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HomeMy WebLinkAbout2426 MAIN ST./RTE 6A(BARN.) - Health .2426 Main Street/Rte 6A (Barn),. Barnstable t A�= 237 027 Ile b i a �f 2426 0 TAelW. BARNSTABLE . A=237-027 h u Y p u I o 3 TOWN OF BARNSTABLE � LOCA ON , SEWAGE # '"' 7 VILLAGE ASSESSOR'S MAP & LOTZ.5_7"`dZ? INSTALLER'S N &PHONE NO. .� /W44ff 9f SEPTIC TANK CAPACITY LEACHING FACILITY: (type) *- 0.1444 (size) NO.OF BEDROOMS BUILDER OR OWNERG��� � �G PERMIT DATE: 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 cility) Feet Furnished by s �/ �{A �v /�j c� ,. �\\� s -� _ No. Fee$ 40. 00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pprication for ;Di6pooar bpotem Con!aruction permit Application is hereby made for a Permit to Construct( )or Repair JKX)an On-site Sewage Disposal System at: Location Address or Lot No. 2 4 2 6 Route 6 A Owner's Name,Address and Tel.No. 'Joseph Doucette lest BMar�nstable,Mass . 2426 Route 6A West Barhistable,Mass ssessors ap arcel 362-6146 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 Garbage Grinder 110) Other Type of Building gg2 No.of Persons z Showers( ) Cafeteria( ) Other Fixtures Design now 3 3 0 gallons per day. Calculated daily flow 3 x 1 1 0=3 3 0 gallons. Plan Date Number of sheets Revision Date Title Description of Soil Clay to fine sand Nature of Re airs o er �a ,(Arswer when applicable) Rechar ers. to an existi�ig 1 a ��'_ � gallon tank is r ion box and a 1000 gallon eac ing pi . ec argers wili be packed in a minium of Zit of stone wlzn a pea stone cap. ec.7' pre� ,�• /� � Date last inspected: Q' 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 Boar feral Signed Date 9/3 0/9 6 Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued in o No. Fee 40.00 �- -- THE COMMONWEALTH OF MASSACHUSETTS ' PUBLIC HEALTH DIVISION -TOWN OF"BARNSTABLE., MASSACHUSETTS 2pprication for , igooar *potent Construction Permit to-Construct( # )or Repair XX)an On-site Sewage Disposal System at: Application is hereby made for a Permit Location Address or Lot No. ..2426 Route 6A q Owner's Name,Address and Tel.No. Joseph i'D o u c e t to �est, fi �•p�stable,Mass". 2426 Route ,6A .West Barbstable,Mass SS essor s ap7Parcel j Ik362-6146 Installer's Name,Address and Tel.No-508-775-3338 ,Designer's Name,Address and Tel.No.508-775-3338 J.P.Macomber �& Son Inc. `. J.P.Macomber & Son Inc. Box 66 Centerville,Mass. 02632,., Box 66 Centerville,f4ass. 02632 ti Type of Building: Dwelling XX No.of Bedrooms 3 Garbage Grinder 40) Other Type of Building ggg No.of Persons 3 Showers( ) Cafeteria( ) Other Fixtures -W Design Flow -3 3 0 gallons per day. Calculated daily flow 3X 110=3 3 0 gallons. Plan Date Number of sheets Revision Date Title Description of Soil C l ra.v to fine s A n d r r � ' ' ` `fonts( , r Rechar ers to an Natu of a airs or?A�terations(Answer when applicable)` ex`�ist�i 'ig�,000 thodand gallon tank : "Dflb on box. and a 1000 ga onj`keac ing pit.hechargers will be packed in a minium of 211 of stone with a pea stone cap. 4107— F0 .0 ,y Date last inspected: (j Agreement: The undersigned agrees to ensure the construction dn&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 y this Boarad4 f gal Signed .f � . Date 9/3 0/96 v Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued ———— ————.——— ———— ——----.————— - — THE COMMONWEALTH OF MASSACHUSETTS _, BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced(X2 on by J�P•Me Camber ?p Ron Tnn_ Installer at2426 RaliteI Je.e a stphle;Mass - has-been constructed in accordance with the provisions of Title 5 and the for Disposal System Construe ermit No. .r dated Aa Date Inspector THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTE THAT THE SYS- TEM WILL FUNCTION SATISFACTORY. -- - ------- ------ — ——— —————— No. + Fee r THE COMMONWEALTH OF MASSACHUSETTS t4 PUBLIC HEALTH DIVISION - BARNSTABLE.,16SSACHUSETTS _._. 30igoal Opmem Construction Permit Permission is hereby granted to T P Mgt n o m b P r K Son T n e. to construct( )repair.�XXan On-site Sewage System located at No.# ?/,2 6 R ni i to p fa A lie t }3 Street and as described in the above Application for Disposal System Construction Permit. 10111 bf h Mail T I No. I The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or spe/Cial conditions. All construction must a cor4eted within three years of the date below. U Date: Approved by 1 Board oIth f - j r � CER"I'ir' CA" ` v d Q1, SKE'I'CII AND APPLICATION FOR A DISPOSAL WORKS CONS'I'1ZUC'iION Pt:itn,11'1' (NV1'I'1IOU'1' DESIGNED PLANS) 0— Joseph P.Maeomber Jr. cc,til'y that the application for disposal works construction pernvt signed by nic ,fated 9/30/96 , concerning the praperty located at 2426 Route 6A West Barnstabl P MA meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is .4 feet Of greater below the bottom of the leaching facility • There is no increase in flow and/or cltangc in use proposed • There are uo variances requested or ur dvd SIGNED ��' DATE: 9/30/96 LICE SEPTIC S 'S'fEivi INSTALLER IN THE TO`YN OF BARNSTABLE NUMBER (r'iii;c; lie proposed sys[cm. Also if the licensed inslalier posesses..a certific d F)of,,titan; NdW Existing 1000 gallon € u3-330 Re- Septic tank. Chargers Existing D-Box b Existing 1000 gallon leach pit. TOWN OF BARNSTABLE LOC ON y 7 6 M�• Ty) AGE # Z VILLAG �ftieNSf � ASSESSOR'S MAP & LOT '7 Z INSTALLER'S NAME & PHONE NO.= SEPTIC TANK CAPACITY y o� LEACHING FACILITY:(type) �j� /OG O (size) Uy n NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No sa o � VY 9 , cli s � SSESSORS MAP NO: No— �?6 'IROEL NO.:---// � -` Q �---- Fxs.... THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F -AI-1�9EALTH 1..�� oeJ.-------.OF...... .. ��K.117. _ 4 ` .... .................. Applira#ion for MipviiFal 10orkg Towitrudiota 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair (l�an Individual Sewage Disposal System ... ion- ddr s .or Lot No. aT� .. . .... .......... Address.... Installer Address dType of Buildin Size Lot............................Sq. feet V Dwelling—No. of Bedrooms._.__._. Expansion Attic ( ) Garbage Grinder ( ) --.....---••-.••............. P4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------•. . W Design Flow............................................gallons per person per day. Total daily flow,...........................................gallons. 94 Septic Tank—Liquid*capacity............gallons Length................ Width................ Diameter---------------- Depth................ Disposal Trench—No_ _________.......... Width.................... Total Length........_........... Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water-_______________--____- Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.._...._........_.. Depth to ground water-__________-___.•-_____- ::::O. Description of Soil ----- . -- x ------ ---- ---- --- ------------ ---- - ---- ----------- - --------------- ---- U Nature of Repairs or Alterations—Answer when applicable.____.= _ ... ..... ... ......................................... `/,�p�g ` ..............................................................................................................�.—.�._L-LIL!: .../_/•----------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L I;LE 51 of the State Sanitary Code— The under igned further agre s n to place the system in operation until a Certificate of Compliance has bee issued by e b ealth. Signe -. - -- ........... ....... IV `o-- � - ApplicationApproved By --------------------- --------------------------•----•------------------......_..._..__ ...----------- ------------------ Date Application Disapproved for the follow g easons:............................................................................................................. ----•--------------------------••-----•-...----•-•-•---------.........•••-------------•----••---•---_-•-- ---------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued-....................................................... Date V6 - 1 S Z- No.••-••--••-•••..••.... ©�' THE COMMONWEALTH OF MASSACHUSETTS BOARD E HEALT ..---.....OF.....f .. .>r?.. � .. ..-=................... Appliration for 11iiposal Works Tontrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (,. an Individual Sewage Disposal System at: n P69 anon-Add ss .................................Lot No. Owr (.!J Address (� //... -d.e. Installer Address Type of Buildings Size Lot----------------------------Sq. feet Dwelling "—?No. of Bedrooms.._..................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures .................................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter__-__________._. Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter................_--- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a . ......------•-•----------------•-------------.........._..._...-------••-•----......................................................... O Description of Soil_ - ....................•--•-•---......-----------•--•---------------------------------•--------------------------------••-._.._........_.. x W ............................................... U Nature of Repairs or Alterations—Answer when applicable.._t�.__r!l�l� ..............-.................................................................................................. .ZW.".4 ' 0.0 / ------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iiTt.;. 5 of the State Sanitary Code—The unde signed further agr es n t to place the system in operation until a Certificate of Compliance has be issued b he r ealth. % Signe ••--•- ' _--- --- --------- ---- Date Application Approved BY ... .:fir.....-----` �� �`�.... Date Application Disapproved for the f oll wig reasons:-----•--------••-------•---.....----•------------------•---•---------------------•--••............----....--•-- --•-••••--•---••••••---------••••....---....•---•••--••-•-----....--••-••••••-'•------......••------•---••------•-•-•----••.•--••--•--••---••-•--•--•••-•-----•-•------•••--•---•------•-•••-••-------- Date PermitNo......................................................... Issued•....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALT I ......OF..........:.. . Trrtif irFa#e of TompliFanrr T-UW IS T ERT, Y, the Indivi al wage Disposal System constructed ( ) or Repaired byv ............"' . "! !-------------••---.....----•-•-•'-•---.....-----------............-•----......-'-------••-•-----------. O /� Installer has lbeen n stalledfor Disposali cdance with the provisions of TT E 5 of The State Sanitary Code as described in the Works Construction Permit N6._--_. `�...__...... dated__.r�_.Z (` ......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM DATE. VNIL�FU CTI ................................... N�"" 1SFACTORY. L5 -- - •-•------------------------------=-------- Inspector......_.....--•-•------------------•--.....---------•---------•-------------.._.._._ THE COMMONWEALTH OF MASSACHUSETTS BOARD PFJ HEALTH,, ..........`..OF....�rC/�l. y /,7"•--.:•--•:....•.................. +'`� l�0 .....................1 FEE CV. Mapoga Vor �o tr®t�aon er t ICE Permission is hereby,granted...--- r�.7�� ------- � 1!l7 ". ../.--•................................... to Constrt}Pt �)�`or Rep an I diyyflual Sewage I�isp�� System --••- ---- -•---••-•--••-•-•-- -•-------•• ---- atNo. •--•-•-'••••... •--..... ..................•..... f�_' szre�j� _ as shown on the application for Disposal Works Construction Permitc9p.. _Z_______.. Dat iV__•_�� ... ..................... Boar of Health ••--DATE- -•••• 1- ....— ---------••---••••......-•••----•-•........-- FORM 1255 HOSES & WARREN. INC.. PUBLISHERS