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HomeMy WebLinkAbout0286 WINDING COVE ROAD - Health 286 WINDING COVE'ap�,� MARST.MILLS A=075.026 TOWN OF BARNSTABLE LOCATION GUIVdIAl6 C6 VP /L P . SEWAGE #��4/- � VILLAGE.A4 A f S r QA/S ,AA l Ll S' ASSESSOR'S MAP & LOT6 c3'Z-,!� INSTALLER'S NAME&PHONE NO. J-P 44 A C a If JV P it r S oA/ SEPTIC TANK CAPACITY /OOD, r17 o z o- I LEACHING FACILITY: (type)3-A-Zo 0 Cly",4N1,90 P's (size) NO. OF BEDROOMS BUIUBER,OR OWNER �✓ � � PERMIT DATE: 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 a / ,sL i r i t ,. .:► <7i�1 � �� �, �. Fee 50.00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes F PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipprication for Miopooal *raem Conotruction 'Permit Application for a Permit to Construct( )Repair?(X)j Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Addressor Lot No. 286 Winding Cove Road owner's Name,Address and Tel.No. George Condon Marstons Mills,Mass. 02648 286 Winding Cove Road Assessor's Map/Parcel&�.&r- Marstons Mills,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—77 5—3 3 38 J.P.Macomber & Son Inc. J.P.Macomber & Son Inc, i Box 66 Centerville,Mass.02632 Box 66 Centerville,Mass.02632 Type of Building: 1 Dwelling XX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other 1 pe 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 Size of Septic Tank Type of S.A.S. Description of Soil Loamy sand to medium fine sand Nature of Repairs or Alterations(Answer when applicable) Adding two 500 qa l l a n 1 P a r-h i n q chambers 25 'X13 'X2 ' . Existing system consists of 1 -1000 tank box and 1 -1000 gallon pit. 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 d by this o of alth. Signed Date 6/2 8/01 Application Approved by Date ' Application Disapproved for the following reasons Permit No. 1' '? Date Issued ` �S No. Fee 5 0.0 0 THE COMMONWEALTH,OF MASSACHUSETTS Entered in computer: Ile ' Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE} MASSACHUSETTS�' ZIppruation for Digaal 6pgtem Construction 3permit Application for a Permit to Construct( . )Repairl(XX Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Addressior Lot No. 286. Winding Cove Rdgd Owner's Name,Address and Tel.No. George Cop 'oft— Marstons• Mills,Mass. 02648 286 Winding Cove toad ; j Assessor's Map/Parcelg ,.<- Marsto aS4iS,Mass.02648 ✓'r"` Installer's Name,Address,and Tel.No.5 0 8—7 7 5—3 3 3 8 Designers sxName^Address and Tel.No.5 0 8—7 7 5—3 3 3 8 J.P.Macomber & Son Inc. J.9.1ftADmber & Son Inc. Box 66 Centerville',Mass.02632 Box 66 Centerville,Mass.02632 of Building: .Type , Dwelling XX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) 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 Size of Septic Tank Type of S.A.S. Description of Soil Loamy sand to medium fine sand Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon leaching chambers 251X13'X2' . Existin@ system consists of 1-1000 tank box an - 000 gallon pit. 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 this o Hof alth. Signed Date 6/2 8/01 Application Approved by Date Or' 2.F Application Disapproved for the following reasons Permit No. ZQQ Ir Date Issued ------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired'YX Upgraded( ) Abandoned( )by J.P.Macomber & Son Inc./ at 286 Winding Cove Road Marstons Mi l_l s s Ma cs. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N�,PO/-YTS dated D -9 Installer J.P.Macomber & Son Inc. Designer J.P.Macomber & Son Inc. The issuance of this perms shall not be cof strued as a guarantee that them ,ill function as desig d. Date ram'' / .Y� / Inspect - L ---------------------------------------- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE.. MASSACHUSETTS - Miopoml bpgtem Conztructton permit Permission is hereby granted to Construct( )Repair�X)Upgrade( )Abandon( ) ! Systemlocatedat L86 Winding Cove Road Marstons Mills,Mass. and as described inAhe 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 rmit. Date: '' / f Approved 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. P Y Y 4 AS, ;,0: t PAKLL y f.. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT =OUT DESIGYED PLANS 14�ESS0l�SM�AP �tl�c L Joseph P.Macomber Jr. , hereby certify that the application for disposal works construction permit signed by me dated 6/2 8/01 concerning the property located at 286 Winding Cove Road M&M meets all of the l following criteria: The 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. • There are no wetlands within 100 feet of the proposed septic system • 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. The bottom of the proposed leaching facility will nit be located less than five feet above the maximum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor method when applicable] • If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will m be located less than fourteen(14) feet above the maximum adjusted groundwater table elevation, Please complete the following: )/ A) Top of Ground Surface Elevation(using GIS information) K ` B) G.W. Elevation r Q +the MAX. High G.W. Adjustment.71 3 / 7 a Da7FERENCE BETWEEN A and B SIGNZh -. v DATE: 6/28/01 (Sketoposed plan of system on back]. q:health folder.cent r Existing 1000 gallon Leaching pit. v New; 2=500 gallon leaching chambers New Distribution box packed in 4 ' of 1 'fit stone. 25 'X13 'X2 ' ' Existing 1000 Tank e t, 1 toJ, TOWN OF BARNSTABLE LOCATIONA C6 1167 A 10 SEWAGE #Z6•Tl­ �� VILLAGE A 6 Al S A4 19, ASSESSOR'S MAP & LOTC7-5�­ �_5`� INSTALLER'S NAME&PHONE NO. J-f ,14 ,4 C O Xf e. SEPTIC TANK CAPACITY. 1,00e- 1'17. ozeq. LEACHN&FACILI-T- Y!.:(,type)3- Azd w chl NO. OF BEDROOMS WJMDE�R,OR OWNER 4�fo�� PERMUDATE: COMPLIANCE DATE: SeparadowDistance 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 0 07-28-1999 04:OOPM CENT OST FIREDEPT 5087902385 P.02 Make application to local Fire Department Fire Department retains original application and issues duplicate as Permit APPLICATION and PERMIT I Fee: 25.00 for storage tank remcval and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 1AE. Section 38A, 527 CMR 9.00, application is hereby mace by: Condon � Tank Owner Name(piece print) % X • aymeture h�pM' rorpermq Address 286 Winding Cove Road, Marstons Mills Street G1y Sate Tip • • M1.i It• • Company Name Advanced Environmental Co. or individual Advanced Enviionmental Pnn: aRnr Address P.O. Box 472, S. Dennis Address Print Pmt Signatur p : `Cr- Signatur ap lyin V:e IFCI Cart, Other ` IFCI Certified = # Other TarikWormadon''im 286 Winding Cove Road, Marstons Mills Tank Location Steel Address Tank Capacity (gallcrts 1,000 Substance Last Storer- #2 Fuel Oil Tank Dimensions ,u(dia.:etsr x length) Remarks: J>(✓ Firm trans ortin =_ Advanced Environmental p g was; State Lic. # Hazardous waste mar'r E.P.A.# Approved tank disposa;yard J.C. Grant Tank yard# 03501 Type of inert gas Tank yard address Readvzlle City or Town CPntPrvj 11 e FDtO# 01qq0 Permit# July 28, 1999 August 12, 1999 Date of issue Date of expiration _ Dig safe approval nurnb-r 19992801469 ' Sap Tcil -: e.Amber-800-322-4844 Signature/Title of OfScr-_ranting permit ' After removal(s) send i=cc- -290R signed by Local Fire Dept.to UST Regulatory Compliatx~Unit,One Ashburton Place, Room 1310, Boston. MA cc.�o�r.o..:40,.croci TOTAL P.02 LO CAT 10 SEWAGE PERMIT NO. —D .Lv- 3t� •.�,o�� caves �!'o VILLAGE /�9.4.rs7t►Nr �.iis � INSTA LLER'S NAME i ADDRESS ;QT rM, Armor; 1082 CH tare P-3aa s rrS^11= L 02c,!, BUILDER OR OWNER oc io4AI 6103e- /ro�L7y DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED �'- ✓� r C> F�ite r , 0 C Co r - /.... F�s.. v�................. No...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH - dcviv...._.....oF..........<< l /nrs ,l/ ------------------------------------ Apphration for Disvaiial Warbi Tomitr trtion Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual S,ewa e Dijsposal Syst�y at CJ..........................1........ V e0l / RS1s1 c� Lo tion-Aydress ; •--........-- Lot o. �d✓�i?'S'f...... moo?.._...... � owner Add s Installer Address QType of Building ''e/� Size Lot............................Sq. feet U Dwelling—No. of Bedrooms_._. ..... ..........................Expansion Attic W� Garbage Grinder (/1/ pa, Other—Type of Building ....Wa- _5-:...__..... No. of persons............................ Showers ( /) — Cafeteria ( ) Q+ Other fixtures -----------••-- •-•--•-•------- . W Design Flow..........'W.5....................... gallons per person per day. Total daily flow...........33_4..................gallons. WSeptic Tank—Liquid capacity!?!.gallons Length................ Width-_____-__-_---_ Diameter................ Depth................ x Disposal Trench—No..................... Width_................... Total Length.................... Total leaching area....................sq. ft. � ___-- Diameter______ __________ Depth below inlet_... .Seepage Pit No..._____�____ p _ . Total leaching area..................sq. ft. Other Distribution box ( ) Dosing tank ( ) ,® Percolation Test Results Performed by....... _r�tX dl�.�.N._Z._..................... Date.......sS..l� _ 2.7 Test Pit No. l�.............mmues 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........................ Ra' ----s.•-- ---••----------••-•--•--••--•-•---•-----•-----•••-•--•-•-•--•••-•...•-•-••......-----•........----•••• ---•-•••••--•-------•----------------- O Description of Soil.......R,!- r .Lo.4 .:Se> �� /J7Ec✓. 5 � 1 U ----------------------- •--•----------- .---------------------------------------------------- ............. •----------------------------------------------------------- •-----------------------------..---- W ----------------------------------------------------------------------------------------------------------------------------------------------------------------•-•-----------•--•-----•------......... UNature of Repairs or Alterations—Answer when applicable.----------------------------------------------------------------------•-_-_-_____-----.-.---_-. --------------------------•------------.....--------•---•-----------.....-----------•----------------...------------------------------------------------------------------------------........••••----•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL is 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be ' sued by the..board of Wth. ff gnef.-_ ..... ----------------------------------••-•-• ate q Application Approved By....r---------• �.. - ... �-•- •• -•-� --A-----•----•---•-- D Ve--��/G--�T Application Disapproved for the following reasons:.......... --------•-••••---• -- •-••------•--•----------................................................... -------------------------•-•-------••-------------••-----•-.......•-• - -- --- ----- - ----------_ -------------------------------------------------------------------------- Dat Permit No...............:.:............•--- ---- -------• Issued... --...�.. ( -Pal'— No.. ''� Q�••--- ... Fics,.�Vl................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f AVVIirFa#ilan for DhiVoii al Works Tomilrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at .................�........................................... t✓.✓...f....------•--•.................... ...................................:......... �t y� Lo ahon A dress f f Lot No. f _ Sic!` f`F _ , 8��-•• Q * Y G`T��r...L�-s.�i ft'S n?�3�.----/�i.................. Owner Address ... Installer Address Q Type of Building ,-� Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...,..__.... .........................Expansion Attic w9 Garbage Grinder (//j P4 Other—Type of Building ... O,.j5............. No, of persons............................ Showers (✓ ) — Cafeteria ( ) QI Other fixtures ............................... .. W Design Flow-.-.......Kx?Jr...................gallons per person per day. Total daily flow............. ..................gallons. WSeptic Tank—Liquid capacityl4q! ±.:gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width...... .......... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......../.......... Diameter.....-. Depth below inle ...... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank .� � Percoiation Test Results � Performed bY..._.. �e �_..+�::!'N............,/�:....1 ........................ Date....... Test Pit No. 1---,/"`......* minutes per inch Depth of Test Pit.................... Depth to ground water........................ f3, Test Pit No. 2,................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ...... •---•_...... _.......•--•••......................................................... O 4 s, .• Description of Soil '" r✓ `r�w a : x s. y `` f�> 7/- rl x ;e;--- -_•-•• . •-----------------•-••••••-•--- V ---•----------------•---------------_:--_-------_.------•----.__--_-_---_-_------__-__--_--•------------------------------------------------------------- W --------------------- ----------------------------------------------------------------------------•----------------------------------------------------------•-----------------------..._....- U �,. `Nature of Repairs or Alterations—Answer when applicable............................................................................................... --------•-------------------•------------------...-•--------------•--------------------------------------•----------------------------------------------------------...------------------••-•-•.....--•- - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be sued by the board of health. rr �j ate Application Approved BY----- ....•. r .. ApplieRlon Disapproved for the following reasons-------------------------------------------------- ............................................................ 3 ..........................................•-.. ............................................................................................................................. Date PermitNo......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS ' BOARD F HEAL H ......O F....... ...... .....'..................... Trrtif irFa#r of :ToutpfiFanrr I IS C TIFY, That the Indivii4pal S wage Disposal System constructed ( or. Repaired ( ) by----- •••......._... =._.. _../_ - ........ ....... .. ....._ f �j � Installer b has been installed in accordance the provisions of "' ` f T e State Sanitary Code as described:in the application for Disposal Works Construction Permit �' .�................... dated-._ ..................... THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 1 i i DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD P HEA T - 2+ .. ..O F..... -. ?. .. No......................... FEE._.......`.......•-•--- Dili o at V ki mitrnr�i.on�f�ratti# Permission is hereby gran ....... = { Q .�'- `� ............................... .........._ to Construct () o e r ( an ividual Disp s xSy ep� at No.'` �urslCZ - ••• .. ...... .'Ys. leer S go '� '-----•--- Street as shown on the ap lication for Disposal 'orks Construction Per No.__ Dated._ /� �---_._---_-_ Board'of ealt DATE............= I ------•--- .. ----••......••-•---...... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS I�,a►,rY FLc�w 1tc> 3 = SS G.p.b. % - A-9 5 6-P.D. jgor, PJ.5p xnL PIT t ooa GAL-. 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