HomeMy WebLinkAbout0041 CAPTAIN MURPHYS WAY - Health 41cm�"Gti n yylu�Phc�s ula,�
9 No. Fee 0. O 0
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETT
01pprication for Migogar *pgtem construction permit
Application is hereby made for a Permit to Construct( )or RepairXX)o an On-site Sewage Disposal System at:
Location Address or Lot No. Owner's Name,Address d Tel.No.
A/l Captain Murphy Way Louis E. Vui 1eumier 362-4970
Cummaquid,Mass . Box 12 Cummaquid,Mass 02637
Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No.
.P.Macomber Jr.
ox 66 Centerville,Mass . 02632
Type of Building:
Dwelling No.of Bedrooms 2 Garbage Grinder(No)
Other Type of Building Res No.of Persons 2 Showers( ) Cafeteria( )
Other Fixtures
Design Flow 2 20 gallons per day. Calculated daily flow 2x 1 1 0 gallons.
Plan Date 1 /17/9 6 Number of sheets 2 Revision Date
Title
Description of Soil T,oamr sand to medium sand
Nature of Repairs or Alterations(Answer when applicable) Omitting existing cesspool. Installing
1 -1500 gallon tank, 1 -Distribution box, 3-330 rechargers packed in stone .
c
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 to place the system in operation until a Certifi-
cate of Compliance has been Missd by qhiB�'d of ealth.
Signed Date 1 /17/9 6
Application Approved b
Application Disapproved for the following reaso16
Permit No. Date Issued
r.
No. Fee$ 40. 00,
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE. MASSACHUSET,
0(ppfication for Migpogal *pgtem Congtruction Permit
Application is hereby made for a Permit to Construct( )or RepairXXX an On-site Sewage Disposal System at:
Location Address or Lot No. Owne 's N e,A rest' Tel:No.,
V/ Captain Murphy Way Lou�.s ui eumier 362-4970
Cummaquid,Mass.
�' ' Box 12 Cummaquid,Mass 02637
Installer's Name,Address,and Tel.No. 5 0 8-77 5—3 3 3 8 Designer's Name,Address and Tel.No.
�ox
.P.Macomber Jr.
66 Centerville,Mass. 02632
Type of Building:
Dwelling No.of Bedrooms 2 Garbage Grinder(Nd
Other Type of Building Res No.of Persons 2 Showers( ) Cafeteria( )
Other Fixtures
Design Flow 220 gallons per day. Calculated daily flow 2x1 1 0 gallons.
Plan Date 1/17/96 Number of sheets 2 Revision Date
Title j
Description of Soil _ L�am r Qand t.n marii lim ,Pnd
Nature of Repairs or Alterations(Answer when applicable) Omitting existing cesspool. Installing
1-1500 gallon tank, 1-Distribution box.3-330. rechargers pavked in stone.
1
A .
Date last inspected:
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 to place the system in operation until a'Certifi-
cate of Compliance has been iss d by thi Bgrd of ealth.
Signed f/ Date 1 /1 7/96
Application Approved b
Application Disapproved for the following reaso .3
Permit No. Date Issued
------------------- - --�---------�_ --
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance -
THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( _ )or repaired/replaced�X)on
by J.P.Macomber Jr. for Louie E.Vuilleumier k
as Ca twin Murphy Way Cumma uid Mass . has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Use of this system is conditioned on compliance with the provisions set forth belowf
- ' ...
C'
No. Fee$ 40.00
} THE COMMONWEALTH OF MASSACHUSETTS :
4
PUBLIC HEALTH DIVISION - BARNSTABLE. MASSACHUSETTS
f
lwigogaf *pgtem Construction Permit
Permission is hereby granted to J.P.Macomber Jr.
to construct( )repair(XX.�Can On-site Sewage System located at
Cant.sAn Murphy Way C>hmmaauid;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 constructiyau
st be omp ted within two years of the date below. 0
Date: Approved by t
LYY�
1 . 2z-bedr",00ms . 2. 1 -1 500 gallon tank.
3. 1 -Distribution box. 4. '3-330 Rechargers .
5 . Omit existing cesspool
Louis E. Vuilleumier 1 /17/96
Captain Murphy Way
Cummaquid,lvlass . 02637
CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS)
I, Joseph P. Macomber Jr.hereby certify that the application for disposal works
construction permit signed by me dated 1 /17/9 6 , concerning the
located at y/ Captain Mur h Way um meets all of the
property p p y y C mactuid
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.x'A 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.
- SIGNED : DATE: 1 /17/96
LICE SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER
[Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan,
this plan should be submitted].>