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HomeMy WebLinkAbout0075 BISHOPS TERRACE - Health 75 BISHOPS TERRACE HYANNIS A = 251 204 0 - - i i i i 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 i�, � �- ' � ��� � . y \ � i � \ � � . � v � \ 3 v 9� ��?��� � �` � � � � o �� -_ '� - � �iG'Z! 7� w t Fee $ 5 0.0 0 No. �Y' i 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 a� —f- '' 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 3 jw t F7 7777777 O` / } L 7 _ I _ 13 7WRe 4C . 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 r 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 t �� ,� � � ��! l � ��l .�� 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