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HomeMy WebLinkAbout0089 YACHT CLUB ROAD - Health 89 YACHT CLUB ROAD CENTERVILLE A = 210 028 F3 I J� Ow o� NO. 1521/3 ORA ;;;. 10% scan r M A� No. 71 —a(� Fee $ 5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 01pprtcatton for Mizpaal *pgtem Construction permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( )X®Complete System ❑Individual Components Location Address or Lot No. 89 Yacht Club Road Owner's Name,Address and Tel.No. 5 0 8-4 3 0-2 8 3 0 Centerville,Mass.02632 Joanne Kelly Assessor's Map/Parcel C k T— Installer's Name,Address,and Tel.No. 7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 7 7 5—3 3 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 XXNo.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 462 gallons per day. Calculated daily flow 4 X 1 1 0=4 4 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 15 0 0 Type of S.A.S. 25.5 X 1 2 ' 1 0" X 2 ' Description of Soil Loamy sand to fine sand Nature of Reppairs or Alterations(Answer when applicable) Omitting cesspools. Installing 1 -1500 tank, 1 -Distribution box and 3-500 gallon leaching chambers packed in 4w ot stone. X X 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 this o d of ealth. 9 Signed s Date Application Approved by Date 2 Z 0 Application Disapproved for the following reasons Permit No. Z C/d/—OCR 3 Date Issued `Z Z C. 7io7/ U(3 Fee 5 0.0 0/ No. i ✓ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipplication for Migpooal bpotem Conotruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( )X®Complete System O Individual Components Location Address or Lot No. 89 Yacht Club Road Owner's Name,Address and Tel.No. 5 0 8—4 3 0—2 8 3 0 Centerville,Mass.02632 Joanne Kelly ` t Assessor's Map/Parcel Installer's Name,Address,and Tel.No. 7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 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 XXNo.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures i Flow 4 6 2 gallons per day. Calculated daily flow 4 X 1 1 0=4 4 0 gallons. Design o g p y y Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 5 0 0 Type of S.A.S. •5 X 2 0 X 2 Description of Soil Loamy sand to f ine sand ly�atu�r of-Repa�orAltDisjriA1?w whergg licaabnl Omitting cesspools. Installing d gallon leaching chambers 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 this Bodd Zofealth. Signed Z Date Application Approved by Date Z o Application Disapproved for the following reasons Permit No. Z Gy 06 3 Date Issued Z 4 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(. )UpgradedY(XX) Ab doned( )by J.P.Macomber & Son Inc. at 9 Yacht Club Road Centerville,Mass. has been constructed 'n ac ordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �y/—G61 dated Z Z G J.P.Macomber & Son Inc. Desi J.P.Macomber Son Inc. Installer gner The issuance of this ye t shall not be construed as a,guarantee that the s st " will tion s destgne F Date ��! d Inspector ll /�,. — — -- ----------------------------� -- No. Fee .00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS migooar bpotem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(XX)Abandon( ) System located at 89 Yacht Club Road Centerville,Mass. 4 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 m st be completed within three years of the date of this e t. (' Date: 2�j� Approved b ti.�: V t/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) Lioseph P.Macomber Jr. hereby certify that the application for disposal works construction permit signed by me dated 2/1 /01 concerning the property located at 89 Yacht Club Road Centerville meets all of the Mowing,criteria: /t✓ The failed system is connected to a residential_dwtelling only. There are no commercial or business cues 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 f 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 n2,be located less than five feet above the maximum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor / method when applicable) 6 II the S.A.S.will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will=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 ' +the MAX. High G.W. Adjustment. 9 DIFFERENCE BETWEEN A and B y SIGNED : DATE: 6� (Sket roposed plan of system on back). q:health folder.cm '� r -�,,- � p . � Ca �, � -=�--�J �� TOWN OF BARNSTABLE �L,�- LOCATION YA cll� 6 L u /F' �� SEWAGE #A 6-61- G 3 VILLAGE. C e j{/ e—&P///le ASSESSOR'S MAP & LOT2 AQ 6 A INSTALLER'S NAME&PHONE NO. T�fM A C(9M19f f,* 5'G,V SEPTIC TANK CAPACITY Z S`G 0 LEACHING FACILITY: (type)1-- 1 e1u2 (size)NO.OF BEDROOMS BUILDER OWNE PERMIT DATE: I�� I 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. r � o � E Aq ' 60 17137-0 TOWN„OF BARNSTABLE LOCATION yr4�y� "�~L U�S F' /)• SEWAGE.#2 Q-6/ 0 G 3 VILLAGE_ C. /Vfcg,P. V/%/,p ASSESSOR'S MAP& LOTx /0--C' INSTALLER'S.NAME&PHONE N0. -,Al A CC 49KC 't SEPTIC TANK CAPACITY •#y[� LEACHING FACILITY: (typeQ-,AZcw L'N.9.1!6ax"s (size) 35>>' 1 5 .X Z NO. OF BEDRO�OMS—� _ RiTTT.1)F.FR (> (1WTVFR man&0 eO�Xt - - PERMITDATE: Z/z�a I. COMPLIANCE DATE: F/0� 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 Wedand and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 0'r