Loading...
HomeMy WebLinkAbout0264 AMES WAY - Health 264 (lot#224) AMES WAY, CENTERV .170 PAR-124 j. llll UPC 17534 No.2153COR ' k.ASTIN08. MN �F r f I: Oa VN 4 f { f f t { 1 F i f I f � 70 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for 30igpoga1 *pgtem Congtruction i3ermit Application for a Permit to Construct( )Repair( Vr pgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 2S � Owner's Name,Address and Tel.No. Assessor's Map/parcel `y Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 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) ArD% 61je— t to ,cue_ X A-' )t�e en .S'!P t s re el 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 thYs Board oHealth. Signed z� o� -�� - ___ Date 9 01 Application Approved by %edd .m Date Application Disapproved for the folloV42g reasons 7 Permit No. D= —— Date Issued —— =— --——————————————————— ——————————— TOWN OF BARNSTABLE LOCATION -3b VILLAGE SEWAGE# ASSESSOR'S MAP.& LOT_/'�0 INSTALLER'S NAME&PHONE N0. Id SEPTIC TANK CAPACITY 00 O LEACHING FACILM: (type) NO.OF BEDROOMS (size) BUILDER 0 pWNE V t� PERMTTDATE: COMPLIANCE 'DATE: �97 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facili Private Water Supply Well and Leaching Facility ty. Feet on site or within 200 feet of leaching facility (If any Wells exist Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching cility) Furnished by Feet .�- p9 l P © o zwv <5 > o h�r bi �t n° No. / ' t _ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: � Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS e ZippYication for Mi5pogal *pMem Construction Permit Application for a Permit io Construct( )Repair( pgrade( )Abandon(. ) ❑Complete-System" ❑Individual Components Location Address or Lot No. ^..r"\e S WO-Y Owner's Name,Address and Tel.No. L.OT 24 2�y 2 HS # - � S.� Assessor's Map/Parcel Atd.L Vtc F Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 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 �. a r Type of S.A.S. Description of Soil " Nature of Repairs or Alterations(Answer when applicable) t49 C'�+�.- � eL..� T'►e�eN 6 0 �- 4-4 La , 6,c X �c\SN--% .S'e f n e_ S'Y s r-,-e1 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 issuedkWthis Board o Health.. r Signed �.---- -� ,� d Date Application Approved by Date Application Disapproved for the g reasons Permit No. / - ,, _ Daie Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( epaired ( )Upgraded( ) Abandoned( )by C?b SvK_ at & w.e_g fi2bo-1/ has been constructed in accordance with the provisions of Title 5 and the for Disp sal System Construction Permit No. Z` -;k--dated Installer A,a do v-�— 2N Designer The issuance of this p t-shhall not f�nstrued as a guarantee that the system wil unc 'on s designed. Date Inspector- ------------------- ..� C ) ^� -------------------- No. / 1 �— 3 I 70 - ow Feed THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS-- Migpozat *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( grade( )Abandon( ) System located at 2-614 Av�� Wa.� �et�'t evv 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.y j Date: 7 �- �/ ` / ,� Approved by � NOTICE: This IFor•nl is to I)c used for file Repair of railed • �"' / Septic Systems Only CERTIFICATION Of SKETCH AND APPLICATION FOR A DISPOSAL %VUItKs CONSTRUCTION I'FIOH I' OV1'1-11OU1' DESIGNED PLANS hereby certify that the application for disposal works construction permit signed by me dated concerning the meets all of the property located at � following criteria: • There arc no wetlands within 300 feet of the proposed septic system • There are no private wells within I50 feet of the proposed septic system The observed groundwater table Is 14 feet or greater below the bottom of the leaching facility There is no increase inflow and/or change in use proposed There are no variances requested or needed. ! DATB: � SIGNED: �____ Y� LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER (Attach a sketch plan of the proposed system. Also if the licensed Installer posesses a certified plot plan, this plan should be submi(ted). . � W- . . ,� � .l ``, �\ �.y ... o� , .� , ,_\\ \\ y\ ,`�. .,, � J/` �i / \ / / 'h,/ f � 1 i/ � 1 �' 1 �_._ 1 r KIP 110- i;Z_Y - - No ........ Fis.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r Tov+m .....................OF.................$ax�;3 abl Applira#ion for Uiipniial Works Tongtrnrtion ramit �- Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: 6 _......atlas...I.ay_..._,.... .�iltrv . ------------------- -•--.....----------•-- Lot 22►+ - Location-Address or Lot No. James K• Smith Barnstable ........................................... .... ......_... Owner Address a -Vetortno_.Bros* ..................... .........DArn$table................................. .... Installer Address lb,362 Type of Building Size Lot____________________ ______Sq. feet U Dwelling—No. of Bedrooms_____________3.__________.________________Expansion Attic ( ) Garbage Grinder (no) Other—Type of Building ____________________________ No. of persons___-_____________.______-___ Showers ( ) — Cafeteria ( ) Pi Other fixtures __________________________________ W DesignFlow___.____ gallons per person per day. Total daily flow_.___..._.3.3.0_......................... lons. �-�----------------------------- -g P P P rr t Y �� gallons. WSeptic Tank—Liquid capacity10.00.gallons Length_8: .6_ .___ Width_I*__.1_Q _ Diameter________________ Depth_5___4_ __.. x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........I---------- Diameter.......IQ t_____ Depth below inlet.........61...... Total leaching area_2-6? ........ ft. Z Other Distribution box X ) Dosing tank ( ) aPercolation Test Results Performed byGape___Cod...aurmey...Consultant SDate.....9/2-8/Zg............... Test Pit No. I.......2------minutes per inch Depth of Test Pit____12_........ Depth to ground water------nOxIe........ Test Pit No. 2................minutes per inch Depth of Test Pit_______:____________ Depth to ground w --OF -- ...-----•-•--- �N Mq�B O Description of Soil_II_._Q-0_._ ...WO.O_d._loam,..:0_._5_-2...0... s_ub�flll,___ld.._0 sand}.__fi._6-12_.II__med._..�thit.e F $-----------$............ . UNature of Repairs or Alterations—Answer when applicable_____________________ _______________________________ _o- rA_ 4 � ------------------------------- •--•-- ••-•---------------'•-----------------•----._................-------•---._.--------•-•------••----•------...-----••-•-__..__ Agreement: sS70NAL The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in ac nce with the provisions of iITLE 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. Si Dat ned. y................................................. ................................ ............... Application Approved By...... 4U-14-Ve----------------------------------- -`--//- - _ Date ApplicationDisapproved for the following reasons----------------------•---------------------------------------------------------•_--_----- ----- ' --_-- -------------------------------------•--...-•-------------------------------------------•-------------------•-•---------------------------------------------'•-------•-----------...-----------....-•--- Date Permit No......................................................... Issued----- ''.. , Date ti e THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4 o rr .. ._....... ........OF.................Barnstable.----•---............._._..._.._......__ Appliration' for Dhivoii al Work.5 Tnnitrurtion ramit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: ................Ades- day--.....C_ er 9. ..................• -------------------------IA-t...224.................................................... L ca ion-Address or Lot No. ;:Tames Ke Sm�t� Barnstable ............... =-- - ............................................. ._.......••-••••••-•-•--••...._...........•••--••••-•••-._......._.............-- Owner Address a Vetorino Bros. 1';ax't1s_tb�e..................... Installer Addressy�' �» Q Type of Building., Size Lot_______________________..... Sq. feet U ►., Dwelling—`No. of Bedrooms.........................................Expansion Attic ( ) Garbage Grinder (gip) Other—T e of Building No. of persons____________________________ Showers — Cafeteria PA Other fixtures .........................-••-•- • - W Design Flow..__.___55..............................gallons per person per day. Total daily flow..........3jD.........................gallons. WSeptic Tank—Liquid capacitya OeQ_gallons Length_a W!.___ Width.VI W. Diameter________________ Depth_5!1p n_... x Disposal Trench—No_ ____________________ Width---:................ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........1.......... Diameter-------10-..... Depth below inlet.........6 t_..._. Total leaching area_26 ........ ft. Z Other Distribution box X ) Dosing tank ( ) '—' Percolation Test Results Performed byCgale.-tQt'L...SUrV ;y.-___OQnaultaUtgDate._.__.9129i/79_______________ Test Pit No. 1-------2......minutes per inch Depth of Test Pit....12..._...__. Depth to ground water......X1031@... __. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wat c� •------- ---•-••• ----••-• •._..... •••••-•••••-•-••-•... ................... -••••••-•---•-•--••---•• OF, O Description of Soil_0-•0.0-•--_WWA,4..--l0aMy.... .5-2.-Q--subsoil,---Q_.0-6.6... o� .6*11 (xj •--•-•...-•-•••-----•-•••-•----- s l -.$e w-..1dTl3�t-�-- ----r-- ----- -- ......ENBWICK T • W ....................___...................................................... ............................. --•---•• -----•------•--- --------------- ---- - ----------- -•--r—`-, --• -- v -•-•Ch}RPtdtRPd-- UNature of Repairs or Alterations.—Answer when applicable.__:_____________-- ___5______._________. _A p.�lo,.2z6�4_a ...............................`-----------•--._...-------........................................................................................................... Agreement: NAL ENG . The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in a with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliancy has been issued by the board of health. Sined _........ ................. -•••--•--•••--------------•-••-- Dat Application Approved B ----••-••--------•------•----•-•-• ..... Date PP PP rovey------•- Application Disapproved for the following reasons_________________ ................................................... ......................................---------...-----•----•------------------------ {::. Date PermitNo......................................................... Issued--------------------------- --- Date THE COMMONWEALTH OF MASSACHUSETTS b BOARD' OF HEALTH y Town Barnstable ..........................................OF.......I............................................................................ Trrtifiratle of TunapliFatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (Kx) or Repaired ( ) Vetorino Bros. by........ ........................................... Install Lot 224 Ames Way, Centerville, Iasst&usetts has been installed in accordance with the provisionsgof T0&0 of The State Sanitary C de as described in the ...-----•--•----•-•• dated----�+ �1 "`� ----------------- application for Disposal Works Construction Permit No. -•-- 4 THE ISSUANCE°OF THIS CERTIFICATE-SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. '' DATE....... 2--2'--��-••...................•---.._...---- Inspector � �-,/'•- ? THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town..........................OF..-.. Barnstable6 ) •---•-------..__._....._.._..._...__.........-_.. No...... a_....... FEE.--�"�• 4.- _----- ilaiia1 lr� ��antrnrtirrn rranit Permission is hereby granted__.__Vetorino Brothers ------------------------ to Construct ) or Repair ( ) an Individual Sewage Disposal System at No ot 24 Ames Way Centerville Street as shown on the application for Disposal Works Construction rmit ro _______ _ ______ Dated.... ................................... Board of A�! DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLtISHERS - E'r L 0 ' '`� TOWNi i�r LARNSTABLE PO --30 LOCATION SEWAGE # 7 — 53'q- v tZ.LAGE ASSESSOR'S MAP &LOT /'70 -/g INSTALLER'S NAME&PHONE NO. �-��e✓�� Cto��'� 77( (Z t' SEPTIC TANK CAPACITY 1.1500 LEACHING FACILITY: (type) (size) GCS A X Yam' Y A NO.OF BEDROO��MS ,_ BUILDER OA'nWr1FRJ I t< to PERMITDATE: g I-A Q�COMPLIANCEjDATE: 7 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 l 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 r �9' �� 3-7 � ]GF 03 0 LOCATION W EA PERMIT N . S VILLAGE J GEw7-)E�tV) L L � I N S T A LLER'S NAME i ADDRESS 1 E 7'D1e/n,o l6/Zc S Z�- w BUILDER OR OWNER S 1Tt1 L N DATE PERMIT ISSUED 90 DATE COMPLIANCE ISSUED �� d: + { S. !l �g,� t ��-� 0 3S�� �� ,� � /l� 1 � \, -hl��/L�pDr � I -�1 I K�' j SOIL LOG V I."PEASTONE LOAM 6 FILL — 12r MAX / .oe tee• •°• .� [l/Q/) Lj 4> /) e I T "C. 1. DIST A1000 BOXI° •;0 1000 GAL. . 1 PEP_O MIN. GAL. 1' PRECAST OR ° c 1" 24" SEPTIC MIN ° TANK . 140 `e BLOCK ' C( 6 1, eepOoe SEEPAGE PIT o • ° o I ,",/ e � • e0e I N/=' ' 20' MIN. I.•:. •..d•.I ��. 1 I o o 'FOUNDATION i 1 %2" WASHED STONE " I ELEVATION SKETCH 10' I PERC. RATE= �%� :G, SCALE : I"= 4' TEST BY : - �- 41 2t8Y GE�T�r✓ ',-a ;�'-5 PL.41v TOWN INSPECTOR 5 FPE.Dp D A42C i 714E GA7__r5*l' BACKHOE OPERATOR: �.AA's T f.: ;:,c ,eE('n.ra,,,o ''NF S7-Qve--r41/R_-, TEST MADE ON : `� :,yt►vV •'EQ�'?A/. ✓i,;" 4J):A7'Z-4> IN C;V 3 . AN D 1?i.:kC-S .'DVt•=P�M ;p T� Zl,Jil/�h,`l SE T•t'ySG��st%�Y2�M�'M'iT Town/ OF c C�s72 S /✓iA�S4L/ELSE TS fi y♦ fie/ 1 N, b-Box r � ►�► � n} r T.i.G•/ • /DO n•� 4 . '1.e..�.,�r. M G Waco. ♦ •+...ti.,.�F_ t 7Ix be 141-1 BE0C-00Als 61,-'c �'d3 . wqp c �,v"',a ') 'k //o �A�;��s�?�r C•� � 32�4C" l r RLNWICK \N1 n i r,QVA 4..-ll64.--1c -e0 CIi0.P�1IAN V1 p Nu 11654 � NAL LNG �ep� ,✓i_ ELEVATION SCHEDULE 1. PROPOSED S ITE' PLAN I. INV. AT FOUNDATION 45.(02 all 2. INV. INTO SEPTIC TANK , S •42. SEWAGE SYSTEM DESIGN IN 3. 1 NV. OUT OF SEPTIC TANK = aS, 1� f3/9eN57;i9_54:€��__A/7+ak `j M -5 4. INV. INTO DISTRIBUTION BOX ° �f5 �� SCALE : I"= 2.O ' I OET/ 1979 S. INV. OUT OF DISTRIBUTJON BOX q4. C - 7,4c3 _ 5 6. INV. INTO SEEPAGE PIT �� = q� ,-70 CAPE COD SURVEY CONSULTANTS ' ROUTE 132 ' 7BOTTOM OF PIT = g8.7o HYANNIS ,MASS.