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Home My WebLink About0255 SANDALWOOD DRIVE - Health i 255 SANIDA LWOOD DRI*OTUIT A = 025 .034 7 I Y! T I I� TWN OF BARNSTABLE 1' LOCATION oZ JCS S A Al.-Ile Gy O o l,� �/�. SEWAGE # 0 Q `-/ N'ILLLi:GE C D%U! r ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.J�/ /M,4 �T0� e s o/V SEPTIC TANK CAPACITY r ®O LFACHING FACILITY: (type) W C/yff l/.3 Rtf S (size) 6-0 O NO. OF BEDROOMS °3 BUILDER OR OWNER PERMITDATE: 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 ��` �� f 3� � � ` � � \ �� \� � � � I �� . ,a ��_ No. .dZ9G ' .e71 Fee ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: . t PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS i� ZIpplication for ]Biopozal *pztem Conelruction Permit Application for a Permit to Construct(KX)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 255 S and 1 ewood Drive Owner's Name,Address and Tel.No.4 2 8—1 4 0 7 Cotuit,Mass. 02635 Richard Jonas 255 Sandlewood Drive Assessor's Map/Parcel b Co to i t,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 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 XX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 3 x 1 1 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 fine sand Nature of Repairs or Alterations(Answer when applicable) Adding two 500 ga 1 1 an 1 aarh i n q chambers to the existing tank & pit. Chambers will be 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 and not to place the system in operation until a Certifi- cate of Compliance has been issu d by this Boatd of Health. Signed Date 3/1 0/0 0 Application Approved by Date L;k jL—D-ie�V Application Disapproved for the ollow g reasons Permit No._ -a 16:1 Date Issued F� No. cQ 15 I % J Fee 50 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: y, PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 01pprication for Digo.ol *p.5tem Con5tructiou Permit Application for a Permit to Construct KX)Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 255 Sandlewood Drive Owner's Name,Address and Tel.No.4 2 8—1 4 0 7 Cotui't,Mass. 02635 Richard Jonas 255 Sandlewood Drive Assessor's Map/Parcel e- 6 Cotui t,Mass. 02635 v 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 H.P.Macomber & Son Inc. J.P.Macomber & Son Inc. Box 66 Centerville,Mass. 02632 Box 66 Centerville,Mass.02632 Type of Building: Dwelling XX No.o1f Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type 6� Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 "° gallons per day. Calculated daily flow 3 x 1 1 0 gallons. Plan Date Number of sheets Revision Date , Title Size of Septic Tank Type of S.A.S. Description of Soil LocrdY sand to fine sand. Nature of Repairs or Alterations(Answer when applicable) Addinttl two 500 gallon leacbina chambers to the existing tank & pit. Chambers will be packed in o 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 and not to place the system in operation until a Certifi- cate of Compliance has been issu d by this Bo d of Health. },. Signed Date 3/10/0 0 Application Approved by Date�� -10-�U Application Disapproved for the ollow' g reasons Permit No. 0!!:�q Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS f" (tertificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(XX)Upgraded( ) Abandoned( )by J.P.Macomber & Son Inc. at 255 Sandlewood Drive Cotuit,Massw 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.P.Macomber & Son Inc. The issuance of this permit shall not be construed as a guarantee that the system,will function asdesigned:;? Date �C,/"�' '" �� Inspector rw.,p �� ,-�'` .-�"�,,•'"�—a,''� No. 49P l : 1 -- Fee 50.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLES MASSACHUSETTS wiopooal 6potem (on!6truction Permit Permission is hereby granted to Construct( )Repair(XX)XUpgrade( )Abandon( ) Systemlocatedat 255 ��Sandlewood Drive Cotuit,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: Approved by Rio —� 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) L Joseph P.macomber Jr hereby certify that the application for disposal works construction permit signed by me dated 3/1 0/0 0 , concerning the property located at 255 Sandlewood Drive Cotuit,Mass. meets all of the following criteria: 96/The failed system is connected to a residential dwelling only. There are no commercial or business cues 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 of 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) 7 7,. y'. B) G.W. Elevation +the MAX. High G.W. Adjustment._7 . DIFFERENCE BETWEEN A and B SIGNED / DATE: 3/1 0/0 0 (Ske roposed plan of system on back). q:health folder cat 1 T,.q,�� U Gp Q � ��u '��r � 6 o� �� f is TOWN OF BARNSTABLE LOCATION i�/cl/e UJ O O �/� SEWAGE VILLAGE C D/ U 7 ASSESSOR'S MAP &LOT INSTALLER'S NAME PHONE NO.Y'�%'4 R U.� SOti' ME SEPTIC TANK CAPACITY /3 O D — j rL6W (size) �S'OO A L . LEACHING FACILITY: (type) NO.OF BEDROOMS j BUILDER OR OWNER PERMIT DATE: COMPLIANCE DATE: j i Separation Distance Between the: Fe et 1 Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility . i an wells exist Private Water Supply Well and beaching Facility (If y Feet i :. -,on site or within 200 feet of leaching facility) ! wetlands exist. Edge of Wetland and Leaching Facility(If any Feet within 300 feet of leaching facility) Furnished by Cp t ,d s LO-C -AT ION SEWAG PERMIT NO. VILLAGE I N S T A LLER'S NAME & ADDRESS s cal c N BUKDER OR OWNER •e^) l-6,1 a w DA T E P ERMIT ISSUED D A T E COMPLIANCE ISSUED -.29 .77 �A�lC / etil/ PIT- � 077-� ,f No.--------- ..�1................. THE COMMONWEALTH OF MASSACHUSETTS BOARDOF HEALTH 0 aiD v1......--....OF.......1./� G�rv�� ai� .. ,klipliratinn -for 43iiiVniittl Workii Cnnnitrnrtion Vrruift Application is hereby'made for a Permit to Construct (IN or Repair ( ) an Individual Sewage Disposal` System at r /� ............................� C ..�1216%.5_ •—'�-- �-•- Locatior•Add, ss J or, of No. I - r a � H Address------------------------------------ - ....-----h Installer Address d Type of uilding Size Lot........a..�j_®®_®__Sq. feet welling No. of Bedrooms---------- ----------------------------------Expansion Attic (l1a) Garbage Grinder (/26 aOt er—Type of Building ____________________________ No. of persons----------------4-------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ---------------------------------- Q w 106 Destgn Flow_________________ _...__...__.._.____gallons per person per day. Total daily flow:...............__.-.-__-______----....___gallons. WSeptic Tatlk—Liquid capacity/®gallons Length---------------- Width------- ........ Diameter-----.---------- Depth_.-._-----.----- x Disposal Trench—No..................... Width-------------------- Total Length-----____-___----- Total leaching area----------..........sq. ft. Seepage Pit No..........J--------- Diameter... ....... Depth below inlet_.. ..._..+}---- Total leaching area_-._.._____--___sq. ft. Z Other Distribution box (� Dosing tank ( ) O�- //�/�L IV"4-7 7 aPercolation Test Results Performed by-------------------------------------------------------------------------- Date------------------------- -------------- ,� Test Pit No. 1................minutes per inch Depth of "Kest Pit-------------------- Depth to ground water...---.__-_._-.__.___-- f=, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water_-.--._____._-_.---_---- .•-----. .............. ... O 1 Description 11_ .••. `y -............................... x / UNature 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 of health. Si e -_ �-- - �s_ D tSe 412.4 Application Approved BY _...-•----------------------- ...... � ."7 7--- l/ Date Application Disapproved for the following reasons:--•-----------.-------------•------•------------------••---------------------------._....-•---------------------- Date PermitNo......................................................... Issued........................................................ Date 'Ua 1... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _...: 0Gd1. . ......-....OF....... !.d.Ctr .uK3l '.......... Appliratiott -for 4:31tipwial Works Tott,15trurtiott Vanift Application is hereby'made for a Permit to Construct or Repair ( } an Individual Sewage Disposal System at: Location-Addr ss �o o� of No: __ t�l.r�dJl.... t „' tI C.._......._ L'st-1-�0 irjr -to - er Address t 7 i f A Installer Address d Type of wilding Size Lot_.. 09_0__Sq. feet awelling No. of Bedrooms..........3............................ Expansion Attis. (4o) Garbage Grinder P, er—t Type of Building ---------------------------- No. of persons................. -------- Showers ( ) — Cafeteria ( ) P4 Other fixtures --------------- ------------- -------- W Design Flow________________. .___._..____.______gallons per person per day. Total daily flow.__ ._.. �_._._._.._..gallons. WSeptic Tunk—Liquid capacity/ -gallons Length---------------- Width----------- Diameter---------------- Depth.________._-- x Disposal Trench—No- ___________________ Width-------------------- Total Length-------------------- Total leaching area-------------.------sq. ft. Seepage Pit No----------I......... Diameter_.4? S_ ....... Depth below�inlet__,C�-��_,�•,_,,__��_. Total leaching area------------------sq. ft. z Other Distribution box (k Dosing tank .7 7 Percolation Test Results Performed by--------------------------------------------------------------------------- Date-----•---------------------------•---- a 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------------------------ ---------- x . j •/ . -,I --- - , OW Description i l -------- ----- ----- � /v j � t�p UNature 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 \I 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. r r" - fS `d � -� �'`" Date Application Approved By... `�---�•----- - • -------------------•---•--•-•-• ------7------5--- -77--- Date Application Disapproved for the following reasons:...---••------••--•--------------------------------------------------------------_••-••-•-----•------------------ --•-•--..._..-•--•---•-- -------------•---------------------•-------•----- Date PermitNo......................................................... Issued.......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS -�---�p BOARD OF HEALTH 1..�. .!�............OF.......... .^!0-SAWle .......................................... Tutifiratr, of ITrrbtPhattrr THIS TO CERTI Y, That thelividual Sewage Disposal System constructed ( Gf or Repaired ( ) by------------- .Lb tt c... Rnsr at... t-�. -il- �r�tiller x has been installed in accordance with the provisions of Ar'cle �XI of The State Sanitary Code as described in the application for Disposal Works Con struction;Permit No... 1//'_:_� sue �j'_____________ dated__-_____7'_/t"..... .7............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE... 7--2-------- ---- ==-----••--• Inspector........... ---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 77 ... ..' .!'7..........OF........:...`�?e`e5. '� �1�------------------------------ — � �i��tt� �rrk� �rr�,�trttrti�tt rrutit Permission is hereby granted___..:.:::___ ?_ _._.._ r-------- :--- - ----------------------•--•- to Construct J 011� or Repair ( ) n Indi -idu 1 Sera e D• ppsal System ................................................................ Street as shown on the application for Disposal Works Construction Perm' '1110.___ �.. �. Dated_____ 1�S'� 7 j =/ ,/ ��`'/l/L�l '----------------•-----•-•---•-- " � /� Board of Health DATEJ }f�/ ---------------------------------------------------• FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i _ J ,R IN, '�,'•v' � _ .� ""+�'K'x' � y, ��, s•f""r`i�+# �,�. �` *� "''^a y�„'•.^.,;`�.Y,^.►-r .r•.a,r t . �,,.-.r....,ep,.�.. ,�-r.�- ,�. _ +. • ..C 9 ., r••$w� � � -_ � �..+�� . � * 1� �.•./{,�',�:''-`yam" �/✓. ��" ;, f.e -. ` .y., "�.Yw'. 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