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HomeMy WebLinkAbout0076 BAY LANE - Health ;,'76 Bay Lane ,- f `�Centerville r Y-.A = 186; 036003 No. 42101/3 ORA ESSELTE 10%U& O 0 TOWN OF BARNSTABLE LOCATION -11- Qcau l.vJ SEWAGE# ZO'ZO . 38S VILLAGE Ccnlcrui 1lc ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. Q A- Fx03L04-A;oe y 71- 0G53 SEPTIC TANK CAPACITY Isoo ace►. '�-A K- cD la�c�v�►cn l Q*JLY NO.OF BEDROOMS OWNER PERMIT DATE: 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 C � • 0 . � Q q (D s A ► -�ll �L AZ ' 9 A3. 411 L3 3 '-ZS' NCP; 'ter/ "V Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:_�— PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0[pplitation for Misposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(v/) Upgrade( ) Abandon( ) ❑Complete System [Individual Components Location Address or Lot No.`)!o PJo Lana. , Ce(*A r6Ak v Owner's Name,Address,and Tel.No. ( 11 4 Assessor's Map/Parcel ME --Q 3 6 —00 ISI. 333• (o ZS-} —7 (Lja Lanai Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. L.d4 13 £xcavo:�Hon Inc. S6% k4+ Oc,S3 70144- On1 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(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank- 1500 !C pOAC r'� Type of S.A.S. 2 m 16bin Description of Soil Nature of Repairs or Alterations(Answer when applicable)�2 larn, SaP�i'c, �ank on\�. 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 Certificate of Compliance has been issued by this Boar ealth. Signed Date Z Application Approved by Date 3 -�_o Application Disapproved by Date for the following reasons Permit No. — Date Issued r -,4:2) Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: - -..- Yes�C°j PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS , f t� ftplication for Disposal *pstem Construction 3permit Application for a Permit to Construct( ) Repair(�) Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. o(4c(,01 Owner's Name,Address,and Tel.No. {,,t4 /``)orco k o Assessor'sMap/Parcel ZS 'lt Q_^y Lanc Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. V)4 f, Ex 1,jc• 502 n(''S 3 t Pik Tc+�1c onl�� 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(min.required) gpd Design flow provided gpd �. Plan Date Number of sheets Revision Date Title Size of Septic Tank I SOO -',rMo(+ Type of S.A.S. Q x c A1,n r, , Description of Soil Nature of Repairs or Alterations(Answer when applicable) io udr� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in f 74 p accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation»until a Certificate of Compliance has been issued by this Boar "Health. // / Signed Date IZ11 ILO v - Application Approved by Date 3� r Application Disapproved by Date for the following reasons Permit No. Date Issued /rX ) THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS &rtifitate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by ) 1 6 �,Y c n%'aA�.o r, 1 t1 c. at (c a Lan¢• �¢r e.v•�.• has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No U 5 dated /.:�- , Installer e.,�('`) tX c ctve:(ir,.. (r)< • Designer #bedrooms Approved design-flow-)•7; nk n tv, gpd v The issuance of this permit shall not be construed as a guarantee that the system will function designed. �1 ----__ Date Inspector ------- -. -- - ----- -- -- -- -- ------•----------------------- -- No. "`�"C> � Fee THE COMMONWEALTH OF MASSACHUSETTS —� PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS iS oral Btrm Construction Vermit Permission is hereby granted to Construct( ) Repair(V) Upgrade( ) Abandon( ) System located at 7( bG v t_c,o c and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided Construction must be coK;L0 • ted within three years of the date of thisQby Date /,: .J Approved - BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville;Massachusetts.02655/Tel, (617)428-9131 WII.LIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering July 2, 1986 Board of Health P.O. Box 543 Hyannis*, MA 02601 RE: Claire Morash• Lot ' 36-3 Bay.Lane Centerville Dear Board: - In accordance with you request I have inspected the installed septic system at Lot 36-3 Bay Lane. . The system has been installed in accordance with the approved plan dated April 30, 1985. I trust that this meets your present needs. �Very truly yours , Peter Sullivan, P.E. Baxter & Nye, Inc. . PS/cas CC: Claire Morash 1314 Craigville Beach Road Centerville,MA • ... ���P�tN OF Irgss cy ' 9 ' PETER; o SULLIVAN No. 29733 H F`$10NAL MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MAS,SACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS IV LcASSESSOR AP 0 PARCEL J� LOCATION SEWAGE PERMIT NO. L.0 VILLAGE I N S T A LLER'S _ NAME i ADDRE S S B U I L D E R OR OWNER DA T E P ERMIT ISSU E Dg� BS DATE COMPLIANCE ISSUED � � 1 / Fx$...... A THE COMMONWEALTH OF MASSACHTS BOARD OF HEALTH I '� 0 �( O.w1l.............. � �P .......................... Appliraffou for Disposal Marks Tomitrurt watt ramit Application is hereby made for a Permit to Construct (�Q or Repair ( ) an Individual Sewage Disposal ystem at: ----------------------------------- -------------�'�-�------•-- -------------••--••-•---------------•---- ------------- ocation-Address i or Lot No. C 9_�ae o�#V5 ..�1.1T1�!' -V Ill S. ....................................................... - -------------------......_...... ......---- -• .. ZZ �o/ ��t U� , Address a `7 ...tiF� -.e....._... Installer Address p Type of Building °° � Size Lot_2-.a.. ... Dwelling—No. of Bedrooms.......... ................................Expansion Attic (IV- Garbage Grinder lei Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures .................................. W Design Flow...........6 ..........................gallons per person per day. Total daily flow.___�4©......_........._.._.. ._._gallons. L �► It WSeptic Tank—Liquid capacity..!J`�...�___gallons L ength_ O 6�`- Width__.`.lea--_ Diameter________________ Depth..6-q__.. x Disposal Trench—No. .....L............. Width....I.G._--------- Total Length___��___....... Total leaching area--- bra _.___sq. ft. 3 Seepage Pit No-----------_------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box q(45 Dosin nk ( aPercolation Test Results Performed by---------°-1`T _.( �._l�_1.:4�„............. Date...L ?-a .e Test Pit No. 1...4_�......minutes per inch Depth of Test Pit.... ............ Depth to ground water...... -_-_______--. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... a -------•--•-------------------d----•- ---- ------------------ O Description of Soil......Z! J„�/�N/`-�Y r t z'�y L � �--------------- V !43 ...................................... W UNature 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 iITLi: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certific9ke o Com/�li� as eepLssue� tt�he rd of healthv Signed_ 11. 4 '['%�� Z J.' ...... Application Approved _.-.__ Date = .. � Date Application Disapproved for the following reasons-----------------------•-------------•-------------------------------`----------•------------------•-•••----•-•-. ........--•--------•-•---------------•----•----------------------------•-••-----••-•-------•---•-------•. ---------------------------------------------------------------------------- Date PermitNo......................................................... Issued....................................................... � Sj .-C Date G C"�•'Z"t� �L EZ1F'f�n NS ..Dt12i'riR/o —-N FEB THE COMMONWEALTH OF MASSACHU TS BOARD OF HEALTH Appliratiou for Uigpnaal Workii Tnnstrurtinn ramit r Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ................___._..._�.... ................................. ....................................................--•-...---•--.._..............----•---•---•--- Location-Address or Lot No. I. rScY L. ��G t� Pht�i i-! ......................-.......................................................................... ..........--------------....................._..dd..-.............................................. o Ow.rfor ress A W 4 gu l a •• -------- Installer Address W ? ��/ Type of Building Size Lot__�________________�__..._Sq--feet �., Dwelling—No. of Bedrooms.......!�--------------------------------Expansion Attic (W)-) Garbage Grinder (N�)) Other—Type of Building ____________________________ No. of persons............................ 'Showers ( ) — Cafeteria ( ) Q' Other fixtures --------------- --------------- - W Design Flow...........6_?................•........__gallons per person per day. Total daily flow_-_ _gallons. 1:4 Septic Tank—Liquid capacity-l 3`:_�_gallons Length_a d-Gt". Width.. �__+.�'__!' Diameter________________ Depth_.: 4. �. Disposal Trench—No......(.............. Width.._i�__.._____.. Total Length_.7 ..._....... Total leaching area__:!� -----sq. ft. Seepage Pit No----_-------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (yo-, Dosing-tank (KA)v Percolation Test Results Performed by...... .`_..:Ts=:......14 ............... Date... ? ............... a Test Pit No. I. :..._..minutes per inch Depth of Test Pit____ _ ________ Depth to ground water______;--_-_--_____. r%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_.---__-__--__-.---____ a -•••-----•-••---..._..•••--.._..•••--•-•-••------------------•......._._..----------•.....-----•-------•--........-••-•----••......................................................... V Description of Soil - _ � _ - v--- - -- -- -----------•--- I"b� : 1 f `� � .:T.-- . .. ' - -----------------------------------------•-•-•--------......------...................--------------•--•-----...------------------------------------------------------......--------...----------•-•----------.....--------_---....----------------------------••......--•-•••..............._ 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'TTL% of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certifr too Com li f has been issued by the board of health. �ned.•-••--------------•-------••--------------------------------...........-•--------•--- ................................ .°._4_ ) _ Date Application Approved By-•-••-•._ »__C'� __G ._G `w........ ------' " :. -u°= ....... Date Application Disapproved for the following reasons:-•-•---------------•-------••--------------------------...----•-----••-•--------•--------------••-------------•- .........•-•-••••••---•••••----------•••...............•--------------------------------.............----I--••-••-----•••-----------•••-----•----•---••-•--•••••----•-••--••---••-----•---••••----------- Date PermitNo........................................................ l Issued....................................................... Date i �GN'^yG z:'U�,r�3 s 6� � 'S e &�'*`t L C7.I�+-r'v fed a t�rz v t` 9 � t '�di (�i `-�' "C4F 'I9 /N '��T+• L THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.......... .......................................................................... fit vEntif irtt#r of f�nrnt�rlt�nre THIS IS TO CERTIFY, That e Individual Sewage Disposal System constructed ( ) or Repaired ( ) by--------------------------------------------- ... ?1.........---....---•----------------------------------.....----------------------------•---------------...----....---•-----•-•. Installer has been installed in accordance with the provisions of ry T !T' j of The State Sanitary Code as described in the application for Disposal Works Constriction Permit No.__ _�___ra___��-_-_--_-- dated_...... /�.�__��_____ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FU CTION SATISFACTORY.DATE............. --- Z l�.GP................................. Inspector.........-f=4...---------------------------------------.....--•---------.....-- THE COMMONWEALTH OF MASSACHUSETTS VlIteC BOARD OF HEALTH .........................................OF.................................................................................... .ispos.1 Works Tnnitrudiatt rrntit Permission is hereby granted-----------------------------------------------••-----•---•-------------•-•••-•-••-••••---•-••••••••-•-•---••--•••••.................---•-_.. to Constr4a r Repai�( ) an Individual Sewage Disposal System atNo.......... -•••....... P................................................................ -------•-•----•-----••-•-•-••------••....---••-••-•-----•--.....----......---•- Street as shown on the application for Disposal Works Construction Permit No ___________________ Dated_. I_'Z _R�....___._._..___ ...................................... = ..t _✓t ._ 'S...................� h C�(� Board of Health DATE...... l ` '+/81 ------ -----`---•--•---------------•----••-•--- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS (i,9 oa,�_e v �cc(,Lf a-,_ d,4-W . �- t� ;1.Ucj c 4&1 g f M A f of r7-I' t� a IAA tr Or Sra, 4,fr�a , 6 3 _.. �� 49 /. �v A / t�^►�+4E.tt'� ��i-f$�"'`i �y' � j '`'' J' �-/�'.n �.h}'.`� 4' `mil' s�,j too MA 18 ri,.SA t1,oCG 18 Ita-4 MA, 03 j _ hw ,Z $CSC 40 A61fa'/� i Src - 2" tali Tom' , .- 5 SAXTER �, .,. o ?f ar:i w 1 /� .4 —4�!'.�+ F404 i ''rf` %+(_ti /s� .;;m S �t)' ; . ' M ®k kY 1 t i