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Home My WebLink About2361 MAIN ST./RTE 6A(BARN.) - Health z36r ��+rrd- TOWN OF BARNSTABL LOCA ON �� ' � n� SEWAGE # 02��40 11S7 03 U VILLAGE ASSESSOR'S MAP LOTR INSrALLER'S.NAME PHONE NO. 4 SEPTIC TANK CAPACITY LEACHING FACILITYAtype) /�,`�' (size) mpa L NO. OF BEDROOMS PRIVATE`WELL OR PUBLIC WATER BUILDER OR OWNER • v DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: ` VARIANCE GRANTED: Yes No V -�� O '' 'i c"J� � - ' `� '� i�a � � � � � s � / � /. /' � l � � � Q lia J �� /i �0.q a3� 03° qyl3 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiun for Dis.usal Works Tonstrudiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 2361 Route 6a West Barnstable ..... _... ......................................•----------..............--------- -•-.........•--------------•----•.._..._..---•-.._..---••---•-------------•-----•---------...----- Location-Address or Lot No. _Pau 1 Tv rn x----------------------•---------------•---.....--------•---•--- Owner Address W J.P.Macomber Jr. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling.X No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e 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................ 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........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ •-••---------•----------•-----•-•------------------=••----------------------------------....._..-•------•••------•-•••-••---=-----------...---••--------- ODescription of Soil................................................................................................................................................I C lay---to_ sand. v _....•-- -----------------•.-------------------••-•--•--•....------•-__---- W -•••---•--------------•-------------------------------•-•-•-------•------------------------•-------------•-•---------------•--------•-------•......................................................... UNature of Repairs or Alterations—Answer when applicable................................•.._......._._.........._....__...._............____...___..__. ---------------------------1-1000- gallon leaching---Alt---...----••....-------------------•----------•-------••---------•-•••--------------- 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 Complia ce has ee issued by the oard health. May 2 1 Signed . ............................ -----------y3------ ---9------- �! Date ApplicationApproved By --- -- - ------ - ---- .-- ------ ------------------- ----------- ------------------------ Date Application Disapproved for the following reasonf- ---------------------------------------------------------- -------------------------------------------- ------------- --- ----- --- ---------------------------------- Date Date Permit No. - - - -- Issued ---------------- --- --- ZA Fini THE COMMONWEALTH OF MASSACHUSETTS '! BOioe D OF HALTH TOWN OF BARNSTABLE Allplira#ion fibir Disposal NOW on,jo rnrtiun ranfit Application is hereby made for a Permit to Construct..( .) •or Repair (X) an Individual Sewage Disposal System at: I I t 2361 Route 6a West Barnstable ................__ -...............---•--... ---- ........_..........- -.. ..----•-------......------......-•---.........-----------•--•----------------•----•----•-••----- Location-Address or Lot No. --Paul Tur- .................. ..........--...................................................................................... Owner i Address W J.P.Macomber Jr. Installer Address dType of Building �`f Size Lot....................:------._Sq. feet aDwelling-.No. of Bedrooms ----------................................- _Expansion Attic ( ) Garbage Grinder (-• )"" p-, Other—Type"of Building _________________________- No. of persons............................ Showers ( ) — Cafeter'ia ( ) 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 ( ) Percolation Test Results Performed by........................................................................... Date....1.................................. 14 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rX4 Test Pit No..2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •-•---••----•--•-•••-•---•--------------------------------•.........--•---------•----------------------- ........................................... O Description of Soil...............................................................................,..................................................... , -------------------------------------- W Clay.---tonsa__nd _�....._.. U ---•••.................•-----•---------.....---......--•-•-------------•--•------.................--._....... � •---------------------------------•-------------•---------------•--•-••-----••----••---••...--•--••---••------•-•--••------•--•------••------•--••------------------------•------------•------•-------- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... 1-1000- gallon..leaching---p:t... ------------------------------------------------------------•- Agreement: The undersigned agreesito 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 Complia ce has beeril issued by the ,oard f health. '> Signed _ <•� � ' -- - ........*............................ ----MaX...?3.1.91... Date Application Approved BY . --.... --- ---.- --- - - --- ----------------------------------------- ................Date...------'----- Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------------- ------------------------------ ................................................... . .. ..... .'.....'------'-'--"-'-"-'-.....------...........---------------------••---'.......'..................'r------------------ - '-------....-----------------.----- Date Permit No. '�.......... ------------------------ Issued ...... - \• : ............ v Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ger#ifirate of (�ontli inurie THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (CXX) bY......J.P.Macomber Jr. -------------------------------------------------------------------------------------------------------------------------------------------- � Inualler at ---.236.1....Route.... a...West.... a natable------------------------------------------------------------------------------------------------ --- ----- has been installed in accordance with the provisions of TITLE of The State Environmental Co as d 'fibed in the application for Disposal Works Construction Permit No. ..--... dated ....... ... .. .. . 1.... -......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B COIid2_AS A GU kC V HE SYSTEM WILL FUNCTION SATISFACTORY. a DATE........... .......................................................................................... Inspector .........................------.......--- ................................................... i t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No... .. ...../�. .1. . FEE..$...30.. i� Dispasal Varkii Tonn#rurxiart "permit Permission is hereby granted.....J„I?.Macomber.-jr.............................................................................................. to Construct - or Repair X an Individual Sewage e Disposal System 2�b1.Route 6a West Barnstable p Y atNo................. ......._...... Street" ....... Street as shown on the ap ication for Disposal Works Constructio rmit No .� ._. _ ate ..... . ... ...,_............ �j r................ •-- ... .. DATE.. ,....,. _. -��....-- Board� ` .� ✓ �f... . alth e FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS