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Home My WebLink About0314 ROUTE 149 - Health i 314 Route 149 078-032 Marstons Mills i i f At F TOWN OF BARNSTABLE LOCATION 3/`l k-F f y? SEWAGE # VFUAG ASSESSOR'S MAP &LOTI'78" 4-1-3 2 INSTALLER'S NAME&PHONE NO. -T?e)Mw-, 9rnb P r 'son Mo.r - SEPTIC TANK CAPACITY 1 5 0® LEACHING FACILITY: (type) tA— (size) tOO O NO.OF BEDROOMS BUILDER OR OWNER 7701 1Cid.�11� PERMITDATE: aD� COMPLIANCE DATE: 7-;? � Separation Distance Between the: , Maximum Adjusted Groundwater Table and Bottom of Leaching Facility o; Feet Private Water Supply Well and Leaching Facility (If any wells`exist 'Feet on site or within 200 feet of leaching facility) � Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet f leachin ac' ty) Feet Furnished by ° 4 a II Ll 'i -3c�_ No / -rye $ 3 0 0 0 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diti-pntiul Wjarks Tomitrnrtinn Fautit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: ...................3.1A...Rsate...JA9---Mart5Qns---MIils Massl------ Location-Address or Lot No. Beatrice Carlson ......................_.......................................................................... -----••---...----•-•••------•-------•-•----•--•--••-•---------•-----•-••-••---------••--••----•--. Owner Address aJ.P.Macomber Jr. Installer Address Type of Building Size Lot............................Sq. feet .� DwellingX- 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 ( ) Percolation Test Results Performed by-......................................................................... Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit--.--.---____--__.._ Depth to ground water........................ (� Test Pit No. 2----------------minutes per inch Depth of Test Pit._.__ ept to —ground water........................ i a ------------------------------------------------------- .----............ 0 Description of Soil-----------------------------------------...................................................S.and---&...G.ravel...................................---- - -------- - ---- W --••----------------------------------------------------------------------------------------••---• -- U Nature of Repairs or Alterations—Answer when applicable.-._. -.- sspo-o.l.s---_-Ins.t a11...1--_1.Q.Qja__. _gallon...tank 1 -distribution box and -1 --1 000_--gallon ea ked in Agreement. stone. 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 ssued by the o s-d of health. Signed -- ......... 311.3f.9.,�.........:...... Dace --� Application.Approved By ._....----- - - - - - ------------- --------------------------------------- ........................................ Dace Application Disapproved for the following reasons: ..................... -- ................................... . . .... . ....-- .................................. -------. .... �. Permit No. - - - -------------- Issued Dace . ——————__ I No.,,,?.... � � ✓� FElic ....30.-.0.0... r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ` Appl ration for BiaVooul Works Towitrnrtion runfit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: ....................�4... �?> t P_.1.4 ..Ma.itsons M111s Mass ...................... Location-Address or Lot No. Beatrice Carlson ......................-.......................................................................... -----------------------------...------••••--------------•--••---.............-----................ Owner Address W J.P,Macomber Jr. -------------------------------------------------------------------------------------- ------------ Installer Address UType of Building Size Lot............................Sq. feet �-4 Dwelling X No. of Bedrooms..__.._.__3_ __________________---.._.--Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------. Showers ( ) — Cafeteria Otherfixtures ------------------------------------------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacitv------------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........................ P' ----------------------------------- •----------------------- -..................... •------------------- ---------------------- •............... •.................. O Description of Soil........................................................................................................... ............................................................ x ------------------saP.a...a.....r.-a.c e-1------------------------------------------------- U W ----- -----------------------------------------------------------------------------•----------------------------------------------------- ............................................................ M. Nature of Repairs or Alterations—Answer when applicable-----O.91z:t---G4.S.S�.00'7a_a-_-.1wit.all...1._nlQQQ.... ..gallon- tank 1 distribution box and 1-1000 gallon Teaching pit packed in Agreement: stone. 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 bo d of health. Signed --- ---- -- - ------/... . 3.�.1.3/-9 5....... .... .. ... ........... ..............................__. ' Date Application,Approved By .--- _.. ��t - � '._5 ........_....... - ,�`". '!� `.... Application Disapproved for the following reasons: .....................................................................................................---------.. Date ----------------- ---- ------------------------- -------------------------------------------------------- ------- Permit No. ..�:� �'. 1�.............. Issued ..... -s... ......................................... Date -- -,.tee------ ---,_._._,.__.._._,_.._.__._. — _..._—__—_. THE COMMONWEALTH OF MASSACHUSETTS Lr BOARD OF HEALTH TOWN OF BARNSTABLE 'Clertifirate of Tompliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXXI), J.P.Macomber' .Jr. - - bY ------------------------------------- --------------------------------------------------- i+. ImOle, at -----------------314 Route 149 MaAr rstons Mills.,Mass. - ------------------------------------------------------------- ......................... .............. has been installed in accordance with the provisions of TITLE of The tate Environmental-Code as described in,� the application for Disposal Works Construction Permit No. . - ......... _. dated r'.. ,/�.� ,� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE O TRUED S A GUARANTEE THAT HE SYSTEM WILL FUNCTION SATISFACTORY. DATE----..-7'"-- � -.....--------.... .......... Inspecto - ram.:--'---------------- ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.9 FEEL..3 �.�0..... Mipoottl Work.5 Tono#rution "rrmit Permission is hereby granted.....J.-P. Macomber Jr. - ... to Construct ( ) or Repair '?t) an Individual Sewage Disposal System atNo...-----31-4---Route...1.4..•- Marstons..Mills_,Mass..--------------------------------------------------------------------------•-••------- St •e -----.. as shown on the application for Disposal Works Construction Permi y d Dated_- Board of Health DATE------ % ...... !l// "__X ---------------------- FORM 36508 HOBBS R WARREN,INC..PUBLISHERS TOWN OF BARNSTABLE r /J LOCATION 3�� /7Te �7 SEWAGE # VILLAGE ASSESSOR'S MAP & LOT 679^632 INSTALLER'S NAME PHONE NO.(j /. %i(lt,�®!+ C, SEPTIC TANK CAPACITY �7 LEACHING FACILITY:(type) � / (size) L NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE-ISSUED: 4 l VARIANCE GRANTED: Yes No J i r1 \�� i \ �/ '. � � , � _i�, .- • ��f a ��. � __.. ___ _ __ R