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HomeMy WebLinkAbout0144 CAMMETT ROAD - Health 144-CAlV METT ROAD A= 099,-002 NIARSTONS MILLS i II1 Ali �i I t 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 ✓� 1 r8 ' 49 ' G 32 f� - 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 �=- 3-P `�' tl q L 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 4 , ti. -T I 9 • a Y _t - 3 F t ' I `--_�__ ,�4 - _ -,..-_.._ __ .._.__._ --.•_•----...._._...__--_... _ ...._-... _..._._...._._.s _ _ .. .,._- ._._,«,._._._ ,...... _--_ ._ - _ -.'c'_,�' ilk^-L � w J I i �✓i11 E' a -- z , a EX AJL7 L L ; PPL /C.H 5 I_E - - - ----- --- e X1S't?nc� • groun rof � �. S _Fy c_ E_ � V � T" � L E- ' MfiIJNOL E O ✓F,Q$ 7-0 Lti/lTI�/ti 0 - O--a — proposed grvvn� pro¢i !e ;` OF 14ET L O Iilj T � Cr-'-,:n. %4 . der ,�•f� _ 6C1-4ED, 40 PV, C. 1p2 - -- - F �.otom✓ - — �,, . � EC'UHL T"b SEf?T/C i r,i nirnurn '/g per- -�oo+, �2 Of �B - �21 �w�Shed 6Yone O J o o • 13 -�- o o + I D/s-r. Box X m ° ' • ° \\V 1 6" .5urnp � Q a � � • o - ,U r.�oo GyC.... 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