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Home My WebLink About2447 MAIN ST./RTE 6A(BARN.) - Health 2447 Main Sit. /R ute 6A Barnstable A 257 014 G TOWN OF B STABLE �-LOCATION �'I 'IN SEWAGE # 200 VILLAGE_ ASSESSOR'S MAP & LOT da 7 INSTALLER'S NAME&PHONE NO. JOY-M SEPTIC TANK CAPACITY 16ZZ) 57, ReO�acerhe� f LEACHING FACILITY: (type) (size) NO. OF BEDROOMS --�— BUILDER OR OWNER -Q PERMITDATE: IG?�/`3��/ COMPLIANCE DATE: lJ_/ 17Iw I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of a hing f i Feet Furnished by �� , Ems. ,, � � W � e � � n � � 1� -� �� a 1 r � // {I , ��> 7q s Fee No.^ ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for ]h5poal Opotem Construction Permit Application for a Permit to Constrict( . )Repair( )Upgrade( )Abandon( ) O Complete System phdividual Components Location Address or Lot No. JJ�[ (� �I ' t Owner's Address Tel N Assessor'sMap/Parcel —I"I _VbT�' (� S e. wr / 6 MVdr0,%.TelNo.. , , Designer's Nam ,Address and Tel No. Type of Building: Dwelling No.of Bedrooms Lot Size.AC-ige: sq.ft. 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 Size of Septic Tank _Type of S.A.S. Description of Soil; Repairs or Alterations Answer when applicable) 2kn� c l� l� Nature of ep ( PP ) �� ! Date last inspected: Agreement: The undersigned agrees to ensure the constriction and maintenance of the afore described on-site sewage disposal system in accordance with the provisiopNof Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i uM"PZ0. Signed Date �� 0 Application Approved by /W' Date I x �1 0 Application Disapproved for the following reasons Permit No. Do y�_ Date Issued ;L JI 7/0 7gs S0 No. Fee / THE COMMONWEALTH OF MASSACHUSETTSk. Entered in computer: Yes f ` PUBLIC HEALTH-DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppiication for Migoga[ *pgtem Conotructfon Permit Application for a Permit to Construct( )Repair(A)Upgrade( )Abandon( ) El Complete System PTIndividual Components ` Location Address or Lot No.�J�� `�h/� fA Owner's Name,Address aqd Tel. �P—(pc Assessor's Map/Parcel ',�'/`O ��JIW� / G�l�tl I talla�e,A�ss Tel.No. __l f� Designer's Name,Address and Tel.No. CIO Type of Building: Dwelling No.of Bedrooms Lot Size AC RZ7 sq.ft. 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 Size of Septic Tank 00 /n Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when(applicable) ✓'f i6/ 1 I// /r,CJP c edj*OlP 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 provisio}a of Title 5 of the Environmental Code and not to place the system in operation until a Ce f- cate of Compliance has been tMUMs d of 1 Signed ~~~ Date 11A3 0 Application Approved by . n' ' Date 13 13 Application,Disapproved for the following reasons Permit No. Do I — 7 i1 S' Date Issued THE COMMONWEALTH OF MASSACHUSETTS 4 BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIEY t at t Oate Dis sal Syste onstructed( )Repaired(A Upgraded( ) Abandoned( ty-LM.1INT at WN has been constructed in accordance with the ovi [i�n�of t e �jtheme f9rDi al System Construction Permit No. /'7 y� dated �� Installery yl V f-�1 l �I tJ G ��N� Designer The issuance of a 't shall not be construed as a guarantee that the syste�will` nctio as designed. Date ( � �d4 Inspector two JLCIM� -- No. 2L) 7`IU- -------------------------Fee J�THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 33igogar *p!5tem Construction Permit Permission is hereby gV ,to Csnstnl�t( -„)R,epai Upgrade( )Abandon( ) System located at �( 1 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. Provided:Construction ust be completed within three years of the date of this permit. Date: ! 113% Approved by i TOWN OF BAPSTABLE eL LOCATION � /V SEWAGE # - 7 YS� ' VILLAGE ASSESSOR'S MAP & LOTS —�M INSTALLER'S NAME&PHONE NO. f C�J� _ __ 141 2-• — SEPTIC TANK CAPACITY , eOlw~4-f LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER // PERMITDATE: �0� ��/ COMPLIANCE DATE: 1 �1�7/)co 1 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist PP I on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist Feet within 300 feet of aching Furnishdd by41 33 s A- . -n 3o ' d e 0iq .D ��' rLOCATION SEWAGE PERMIT NO. 212 VILLAG " v -71)-2k- I LLE 'S aAFAE I& ADDRE S j , f,. •R U I L DE R OR OWN ER I , .. :-DAT-E PERMIT ISSUED DA"TE• . COMPLIANCE ISSUED �_1� � wJ l ," .�l�G �7C 'ter t 2 � � �� , � ��.' �� ` cs`,� �1 ,j �, �, THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH _._.Town OF. Barnstable ....................:.............................•-•--------..----- Appliration for Dispati al 19orks Tonti rurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 24+ .7 Main_Street • ....... ........................... ....................................................••.....-•---•.............---................. Location Address or Lot No. Edward Nemec . Barnstable • ..... - -.__ ............... ......... --•------•---------- -------.-...........-.-------•----.. ....... - ...._..._......................--- W Joseph P. Mac 8 5re r & Son, Inc . Address .............•--------•-•--•--•------•---...------•-•-•-----••--•-----------...................... ......................-•--.........•••---....:...------••-------------••••••••.................--- Installer Address Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building --__•_-----_--_---------- No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ..................................................... 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........................ Test Pit No. 2................minutes per inch Depib of Test Pit.................... Depth to ground water........................ Q+' --•-------------------------------------••-----------------••-----•-•--••-•--------••--•---------•-......................................................... O Description of Soil......S�,nd---&...Qmy.e)............................•---•----------------- U -•---------•----...•----•---------------•--•---------------------------------------------------------------- ----- ------...----•---------;-----------•----•----- -------------------------- 1 1000... allon tank & l 1000 Nature of Repairs or Alterations—Answer when applicable-!- �_____.._.__......._._..._............................ U P � PP� _gallon ----------------------------•--•----•--------------------------•--------•-•......_.......--•----------•-••----•-....-----•......--:....--•••--•-••---------...............................pit.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TAITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has?e ' ued b the and o h lth. Sign ... .................. ... .��..:..... .----.... ...71J- DateApplication.Approved By------.... �G� ..... .1d�_f� 1 - Date Application Disapproved for the following reasons: ••----•------------------------------------------------- ---- ...........................................-................................................................-----------•-------------------•---•------------------......•-----•----•--•-•----....._.... A-7.? Date Permit No-------------•----•. ------••--••-----•---•---- Issued_...�_~ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town OF Barnstable ........................................... ................................................................................. 'A firation fift. 11hipasal Works Tonotrurtion ramit Application is`hereby made for a Permit to Construct or Repair X) an Individual Sewage -Disposal System at: 2447 Main Stree:t ......................... ............................................... .................................................................................................. Nemec Barns Address or Lot No. Edward Barnstab,le........._--------------- ------------Joseph P. Maccftbr & Son, Inc." Address .......... ......... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...........................................Expansion Attic Garbage Grinder P-4 Other—Type of Builaing ............................ No. of persons............................ Showers Cafeteria Other fixtures ..................................................................................................................................... ----------------- Design-,Flo*.............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic 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. f t. 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_____...._..__._._._._.. Test Pit No. 2................minutes per inch Depth of Test Pit__.__.__________.__. Depth to ground water........................ ........m..................................................................................................................................................... 0 Description of Soil---SnA...4..Qr&Xel................................................................ ............................................................. W ....;......................................................................................................I.............................................................................................. U ..................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable_:�7:;Ppq...gA;�on....tank ---1.-.1000...g�q.lon .............................................................................................................................................. it -----------------7 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T ILIP LIE 5 of the�State,Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Com0ance has been issuedby the board of 110alth. I A S Sig ........... ..... ......Z .................... ig Date Application Approved By....... ------------- Date Application Disapproved for th" following reas6,ns:.............................61............................................................................. .. ..................................................................................::......................................................................................................I............ -•3j Date Permit No.....................................I .................. Issued....................................................... Date _b_ THE.1.C_9MM NWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ .........TQW.n.......OF..BarnStbble................ .................................... k T rtifirate of ToMptiatta w.�r THIS IS TO CERTIFY,'That. the Individual Sewage Disposal sal System constructed or Repaired X) by..... ...P......Mac.omb.er...That- 1.,.§9n.,....Inc............................................................................................................. 2447 .Main Street., BvTnst6,ble Installer Nemec at........................................................ ...�A. ..................................................................................................................................... has been installed in accordance,,wit5 the provisions of Kf_',Efi 5 of The State Sanitary Code as described in the applicationjor Disposal Works Construction Permit N - ------4� f ...........I... dated__-7`-"/. tt---4.7................ THIS ISSUANCE OF; THIS-:CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................. _75; ............... Inspecton. ------------------------------------------- ................................................................................. —THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................Town..........OF.....Barnstable N ........ ........................................................................... FEE.45--100........ Disposal Worb Tu-notrudian "Vamid Permission is hereby granted_.40!�qp)j._P. MaconibFef*& Son. Inc .................................................................................................................. to Coristrucc,( ) or Repair- (X) an Individual,Sewage Disposal System NZ-2. 4 NOMee 41..MA Barnstable . .in...$.tr .......................................................................................!�.�................................................... Street as shown on the application for Disposal Works Construction Per i N .... ated...q ................ . ........................ Board o-Health DATE.....7"A-`.A�.........e.�,`7 ,� ....... .............7..........------------------ FORM, 1255 ;HOBBS & WARREN. INC.. PUBLISHERS i APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS �/ v LOCATION � NO. C r'�b .3 1 VILLAG _. DATE E FEE APPLICANT (Non-refundable ADDRESS `'°'° ` 'g TELEPHONE .NO. ENGINEER D TELEPHONE NO. DATE SCHEDULE +� �'' (Applicant' s signature) • . . . . . . . . O . O . . . . . . . O O O . O O . . . ... . . O . . . . .. . . . . . . O.O'0 0 . . . . . . . O . . . . . . . . . . . . . . . ASSESSOR'S ttAP 6 LOT NO: SOIL LOG SUB-DIVISION NAME DATE ` IME EXPANSION AREA: YES_�4,NO� ENGINEER ? BOARD OF HEALTH TOWN WATER_/PRIVATE WELL EXCAVATOR SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) NOTES: TIk4-_ 3S� J LN c PERCOLATION RATE: 3 M�►J IN 3 TEST HOLE NO: ELEVATION: ,, TEST HOLE NO: D_ ELEVATION: a ' ` 1 2 G "b-L—w^^ ye, 2 3 54 4 I U`IQ y/3 4 ` 5 5 33�' 6 � 'a �( Zlo S�`j z sy �_ 10 CZ �/y I W"` 12 5 13 e 12 3 — 13 ri Z G Z 3 14 14 15 16 16 / c� ABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELDLEACHING PITS / �'' J SUIT LEACHING TRENCHES X C`0_. T UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT