HomeMy WebLinkAbout0077 SAINT JOHN STREET - Health 77 ST'-JOHNS STREET =HYANNIS
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��77 TOW/JN OF BARNSTABLE
,LOCATION 77 S To IIN.5 .S'� SEWAGE #
VILLAGE A ALAI/S ASSESSOR'S MAP &LOT
INSTALLER'S NAME&PHONE NO. T e Ai A c o Al R eX-t Sol
SEPTIC TANK CAPACITY Sep
LEACHING FACIL=: (type) DUICIIA&& size) �_ GO GXL
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 y=
within 300 feet of leaching facility) Feet
Furnished by
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I No. !"�— Fee $ 50. 00/
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSA,CHUSETTS
ZIppYication for Mizponl *p!tem Cortgtruction .permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ®)Complete System ❑Individual Components
Location Address or Lot No.7 7 St . Johns Street Owner's Name,Address and Tel.No. 7 7 1—8 5 5 4
Hyannis ,Mass. 02601 William McClain
Assessor's Map/Parcel 9- 9/ 017, 8 77 St . Johns St . Hyan n i s ,Mass . 0 2 6 1
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:
DwellingXX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons 2 Showers( ) Cafeteria( )
Other Fixtures
Design Flow 110 G P D gallons per day. Calculated daily flow 'I X 1 10-'I'I n 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 sand
Nature of Repairs or Alterations(Answer when applicable) Omit t in g cesspools . Installing o n e
1500 gallon septic tank, l-Distribution box. Two 500 gallon chambers
packed in of stone .
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 d not to place the system in operation until a Certifi-
cate of Compliance has been issue by this o of alth.
Signed Date 3/2 9/9 9
pplication Approved by r Date '1-zG 9
plication Disapproved for the following reasons
Date Issued `0W- -- 7
TOWN OF BARNSTABLE
LOCATION � O�,��S S SEWAGE #
VILLAGE��/A ,t/�// t ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. .7r/° Ail l �� ,y�elf f SDfl
SEPTIC TANK CAPACITY 1 _r6,0
LEACHING FACELI TY: (type) /CL o wc#A Gsize)
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
13
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01
Xm
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No. 79- 2Z Z_ Fee $ 5 0.00 '000.
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes I
PUB IC HEALTH DIVISION TOWN OF BARNSTABLE., MASSACHUSETTS ,
a p- phratto Bt5, gad p*ftm Construction Vermtt
Application for a Permit to Construct Repair Upgrade Abandon XXomplete System 0 Individual Components
Location Address or Lot No.7 7 S t . J o h n s S t r eel, LQwnks Name,Address and Tel.No. 7 7 1-8 5 5 4
Hyannis,Mass. 03601 , William McClain
Assessor's Map/Parcel 91 ?/ 0 77 St. Johns St. Hyannis ,Mass. 026H
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
1 1
Type of Building:
DwellingXX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(
Other Type of Building No. of Persons 2 Showers Cafeteria(
Other Fixtures
Design Flow 110 G P D gallons per day. Calculated daily flow 3 x I I 0-33n 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 sand
Nature of Repairs or Alterations(Answer when applicable m i t t i n g c e s s p o o I s. I n s t a 111 njq o n e
1500 gallon , �k6ptiv tank, l—Distribut;on box. Two 500 gallon chambers
packed in 4 ' Ot ston'e.
Date last inspected:
reeihent:
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-
c`dte of Compliance has been K issue by this oplftiealth.
I Signed I P k —' Date 3/28/99
Application Approved b -Date iv-
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
Abandoned( )by J.P.Macomb'(�r') & Son Inc. 7,
at77 St . Johns Street Hyannis,Mass. has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. -77— ? ?Z dated 4— 7
Installer J.P.Macomber & Son Inc. —Designer J.P.Macomber & Son/Inc.
The issuance of this permit shall, not b7 co trued as a guarantee that th Qt f function a 0
e sy em,will un �8'esign�tr
Date -Inspector Cl__�/'&A 14 .-Y)�'. 1 /,O�jm ko-1
Vf - - V-
------------------------ -----------
_L7
N Fee$ 50.00
THE COMMONWEALTH QjF MASSACHUSETTS
i PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
&.5pool *potent Com5trurtt6n Vermtt
Permission is hereby granted to Construct( )Repair( )UpgradeYX )Abandon
Systemlocated at 77 St. Johns Street 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: Construction must be completed within three years of the date of this t
Date: Approved by
'00,
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 Jr ., hereby certify that the application for disposal works
construction permit signed by me dated 3/2 9/9 9 concerning the
property located at 77 St . Johns Street Hyannis ,Mass . 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.
t
• 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 JI, —+the MAX. High G.W. Adjustment.2, 1 _ 7, Zr
DIFFERENCE BETWEEN A and B
SIGNED : 6 DATE: 3/2 9/9 9
[Sket proposed plan of system on back].
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