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Home My WebLink About0017 CEDAR LANE - Health 17 CEDAR LANE OS TERVILLE A = 118 059 I n a v � v c a u ---YT?WN OF BARNSTABLE LOCATION L SEWAGE #;,o o®— 741 A VILLAGE 6.5feX V-i//e ASSESSOR'S MAP & LOT INSTALLER'S—NAME&PHONE NO. J /. WA C O —Al geR SEPTIC TANK CAPACITY / SO D LEACHING FACILITY: (type),2-AZ0 a/C#A,,#,eel5 (size) NO. OF BEDROOMS ;71 BUILDER OR OWNER '✓/V / � 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 � ` `-.. �, �� `� � �� ` �® \ � � i � o� i � \ w � � � � i � • 3� �,� t � .=-.rv, J TOWN OF BARI`'STABLE LOCATION Z��cam'/' l�, "- SEWAGE # ZfiDl`�I VILLAGE 05 art Zile `ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO �0�7`�(-� / C��/I�T 77/`"/,1f SEPTIC TANK CAPACITY 13VQ 6✓4 p LEACHING FACILITY: (type)Z44ftl rk,-) (size) /4 NO. OF BEDROOMS�`3 BUILDER OR'0 R ) ''7�uC�r r 2. � PERMITDATE: COMPLIANCE DATE: �'t.. 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 c.T IO" o�� -577 No. Zb 0 y '7(PZ Fee $ 50. 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pprtcation for Migooal *pgtem Construction Permit Application for a Permit to Construct( )Repair4X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 17 C e d a r ZAO Owner's Name,Address and Tel.No. 5 0 8—4 2 8—7 5 21 Osterville Mass. 02655 P.M. Cunningham Assessor'sMap/Parcef/ Q c... 17 Cedar Street Osterville,Mass. 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 2 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 5 5 gallons per day. Calculated daily flow 9 x 1 1 n-92 n gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Loamy sand f i nP Gann _ Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon leaching chambers and one 1500 gallon septic tank and one distribution 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 issu d by this Par f He th. Signed Date 1 2/6/0 0 Application Approved by Date Application Disapproved r the following reasons _;��Permit No. `ZQ00--1 U Z Date Issued No. Z U U Z Fee 5 0. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for Mtgogar bpetem Conotruction Permit Application fora Permit to Construct( . )Repair*X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 17 Cedar Owner's Name,Address and Tel.No. 5 0 8—4 2 8—7 5 21 Osterville Mass. 02655 P.M. Cunningham Assessor's MapT=zf//g� O 17 Cedar Street Osterville,Mass. 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.PPMacomber & Son Inc. . . J.P.Macomber & Son Inc. Box 66 Centerville,Mass. 62632 Box 66 Centerville,Mass. 02632 Type of Building: Dwelling XX No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 5 5 gallons per day. Calculated daily flow 2 X 1 1 0=2 2 0 gallons. Plan Date ' Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Loamy sand fine sand z Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon 1 leaching chambers hodtbeee$5§bilggl1680sebtic tank_ and cinP 41598r4[bution 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 issued by this oard f Hn�/j Signed f Date 12/6/0 0 Application Approved,by ` a Cvl Date Application Disapproved r the following reasons y: Permit No. 2CU(J- 1 h Z Date Issued ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS certificate of Compliance, THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaireg(XX)Upgraded( ) Abandoned( )by J.P.Macomber & Son Inc. at 17 Cedar Street Osteryille,Massl has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.6'27CD-�6�2 dated / /,x-i') �_0 Installer J.P.Macomber & Son Inc. Designer J.-P.Macomber &!SorL Inc. A C The issuance of this permit-shall not be construed as a guarantee that the system w 11 function' s design Date ''�i Inspector I/'/V _ .//i'CG 'l r'0 F ————— —--- ,-------=-------------------- 4 No. O-_7(o Z Fee 50.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS °. Migooal *pMem Construction Permit s' Permission is hereby granted to Construct( )Repair(XX)Upgrade( )Abandon( ) Systemlocatedat 17 Cedar Hbadet Osterville.Mass, iji >, 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: UZ) Approved by V . a t 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) Joseph P.Macomber Jr. hereby certify that the application for disposal works construction permit signed by me dated 1 2/6/0 0 concerning the property located at 17 Cedar Street Osterville,Mass. meets all of the following criteria: Y The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. Y The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. s� 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 i� There is no increase in flow and/or change in use proposed }9 There are no variances requested or needed. /The bottom of the proposed leaching facility will n�2Lbe located less than five feet above the gummurn adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor 4ethod when applicable) Lf the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed Inching facility will =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.z DIFFERENCE BETWEEN A and B / SIGNZhpr : DATE: (Sket sed plan of system on back). q:hcaJth roldcr.CM �� _�1 �A � A. TOWN OF BARNSTABLE J GaG^ LOCATION 1 Z C P C� A K t� _ SEWAGE #� I fo VILLAGE 0 1 e/f V111-e #- p ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. ex SEPTIC TANK CAPACITY j S� LEACHING FACILITY: (type) no' o aJ C/�_j: e el 5 (size) NO.OF BEDROOMS BUILDER OR 0w0 ZR PERMITDATE: U� COMPLIANCE DATE: 0 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet r 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 wo U 0 \ No.... FRic..... ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ..... . ...OFJ................................I...................... ............................. 9 Appliration -for Uhipoiial Workii Towitrurtion 13rrutil Application is hereby made for a Permit to Construct or Repair (�an Individual Sewage Disposal System at: k. lie ----- --- -- ----_--_---------_-- - .... - ------------------------------------------------------------_------------_-- Zocation-Address or Lot No. `r``jZv ................ ....................................... ----------------..---------------------------------------------------------------------------------- Owner Address ................ !!�Yr;al I er Address. Type of Building Size Lot.............................Sq. feet U Dwelling—No. of Bedrooms-____________________________ __ .Expansion Attic Garbage Grinder ( ) —1 a4 Other—Type of Building ---------------------------- No. of persons_.___-_-________---___-_ Showers Cafeteria ( ) 04 Other fixtures ...........................................................I----------------------------------------------------------------------------------------- .W Design Flow--------------------------------------------gallons per person per day. Total daily flow--------------------------------------------gallons. 04 Septic TLnk—Liquid capacity------------gallons Length..:..............Width................ Diameter_-_.__-----_--_ Depth....--._-._.... Disposal Trench—No- ------------------_ Widtji------- ----ff��gl Le�ninlet___ � be C Total leaching area--------------------sq. ft. Seepage Pit No.________(--__-__-___ Diameter...4;?Y- Depth be ow inlet------------------- Total leachino, area-----_-----------sq. f t. 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..-----------_--------- Test Pit No. 2---------------minutesper inch Depth of Test Pit..__.._............. Depth to ground water__.._._.-__.--.--_---_- --------------------------------------------------------------------------------------------------------------------------------------------------- 0 Description of Soil ----------- ------- --------------------------- ----- . ..... .. .. .............................................. ---------------------------------------------- �4 -----5,116---------------------------------------------------------------------- -------------------------------------------------------------------------------------------- U ------ - ------ --------------- -----------_----------- ------------------------------------- ---------------------------- ------------------------------------------------------------------------------------------ U Nature of Repairs or Alterations—Answer when applicable...._... ------------OLA;6---*------ ---- -----_------------ -------- ----------------------------------------------------------------------------------- ...................... - ----------------------------------------- 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 healt Si,ne ... .... ................. ------- ------�A---/_ 7 Application Approved By.--- .. .. . .. . ............................... --- ----------- Date Application Disapproved for the following reasons:............................................................................................................... ......................................................................................................................................................................................................... Date Permit No.----......... .. ------------------------- Issued.._ My/.7f ........------------ Date --------------------------------- ----------—------------------------- No..... ........ FEz...........:E`�'" ...... -..THE COMMONWEALTH OF MASSACHUSETTS BOARDI�F HEALTH O F f�, , ._.. . ... ............................. .................................. ...... Appliratinu -for DhipmFal Workii Tomitrurtiiu Vrrnfit Application is hereby made for a Permit to Construct ( ) or Repair (*00)" an Individual Sewage Disposal System at � / � n-Address Cd�M 1 or Lot No. ----------�- Jam` -- t -- W ny� Owner � Address a •-------------------•--- ........................................ -------------------------•-.. ........................................................... I staller Address Type of Building Scze Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons._______._-___•.________-___ Showers ( ) — Cafeteria ( ) dOther fixtures ----------•••--- -------------------------------------------------------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. Septic Tank—Liquid capacity------------gallons Length................ Width................ Diameter---------------- Depth................ xDisposal Trench—Nq __________________•_ Wide__ . -_-___ g g q. Seepage Pit No-_________r___-____-_: Diameter_____________ _ Dept Total inlet-.____._____.____._Total leach i tg area-______...___-_sq. tt. z Other Distribution box ( ) Dosing tank ( ) - '� Percolation Test Results Performed by.......................................................................... Date---------------------------------------. W Test Pit No: 1--------------minutes per inch Depth of Test Pit____________________ Depth to ground water.._.__-.__-___._---..... rX, Test Pit No. 2................minutes per inch. Depth of Test Pit.................... Depth to ground water........................ 1x '--------------------------------------------------•---'---'-'-----'---------------------------•-- ---•---------------._•----------------------------- 0 Description of Soil...... :........... --_ r__ ••-------- V ------------------•------------------- •--�`�---•�--'-- -- ----------------------------.__•--------•-•--------------------------- -------------- W U Nature of Repairs or Alterations—Answer when applicable_.._._ __e ,____--_-__ _--__----------------- -- 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 b,en issued by the board of healt i Sin ..........................�'------U----------- ------ ----- to Application Approved By---- ,✓ ------------------------ �� - -rl----------- Application Disapproved for the following reasons____________________________________________________________ ----••...---'---•--•---------- Date --------'----- �h --------------._ ---•--- , !-•--•--Date Permit NoIssued..___ - C_- _-___- Date ay THE COMMONWEALTH OF MASSACHUSETTS x a -BOARD OF HEALTH ..........................................OF... .............;.1._............................&.................... "rrflfirFate of Tampliaurr IS 1ST 1 Y That the Individual Sewage Disposal System constructed or Repaired g P ( ) ( ) by - a r at_.. - --------------------_------- =----------------------•-•---.._..-'-•----•---------•••----'-'--•----_..--- has been installed in accordance with the proyisibbs`^of Articcll,e Y�I of�The State Sanitary C c brJuethe application for Disposal Works Con struction.;P.ermit No----- _________�--:............. dated............t----------,_/__r_...._.__._._..___.._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS UED AS A GUARANTEE,THAT THE SYSTEM WIL FUNCTION SATISFACTORY. DATE l �� .......................................... Inspector. =" 2� �•------•- THE COMMONWEALTH OF MASSACHUSETTS BOAR HEAL .........OF. .- =-- FEE........................ �i�� a�r #rur#teat �rruttt � . Permission is hereby grant:___ ( r ( jge u to Con i > Individual Sew o System atNo-----------------,..------:-----:----•--•------:-------.._...------------.................--.-------st--------------------------------•--•-------'-•--. } r �• ' reef f' -�•/------ ,_,as-sMWfi*o the applica on for Disposal Works Construction7it.,Nog. _..... ated.................................o rd o Health ---------------- •----- DATE 7 7�/-------------------------------------•----• FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS