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HomeMy WebLinkAbout0158 GOVERNOR'S WAY - Health 158 60V, NORS WAY ^ x v •. .a • .. n r" " 4& 5x , : v . . � 4• 'a iY � it �� rs t. ' :. .. .. ; r,4 ..,e - < e� .. . ♦ , e . a _ : b .r a vi. 4 i e • � f r y c'r e , r a c , Y♦ r TOWN OF BARNSTABLE rr ' LOCATION Za C-2. V eR,—Al Q P s �4 SEWAGE # C is VILLAGE_ S fA rL ASSESSOR'S MAP & LOT ; i INSTALLER'S NAME&PHONE NO. . /¢ d /� �'� r S C SEPTIC TANK CAPACITY / SO LEACHING FACILITY: (type)Z-640;D C-A d stS(size) I. NO.OF BEDROOMS 3 i BUILDER OR OWNER � PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet j Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by �r f r )^off \� TOWN OF BA.RNSTABLE 9�_, 9 LOCATION V egamp, SEWAGE # 7; F AZ VILLAGE 1.3,4 R 51-A /3L �� ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. /• C® aM J6e.Q SEPTIC TANK CAPACITY / -`O 6 LEACHING FACILITY: (type);Z/5Z®rU2 �ff� ls'c��t` (size) s S !9 C7 NO.OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: 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 lit v o • �.aycf f 4 `a R i ""• fv No. �' ) Fee 50. 00 -,.,. `'3 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: E Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplitation for Migool *pztem Comaruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) XW)r-omplete System O Individual Components Location Addressor Lot No.15 8 Governors Way Owner's Name,Address and Tel.No. J o h n G r e e n e BRarnstahhle ,Mass . 02630 141 Governors Way �Cssessor s Ftap/parcel A r ® S-® B a r n s t a b l e ,Mass . 0 2 6 3 0 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 Inca Box 66 Centerville ,Mass . 02632 Box 66 Centerville ,Mass . 02632 Type of Building: Dwelling XXXNo.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 355 gallons per day. Calculated daily flow 3 x 110=3 3 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 15 0 0 Type of S.A.S.2 5 ' x 12 ' 10"x 2 ' Description of Soil Loamy sand to medium fine sand . Nature of Repairs or Alterations(Answer when applicable)Om it t in g 1-grease trap and t w o block cessyools. Installing; 1-1500 gallon tank, l-distribution box , 2-500 gallon chambers packed in 4 ' of stone . 25 ' x12 ' 10"x2 ' 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 i Board of alt . Signed Date 11/3 0/9 9 Application Approved by Date 12 -a-- Application Disapproved for the Yllowtng reasons Permit No. Date Issued N .mow -No. Fee 5 0. 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes -PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 1 2pprication for Migpaaf *pgtem Con.5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( )X complete System ❑Individual Components Location Address or Lot No.1 5 8 Governors Way Owner's Name,Address and Tel.No. J o h n G r e e n e ara;� akle,Mass. 02630 14 Governors Way ssessors ap arcel' :2i J E O _ C) Barnstable,Mass .02630 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: DwellingXXXNo.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 4 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 355 gallons per day. Calculated daily flow 3 x 1 10=3 3 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic-Tank 1500 Type of S.A.S.25 'x12 10"x2 ' Description of Soil: Loamy sand to medium fine sand . Nature of Repairs or Alterations(Answer when applicable)O m i t t i n g 1—g r e a s e trap and t w o block cesspools.Installing: 1-1500 gallon tank. l—distribution box. 2-500 gallon chambers packed in 4 ' of stone. 25 ' x12 ' 10"x2 ' 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"noperation until a Certifi- cate of Compliance has been issued by thi&Board of Healtv. Signed _Date� 1,1113 0/9 9 Application Approved by Datert t . 1 9 Application Disapproved for the Vilowing reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS .4certificate of ompriance THIS IS TO CERTIFY, that the On-site Sewage Disposal'System Constructed( )Repaired( )Upgraded(XX) Abandoned( )by J.P.Macomber & Son Inc . at 158 Governors Way Barnstable.Mass. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. - 1 t dated Installer J.P.Macomber ,& Son Inc . Designer J. P.Macombe . & Son Inc. The issuance of this�perrmt h 111 o be construed as a guarantee that the system will function as designed/ f� �� �� Date (" _�, Inspector %.11 v'( . . — r `11i ,� %, 1 '� �` r _ ,_. _ _ _ _ _ _ No. Fee $ 50.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS 'Wi000l *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade T-X )Abandon( ) Systemlocatedat 158 Governors Way Barmstable ,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 this permit. Date: ApprovleHy 1/&99 i NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. t CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, Joseph P.Macomber J r . , hereby certify that the application for disposal works construction permit signed by me dated 11/3 0/9 9 concerning the property located at 158 Governors Way Barnstable ,Mass . meets all ofthe following criteria: 1✓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,n2tt 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 Inching facility will=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) 7 B) G.W. Elevation j +the MAX. High G.W. Adjustment. 74 _ 3 1� DIFFERENCE BETWEEN A and B y � SIGNED . ' j DATE: : q (Sketch proposed plan of system on back). q:health folder,cat ,• t ,�s ��� ' � �j 1 l 1 lMtjSTA�(.O- v144+ , 4•-d a'-d ram` tt'-Y 4-d j t , 47 w AND. w ANC ii 1 8♦ DIN I I J 1 I • , RWN wdo$ I - I �. I 1 { I ❑ J944 Sala Arta - � -__ IW. Z. _. FINN2"S t3'-a° KITC14 ©-1 f, Sa 212 *A& � 20 J�IfaaT1NG a"tenet a wnu. s -. ,�O7liSTING SU�LOOR . DETaL t!)WEFT A2 - "- I Ht0A2 Si'l71.eENY' �Jlrr AOPWALT SANGWIS S/!s•CDX RT6rIOOD BNFATMIN6 r ADDITION MUM.JOISTS t7OSTWG-"we R30 Fes..INSUG.ATIOM ' PIETAL-low NANGERS STING PAM JOIST ` k - 2,UmGm COLTER TO _ t119 STRAPPING t/Y _ z DOLTS ST - 2r4 MIT.19TU1Xi 1 ti•O US RAPPIDOARD TIP. :a'-d T-6` 1 9'-4� 5'-O�- 4'-O° 3'-O' 3'-d .STING CAL W W C'DN RT.SNEATf4NG 90'-O' - 6'-d ua STRAPPING ' TYVW rat m)i RM R,G. RMA.. ADDITION FIRST.FI1�OR tvp c>r -D YN:C.9NINGLE9 TTP. MATpi OOSEING NOGtf FIRST FLOOR PLAN i w�IL�"e,D S GLUMi� scA�: v4• � r-o° 1 BEAN DETAIL t1I17tN l91IgtI1NG St7eFLi0OR - - Itf9 PSG.1NBIA.. 7-d 13'-0, - t ------------------- SCALE,2161 K►O.9— A2 1• t'-W 14.! J Z CRAWL space L - cawateTs 19J<e 1 BASEMENT } 1 I: CDht9dMt2•taJCREE PAD -- e'-C CONCRETE SLM LLI �DaSTING Z - i0 1 ,• 4 _ R@'fOVE MOSTING CEU.•'R i { SALL I /w En A ADDITION SECTION I MAWAGONT OBOUNG I i t EXISTING tat } �- 1 � 1, P.T.ana.� ' I L------ i . SCALE. I/.a• s r-d b i I FULL BASEMENT U4 3 16'b.C_ 1 I' I �� A'CONCRff=CLAe 1 'c I f ICRAWL SPACE _I ' I ADDITION s(�fl ?GONG.DUST CAP �.. - yl:Y EXISTING Z r Chem aCONCRs PAD 1 - I: ( pODTING ti 1 " ------------- 2-24 ORDER . - 4"P.T.PCs PLOT ANLiNOR I - .. SWEET G I , I 1 j ------- �' r-'-1 ----------L I A2 Is'-" Is_d FOUNDATION PLAN 015 I 5CALr;z v t• - r-o• 10�,.�'°•y,j. DRAwN BY: Kw Hare.' . 7ildi�r