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Home My WebLink About0105 LOMBARD AVENUE - Health 105 Lombard Avenue West Barnstable A=155-004 p sx: L e d _ i , 5 k = a h F e. .. .. F ., _, ., -„ � , :. � > w (oaf • +Yi.:� a�,Y+K,y.': i i 4210113 FLU 10% `DP4 y �, TOWN OF BARNSTABLE LOCATION 1-0,4.4crc/ 4vG SEWAGE # ��- 36 VILLAGE I)e57- j3cir—,ris7r',J1 . ASSESSOR'S MAP & LOT CIO CIO�l INSTALLER'S NAME & PHONE NO.J. SEPTIC TANK CAPACITY ��y 9 L. LEACHING FACILITY:(type) 0i 7, (size) NO. OF BEDROOMS ,� PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: LOO VARIANCE GRANTED: Yes No \S, 1� ��;.��' �i _, � � � . � )S� � �� 1 , � 9 00 No....C�.-10 3L-� FzB1....a 00- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Applira#ion for Disposal Works Tonstrnr#ion thrutit Application is hereby made for a Permit to Construct ( ) or Repair (KX) an Individual Sewage Disposal System at: Lombard Ave West Barnstable _- --- -- --• .•--------------------------------------- - - .... --- • .._.......__.._.. _ Location-Address or Lot No. Robert r t Wheeler - ...... _ ._ ... -- ---------------------------------------------- ..........--...................................................................................... Owner Address W J.P.Macomber Jr. ..-----• -------- ,a Installer Address Pq 1� Type of Buildin Size Lot............................Sq. feet U Dwellin No. of Bedrooms.__.._._.._a............... ..._Ex Expansion Attic a g ---------• p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther 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 ( ) �-t Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit................:... Depth to ground water........................ f=t Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W •---•-••--••-----------------••••••--••--•-••••-...•-••-------••....••-••-•---•-•--••---.._....--•-•........................................................ 0 Description of Soil...............................................................................---------------------------------------------------•------------••......-•••------.-•-•- v ---•----••----••••......•-•--•......--•--•Sand-----•-------------------------------•--- W V Nature of Repairs or Alterations—Answer when applicable............................................................................................... 1-1000 tank -1000 leaching 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 Compliance has been issued by the board of health. Signed -�1:-. 8/13/90- - .Dare -------------- Application Approved By C - --, -- ------ Date Application Disapproved for the fo lowing rea.ro - ------------------------------------------------------------- ...............---------------------------------------------------- ....................----------- ---- -------------------------------- ---------------------------------------------------------- -------------------------------------------------------------- --- --------------- ------------------- r— Date PermitNo. .........4r.........3-6--r� Issued ----------------------------- .................................... Dace ) No.. 9,r_:'�_5 - ' Fics..A+... ().f.!�:a- -7...v THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH TOWN OF BARNSTABLE r � Appliration for Uii pposai Works Tonstrnr#iun Permit S. . Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: > ' 1 . i. Lombard.-Ave West Barnstable ....= ......... ....••-------•--•--•-•------•---..........---- ......--..........................- Location-Address or Lot No. Robert Wheeler f`<, owner ` N Address w J.P.Macomber Jr__:_' f . ....................................................._--------------------.........---------- ---�-.`......---..........:-------.......------------------------•--•-•----•---------•----•--•- Installer , Address U Type of Building -h \, Size Lot............................Sq. feet Dwelling-3No. of Bedrooms............ ..........................(.Expansion Attic',( ) ti Garbage Grinder ( ) Other—T e of Building No. of ersons......___�. _:___. Showers , — Cafeteria C4 YP g P ) ( ) Other fixtures ........................................................ ga--------•P-•-- ----••-•-- ••-.\-• ----••----••/..-• ---- \.----------•--•-••--•--•-•--•----•-•-•-•-�---•-•- W DesignFlow............................................ llons er person per day. Total dailyflow............................................ Ions. 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........................................ aTest Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Nt.................... Depth to ground water--__--_-__-___.._____- 6 ODescription of Soil...............................................................................=-=----------------------•----•--•-------•--------------------------------•------------- U ---.....--•--•------•---- ¢S .ZIC ......................................----------------------------------------------•---....---------------------•----------------------•-------- W ------•----••----------------------------•-•-----••----••------------•------•---_-----...•---•--••-----•-•---•-----------------•--•-•-......--••------•----•-------•---------•--------•-••----•-•-•--- UNature of Repairs or Alterations—Answer when applicable.............................................................................-.._..._.._._.__. y 1-1000 tank 1-1000 leaching 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 Compliance has been issued by the board of health. Signef .�"° - ------ v d s,.�.=---�------�-�,-�%;�-'�r�_--'-�--f-t�-Win'-------- 8/13.�.9r�.. -- -- Date ,Application Approved By -------------- --- ...--- ---- -------------------------------------------------------------- -- �------ Application Disapproved for the fo lowing reasons- ------------ -------------------------------------------------....................---------------------------------------------- .............................--------------------------------------------.................................................... ............................................-------------------------- -------------------------- ............ Date Permit No. --.._.. .. ' ........ ........ Issued ----...------ ----... Date THE COMMONWEALTH OF MASSACHUSETTS' BOARD OF HEALTH TOWN OFMARNSTABLE C9ertifira of C�ompliaare THIS IS TO CERTIFY, That the,Individual Sewage Disposal System constructed ( ) or Repaired (XX ) by......T....R.Ma c.omb.er--.--Jr.,.--- ---------------=-------------------------lle------------------------------------------------------------ -----------------------------............................ � Instar at ....5 ....Lombard__ Ave. West Barns table -- .. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ......�9. :3-4----�.......... 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 TOWN OF BARNSTABLE NO... L.-., FE4.....O-,r,0... Disposal Works Tonstrur#iun Permit Permission is hereby granted-J.P.Macomber Jr. ......----•-..•--•-••--•--•--••---•--•.....................•-••--............................................ to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at No..._55... ombard Ave. West_ Barnstable Street as shown on the application for Disposal Works Construction Permit No�&. Dated.......................................... . B ----------------------------- Har DATE.----....... ...............................-••-------- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS