HomeMy WebLinkAbout0046 GROUSE LANE - Health 46 GROUSE LANE HYANNIS
° A = 268 259
TOWN OF BARNSTABLE
LOCATION �,�' G�P a lI S e L AA/P SEWAGE # 41
—
VILLAGE UJ 2 S T yv A&.1//-S X ASSESSOR'S.MAP.& LO 4
INSTALLER'S NAME&PHONE N0: P 'm A C v AA M e1 s o
SEPTIC TANK CAPACITY /Doo -
LEACHING FACILITY: (type). -6-16w C#AAI VIT'S (size) S-Do a 4 - e
3
NO. OF BEDROOMS / )
BUILDER OR OWNS
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Welland 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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TOWN OF BARNSTABLE
'tCATION /Q o f/ S e L AAA LP SEWAGE #
iII.LAGE We Sr MytgAAlAllseaR SSESSOR'S MAP & LOTaU--M
INSTALLER'S NAME&PHONE NO. A C v AA N eA 'T a"
SEPTIC TANK CAPACITY /®®o A —1/P-t
LEACHING FACILITY: (type)X-A-16W C11AXl�@R�s (size) S-®O C
NO. OF BEDROOMS '3
BUILDER OR OWNE -
PERMITDATE: 71,
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
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No. 7 147 Fee 5 0. 0 0
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
01pplication for Migpogal *pgtem Construction Permit
Application for a Permit to Construct( )Repair(X X)Upgrade( )Abandon( ) El Complete System El Individual Components
Location Address or Lot No. 4 6 G r o u s e L a n e Owner's Name,Address and Tel.No.
West Hyannisport ,Mass . Lenora Cullen
Assessor's ap/Parcel S. 6 H a w k t r e e Drive
Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name',Ad ress and Tel. o.
J.P.Macomber & Son Inc . J.P.Macomber & Son Inc .
Box 66 Centerville ,Mass . 02632 Box 66 Centerville ,Mass . 02632
Type of Building:
Dwelling X X No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow i 10 G P n P e r B e d rom gallons per day. Calculated daily flow 3/110=3 3 0 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Adding two five hundred gallon
leaching chambers to an existing 1000 gallon septic tank and and 1-1000
gallon leaching pit . Chambers will be packed in 4 ' of stone with
a cap o 8 stove .
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 issued by this BoaA�oflth.
Signed Date /8/9 9
Application Approved by Q1 Date —7
Application Disapproved for theRollowAg reasons
i
Permit No. Date Issued
No:ti Fee 5 0.0 0
THE COMMONWEALTH OF MASSACHUSETTS Entered in compute Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS
01pplication for Migpogal *pgtem Construction Permit
Application for a Permit to Construct( )Repair(X X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 4 6 G r o u s e L a n e Owner's Name,Address and Tel.No.
West Hyannisport ,AIass . Lenora Cullen
Assessor's Map/Parcel 01 � � 6 H a wk t r e e Drive
y Installer's Name,Address,and Tel.No. 5 0 8-7 7 5-3 3 3 8 Designer's Name°,A ress and Tel. o.
J.P.Macomber & Son Inc. J.P.Macomber & Son Inc .
ox 66 Centerville,Mass. 02632 Box 66 Centerville,Mass. 02632
Type of Building:
Dwelling X X No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria(` )
t Other Fixtures
Design Flow 1 10 C P D P a r B e d r o o m gallons per day. Calculated daily flow 3/1 10=3 3 0 a gallons.
Plan.,Date Number of sheets Revision Date { d
Title
6
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Adding two five hundred gallon
leaching chambers to an existing 11000 gallon septic tank and and 1-1000
gallon leaching pit. C ambers w Yl `b;e packed in of stone with
a ,,211 cap o stone. } t
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 issued by this Board o lth.
Signed r Date 7/8/9 9
\ Application Approved by Date
Application Disapproved for th follo ' g reasons
r
Permit No. i Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance
THIS IS TO CERTIFY, that the.11OA-site Sewage Disposal System Constructed4( )Repaired.(X'X)Upgraded( )
Abandoned( )by J.P.Macomber & Son INc .
at 4 6 Grouse Lane West H y a n n i s p o r t ,Mass. has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. ..� dated
Installer J.P.Macomber & Son Inc . Designer J.Y-.Macomber & SoA Ind 0
The issuance of this,permit/shall}not be construed as a guarantee that the s4w ill n�ctio )asZesgned.Date ll l�t�if Inspector 6�1y J%J1.�(J6� ' Vf�rY,fW J
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----`—_—
No. �� --------------------------Fee $ 50.00
THE COMMONWEALTH OF MASSACHUSETTS
-�j PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
��-, " _ �ig�o�aY �pgtem-�or�gtruction �ern�it
Permission is hereby granted to Construct( )Repair�X )Upgrade( )Abandon( )
Systemlocatedat 46 Grouse Lane West Hyannisport .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:Construction must be completed within three years of the date of this permit.
Date: — ?p Approved by —�
1/6199
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)
I, Joseph P,Macomber J r . hereby certify that the application for disposal works
construction permit signed by me dated 7/8/9 9 concerning the
property located at 46 Grouse Lane W. Hyannisport MA. meets all of the
following 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.
• There are no wetlands within 100 feet of the proposed septic system
• 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 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 not 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. 7, _
D=RENCE BETWEEN A and B 3
SIGNED DATE: 7/8/9 9
[Sket oposed plan of system on back).
q:health folder:cen
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TOWN OF BARNSTABLE
*CATION 6�f0[4 SG Loy SEWAGE #Z2-
E3 5-
VILLAGE �, /�!
`'����/� ��� ASSESSOR'S MAP & LOT ��-
f
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY 1a0, 2 'q
LEACHING FACILITY:(type) � (size) G c
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
v
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No �f
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--" $ 30.00
..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH APPROVED
80nU4 a Conservation DepeMeat
TOWN OF BARNSTABLE
Appliration for Bhipmal Works Date
Application is hereby made for a Permit to Construct ( ) or Repair*X�an Individual Sewage Disposal
System at:
46 Grouse Lane West Hyannisport
...............---_....�........................ •-- ... ------......_.....---------- --•--•--••---•----•-------------...•-•---------•--•----------•---................----..........•--
Cul lan Location-Address or Lot No.
- ...... .......... --- ----.............................................
Owner —Address
WJ.P.Macomber J r t----------------------------------------•----•------
Installer Address
d Type of Building Size Lot............................Sq. feet
aDwellingX No of Bedrooms............. .............................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type if Building ............................ No. of persons.....................--.--.. Showers ( ) — Cafeteria ( )
Otherfixtures ---------------------------------------------------------------------------------------- ..................
... ...---•-----------------------------
W Design Flow................I............................gallons per person per day. Total daily flow----- ---_._.__._..._.._._...............gallons.
Septic Tank—Liquid capacity.....--.....gallons Length................ Width................ Diameter....---......... Depth................
W Disposal Trench.—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.---................ Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by .-----------•--•----------------------- Date..........
Test Pit No. I................minutes per inch Depth of Test Pit.------....._....... Depth to ground water........................
f4 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water..--.--.................
1:4 ----•------------------------------------------------------•------------•-----------........................................................................
0 Description of Soil................................................................................................................................ ....................................
WSand.&.Gravel-------------------------•-------------------•----------•-----------------------------
v
W <
U Nature of Repairs or Alterations—Answer hen a lira l -_--1-1000 gallon septic tank, 1
distribution box,171000 gallon .. e
ac ing pit packe.. in stone .
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the boa d of health.
Signed .... . 10 28 94-------------------------------- ...- 2
-
/ Date
ApplicationApproved BY `... ...................---------- --- .................----- ---- - ---- ......................................... i
Application Disapproved for the following reasons: ................................................................ .... ..................... --.......... -----------------
............... ................... ..... .. ..............------............------....-------- -- --....------------------------------------------.---- ------ ---:------..............
Date
Permit No. .... -�'� ,5 Issued /...:.. �
— — Date
30.00
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE �. ,��
Appliratinn for Disposal Works Tonstrnrtiun Prrmi#
Application is hereby made for a Permit to Construct ( ) or RepairX(XX)K an Individual Sewage Disposal
System at:
46 Grouse Lane West H��annisport
................______...........•- -- -- ---•.....-........... ------------------------------------------------------
Cullan
Location-Address or Lot No.
Owner 7Address
WJ.P.Macomber.-'� s_..._..._.. ..._._ -
Installer Address
� ________S feet Type of Building Size Lot___________________ q.
V Dwellings No. of Bedrooms____..__..__3_____________________________Expansion Attic ( ) Garbage Grinder ( )
NOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ---------------------------------------•-----------------------------------------------------•-----------------------------••-------------------------
W Design Flow--------------------------------------------gallons per person per day. Total daily flow--------------------------------------------gallons.
WSeptic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter---------------- Depth_________-______
x Disposal Trench—No_____________________ Width....................Total Length-----_----------- Total leaching area--------------------sq. ft.
3 Seepage Pit No..................... Diameter____________________ Depth below inlet___`____________ Total leaching area------------------sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by-------------------------------------------------------------------------- Date----___---------------------------------
a
,.a Test Pit No. 1________________minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of,Test Pit---_................ Depth to ground water------------------------
94 -------------------------------------------------------------------------------------------------------•---------------------------------------------_....•-
0 Description of Soil...............................................................................----------------•-----------------•----------------------------------------------------
v .._..._.....Sand &•-Gravel-----------•---------------------•-------------•---------•-----•-------------------------•------------•••-----------------------------...-----------W
x ------------ --------------- ---------- -- -----------
U Nature of Repairs or Alterations—Answer when applicable_.__1-1000 gallon Septic tank, 1
distribution box,1-1000 gallon leaching pit packed in stone .
- • -----------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed :�'A_ ,. /?:!���i� ---• ----- ---10/2�/92
Date
Application Approved By�..:... ---- ------- -'.... ..'---- -------- ---------------_---- ��
e•-y--_--- Date_'--r
Application Disapproved for the following reasons- --------------------"-'---------------- V-------------------................................--------------------------
- ' - ---'----'------------------------------------------------------------------------------'----'-----"---------------------
----------------------- -------------------- ----------------------------------
,� Dare ......
Permit No. ' , `� ' Issued --------'�`
---' -----------------..._. Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Lerti trate of (foutylin cre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or,Repaired �KXX )
by"''J P.Mac-omb-er-.._Jr- ..............'-"-----""-"''-"--'---' ---------------------------------------- ------------------------------------------------------------------
46 Grouse Lane West Hyannispor'�sta '
at - "--- ------------------------------------------------------------------------------------------------------ "'--"'-'-"'---"---'-'----'-'--------------------------------------------------------------------------------------
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. dated -__ ._ -
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT'BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector --'----=`-_ --
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
o.00
No.........................
�. FEE__ ..-3---..........
Disposal lVorks TFAanstrur#Uan Frrmit
J P Macomber Jr.
Permission is hereby granted_------------- -------------•-•-----•----- --
to Construct (., ) o� Repair X� n�In i�i�# S�v�a�g�Disposal System
1+u urJus
atNo...............................................................................................................................................................................................
Street ` " t
as shown on the application for Disposal Works Construction Permit-N --------------------- Dated..........................................� �'4
/t- ,-_-. Board of Health
DATE------------- ----------------..•--------•--•----------------•----------•----
FORM 3850E HOBBS&WARREN,INC..PUBLISHERS