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Home My WebLink About0067 COVE LANE - Health 67 COVE LANE, CUMMAQUID A=351-005 eo 04, f P 1 as AAI1 , , a r K' „ u e m c v u ' r r v � f , , H ' u • r , i nn 4 • 9 fi J u „ r n n L L , + , - � a , aY- it +C t ,t+. ��a ai. � , e■ ..f: ,. l a.< t � } n-�. ,. u .. .h ' L.�� _ n 1.. „� ,� ,f _ .,- c r rr r r Y c '+ r _ , ,l e r:. TOWN OF BARNSTABLE �/ LOCATION 6, 7- C'6 tZ SEWAGE# 2.0 L' Y11�_ VILI',�AGE C'Lt-M1 JJa CMJ((> ASSESSOR'S MAP&PARCEL ;3 f .o INSTALLER'S NAME&PHONE NO. �j,(� , f SEPTIC TANK CAPACITY LEACHING FACILITY. (type) 7(Cum--eZ j (size) c NO.OF BEDROOMS 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) i Feet, Edge o£.Wetland and Leaching Facility(If any wetlands exist within 300ifeet of leaching facility) Feet FURNISHED BY 5-0 No. `q l FeAmo THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS applitation for Istl aI *pstrm Constru>rtion Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. (p 2 bat, /, Owne�rr's,N,}ame,Address,and Tel.No. Assessor's Map/Parcel 3 � DU Installer's/Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Buildin : Dwelling No.of Bedrooms --3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil e Nature of Repairs or Alterations(Answer when applicable) e - d 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 Enviro tal Co and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. S' Date Application Approved by Date Application Disapproved Date for the following reasons Permit No. Date Issued No. r Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pplitation for Intl saY �pstpm Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or,Lot No. 6 7 6ale, rLli ,OAwner's Name,Address,and Tel.No. Assessor's Map/Parcel j1Y -� O!J 5- 4 00 1 �.O fF"G.s"r'1 Installer's Name,Address,and Tel.No. = Designer's Name,Address,and Tel.No. --,2 Type of Buildin : Dwelling No.of Bedrooms 12 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) yJA gpd Design flow provided /1/� gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Enviro a,tal Co and not to place,the system in operation until a Certificate of Compliance has been issued by this Board of Health. / Si DateUf Application Approved by Date Application Disapproved bZL Date for the following reasons Permit No. Date Issued ---------------------------------------------------------------------------------------------=----------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS , , CErtifitatr of Compliance THIS IS TO CERTIFY,t at tt/e On-site Sewage Disposal system Constructed( ) Repaired((j� Upgraded( ) Abandoned( )by Gl/� J at 67 6o&Ae has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated l l lzf Lzo1 y Installer Designer #bedrooms 3 Approved,design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function ads-designed. Date I , � 1J Inspector --------------------------------------- ---- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstrm Construction Permit Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( ) System located at �4 (fd vP_ 417 1 and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 i t ��/�/ Approved by TOWN OF BARNSTABLE r LOCATION D yP L A SEWAGE # 7 VILLAGE_ i I.t M ASSESSOR'S MAP& LOT INSTALLER'S NAME&.PHONE NO. A C SEPTIC TANK CAPACITY a LEACHING FACILITY: (type) 3— 1406/C,�/A�l�� '9 drDO (size) NO. OF BEDROOMS BUILDER OR OWNER PERMIT DATE: f f - gel COMPLIANCE DATE: 1 _ Separation Distance Between the: ! Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility on site or within 200 feet of leaching facility any wells exist Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) I Furnished by Fee t .Q I TOWN OF BARNSTABLE LOCA'WN 7 6 8 1l P L A SEWAGE # 7/ 1 2 VILLAGE C LIA4 /4 AGE UI(�ASSESSOR'S MAP&PLOT_3�S 1 pG 6- Zy INSTALLER'S NAME&PHONE NO. ✓1/0• M A G O,M %3e k t' sow SEPTIC TANK CAPACITY I Qt9 a LEACHING FACILITY: (type) 3-dKLOraC4md-�e" (size) NO.OF BEDROOMS BUILDER OR OWNER PERMPTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet l Private Water Supply Welland Leaching Facility (If any wells exist r 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 l Furnished by r,: y `r' i t L_r. No. Fee $5 0. 0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1/ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for �Digponl *pgtem Construction Permit Application for a Permit to Construct( )Repair g X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot'No.6 7 C o v e L a n e Owner's Name,Address and Tel.No. 3 6 2—3 3 2 3 Cummaquid ,Mass . 02637 67 Cove Lane Cummaquid ,Mass . 02637 Assessor's Map/Parcel 6 Therese Anderson Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 L Designer's Name,Address and Tel.No. 5 0 8—7 7 5—3 3 3 8 J.P.Macomber & Son Inc. J:�':lkaL-dffl��r & Son Inc . Box 66 Centerville ,Mass . 02632 Box 66 Centerville ,Mass . 02632 Type of Building: DwellingXX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 462 gallons per day. Calculated daily flow 1 x 1 1 n=V10 gallons. Plan Date Number of sheets Revision Date Title Size of Septic TankExistng 1000 + Box Type of S.A.S. 20 ' x20 ' T.- A - Description of Soil Clay sand m i x Nature of Repairs or Alterations(Answer when applicable) adding 3 500 gallon c h a m h P r s packed in 4 ' of stone with a 5 ' dip out . 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 issuied by this o f ealth. Signed WE 2 9 0 Date 1/13/9 9 Application Approved by % Date Application Disapproved for the following reasons Permit No. Date Issued No. Fee $5 0. 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for �Di_qpaaf *potem Construction Permit Application for a Permit to Construct( )Repair(X X)Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No.6 7 Cove Lane Owner's Name,Address and Tel.No. b l— 3 Cummaquid,Mas's . 02637 67 Cove Lane Cummaquid ,Mass .02637 Assessor's Map/Parcel 11� 0 6 Therese Anderson 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 X8> 1��> ` �8� €: J. P.Macomber & Son Inc . & 69ii£Orville ,Mass . 02632 Box 66 Ceriterville ,Mass. 02632 Type of Building: y DwellingXX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 4 6 2 gallons per day. Calculated daily flow' 3 x 1 10=3 3 0 gallons. Plan Date Number of sheets Revision Date Title .f )r Size of Septic TankExistng' 1000 +:'Box Type of S.A.S. 20 'x20 ' L.A. Description of Soil C l a y s a n d m i x. ° e ' Nature of Repairs or Alterations=(Answer when applicable) adding 3 5 0 0g�all'1 o n 'chambers packed in 4 ' of stone 'with a 5 ' dig out. 1 , 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 i Foars ealth. "4! Signed p Date 1/13/9 9 Application Approved by 1 J Date Application Disapproved for the fol owing reasons i Permit No. '� Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(, )Repaired(XX)Upgraded( ) Abandoned( )by J.P.Macomber & Son Inc. at 6 7 Cove Lane C u m m a g y i d ,Mass . has-been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No: dated J.P.Macomber & Son Inc . ' , J.P.Macombe & Son Inc Installer Designer ti The issuance of this/per •' shallm° be construed as a guarantee that the system 1 function as designed. Date ! ` Inspector- 0 ' i No. 050. 00 �---------Fee� THE COMMONWEALTH OF MASSACHUSETTS- PUBLIC HEALTH DIVISION - BARNSTABLE,. MASSACHUSETTS lwigpogaf *pgtem Con0truction Permit Permission is hereby granted to Construct( )Repair(X)Upgrade( )Abandon( ) k Systemlocatedat 67 Cove Lane Cummaquid ,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:Co strut 'o mus be completed within three years of the date of this Date: Approved by t a t or9/97 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) 1, Joseph P.Macomber ,Tr _ , hereby certify that the application for disposal works construction permit signed by me dated 1/13/99 , concerning the property located at 67 Cove Lane Comma 4=d ,Ma s s 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 I50 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. Y 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) B) Observed Groundwater Table Elevation(according to Health Division well map) SIGNED : XDATE: 1/13/99 LIC NS 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 roldcr.ccn r 5b0� E �o ti A&w ��