewage Disposal
UV System at: A,C-,onstruct
U.S
..._......
Ly�tion
CO,'_-Address or Lot No.
---..... . ---------------------------------- .................
--- . .---------...-------•--------------.- -----------
----- •--
Owner Address
W
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms........... .............................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building ............. No. of persons....._........__.._..._..... Showers — Cafeteria
firOther fixtures -------•-----------------------------------------•-----••----------------------•-•----- .............................................................
d
W Design Flow...............GS.............. gallons per person per day. Total daily flow..........Jae...._........_....._gallons.
WSeptic Tank—Liquid /5..P allons Length_t.Q...(capacityta_._.. tiVidth_.�_.�.+_. Diameter................ Depth..,?._p......
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No......... ....... Diameter.._. Z- Depth below inlet........q �:_........ Total leaching area. R_ (_.sq. ft.
Z Other Distribution box ( )O Dosing tank ( )
Percolation Test Results Performed by.......
. _ �,.[11.1 ................. Date....... .' .". _.___....
Test Pit No. L.. .minutes per inch Depth of Test Pit----l4�`....._ Depth to ground water...t4QT...&)LJWuA).
44 Test Pit No. 2.__G Z...minutes per inch Depth of Test Pit........`..................... Depth to ground water.......`I........._...`
a ---•-----•-•----------------------------•-•-----....---.........-----------.......•----•••-•------.......------•-----......------------------------......----
ODescription of Soil----....5ne.........{plac-�...........................................................................................................................
W
WV •-••...............•-•---------------•---•------------•----------------------•---••---------------------------------------•----------------•-----••-------------------••--•-•-•---------•---.--------•--
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 Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been isslied by the board of health.
�rYv,A , CL
4S* -._ ' a-.. ---- .--.....------------ Date
ApplicationApproved By--•--------- -----... . ....-- . ----------•------ -----...........----- ••._....... 1`�........•-•--
------ ---------------•-- Date
Application Disapproved for thes ------------------------------------------------------------------ ..........---.
-••-•------....-•............................•-•------------•----........---•-------------....---•------•--•-••-----••-----------------------------•------•----•-------------•----------•---••----.-•-•-
Date
PermitNo........................................................_ Issued----...--•-----••-------.......-•------•------••-......
Date
No.-- •--...__..._....... Fs$............._...._....._
THE COMMONWEALTH OF MASSACHUSETTS
+ .w. t
BOARD OF HEALTH-
0 o .. ........OF............... .....
002-- Appliration for Disposal Worka Tondrnrtinn Permit
1 Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
..._.�...... . ..
Lo ation-Address or Lot No.
................t ..I..p __. .� ��----- ...... ....... .....---...._......... ..
Owner Address
a ................ ...... ......................................................... ..-••.._._.........--••-...---------••----............----........•-•--•--•---....................
v Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms........... ..•.•........................Expansion Attic ( ) Garbage Grinder ( )
aOt6er—Type
of Building ............................ No. of persons ............. Showers ( ) — Cafeteria ( )
dOther fixtures ------------------------------------•-----------------......---------------------------- -----...---------.....------•-••-----........----•-----------
W Design Flow................:S.t_.....:....._...-_gallons per person per day. Total dailyfiow.z... 33....----- ..-.•......--_--..-.gallons.
WSeptic Tank—Liquid capacityf 15v9gallons Lengthl 6_.... Width. S h ..Diameter--------------- Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No................. Diameter..-.►.:Z.......... Depth below inlet...... ......... Total leaching area..!°!_��c(_.sq. ft.
z Other Distribution box Dosing tank ( )
aPercol ation Test Results Performed by---.-.-� --1�?-.�..:J �r� 'fit__+11L.................. Date-._._`�._: .__ .5......--.
,.a Test Pit No. 1....4� c'.minutes per inch Depth of Test Pit....l�4....... Depth to ground water..-/�/oT__ JCOurE1,
Li. Test Pit No. 2....G.Z...minutes per inch Depth of Test Pit..--....`.`.......... Depth to ground water.......t�...............
x ..................--------------------------------------------------------------••-•-•---•-•-----••-----•-----••-----••--•---•-••----•---•--•--•----•--•.....
O Description of Soil......... ......... ..)f(A- -
W
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 AITLE 5 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.
S' ned �_VV)_f ---_-�-- -'��.----- JIL � ..........................
Application Approved By.............. ------ ` "T r Date C
---------------- ... . ......
Date
Application Disapproved for the fo i yeas :.... .......................................................
...............................................................................................••------•••-•-----••--•---•--•-•---------•---•--••-•------------••-••---•--•--•---••••-••--•-----_-•---
Date
i' Permit No......................................................... Issued-.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.... ............
Trrtifirtttr of Tomplittnrr
THIS IS TONER-TIFF;Y�That-the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by---•.................•---.........._.._..._ ...... .... ... -•--••-•............................................•--•-•----•-----.........................................
/. I Installer
_
. -
------....--•----•---••---
....
has been installed in accordance with the provisions of TITIL" 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.....`l>r!?..--.�s�?.t ........ dated-.... .- - ...`fir.:.................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL /FUNCTION SATISFACTORY.
DATE....... Mf.j'� / � Inspector......LiA ..••--•--••••-•---•--•--•-----•--•-•----••-..._.....--••--..-----
{ _.
THE COMMONWEALTH OF MASSACHUSETTS
B0ARD,11OF HEALTH
.ra.w.......... ....OF.--.. -.... .. �'..9- ------
N .No.....c:? ?.- - FEE..-./�. .......
11iolinsai Vorkv T-Frrnstrnrtisn Permit
Permission is hereby granted............! - ------S. . ,,i�........ .........ala...................
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
atNo............... f......1�........... -------------------------------------•------- ..
._.........
' Street
as shown on the application for Disposal Works Construction's Permit No.,_Q6._1 4... Dated------a
--------�� -g................
l :h�
4. ------- ----- -.../ -- .. ._
r *� oaril of ilealth
DATE............. 1 ��� ----------------
y✓p, t
bqq 0
No.....Y". .� � FI;:s$....3.4...0 Q......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Z ppliration for DiinpotiMl Works Cn witrur#iutt Van it
Application is hereby made for a Permit to Construct ( ) or Repair )(X ) an Individual Sewage Disposal
System at:
144 Cammett Road Marstons Mills Mass.
...--•-•-•...................•--.....---•--•----------.....--------------------•-•-•....--••_._... --•••-•----------------------------------•----••--•-•----•-------...........•----•........--....--
Location-Address or Lot No.
Michael Brown
Owner Address
J.
ectiffim
a ......-'.............................r-*-•------••---- -------------------••- --•--------------------------------------- ••--...................•---•-••------------
Installer Address
UType of Building Size Lot............................Sq. feet
DwellingXX No. of Bedrooms_____________3---_-----.-------_-_--------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.
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. 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........................
a -----------------------------------------------------------•----------------............----•-•••---........................................
.------
••....
•••-
ODescription of Soil........................................................................................................................................................................
xSand---&---Gravel-----------•---•-•-•---------------------------------•--......•-•--••----------•••----•------•--••--•-•----------------------••-••-••------•....•.
v
UW ...........................................--------------------- -•..........----•-----•---•-•-•------------------------------------•----••----......-----..•-••-••--•-••-••-••------•-------•-------
Nature of Repairs or Alterations—Answer when applicable----------Adding----1_-1 QU._.._a-1.0-n_._pit---to........
an existing 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 b n i ued by the bo d of ealth.
Signed .... . ----1/2 7/9 5.
b -------...--s----- - — .. ....�---...----------- - .Date
Approved By ------------ .. ---------------------------------- ` ' './. ------1.D�........
--------------- ................ " Dace
Application Disapproved for the following reasons: .... ....... ... ............................ ..........................''- ..... .........-----..........
............... ............................................................... ................................... ' ... . --' . ' ' ----------------------------------------
�' Dare
Permit No. .... ............................................ ........ Issued ........- �- �.. '�� �--..........
Date
TOWN OF BARNSTABLE
LOCATTOIr1: I44 �!M Y�L j� I� SEWAGE # J
VILLAGE_ �` ASSESSOR'S MAP & LOT
_ I!?_ 2,
NO. �
INSTALLER'S NAME & PHONE do << ��A ���^ �Z --
SEPTIC TANK CAPACITYb O
LEACHING FACILITY:(type) (size)
NO. OF:BEDROOMS PRIVATE WELL O UBLIC WAT
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: G ��
VARIANCE GRANTED: Yes No
F ; 49 '
G = 32
� r
~ THE•COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration flar Uhripuml Works Towitrurtion rrrntit
Application is hereby made for a Permit to Corstruct ( ) or Repair I('K ) an Individual Sewage Disposal
System at:
144 Cammett Road Marstons gills Duns.
--............................................................................................... -•--••-•-•-•-•--•-------------.....-••-----...------••--•-....................--•---............--
Location-Address or Lot No.
Michael Brown
. Owner I Address
a J.P---AacoTbar .Tr......-- i .. t-�
.....................................- -• ................................. ----•-••------------•-----••-•-----•----------•-•-----•-•••-----•--•-.....----.............
Installer Address
Type 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 ( )
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.
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..--....................
Test Pit No. 2.............. minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
a ----•--------•---------------------•-----•------•-••--------.............--••-•......--......................................................................
0 Description of Soil........................... •--•-•---•-----....--------•------------------------------------------------........---------------------------------------......_------•--
x Sand & Gravel
v
W
--------------------------------- -------------••-----------------------------•------•--•---•--•------•-------------------------•••-------•••--••---------•--••-•-•-••-•-•---------••-••------------•-
U Nature of Repairs or Alterations—Answer when applicable------.----Addir,c; 1-1.000__aal._lorl___nii:___fin
an existinct 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 Compliance has been issued by the board of ealth.
Signed G1 : .-.. .r------------------.-
'� �(/.a _.. 1/27/95.
Dace
Application Approved BY .-.-..-..-!..------ - - ................ ...................... �. ..--..-.... . ...�...-:
�' �,
Dace
Application Disapproved for the following reasons: ..........................................................-_.......... .- . .. .......... ............-- --- .
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------
' Dace
Permit No. -----------CJ-y----F _ �i
------------------------------ Issued ..................f.........- 9-—�
.................
� Dace
1 1
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(111-Pr'ifirate IIf (11-oraptianre
THIS IS TO CERTIFY, That the-Individual Sewage Disposal System constructed ( ) or Repaired XXX)
by '
. , Installer
at .........14 4 Cammett Road...Mars-tons r'i i 1 . ------ ---------------------..-----_._-------------------..-------------...-..--..---------------------------
--------------------
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. ...1)-1-------------------- dated -..-_ -
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.-...-.. l''... ... -1---------- 7-----------------------------.. Inspector - _ _.. _.._...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
j TOWN OF BARNSTABLE $ 30.00
No............." FEE........................
Uwpjaiittl Workii TAnitrnrtintt "rrntit
Permission is hereby granted....J'......................................................... acomber Jr.
.. .. ......••---
to Construct ( ) or Repair 1(XX) an Individual Sewage Disposal System
at No.
14.4 Cammett Boaa Marstors Mills.
••..........••-• -•-•------ •.--•.............. ---- --------
Street
as shown on the application for Disposal Works Construction Permit No..y : f G _ Dated....... �n.�..��- ........
Board of Health /
DATE ..... ---�--------------------------•---------------•--•---.
FORM 36508 HOBBS&WARREN,INC..PUBLISHERS
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