HomeMy WebLinkAbout0052 PATRIOT WAY - Health 52 PATRIOTS WAY, CENTERVILLE
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UPC 12543
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HASTINGS. MN
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TOWN OF BARNSTABLE LOCATION �'� ����/���u/,�Y SEWAGE # 9/ 7
VILLAGE P N��/P V/L L ASSESSOR'S MAP & LOT 13
INSTALLER'S NAME&PHONE NO. - /4 A C O 44 ReA -t5.0 '
SEPTIC TANK CAPACITY f
LEACHING FACILITY: (type) e G gA:g G ejc (size) 3 3JQ
NO.OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE`- ,5 -)L2= L7] COMPLIANCE DATE: ��7- 7
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
9� 1
5h
Jo
No. "
Fee 50. 0 0
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
2pprication for Mizpogal 6pgtem Cow5truction Permit
Application for a Permit to Construct( )Repair(XX)Upgrade( )Abandon( ) El Complete System ❑Individual Components
Location Address or Lot No. 52 Patriots Way Owner's Name,Address and Tel.No. Sherry Biehler
AS� bgI'ai�a�C�re ,Mass . 02632 6613 Corpus Cristi
Austin Texas , 78729
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.
ox 66 Centerville ,Mass. 02632 Box 66 Centerville,Mass . 02632
Type of Building:
Dwelling XX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(NO)
Other Type of Building RES No.of Persons 2 Showers( ) Cafeteria( )
Other Fixtures
Design Flow 330 gallons per day. Calculated daily flow 3 x 1 1 0 gallons.
Plan Date /27/a 7 Number of sheets Revision Date
Title
Size of Septic Tank 1 000 existing Type of S.A.S. 1—1 000 pit existing
Description of Soil Loamy sand to medium sand
Nature of Repairs or Alterations(Answer when applicable) adding 3-330 cultec rechargers to
the existing system.
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 Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been iss d by this d f ealth.
Signed Date 5/27/97
Application Approved by Datef=�;7
Application Disapproved for the foll ing re sons
Permit No. J - Am�,� Date Issued
TOWN OF BARNSTABLE .
97—
LOCATION S'Z / ArR Y SEWAGE # 1
Vn.LAGE C e,/re R VIZZ a ASSESSOR'S MAP &c LOT 1 Ica
INSTALLER'S NAME&c PHONE NO. AJ A C D N1 ReA, t�'a10
SEPTIC TANK CAPACITY D O O
LEACHING FACILITY: (type) - /*I e G 11A K G ex (size) 3��
NO.OF BEDROOMS 3 '`
BUILDER OR OWNER n
PERMTTDATE:' S� 7`olt 2 - �_COMPLLANCE DATE: 7` 7
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
. �.0
'-�,T4
or �6 MM �6
1,
s..6
G
50- 00
No. f d► 4 Fee
tt THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH-DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01pprication for Migozar *pgtem/Con.5truction Permit
Application for a Permit to Construct( )Repair(X�upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 52 Patriots Way Ownec's Name,Address and Tel.No. Sherry Biehler
Cen e vLlle,Mass.02632 6613 Corpus Cristi
Assessors ap azce Austin Texas,78729
Installer's Name,Address,and Tel.No.5 0 8—7 7 5—3 3 3 8 De si ner's Name,Address and Tel.No. 8- 7 —3 3 3 8
J.P.Macomber & Son Inc. J.0.Macomber & Son Inc.
ox 66 Centerville,Mass."02632 Box 66 Centerville,Mas s. 03632
Type of Building:
Dwelling XX No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder(NO)
Other Type of Building RES No.of Persons 2 Showers( ) Cafeteria( )
Other Fixtures
Design Flow 330 gallons per day. Calculated daily flow 3 X 1 1 0 t •1- r' gallons.
Plan Date 5/2 7/97 Number of sheets Revision Date
Title
Size of Septic Tank 1000 existing Type of S.A.S. 1-1000 pi. existing
Description of Soil Loamy sand to medium sand
C y
Nature of Repairs or Alterations(Answer when applicable) adding 3—v339 cultec rechargers to
the existing system.
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 Environmental Code-and not to place the system in operation until a Certifi-
cate of Compliance has been iss d by this Wdf ealthSigned "'� Date 5/27/97
"Application Approved by Date .S•1.7- ! 7
Application Disapproved for the following reasons
Permit No. 7 • lC^ DAte Issued
THE COMMONWEALTH OFNASSACHUSETTS
BARNSTABLE, MASSACHUSE17S
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 52 Patriots Way Centerville,Mass. has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. a.7: IS78 dated
Installer Designer
The issuance of this permit shall no j be construed as a guarantee that the system ill function as designed.
Date .) 7 _/ 'Inspector
---------------------------------------
No.No._ f 7- a s'hp Fee$ 50.00
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Mizpozal *pgtem Construction Permit
Permission is hereby granted to Construct( )RepairNXX)Upgrade( )Abandon( )
Systemlocatedat 52 Patriots Way 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:Construction must be completed within three years of the date of this permit.
Date: 6— "1-7 - / Approved by ,
CERTIFICATION Or SKE'1'CII AND APPLICATION FOR A DISK-, .
WORKS CONSTRUCTION Pl It.N,ll'1' (1V1'I'IIOU'1' DESIGNED PLANS
1, J.P.Macomber JR. - certily tiim the application for disposal works
construction permit signed by ntc d:aed _ Z�� — , concerning the
property located at 52 Patriots Way Centerville meets all of the
following criteria:
There are no Nvetlands within 300 fc.t of dic proposed septic system
• Tlicre arc no private wells within 151 1Qct of'the proposcd septic system
The observed groundwater table is ftd or I;rcater below Ili(;bottom of the leaching facility
There is no increase in flow and/or cllangc in use proposcd
• There are no variances requested or necdcd.
SIGNED : DATE: 5/27/97
LICEN SEPTIC S�Y'STEIM-INS' I' LLER IN THE TOWN OF BARNSTABLE NUMBER
(Attach a sketch plan of the propose! scm. Also if the licensed installer posesses a cerdfred plot plan,
this plan should be submitted).