The URL can be used to link to this page

Home My WebLink About0201 MONOMOY CIRCLE - Health s 201 MONMOY CIR. , CENTERVILLE A = 191 221 • NI�TIM1�IIM No. Fee 50 Ves THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS Zipphration for Zt5poga1 *paem Construction Vernrit Application for a Permit to Construct( )Repair�XXIXUpgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 201 Monmoy Circle Centerville Ave Leonard Assessor'sMap/Parcrel /. 201 Monomoy Circle Centerville,Mas . 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—7 7 5—3 3 3 8 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( ) 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 z T.o a m)z s a n t9 f n f i n P _a n c Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon chambers packed in 4 ' of 1 '-2" stone. 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 provisions of Title 5 of the EnviromnentaLCQde and not to place the system in operation until a Certifi- cate of Compliance has been�issu by this o of ealth. Signed d . Date 5/2 9/0 0 Application Approved by Date Application Disapproved for the following reasons Permit No. — 97 Date Issued TOWN Of BARNSTABLE �mC'd LOCATIONAN M!Q 0 o1/h a,r 61C, SEWAGE # D VII.'_AGE ASSESSOR'S MAP & LOT ID=M INSTALLER'S NAME&PHONE NO. 'n't Flea M(6f,R— ?75— )r3 3 Ir SEPTIC TANK CAPACITY �) q�5 LEACHING FACII.ITY: pe) (size) <a(c. NO.OF BEDROOMS BUILDER OR OWNE qP0 An PERMITDATE: DO 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 / _, _ . ��.. D�1 1 �/S�` / /�\ \ \ �� R� l �� Q/� � � �\ ��. No. Fee $. 50.00 T THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Mi6pozaf *p5tem Construction Permit Application for a Permit to Construct( )Repair�[X�Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 201 Monmoy Circle, Centerville Ave Leonard Assessor's Map/Pazcel / ZZ A 9 / 201 Monbmoy Circle Centerville,Mas '. 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—7 7 5—3 3 38 J.P.Macomber & Son Inc. J.P.Macomber & Son Inc. Box 66 Centerville,Mass.02632 Box 66 Centerville,Mass.026,32' Type of Building: l DwellingXX No.of Bedrooms 3 Lot Size 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 pate Number of sheets Revision Date 4 Title Size of Septic Tank Type of S.A.S. Description of Soil Loamy sand to fine Sand. Nature of Repairs or Alterations(Answer whe pplicable)Adding two 500 gallon chambers packed in 4 ' of 11" stone. Date last inspected: t1 Agreement: The undersigned agree's to ensure tle'cpPostruction and maintenance of the afore described on-site Y sewage disposal system P in accordance with the provisions of Title, of the Environmenta C e and not to place the system in operation until a Certifi- cate of Compliance has been issu d by t is o of ealth. Signed Date 5/2 9/0 0 Application Approved by < Date !!jr' 1Z.-F a— GAD Application Disapproved for the follf ing reasons Permit No. P,.a''� v Date Issued �✓ (7 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,"that the On-site Sewage Disposal System Constructed( )Repaired(XX)Upgraded( ) Abandoned( )by J.P.Macomber & Son Inc. at 201 Monomoy Circle Centerville.Mass. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction I n / dated 4�'` Z01% Installer J.P.Macomber & Son Inc. Designer J.P.Macomber & Son IdC. The issuance of this permits all of be c nstrued as a guarantee that the sy ' will functio s de'j ned. Date 9 _ Inspectors/~ r No. G � ��-------- Fee $5O.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ligpoal *pgtem Construction Permit Permission is hereby granted to Construct( )Repair IKX)Upgrade( )Abandon'( ) System located at 201 Monomoya clrcle Centerville,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. Provided:Cons tion in be com feted within three years of the date of It. Date: Approv i . 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.Macomb r ,Tr_, hereby certify that the application for disposal works construction permit signed by me dated 6/2 9/0 0 concerning the property located at 201 Monomoy Circle Centerville,Mass.meets all of the following criteria: /The failed system is connected to a residential dwellingonly. There are n y o commercial or business es associated with the dwelling. i� The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. f7 ere are no wetlands within 100 feet of the proposed septic system fl There are no private wells within 150 feet of the proposed septic system u There is no increase in flow and/or change in use proposed There are no variances requested or needed. L/The bottom of the proposed leaching facility will pQt be located less than five feet above the 81 um adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor thod 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 M be located less than fourteen(14) feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) r. / B) G.W. Elevation J Q +the MAX. High G.W. Adjustment. DIFFERENCE BETWEEN A and B SIGN&roposed DATE: 6/2 9/0 0 (Sketan of system on back]. q:health folder:Bert v ,� �. i . . i3 Q .. �: \< '� TOWN OF BARNSTABLE LOCATIOAN dlrlo o3 oVh a./` CUC, SEWAGE # VILLAgE CAA L2 v(i ASSESSOR'S MAP & LOT r INSTALLER'S NAME&PHONE NO. r1'1(�ca v�(��2— ?��— 33 3 I SEPTIC TANK CAPACITY LEACHING FACILITY: pe) �, (size) NO. OF BEDROOMS BUILDER OR OWNE PERMTTDATE: �2 COMPLIANCE DATE: 00 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leachingiracility Feet i 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 i •1d - _.