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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 g . VARIANCE GRANTED: Yes No -r,�-333y . a �c 9ti a r 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 v � 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