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HomeMy WebLinkAbout0039 APOLLO DRIVE - Health 39 APOLLO DRIVE WEST BARNSTABLE A = 131 047 r k i i l t No. 4210 1/3 BLU ESSELTE 10% O 0 O 8 TOWN OF BARNSTABLE zle i4:44.,OCATION A P 6 SEWAGE #�EO6/— 3 Z6 VILLAGE W PST. ,t� R1 7-,�G�LpC� ASSESSOR'S MAP & LOT 13/-C)t/ INSTALLER'S NAME&PHONE NO. .l-!- /ICJ A C 6 A- P ekt Sd SEPTIC TANK CAPACITY Z- OOD ,- O L /J LEACHING FACILITY: (type)A-FLQ W C114,g6Off``S (size) J �X Zr X 2 LT NO. OF BEDROOMS BUILDER OR OWNER. -�SUvi PERMITDATE: /S- & _COMPLIANCE DATE: 7— 10 Z�/ 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 ��v x i � 6�0 fR oaf �� .� ', � \\g� � � c / �zP1 �� � - �� .� �� / � 3,_ +.v aLLO ..s,� §. �'•aa r' •;eta_ � s ,��,y's �4, �t. -sue' .,s w.rrsr , x n g 6 4 .T - .�,tl`i'-F"' - (( 7 '=� 3"� '' 'i .n+vhn i n .`• ; ti' .r'{ '�`�a'� "F r,.; _ °' { -N � h+Y Y 'SO �' � 5- t �_, A —'.r'� KmM p Y G'�'^�.•• �- " TOWN OF BARNSTABLE LOCA ON /4</� !� ��O �R SEWAGE #J ool- s117,6 —T VILLAGE IV eS .e ASSESSOR'S MAP &.LOT l 3/-n INSTALLER'S NAME&PHONE NO. J- /- In A C 6,141 6 fR:t S-a SEPTIC TANK CAPACITY LEACHING FACILITY: (type).`Z—�'j0 U) .ge ORS (size) X Zr X Z. NO. OF BEDROOMS _ ILD„ER OR QWNER /U- SUvi ... .... PERMITDATE; -7 /S_- ZZf6/. COMPLIANCE DATE..- Separati:on.Distance Between the.: Maximum Adjusted Groundwater Table to the:Bottom of Leaching Facility Feet Private Watiq Supply Well and Leaching Facility (If any wells exist F on site or wil n 200:`feef of leaching factLtyj eet Edge of Wetland and Leaching.Facility(If any wetlands exist . within'300 feet of g leachin facili �' Feet , h'); Furnished by ";. f � IV sl " r x n b O 4 n No. ���`✓ �� Fee$ 5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for Miopozal 6peum Cow5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 39 Appo l o Drive �L L D Owner's Name,Address and Tel.No. 39 Appo l l o Drive West Barnstable,Mass. AP Mark Nelson West Barnstable,Mass. Assessor's Map/Parcel 1 3 I (V c/ 7 5 0 8-8 3 3-6 6 0 0 02668 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( ) 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 f ine sand Nature of Repairs or Alterations(Answer when applicable) Adding two 5 0 0 cla 1 1 can 1 Pa rh i n r chambers packed in 4 ' of 1 "' stone. Existing 1000 tank & 1 -1000 ;it. 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 n t to place the system in operation until a Certifi- cate of Compliance has been issue by this B gpeal Signed f Date 6/1 2/01 Application Approved by Date Application Disapproved for the following reasons Permit No. O *' Date Issued r g�Z5- 'a �/7/r �� - $ 5 00 0 . " No, f/l "-✓ Fes THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS A 21ppfication for Mi0pool *pgtem Congtructton Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 39 Appolo Drive Owner's Name,Address and Tel.No. .3•9,' Appollo Drive West Barnstable,Mass. Mark Nelson WestrBarnsta6le,Mass. Assessor's Map/Parcel J? 7 5 0 8-8 3 3 7r,6 6 0 0 02668 Installer's Name,Address,and Tel.No.5 0 8—7 7 5 /33 8 t Designer's Name,Address and Tel.No.5 0 8—7 7 5—3 3 3 8 J.P.Mabomber & Son Inc,. - � J.P.Macomber & _Son -Inc. Box 66 Centerville,Mass'.0�f.632 Box 66 CenterviYle,4ziss�.'02632 Type of Building: r Dwelling XX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) f Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Y 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 fine sand. Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon leaching chambers packed in 4 ' of 11" stone. Existing 1000 tank & 1 -1000 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 F vironmental Code and ilot to place the system in operation until a Certifi- cate of Compliance has been issu -by.this 11 z ar Wfea Signed { Date 6/1 2/01 Application Approved by Date Application Disapproved for'thee following reasons Permit No. ' �° Date Issued ' THE COMMONWEALTH OF MASSACHUSETTS .. �BANSTABLE, MASSACHUSETTS Certificate of, Compliance ` ' THIS IS TO CERTIFY,that the On-site SewagelDisposal System Constructed(,9-)Repaired�X )Upgraded( ) Abandoned( )by J.P.macomber & Son Inc. at 39 Apollo Drive West BaSastable,Mass. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Pe N , ' � dated J�- 12C5 Installer J.P.Mac&aber & Son Inc. Designer J.P.Macomber & Son Inc. The issuance of this t shall of be construed as a guarantee that ihes eyst ill fu do design Date .7(9 Z�ov Inspector � - —————————————— ---------i---------- No. l _✓ Fee 50.00 3 - THE COMMONWEALTH OF.MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 1 Iiopogar bpotem Construction Permit Permission is hereb ranted to Construct( )Repair�X)Upgrade( )Abandon( ) System located at H Apollo Drive West Barnstable,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�' it. a Date: y ` � �"� � Approvecfb_y_r S X p r n M99 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 DESIGNED PLANS) r LJoseph P.Macomber Jr. , hereby certify that the application for disposal works construction permit signed by me dated 6/1 3/01 concerning the property locatedat 39 Appollo Drive West Barnstable meets all of the following criteria: a` 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 ore equal to 5 minutes r inch. 9 per There are no wetlands within 100 feet of the proposed septic system l There are no private wells within`150 feet of the proposed septic stem P Po P sY., it 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 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 founecn(14) feet above the maximum adjusted groundwater table elevation. Please complete the following: A) Top of Ground Surface Elevation(using GIS information) 3 67-, '-z- B) G.W. Elevation +the MAX. High G.W. Adjustment DIFFERENCE BETWEEN A and B 3 , SIGNEDWA / DATE: 6/1 3/01 100, (Ske h opcsed plan of system on back). Q:health folder.cm ® Existing 1000 lgallon septic tank, ' Distribution box. Existinq 10 Two new 500 ga 1 �„ w W_. b, Leachin leaching chambers 00-0 N Page:. 1 �- CERTI 'ICATE OF ANALYSES�:. BarnstibleCounty Realth Liboratory Report".;Dated: Ol/07/2002 Report 'Prepared For: 'Or der <G0213029 Gordon'Nelson 39 Apollo.Drive WestBamstable, MA 02668 Laboratory 'M#: -0213029-0.1 Description: 'Water-Drinivng'Water Sample#: 13029 Sampling Location: :39 Apollo Drive, 'West`Barnstable MA Collected:. 01/02/2002 . ,Collected"by: -GordonNelso :10/42067 Received: 01/02/2002 Routine ITEM RESULT 'UNITS `MCL Method# Tested .LAB:IC Lab `Nitrates 1.3 mg/L 10 EPA300.0 01/02/2002 LAB:Metals Copper 0.1 mg/L 1:3 SM3111B 01/07/2002 Iron <01 mg/L 03 SM31.1113 01/07/2002 Sodium 1'S mg/L .20 SM3111B 01/07/2002 LAB:Microbiology Total IC61iform Absent P/A _ Absent P/A 01/02/2002 LAB.PhysicaLChen fishy ' 'Conductance 150 umobs/cm EPA 120.1 01/03/2002 pH 6 6 pH-units EPA 150.1 01/03/2002 Note: Water sample meets the recommended limits for drinking water of.all:above tested'parameters. Approved 'By: (Lab'Director) /f71Zao 7 � F tea• '�� .* ;4' .. ......... Superior=Court House., PO.Boa427, Barnstable, MA-�02630 Th:308 37.5-6605