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Home My WebLink About0933 MAIN STREET (OST.) UNIT #A - Health (2) 4 GALLERY PLACE, OSTERVILLE MAP-117 PAR-183,, o r k �x a 3 n �l TOWN OF BARNSTABLE LOCATION 'Y �l ��L� � - SEWAGE # VII.LAGE (J_5,tIm►1J1 �� a ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACII.TTY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER 1 PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well 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) L. Feet Furnished by Qm n No. r ,� ? Fee$ 5 0 .0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE. MASSACHUSETTS Z(pplication for Diopont bpztem Cow5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) VtComplete System ❑Individual Components Location Address or Lot No. uallery Place Owner's Name,Address and Tel.No.5 0 8—4 2 8—8 6 7 2 Osterville,Mass. 02655 4 Gallery Place Assessor's Map/Parcel O s t e r v i l l e,Mass. 02655 Installer's Name,Address,and Tel.No. 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 xxNo.of Bedrooms 2 Lot Size sq. ft. Garbage Grinder(MO) Other Type of Building RES No.of Persons 2 Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3 0 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 1 500 gallons Type of S.A.S.2-500 gallon chambers Description of Soil Loamy sand to medium fine sand. Nature of Repairs or Alterations(Answer when applicable) Omit cesspools. Install two 500 gallon chambers packed in 3 ' of stone. 1 -Distribution box and 1 -1500 gallon septic tank. 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 by this B of lth. Signed o Date 9/1 9/9 7 Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued TOWN OF BARNSTABLE LOCATION / M • �•• SEWAGE# :VILLAGE— U 5 T e 2 V 1 L�L.e ASSESSOR'S MAP &LOT117. 8 INSTALLER'S NAME&PHONE NO. O A C p /3cR aN SEPTIC TANK CAPACITY •�G U _ O LEACHING FACILITY: (type) •� /=L 6 u/ C�iAMy@�size) NO.OF BEDROOMS____• — BUILDER OR OWNER PERMTTDATE: �I Y ' 9 7 COMPLIANCE DATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by I i F I/C7 Je a No. Fee$ 50.00 . THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -.TOWN OF BARNSTABLES MASSACHUSETTS 0[pphiation for Migool *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) MComplete System ❑Individual Components o f on Ad r Lot. o. GalleryOwner's Name,Address and Tel.No. 5 0 8—4 2 8—8 6 7 2 �5s erv¢ fe,Aass. 02655 4 Gallery Place Assessor's Map/Parcel O s tervi 11 a,Mass. 02655 I t r' ame Ad ress an Te ,No. v Designer's Name,Address and Tel.No. 0 8—7 5—3 3 3 8 tacbmnet ion Inc. J.P.Macomber & Son Inc. Box 66 Centerville,Mass. 02632 Box 66 Genterville,Mass. 02632 Type of Building: Dwelling xxNo.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder(N9 Other Type of Building RES No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 220 gallons per day. Calculated daily flow 2x 1 1 0=2 2 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 500 gallons Type ofS.A.S.2-500 gallon chambers Description of Soil Loamy sand to medium fine sand. Nature of Repairs or Alterations(Answer when applijable) Omit cesspools. Install two 500 gallon chambers packed in 3 of stone. -Distribution box an 1 -1500 gallon septic an . 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 by this of lth. Signed Date 9/19/9 7 Application Approved by Date Application Disapproved for the following reasons Permit No. 1 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY that the On-site Sewage Disposal System Constructed( )Repaired( )Upgradep') Abandonedl�b J.P.MACOMBER & Son Inc. at 4 Ga rjr Place usterville,mass. 02655 has been constructed in accordance with the provisions of Title 5 and the fo Dispoial S stem Construction Perna ?d ted��' i , Installer J i P.Macomber & Sion nCy. Designer ' ' 'j to &a So n INC. The issuance of this permit shall not be construed as a guarantee that the system wi functiionn�as designed. Date / �� ` Inspector r _ _ __ No. ! ` " �� --------------------------Fee$ 50 .00 THE COMMONWEALTH OF MASSACHUSETTS ; - _v PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Migpogar *pgtem Congtruction permit Permission is hereb r tod to Cons ct RRe air ra a Ab System located at g Verya�e)ospte�v� � ,�ly3_ s �1p�°6nS(5 ) 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 thiit. Dater �>� ' Approved �/� , a i' CERTIFICATION Or SKETCH AND APPLICATION FOR A D1SPC; . WORKS CONSTRUCTION pc. lt�,l I'I' (1V1TH0UT DESIGNED PLANS) 1, Joseph P.Macomber_Js. . ccrtity that tltc application for disposal works construction permit signed by me ci:aed _ 9/1 9/97 , concerning the 4 Galler meets all of the .. property located at Gallery_Place OstP�rvi l > P,Mass following criteria: t/• There are no wctlands within 300 fc:t of the proposed septic system (�• There are no private wells within 15o icet of the proposed septic system /• The observed groundwater tabs% :s 7 ttct vr greater below the bottom of the leaching facility There is no increase in 11o\+ undM change in use proposed variances requested or uccd.d. There are no 1 SIGNED : DATE: 9/1 9/97 LICEN SEPTIC SYS'fE,1vi !NSTALLER IN'1 HE TOWN OF DARNSTABLE NUMBER (Attach a sketch plan of the proposal Also if the licensed installer posesses a certified plot plan, this plan should be submitted).