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Home My WebLink About4275 MAIN ST./RTE 6A(BARN.) - Health E MAIN ST.NSTABLE350 006 : 7 , it �a { TOWN OF BARNSTABLE LOCATION `� �� .`� �►R � SEWAGE # VILLAGE C C&m M&Qu t ro ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY I S V LEACHING FACII.ITY: ( ) ��LY t.��5 (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet j Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet-of leachingfacility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet (. Furnished by. ., o i � 7 i 1 � t � t1 TOWN QFBARNSTAPLE LOCATION (off a1l'� cl SEWAGE # VILLAGE CELm M AQ ui o ASSESSOR'S MAP & LOT " 7006 INSTALLER'S NAME&,PHONE NO. _MRMAK& SEPTIC TANK CAPACITY 1ST LEACHING FACILITY: ( ) 'XY ,5 (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: f 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 44 within 300 feet of leaching facility) Feet > Furnished by ty1,�r""``•"?ti l �tr=�`y-= it � /O � i � q � � �'`s }'� �` 'l't- I a�" t /g , � ,�.�? 1n �Hf r . . No. _Z� �S 7 Fee $ 5 0.0 0 J THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNS.TABLE., MASSACHUSETTS ZIpprtcattou for Mtoogar *r5tem Com5tructton j3ermtt Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( )XPj Complete System ❑Individual Components Location Addressor Lot No. 7 5 Route 6 A Owner's Name,Address and Tel.No. 3 6 2—2 5 9 3 Cummaqquid,Mass. 02637 James Hinkle Assessor'sMap/Parcel Y �_� 0 (5 4275 Route 6A Cummaquid,Mass.02637 Installer's Name,Address,and Tel.No. — — 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 X No.of Bedrooms 4 , 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 4 X 1 1 0=4 4 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 15 0 0 + Box Type of S.A.S.3 6 X2 3 X 3.5 Description of Soil Clay at tie feet. Performing dig out. 5 ' aLL around. 135 yards of impervious soils to be removed and replaced with clean perkable sand. Nature of Repairs or Alterations(Answer when applicable)Omitting cesspools. Cave in took place Installing 1 -1500 gallon tank 1 -Distribution box 3- 500 gallon leaching chambers packed in 4 ' of 11" stone. Performing 5' dig out all around. 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 iss ed by this o d of Health. Signed Date 8/3/0 0 Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued 50.00 No. � �S °.-ri....�.-,. Fee / x THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes _ PUBLIC HEALTH pIVISION -TOWN OF BARNSTABLE.,MAS$ACHUSETTS Ofpprication for Ziopogal *pgtem Construction Permit .r Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( )XK Complete System ❑Individual Components Location Address or Lot No.4 5 Route 6A Owner's Name,Address and Tel.No. 3 6 2—2 5 9 3 Cymmauid,Mass. 02637 James Hinkle Assessor's Map/Parcel v�d C) 4275 Route 6A Cummaquid,Mass.02637 Installer's Name,Address,and Tel.No. — —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 r Type of Building: ti. Dwelling X`No.of Bedrooms : 4 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 4 X 11 =4 4 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1500 ¢ Box Type of S.A.S.3 X2 X35.5 Description of Soil Clay at Jme feet. Performing dig out;. 5' aLL around. 135 .yards of impervious soils to be removed and replaced with clean perkable sand. Nature of Repairs or Alterations(Answer when applicable)omitting cesspools. Cave in took pace Installing 1-1500 gallon tank 1 -Distribution box 3- 500 gallon leaching `chambers packed in 4 ' of 1 " stone. Performing 5' dig out all around. 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 iss ed by this.4Boayd of Health. Signed Date 8/3/0 0 Application Approved by `} ''f _ Date Application Disapproved for the following reasons Permit No. R Date Issued COMMONWEALTH OF MASSACHUSETTS �PARN STAB LE,fMASSACHUSETTS Certifi°ate of Compliance �' ` THIS IS TO CERTIFY,that the On site Sewage Disposal System Constructed( )Repaired( )UpgradeAXX) Abandoned( )by J.P.Macomber & Son Inc. at 4275 Route 6A Cummaquid,Mass. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer J.P.Macomber & Son Inc. Designer J.R. acomber &,.,Son,,Inc. /? The issuance of this pe t4' s r11 no be construed as a guarantee that the siystemf�''�ill fu atio�s.�ash/designed: Date Xj Inspector t �e S. i2 too dv No. �.�7/?J --1�/Sr 7 Fee$ 50.00 THE COMMONWEALTH OF MASSACHUSETTS 35-b 1006 PUBLIC HEALTH DIVISION . BARNSTABLE., MASSACHUSETTS Miqu;at *p5tem Construction Permit Permission is hereby granted to Construct( )Repair( )UpgradeYX )Abandon( ) System located at 4275 Route 6A 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:Construction must be completed within three years,of the date of this a it. Date: Approved by ►' _ _ � W99 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) ); Joseph P.Macomber Jr. hereby certify that the application for disposal works construction permit signed by me dated 8/3/0 0 concerning the property located at 4275 Route 6A Cummaquid,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) �r I S— B) G.W. Elevation ,` +the MAX, High G.W. Adjustment. DIFFERENCE BETWEEN A and B S— 1 SIGNEDrop DATE: 8/3/0 0 (Sketc osed plan of system on back]. q:hcaJth folds:cen r � . . �.