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HomeMy WebLinkAbout0052 PATRIOT WAY - Health 52 PATRIOTS WAY, CENTERVILLE A=192.131 - - E�vato o llll UPC 12543 No. -co HASTINGS. MN � 1 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).