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HomeMy WebLinkAbout3795 MAIN ST./RTE 6A(BARN.) - Health A 3795 Main Street A= 335-012 Barnstable i i i 1 w Y� U e I� O III 0 , v I O o i 7 ?- LOCATION SEWAGE PERM f N VILLAGE INSTALLER'S NAME & ADDRESS OR OWNER DATE PERMIT ISSUED '. 7_ '�� : � � o� DATE CO-M.PLIANCE. ISSUED -7, � � roe C © Al � e ZZA ® w No......... ._....... FRs.....$.5.:.QQ....... THE COMMONWEALTH OF MASSACHUSETTS 335 - b BOARD OF HEALTH Town ....0 F......Barnst. . . .. able. . ....................................... ............ .............. ApptirFation ,fur Uiipwj ai Works Tomi#rurtijan amit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 3795 Main Street ................__.._.......................... ........................ ......--•-............._.......--•••-------••--•-•••-•-•.....:.-------•---------.................. --- .Location-Address or Lot No. .... �� - ............................•--............--•---•--.... .•--•..... wnma> u3:d --................................................ Owner Address w Joseph..P.....Macomber.&-•Son...Tnc----------•• ..........Centerville......................................................... Installer Address QType of Building Size Lot............................Sq. feet U Dwelling—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. 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. 1................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...-A................ 04 ----- ---- i.........---.........................................................................................................::..----•---...... O Description of Soil........Sand & Gravel -------------------•-e...-----------•-•-•-•- U ----•--•--••-•----•-------•--•..............•.------•-----•-.-.-------------•-•--.---..... W -•••...................................•••-•---•--•-•--.....--------•••---...----------•••••-----•••----••-••--•••---•----------•--•••-•------------•••---••••---...---......-•••-•-••••-•-••----.--••- UNature of Repairs or Alterations ' Answer when applicable....1-1990---gallon._overfly________________________•_-_. -----------------------•------...----------=-------•------•-----------------------•--.........-------------•--------------------------------------•---------------•---------------...---.........•• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i i i_. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b sued by the board 9!(_Z*iwi4� lth Application Approved B ... .............•-- ..... �l PP PPY Date Application Disapproved for the following reasons:................................•••..______--------••-•......•.-.....-..--•--•----........................... -----•-----------•--•--------••-----------------••-----...---...-•--------•------•-----...----------•-------••••••-•--•--•------•--••••--•-•----••-•-----•-•-•••-•-••----•-----••---••-----•---.....•--- //,/ �f Date - 1 Permit No......................................................... Issued.- •--...........-•------•---- Date '• .,k, ' 'v, '. Me - ovl� "No ---- --------- ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ; Torn Barnst4ble ... .. .. ...... ........OF..................... ux PIV Application is hereby made for v.Permit to Construct or Repair' . an Individual Sewa e'Dis oral PP Y ( ) P O g P System at: Main .Street p � _ t Location-Address v ;r or Lot No. } ` o can _S.c1. - ........................... . ...._ r i--. L;i�S „^ ......... ....... .._........ Owner Address w JTosev P. Macombe:e ..Son Inc-, Gen! teav ' ................................ A. --_.• ----•--_ ------• -------- --•-----•--- .......... ........ .......... , •_ ,- Instalkr?° i t "? Address d �wType of Building , ��' ,' '' " Size Lot---- '_ feet Sq No. .of Bedrooiitis Ex ansion Garba e Grinder r Other-Type of Building's No. of persons. Showers ( ) p Cafeteria""( ) Y naY'.f N� }- y ..H t,9^t.i t y .5 �+r ,YC C C �• F � ttz ;4 Otherfixtures ._ S ..................................................... --........................................rf$ ` sz,w Design Flow............................. l _galloris';per person per day. Total daily flow........•___..._... �' gallons. Diameter-_--_- De th 9 iSeptic4Tank-Liquid capacity t gallons Length________________ Width > p t " .. Total Length ;_: Total leaching area ;sq.ft. x Dispo'sal'Tren —No... ...._.. Width Seepage`'Pit No----------_--------- Diameter-------------------- Depth below inlet... ......�YTotal leaching area.—, sq�;ft. Z Other Distribution box ( ) Dosing tank ( ) aAPdeblation Test Results Performed-by...................................... ---------- Date.............._ . a r Test tPit No. 1................minutes per inch Depth of Test Pitt....................Depth to ground water:. ....... ... ... 4,,4T.est;PityNo. 2..._........_._minutespe'r inch., Depth of Test Pit ....:_ .. Depth to ground water ,. �_-_- a, i t s s¢ r c a,,... } S F r ............._.__.. 3 R C s O,J. Description of`Soil.......- a! "; t- �RTE..........................................................- --------------•-•••- y .. U ............................ y � ___ w . . .� UNature of Repairs or Alterations—Answer when applicable.`-3' aQOC`" a1.1( ©tl-.f)v r '1PT _--• ;Agreement: es 7I. j s: �;eThe'undersigned agrees to¢`mstall tl`e` aforedescribed Individual SewageDisposal System m accordancetF�Yith the provisions of iIA.TLi 5 of the State Sanitary.,Code— The undersigned further agrees not to place the'system in *o ieration:until a Certificate of Q Tpliii;i,:has been,.i�ssued by the board of health. , ne }. kp .S• • a tApplication Approved By... ,. f� °'� ................. `Date' t Application Disapproved for the•f ollowing reasons:..................................... ............... ..------•-•--....----•.................•--•••..........r-•-- --•-------------------------•-----------•-.._..-••-•---••-•.... ..--------------------------------------•----- --•-- ........•. i.•r'r,:a E- rt. - _Date •�d...;` Y Permit No......'`........... # a_. Issued; '..?� Date ,THE iCOM4M:ONWEALTH OF MASSACHUSETTS y; s } , �< : . BOARD OF,,,HEALTH ter x� q .. . v k,•YFL i.• n ................... ; { a tJWYl...::OF. r3arnsta 1:: l r w x, THIS IS TO CERTIFY That'the Individual Sewage Disposal;System"constructed. ( ) or Repaired Eby Joseph,F. MacOiVb� & SOn. 1nc....................... . ..___._.___._.......... rt A ..._ r r , s Installer .. t 1 ClU id a lieen i' to ed -al ordanc`�Con'h the provisions of T r ►, ` of The State Sanitary Code as described m1the has be en installed m accordance wit * xPP P s$ruction Permit No.._._--.-.. -��'•... :; da.ted_, zapr .} r. THE ' SUANCE OF,.THIS ttIZTOFWATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEkI VdIILL FUPICTI N SATISF CTORY " y _ ­;`DATE.'_:....a��.- f ` \ ,/+ ... :........... Inspector �_/1-.--._ ............ I. Y TH_E COMMONWEALTH OF MASSACHUSETTS ,g. - ..f,.. 'BOARD OF HEAL T.H Spa. .............. ° .. sa3 .....OF.....B rnst'.2b.�A ........................ No .. a r _....... ---• Permission is hereby granted----�OUeA - •-- EiCOTCi ?GY` :_. t?t' �� C--- -----••...... ..... ................................a to Cori'struct'"( ) or Repair (f ) an Individual Sewage Disposal System Ma R ` Cl tTtl►Yf a r tjsF�r •i.i. �F 't.�tl,r, , as shown oii the application for,,Disposal Works Construction r it N � Dated.__..."'�`�. .... .. .fit \rM,++.... oard of He D. E �.... •• .....................--•- ....... t 'Lf}Pid l$M'`1253• HOBBS & WARREN, INC