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Home My WebLink About1127 OST.-W.BARN. RD - Health 11.27' Ostty Marstons Mills A= 125 — b3 i TOWN OF BARNSTA/BLE L/ LOCATION lIZ-70,5:7Cr1j]( e-l✓ SEWAGE # VILLAGE ��i�3h S/',/Jf/�,J ASSESSOR'S MAP & LOT -Do 2 INSTALLER'S NAME & PHONE NO. ��l4CcJy�,��r7`r�c GrL� r SEPTIC TANK CAPACITY LEACHING FACILITY:(type)�, r (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ti i i �. � - � �/ i �� `� /��% � Y �� / ' �� s i., , L---- '. No...1. - .�..... FEB....$....30 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALT _ )TOWN OF BARNSTABLE , lirtttilan for Disposal Works Grin Application is hereby made for a Permit to Construct ( ) or Repair �X) an Individual Sewage Disposal System at: 1127 Osterville West Barnstable Road Marstons Mills ................_--......_...................................................................... --•------•----•--..._.............__..._....-•--------............------------.........------•••-• Sutherland Location-Address or Lot No. W J.P.Macomber Jr. Owner Address ......... --...._. ,-� . ................................... . .. Installer Address Type of Building Size Lot............................Sq. feet �-, Dwelling X No. of Bedrooms...........a..............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building _______________ No. of ersons__________.________.___.___. Showers p., yp g ------------- p ( ) — Cafeteria ( ) p" 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 ( ) 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 ••••••-••-••----------------•-•--••-•••••-••••••-•-•--•--...••••••---........_•••-••.._.....__----•-......................................................... O Description of Soil............. and-&-Grave 1•-•..............••••-•••-••.-•-••---•--•-•----•••-•---•-•--•••••---•--•••-•-x V ._..---••-------•-••-••--•--•••••--•-••-••-••-•----•••-•-•-•••••-•-•-••-•-----•---...•••••-•------••-••--•-••-••--•-----•--•--•-•••••-••------_.. W U Nature of Repairs or Alterations—Answer when applicable-__1-15QQ----allon tank 4-- fflowdif•fussors or four sallies . .............. Agreement: _ The undersigned agrees to in's6rl'1 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;cehas be ssued by theoarof health.� 2/1�/92Signed ..- . ..- � .. .. ....................................'--------- ....------------ ...--...-..--...- Dare Application Approved By . Dtte Application Disapproved for the following reasons: .. ----------------------------------- Dare PermitNo. --------------------------------------------------------------- Issued ---------------------------- --.......................... ----- Dare 77 THE COMMONWEALTH OF MASSACHUSETTS FEB BOARD OF HEALTH/� TOWN OF BARNSTABLE Appliratiou for Disposal Works Tonstrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair :(LX) an Individual Sewage Disposal System at: 1127 Osterville West Barnstable Road Marstons Mills ................--.............................................................................. .....------......__...•-•-•-------••----•--•------•-.........------•-----......--•................ Location-Address or Lot No. Sutherland ---•------------------------•-•-----.........---......-----------•......-- ..........--...................................................................................... W J.P.Ma e omb e r Jr. owner Address Installer Address UType of Building Size Lot............................Sq. feet DwellingY—No. of Bedrooms............ ..............................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type T e of Building ........... No. of ersons---------------------------- Showers 0.1 YP g ----------------- P ( ) — Cafeteria P-1 Other fixtures .........•---------•------------ . w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid capacity............gallons Length--------------- Width................ Diameter------------------ Depth....... x Disposal Trench—No. .................... Width..................... Total Length.....................Total l aching area....................sq. ft. I , -� 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........................ ri Test Pit No. 2................minutes per inch Depth of Test Pit--------_........... Depth to ground water........................ a --------------------•--•----------------------------------.......------------.........--•--••---•---......................................................... 0 Description of Soil.............8-&n.d.... ---------------------•--....... x w ---"" UNature of Repairs or Alterations—Answer when applicable.... _-15a0__gallon__tank_.___4-__flUwdifftz sots fir_.-fQulr__ a..J,la os t......................................................................................................................................................... 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 been 'ssued by the board,of health. - .2/18/92 Signed ------ ....-- Dare Application Approved By ................. .... �,��r �.,.=•� - ............ V Date Application Disapproved for the following reasons: ------------------------------------------ ----- - -- ------------------------------------------------------------------- ----------------------- ---------------------------------------------------------------------- ---- --------- ------------------------------------------------- --------------- --------..............----------------- Date PermitNo- ------------------------------------------------------------------ Issued ----------------------............................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Q-Ter#tfirate of C�ontylianre THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired (XX ) by J.P.Macomber J'r. -- ------------------------------------------ -- --------------------------------.--.................................................------....----------------- -------------................. Installer at -------1127--0.-;-te.rv11l.e...Tie.s.t....Ba nB-t.ab.le....Roa.d....Maxc.t.on.s....M-1-11 S---------------------------- ...................... has been installed in accordance with the provisions of TITLE 5ol 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. DATE----- ------ -- ------------------------------------- -- ---.............................. Inspector ------..................... ---•---...------.......------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No...!.Cr..:.�� FEE........�J..-�O Disposal Works T11ntrnr#ion ami# Permission is hereby granted..JA ... A_c !rlhP ..Jr................................................................................................ to Constr ct ( or Repair :�X) an Individual Sewage Dis osal System p cLt27 �stervil e West Barnstable ]fto_ad-- M��rstQ�s___� -��_s_x_________________________ at No................................................................................................................ 1 /cam as shown on the application for Disposal Works Construction Permit No!� !7... Dated.......................................... •----•----------------------•---- ------. ............................................... ............................... r Board of Health DATE. .... -... _�. �/ FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS