HomeMy WebLinkAbout0120 OCEAN VIEW AVENUE - Health 1� ��� pLFPAA VIF0 Y�v'enuE, C u'rct�
TOWN OF BARNSTABLE
LO(�,ATION On C�1.F A&) y £
4,. SEWAGE# r
VIItLAGE CC)ILkt ASSESSOR'S MAP & LOT ,0
INSTALLER'S NAME&PHONE NO. 7`7S- 3-31 V
SEPTIC TANK CAPACITY '��'�� G
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS__
BUILDER OR OWNER
PERMITDATE: q6, COMPLIANCE DATE: VL1 2 N 7
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
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No. [ ! Fee $ 5 0 .110
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01ppYication for Mtgpont bpotem Con!6truction Perron
Application for a Permit to Construct( )Repair�X)upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.120 Oceanvi ew Ave Owner's Name,Address and Tel.No.
,Cotuit,Mass. 02635 Beatrice Williams
Assessor'sMap/Parcel 120 OceanvieW Ave Cotuit,Mass. 02635
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 7 5 3338
J.P.Macomb>er & 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 GrinderI#0 )
Other Type of Building RES No.of Persons 2 Showers( ) Cafeteria( )
Other Fixtures
Design Flow 3 3 0 gallons per day. Calculated daily flow 3 x 1 1 0 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank _ w _ ___ Type of S.A.S. Existing 1 000 gallon pi
Description of Soil
Medium sand to fine sand.
Nature of Repairs or Alterations(Answer when applicable) 1 1y5 0 0�'�a 1`l�o l ����'��i�e '=1i ambers to
tarn, �a t?ds}on'reg e-1Ut1k ibt&Iitbn box.
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 this of lth.
Signed Date 9/1 1 /9 7
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued <-
-—————————————————————————————————————
No. / Fee $ 5 0.0 0
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer;.
Z { Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS `.
01ppYication for Migpogal *pgtem Congtruction Permit
Application for a Permit to Construct( )Repair�X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
t
Location Address or Lot No.120 Oceanvi ew Ave Owner's Name,Address and Tel.No.
0 ,Cotuit,Mass. 02635 Beatrice Williams
Assessor'sMap/Parcel ;120�Oceanview Ave Cotuit,Mass. 026.15
I t er' ame,Address,an Tel.No. — — ( ' 'Designer's Name';Address and Tel.No.5 0 8—7775 3338
. acombEr Son Inc. s j%P.,M`acomber `& Son Inc.
Box 66 Centerville,Mass. 02632 BoX` 66 Centdr i-11e, .Mass. 02632
Type of Building�X 3
Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinderklo )
Other--- Type of Building No.of Person Showers( Cafeteria( )
, F Other Fixtures = `" mow- -• = ..--
Design Flow 3 3 0 w gallons per day. Calculated daily flow 3 x 1 1 0 gallons.
Plan Date - " _ `
Number of sheets �� Revision Date
Title �. .. .
Size of Septic Tank -'"t `or Ut 0 Type of SaA.S. Existing 1 000 gallon pi
Deseri tion of Soil
Medium sand to fine sand.
Nature of R.ewair s.or Alterations(An$wer when applicable),
---� •t .,� ; ,• x_, box ` -
•
.may i a,
Date last inspected: .,
F 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 issueA by this o o alth.Signed2 Date 9/11 /9 7
Application Approved by Date 1�;,�
Application Disapproved for the following reasons
Permit No. 7 7 Y Date Issued
———————————————————— . ——————————————————
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Comptiance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(XCfUpgraded( )
Aba domed( )by J.P.Macomber & Son Inc.
at ln0 OceanvleWAve Cotult,Mass. as tkeen constructed in accorda e
with the provisions of Title 5 and the for Disposal System Construction Permit N dated
J.P.Macomber & Son Inc. J.P. acomner & Sony nc.
Installer a Designer i r n
The issua Opp,o t shall not be construed as a guarantee that the srste . .t11,functiroy'n asldesignJ a
Date Inspectori �/�
No. �7 �7 ;7--------------------------Fee $ 50 —
.00
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION- BARNSTABLE,, MASSACHUSETTS
&.5p0ar *pgtem Congtruction Permit
Permission is hereby ted&eCgRsq (w A#&p ttllU grl�i Ss )Abandon( )
System located at
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: /�
Date: / `� �� [ 7 Approved by (.,-�6'[�-!/t
Y • t M n
CERTIIICATION Or SKI;TCII AND APPLICATION r01t A D1SP�.,
WORKS CONS"rRUCTION pLIt�,1l'1' (NVI'1'tIOU'I' DESIGNED PLANS)
1, Joseph P. Macomber_-7r.. -t-:r ccltlty tll;,t tltu application for disposal works
construction permit signed by me ;i:aid _ 9/11 /97 , concerning the
prjperty located at 120 oeeanview Ave Cotui t,macc meets all of the
following criteria:
There are no Nvctlands within 300 fc.t of the proposed septic system
• There are no privutc N ells within 15o fret of the proposed septic system
• The observed 6roundwatcr tabl. :i frtct Or gl'cater below the bottom of the Icachrnb facility
There is no increase in flow gnd/olf chanbc in use proposed
• There are no variances requested or nccdcd.
SIGNED : / DATE: 9/11 /97
LICEN'WSEPTIC SYSTEIM !NST LLEIt IN/' HE TOWN OF BARNSTABLE NUMBER
(Attach a sketch plan of the proposed i)it.m. Also if the licensed installer posesses a certified plot plan,
this plan should be sub:nitted].
. . � - . .
M
TOWN OF BARNSTABLE '
LOCATION -I8i Q Comes.;�Aj V i f-c.-� SEWAGE# f
VILLAGE C `C4 t �' ASSESSOR'S MAP &LOT
INSTALLER'S NAME&PHONE NO._,dACb►M 6F-b 7 75' 3 3 3 Y
SEPTIC TANK CAPACITY lhdC7 G V'1
`� ,Oc7o +
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
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
1
IS � ,
\ 140
—
N OR
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THE COMMONWEALTH OF MASS ACHUSETTS
BOAR® OF HEALTH
Town Barnstable
. .......OF...................................... .........................
, pphratiou for Uiipusa1 Works Tomitrurtiun Vamit
Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal
System at:
120._Ocean__V ie,K.. Y.a:�..C otu t,.. 1......................... ....••••-•--•----•------•--------.................................................................
Location-Address or Lot No.
William Williams i20 Ocean View A_ve._,__C otuit-,--MA---------------
-•---••......-•----...-... ... .. --
Owner Address
W A & B.CessDool Service 128... isho�s..Terrggg., Hyannis,_.MA_-._.______•_•__-___
•----...... -•------•-•--•-
Instal ler Address
Type of Building Size Lot............................Sq. feet
UDwelling—No. of Bedrooms.........................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ...................0........ No. of persons...3_...................... Showers ( ) — Cafeteria ( )
Q' Other fixtures -------------------................................................................................
W Design Flow............................................gallons per person per day. Total daily flow_.........................................gallons.
W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth.........
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.............0......sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area.....0......0.....sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
14 Percolation Test Results Performed by---------------.....................................................-..... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
--------------------------...................................................................................................................................
0 Description of Soil_Sand----......••--------------------0....--•-------
U -------------------------------------------
----------------------
-•---•------... -------------------------------------------------------------------------------------------•-------•--•--------
W •-------------- ---------------------------------------•---•-----------------------------------------------•---------------------------------------------------------•...-•-----------• ------------
UNature of Repairs or Alterations—Answer when applicable._in5tallati-On---
stone
packedleach it (oyerfl.. .....................
ow)'.......................................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITU 5 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 oar healih.
S e -- ------.. = J 10l. l.82.....-------•
D to
Application Approved BY -- ---------------------•---•--•------------- 10l 8..-----------
Date
Application Disapproved for the f o ow' g reasons- -------------------------------------0---------------------------------------------------------------------
•-•------•---------------••-------------......----------••---....•--................................................................................. .............................................
No......82- 1, 10 4 82
..............•----••......--•------... Issued .._.�.--------•-----...au......
Date
N% -.................... F�s ....5.00 ........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
.........................__...------.....OF........................................------------------................----------------
Appliration for Disposal Works Tonstruriion Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
120 Ocean View Ave...,..C otui_t.,...MA••••--......--•-•-••..... ........•---••••-•-..........•••••----•-••----•••----•••----•••---••-••-•-•-•.............-----•--
................__.................-----
Location.Address or Lot No.
William Williams 120 Ocean View Ave.. Cotuit, _1 A.............:_-__
••. - -- - ............................................... ..... .... ......
Owner Address
W _ .....D Cesspool-_Service 12P ,j shops T...aee, H ,nnis, PnA
W A &
.......... -- -•-------••-•---.....----••......•-••••••-•-.-•---
Installer Address
dType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............. .............................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—Type of Building No. of persons...3...................... Showers — Cafeteria
a' Other fixtures .......................................................................................
W Design Flow............................................gallons per person per day. Total daily flow..-:..............._..................I----.gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter--.............. Depth................
x 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........................................
,aa Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_.-__---.----.--..---
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
----------------------------------••----•---------••-----...........------------•---•••••••..................................................................
0 Description of Soil...Sand ._
x
w
UNature-of Repairs or Alteration —Answer when applicable.--install_8.tion of a_1_t000 ga.11ont pre-Cast,
stone packed leach pit (overflow .
-----•----------------------------------------------------•---- ......................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT1E 5 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 of-health.
G✓ t -
Signe ' t C[ c-r�� �-�-7. , ,F. r !1 Q�._ �`2.._.........
1
}
Application Approved By........ -••--••----' .. ........................................Date
Applieation Disapproved for the f o w' g reasons---------------•--•--•--•--......----------------------------------------------...-•-•••......--•-•---••--....._
.....................•-------•----...---•---•--------------.......--•--•-------------------•-•---•--------••---••---•-•-----------•-•••-----•--•--•-•-•--------•-•-------•-----•-------•--•--••...-•••--
Date
r-
Permit No......................................................._ Issued_.-•-------- ../- /gz ......
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
T own.........OF....Barnstable..............................
Trrtifiratr of Toutpliunrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X)
by------ A-_c n Cesspool_Service, 128 Rishops Terrace, 34yannis,---MA 02601
120 Ocean View Ave., Cotuit, :"A -- " Yl-iam Wi-11iams
at. •.................... ......... _-_- - --............ ---- _- ----- -'-- - ---- -_-_•------- .......----------
has been installed in accordance with the provisions of T4 TIE'- 9kThe State Sanitary Code as,d�sC, bed in the
application for Disposal Works Construction Permit No."-------------------...._.....--........ d-ated-............-.-../......./..'.5....................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRWD AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
G'
., a
DATE•-----•----.....: 10/ { /82••-••-•---------------------- Inspector ------'-.......... �
THE COMMONWEALTH OF MASSACHUSETTS r`
BOARD OF HEALTH
Town.......OF..........:� instable 5 00
.............. .... .......-•. ........-........
............... FEE.....'--..:.............
Disposal Works 'WrIon,s#rurtion rrutit
Permission is hereby granted ..............• --•--A & P Cess�ool Service
•---...---------•••-•-•••••••...-•••--•--•-••-•-•••••-•-.................--•....-•-......----•-•.
to Construct ( ) or Repair ( an Individual Sera e Disposal System
at No.......120 Ocean View Ave. , Cotuit --- William W.i11}.ams.
-----------
et
Str
51/1'
as shown on the application for Disposal Works Construction Permit_ . • 6. 2...�6 Dated.._......_-.10/ �/82 .
i .
eet
f DATE / / Board of Health
10 ....82----------------
FORM 1255 HoeBS & WARREN, INC., PUBLISHERS
`LOCATION SEWAGE PERMIT NO.
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I NS TA L R'S NAM i ADDRESS
8UILDER oe OWNER,
DATE PERMIT ISSUED
DATE COMPLIANCE I S S U E 0 2,f���
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