HomeMy WebLinkAbout0178 CAMMETT WAY - Health 178 Cammett Way, Marstons Mills
A= 100-051
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TgWN OF BARNSTABLE 1
OCATION Z 7 C&0110��L!� U14T_ SEWAGE #
VILLAGEJ�/>t�� TG� ��5 ASSESSOR'S MAP&LOT 66 -�S1
INSTALLER'S NAME&PHONE NO. /1/./17•e 75'2 46" 77�
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type)Z /ol// (size) OL E/
NO.OF BEDROOMS
BUILDER OR OWNER
t:PERMTTDATE: COMPLIANCE DATE: 11ZZ 19Z
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
f
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a
'Pa
3i z
p � � C) K
6
Fee $5 0 .0 0
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
ZippYication for -Migpool bpeum Conotruction 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. 4 2 8—0 0 4 5
178 ,q� etrt Way, Marston Mills Jamie Pina 178 Cammett way
Assessors ap/Farce Ma r s t on s Mills
Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No.
Wm E Robinson Sr, Septic Srv.
P.O. Box 1089, Centerville, MA
Type of Building:
Dwelling No.of Bedrooms 3 Garbage Grinder( ng
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Description of Soil sand
Nature of Repairs or Alterations(Answer when applicable) We will install a stonepacked
pit according to the plans of Eldredge Engineering Co. , Inc.
4� 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 2xd of Health.
Signe Date-�
Application Approved by g Date
Application Disapproved for the following re s
Permit No. Date Issued
a.
- . No.
— a Fee $50.00
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Zlppftcatton for ;h9pool bpftem Construction 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. 4 2 8—0 0 4 5
ASor's 13 CRRMgt Way, Marston Mills Jamie Pina-, _,,, 178 Cammett way
Maratons Mills
Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No.
Wm E Robinson Sr, Septic Srv.
P.O. Box 1089, Centerville, MA
Type of Building:
Dwelling No.of Bedrooms 3 Garbage Grinder(nth
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Description of Soil sand
Nature of Repairs or Alterations(Answer when applicable) We will install a stonepibkhd
pit according to the plans of Eldrecjcje Engineering Co. , Inc.
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!WO!WO#of Health. q
Signed `V Date
Application Approved by _ _ Date
r
Application Disapproved for the following reas
Permit No. '~ Date Issued
———— ——— ————`—————————————— —————————
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Pina Certificate of (Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced( x)on
by Installer Wm E Robinson Sr, Septic Srv.
at 178 Cammett Marstons Milhs as b en constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Date Inspector
- 7 -
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYS-
TEM WILL FUNCTION SATISFACTORY.
No. Fee $5 0.0 0
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Pina 1=t5pooal 6potem Conotruction Permit
Permission is hereby granted to Wm E Robinson Sr, Septic Srv.
to construct( )repair( x)an On-site Sewage System located at No.# 178 Cammett Way
Marstons Mills
Street
and as described in the above Application for Disposal System Construction Permit. nay
The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or specia'condidons.
:b
All construction must be omplet if in three years of the date below. ' / G
Date: � �" / A�proved�by'
�, O Board of th F' t
TOWN OF BARNSTABLE
LOCATION 7� C/f 197�IC17 �ff�— SEWAGE#
6
VILLAGE
e� TOl✓ /GL�ASSESSOR'S MAP&LOT -0 S f
INSTALL
ER'S NAME&PHONE NO. ;;•n' �3 y�V 7S 8 7l
SEPTIC TANK CAPACITY
LEACHING FACILITY. (type)
(size) /i oTiy
NO.OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: �l COMPLIANCE DATE:
Separation Distance Between the: Feet
Maximum Adjusted Groundwater Table and Bottompf Leaching Facility
Private Water Supply Well and Leaching Facility (If any wells exist Feet
on site or within 200 feet of leaching facility)
Edge,of Wetland and Leaching Facility(If any wetlands exist Feet
within 300 feet of leaching facility)
Furnished by
1£
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or
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LEGEND NALE�4�
EXISTIN® SPOT ELEVATION OAO /,�1.`o OF k4 CERTIFIED PLOT PLA1M
EX18TING CONTOUR --- ��
FINISHED SPOT ELEVATION — � � R08ERT ti Lc 7- 73 C-ANkMF TT WAY
FINi$"ED CONTOUR 0�. �gl Er.DREGE o s
APPROVED' BOARD OF HEALTH IN
S S ARNST,AsLA,�i �.
AGENT SCALES
3 0 " DATE 1 3 /2 X9,10
REDe EN rise
REOiSTt14E0
EA4STE CLIENT N� I CERTIFY THAT THE p0, $--%, DUILDING •11OWN OM TM PftP
O Pt"
CIVIL LAND CONFORMS TO T
ENGINE DR.SY �,�.! HE ZONING LASS .
712 MAIN 8TREET CH, 0Y, OF SARNGTABLE MASS.
HYANNIS, MASS. 3 43y �'� . ... .:_..
SHEETS OF DA E REG. LAND SURVEYOR
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I'I CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS).
I,William E. Rotinson, Sr. ,hereby certify that the application for disposal works
construction permit signed by me dated t ,concerning the
property located at 178 Cammett Way, Marstons Mills --meets all
of the following criteria:
* There are no wetlands within 300 feet of the proposed septic system.
* There are no private wells within 150 feet of the proposed septic system.
* The obseved groundwater table is 14 feet or greater below the bottom of the leaching facility.
* There is no increase in flow and/or change in use proposed.
f * There are no variances requested or needed.
SIGNED: DATE
LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 42
(Attach a sketch plan of the proposed system. Also if the licensed installer proposes a certification
plot plan,this plan should be submitted).
I
I
No.$y ail F�$s,1 _.............._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 2F HE
C:Y. 0 ... oF.......... ./ N. ...... ........................
Appliration for Biipooal Works Tonotrnrtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewa isposal
System
.... ..........- ___......_.. ... .......... ......... • - - e,� _ _____/____y__�,-.�--awe..... , ��- .
Location-Address or Lot No.
Owner ^ Address
..- -...L - 2. -• .... ........ .....0)......��.......40��..........t �s,� ter.
Installer Address
Type of Building Size Lot_._ O_r .5q. feet
V Dwelling—No. of Bedrooms--_.. 3.._ -•---Expansion Attic (� Garbage Grinder ( )
a'� Other—T e of Building No. of persons .. ( ) ( )
Other—Type g ..__ ._ p '�................. Showers — Cafeteria
Otherfixtures --------------•--••jr-•-•---••--•------------•------•-•-----•------•-------•---•--------•-••-•---------•-•---..._..........-•-••--•••--------.......
W
Design Flow......... .......................gallons per person er day. Total daily flow------JwX-.-:Q......................gallons.
1:4 Septic Tank—Liquid capacity_/g allons Length.. _ ......... Width---4........ Diameter................ Depth..............
W Disposal Trench—No..................... Width.................... Total Length..._._._..._ Total leaching area-------------------- q. ft.
x
Seepage Pit No------/__.......... Diameter.....1#._..... Depth below inlet._...._ .......... Total leaching area...... _ -ft.
Z Other Distribution box ( ) Dosing tank ( )
`-� Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1-----n.Z__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........................
Description of Soil......... .-..... �/ --......._. � 'Q1..11/_..4..,.............................
UL..—� Z....... e.".„.......---�.� .....-... .......... ---------
W --•--------------------------------••------•---•-••••-------------------------------•-••••---•-•---•----•---------.._..-••-••----------•---•--•-•--•••-•---•••-------------••......---•-•.............--
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
Agreement:
Th a dersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the p vis' ns of i ITIE 5 of the State Sanitary Code—The undersig d further agrees not to place the sys m in
ope do til r e f C liance ha en ism by the board Ith.
Signed Q. -... •••-• ..................... �---- ---k �....._..._
Date
PPad A d By.................-------------•--............................................................... ........................................
Date
A 1' tion Disapproved for the following reasons-------------------------------------•-----------------------------------------------------------._........------
--••--......-•--•--•-••---••......--•-•--•••-•--•••••----------•-•-...------•---•-••---•••-----•---...-•---•--••••-••••---------------------•---...•-------••---•-•••---------------------•-•••-------•-
Date
Permit No.... ........................................ Issued -------- Date
...
Date
r
No.d .r.._....... FEBI$ a
...........................
9 '
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...----............ .. ..............OF................-.....-..-.-_.-.......-.---------.----.._......------........-..._------•.
Appliration f.ar '%ipmiFal Works Tnnstrtartiun ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
................_................................................................................ ••--•______......•-••-•................•-•••-••-••••-•---•••--••--._........-----.________....._..
Location-Address or Lot No.
......................___........................................................................ ..........--......................................................................................
Owner Address
W
a •--•..........................................Install ---
ll.e- A
r A........._............................... --•-----••------•-........................... -dd •ress...............................••....._.....
n
PQ
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons____________________________ Showers — Cafeteria
Otherfixtures ---------------------------------•-•------------•----•..--------------------------------------------------------------------.....------•---•-•-----.--
W Design Flow.............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter..............._---- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.............k...... Depth to ground water........................
a ........................................................... Xh ..................................................................D Description of Soil }} y; -----------------------------•----••-•-----•--•-••-----•-----•---
x Nature of Repairs or Alterations—Answer.........................................................-�--when P PPlicable................................................................................................
...---•------------------•••--•-------•------•••----•-••--•----•••-------------•-•-•....•----------------•....-------- ••...----•--••----•--------...-----•-----•-•-----•--•-----------••••••.....-----
Agreement:
T u' dersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the p vis' ns of TITL% 5 of the tate Sanitary Code— The undersigned further agrees not to place the Sys m in
op atio til e e� f C pliance has been issued by the board of health.
♦ f r
Signed........................................................................... ........ 7 ......--
Date
pp cat A ed Y..................................................................................................
........................•..............
Date
A pl• tion Disapproved for the following reasons---------------------•-••---...........------•-------•---------------------------•-------•-•-------•--....._••---
---------------------•-----•-----------------------•---------------------------------------•---------•-----•----•------......---•------------•--------------••----------••----------------•---------.---
Date
PermitNo......................................................... Issued-.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF EALTH
...O F............... ...:.....:......::...... .............................
Trrtif iratr of ToutpliFanrr
T�S IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( )
by.
Installer
at.. E' er✓ L Z G='�a 3d - r - ----- ------- ------- -- -•.------ ----- .
has been in tailed in accordance with the pP.ermit
ns of TITLE 5 of The State Sanitary Co �i ed in the
application for Disposal Works Constructio No.____ %--:_�_rl............. dated__-S .... . ......................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTIO SATE FACTORY.
��i . .
DATE.. Inspector... ---.......•-----•--------------------•-----------••--•...._•--•-.•--•-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OFAHEALIU
S �! � . . ......OF... .........................
/"
... FEE. ...........
Ravo 1 nrkii mit
Permission is h eby granted ...------ ---....--.-----•-----••-•----•-----•.................
to Constru�ct'y( , r;Re air an I 1 ewage Disposal System
at No. l40
`` 7sonstruction
Street . -as shown on the application for Disposal �7 P�; ..................... Dated..........................................
/ ......-•...:./
.............••------............................................................
DATE
.►X - Board of Health
--------• --•--- .........................................66--__..--
FORM 1255 A. M. SULKIN, INC., BOSTON
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♦E,.gCs•//ivG PIT ,4RE MORE TNA.N ja"BELOIV
/0 p'T. /N/N. 6;RAOEj A 24' P1AA4E7.ER CONCRIFTL= COYB.R
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BA CA.�/L L
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CAST - a" -AYER
jRON P/PE- 0 0 0 o o QF
1000 VB -3/8"
M/JV O/Tc�r GAL. o • . . . . . •
•l4'Peet P7. SEPTIC TANfC D/ST. s ! ! • • . • • ! • • , , yVASHPO SMNE
BGX o ! � $ • • • • • .•e
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• • o i ;• DEFY: v a e WASYA=Z> STOiYE
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7$5x 1 o t 00 • • • • • • • ' a • P/TOR 4VU/V,
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SECT/CN OF
OvTLETD/STR/SLIT/ON BQx-9-7- 7-FT, SEJVAGE l�ISPO�S�L SY.STIFM
L EACHIMG 0/T 7"�I 6l/L..4T/ON
DE516N CRlTER/A SCALE : %" = j :o D/MEK.F/ON A _F'T.
$ _FT.
NllM�Ei� OF�pR00/y►S �; D/MENS/ON C Z4 FT. "Im
�R�tGF'DlsPos�s�uw/r o� SOIL LOG SAIL TEST
TGTAL EST//rl�tTEG FLA*V 3_3D GAL./0.4V DSO/L TEST At'/ SOIL TES7-*2
,/UMBER OF A0ACJlINT: ,o/TS 1 ELEK 99•o ELEY, GATE OF SOIL TEST
SLOE 4.1-54CHlN6, PER P/T J SC•t PT. RESULTS iV/TNESSED NY -q4 3 RncoB 1
a0r'rO t L.04C UNG PER P/T—$q, An / PERCOLAT/ON RATF�E/ G Z IyJlbr�/INGH
L.DAM +S'u asn u
MrA4 LEACHING AREA —� y -SQ FT %/ AENCOLAT/pN RATE A MJN.IINCH
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