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HomeMy WebLinkAbout0054 CRANBERRY LANE - Health ,vo ME I UZI t- Vat Iv 71' 4, AMES I W IN 11 0� iXI'IV"I-AIIII-'I"I ww", -Mg-mpg Rw ZI Aij— qm W, JA.�6N K� �w Wilms Boo fl,��P 'RY"w"? 14 '4 UN '36, I M." 4j ft �.P, T -XIM MMM Pigs- R si J"V3,�4::� vl� -UN� VP lw,%-,O,,� , MOW w- R. N,, , , I Mays WYK _0 ,AN q q W�,Owv AN NO 'zgi q ly, WN&W,A`1�01 01�,:: TOWN OF BARNSTABLE LOCATION C Ad Al Af &kk lZ LA SEWAGE # GD VILLAGE C ef1fie1 yf.011 e ASSESSOR'S MAP & LOT -J00 INSTALLER'S NAME&PHONE NO.'— 214 ,4 C 014 4 e JQ t S D.�/ SEPTIC TANK CAPACITY A rQ 0 LEACHING FACILITY: (type),- '/O W C/YA Af 1612X 'S (size) S 0D GQ i- NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE:-6 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 1 .ti. r �_ _ � �. .T e. f �# ' h �/ `� , � - O •y ,. �� TOWN OF BARNSTABLE LOCATION C L V E A t R AN � nRXv a SW G E # D D /� O VILLAGE_ C Pit9fief° yj, e ASSESSOR'S MAP L b, I OT INSTALLER'S NAME&PHONE NO. A4 A c D,mot fg el? t s oA/ SEPTIC TANK CAPACITY LEACHING FACILITY: (type)A-FLO W C//,4 H!a -OR 'S (size) S do . G a NO.OF BEDROOMS 3 BUILDER.OR OWNER PERMUDATE: , COMPLIANCE DATE: Separation Distance Between the: Maximu m Adjusted Groundwater nd a ter 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 ------------- i Fee$ 5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1/ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipprication for Migo.5al 6pgtem Construction Permit Application for a Permit to Construct( )RepairXX )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Francis LaPlante Owner's Name,Address and Tel.No.Franc is LePlante 54 Cranberry Lane 54 Cranberry Lane 362-2797 Assessor's Map/Parcel Centerville,Mass. 02632 Centerville Mass. 02632 �3�/ 02 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 3 3 0 gallons per day. Calculated daily flow 3 x 1 1 0 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) Om i t t i n q two cesspools. Installing 1 -1500 gallon septic tank, 1 —Distribution box and two 500 gallon leaching chambers packed in 4 ' of 1kIf 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 Co a and not to place the system in operation until a Certifi- cate of Compliance has been issuep by this ar of alth. Signed r - Date 3/1 3/0 0 Application Approved by Date 3 Aezzcwo Application Disapproved or the following reasons Permit No. Date Issued t l; No. eeIJ7 / O .:; Fee $ 50.00 z THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes A/ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Tipprication for Mizpoml 6p!5tem Construction Permit Application for a Permit to Construct( )Repair4X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Addessor Lot No. Francis LaPlante Owner's Name,Address and Tel.No.Franc iS LePlante 54 Canberry Lane 54 Cranberry Lane 3F$22797- !entervi YA�9Mesvijl Mass. 02632 Centerville,Mass. 02632 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 H—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 3 3 0 gallons per day. Calculated daily flow 3 x 1 1 0 gallons. Plan Date Number of sheets Revision Date P a Title Size of Septic Tank Type of S.A.S. Description of Soil Loamy sand to medium fine sand_ *s Nature of Repairs or Alterations(Answer when applicable) Omitting two cesspools. Installincf 1 -1500 gallon septic tank,AnDistribution box and two 5090gallon leachincl chambervspacked in 4 ' of 1�" 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 Co a and not to place the system in operation until a Certifi- cate.of Compliance has been issu by this of alth. Signed ZDate 3/1 3/0 0 Application Approved by Date Application Disapproved or the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS fertif irate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired4XX)Upgraded( ) Abandoned( )by J.P.Macomber & Son Inc. at 54 Cranberry Lane Centerville,Mass. has been constructed in ccordance �' with the provisions of Title 5 and the for Disposal System Construction Permit No. 7-"Z—16 6) dated Z Tid"+y'� . Installer J.P.Macomber & Son Inc. Designer J.P,,-Macomber & Son i,I�Ic. o The issuance of this pennitfshallyndbe construed as a guarantee that the syst�e�mf w�ill..funlctio as design, dP t Date I/ �� Inspector �y J ! JF'_.�•w-��119% No. G--yvv f�� --------------------------,Fee 50.00 - -- -_•-- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migozal *pgtem Conotrurtton ermtt Permission is hereby granted to Construct( )RepairY((XX Upgrade( )Abandon( ) Systemlocatedat 54 Cranberry Lane Centerville,Mass. t 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 pennit. Q Date: 3 6 Approved by r 1V l/6/99 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) I, Joseph P.Macomber Jr. , hereby certify that the application for disposal works construction permit signed by me dated 3/1 3/0 0 concerning the property located at 54 Cranberry ..Lane Centerville,Mass. meets all of the 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 Abe 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) y B) G.W. Elevation ''3 +the MAX. High G.W. Adjustment. DIFFERENCE BETWEEN A and B SIGNED : DATE: 3/1 3/0 0 (Sketc Zoposed plan of system on back]. q:hWth folder ccrt II 2-500 gallon leaching chambers �N packed in 4 ' of 1-' l• stone. With a 3/8" stone cap. 1 -Distribution box r: c.� Pize- F114 r 0 Omitting two block `nr /n/ g 1 -1500 gallon 16 1 cesspools. septic tank. 10