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Home My WebLink About0114 YACHT CLUB ROAD - Health 114 YACHT CLUB RD., CENTERVILLE A=210-030 llll ® 1 UPC 17534 No.2 53COR � � P ASTINGS. UN Gh f� scw, r No. Fee $ 5 0. 0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: J Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for Migoar *pgtem Congtructiott permit Application for a Permit to Construct( )Repair�X XUpgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.1 14 Yacht Club Road Owner's Name,Address and Tel.No. 5 0 8—7 7 5—1919 Centerville ,Mass . 02632 Edmund T. Fuller Assessor'sMap/Parcel ; /0 0 ,36 114 Yacht Club Road Centerville ,MA Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. J.P.Macomber & Son Inc . J.P.Macomber & Son Inc . Box 66 Centerville ,Mass . 02632 Centerville ,Mass . 02632 Type of Building: DwellingXX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinderjo ) Other Type of Building No. of Persons Showers.( ) Cafeteria( ) Other Fixtures Design Flow 399 gallons per day. Calculated daily flow 3/110=3 3 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1500 + box Type of S.A.S.2—5 0 0 g a l l o n r h a m b P r,-,, Description of Soil Loamy sand to medium fine sand . Nature of Repairs or Alterations(Answer when applicable)Installing 1-15 0 0 gallon septic tank, l—Distribution box, two 500 gallon chambers packed in 4 ' of stone . Date last inspected: 2/14/9 9 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 Environment l Code and not to place the system in operation until a Certifi- cate of Compliance has been is ued by t,is oIfIl of Hea Signed o Date 2/.15/9 9 Application Approved by a Date Application Disapproved for the following reasons Permit No. L2F 1 Date Issued P TOWN OF BARNSTABLE LOCATION<'/!�'- C C A H C/{I I� �C',Q- SEWAGE # �1 VILLAGE yl2ze ASSESSOR'S MAP & LOT ��-✓ INSTALLER'S NAME&PHONE NO. _ /Vl A C O A7 � e4—r S o N SEP'Iii zr►=�.r CA +.:CITY LEACHING FACILITY: (type) ' iC 0 Ctl C ti A A/fee"5 (size) C 44 NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 i i I TOQw < r V N � � 4 � r^' /V �AChi 4f/U.-5 �' No. q Fee 5 0. 0 0� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,. MASSACHUSETTS 0[pplication for Migpoml *pgtem Congtruction Permit Application for a Permit to Construct( )Repair X 'Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.1 14 Yacht 'C 1 u b Road Owner's Name,Address and Tel.No. 5 0 8—7 7 5—1 91 9 Centerville ,Mass. 02632 Edmund T. Fuller Assessor'sMap/Parcel 0 6 114 Yacht Club Road Centerville,MA Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 02632 J.P.Macomber & Son Inc'. J.P.Macomber & Son Inc . Box 66 Centerville,Mass. 02632 Centerville ,Mass. 02632 Type of Building: DwellingXX No.of Bedrooms 3 .;>Lot Size sq.ft. Garbage Grinderjg0 ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 355 gallons per day. Calculated daily flow 3/110=3 3 0 gallons. ,Plan Date Number of sheets Revision Date Title Size of Septic Tank 1500 + box Type of S.A.S.2-500 gallon chambers. Description of Soil Loamy sand to medium fine sand . Nature of Repairs or Alterations(Answer when applicable)I n s t a 11 i n g 1-15 0 0 gallon septic tank, l—Distribution box, two 500 gallon 6hambers packed in 4 ' of stone. Date last inspected: 2/14/9 9 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 is tied by t is�o of Heal . Signed �' Date 2/15/9 9 Application Approved by O Date Application Disapproved for the following 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 114 Y a x h h t C l u b Road 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.Macombeer& Son Inc . Designer J. P.Macomber & Son Inc . C The issuance of this permit soh 1 of nstrued as a guarantee that the s Vstem-will function as designevd / Date Inspector ,4�T ------------------------------- Fee$ 50. 00 r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE,. MASSACHUSETTS Migogal *pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(XX)Abandon( ) Systemlocatedat 114 Yacht Club Road 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:Cons tru tion mu If completed within three years of the date o is 1 Date: Approved by TOWN OF BARNSTABLE LOCATION/`Y YA C#1 C' U� �'L7- SEWAGE # VILLAGE C eofeA V&«e ASSESSOR'S MAP & LOT 30 INSTALLER'S NAME&PHONE NO. `, A4 A C D* E'gCfi Se-5 A.) SEPTIC TAN K � UPS+' GrlT l -o LEACHING FACIL=: pe) .� ��B C�,/A.h i L'�C�3 (size) NO:OF BEDROOMS BUILDER OR OWNER PERMTTDATE: ; COMPLIANCE DATE: Separation Distance Between the: '. Maximum Adjusted Groundwater Table to the 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 � 4 r j�AC11f L'/0e 4 10/9197 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 ENGINEERED PLANS) (,Joseph P:Macomber Jr . , hereby certify that the application for disposal works construction permit signed by me dated 2/15/99 , concerning the property located at 114 Yacht Club RoaD Centervi 1 i e MA meets all of the following criteria: There are no wetlands located within 100 feet of the proposed leaching facility There are no private wells within I50 feet of the proposed septic system There is no increase in now and/or change in use proposed • There are no variances requested or needed. • If the proposed leaching facility will be located within 250 feet of any 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 Elevation(according to the Engineering Division G.I.S. map) B) Observed Groundwater Table Elevation (according to Health Division well map) GG�%Z�Z SIGNED : � DATE: 2/15/99 LICENSE'"SEPTIC.SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER �® (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a cenified plot plan, this plan should be submitted). q:hcaJth foldcr.ccn ,,- �`• �� r � , � '� ®p �'.�Ja� o �5'bo ��1v�' 0 j i 4- �,