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HomeMy WebLinkAbout0157 BAY LANE - Health 157 Bay Lane, Centerville A=186-Pc1. 008 ` No. 42101/3 ORA ESSELTE 10% O 0 0 0 r TOWN OF BARNSTABLE -AT1bN IS L» SEWAGE # "' VM-LAGE C e ?4r ASSESSOR'S MAP & LOTZt?-1C"41IJP INSTALLER'S NAME&PHONE NO. V SEPTIC TANK CAPACITY 10 D U ¢ LEACHING FACII.TTY: (type).3 :C:V�[i�2�Lo r S_(size) 'R 77,0 NO.OF BEDROOMS BUILDER OR OWNER_,�L�� - '�/L PERMTFDATE: Z- COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 leaching facility) Feet Furnished by ` �� � Z� �c_ /�C( � I . r� � `` _ .�� �� i � a1 ,; t ,�� �No. Fee 40.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS T[ppricatiou for Migpogai *pgtem QCougtruction Permit Application is hereby made for a Permit to Construct( )or Repair kX)an On-site Sewage Disposal System at: Location Address or Lot NoT own says 1 1 8 Owner's Name,Address and Tel.No. 157 Bay Lane Centerville,Mass . Kathleen Kennedy 02172 103 Pierce R: ad Watertown Mass . Installer's Name,Address,and Tel.No. 5 0 8-7 7 5-3 3 3 8 Designer's Name,Address and Tel.No.5 0 8—77 5—3 3 3 8 J.P.Macomber & Son Inc. J.P.Macomber Jr. Box 66 Centerville Mass. 02632 Box 66 Cent ,_., i:lle Mass . 02632 Type of Building: Dwelling X No.of Bedrooms 2 Garbage Grinder IT0) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow n gallons per day. Calculated daily flow 2x1 10=220 gallons. Plan Date Number of sheets Revision Date Title Description of Soil T.on royga n 8 to medium sand Nature of Repairs or Alterations(Answer when applicable) Adding 3 3 311 r ib e har g e r s to a n ex Sting tank and nAsgn_ Date last inspected: 71131 112(Li 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 issu by this oar o alth. Signe Date 7/31/96 Application Approved b ' Application Disapproved for the following reasons Permit No. 7 6 =/ Date Issued �/ �' No. '". -3. Fee $ 40.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS ZIpprication for Mie;pogal *pgtem Construction Permit - Application is hereby made for a Permit to Construct( )or Repair kX)an On-site Sewage Disposal System at: Location Address or Lot No-Town Says 1 1 8 Owner's Name,Address and Tel.No. 157 Bay Lane Centerville,Mass. Kathleen Kennedy 02172 103 Pierce R6ad Watertown Mass. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 508-775-3338 J,P.Macomber Jr. 508-775-3338 J.P.Macomber & Son Inc. Box 66 Centerville Mass. 02632 Box 66 Centurrille,Mass. 02632 Type of Building: Dwelling X No.of Bedrooms n Garbage Grinder*ff0) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 q n gallons per day. Calculated daily flow 2x 11 0=22 0 gallons: Plan Date Number of sheets Revision Date Title Description of Soil T oamy sand fn mAdi nm Qand Nature of Repairs or Alterations(Answer when applicable) Asa d i n a 3—13 n r it n l-1 a der o to Ib n r exi sting tank and nAs.,;nnn1 Date last inspected: . 7.1 31,Q(-, 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 isstipd by this BbarcVol Floalth. �. Signe Date 7/31/96 Application Approved b Application Disapproved for the following reasons Permit No. R 3 Date Issued -- --- -- --- — ---------- — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLES MASSACHUSETTS i Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced KX)on by J.P.Macomber Jr. for Kathleen Kennedy as 157 Ray GentervillojAnss . has been constructed in accordan 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 . , below: No. /Lam_ c/ Fee$ 40.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 1wig;poof 6pgtem eon!tructiort Permit Permission is hereby granted to T P Ms c•embAr Jr. to construct( )repair(,X )an On-site Sewage System located at 157 Rsv Tmna CantPrvilb-,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: Approve }c..-•— Front Existing cesspool ® xisting 1000 gallon O eptic tank. New D-Box L - I E�J= New 3-330 Rechargers. f i f y} 1 Nyoj� f:S CONSTRUCTION PERMIT (W1THOUT DESIUNI D PLANI J-.-P.Macom-be-r--Jr: -- ' hereby certify that the application for di5pasal works construction pernut signed by the dated 7.131 concerrtin/q6 g the ort!". • There are no proposed septic System a l • i ikerc arc nu pt,vatc alc l):ohoscd scptic$systcui • The observed groundwater table is A feet or greater below the bottom or the leaching facility • There is no increase in flow and/or change in use proposed 'i SiG:hD : DATE: — � 4 I *'': 't'l".i-l:? i�. IN 'Ti-LE 9'0\VN OF BARNSTABLE NUMBER i =...Li.1. r .. r !. ... i .:;:j. 1;15 tiler posesses a certified plot plan, this plan should be submitted].