HomeMy WebLinkAbout0080 WALNUT STREET (M.MILLS) - Health m a rs T"v�,s
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TOWN OF BARNSTABLE' Y
LOCATION $0 � S1 SEWAGE #
VILLAGE t1Yl ar.570As ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. /`/clam be.-nr.SaA 2)7 c_
SEPTIC TANK CAPACITY_, G(>�C�L
LEACHING FACILITYAtype) pj 7 (size) GGG
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NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER" Q,.[
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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2 Fps 30.00
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
1 I O( b TOWN OF BARNSTABLE
Appliration for Dispniial Works Tnnstrnr#iun 11amit
Application is hereby made for a Permit to Construct ( ) or Repair X�X ) an Individual Sewage Disposal
System at:
80 Walnut Street Marstons Mills,Mass .
................___ _-.----.........------.....---.....---....... ----...-----------•--........------------•-----•-•---.._......_........-•-•••-----
St a c kh.._.. --- - .................................................. •.....•-••-•••-••-..._.........--••-•---•••••••-••••••-•--------------..........--......_.........
W
J.P.Macomber JrO°wner Address
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling X-No. of Bedrooms..........3...............................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. 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.........................................................................................................................................................................
x Sand & Gravel
v .....--•--------•-------•-••---------------•-•-•-•--••-----------......-•--•••••---.......••••••------•----------------------------------------••••--•.............••---------------••---•--•-------•••--
W --------------------------------------------------------------------------------------------------------------------------------------••---------......................................................
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
--------------------------•-----•1-100Q.. allon...tank...l-lOJO...gallo.n leach 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 en�gb y the b rd health.
Signed - - 8/30/90
�. ......
Application Approved B . ^30ka
PP PP Y --------- ---------------- ------ ------ ----- -----------------
Dace
Application Disapproved for the following reasons- ------------------..................................................
--------------------------------------------.............
----------------------------------------..........
................................................--------------------------------------- -------------- -------------------------------------............................. .......--------------- ----------------------------
Q Dace
Permit No. 7Z �i Z... Issued Lr2. 2v
. - Q.
re
THE COMMONWEALTH OF MASSACHUSETTS
--=- -BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Disposal Works Tontrnr#ion Frrntit
Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal
System at:
80 Walnut Street Marstons Mills,Mass.
--... --....______................................ .__....._..... ---.......................
- ......................................
S tac khous a Location-Address or Lot No.
..... .................. .....---•-•---------------------••-•.._.... ..........-----------••••--•-•----._._.......- res.s••-••-••--••----•-••--•------•-•--...--....
Owner Address
W J.P.Macomber Jr.
Installer Address
Pq
d Type of Building Size Lot............................Sq. feet
V Dwelling—No. of Bedrooms.........._?..............................Expansion Attic ( ) Garbage Grinder ( )
Other—Type T e of Building ........... No. of persons............................ Showers — Cafeteria
a yP g --------•------•- P ( ) ( )
P4 Other fixtures ------------------------------------------
d -------.---------------------------------------------------------------------------- ------------
W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................
WSeptic Tank—Liquid'ca.pacity._..........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 ( ) ,
a 'Percolation Test Results Performed by.......................................................................... Date........................................
1.4 Test Pit No. 1................minutes per inch Depth of Test Pit--------------_..--- Depth to ground water........................
LL, Test Pit No. 2................minutes per inch Depth of Test Pit------.------------- Depth to ground water........................
a •----------------------------------------------------------- .............................................................................................
0 Description of Soil...............................................................................•---•-----------•------------•----...--------------------•----------------••-...--•-•---
------------------------------------Sand... ..Grave 1--------------------------------•-------------.....-----•----------------•-----•---------------............------------------.
W
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
1-M f)..u J canQUO--.gAllon leach T) 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 Complian a has been is-sued
by the board ofj health.
�" 7�/ -
Signed --------"'-�......-�- =-:.. .--�-�'----------�- �-^------------------------ --8�3��9��--------------
A J
pplicationApproved By ---------�.........-----"i,G ----------------................................ �1 �dj `'`3... ......................................
Date
Application Disapproved for the following reasons: -=r-----------------------------------------------------
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...................-------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------
� / / Dare
Permit No. ----- ...^ � Issued � lc� c�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
C�er#ifirate of (VILTuntylianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX)
by ...J P.Macomb-er...Jr..
------------------------------------------------------- ---------------------------------------------------------- ------
80 Walnut Street Marstona Millgt,5t""
at ------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------- --- ---
has been installed in accordance with the provisions of TITLE 5 The State Environmental Code as described in
the application for Disposal Works Construction Permit No. .......... . .. 9.---------- dated ........ .��� �..------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE ��" .--./...-. �/1 Inspecto ... -----------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No�� .r"•392-- TOWN OF BARNSTABLE FEE....$..30.00
Disposal Works Ton#rnrtion "panti#
Permission is hereby granted.......J..P.Macomber Jr•.---------•-•.........................................................................-•--
--------------------•-..........
to Construct ( ) or Repair (Xlj an Individual Sewage Disposal System
at No.......Q..�lalnut Street Marstons hl .11s-----------------------•-•-•-...-•---•--- .... ............
Street
as shown on the application for Disposal Works Construction Permit No.M_� )ated....-` 3 ���..............
.........................= -•---..........-•----..................-•-•--....•----••-
DATE_ Board of Health
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FORM 36500 HOBBS 6 WARREN.INC..PUBLISHERS