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Home My WebLink About0023 CAPTAIN BAKER ROAD - Health 4231 CAPT-AINaBAKER`R� C� Q � .alVIARSTONS MILLS TOWN OF BARNSTABLE EC` t LOCATION �364,0f BAICQZ PZAD SEWAGE # ;bDiy76 VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME& PHONE NO. i ��55��uJ SEPTIC TANK CAPACITY I .Ckl=kn LEACHING FACILITY: (type) : 1-P-V (size) 99m;t x 2. NO. OF BEDROOMS BUILDER OR OWNER cats 14t*j v'\jFU�ijg.In PERMITDATE: COMPLIANCE DATE: 1111q /.-tm 1 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 d I tt c h� �r No. acoi (� �j Cs� Fee $5 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in comput&: tv�es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[ppficatfon for �Diopooal Opotem Conotruction Permit Application for a Permit to Construct( . )Repair( X)Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 23 Cagtain Baker Rd. ,Marstons Carlton Neuben Assessor's Map/Par I Mills Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service Daniel Johnson P O Box 1089 , Centerville 809 Main St. Osterville Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building Residential No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow gallons. Plan Date 11 —7—n 1 Number of sheets 1 Revision Date Title ,hsurf ace Sewage Dispesal System Size of Septic Tank Type of S.A.S. Description of Soil; gravely course—meth um sanrl Nature of Repairs or Alterations(Answer when applicable) replaced failed SAS with 2 leaching dry wells (_25L. X 12W X 2T4 ) 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 0 ]pad of He Signed �� \ . Date��' Application Approved by. Date Application Disapproved for the following reasons Permit No. 2 Date Issued ar No. ;` J �� Fee $50 THE COMMONWEALTH OF MASSACHUSETTS .� Entered in compute- 11 7 PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 2ppficatiou for 0igpooa1 *pgtem Construction Permit Application for a Permit to Constrict( )Repair( X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 23 Captain Baker Rd. ,Marstons Carlton Neuben Assessor's Map/Parcel mills Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service Daniel Johnson P 0 Box 1089, Centerville 809 Main St. , Osterville Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building Residential No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow gallons. Plan Date 11 —7—01 Number of sheets 1 Revision Date Title q jbsurfaca Swaage Disposal System Size of Septic Tank Type of S.A.S. Description of Soil; gravely course—m di um sand Nature of Repairs or Alterations(Answer when applicab) ,'r,6 Abed f ailed SAS with 2 leaching dry wells (25L X 12W X 2H -- ' Date last inspected ' Agreement: V 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 tS'`B d of He Signed 4.o /JC / Date C) Application Approved by. Date PC Application Disapproved for the following reasons $ Permit No. 200 f` Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Neuben (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( X)Upgraded(, ) Abandoned( )by Wm. E. Robinson Septic Service at ' 23 Capt Baker Rd. , Marstons Mills has been constructed inr accordance with the..provisions of Title 5 and the for Disposal System Construction Permit No. 01` dated h 41 Installer Wm. E. Robinson Sr. Designer Dani r-1 Jc)hn on The issuance of 's permit shall not be construed as a guarantee that the sys will fu�jcti�ned. Date 1111 L )t) I Inspector --------------------------------------- No. apoI--T70/ Fee 50 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS igpooal *pgtem Construction Permit Permission is herebyranted to Construct Repair X )Upgrade Abandon ) Yg ( ) P ( P�' ( ) ( System located at 23 Caht Baker Rd. , -Marstons Mills 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:Constrruc lon rfiust be completed within three years of the date of t e t. Date: 1 v Approved by 5/25/0l NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM tkAN —, hereby certify that the engineered plan signed by me dated I(N-11 01 concerning the property located_at .2-3 6,+r_e A- ao , sroNl .-,ILLJ meets all of the following criteria: • This failed system,is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. The soil is classified as.CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable]' Please complete the following: A) Top of Ground Surface�levation (using GIS information) B) G.W. Elevation + adjustment for high G.W. -- DIFFERENCE BETWEEN A and B y a-9 F foIL T-n7 ' Pe—r--' SIGNED : DATE: NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. a q:health folder.percexmp 1�7 yyy� fi-.kr..,,�'$c�' icz•" a ,r ^�' i.a s # C1 � '.RE '-. .6.Y 2. ... W32 � ,„� 1.'••o- y3 +rtY- F-, ` .y S- t 1 ry � LOCATiON'. � ;.,fLt � TL d`t p SEWAGE # �'�G� 7G { � f VILIACrE_ ICy1 �iJSi \ -=ASS �SORAP & LOT_ INSTALLER'S NAME.&PHONE NO ZvSta�J _.��n �L 77r5—Tl:? SEPTIC TANK CAPACITY LEACHING FACILITY (size) NO. OF-BEDROOMS r y BUILDER OR OWNER :- CAR 1407 J 1YUFUfn�t�? PERMITDATE COMPLIANCE DAT i q Io n 1 E t l Sepacatton Dlstance`Between the. Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet' Pnvate any`Water Supply Well Leachin8 ty Facili If: wells exist r... 4n.site:or.withtn;200 feet of leaching facihty) Feet t. Edge of Wetland.and Leaching.Facihty(If.any wetlands exist . .within. feet:o leactung facility) Feet Fumished'by. -- ` t Mt { t ' 1 f r,yr R, f < I x rdn , ..i O_ f rL N 1Q C -