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HomeMy WebLinkAbout0004 ANTICO LANE - Health PF 4 ANTICO LN. , CENTERVILLE A = W1, 10 if ac 1 ssa � •1 " r My b. r • No. I/ j Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0[ppfication for Mi0pont *pztem Cow5tructiou Permit Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. A, A NT i C Q L&La E Owner's Name,Address and Tel.No. LE cep 1�oM�s s Assessor's Map/Parcel 't T-Z 13MX Z4 S OZS(n Installer's Name,Address,an el.No. Designer's Name,Address and Tel.No. AV9 -3 3 A/4 C��e��'ONtS A GENTS +�O,M,� s 'F�-2':�>t,Ltr'lvA," -i ?are-Y-6e—(Z,n ©L";rZ-1A Lt_G Type of Building: C C L us y-CV__ *AoT W v%)j" A� moo"F, Dwelling No. of Bedrooms Lot Size 16,226 sq.ft. Garbage Grinder(K q Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 5M gallons per day. Calculated daily flow 33 gallons. Plan Date JAt_L J!t, ZoLb Number of sheets Revision Date m0pl G Title iqLAO Skx/jkw6 t7(=A 92n0MF1_) 'SQASt10PA.C,E ScPZ/_ ScSEE:A/I lc�T n�1ct� Size of Septic Tank C-,)ALL o ry Type of S.A.S. \2 K Z- L 6 C�aw�c5� Description of Soil Q-2 " ( C>a G A,tii t c rT"C- _ t_a v&-0 Fiuya G4m -vj tT+s 6ov,k ca l cAyti ZC. yZ0" L'. Eiru I- At.XV 0.10 W 4't�p �n�COUrD�Q-GO Nature of Repairs or Alterations(Answer when applicable) 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 f the Envi nmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss thi oar of ealth. Sign Date '�I 'L06 a Application Approved by Date_I Application Disapproved for the llowing re ns - Permit No.�®co -, 6 a- -4, Date Issued No. A-0&V^ Fezl� 1dC7'�D THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS ��� �catarn for �i��ogaY �pgtetu � � ' coon Permit - Application for a Permit to Construct(�(�Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 4, A NT`L LA,, L Owner's Name,Address and Tel.No. Cc?4 Tl~e_Vt LL 6- Q)LN CE1,tTK_& 40tA 5 S Assessor's Map/Parcel �-i2 3_ 1"'.,p, -Go 4, je-y&1 -A a ru v's Sv Installer's Name,Address,an4 Tel.No. Designer's Name,Address and Tel.No. 42-16-'33 41 ?o . .1 Zti & -7 PRex2,>, OJ�,z��t_LG A mat n�A - oz.S'6) Type of Building: s, t!CLusM-V_1C­$9\J1b10�..L) 4 N\aTW I-%NILk A :a0&A e, Dwelling No.of Bedrooms �J 1__Lot Size )6,2' sq..ft Garbage Grinder(K Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow �J gallons per,day. Calculated daily flow 3'J gallons. Plan Date \3AKk-i , ZoC) Number of sheets Revision Date l loN t Title I CLAIU TAF72ESt<,n) DE i7LnMt 'SU Afit,0;7 Ar9- SE2in4_ r Size of Septic Tank _\_SM L/—\ _c-c)k) Type of S.A.S. \Z K Z,5 £����•�v 6 C+w.,A Description of Soil U 2" D b v1 a a„r A Pk T 7--Z_ •Z-14" F1^'� ��( 17e��2 L04.,n *i (ut>►UD CG 14"- 28" �(E.LLQ 0?WAS Eiuc G4mc2 vj%T+s 60w\F LnA ZG"- rm" C_ 'E ur SArJD I.lo W Q.T7r-p Ekt coc3,u-%IE-:�iLGQ Nature of-Repairs or Alterations(Answer when applicable) .. 4 ;t l h Date last inspected: ' Agreement: m 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 �f the Envi onmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss eS thi oard of I�alth. Signed Date / -Z ( - Z ao a Application Approved by �" / Date.;., Application Disapproved for the f 11'owmgrreas6ns - .t Permit No. 3,,Oe - 0 2� 4 Date Issued ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage,Disposal System Constructed( k )Repaired( )Upgraded( ) Abandoned( )by at �Krr% c O L.6" C=- =2 V 1 LrLL has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.047, dated Installer Designer The issuance of this permit s a n be con trued as a guarantee that the systemp�ill�j unction as desi4g edd. Date �t-l I I�l tI /l.'A Inspector ----------------------------------------- No. e7ny, Fel tom,OO THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Di5p0ar *pgtem Construction Permit Permission is hereby granted to Construct( K)Repair( )Upgrade( )Abandon( ) System located at tit-n Cn LP ru E. CE QTF-,--V 1 L.L a 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. Date: Approved by—� r� TOWN OF BARNSTABLE L r�� t LOCATION 7 C L� ® WAGE # ®� J VILLAGE OR'S MAP & LOT INSTALLER'S NAME&PHONE N0. Jaw¢.SCCtizx�f.tr ' SEPTIC TANK CAPACITY LEACHING FACILITY: (type) / S � (size) NO.OF BEDROOMS BUILDER OR OWNER �� �'c��.-j' �. PERMITDATE: COMPLIANCE DATE: 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 r } .� e — s s� 91 ` d NOTES I.Water Supply ForThis Lot is Municipal Water, FG.71.0 II Perc Test P-9150 Date 5/14/98 2 Location of Utilities Shown on This Plan Are Approx. F G. 70.0 SElnc. P.Sullivan Board Heath J.Dunning 1L1L ll res H � At Least 72 Hours Prior to Any Excavation ForThis Project The ControctorShall Make The Required 68 0 2" o organic Matter 5YR2n .0 "� - D-Box" 67.0 Notification to Dig Safe(1-800-322-4844) 2"-14" A Vry Dk Gr Loam,Fn Sand 10YR5/4 6Y 8 3. The Contractor is Required to Secure Appropriate 1500 Gallon 676 _ TOP El. 68.0 14"-28" B Yel Bn Fn Sand w Loam 10YR 5/6 _ Permits From Town Agencies For Construction ' !�SeptiC Tank 67.4 ��—'- r Bot. E1.6 .0 28"-120" C Fine Sand 10YR5/8 Defined by This Plan. 67.2 4. Install Risers as Required to Within 12''of Bedding as 5, Test Hole 2 Finished Grade. Per Title 5 0-2" O Organic Matter 5YR2/2 10, l 10.5 10 10 12 5.All Structures Buried Four Feet or More Or Subject' 2"-16" A Vry Dk Gr Loam,Fn Sand 10YR5/4 to Vehicular Traffic tobe H-20 Loading. � Bottom of Test Hole EL60.0 16"-26" B Yel en Fn Sand w Loam 10YR 5!6 fi I Septic System to be Installed in Accordance With 26-120" C Fine Sand 10YR5/8 310 CMR 15.00 Latest Revision And The Town af Barnstable Board of Health Regulations DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM Perc@50" Pre Soak 25 Gallons in less than 15 Minutes Bar , 7. AI I Piping to be Sch. 40 PVC. • Not to Scale Class 1 Material Less 2 minutes per inch i Finish Grade � Filter Fabric .-��- •Compacted Fl il,: t N s Pea Stone DESIGN DATA is Single Family 3 Bedroom With no Garbage Grinder Leaching ,� „ Daily Flow=110 x3= 330 GPD N Chamber 3/4 — 1 1/2 Septic Tank:330 GPD x 200%=660 GPD Double Washed Stone Use 1500 Gallon Septic Tank I 4'—Id I LEACHING AREA 12-0 330 GPD/0.74 =446'SF Required !4{EwFIR :' a UZ; "2.5 jG = 148 S.F _ Bottom Area= 12'x25' = 30C S. F. 448 S.F Total Provided fCF'. SS ` SEGTION OF CiHAM ER LEACHING CHAMBER DESIGN NOT TO SCALE. ( All Pipes to be Schedule 40. Use ' 2 500 Gal. Leaching Chambers ina I 12'x 25' Washed Stone Field as Shown i 7 ` i ,4N7ZOO �-- REVISI Ns• NO. GATE REXTSIOV � - q 9 � I 5,P 50 S,tILLIV9 4tq. �2 N0. 9733 CIVIL 27 sAt,� . s. DATE ROFE,t► 'IONAL ENGINEER C YIL TN-1 t-L `j `"+ �L C -pox ti PA"` tiG PLAN SHOWING THE DESIGN OF A PROPOSED �2 0 � ' r, R. u� p O , RYLL -� - SUBSUf7FACE SEPTIC DISPOSAL SYSTEM Jo.3244E3 i ' �" LOT -4; ANTICO LANE, BARNSTABLE. MA < --A N KC � � QP og ,� " SCR SCALE 1 " = 30 ' JANUARY 14 2000 a \� CANAL LAND SURVEYING o LOT 4 306 OLD PL YMOUTH ROAD, BUZZARDS BAY, MA 16236f S.F. _a Z 1 �, I PLAN VIEW _ _ J a Scale I"— 30' 17 . 04 DA Et?SI N L LAM SIf,A!/E OR PROJECT NUMUER 00--004 3