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Home My WebLink About1000 OST.-W.BARN. RD - Health F 0 0"'124.040 1 l I�\ I, �f TOWN OF BARNSTABLE-; LOCATIONI aQQO 0.5t, U2, 9. kZ2 SEWAGE # �D VILLAGE4/t:'.SfoAOS A //IS ASSESSOR'S MAP & LOT r ,INSTALLER'S NAME;&PHONE NO. A4 4 C ® m 6e, f Sall SEPTIC TANKCAPACITY Q o LEACHING`FACILITY: (type)e�L ld f,�/L,yi9 /APR (size) fi_�U NO.OF BEDROOMS n/ BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: 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 =b• 77F I Or nL4Q,' :L 3 / y ® o TOWN OF BA.RNSTABLE ' LOCATION kQn[) DS1'. U� �, /?/�- SEWAGE # �O VII.LAGEA,4/pSTO/1/S. /VI / /IS ASSESSOR'S MAP & LOT INSTALLER'S NAME A PHONE NO. ./ ,M A C o m d e g f S O/,/ SEPTIC TANK CAPACITY Q'I 0 LEACHING FACII.TTY: (type) ,a �leL0 U/C&R• egolk,S(size) e��/9 C) i NO.OF BEDROOMS n/ i BUILDER OR OWNER V PERMTTDATE: COMPLIANCE DATE: 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) Peet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by / lye { � i Ott I No. <" o Fee $ 5 VYe' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Appitratton for Migogaf *ps�tem Congtructton 3permtt Application for a Permit to Construct( )Repair(X X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1000 O S t . W.B. Road Owner's Name,Address and Tel.No. R o n D e a n Marstons Mills ,Mass . 02648 1000 Ost . W.B. Road Assessor's Map/Parcel O M a r s t o n s M ills ,Mass . 02648 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: Dwelling XX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(NO) Other Type of Building No. of Persons 2 Showers( ) Cafeteria( ) Other Fixtures Design Flow 355 gallons per day. Calculated daily flow 3 x 1 10 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 10 0 0 Type of S.A.S2 5 ' x 12 ' 10" Description of Soil Loamy sand to medium fine sand . Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon chambers packed in 4 ' of stone . 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 is by this PoarAof alth. Signed !2< Date�� Application Approved by Date Application Disapproved foqth ollo ' g reasons Permit No. ®/ Date Issued No. r Fee 5 0.'0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 4Yes - PUBLIC HEALTH',DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIpphration for Digozal *p!5tem Construction Permit Application for a Permit to Construct( )Repair(X X)upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1000 08t . W.B. Road Owner's Name,Address and Tel.No. Ron Dean Marstons Mills ,Mass. 02648 1000 Ost . W.B. Road Assessor's Map/Parcel Marstons M i l l s.,M a s s. 02648 Installer's Name,Address,and Tel.No.5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No 50 8—7 7 5—3 3 3 8 J.P.Macomber & Son Inc. J.P.Macom' ber & Son iinc . Box 66 Centerville,Mass. 02632 Box 66 CeAterville,M' ass . 02632 k Type of Building: Dwelling XX No.of Bedrooms 3 Lot Size sq. ft. A. Garbage Grinder(NO) Other Type of Building No.of Persons 2 —Showers( "� Cafeteria( ) Other Fixtures Design Flow 355 "' gallons per day. Calculated daily flow 3 x 110 gallons. Plan Date Number of sheets Revision Date Title -Size,of Septic Tank 1000 Type of S.A.S.25 x 12 10" Description of Soil Loamy sand to medAum fine sand s i 4 Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon c h a m.b`e r s T P A'c k e d in 4 ' • of stollaa. 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 theEnvironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by this B Oarf H alth. Signed Date d ��97 Application Approved by Date t Application Disapproved for th ollo @ g reasons Permit No. 9 � / Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance 1 THIS IS TO CERTIFY, thaf the On-site Sewage Disposal System Constructed( )Repaired (X X)Upgraded( ) Abandoned( )by J.P.Macomber & Son Inc. at -1000 Ost , W.B. Road Marstons Mills ,Mass. l has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �V/ dated Installer J.P.Macomber & Son Inc. Designer J.P.Macomber & Son Inc. f' The issuance of this permit hall riot be construed as a guarantee that th , s•em will function as signRd. C? Date G! Inspector // ��,( ! r V-�.r No. _ — Fee X 5 0. 0 0 l ' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS wigogar *pmem Con.5truction Permit Permission is hereby granted to Construct( )Repair(X�Upgrade( )Abandon( ) Systemlocatedat 1000 Ost . W.B. RoAd Marstons Mills ,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 permit. Date:__�/�=� Approved by 10/9/97 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 PERMIT (WITHOUT ENGINEERED PLANS) I,Joseph P.Macomber Jr . , hereby certify that the application for disposal works construction permit signed by me dated 11/24/98 , concerning the property located at 1000 Ost W R Road Marstons Mills meets all of the following criteria: There are no wetlands located within 100 feet of the proposed leaching facility `•� 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 are no variances requested or needed. If the proposed leaching-facility will be located within 250 feet of any wetlands, the bottom of the proposed leaching facility will be located less than fourteen(14) feet above the maximum adjusted groundwater table elevation. Please complete the following: " A)Top of Ground Elevation (according to the Engineering Division G.I.S. map) to_ A B) Observed Groundwater Table Elevation (according to Health Division well map) 3 SIGNED : DATE: LICEN SEPTIC SYSTEM INSTALLER IN THE TOWN 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). q:health folder:een r 7 .1 t 1 Existing D".1str ' bution box . ® � 1000 Tank 2-500 gallon g A�i chambers . ate' Itwo 07& No........ -�1 Fps..... .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �D ..... .............T.OWN...........OF.......BARN.S.TABLE------------------------------------- ----------- liration -for Disposal Warkii ( omitrurtinn Vanift hh Application is h. reby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal i baU System at: ° West Barnstable - Osterville Rd.----••--•-••-•••--------••-•.......1,a-t...1.1.......................................... Loca'on•Address or Lot No. L '/ �g a �/ D ,- / ......----�/2T.._K!2..!! Y...NHS.G --------••------------•---- Z.1..`Y-/_/�.4��.�.K.�i ..S. _ GN7`-..r1_v/ � Owner Addrelee ss Installer Ad ress d Type of Building Size Lot....2.8.r.8 q 9-------Sq. feet Dwelling—No. of Bedrooms.._.___....................................Expansion Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures --_.......... ...................................... W Design Flow.......5 0...............................gallons per person per day. Total daily flow.........................3_Q'_Q------.----gallons. WSeptic Tank—Liquid capacitvlQ.Q.Q_.gallons Length_$_'__-8_'_'_. Width.V.-.l.O."Diameter------------.,_'Depth-__.S'_-.t}." x Disposal Trench—No_ --------------------- Width.................... Total Length.................... Total leaching area_-_ .__-_..__-_-sq. ft. Seepage Pit No........1---------- Diameter.......l0.'_...- Depth be w inl t_.....6'.._...... Total leaching are. __-26-7.....sq. ft. z Other Distribution box ( X) Dosing tank (, ) � � - '-' Percolation Test Results Eby._Paul--C._--MuY r ;�/ a ------------------------- Date....ll/2 917 6 a a Test Pit No. I..__...2-------minutes per inch Depth of Test Pit....12.......... Depth to ground water.... Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground wat s �N,OF Mgss9c ------------------ ---•-------------------------------•---•------•-•----------------------------------•-----•----------- o�----------------- y G Description of Soil ----------------------------•---------------------- ---RENWICK --- N x U --------f I^ / ..•--- r� CRA-fWA-N---- v, W -- -------- _ �: _________________________ Nature of Repairs or Alterations—Answer when applicable.---------,� ----------------------------------------------- U F G` ------ -- Agreement -- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System( ce with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is d by the board. f health. Signed. ....... ----------------- ----------------- Application Approved B -- = - " Date Application Disapproved for the following reasons:--•-----------------------------•--------------•------------------------=------------------.................... ........................•-•--------------•---•---------------------•••-----------•-------•--•-•----••--•-....-----...---.••-----•----.....----- •------------------------------------•------------- I Date Permit No.......................................................... Issued.--• '"/:' � # V y Date No........ -4J.Z Fin$.... ...'" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -_. . ._TQIn'N. -----OF........BARNSTABLE................................................. Appliration -for Diopofittl Works Tonstrnrtion Prrntit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: .............West Barnstable _ Ostervalle---Rd........................-•..........Lot...#.1--•------------------------------•--• ..... . . .. . ........-------------•---..... L tion-Address or N _ L... ...... Oy r Add ss Installer Address Q Type of Building Size Lot...._._L10-9-__-___Sq. feet Dwelling—No. of Bedrooms._--_-.--.-3 -------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons......_--------------------- Showers ( ) — Cafeteria ( ) Pa Other fixtures --------------- --------------- - W Design Flow--------5_0...............................gallons per person per day. Total daily flow.........................3O0_..........gallons. WSeptic Tunic—Liquid capacitv100 Q-gallons Length.U.—S_". Width._4_°..-1 O°Diameter_.._...-..---__ Depth.....5-°.-4 e: x Disposal Trench—No..................... Width-------------------- Total Length.................... Total leaching area-------------.------sq. ft. 3 Seepage Pit No--------I---------- Diameter-------10_E_____ Depth bellow inlet.......6.'....... Total leaching area-----2.6.7-----sq. ft. z Other Distribution box ( X) Dosing tank ( )CrJ1"� di, Test Results Paul _C,--_I'�ILirpa ........................ Date.....11/29---------------- Percolation6 y_ -- ---- - --- q 1 Test Pit No. L______2......minutes per inch Depth of "Pest Pit.....1_2.......... Depth to ground water...__. OF M (S, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.-.- - -- --_-.--. Ix --- ----• -•--•-------- ---------------------------- ----•---......._...__..................----................................... r�r ---RENWICK yGn O Description of Soil ----- l B.- M, 7 K t'- -----CHAPMAN y qr / ; _ J .A No:27654 O ,e /STE -------------- U Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------_____________ IpNAL ECG\ ---------------------------- - --------ii-- -- -- Agreement: �1/l The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is d by the bo rd of health. Signed ---- -------------------- ------------------------- /<--'�`--- �% Date Application Approved By-----`- r� , v - -- --------- - ------------------- ------- Date Application Disapproved for the following reasons:--•---••---•-----...----•-------••-•.............................................•.------........_._...--------- ....................................................... .......•----•--------------•-._...-•----•-----------------------------------------•-•-----.........-----------------------------•---...•-•.----- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT.I .... 7.......OF....... ....................:.................. �rrtifiratr of fI'ontplianrr THO IS TO CE TI 'Y, at the Individual Sewage Disposal System constructed ( or Repaired ( ) by...-r.. ;------------------.... Insta er f at...-- f.� �.� G�- -- {Y ' rr f l�1 _ / r .-- � i has been installed in accordance with the provisions of :Art' e I of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.. A!_/................ dated.-------1,2_:,lA-.7 ........... THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATEA),I/1_% nC.....�'- --�-------------•-------- Inspector---------- � . THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH ......... . ........... . ...............No.----- --��--1------ FEE------/`,----............ Dispoti ork,s To l r it Vrrnfit Permission is reby granted___-- -- .- ._----... �''- j.L.--G�'clt/ -------- -- ,� ---------------- ... ....................................................Con.�st '� � ) o epair ( )/ t5 Individ• 1 f ewa e Di oral System at NQ ` lr �+ ....tom=. / t f�ff- ---------- - -- = `� -,C Street _ d as shown/onthh, application for Disposal Works Construction Permit o__________ ______ Date 1___._..___/..._.____...__..._....... l dT---•�--�--�-----I•�--7�------------------- B H alth FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS SOIL LOS - �J.�x zo . 2 PEAS TONE 4 LOAM 9 FILL 12"MAX v•Q zQ OC 4 C.I. DIST.BOX ° , , a ' ,+I 24��MIN. s'MIN. 1000 I D, °°O 1000— GAL. 4)C GAL. PRECAST OR ° °I 4� t4 SEPTIC 6 , D ° BLOCK ° " TANK Ie° °° ° ° SEEPAGE PIT r 00 0 C, I ° 20' MINIMUM ` FOUNDATION I %z 11 WASHED STONE I I SCALE: I"= 4' ELEVATION SKETCH 10 P¢RC. RAT¢ t CJ n1DG +/!V/fN✓tAd f ° SCALE i 4 TEST BY TOWN INSPECTOR; r04yL C. rrr 4e. -F#03P1 ° BACKHOE OPERATOR C TEST MADE ON : / CQ /f 4) / 1J t^ 1 Q° a a / ,tea 1411, �\ d� 4 n• f ads � \�o / Za e 1 c ; 4 c ,L o T / t� rr •C�1 �8�8 C7 7 /oc�`.t' � a1 i a� a,°-- �,.�,+.��''� b , Y OG � gfi�L7 9txbZ. APPROVED BY BOARD OF HEALTH DATE 19— tH OF,ycy RENNII.;K CHAPMAN o p No. 27654 ' 4 fC�$TER��4` �sS7DNAL ELEVATION SCHEDULE PROPOSED SITE PLAN 1. INV. AT FOUNDATION SEVASE 9YOTEM DESIGN 2. 1 NV. INTO SEPTIC TANK IN 3. 1 NV. OUT OF SEPTIC TANK = s ✓ 7� /1�I c:v✓-5 /fJ`/C.L..S 4. 1NV. INTO DISTRIBUTION BOX SCALE It = .Sd 197 5 1 NV OUT OF DISTRIBUTION BOX = 9a, 30 Y 6. INV INTO SEEPAGE PIT = 94. AQ CAPE COD SURVEY CONSULTANTS 1 ROUTE 132 7. BOTTOM OF PIT HYANNIS,MASS. A DIVISION BOSTON SURVEY CONSULTANTS, INC. 6. BOTTOM OF STONE LAYER 1 I