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Home My WebLink About0066 WOODLAND AVENUE - Health WOODLAND AVE., HYANNIS (� 4 0 No. Fee $ 50.00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Migpo!6al 6p5tem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade)=)Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.66 woodland Ave Owner's Name,Address and Tel.No.420-5882 Hyannis Mass. 02601 Peter Crowell Assessor's Map/Parcel ®�.- 17 27 Lsetrim Circle Centerville,Mass. 02632 Installer's Name,Address,and Tel.No.508-"775-3338 Designer's Name,Address and Tel.No.508-775--3338 J.P.Macomber & Son Inc. J.P.Macomber & Son Inc. Box 66 Centerville,Mass. 02632 Box 66 Centervill e,Mass. 02632 Type of Building: Dwelling XYX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1000 existing Type of S.A.S.25'x12'10" 2' Description of Soil Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon leaching chambers to the existing septic system. Existing system consists of 10 00 gallon septic tank.lbox and 1-1000 gallon preeast leaching pit. 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 is Bo d Hea th. Signed Datel0/26/99 Application Approved by Date Ore— Application Disapproved for the f owin reasons Permit No. W 8 Date Issued .. Yd%C-T iJbV'-+:.f✓�.�-�^Nr.'7kti.'L-� - No. _ ®g�nr:asae i u.�...„�"�► Fee $ 50.00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN & BARNSTABLES MASSACHUSETTS ZippYication for �Dizpozaf *p,5tem Congtruction Permit I�1 ' Application for a Permit to Construct( )Repair( )Upgrade ZM)Abandon( ) O Complete System El Individual Components _ 5882 •� Location Address or Lot No.66 Woodland Ave Owner's Name,Address and Tel.No. . 02601 Peter Cr'ouell essor s ap cel IG 9 Q�— 17 27 LietL�m Ox le Ce ntervf lle,93w. 02632 Installer's Name,Address,an Tel.No. Designer's Name,Address and Tel.No. 506"775--33-38 J.P.Macamber & Inc. J.P.Mrmber& Son Inc. Boot 66 CenterrMejbw. 02632 Box 66 CenterviUgMass. 02632 Type of Building: 1 Dwelling M No.of Bedrooms 3 Lot Size V sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow J gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of S ptic Tank 1000 existing Type of S.A.S.25'x12'10x2' Description of Soil i Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gd1on leaching dmbers to the exLgting septic system. &1sting system consists of 10 00 gallon septic tank.lbox aid p pr nst leaddng p 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 toylace the system in operation until a Certifi- cate of Compliance has been issued by is,Bo e th. Signed w . Date10/26/99 Application Approved'b'y Date J Application Disapproved for the fo lowing reasons Permit No. Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (tompliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(XXX)Upgraded( ) Abandoned( )by J.P.Macenlber & Sot Ioc. at 27 Lietrim CU a CenterylUe+Mass• has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.79`FC'79 dated Installer J.P.Macomber & Son Inc• Designer J.P.Macolber & Son Inc. The issuance of this pe1 oL. /rr shall not be agn trued as a guarantee that the system wi:`l-function as designed. \ Date Inspector No. U�� Fee$ 50•0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS lwigpogar *pgtem Conttruction Permit 1 Permission is here)) nted to Constructtie( -)Regai��Upgrade( )Abandon( ) System located,at ( rcle 111e 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: Approved by .'� 1/6/99 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 (WrrHOUT DESIGNED PLANS) I, Joseph P.Macomber Jr. , hereby certify that the application for disposal works construction permit signed by me dated 10/26/99 concerning the property located at 27 Uetrim Circle CentervMe,Mass, meets all of the Mowing criteria: tJ 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 ngt 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 M be located less than founcen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A) Top of Ground Surface Elevation(using GIS information) y. B) G.W. Elevation +the MAX. High G.W. Adjustment. _ Al, DIFFERENCE BETWEEN A.and B SIGNED : :�' ( DATE: 10/26/99 (Sketc proposed plan of system on back). q:health folds em f�, TOWN OF BARNSTABLE — e— LOCATION ;Z- _7 L /e .+1 C / 9 • SEWAGE # VILLAGE �1i 1`C� i� I.�/// ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /. Ca o 0 f- LEACHING FACILITY: (type):__-/Z'e)4L'C�/A�/3C�it"$ (size) _,��'� 6:) C� NO. OF BEDROOMS BUILDER OR OWNER PERMIT DATE: I'_-4- - 1, = I 'T 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 �-- ------------ tr I r TOWN OF BARNSTABLE F �� LOCATION ) it dL,4 61�E J'� SEWAGE # -7 VILLAGE ASSESSOR'S MAP & LOT 110 �'P to INSTALLER'S NAME&PHONE NO. V A C 0/11 60, eA SEPTIC TANK CAPACITY SD 0 LEACHING FACILITY: (type) .9.-leL,OuJ C/fAIt?d ,'i3° 5 (size) b NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: 1 —'� - Ci COMPLIANCE DATE: � ��I Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 yy f 1� 1 No. / Fee $ 50. 00 / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ftpltcatton for Dtgpogar *pMem Cone4ructton Vermtt Application for a Permit to Construct( )Repair( )UpgradeX D 4 Abandon( ) P@Zomplete System ❑Individual Components Location Address or Lot No.5 0 8—7 7 5—3 0 2 6 Owner's Name,Address and Tel.No. 61 Woodland Ave `HYannis ,Mass . Fred & Francis Peters Assessor's Map/Parcel "g, / L7 L-.)4�tol 66 Woodland Ave Hyannis ,Mass , 02601 Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 H Designer's Name,Address and Tel.No. 5 0 8—7 7 5— 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 No.of Bedrooms 2 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 2 x 110=2 2 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1500 0 Type of S.A.S. 2 5 ' x12 ' 10"x2 ' Description of Soil Nature of Repairs or Alterations(Answer when applicable) Omitting cesspools . Installing 1-1500 gallon septic tank, l—Distribution box , 2`'.:'500 gallon leaching chambers packed in 4 ' of 12" stone . 25`xl2 ' 10"x2 ' 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 issue by thi Bo d o Health. Signed < Date 10/26/99 q Application Approved by Date Z C Application Disapproved for the following reas ns Permit No. 7 2 Date Issued / Z TOWN OF BARNSTABLE E LOCATION SEWAGE #_7 x Gr VILLAG H i AA$'R/ls ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE N0. M A G C�/mil `� +' S�✓� SEPTIC TANK CAPACITY LEACHING FACILITY: (type)l 1-,0idJ OAA6L V/ 5 (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: ) I -1 `j l-1 , COMPLIANCE DATE:i f Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by Sc / / w � 7 ''a ,No. a-',7 Z Fee"$ 5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: t Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,;MASSACHUSETTS } J Z(pplication for migogar *pztem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade*D�-Abandon( ) PIreomplete System ❑Individual Components Location Address or Lot No. — — Owner's Name,Address and Tel.No. — 6t Woodland Ave HYannis,Mass. Fred & Francis Peters " Assessor'sMap/Parcel p 6) 4�wl 66 Woodland Ave Hyannis,Mass, 02601 Installer's Name,Address,and Tel.No. 5 08— —3 3 8 Desi ner's Name,Address and Tel.No. i J.P:Macomber & Son Inc . J.� ,Macomber & Son Inc. 'Box666 Centerville,Mass. 02632 Box 66 Centerville,Mass. 02632 t Type of Buildingg: Dwelling X No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder( ) Y ,—....—Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 5 5 ` gallons per day. Calculated daily flow 2 x 110-2 2 0 gallons. Plan Date Number of sheets Revision Date Title t f Size of Septic Tank 15900 Type of S.A.S. 2 5 x 12 1011x2 Description of Soil Nature of Repairs,or Alterations(Answer when applicable) Omitting cesspools. Installing 1-1500 gall yon septic tank, l—Distribution box, 20500 gallon leaching cnam ers packed in 41 o s stone. x x Date last inspected: c 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 issue by t i Bg��Health Signed i Date 10/26 99 Application Approved by i4 Date 9 Application Disapproved for the following reasons 1 Permit No. "7 2 Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS 3 c)erttficate of Compliancer.� THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded O Ab done ( )by J.P.Mcamber & San Inc. andr at Ave flymds,Mass. has been constructe in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. Z G dated Installer J.P.Macomber & Son Inc. DesignerJ.P.Msccmber & Son Inc. The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date • .5 Inspector ——--——7--——————————————————————————————— g No. — -2 6 Fee$ 50.00 THE COMMONWEALTH OF MASSACHUSETTS 76 �� PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Iizpoar bpmem Construction Permit Permission is hereby gr�anted to Construct( )Repair( )Upgrade PX)Abandon( ) System located at 6b 1Joodland Ave Hyann s,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:Constructions ust be completed within three years of the date of th' e t. Date: ��/ `/9/ Approved by� • �' 1/6/99 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) I, Joseph P.Macomber Jr. , hereby certify that the application for disposal works construction permit signed by me dated 10/26/99 concerning the property located at 66 Woodland Ave 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. • 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 npt 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 no be located less than fourteen(14) feet above the maxiinum 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. _ ^ D=RENCE BETWEEN A and B , SIGNED i DATE: 10/26/99 [Sketc roposed plan of system on back]. q:health folder:cm � C�® ® r i ..