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HomeMy WebLinkAbout0080 WALNUT STREET (M.MILLS) - Health m a rs T"v�,s r 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 r NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER" Q,.[ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i � ' ' °"' Q � ._. \�`' o � � � �� � ` � � -�� �� o � �sL� _ ��r� ��.� �� � � \ � t �` � \ ��� / a� ._ � e��__ 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----------------------------------------------------- ' r ...................-------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------- � / / 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 �� FORM 36500 HOBBS 6 WARREN.INC..PUBLISHERS