HomeMy WebLinkAbout0089 YACHT CLUB ROAD - Health 89 YACHT CLUB ROAD
CENTERVILLE
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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).
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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.
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' 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
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