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HomeMy WebLinkAbout2456 MAIN ST./RTE 6A(BARN.) - Health 2456 Main Street/Rte 6A (Barn) Barnstable A = 257 002 i TOWN OF BARNSTABLE t6i ATION ay56 QA �k SEWAGE # �253 ASSESSOR'S MAP & LOT r aD INSTALLER'S NAME 6i PHONE NO.' SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Q Oo � —` (size) NO. OF BEDROOMS PRIVATE WELL OR UHLIC WATER BUILDER OR'OWNER DATE PERMIT ISSUED: te1 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No c TOWN OF BARNSTABLE �- LOCATION CNSG e� �A � SEWAGE # VILLAGE��_� A e. Z ASSESSOR'S MAP & LOT S 7-60 4.. INSTALLER'S NAME&PHONE NO. 4, JaC6m(Al _ -2 SEPTIC TANK CAPACITY Anr"> © c&L LEACHING FACILITY: (type) (size) �c1d 7A NO. OF BEDROOMS Li BUILDER OR,OWNER Pm,� nn PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: ' Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet i 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 I Q J f TOWN OF BARNSTABLE �l LG-CATION0W6'G ZI Cr.A_ _- ---_--------_-__ SEWAGE # VIUAGE—C�, ASSESSOR'S MAP & LOT 25 7-6e J. e INSTALLER'S NAME&PHONE NO. .410C&M a7 it, 2 75—3I SY SEPTIC TANK CAPACITY /ace b cA LEACHING FACE= (type) ,772 E�Q,Y C--' SJS (size) NO.OF BEDROOMS BUILDER OR OWNER. PERMTTDATE: COMPLIANCE DATE: �1.g � 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 S t 1� 1 I �� S® \ � r � � ` A � � > � -. g/ �� \ . � .. n ., � -: r_ r. `No. Fee$ 5 0 0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Ztpprication for Diopogal *patent Comaruction i9erm it Application for a Permit to Construct( )Repair(X�KFgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No.3 6 2—5 2 6 0 Owner's Name,Address and Tel.No. — 2456 Route 6A West Barnstable ,Mass Paul L.Marz Assessor'sMap/Parcel a g. �.�-��, 2456 Route 6a W. Barntable ,Mass . Installer's Name,Address,and Tel.No.5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. J.P.Macomber & Son Inc. J.P.Macomber & Son Inc. Box 66 Centerville ,Mass . 02632 Box 66 Cebterville ,Mass . 02632 Type of Building: Dwelling x x No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 440 gallons per day. Calculated daily flow 4 x I n gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Clay 9 ' 6 ' clean sand beyond this pint Five foot dig out 5 ' around and five feet under . 36 'x22 ' 10' x5 ' Nature of Repairs or Alterations(Answer when applicable) Adding 3—5 0 0 g a l l o n leaching chambers to the existing tank & 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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by this B d H4ak. Signed Date 9/2 0/9 9 Application Approved by Date Application Disapproved for he following reasons 14 Date Issued n o. �, C, Fee$ 5 0.0 0 N _ ... THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes -PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01 pprication for Oigogar *pgtem Construction Permit Application for a Permit to Construct( )Repair(X)§XTVgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No3 6 2—5 2 6 0 Owner's Name,Address and Tel.No. 3 6 2— 2456 Route 6A West Barnstable ,Mass Paul L.Marz Assessor's Map/Parcel 6 d 2456 Route 6 a W. B a r n t a b l e,Mass. 02644 Installer's Name,Address,and Tel.No.5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. J.P.Macomber & Son Inc . - I& J.P.Macomber & Son Inc. Box 66 Centgerille,Mass. 02632 Box 66 Cebterville ,Mass.02632 Type of Building: Dwelling x x No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 440 gallons per day. Calculated daily flow 4 x I In gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Clay 9 ' 6 ' clean sand beyond this point Fiva font dig out 5 ' around add five feet under. 36 'x22110'x5 ' Nature of Repairs or Alterations(Answer when applicable) Adding 3—5 0 0 g a l l o n leaching chambers to the existing tank & 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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B d�Hea h. j Signed /� Date 9/2 0/9 9 Application Approved by V111 Date v . Application Disapproved or the following reasons k Permit No. / Date Issued ------r—r----------------------- ; —_T----- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )RepairedXXX)Upgraded( ) Abandoned( )byJ.P.Macomber & Son Inc. at 2 4 5 6 Route 6A West Barnstable,Mass. ha en constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No tyl dated Installer J.P.Macomber & Son Inc. Designer J.P. acomber R SON Tnc The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date 1 Inspector _____ THE COMMONWEALTH OF MASSACHUSETTS Fee PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS lwigpoml *pgtem Congtructfon Permit Permission is hereby granted to Construct( )RepairX�Upgrade( )Abandon( ) Systemlocatedat �456 Route 6A West Barnstable ,Mass. and as described in the above Application for Disposal System Construction Permit. The applicant reco nizes his/her duty to comply with Title 5 and the following local provisions or special conditions. 4 Provided:Construction must be c mpleted_within three years of the date of th&errmnit.Date: Approved byt/ u r� ✓ I 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 TIHOUT DE I S GNED PLANS) I, Joseph P.Macomber Jr . , hereby certify that the application for disposal works construction permit signed by me dated 9/2 0/9 9 concerning the property located at 2456 Route 6A West Barnstable ,Mass..' meets all of the following criteria: 41 The failed system is connected to a residential dwellingonly. There are no commercial Y al or business uses associated with the dwelling. r/ v The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. V 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 ngt be located less than five feet above the maximum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor I , method when applicable) b� 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 ma.-timum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(cuing GIS information) L/ B) G.W. Elevadon +the MAX. High G.W. Adjustment. DIFFERENCE BETWEEN A and B SIGNED : DATE: 9/2 0/9 9 f (Skete posed plan of system on back). q:health folds:cent �,.. j �, 1 3 y.