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HomeMy WebLinkAbout0132 EMERSON WAY - Health 132 EMERSON WAY CENTERVILICE A = i • UPC 12534 ' .2-153LOIR ll'`�sxco HASTINGG. VN No. Fees 50- 0[^ / THE COMMONWEALTH OF MASSACHUSETTS i Entered in computer: / Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rppttratton for ]Mpozal 6p!5tem Cots.5tructton Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) M%2Complete System ❑Individual Components Location Addressor Lot No. 1 3 2 Emerson Way Owner's Name,Address and Tel.No. 7 7 5—5 5 9 0 Centerville ,Mass. 02532 Seth Taylor Assessor's Map/Parcel 132 Emerson Way C e n t e rville,Mass.02632 Installer's Name,Address,and Tel.No. 508--775-3338 Designer's Name,Address and Tel.No.508-775­33_3� J.P.Macomber & Son Inc. J.P.Macomber & Son Inc. Box 66 Centerville,Mass. 02632 Box 66 Centerville,Mass. 02632 Type of Building: Dwelling xx No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) f Other Type of Building No.of Persons 2 Showers( ) Cafeteria( ) Other Fixtures Design Flow 355 gallons per day. Calculated daily flow 3x110=330 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 150000x.: Type of S.A.S. 2-500 gallon chambers packed in 4' of stone. Description of Soil Limy sand to boney mediymy sand. Nature of Repairs or Alterations(Answer when applicable) Onitting cesspools. Installing 1-1500 gallon tank. 1-Distribution box and 2-500 gallon chambers packed in 4' of stone. Date last inspected: 3/18/99 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'Coynpliance has been issue by this o of lth. Signed Date 3/19/99 Application Approved b Date Application Disapproved for the Yollowy g reasons Permit No. - ,S Date Issued No. Feet 500 n THE COMMONWEALTH OF MASSACHUSETTS L Entered in computer: _ { Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplicatton for �h5pozal *p.5ftm Con.5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) XVComplete System O Individual Components Location Address or Lot No.I iO @ Emerson Way Owner's Name,Address and Tel.Nd. 7 7 5—5 5 9 0 t "� Centerville ,Mass. 02532 Seth Taylor 7�-- r Assessor's Map/Parcel19 j 332 Emerson Way C e n t e rvi.11e,Mass.0263Z• � . Installer's Name,Address,and Tel.No. 508-775-3338 Designer's Name,Address and Tel.No508'"775,-338 J.P.Macomber & Son'Inc. J.P.M3comber & Son Inc. Box 66 Gentervill.e,Mass. 02632 Box 66 Centerville,Mass. 02632- Type of Building: Dwelling xx No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons 2 Showers( ) Cafeteria( ) Other Fixtures Design Flow 355 gallons per day. Calculated daily flow 3X110=330 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1500&box Type of S.A.S.2500 gallon chambers Pecked Description of Soil Loamy land-to boney meditml sand. in 4' of stone. F, Nature of Repairs or Alterations(Answer when applicable) Odtting Cesspools. Iwtalling 1-1500 gallon tank. 1—Distribution box and 2 2000gallon chambers packed in 4' of stone. v Date last inspected: •3/18/99 s 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 d by this o�of alth. Signed Date 3/19/99 �• Application Approved b Application Disapproved for the�611owi g reasons Permit No. / Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed(� )Repaired Upgraded(XX ) Abandoned( )by JXJbcomber & Son Ac. at 132 Bl erson Way Centerville,I`'Iass. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 'k dated Installer J.P.;laccmber & Son Od. Designer J.P.Macomber & Son Inc, The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date 7 c( Inspector Q\ No. Feel 50.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS 6 Migpogar 6p5tem Construction Permit Permission is hereby granted to Construct( )Repair( 4)Upgrade -)Abandon( ) System located at 132 Rnerson Way Centerville,%ssst s _. .` 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. t Provided: Construction must be completed within three years of the date of this permit. ` Date:.. _ X- Approved by Q ,NT­� i Y a 5 t 111 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - 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 ermit si ed b m 3/19/99 p gn y e dated concerning the property located at 132 Emerson Way Centerville,Mass. meets all of the following criteria: • rThe failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are no wetlands within 100-feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system t� There is no increase in flow and/or change in use proposed f • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] • If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed ` leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: f A) Top of Ground Surface Elevation(using GIS information) B) G.W. Elevations+the MAX. High G.W. Adjustment. DIFFERENCE BETWEEN A and B SIGNED : DATE: [Sketch p sed plan of system on back]. q:health folder:cen w �� S �� CJ^� 1 r" �_ �� r S 1 � O �C� � �y ., �k `� �, • ,'r t„ �� �� ��-^ �', j' 33 TOWN OF BARNSTABLE 'LOCATIONJA.Q CL4!�,. SEWAGE # VI LAGE C1s n V 34 ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO.'� 9 W►4 to U,, S o nS SEPTIC TANK CAPACITY 1 r8O LEACHING FACILITY: (type)LU Lou F-j l - (size) Q S"n® &Silo# NO.OF BEDROOMS 3 BUILDER OR OWNER PERMUDATE: m ''I Q� COMPLIANCE DATE: 6 6 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 leaching facility) Feet Furnished by �o \Nt` 4 t i ' f TOWN OF BARNSTABLE C� r-° LOCATIONJA Q tsmggg.nn MCI. SEWAGE # 7/ VILLAGESff n Y ASSESSOR'S MAP & LOT l _Z-l/ INSTALLER'S NAME&PHONE NO, 1Mla L©► 1-� S o nS . SEPTIC TANK CAPACITY LEACHING FACILITY: (type) K'aLY w A-1 1 (size) �0 c^c,o tM-A f�Ar1 NO.OF BEDROOMS 3 BUILDER OR OWNER PERMUDATE: Y7 COMPLIANCE DATE: 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 leaching facility) Feet Furnished by 0 1F � •off k3� l �� �aC �.