The URL can be used to link to this page

Home My WebLink About1029 OST.-W.BARN. RD - Health 10290st.W® ��A124-013 - TOWN OF BARNSTABLE r-ATION la-12 J��l� cJ� ��:s�R j73 �4e.N" � �s ASSESSOR'S MAP &LOT I INSTALLER'S NAME&PHONE NO.-M A C_tr m g e_____ 7 25--22r mi- SEPTIC TANK CAPACITY _oz6 q A(s z LEACHING FACILITY: �s le (size) NO.OF BEDROOMS BUILDER OR OWNER _- PERMIT DATE: ° —9 ' _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 r r No. �✓ Fee 1 5 0 _0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zpprication for �Oigooaf *pgtem Cow6truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 1029 O s t,W.B. Road Owner's Name,Address and Tel.No. 4 2 0—2 0 0 4 tars Wi$ M lls,Mass. Jeff Dame ss r s s ap arce 1029 Ost. W.B. Road Marstons Mills 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 XXNo.of Bedrooms 2 Lot Size sq. ft. Garbage Grinder(nq Other Type of Building RES No. of Persons 1 Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 2 x 1 1 0=1 2 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 500 & Box Type of S.A.S.2-500 gallon chambers Description of Soil Loamy sand to coarse sand Nature of Repairs or Alterations(Answer when applicable)Omitting cesspool. Installing 1 -1500 gallon septic tank, 1 -Distribution box, 2-500 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 issu by thi B ealth Signed Date 2/9/9 8 Application Approved by /' Date Application Disapproved for the following reasons Permit No. Ll Date Issued TOWN OF BARNSTABLE :LOCATION /Wc? �e ��f!l� ijJ7,_ AeN!;1(;hj.WWAGE # 93 >': VILL ASSESSOR'S MAP&LOT - 1 jIVSTALLER'S NAME&PHONE N0. A C:f)n m t C_ ' ":.;SEPTIC TANK CAPACITY IC,bQ PACs LEACHING FACILITY: (type) —{��s�aZ_�3 (size). ".NO.OF BEDROOMS- 0 R OWNER :PERMITDATE:. � COMPLIANCE DATE: a :,Separation Distance Betweendhe: .,M..aximum.Adjusted.Groundwater Table and Bottom of Leaching Facility Feet i'>;: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 ' 11 Sk j No. v ` V 1 Fee $ 50 0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for Oiopogaf *potem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) FAComplete System ❑Individual Components Location Address or Lot No. 1029 O S t,W.B. Road Owner's Name,Address and Tel.No. 4 2 0-2 0 0 4 Marstons Mills,Mass. Jeff Dame Assessor'sMap/Parcel 1029 Ost. W.B. Road Marstons Mills 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 XXNo.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder(nq Other Type of Building RES No.of Persons 1 Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 2 x 1 1 0=1 2 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 500 & Box Type of S.A.S.2-500 gallon chambers Description of Soil Loamy sand to coarse sand Nature of Repairs or Alterations(Answer when applicable)"Om tting C2SSpo01. Installing 1 -1500 gallon septic tank,1 -Dilitribution box, 2-500 gallon chambers packed in 4 ' of stone.!.1 }t t Date last inspected: ' Agreement: r,*" The undersigned agrees io ensureythe oc nstruction and mainteriance4of 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 thi o ' ealth. Signed Date 2/9/9 8 Application Approved by t/ w Date Application Disapproved for the following reasons ' Permit No. Date Issued —————————————————— —— —— ————— ——————THE COMMONWEALTH OF MASSACHUSETTS y BARNSTABLE, MASSACHUSETTS Certificate of Comcpliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded(XX) Abandoned( )by J.P.Macomber & Son Inc. at 1029 Osterville West Barnstable Road M&M Wne!:14�_hbe n constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ated Installer J.P.Macomber & Son Inc. Designer J.P• a oml & Son Inc. The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date / . fir- Inspector ., - "— ,J --------------------------------------- No. Fee $ 50.00 THE COMMONWEALTH OF MASSACHUSETTS , PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS lwiopozal *pztem Construction Permit _ Permission is hereby granted to Construct( )Repair( )Upgrade(XX)Abandon( ) Systemlocatedat 1029 Osterville West Barnstable Road Marstons Mtblls 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 ust be c mp .e ivithin three years of the date of th' erttu n , Date: !/I Approved by V \ 10/9/97 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. p Y CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) 1, Joseph P. Macomber JR,hereby certify that the application for disposal works construction permit signed by me dated 2/9/98 , concerning the property located at 1 029 Ost. W.B. Road M&M 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 p.4.t 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) 3 ' v B)Observed Groundwater Table Elevation(according to Health Division well map) / SIGNED : -� DATE: 2/9/9 8 LICE D 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:cert t I 70Ki j ,&rz z LI B _ �a