HomeMy WebLinkAbout0021 WOODCREST ROAD - Health �� Co
. �21
TOWN OF BARNSTABLE r
LOCATION —19& W000dcrest Road SEWAGE #
VILLAGE Marstoris Mills ASSESSOR'S MAP & LO �Qd-coq
'INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY 1000 gallon tank
LEACHING FACILITY:(type) leaching pit (size) 10000 .
NO. OF BEDROOMS .� PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER Vvoan-S�
• COMBER & SON INC.ATE PERMIT ISSUED: �
X
DZTE COLIPLIANCE ISSUED••_.... CEN TER VIL I E W n o o
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VARIANCE GRANTED: Yes No -r,�-333y .
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LOCATION, SEWAGE PERMIT NO.
VILLAGE
I N S T A LLER'S NAME & ADDRESS
BUILDER OR OWNER
r.
DATE PERMIT ISSUED
- DATE COMPLIANCE ISSUED _ y - 0 �
14
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No....e.a".V.1.� Fxs.....$.....20 . 00
THE COMMONWEALTH OF MASSACHUSETTS
0-72-DI06 BOAR® Off` HEALTH
....Town. ... ... ..... ...OF......----- Barnstable
Appliration for Uhip aal Works Towitrurtion Vrrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( X)[ an Individual Sewage Disposal
System at:
21 WooCcrest Lane Marstons Mills .
----------------_.........--------•-----...................------•-•--•------.................... .........................................................--.......................................
Location-Address or Lot No.
.......... ......................................................... ..........--.....................................................................................
Owner Address
W J .P.Macomber
•---------••----------------------•----.....---..........---.........--••••......•-•-••-••------•- •.......••--••......--•-•..............
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling X-No. of Bedrooms--.----..--_3------------------_-------.Expansion Attic ( ) Garbage Grinder ( )
`4 Other—Type e of Building No. of persons............................ Showers
a, YP g ---------------------------- P ( ) — Cafeteria ( )
04 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 ( )
Percolation Test Results Performed by.......................................................................... Date........................................
,.a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-------..-..-.-.-------.
fZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.-.--------_--..--.---.
a ---•••••••-•---------------------------------------•--------------------•--------------------------•---------------------------------------------------------
O Description of Soil.....................................Earnd._L...D.rc el--------------------------------------------------------------------------------..•..--------.
x
U --•••--••-••••••-••---••••----•-•-•••......•••••-•---------•--•-•-••-----•----••-•-••..........--•-•-•...--••••--•••-••••-•----•-••-•-••----•----•••-•-•--•-••••••--••---•-•-----•-••--•--•.............
W
UNature of Repairs or Alterations—Answer when applicable-
..........-----....................................................................................................1--1000---Ja11on---p t------------------------.........----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT p S of the State Sanitary Code— T e undersigned furtl r agrees not to place the system in
operation until a Certificate of Compliance has en issue board heal
Signe _ ------- _ $l 3./.$8.._--•-•-
................•-----•- Date
Application Approved By..................
Date
Application Disapproved for the following reasons--------------------------------------------------------------------------.................................
--•---•-----••------••---•--•-•--•-•---•---••-----•--•--•••-••-----•-•---••-•----•-••-•-•-•••--•.....•--........•---•-------•-•••----•-•--•---••--•---••----•-••-•-•--••--••-......----•.............•--
ec�� Date
Permit No........OV.."....Lf..- -1..................... Issued.......................................................
Date
No.. ' .:_. Fint ?to....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_._Tow.i. ................OF...........-Edrnat.a.ble _......
ApplirFation for Disposal Works Tonotrairtion Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( X)( an Individual Sewage Disposal
System at:
21 Woodcrest Lane Marstons Mills.
...-•••-.....-•-•-•---_...........--•-----•••••----------•--------------•••----__---..........----
Location-Address or Lot No.
..........ir_+- Y'-Y. --' Yl~a-y: .......................................................... _......•.............................
Owner Address
WId o f a L'1• .�L! Ar......................................................
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling;; No. of Bedrooms.............?_.______.__.________..____._.Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
W 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..
.................. 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__-_____-_______________
x
D Description of Soil...................................... and..&._Gr-ava--.........................................
U •-•••-•------•••••••-••-••._...••••••••-••-•-••..._-•-•••••••••--••••--•••--••-•••••....•--...••--•--•--•-••••••-••••-...---••••-•-_•••--•-••.._...___--•••••-•--------••••••••-•-•-...-•-••-......•••--
W
--------------------------------------------------------------------------------------------••••••---••••••••••••-._.----------------------------------------------------------- ....................
V Nature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________
..••••••-•••••--•--•••••-•-•---•-•••••••-•••-••-••••••••--•-••••-•••••-•••••••••--•-•--....-_--•....-••--•••--••••1" =C?QO . s�n..p.�.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
T�-1
the provisions of T.T'a 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issue by the'board oiealt
Sign. .. •--••• •--•-----
Application Approved B r .-" Date
Date
Application Disapproved for the following reasons:................................................................................................................
............................•------------....----------------...-----------------------•-----------------••-••.....••----••••-•-•-•-••-••-•-•--•-•-••-----•-•-•-••••••-•••---•-•-----••••-•-•••••..•-___
Date
PermitNo........ = 4_3j..................... Issued-.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Torn Barnstable
..........................................OF..........
CIrrtif irFatr of Tomplittntg
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired Z'("
by---- J e P e Macombe_r
s
----- taller
at
21 Woodcrest Lane Marstons Mil s
---------------------------•--------•---•-------------------•------•---•--------.---- - -
has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No........F u__:___yt.-3-,l____- 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
Toiin
OF.......................................................•--..._.......__._........._.. $ ?.0 c)f1
No..�4.:-._ FEE.............
y: .........
Disposal Works %Tonotrurtion rrmit
Permission is hereby granted---- J_._P.maComber--_-•••.•-••-•-•••--•-•••-•••-••••.......-•--•••••••••••-••••--•-•...•••-••••-•••••••-•--•.....-_•-•---
to aConstruct ( ) or Reppair TX) an Individual Sewage Disposal System
at 11a.._21 Woodcrest Lane Marstons Mills
--•------------•--------------- -------------------• -------------------------------------•---------------•---•-••-•--_.........._
Street
as shown on the application for Disposal Works Construction Permit No =.�1j./___ Dated..........................................
.............................. --••- ----••---------------------------------------------
rd of Health
DATE............. y=-•-
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS