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Home My WebLink About0075 SOUTH MAIN STREET - Health 75 SOUTH MAIN ST. ,CNTRVILLE SVSI A = moll aE�Y�p UPC 12534 No.2-153LOFt HASTINGS.UN f f 8 I 2 No. 61/ "y Z`2, Fee �raz.YD THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zippricatfon for Miopool *pgtem Construction 3permit S Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ElComplete y stem ❑Individual Components Location Address or Lot No. 7 S -V o' �h M/V t%N'S / Owner's Name,Address and Tel. o. ( " 'j, U r T"2c)L((, C).1 C� Assessor's Map/Parcel 6`"Eh , -)r & — I a- M A-t w s C��eA U/ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Rawls E4 CA-- " IA"i 00 t3o�C t W) M A V-A Pf-;,' 4/9')-61'1 cy., rA v 4(/`. Type of Building: Dwelling No.of Bedrooms 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 Nature of Repairs or Alterations(Answer when applicable) Z , U l! G/j 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 issu d by Ps Board Health. Signed Date IAQI 60 Application Approved by Date Application Disapproved for the following reasons Permit No. 0,0 " Lc� Date Issued l � o. Fee -XIa en 3• THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �. Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS 0[pplicatiou for- Migpogal *pgtem Cougtruction Permit Application for a Permit to Construct( )Repair( .)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components ``. Location Address or Lot No. '7 5- R t N j Owner's Name,Address and Tel.No. Loc.,d� c, i I( e -F A0LL 0 ► c oA, s•+A20 Assessor's Map/Parcel t� o t-41 aC�C / & '— I O�y� �S M 141 1" ST �Fw FAA U/ile � Installer's Nam m e,Address,and Tel.No. Designer's Name,Address and Tel.No. :Row'-S 4ccra� Wk 1 PO 3o � l l G'7 �A fA p� / 77-0/ -Cy �G �t vr�Y f Type of Building: �$ Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) t Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures ` I Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheeis Revision Date Title Size of Septic Tank Type of S.A.S. ' Description of Soil Natur of Repairs or Alterations(Answer when applicable) 1A -4- f o� / G U �4 �/ 0� ii $,pn// '6 0�r e Cal L E11 c ,-A Nei� �Pi1 f a r' � t �i',� ,. � _ Date last inspected: 'M 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 7,hpliance has been issu d by is Board Health. Signed Date ll Cl C� ApphcAation Approved by Date ►�/ .off Application Disapproved for the following reasons Permit No ,0 ^ Q;Z:7. Date Issued �' s ;Z4__Z� THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( �)Upgraded( ) Abandoned( )by . / 0`77 '�/� Af > at , ,,exy - has been constructed in accordance with the provisions of Title 5 and the for isposal System Construction Permit No.661 A41 2 dated 1�—i42 Installer l� Designer IY.A _ The issuance of this permit s ahObe cons ue 's a guarantee that the,sys�te MAta_ ncties�gjedDate /1 Inspector ilx� I ------------------------°-------------- No. 00 '-4>;W �.7 Fee 'z'r�- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Migpogal *pgtem Con0truction Permit Permission is hereby granted to Construct( ))RJepair( )Upgrade( Aband n( ) System located at "7 c.��^` �rt�7 � �? � and as described in the above Application 1.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 tthii rrmit. Date: —Approved TOWN OF BARNSTABLE LOCATION SEWAGE #00—e) �..! (ti T LAGS' ( EA tFr 1.li I'E _ASSESSOR'S MAP & LOT .INSTALLER'S NAME&PHONE NO. �/�J' "" / / SEPTIC 'TANK CAPACITY _1 LEACHING FACILITY: (type)"' /� (size) NO.OF BEDROOMS BUILDER OR OWNER< 60,ri S 1;4#12A PERMITDATE:' O COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water hipply 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 A lqo I-q,/,/ qhl q-6 78 TOWN OFy�BARNSTA.BLE LocKnON- _ r� litt� S _ SEWAGE # �—a 'JILLAGE�� V 11%I - _ASSESSOR'S MAP & L0T4W INS 4ALLER'S NAME&PHONE NO. , vi SEPTIC TANK CAPACITY LEACHING FACILITY: (type) A (size) NO. OF BEDROOMS f y BUILIIE OR OWNER �-Cc)in PERMITDA.. ,. . COMPLIANCE DATE: Separation Distance Between the: -Maximuinx Adjusted Groundwater Table and Bottom of Leaching Facility reet -`Private Water Supply Well and Leaching Facility (If any wells exist on site or with n 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist ` within 3Q4 feet of leaching facility) Feet Furnished by __ e Cl 5. A X 2 ',-3v 33y 33 y �7 9 30 'JAN-10-2000 12:20 P.02 Cos r m 4 sro,vfi � ` 24$.44 win t AN r ro %p er r� �A 4 J N Vk Zio9.OQ' �r . ----- N�F CLF-C�'� LEL.�.STE SEA•�3E:-- n..r t TOTAL P.02 ' N 1/6r99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - CERTIFICATION OF SKETCH AYD APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) hereby certify that the application for disposal works construction permit signed by me dated ��/a b-ci 0 o concerninsz the property located at 7 S G yjA /)7 tA j w S' 1 meets all of the following criteria: . •Z'fne failed system is connected to a residential dwelling only. T'nere are no commercial or business uses associated with the dwelling. • . e soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • ere are no wetlands within 100 feet of the oroposed septic system • Vere are no private wells within 130 feet of the proposed septic system • ✓There is no increase in flow and/or change in use proposed • J There are no variances requested or needed. • ✓ The bonotn of the proposed leaching faclity will not be located less than five feet above the ma..dmum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor method when applicable] • xf the S.A.S. will be located wit'_j0 fee:of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than founeen (14) feet above the mxcimum adjured zoundwater table elevation, Please complete the following: A) Too of Ground Surface Elevation(using GIS information) • B) G.W. EIevation _the MAX. Hugh G.W. Adjustment . = 02 U U DT t?RiCE BETWEEN A and B �j L SIGNED . /\ DA i c: (Sketch proposed plan of system on bacic]. q:health Colder:c-t I,CQ-d. Z Fee$ 5 0. 0 0 THE COMMONWEALTH OF MASS" CHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zfppfication for �Dioozar *proem Con!6truction Permit Application for a Permit to Construct( )Repair( )Upgrade 4 X)Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. South Main Street Owner's Name,Address and Tel.No. 7 9 0—6 5 9 8 Centerville ,Mass . 02632 Troy Dicastanzo Assessor'sMap/Parcel . vA 'W /,� V/ 75 South Main Street Centerville 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 X X No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 710 gallons per day. Calculated daily flow 4 x 110=4 4 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Loamy sand to medium sand Nature of Repairs or Alterations(Answer when applicable) 0 m i t t i n R c e s s p o o l s . I n s t a 11 i n g 2-1500 gallon tanks , 2—distribution boxes and 4-500 gallon leaching chambers -packed in of T12 " 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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this o of ealth. Signed Date 12/3 0/9 9 Application Approved by - Date Application Disapproved fKr the Yollowing 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(X X) Abandoned( )by J. P.Macomber & Son Inc . at 7 5 South Main Street Centerville ,Mass . has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer J.P.Macomber & Son Inc . Designer J. P.Macomber & Son Tnr _ The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. � ql Ld _v2 Fee$ 50.00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH,DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIPPlicatton for ]Die;pool 6p$tem Construction Permit Application for a Permit to Construct(`- ).Repair( )Upgrade 4 X)Abandon( ) ❑Complete System ❑Individual Components t4 Location Address or Lot No. South Main Street Owner's Name,Address and Tel.No. 7 9-0—6 5 9 8 Centervill ,4- Mass . 02632 Troy Dicastanzo Assessor'sMap/Parcel } t" 75 South Main Street Centerville 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..,Ma-comber & Son Inc . J.P.Macomber & Son Inc . J., Box 66 Centerville ,Mass. 02632 Box 66 Centerville,Mass. 02632 Type of Building: Dwelling XX No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 3 ,Y Design Flow 710 gallons per day. Calculated daily flow 4 x 110=4 4 0 gallons. Plan Date Number of sheets _ Revision Date Title ` Size of Septic Tank - :Type of S.K.S. Description of Soil ` Loamy sand to medium sand Nature of Repairs or Alterations(Answer when applicable) Omitting cesspools. I n s t a l l i n°R 2-1500 gallon -t-hnks, 2-distribution boxes and 4-500 gallon leaching ctiambers packed in 41 ot j12 stoke. 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 issued by this oa�4 of ealth. Signed Date 12,/3 0/9 9 h 99 Application Approved by Date Application Disapproved fKr the Yollowing reasons t Permit No. Date Issued L < _ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ertif mate°-of-tompIiance. : ,1 ; THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded(X X) Abandoned( )by J.P.Macomber & Son Inc. at 7 5 South Main Street Centerville ,Mass. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. - dated Installer J. P.Macomber & Son Inc. 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 Inspector 3 No. �9/ � — -----------------------'Fee $ 50. 00... THE COMMONWEALTH OF MASSACHUSETTS _ PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS =If6pooaf 6p9tem Construction Permit Permission is hereby ggrranted to Construct( )Repair( )Upgrade X�Abandon( ) Systemlocatedat 73 South Main Street Centerville ,Mass . 0 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. t Date: r 2 - D- �,`1 Approved by 9; -_ i ll l/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 lthat the application for disposal works construction permit signed by me dated 12/3 0/9 9 concerning the property located at 75 South Main Street Centerville ,MA meets all of the following criteria: • The 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 • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. The bottom of the proposed leaching facility will not 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: A) Top of Ground Surface Elevation(using GIS information) , B) G.W. Elevation 'l z` +the MAX. High G.W. Adjustment. DIFFERENCE BETWEEN A and B SIGNED ; DATE; 12/3 0/9 9 . (Sketch posed plan of system on back). q:hcalth folder.cat �, 4 9:.�. ��: L F � O® s �, I TOWN OF BARNSTABLE LOCATION SEWAGE # �tt�I S VILLAGE -Fz-M 4C V F L'� _ASSESSOR'S MAP &LOT — F INSTALLER'S NAME&PHONE NO. Cl -tom/ j SEPTIC TANS: CAPACITY LEACHING FACIL=..-. (type) (size) NO.OF BEDROOMS f 1 1 c ��5rro zy) BUILDER OR OWNER Oe'j 1� PERMITDA'P :. 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 l L � ZE Y 57 W - TOWN OF BARNSTABLE -- - — --- LOCATION �_ SEWAGE VILLAGE LJ-�� 1 rl^l,I III ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.�CJ�S —�/� 7 SEPTIC TANK CAPACITY LEACHING FACILITY: (type).-9 (size) __k' NO.OF BEDROOMS 5 '�C- S�Yst� t =`1 &q BUILDER OR OWNER I,.G 04 51 4,1 26- PERMITDATE: 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 wiu`lin 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 77 q6 3 0