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Home My WebLink About2346 MEETINGHOUSE WAY/RTE 149 - Health 2346 Meetinghouse Way/Route 149 y ,West Barnstable L 155-0Y6-001 a r c , ..� g4 .. J a .. e .. .... �. � . III 5 � —'tl 4• + � f - :'.', ,P c {s. 4 , 1 � a .. .� ' n.. e - a'n ,S� _ 6 ��@ •'s �'�. '�s,f� �s GYf a 4G� � tT' o age _ , v + q y 'a y °Y , a er , ° 4 ' * r I a 1 NO. Fee--A� BOARD OF HEALTH TOWN OF BARNSTABLE ApplicationArlVell Confitruct ion Permit Application is hereby made fgr,a pe it to Construct (,-r, Alter or Repair ( )an individual Well at: Location — ress Assessors Map and Parcel J Owner Address ---------- 4; zw ------------ Installer Driller Address 7 Type of B i' Other - Type of Building No. of Persons--------------- Type of Well-- Purpose of Agreement: The undersigned agrees to install the aforidescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate o ompliance has been issued by the Board of Health. jat�eApplication Approved By--- /93-- date Application Disapproved for the following reasons: date Permit No. q(0 Issued date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ('Altered ( ), or Repaired by------------ Apllllwa ----------------—----------- at Installer ——----- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector —OY' ---�-— ---- __ _----------- Fee- No. - BOARD OF HEALTH TOWN - OF BARNSTABLE 01ppiicat ion-*rVeil Con0ructionVermit Application is hereby made for a permit to Construct (i); Alter ( ), or Repair ( )an individual Well at: -----------�------ Location ----AddTress —_----- -Assessors Map and Par_ce'lf ----- Owner Address T— � t Installer — Driller Address Type of Building-,---" ---- ------ --- - Otei -'Type of Buidin f - -�-No.- Per-sons-- APIA ' Type of Well ------ -- pacity----------------------- -- - Purpose of Well--- -------------— Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board o Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate o ompliance has been issued by the Board of Health. --- t ate � �j Application Approved By — ------ --------- 3t)103- date i Application Disapproved for the following reasons:— --------- --- ---- - ---— -------- date Permit No. k: y (0) ----- Issued----------�---- --------- -------- — date BOARD OF HEALTH -_ -TOWN OF BARNSTABLE (Certificate Of (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (--rAltered ( ), or Repaired ( ) _` E, /t�" /� by--- --- -- -- — — -- - ----- ----- -- -------------- Installer at- -- -- --- ---- -- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ------------------Dated------ -- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL P� SYSTEM WILL FUNCTION SATISFACTORY.' DATE-------- _— --- -- Inspector---------- -= -- —------ - - �I BOARD OF HEALTH TOWN OF BARNSTABLE Veil con5truct ion Permit No. Fee Permission is hereby granted ------------------- j to Construct Alter ( ) or Repair ( ) an Indivislual Well at: 6 4 Street as shown on the application for a Well Construction Permit f No._ Datted_ — - v Board of Health i DATE I Sea. 'Sp Ca h PC r in S s TOWN OF BARNS A LE m � e-e-4-�vxc\yo t4 u se �.v � LOCATION t' ILtS SEWAGE # °- VILLAGE ,3mpns Ie ASSESSOR'S MAP 6r LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY ( () LEACHING FACILITY:(type) (size) NO. OF BEDROOMSPRIVATE WELL OR PUBLIC WATER R1IILDER OR Owx?R. wee �i�Eidr� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: I t. I { 1 3-7 I ` N� �� le o��pi� 0 0 y>UD� �'// i No. Fee $ 40.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MAS ACHUSETTS 2pplication for Mi5po5al *pttem Congtruction jernrit Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. to t 2 P-3 07-P-9 Owner's Name,Address and Tel.No. 2346 Meeting House Way W.B. Jane Burke Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. J.P.Macomber Jr. Arne H. OjalaDown Cape Engineering Box 66 Centerville,Mass . 02632 Type of Building: Dwelling x No.of Bedrooms Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil 61 clay to clean coarse sand. Installing to H2O leaching pits to the existing system. Nature of Repairs or Alterations(Answer when applicable) Installing two H2O 1000 gallon leaching pits to the existing septic system Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not t place the system in operation until a Certifi- cate of Compliance has been issued this Boazd He Signed r Date 7/29/96 Application Approved by Application Disapproved for the fo owing easons Permit No. Date Issued 1 No. Fee $ 40 00 � t THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MAS ACHUSETTS Zlpprication for Mizpozal *pgtem Construction permit 'Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: j Location Address or Lot No. lot 2 P-3 07—P-9 Owner's Name,Address and Tel.No. 2346 Meeting House Way W.B. Jane Burke 346 11 Meeting u to Installer's Name,Address,and Tel.No. Designer's Name,Addrs s and Tel.No. J.P.Macomber Jr. Arne H. Ocala Box 66 Centerville,Mass. 02632 Down Cape Engineering Type of Building: Dwelling x No.of Bedrooms 6-0� Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria(, ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil 6 t clay to clean coarse sand. Installing to H2O leaching pits to the existing system. Nature of Repairs or Alterations(Answer when applicable) Installing . two H2O 1000 gallon leaching pits to the existing septic system Date last inspected: f Agreement: r The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not t place the system in operation until a Certifi- cate of Compliance has been issued by this Board f He� Signed Date 7/29/96 r rt Applicatioi�Approved by ~� Application Disapproved for the fo owing easons Permit No. 4 ;9 Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Certificate of Compliance THIS-IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replacedy(XX)on by J.P.,Macomber Jr. for as 2346 Meeting House Way West Barnstable has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated -7 Use of this system is conditioned on compliance with the pro er s set forth below: der-, y 1------------------------------ No. 1 Fee $ 40.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS lwi5poal *pgtem Construction Permit Permission is hereby granted to J.P.Macomber Jr. to construct( )repair(XX)an On-site Sewage System located at 2346 Meeting House Way West Barnstable.Mass. and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within two years of the date below. Date: ��—�l Approved by ! NZ . .......... OF O;A� ,l�f IN OIL SKETCH AND APPLICATION FOR A DISPOSAL WORKS CC: ":rTRUCTION PERMIT (WITHOUT DESIGNED PLANSA I, Joseph P. Macomber Jr,.hereby certify that the application for disposal works construction permit signed by me dated 7/29L26 , concerning the located at 2346 Meeting Hailse ,,Ws W B meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is ;4 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. 'ATE: d LICENSED SEPTIC SYSTEM INSTALLER IN 'I'1-IL'I'OWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, Deo partment of Environm ntal Management/ rvision of Water sources Y H WATER WALL C REPORT 1 WELL LOCATION jAA � Address [/ ✓fiE t 4 �.v City/Towna`.I� ;/ G.S.Quadrangle Map _ r Grid Loca ion Owner . / Address ELL USE CONSOLIDATED WELL Domestic' Public,[] Industrial ❑ Type of Water-bearing Rock - Other g Other Water-bearing Zones Method Drilled 1) From Xo � 2) From To Date Drilled / 3) From To 4) From To CASING / Depth to Bedrock Length,_Diameter Type Rug. UNCONSOLIDATED WELL STATIC WATER LEVEL Water-bearing Materials Feet below land surface Sand: fioe❑ medium❑ coarse Date measured Grav fine❑ medium ecoarse❑ GRAVEL PACK WELL Screen: Slot#f' _length from�to Yes ❑ No T� Split Screen (or 2nd screen) WATER QUALITY TESTS MAD Slot-# length from 'to Chemical Biological Depth To Bedrock a PUMP TEST Drawdown _feet after pumping w days hours at 1GPM. How measured Recovery feet after hours. LOG of FORMATIONS COMMENTS: (On well or water) Materials From To C Cb t" ` �� _j I DRILLER Cb FirmV ' �I�� 13/0/�/ Addres -. -o / 4/V ` City. - �� .� II Registra ion No. t I r" perato s ignature, Please print firmly BOARD OF HEALTH COPY 25M-10-85-807101 "THE COMMONWEALTH OF MASSACHUSETTS / �, BOAR® OF I-1 A f-� w /°o.��/ ........oF.......� Appliratiou for 13iopooal Works Towitrurtiou Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (11_�an Individual Sewage Disposal System at: A4 �Loca io ddress or Lot N � ...... ............................. ------•............................... ---•----•--•--.............•••.................. Address o ar ................................ 00 Installer Address Q T?eofBuildings Size Lot............................Sq. feet U Dwelling No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — 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........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -----•--•--- - ---•-••-- 0 Description of Soil ...........t,. ................ .: V ---.._..-•----•-•••-----•--------------••••••--•-•--•------•--.................... ....................................................................................... ;. W ------------------------------------------------------------------------------------------------------------- ---•-- -- . U Nature of Repairs or Alterations—Answer when applicable..../ __ /___ i �, .. .i-I - . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by e b rd of alth. Sign . � Date s Application Approved By----- ------------ t ._r,. � .....� •.•.... .............................................................. Date Application Disapproved for the following reasons:............................................... _ ........-•----•------------------------•--•-•------------•-•------•--••.......--------•••-•-------........__....._....---•------------------•----...-•-------•----••-•----------------••-------••-----•-- Date PermitNo......................................................... Issued....................................................... Date No........ �,�1� n.s + THE Cf�I;otMONWEALTH OF MASSACHUSETTS B66ARD OF HE�A _TH L a '.Appfiratiou for Disposal Works Tomitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (1.-') an Individual Sewage Disposal System at: p- �f 4 ---••--•••••• ...............•-----•••--•---•.....-•-••-...------ Locatioti Address or Lot No. ----....... 0 per/} n, it Addr ess ess Installer Address T e of Building Size Lot............................Sq. feet 1-..0 Dwelling"No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ------------------------ W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ xDisposal 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-__----________------_-. 44 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ri r=' 1 D Description of Soil.......... --. __...... >r1. r ..______________________ ---•- - U ----•---------------------•---...-----•-•••••-------•-•--------....• ------.... . .. �......---•---------•---------...-•- -•-- ------•---•----•-- - •- . - ..... .......................... W x -------------------------------------- -- --- U Nature of Repairs or Alteratioris—Answer when applicable.__/:_'/W40._ .A�, A'� ¢---- ------------------------------------------------------------------------------------------------------------- =-✓rrVol ' Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by he board of yhealth. fA Signed ,ri > rff E C®7v 't � Date Application Approved By... -----•.... i _ Application Disapproved for the following reasons:................................................................................................................. ................•-----------------•-------------....-----•--•-------.......-----•-----.....-•--------------•-----•----------------••---------------------------------------------------------------•-•-- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... f t r { Trrtifirtt#r of Tomptianrr THIS�f� T CERTIFY, That the Indivi al Sewage Di posal System constructed ( ) or Repaired 4 - .. ... . . ,shy .1' 2 s � staller �4 at - ca Af-- .......... E iO Y.?fd . --l� '' ...... ;tr fi a'r has been installed in accordance'-with"the provisions of TITLE 5 of The State Sanitary Code as described in the application for D posal Works'Construction Permit No.__. /= -dated----------------------------------___ __.... _ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE,CONSTRUE® AS A GUARANTEE THAT THE SYSTEM VILL FUNCTION SATISFACTORY. 'DATE :.................,IZ r 1.._.f1.`t.-------•----. Inspector--•--'= ��" F + THE COMMONWEALTH OF MASSACHUSETTS .933 BOARD O HEALTH ' dui ,v.C�c FEE... ... is �as nr ,. tonsir uan fie` mid � ��, Permission is hereby granted #:� ....... a'� 'j k ' �. ... !'........... } ...... to Constr; ) or epair an Individual S a e Disposal ystem ,� at No .._.} / ---- .dry f Street as shown on the application for Disposal Works Construction Permit No..............�.�..... Dated.._.....__`>_':.,__...__.....__._.. r�4 Board of Health DATE................................................................................. a FORM 1255 A. M. SULKIN, INC.. BOSTON - IL 0 No......: .lo_l..... Fss...... .. OL4 THE COMMONWEALTH OF MASSACHUSETTS )0 ) BOAR® OF HEALTH ssI ................%�...........-------- OF.......................................................................................... Apphration for Disposal Vorkfi Tnntrttrtion 11trutit Application is hereby m e for a Permit to Construct ( ).or Repair ( an Individual Sewage Disposal Sys al._, -Aj� _ .................. - ...... QQLocation ddress or Lot No. .... . ........................................ ..•----••--•--............................ ....................................... Owne e daress �.... ......................... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Pa 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 ( ) aPercolation Test Results Performed by.......................................................................... Date....................................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------------------------•-•-•----------...---...--•--....---.............--------•---•--•--..._........-----•......•.....---•- Descriptionof Soil................................................................................................-...--.................................................................. x U Nat Re irs o Al rations—Answer when applicable. ........... X--.`•-..... �1 ......••---- ........................ ••----••••--••••••••••••••••--••••-•--•---•----•.................•••-•••---••-••••-•-••••••-•-••--••••-•-•--••••---••--••••--..................-•---••--•- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of LITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee iss d b t e board ofaiealth. /s • 7P ed... . ..... .......... .. ................................... ' Date Application Approved By.............. .. •• ••-•-- ....... ..: .G.. . ...�.•.................. 1t5 �c� --•-•....................••-_.Date•••••- Application Disapproved for the following reasons:............. _..___ -•------•-----•--------•-•--••----------------------------------------------------•--...--•-•_ .. .........•••-••-•-----••-----•••••---•••-•-•-••------•-•-•---...----•..... --•---•...._.._. Date Permit No................................................. — / -`..... ....._ YmB li(d............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................ .................OF............................................................... A�Vpljratiou for Disposal Works Toustrurtion Prrmit 11 1 ) or Repair (k'��an Individual Sewage Disposal Application is hereby made for a Permit to Construct Sys m a!,, ......... ...7...................................................................................... .A .........B.Location�djress or,Lot No. 1I.L.Aff......................................... ................................................................................................. -n ddro ........................ ... . .....i ...... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms............................................Expansion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers Cafeteria C11 Other fixtures ...................................................................................... ..............................*----------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank7—Liquid capacity............gallons Length.....77---------- Width................. Diameter____.........._. Depth........._...._. Dispo-sal Trench—No. ................... Width..............._.... Total Length.................... Total leaching area....................sq. f t. Seepag'e Pit No..................... Diameter.............__..... Depth below inlet .................. Total leaching area..................sq. ft. 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........................ f-14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to,ground water...._._..............___. P4 ................................................................................................................................... .................... 0 Description of Soil.......................................................................................................................................... ...........................---------------------------------------------------------- ------------ --------------------------------------"------------------------------------------------------------------ ..............................................................................................................7...................i(�.................................... .....,.................... U Nat Vre of Re irs"orations—Answer when applicable_..................Y.P....... .................. ......................... ...............A ........................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T'L, 5 of the State Sanitary Code— The undersigned'further agrees not to place the system in 1— operation until a Certificate of Compliance has bee iss d bae board of health. 4lr—7 Signed... ..... ... ..... .................................................) .............. Application Approved By..... .................. 00s"Z Date Application Disapproved for the following reasons:.......................................................................I........................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........J40 1#10-1..............OF................................................................................... THIS IS TO IFY at the In'ividual Sewage Disposal System constructed or Repaired by....................... ------- -------------------------------------------------------------------------------------------------------------------- at.................. . ...................................................................................................................................................................... has been installed-in accordance with the provisions of T" 5 of The State Sanitary C d as described in the 7 2 d_ application for Disposal Works Construction Permit NoV. .............. date Y71- ------- ................... 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 ...QF HEALTH .................0 F...... ................................ No....... / ....._..... FEE.......--- Disposal r o (imastrurf prrmit Permission is hereby granted ...... ................................................................ ........... to Construct ;Ki"�iv' i'dtla age 04i9p@s Lc or air all 11 _pSe,.%,a al System "0 at N ......... ......................................................................... Street. as shown on the application for Disposal Works Construction Per 0...... ......., Dated--—------- .......................... ........... ..... .... .. .. . . ........................... Board of 1�a_1'1'h 4� DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS N0.. FuB..... s.00..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF � l-HEALTH ...--•..............ToTm. ..........OF.....Ba=,Sta l .. ApplirFation for Dispute al Works Tonii.trnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (g) an Individual Sewage Disposal System at: ...13ZI PAL ?1:.5.trle.el-------••---------------•------..........------. � �U ------------..........--••--......... Location-Address or Lot No. Sadie Farquhar: West Barnstable ......_...: .-•----•------•--•------- ---- ---- - -- -••---....• ................................................... Owner Address ...JQ.seph...R....Macomber--&...Sm...Tnc--............. -------------------------------------------------------------------------------------------------- Installer Address PQ Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type 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. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by.......................................................................... Date......................................... Test Pit No. l................minutes per inch Depth.of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --------•--------•--•••-------•.......--•---•-••------------------------------•--•••-•-•---•---••-•........................................................... xDescription of Soil.......Sa 1d _ GTav21............................................ ----------------•---•-------------••.................----------•-............•.... U - ------------- UW ---------------------------•--------------------- -r- . /..". .�Cl!12%. ....------------------------------------------------------------....------------------.....----•------- Nature of Repairs or Alterations—Answer when applicable------!-1000...gallon tank & 1-1000. . ..ga 11 on..Pit----•---..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iIT,T_ 5 of the State Sanitary ode—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has en issued by the beard o h lth. - Signe J... J_ ��.. " .� Date Application Approved B ....—.., . � LwI/1-Clrt .. �_-`l-- — PP PP Y .••... ----- --- r p------ , Date Application Disapproved for the following reasons:-------•------------------- .......-------------------•-•-----------------•--•-----------------------•-••-•--- ........................••••----...•••--....-•--•----•--•--••---•---.....•-----------•-•-••-•---.......--I--..............---••--•----------------..............................--... ------......•- Date Permit No......................................................... Issued.....14E-1 .................. Date 9t c i No................ F Fim$...: ..44.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................Town..........OF.....Barns.table..-.................................................. Appliration fvr UispusFal Works Tonstrn.rtion thrmit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: ...1.3.7.5... ................................................. ....................................................._............................................ Location-Address or Lot No. ...Sadie Farquhar... ---•--... ....Wez.t. Barns table----•.............................................•. - - Owner Address �r_..&...Sta.n....T.na-------------- -------------------------------------------------------------------------•-------.........------.. Installer Address UType of Building R Size Lot............................Sq. feet Dwelling—No."of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g --------------•------•------ P ( ) — Cafeteria ( ) dOther fixtures --------------------------------------------••--------.--••--......--••-••••••••---•-•------•-••.....•••••----•-••.....................-•-......•.--•- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ 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 ( ) 04 Percolation Test.Results Performed by................................................................•--••••••.. Date........................................ 1.4 Test Pit No. I................ minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Description of Soil S...11d . GrB ve l x •..d --•---•---•-..........•--- U -----------------------------------------------------•-•••---- ---•--•-- ..• ----------.....-•••--••. .........:...................................................... W UNature of Repairs or Alterations—Answer when applicable..._.. ...Wlk.._ -.•InIQQQ............ ._l ailon...pit Agreement: The undersigned agrees'to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TiT1E 5 of the State Sanitary.Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has eenj ssued by the board of health. Sign e �) �/��..tQ...... •.. .......................... te Application Approved BY rf� E :.; Date Application Disapproved for the follouiing reasons:..'.....:.... ..:...... ............................................ .:..._._._. -•• ...•--•----------------------•--- ---. rf N. ..._............-----•--••-----• � ---•-----•--•--------------------••----••---------...-------... _.._...._..__ Date Permit No................ .. ...---•............... k Issued_ t fi. r4,�Date' THE.COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable' :.:.................OF............ ..... ................................. .......... Trrtifi.rFatr of f impliFanr immh f0 Cj)kVCMMeJFh& t8®j1pd_Tv al Sewage Disposal System constructed ( ) or Repaired (X ) b�375---A,AlTr--Stmet-------Wes Barris tabi ii ---------------------------------------------- •---------------------- Farquhar has been installed in accordance with the provisions of �' 5 of The State Sanitary`Code as described in the application for Disposal Works Construction Permit No �' :.. �' dated .:'y' !_�l1.-. _,............. THE ISSUANCE OF THIS CERTIFICATE SHAL NO7-BE CONST D AS A G ARANTEE THAT THE SYSTEM 00, �LLr FUNCTION SATISFACTORY. OF DATE..... ... , -... : .._.. --------_----------------- THE � COMMONWEALTH-'OF MASSACHUSETTS BOARD OF HEALTH ��. _ Town Barnstable .....................................OF................................. .................................-.................. $5 00 .......... FEE........................ Permission is hereby graXited •------------------- ---------•--------------- •-••-•-•••-= ••--.... ...... .............. .... ...... to C�S�CJc aiP orS �tG WSL8 tfndjee b vbaTL&Disposal System at No...--•------••--•-= .. -Farquhar. .. ..........................................••••......--.----• ----------•• ............ Street as shown on the application for Disposal Works Construction Perm• o......... ......... ted.._. . .f F'' .V + Board of Heaith C� DATE.---•�-�--------------�•=--••---......:...........-•---•----•--•---• r � FORM 1255 HOB.BS & WARREN. INC.,'PUBLISHERS joy - rl u w Ot / 10 z ul� ,WFJJ_ / .: \ \, 4, -To CoDc TL - \ / ,Ti-{+s Ycl l �e�'bscv VOe,4_ �-IE S-r,&14-4 'N q'r L i Jk t 77, /-rcx-- `�. � '*, / 0,A%..CT IMP -Z' 4,c;, Z40, �� gj TOT&L VTS &F o. 7_6 4-f oo 1,16L z) AR OJAl-k . 9 #263A3 IL 3U722 oil 11 iz-T e