HomeMy WebLinkAbout0066 MARASPIN ROAD - Health 66 - 11_ . BA 1'A LE
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Pe TOWN OF BARNSTABLE
LOCATION (n MAraSP,N -Ad SEWAGE #
VILLAGE 6arNSfg6Ie ASSESSOR'S MAP & LOTAW-7077
INSTALLER'S NAME&PHONE NO. J P, MAL'O/r16er*.50N LO0 )775-3339
SEPTIC TANK CAPACITY /000
LEACHING FACILITY: (type) J C94M erj (size) a x 500_1
NO.OF BEDROOMS
BUILDER OR OWNER Z�4 L4, I
l
PERMITDATE: �'3I'�I 7 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 (lf any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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�i �� `C� TOWN OFBARNSTABLE �C'
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Li7CAMN (Q MAPaSPiru Ad SEWAGE # I W
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czT-LAGE 6,grNsfnLJe ASSESSOR'S MAP & LOT
INSTALLER'S NAME& PHONE NO. T p MA0Qfi7her*50N (508)775 333$
SEPTIC TANK CAPACITY /000
LEACHING FACILITY: (Me) a C#nty ers (size) 02( 5001/
NO. OF BEDROOMS
BUILDER OR OWNER l�V
PERMITDATE: 3I'I 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
Facility If an wetlands exist
e of Wetland and Leaching
Edg ry ( Y
within 300 feet of leaching facility) Feet
Furnished by
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;s -1r� Fee 5 0. 0 0
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Zipprication for Xkgogal *pgtem Construction permit
Application for a Permit to Construct( )Repair(X X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 66M a r a s p i n Road Owner's Name,Address and Tel.No. Robert Hawkins
Barnstable ,Mass . 02630 66 Maraspin Road Barnstable,Mass .
Assessor's Map/Parcel ;?— /7 d D !� 7 02630
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 XX No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations Answer when applicable) Adding 2—5 0 0 gallon chambers to
P (
existing tank & pit . Chambers will be packed in 4 ' of 1," stone.
fir//f& .S` ' dl p U
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 t to place the system in operation until a Certifi-
cate of Compliance has been issued y this B d o eal
Signed _ Date 8/3 0/9 9
Application Approved by Date
Application Disapproved for the folYowing9easons
Permit No. 9110 Date Issued
Fee
r THE COMMONWEALTH OF;MASSACHUSETTS Entered in computer: V
' Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS
Z[pprtcatton for �Digogar *p5tem Conztructton 1�ermtt
- Application for a Permit to Construct( )Repair(X X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.6 6 Maraspin Road Owner's Name,Address and Tel.No. R o b e r t H a wk i n s
�! Barnstable,Mass. 02630 66 Maraspin Road Barnstable,Mas`s-j;i
Assessor's Map/Parcel ! ! Q 02630
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 80x 66 Centerville,Mass. 02632
Type of Building:
Dwelling XX No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
"
.y
Nature of Repairs or Alterations(Answer when applicable) Adding 2-5 0 0 gallon chambers to
existing tank & pit.Chambers wifll be packed in 4 ' of 1j" stone.
T
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 t to place the system in operation until a Certifi-
cate of Compliance has been issued by this B d Heal
Signed V Date 8/3 0/9 9 ,
wa
Application Approved by Date °
Application'Disapproved foi the fo owing easons
Permit No. _qy Date Issued
---------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired 9X )Upgraded( )
Abandoned( )by J.,E.Maeomber & Son Inc .
at 66 M a r a s p i ' as d-' a xa1 samba bI e ,M a s s-: has been constructed in accordance
with the rovisi ins itle 5 e foi Des,os'� fesigner
' -
pp y,[etiq�s ion Pet�ttNNo d ted
Installer J•P.MC m , r & Son Inc. '1'. t a c o m e r11ho n ry
The issuance of this p rn3ipt,s 'all no .be construed as a guarantee that the sy,tte,
function as desi�gned/ / 5
Date J Inspector / i �rl � �
! v • �., y 1 v1 : v v-
f J �' .
---------------------------------------
No. !! 5-60 Fee$ 50.00
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
%tzpozat *pttem Couttructton Vermtt
Permission is hereby granted to Construct( )Repairx(X )Upggrade( )Abandon( )
System located at 66 Maraspin Road Barnstable ,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.
f Provided:Construction must be completed within three years of the date of this permit.
Date: '3 - Approved by -Y-�)
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 (WITHOUT DESIGNED PLANS)
I,Joseph P.Macomber J r . , hereby certify that the application for disposal works
construction permit signed by me dated 8/3 0/9 9 concerning the
property located at 66 Maraspin Road Barnstable ,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 nQt 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
leaching facility will not be located less than fourteen(14)feet above the maximum adjusted
groundwater table elevation,
Please complete the following:
A) Top of Ground Surface Elevadon(using GIS information) o
B) G.W. Elevation t/; +the MAX. High G.W. Adjustment. 71 2
DIFFERENCE BETWEEN A and B 7 .2
SIGNED B10AOZ11 DATE: 8/30/99
(Sketch proposed plan of system on back).
q:health folder.cent
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LOtAT10 SEWAGE PERMIT NO. F .
VILLAGE
I N S T A LLE 'S M ADDRESS
c
-; .- _ -WA;s
BUIlDER OR OWNER
ce-
DATE PERMI ISSUED. 6L 1,
DATE COMPLIANCE ISSUED
4 S Prrd
s
No....... ..�0.... F&s...�.S._ ..
-. xY
THE COMMONWEALTH OF MASSACHUSETTS
BOA R® O HEALTH
........O F..........%
.........
............................
Appliratiou for Uispuia1 Works Tomgtrurvott thrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
` OY tern t
........:€ ,Y.4NJ1 a.6 4.ram^ --.... or Lot No. ......_..
Location-Address`/��- }-, '
......l.C�i l-s lC•.:.1. ..C...... f1_.� ................... .........�_ !-��—A ............................................................Address
r...
a �r� Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms..............................__...•_.___....Expansion Attic Garbage Grinder (�—)
Other—Type e of Building �- .... No. of persons... ..............� yp g _� p � _. Showers ( f ) — Cafeteria ( )
a Other fixtures -------------------------------•-•----- -
W Design Flow........... ..S.5.... gallons per p erson per day. Total daily, .......... rrZ-...................gallons.
R: Septic Tank—Liquid capacity- II60.gallons Length................ Width................ Diameter---------------- Depth................
Disposal Trench—No.................,... Width......... 1°L 'Total Length.................... Total leaching area....................sq. ft.
-_--- Diameter.................... Depth below inlet.._................. Total leaching area._....__.._...
Seepage Pit No............... _.__s q. ft.
Z Other Distribution box ( ) r Dosing tank
Percolation Test Results Performed by...... l j- -{-............................................. Date............. .... _._........
Test Pit No. 1.. ......minutes per inch Depth of Test Pit.................... Depth to ground water........................
G% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.....................
if• ••-----•---- -- ...........oce.............•f{.....................--_.
O Description of Soil---------.0. •-�--°Z......•-G-�_�..��.'...G/�. �i
x
-----------------
� .. / ------, ,b--•-
;. U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
----------------------------•---•---------------•----------•--------------......----•-•-•------•--...---•-------------------------------------------------------------------------------.......---
Agreement: _.
The undersigned""'agrees to-install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITL" 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Sign
Date
Application Approved BY = Y ¢ =` - �---��---
• Date
Application Disapproved for the following reasons-................................................. ..............................................................
--•.............•-------•-------•------•---•-•-•......-•-.........--•-•----•--•••-•-.........••••-••.....•-•--••-•--••--••••----•••-••••--•---•-•-••---•-••••••--••------------------------------------
w
Date
PermitNo--------------------------------------------------------- Issued_.-°2-..P..-7f...-•----•-----------.
Date
67 � :w Z
No G _ \ FEs ' S".. ..........-
THE �QMMONWEALTH OF MASSACHUSETTS
*Ja BOARD O I—IEALTH
r k
Apptiraaftan for Disposal Works To' witrnrtfnn ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
st at
•/ �..: G .......... ................
•-•Location-Address �-- or Lot No.
....J. t'�f': r '+' - J/ry� � " .................... _ .Ju....
........................................................
r_ 4� `/) Address
Installer Address
dType,of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms� � No. of ersonsns>on Attic �( Garbage Grinder
s . ---- Ex a
pal Other—Type of Building _ p ` __ '............. Showers (C ) — Cafeteria ( )
Pa Other fixtures -------------------------------- -
d ----- ----------- --------------•-----------------
W Design Flow.............. ...................gallons per person per day. Total daily flow...........; ,A.ja..................gallons.
WSeptic Tank. Liquid capacityf Q Q.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.
Other Distribution box'( ) Dosing tank
( �' �' � �'"" �•�
Z Perfort1lned by----�•--�f -•-• s.....................................-- ---- Date__:., `°'j. .. '--•-
Percolation Test Result R, .
aTest Pit No. l _...:_-'in nutes ptr inch Depth of Test Pit.................... Depth to ground water........................
(i .Test. Pit No. 2...........v...minutes per inch Depth of Test Pit.................... Depth to ground water............_...........
O Description of Soil ".. j� . .. +.. •' 1 t -�'d./ ..�.....y ... .ram.
Ve�[\/���'f �e c..............................................................�
---------------------------- SSS _ f
U Nature of Repairs or Alterations—Answer when applicable.................................................. ...........................................
1
--------•-------------•------------•---------------•--------------=................................................................----------•--------------------------------.----._.................
Agreement
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System"in accordance.,with
the provisions of ITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Sign.• -- • --------•--------------------•-•--- •-=......
Date
Application Approved By:..' � = r .�rr�Er 4 �9 Date•._.
Application Disapproved for.the f ollouiing reasons: F== --------=
---•------•---•-----••------------••----•----•------•------------•--•----...-----•----•---•••--------•-•-------•-------------------------•-------------------------....:-- -•-----------. ..._---•--
I'Date
... Issued
Permit No---------=-=------------------=-•---............_._ -------.....-• - -•=----==-------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF-. HEALTH
.......oF..... ..... .... : �..................... ...... .....
f�rrtifiratr of f111utpliFattrr
T IS TO CER FY, Th .`e Indi dual Sewage Disposal System constructed 'or Repaired ( )
by = dalier -------------------------------------------------------------------•------............_
•- s
t
has been installed in accordance with the provisions of T5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit NoaL _2.4............. dated_-ls� _, -- .............
THE ISSUANCE OF THIS' CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. L-17 -7�
DATE.................7 �........7�.................. Inspector..-_ ..._... �.....t--------------------------------•-----•-----------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..... :._OF....... .................................................. �y
No................�---•- FEE...eC.5�............
Elis ip 1 Works �tcst r n rrntit
.Permissio hereby�g;ranted_-- . --_... ,. �` ----------••---------------------------•--•---........................
to Constr�t ) or •ep r ( ) an Individual Se Disp- System
at No4G� � 'a'•�i'� if e......t
Street
as shown on the application for Disposal Works Construction.-;r,,�t No. .____ y_,...... . Dated._t./.��.,�,�J_......._.
Boar f Hea thr./'✓
DATE................................-1.............................................
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
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S I TE PLAN SHOWING PROPOSED CONSTRUCTION
LOCATION: le�1 10I4ql-4�Z 10q-SIS .
FOR0.01— - �'d' � APPROVED 1�97
DATE• � vQ : B-OARD OF HEALTH
REFERENCE ms`/•�C 7-//
A ' ` :•C ,/.mot DATE A G E N T
Of111110 -,Vt OF Al
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avERE'[T
K. U JO.,Ew M.
i' euNc>sLtx " C M S ASSOCIATES ,, INC . MOt1AHAN,1 .
•p 13230 O
41, `q- REGISTERED ENGINEERS 8 LAND SURVEYORS
e SioroatE�' MID-CAPE OFFICE 13UILDING - 1265 ROUTE 28 01Sze��o`�` "
PIS• , SOUTH YARM OUTH, MASS. 02664 <'.el
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