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Home My WebLink About0077 EAST AVENUE - Health 77 EAST',. A OSTERVILLE A _+139 1s 061 = i i I I TOWN OF BARNSTABLE LOCATION V 7 I'A 57 A &A]U E SEWAGE #ZbQ/' �LA/ . VILLAGE (2 S-1� R V11I e -r- ASSESSOR'S MAP & LOT 13� —OC 1 INSTALLER'S NAME&PHONE NO. J •/r &A L b A 13eR r Sod SEPTIC TANK CAPACITY A a D o LEACHING FACILITY: (type) Z S^ 4 O G e A cf/oti� F let ize) NO.OF BEDROOMS o" +' BUILDER OR OWNER ecl L vt eA-- ! PERMITDATE:' Ll — (3 'C) I {"COMPLIANCE DATE: 2 o —'ZQ'y Separation Distance Between the: t 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) . r' Feet Furnished by ve ivl ► o bh � � 1 7 Fr No.'zee 1--7'7-1 Fee $ 50. 0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for �Diopool bpftem Construction permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) X X Complete System El Individual Components Robert Location Address or Lot No.7 7 East Owner's Name,Address and Tel.iFoAX 61 7-2 6 6 0 8 8 5 Osterville,Mass. 275 North Street Assessor's Map/Parcel / 7 r n 61� Medfield,Mass.0 2 0 5 2 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: DwellingXXXNo.of Bedrooms 6 Lot Size sq.ft. Garbage Grinder NO) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 677 C;P D gallons per day. Calculated daily flow 6 X 1 1 0=6 6 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 2600 Type of S.A.S. 3 ' Leachfield Description of Soil Loamy sand to hard pan to medium fine sand. Nature of Repairs or Alterations(Answer when applicable)Omitting cesspools. Installing 1 -21900 gallon tank 1 -Distribution box and field. ,C. w 2 t 2 0 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 iss ed by this oaz of Health. Signed a Date 3/2 9/01 Application Approved by Date /7 Application Disapproved for the following reasons Permit No. Date Issued tS W. $ 50.00 No. Fee / o- ✓ THE COMMONWEALTH OF MASSACHUSETTS— Entered in computer:' Yes PUBLIC.HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2ppiication for laiooar bpotem Conotruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon(t ON Complete System El Individual Components Rober eekner , Location Address or Lot No.7 7 East 77 East Road Owner's Name,Address and Tel.§OA X 6 -2 6 6-0 8 8 5 Osterville,.Mass. 275 North Street Assessor's Map/Parcel / F Me d f i e 1 d,Mass.0 2 0 5 2 Installer's Name,Address,and Tel.No. 5 0 8—7 7 5-3 3 3 8 Desi ner's Name,Address and Tel.No. 5 0 8—7 7 5—3 3 3 8 J.P.Macomber & Son Inc. J. .Macomber & Son Inc. Box 66 Centerville Mass. 02632 Box 66 Centerville,Mass.02632 Type of Budding: DwellingXXXNo.of Bedrooms 6 Lot Size sq.ft. Garbage GrinderVO) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 677 G PD gallons per day. Calculated daily flow'6 X 1 1 0=6 6 0 gallons. Plan Date Number of sheets Revision Date Title O Size of Septic Tank 2600 Type of S.A.S. 30iX Leaehfie&d. Descri tion of Soil, Loamy sand to hard pan to medium fine sand. P Omitting cedspools Nature of Repairs or Alterations(Answer when applicable) Installing 1 -2000 gallon tank, 1 -Distribution box and 1 leachin ',€ ie d., Gj I l M s ix,I ,C . wl ' Z -232 No X 6 r, Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore despribed 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 iss ed by thi Boarof H alth. Signed Date 3/2 9/01 Application Approved by Date f 3 G Application Disapproved for the following reasons Permit No. Z / Date Issued /Z THE COMMONWEALTH OF MASSACHUSETTS " BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System ConstructedkXX)Repaired( )Upgraded( ) Abandoned( )by J.P.Macomber & Son Inc. at 77 East Road Osterville,Mass. has been constructed in accordance with the provisions J.P. r visions of Title 5 and the for Disposal Inc. Designer osal System Construction Permit No. � Z 7S dated o Installer J.P.Macomber & Son J.P.Macomber Son inc. , The issuance of this7101 shall not be construed as a guarantee that the sy to will a 'o as de gn d? Date y f Z�' Inspector f2.f� v —G — f- Z- Z� -------- �l ------------ No. > ��'(� Fee$ 50.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE., MASSACHUSETTS Oiopooal bpotem Construction Permit Permission is hereby granted to Construct( )Repair( )UpgradeY((X )Abandon( ) Systemlocatedat 77 East RoadsOsterville,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 ✓Qv: 4- , GE tee i.r P,ti R., l°"k m�-Sr^% y, t M99 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 PERMTr (WITHOUT DESIGNED PLANS) I, Joseph P.Macomber Jr., hereby certify that the application for disposal works construction permit signed by me dated 3/2 9/01 concerning the property located at 77 East Road Osterville,Mass, meets all of the following criteria: /The failed stem is connected to a-residential dwe lling elltng only. There are no commercial or business uses associated with the dwelling. i+ 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 area o variances requested or needed. , V/The bottom of the proposed leaching facility will Abe located less than five feet above the_ maximum adjusted groundwater table elevation, (Adjust the groundwater table using the Frimptor ethod when applicable) _ Y- If the S.A.S. will be located with 250 feet of an vegetated wetlands the bottom of the proposed '_ y g p opos leaching facility will no be located less than founcen(14) feet above the maximum adjusted , groundwater table elevation, ; 0f Please complete the following: A) Top of Ground Surface Elevation(using GIS information) HG.W. G. Elcvati on + �a MAX. Mgh G.W. Adjustment. d Z •, 1� • D=RENCE BETWEEN A and H SIGNED �- •- DATE:- -3/29/01 (Sket �ropo7sedplan of system on back). Q:health folder.cen i S � i r 6 Qs t f <A% c i _ TOWN OF BAMSTABLE LOCATION 7 7 Z A S7 gij SEWAGE # bo�- VILLAGE QSfee R VIZI e -r- ASSESSOR'S MAP & LOT 1 3o -Oc I INSTALLER'S NAME&PHONE NO. .! • /y)A b /.�2? r S od SEPTIC TANK CAPACITY A.00 D - J, 0 a e 4e yl�/ LEACHING FACILITY: (type) L e A c /N l )eJ42ize) S 4O ' NO. OF BEDROOMS rm ER OR OWNER t'['!.L vt 2A- PERMITDATE: q - 13 -.0 l COMPLIANCE DATE: - 2 0 j Separation Distance Between the: ` Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Privaie 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 \ �ONQ F ,J oti a 2e U