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Home My WebLink About0084 EAST AVENUE - Health 84 Ea8t Ave�V�� A= 139-060 t 6 i TOWN OF BARNSTABLE [� Vol LCCATION �'/¢S�- �y SEWAGE # L�"' VILLAGE.�S_ 1?=1/1/L. Q ASSESSOR'S MAP & LOT��V—'Oda ti INSTALLER'S NAME&PHONE NO. ✓/� �9c'a�/,G ri row ZhC f SEPTIC TANK CAPACITY /S O O LEACH IA FACILITY: (type) ? (size) 33� NO.OF BEDROOMS BUILDER OR OWNER 1617X� Ae:LZ ��1 PERMITDATE: �%' ` I� 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 i 4Q i � r 3 3-330 Recliargers Packed in stone- 1-Distribution box. 1-1500 gallon Pump fill in septic tank. existing cesspool I ;_� 84 East Ave Osterville,Mass . f _ _ /-' F I No. � 00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZippIication for Migaar bpetem Con6truction Permit Application is hereby made for a Permit to Construct( )or Repair�[X)an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. 7-927-2109 Bradford pay 84 East Ave Osterville,Mass . 275 North 'Street Medfield,Mass.020 2 02655 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. j Box 66 Centerville,Mass. 02632 Box 66Centerville,Mass. 02632 Type of Building: Dwelling XXNo.of Bedrooms 2 Garbage Grinder XQ.1;. Other Type of Building No. of Persons V�'i" Showers( ) Cafeteria( ) Other Fixtures Design Flow 3330 gallons per day. Calculated daily flow 220 gallons. Plan Date Number of sheets Revision Date Title Description of Soil Meejltjffia Sand. Nature of Repairs or Alterations(Answer when applicable) Omitting cesspool. Installing 1-1500 gallon tank, 1-Distribution box,3-330 RechARGERS/ Date last inspected: r 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 B and Healt . Signed _ i Date 8/7/96 Application Approved by Application Disapproved for the Vollowing reasons Permit No. / C3 8 Date Issued O No. .3 8� Fee$ 40.00 THE COMMONWEALTH,OF MASSACHUSETTS k PUBLIC HEALTH DIVISION.-TOWN OF BARNSTABLES MASSACHUSETTS 01ppYication for Mizponl *p!6tem Construction i3ermit Application is hereby made for a Permit to Construct( )or Repair�[X)an On-site Sewage Disposal System at:,-, Location Address or Lot No. Owner's Name,Address and Tel.No. 1 7-927-21 09 84 East Ave Osterville,Mass. BradforddDay 02655 275 North Street Medfield,Mass. 020 2 Installer's Name,Address,and Tel.No.508-775-3338 Designer'sName,Address and Tel.No.508-775-3338 J.P.Macomber & Son Inc. J.P.Macomber & Son Inc. Box 66 Centerville,Mass, 02632 Box 66Centervi:lle,Mass. 02632 Type of Building: Dwelling XX No.of Bedrooms 2 Garbage Grinder ` Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3330 gallons per day. Calculated daily flow 220 gallons. Plan Date Number of sheets Revision Date Title Description of Soil rT-ar sS uin —sand. � •�>�+ Nature of Repairs or Alterations(Answer when applicable) Omitting; Cesspool. Installing 1-1500 gallon tank,1-Distribution box,3-330 RechARGERS/ Y 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 B and gj Healt .. r Signed Date 8/7/96 Application Approved by Application Disapproved for the following reasons Permit No. ! - S Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE. MASSACHUSETTS Certif irate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced(�X on by -T—F >R .,�, .� Q Q..,., T�� for Bradford Day �s i s as Q/ 1—t Ave G e t..i-y 4 '1 1.^ ,a S "a a. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.9G- 3 ?A4 dated 0,-- -* Use of this system is conditioned on compliance with the provisions set forth below: v No. �li ' .3 d Fee$ ~40 ,00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLES MASSACHUSETTS li5pogal *proem Construction Vermit { Permission is hereby granted to J.P.Macomber & Son Inc. to construct( )repairdrX .an On-site Sewage System located'at jr �a s t AIM 11 s trtri ]_e 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. N All construction must be completed within two years of the date below. ---�. I� Date: Approved by . 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 ;- 8/ / , concerning the pr,)perty located at 84 East Ave Ostervb lle,Mass. meets all of the following criteria: There are no wetlands within 300 feet of the proposed septic system There are no private wells within 150 feet of the proposed septic system The observed groundwater table is A feet or greater below the bottom of the leaching facility •• There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED : r DATE: 8/7/96 LICEN SEPTIC SYSTEM INSTALLER IN THE TO1YN OF BARNSTABLE NUMBER (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted].