HomeMy WebLinkAbout0075 BISHOPS TERRACE - Health 75 BISHOPS TERRACE
HYANNIS
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TOWN OF BARNSTABLE
LOCATION /aS S' e SEWAGE42 Ob/— y rl
VJ LAGE C �ss�ESSOR'S MAP & LOT
INSTALLER'S NAME R PHONE NO.7,e- C Lo Of
" SEPTIC TANK.CAPACITY 0120
LEACHING FACILITY: (type)2 /®tU G�/.4 olC.�(size) .��X 3 X Z L'T
NO. OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: Z �/O/ 'COMPLIANCE DATE
S. eparation 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 feetlof leaching facility) Feet
Furnished by
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01ppYication for ]Diopooal bpotem Congtruction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( )' ❑Complete System ❑Individual Components
Location Address or Lot No. 75 Bishops Terrace Owner's Name,Address and Tel.No.
Hyannis,Mass.02601_ James C. Crowley
Assessor'sMap/Parcel -1 j ^� 61 Bishops Terrace Hyannis,Mass.02 01
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.
Box 66 Centerville,Mass.02632 Box 66 CEnterville,Mass.02632
Type of Building:
Dwelling XXNo.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 355 gallons per day. Calculated daily flow 3 X 1 1 0=3 3 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 mt-d i iim f i nP sand
Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon.-leaching
chambers to an existing 1000 gallon tank and 1 -LP-1000.
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 Cod and not to place the system in operation until a Certifi-
cate of Compliance has been issu by is oar of lth.
Signed tr 7 Date 6/2 0 01
Application Approved by Date 7i ®1
"14 ,Application Disapproved f the following reasons
Permit No. Lt:j o Date Issued 1"? —®,L
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LOCATION 17
VILLAGE �eAl T2/Q 1/l Ll"� ASSESSOR'S MAP & LOT ESL-'Zoy
INSTALLER'S'NAME'&PHONE NO, A [� /K ,
SEPTIC TANK,CAPACITY A 060
64.
: .
LEACHING FACILITY: (type)2e1 a W oe//i4 A /9 (size) zs-X 3 X Z LT
NO. OF BEDROOMS: 3
BUILDER OR OWNER- C✓Gv(c
PERMITDATE: Gz /a/_ COMPLIANCE DATE: /�
Separation Distance Between the.
Maximuin Adjusted Groundwater Table to the Bottom of Leaching Facility,
Feet
Pnvate VWater 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 Ie,aehing; actlity,)
eet
Eurrushed by
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70 ...Fee. /
THE COMMONWEALTH.OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLES MASSACHUSETTS
'�.
Zippfication for Oigooal *potem Construction permit
Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System O Individual Components
Location Address or Lot No. 75 Bishops Terrace Owner's Name,Address and Tel.No.
Hyannis,Mass.02601 James 0- Crowley
Assessor'sMap/Pazcel ® f 61 Bishops Terrace Hyannis,Mass.02601
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 f& 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 355 gallons per day. Calculated daily flow 3 X 1 1 0=3 3 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 fine Rand
Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallonlleaehing
chambers to an existing 1000 gallon tank and 1 -LP-1000.
Date last inspected: j
r
Agreement: ,
The undersigned agrees tabrisure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Cod and not to place the system in operation until a Certifi-
cate of Compliance has been issued by t_ 's ;oar k�fl,tl } .
Signed Date 6/2 0/01
Application Approved by Date 4014tloqt
Application Disapproved f the-following reasons
r to
Permit No J .Ar-/q-]Q Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
certificate of Compliante C7r
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(&X,'j Upgraded( )
Abandoned( )by J.P.Macomber & Son Inc,
at 75 Bishops Terrace H annis Mass. has been constructeo in ac ordance /
with the provisions of Title 5 and the for Disposal System Construction Permit No-tAy - 17 76dated 6 ? O
Installer J.P.Macomber & Son Inc. Designer J.P.Macomber & Son In.c
The issuance of this pWmtjshall not be construed as a guarantee that the syste '11 fuoeesieA
Drk
ate Inspector
— — / ———————————— -----------------------
No. r/�/�I e/7 0 �i. " Fee $ 5 0.0 0
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THE COMMONWEALTH OF MASSACHUSETTS {
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
Mtopogal *p5tem Construction Permit
Permission is hereby granted to Construct( )Repair(XX)Upgrade( )Abandon( )
System located at 75 Bishops Terrace Hyannis,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:Constructio must:a completed within three years of the date of this a t. o"InK,2 Date: 6W"/ Approved by .G.
t _
top
;.� 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)
,Joseph P.Macomber Jr. , hereby certify that the application for disposal works
construction permit signed by me dated 6/2 0/01 , concerning the
4 roe located at 75 Bishops Terrace Hyannis,Mass.
property meets all of the
Mowing 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.
W There are no wetlands within 100 feet of the proposed septic system
6' There are no private wells within 150 feet of the proposed septic system
iV 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 be 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=be located less than fourteen(14) feet above the ma.-cimum adjusted
groundwater table elevation,
Please complete the following:
A) Top of Ground Sw-face Elevation(using GIS information) —7 0
B) G.W. Elevation '+.3 6 +the MAX. High G.W. Adjustment._,
DIFFERENCE BETWEEN A and B 3
SIGNED : DATE: 6/20/01
(Sketc p posed plan of system on back).
q:health folder.cm
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No...,1-_._ ....... I Q0i FEs.............................
S THE COMMONWEALTH OF MASSACHUSETTS
rb BOAR® OF HEALTH
oF.-....�� ..w.S� L---------- ....................
,. pphration fiar Bispos al Worko Tonotrurtion Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
............�0.?................................................` � . ........................, ..............�l y_ ��'!s...........................................
Location,/- d�drress/ ` 1 or Lot No
..................r^��LL/.t :�1......Jf .Ci./G�IR ...,r,. .,........ .....I............Ll.l a...:.. 1. l.: :Sl.........,..............................
............... �...,C
}
1.. ........e4:ne/ Address
..�:.::....I........ ................. .... ..... ......-..........................
Installer Address
QType of Building 3 Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic (' ) Garbage Grinder ( )
Other—Type of Building No. of persons............................ Showers — Cafeteria
a Other fixtures .................................
Design Flow............ J-6)--_-..-.--..-- ..gallons per person per day. Total daily flow-------.;3�0........................gallons.
WSeptic Tank—Liquid capacity; -gallons Length................ Width---------------- Diameter................ Depth................
Disposal Trench—No.�__.._T WW, th.................... Total Length.................... Total leaching area....................sq. ft.
/1,3 Seepage Pit No.. 60_. _..�6iameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water__________________-._-.
t= Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-----------------------•--..--..--.----.--..----•--•-•------•----------------------..-.-......-----•-----•------------......---------•-.----•-------
0 Description of Soil----------------------•---••-•-•- ------------------••---------------....---------------------------------...----.....-------------------------••--•-•----
w .-••-•-•----•-•--•----------•-----------••-----••-•-••- :---.......�i v--••-•-•-----•---------------------•---•----------------•----•--•-•----•----••--•--
VNature of Repairs or Alterations—Answer when applicable._-___..........................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
K operation until a Certificate of Compliance has been ` sued by the*ardVf health.
Signed x_. ------------- ................. � �./
Date
ApplicationApproved By... ...... ...................................................... --------------
Date
Application Disapproved f o ae f ollowingy re ons--------------------------------- -------------------•----•---------------------------------••--------•-•-----
-•--------------------------------------------- -----------•----•-------------------------------------------•--•-••--•--•-•----•-•--------•-----•-------------•----•--•----••---•-------------•---•-•--
Date
PermitNo......................................................... Issued........................................................ .
Date
No..—C.Z ....... FRu..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
....... .... ...... .or...........
..........................................................
App' lirativit far depose! Works, Toustrurtion Pumit,
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at:
............... ............. ...........I............................................. ...........................................r......................................................
Location-Address or Lot No.
..................... ............................... .....*:../....... ........ ............................
Owner Address
J, <
................................................. ......................................... ..................................................................................................
Instailer Address
Type of Building Size Lot............................Sq. feet
U
Dwelling—No. of Bedrooms....::'....................................Expansion Attic Garbage Grinder
Other—Type of Building ............................ No. of persons............................ Showers Cafeteria
lOther fixtures ..................I..........................................................................................................................----------
Design Flow.............. ........................gallons per person per day. Total daily flow......._,----------------------------------gallons.
r4 Septic Tank—Liquid capacity gallons Length............... Width_...........___- Diamet
er__...._........_................ Depth._...._..._.___.
Disposal Trench—No. ..................Z Nkloth.................... Total Length.............._._._. Total leaching area....................sq. ft.
Seepage Pit No----
....... diameter.................... Depth below inlet.................... Total leaching area....................sq. ft.
Other Distribution box Dosing tank
Percolation Test Results Performed by..................................................................... .... Date........................................
Test Pit No. I................rninutes per inch Depth of Test Pit._........._.._..... Depth to groundwater.:..__---.._.-----.-._.
tj� Test Pit No. 2................minutes per inch Depth of Test Pit_...__.___.._....... Depth to ground water----------------------
9 ................. ......................................................................................I....................................................
0 Description of Soil................................................. ................................. -------------------------------------------------------------------- ...............
..........................................................................................
.............................................................. .........
U
- - --------------------------------------------------------------------------------------------*------*------------------- -----------------------------------------------------------------
U' -
Nature of Repairs or Alterations—Answer when applicable.
........................................................ ....... ------ ..................................... ------------------------------------------------------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board/qf health.
t IM
Signed—..... f L. ..?" '�...
•........................... ................................
Date
ApplicationApproved By.................. -------------7.................... ................... ........................................
Date
J Application Disapproved foi "6k following reas'v'n"s:................................................................................................................
.........................................................................................................................................................................................................
Date
PermitNo........................................................ Issued...........................I..............................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........:,f. �.. ................OF...........
...................................
wrtifirate of Toutplianirr
THIS IS TO CERTIFY, That the Individual Sewage Q}sposal Sy constructed ( or Repaired
by .....7 ................................... ...................................... .............................................. ............
Lvtaller
jZ�:......... ................ ........................ .......... ....................................
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No_._"... ------------------------- dated........
—-----------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G aRAN�EEETHAT THE
SYSTEM WILL FUNCTION SATISFACTORY. 71,-- 7
DATE.......... ----------------------------------- Inspector............
7
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
7
NO..._ ........ .........
FEEZ................
Rapagal
Permission is by here granted-_--__j""
% I '-Z11-----------------------------------------------------------------------...........
to Construct or Repair (
tr.x ar. Indivdual SewageL)i5p osal-System,
at No.......... ,
f f
............................ ...... ............................................................ ........................................ ............
Street
as shown on the application for Disposal Works Construction Permit No.._. D d
...............................j...........
f
............... q-----a............. ..........
13""ard of II'ctlth
DATE- .. ...................
..............................
FORM 1255 9OBBS & WARREN, INC., PUCLISHERS