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Home My WebLink About1212 ROUTE 149 - Health �- .L - -s I �I �. ��-- I �� ,�`Yh�s s �.� � - � C Y Q / � No.--12.-ll" F�s...$.... Q.�..QQ THE COMMONWEALTH OF MASSACHUSETTS O' I BOAR® OF HEALTH ...---....T-own....................OF.............. a-r.ns t-a-b.l-c-_-------_---------.._.------.--..----- Appliration for Diipngal Works Tomitrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 1212...E-ga e.....9:9...kkar-atolls...Mil1-s-,-mass . --•--••.....................•--------.....--. Location-Address or Lot No. Paul Thomas ......-•..............- ............. .................................................. •.._.._......------......-----.._....•--------•------•------............._......._................ Owner Address W J.P.Macomber Installer Address Pq d Type of Building Size Lot............................Sq. feet U Dwelling X-XNo. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Otherfixtures -------------------------------•-•--------------•-------------------------------------...------------------•--------------------------.......--------- 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.................... Depth to ground water........................ ---•-------------------------------------------------------------------•-------•----•-•-------•--........--------•----•--•-•-----------------......----•---- 0 Description of Soil.............................Sand...&...Dmave_1....................................................................................................... x V ..............................................---•-----...------------------------------------------.....-----------------...------------------------------------............._......-••---------------. •--------------------------------------------------------- ----------------------------•---------------------------------------------------------------------------•-------•--•-------•-----•...--.----- U Nature of Repairs or Alterations—Answer when applicable.__._1_-10 0.0_-_gallon-_tank........................................ -------•------------------------------------------------------•---•-------•--•----......-•--••---•-----.....L=1 00--•galifln-Pit.------------------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL is 5 of the State Sanitary Code— The undersigned furtt:er agrees not to place the system in operation until a Certificate of Compliance has been issued t boo rd of heal Signed- -- . ---------------------- ---5./3./.aE.......----- Date Application Approved By------------- ----•-.... ------ ate Application Disapproved for the following reasons:-------•--------------------•-------•-------------------------•-----------------•---------------•-----••---•---- ----------------- -••--------•----•---------------------------•-------------------------------------------------•------------------------------------------------------- Date Permit No.__ __ - .......................... Issued................. Date No.... • THE COMMONWEALTH OF MASSACHUSETTS Finc .....2.0,00 BOARD OF HEALTH T-Gwn............. .......OF.............Ba-Annst-able-------------------------- .......... Appliration for 14.5voiial Worko Tom4rurtion "amit V Application is hereby made for a Permit to Construct or Repair �X) an Individual Sewage Disposal System at: 1.4.9...Mda-r.st-oA�s... - -------------------------------------------------------------------------------------------------- Location-Address or Lot No. .P.aul...Thoma ...... ........... .............gL...... ..................................................... .................................................................................................. Owner Address ............................................................... .................................................................................................. Installer Address Type of Building Size Lot............................Sq. feet U DwellingXXNo. of Bedrooms............................................Expansion,Attic Garbage Grinder ( Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( Otherfixtures ...................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width.__....._....... Diameter__.____..._.__.. Depth......_......... Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter._...._..___.__.__.. Depth below inlet._..._.............. Total leaching area..................sq. f t. 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......_.._..........__._ P4 ............................................................................................................................................................. 0 Description of Soil............................Sand.. Gr-a-val------------------------------------------------------------------------------------------------------ "4 U ......................................................................................................................................................................................................... ...................................................................................................... ................................................................................................. U Nature of Repairs or Alterations—Answer when applicable---lml-0-00---gai-Lon---t-a-mc------------------------------------------ --------------------------------*.........................................................................1!n1_G0_0---gal'i-on---pit-------------------------------------------- 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 issued?b taWk b rd of heal Signed 4. ?ty..........------- Z....................... ...5.,/3/aa_--------- '777 Date Application Approved By....... ------------------------------- ....................................... date Application Disapproved for th e f wing r ons:................................................................................................................ ........................................................................................................................................................................................................ Date PermitNo....6 ......... .......................... IssuedL..................Date................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............I...Town.........I....OF.......PAXAqt,01P.............................................. T-pWrtifiratr of Tontlitiatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired (X)� by_J...P. ...........Macomber.... ... . .................................................................................................................................................................. ............ Installer 1212 Route__ 149 Marstons .M I I-I-S---at. ._._ ........... - has ---------------------------------------------------------------------------------------------------------- been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No--------*X8.-I------- --------------- dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL Nbhi OYATRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE._._... V a---------------- Inspector................�.'. ................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable No_q�� .........I.................................OF..................................................................................... FEE.1....2.0-...0.0.. 0 8 M Disposal Works TDOnstrurtion "rrmft Permission is hereby granted....................J_-.P.-M.acomber..................................................................................................................... to Cons ol�ReT ,%an Indi,idu�l kiwage Disposal System E ROUT e M rstons 1i s atNo................................................................... ............................................................................................... ............................ I Street . as shown on the application for Disposal Works Construction Permit No..-,R___ , ... Dated.......................................... ................................. ------------------------------------------------------- ............... ..... a of Health DATE. 5. 7 - tT......6�y------------------------------------ FORM 1255 HOSES & WARREN, INC.. PUBLISHERS ASSESSOR'S MAP NO. PARCEL 6 LO CAT ION SEWAGE PERMIT NO. V'i L L A C E I N S T A LLER'S NAME A ADDRESS . d U 1 l D E R,p OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 7g LOCATION SEWAGE PERMIT NO / V 1 L L AG E ""'— i 03 -a�z INST LER'S NAME & -ADDRESS , 4 B U I'L D E R 0 OWN E louj DATE PERMIT ISSUED DATE COMPLIANCE ISSUED L R ` YY No.......�- [• ' Fix. . THE COMMONWEALTH OF MASSACHUSETTS 1� BOARD OF HEALTH ................ _............--------OF..................................... ----------------------............................ Appliration -fur ]iipwial Workii Tomitrurtton Vanift Application is hereby"made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: . ...........�_. ation dress or Lot No. Pt -!-. t�...0-� �------------------- ------------------------------ Ownggr�� ((�� S � S i?Ja�1S t11c Installer Address Q Type of Building,.-- Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.--__-__�.............................Expansion Attic (06) Garbage Grinder V6) Other—Type of Building )_----_.-. p S ( ) Cafeteria ( ) --.--•-••-•-----------------------•- ------------------------- ---------- ---=-------------- telfls2_� No. of persons .....................__ hoovers a' Other fixtures ............... Q - W Desi n Flow -_.__.$�__ ___ _______________ allons er et-son er da Total dail flow.......�O--...__--__--_._ .-------g _ _ . _ g P P P Y• Y - gallons. WSeptic Tank Liquid capacity./ gallons Length................ Width-------- ------- Diameter---------....... Depth---..-_--_.-__. x Disposal Trench—No. .................... Width------------- .-- _ otal Length--_-_-_-___-._._---- Total leaching area-------.____..------sq. ft. % Seepage Pit No..__--_I_--_--__-_-• Diameter__..../✓A `D p h below in et..................... Total leaching area.--_--------.-__--sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Q� j�G - 3- 7 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.-.--.---_-------__-. --------------------_-• ------ . t Description pf�Soil .-- --6 ........0 .�.... - - - ---------------- -- Y- W •`Z ;t �.2.� ------------------------------ ------------------------------------------------------- ..................I-------------- - - ---------------------------------------------------------------------------- --------------------- VNature 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be&udt e of health. tied. ... -• -.-.- -------------------- Date Application Approved By.._..: .. __,�_"..7 ..__.. Date Application Disapproved for the following reasons-------------------------------•----------------------------------------- ------------------------------------- •••-•••••••--••---••••----•---•-•••••-•---•------------------•••••--••-•••••-•---•.._....•--•--•--•-•••••••-••••••--- ---------------------------------------------------------------------------------- Date PermitNo......................................................... Issued......................................................... Date ----------------------------------------------------------------------------------------------1------------------------------ J THE COMMONWEALTH OF MASSACH.USETTS BOARD OF HEALTH _ ................OF....................................... -- ............................. - ,��Iir�ti�r��-fnx �i��i �rk� Cn>aat��rnr�ilun �rrmit Application is hereby`made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at t -------------- ------ 4 6........... -- t.....i.` aw - --------- at ion, dress -- or Lot No. — ^!'.fir ► ....:-----•-----•. •------------------- .{---•--•-------------------------------•-------- y�Own�r,{ 1 ..............................•-•-•- Installer Address of d TypeDweBllindiiigNo. of Bedrooms............. Size Lot___.____.......___..._.._._.Sq. feet U g __ ___..__-____Expansion Attic (&4) Garbage Grinder ) pi Other—Type of Building ____WD.0-1)--------- No. of persons____________________________ Showers ( ) Cafeteria WOther fixtures ------------------------------------------------------ W Design Flow............. -------------------------gallons per person per day. Total daily flow.......& 0..........................gallons. V4 Septic Tank—Liquid capacity_-_________gallons Length---------------- Width---------------- Diameter---------------- Depth---------------- xDisposal Trench No_ __________ ______ Itdtli_.. otal Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No.......I-___ _______ Dtamef f: e h below inlet.................... Total leaching area......._----------sq. ft. Z Other Distribution box { ) Dosing tank ( ) .r Percolation Test Results Perfcf' ed 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 .�f Test Pit.................... Depth to ground water D Description pf jSoil �" .' i '"' `f/ „2- k#ALA"v - ----- x ------------------------------------ UNature of Repairs or Alterations—Answer when applicable ..____ -------------------------------------- _ ;`........................................................... ....... -_-____ 9 Agreement .,,_.., The undersigned agrees to install the aforede`seribed Individual Sewage Disposal System in accordance with the provisions of Article,XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i u d b t e of health. - tied.. :... •••-• ....... / ....... ................................ Dat Application Approved BY ...: _:. -- ---- -- ----• .--••-•---••- ....`.�__''-.,�+�""�. Date Application Disapproved for the following reasons:............................. ------------------------------=------------ ............................ -•••••••••••-•-•-••--•----•-••••••--•----------------------------------------------------------------- ---------------------------------------------------------------------------------------------- Date Permit No. ---=----------- Issued ----------•••--- Date k THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH , OF.... ..... . _ Tntifiratr of Agumptianne THI IS TO CERTI iat the iv•dual w e Di s Al System constructed ( _ r Repaired ( ) by.....,«. r --------------------------- - ........... talle J at...."` �� + � '�`}; ---------- . ... has been installed in accordant e with the p SM.(ns of Ar I of The State Sanitary Code'as described in the `�. t application for Disposal Works Construction Permit No......... ._._. + ........ dated-----: ` +1..... ............... THE ISSUANCE OF�"'PHIS CERTIFlcATE SHALL NOT RE CONSTRUE® AS A GUARAwA1TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY., DATE---=•�•------• �`----'��,"--_:-='�- j------� -1--._a ..�c....... Inspector...... , . --- .h.� THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALT - J .. No......................... FEE ------ . b Binvolitt .rkg .6trn it rrmi Permission.is reby granted__.«�_ to Construct ) or Ree�air ) a Indivl I ,age is osal Syste " .at` ��E��1��1 t +r ' Street •..` .•...as shown on the applicatior for Disposal Works Construction Perm* ------ _1 ___ D-lt I __ Board DATE......... -------------------..._._....••---•- ........ FORM 1255 Hoe WARREN. INC.. PUBLISHERS .. r w � � r 00 nn#u �4 �...�� . ns tilt TF 14 t!4 t CEIZTtt=1EU ,,pI.OT Q,�1/_./-L1�1 GmzzTtF-� T"A-r TI41_ Qw.uA'nQQS"OW►J PLAN.;! '�Z i'"C2c►.1GE ur-lQEaW GOAAPLVG WIT" THE 5tvE_LlWe-- p Atita St`T8,AEK iZ64UjiZe AE"T4 -TO ww 01=. RATE .S 7- Y ( 4 1�iY 1QG- 4 REGIStc-3�ED LAWO SUZVEYOeS Tt{15 V(-AW IS i...IOT B4SSI:) 01~1 AW OSTE2V�l,�In o MASS. IW,5- QcJAAGt,IT 5u2vcY J TW= OPC:5ere, S"OUJtr> APPt-t CA."-r .--- * bT gE u5co TO t)c7ceMiW& I.OT LIWES f v� I t`10 &A A.G