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HomeMy WebLinkAbout0077 BRIDGET'S PATH - Health 77 BRIDGETS PATH , CENTERVILLE A = 169 047 t I t NO. 152_1/3 ORA ESSELTE ..ryy,ti.....�`,�•— ...t.s:.�..�.:1h -'=•ei:.a0tl6fwe r._.ac ����ati�:fs... .,._._��. .,ten:... :.ita� �v�v.ea'�.r. - — -�-„.�.x� - .__may... TOWN OF BARNSTABLE ����� _ •LOCATION .7 /l32 i e/ e`1 y Y9i©f SEWAGE #6o 41 C �YILLAGE rZ Y � 'ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.,`—6 Si'$ ? 7,SV 91-7 " SEPTIC TANK CAPACITY..A6-6-' - LEACHING FACILITY: (type)� "'� "'.� 4 C (size) lam NO. OF BEDROOMS 3 )) BUILDER OR OWNER i 2A ot.. :: PERMITDATE:-Z-0d" COMPLIANCE-DATE:*'g—� 6.�r-G '• Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of ching Facility Feet Private Water Supply Well and Leaching Facility any wells exist on site or within 200 feet of leaching the Feet Edge of Wetland and Leaching Facility(If y wetlands exist within 300 feet of 1 aching li ) Feet Furnished by A ) Ill `' s 7 " n 50 ,00 No. JlJ "►• [S Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: les PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for �.N_4pooal *pgtem Congtruction Permit Application for a Permit to Construct(x )Repair( )Upgrade( )Abandon( ) ❑Complete System El Individual Components gation Address or Lot No. Owner's Name,Address and Tel.No. 77 Brid.gets Path Centerville ' �11 n Assessor'sMap/Parcel �( BR gets Path Menterville In l N e ddress and Te o. Designer's Name,Address and Tel.No. . b` in on e. tiC Service P.O . Box 1089 Centerville - Type of Building: 3 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 sand. , Nature of Repairs or Alterations(Answer when applicable) Title 5 Leach system d.-box, 2 -orecast, stonepacked. leach chambers 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 by this oar of Health. Signed G —Health. Signed Date -7—_3 Application Approved b G' Date? -3_ -' Application Disapproved for the following reasons Permit No. Date Issued V— "7 - ,/ 50.00 ►} 1Vo � L t dJ E"' 1.1 ter Fee O t' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ' Yes PUBLIC HEALTH DIVISION - TOWN OF-BARNSTABLE, MASSACHUSETTS 0(pprication for Migogal *pgtemc (Cougtruction Permit Application for a Permit to Construct(x )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components loo tion Address or Lot No. Owner's Name,Address and Tel.No. 7 Brid.gets Path Centerville �VnB Wets Path Centerville Assessor's Map/Parcel lnstdl�e s Na�eb Dd ressS''OTT e�e pt lc Service Designer's Name,Address and Tel.No. Yin P.O. Box 1089 Centerville 775-8776 Type of Building: 3, 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 sand Nature of Repairs or Alterations(Answer when applicable) Title 5 Leach system d-box, 2 precast, stonepacked leach chambers 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 the35ystem in operation until a Certifi- cate of Compliance has been issued by this oar of Health. 7—^31. _ .1 Signed �� Date Application Approved b _: Date'? -S/.- g, Application Disapproved for the following reasons �. Permit No. 40_0 a Date Issued 7 fa ;;;ra4t,-7 --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS Fun Chin BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CER that O - 't e e is s Constructed( )Repaired( )Upgraded( ) ram. Leo�' �z� ` PY l�° � f'c e Abandoned•P7 #V_d Path ner+ v; , , e b,. -ets a—T at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permita� �► ,►� dated Installer Ji l-,, h t sGf/e i k-- Designer The issuance this permit shall tt be cogstrued as a guarantee that the,sy,� ill functions des fined Date �' .: � S Inspectof.� L --------------------------------------- No. OR g4ey~'��� Fee 5 0°0 0 Fun Chin THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi.5pozaf *pgtem Construction Permit Permission is hereby granted to Construct(x )Re air( )U grade( )Abandon( ) System located at 77 Brid.gets Path Cenl�ervillw 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 th' .'�it. Date: l' c�^'�''J Approved b � -7 gar 4 . 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 PL.ANSI I, Williain E. Robinson,S%ffeby certify that the application for disposal works construction permit signed by me dated 2— concerning the property located at 77 Brid.gets Path Centerville 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. soil is classified as CLASS I and the percolation rate is less than or equal to:5 minutes per inch. t er are no wetlands within 100 feet of the proposed septic system _ • her-are no private wells within 150 feet of the proposed septic system ere s no increase in flaw and/or change in use proposed :ree no variances requested or heeded. om of the proposed leaching facility will Mtt be located less than five feet above the m adjusted groundwater table elevation.' fAdjust the groundwater table using the Frimptor 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 Elevation(using GIS information) LI B) G.W.Elevation +the MAX. High G.W. Adjusunent DIFFERENCE BETWEEN A and B SIGNED : b L ✓� DATE: [Sketch proposed plan of system on back]. y:health fold- ow i1 �.I A Y i TOWN OF BARNSTABLE LOCATION _ `/eJ 1Q i e/9�i'I s l"P/. SEWAGE #6-& VILLAGE G-"`- I / ASSESSOR'S MAP & LO INSTALLER'S NAME&PHONE NO. 1 t56 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (sizej 1, 4 15- NO. OF BEDROOMS i BUILDER OR OWNER i PERMTTDATE: COMPLIANCE DATE: Q-3 ' Separation Distance Between the: Maximum Adjusted Groundwater TablZBo ching Facility. Feet Private Water Supply Well and Leachwells exist on site or within 200 feet of leachi Feet Edge'of Wetland and Leaching Faciliist within 300 feet of 1achin li Feet Furnishedby 1 , � s LOCATION SEWAGE PERMIT NO. 1- 07 46 d IE&C,E�"s s"%7 VILLAGE INSTALLER'S NAME i ADDRESS BUILDER OR OWNER _ T Sm rN DATE PERMIT I S S U E D o2� �3 `l2 DATE COMPLIANCE ISSUED 1 f r 23 No................-....... .. ....... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town.... . ............OF.........Barnstable ApplirFation for Uhnp ii al Works Tonstrnrtinn rumit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: ........_ � Lot 6 Location-Address Bridget a� �dh .. - M 1 ---------------------------------------- ----------..-----:-----------..........-----......-I............................................ Owner Address W a Si\)ET09 i � --- -ti - _ -------------------------------------------- ______ . Installer Address 18,799 dType of Building Size Lot..........................Sq. f�e aDwelling—No. of Bedrooms-__--.-------------------------------------Expansion Attic ( ) Garbage Grinder p,, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) PaOther fixtures -------------------------------•----------------------------------------------------------------------------------------------.---------------------- w Design Flow..................5.5.....................gallons per person per day. Total daily33 flow_______..._.__.._.__ q.._..__._...___�allons. WSeptic Tank—Liquid capacity-I.QQQgallons Length._�-.6._... Width---�._Q._ Diameter________________ Deptl)+.._9........ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area_.__.. ........sq. ft. Seepage Pit No.......1........... Diameter......101------ Depth below inlet._ .6�_..__ oyotal leaching area2....7_.........sq. ft. Other Distribution box (X) Dosing tank ( ) 06- ���� �/. z Ca e Cod Surve Consultant 1 /5 ?9 t•" Percolation Test Results Performed by..-----P------------------------•-•-. �----t------------..-----•-- Pate ` 1.. ............... aTest Pit No. I..__..Z....._.minutes per inch Depth of Test Pit-_.12--__-_-___- Depth to ground water.nOne___._...._. GTq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P-' ----------------------------------••------------•---------------•-•-•-----•--••----------•--•-•••---......................................................... 0 Description of Soil...0•.0_1,__5_-wood...Loam..&---sub.sail......1 .5 3.•_5...C.oarsP_...yrellQw___sand_,__.___ x 6.-5m�d elyav�- wand �-5-9•II -c Z.E-..-r oxVmand----9.. ----------- 3 r � zi c-t!`�!tL�^ i+ OF --------------med......wb-it-e---sand.--------- -------------- --------- 9 U Nature of Repairs or Alterations—Answer when applicable--------------_-------------- mac_ .._. _ . g RENWICK c - <n Agreement: CHAPMAN r; The undersigned agrees to install the aforedescribed Individual Sewage Disposal Sys � provisions of iIT;"; cezm�g �i the p S of the State Sanitary Code— The undersigned further agrees not i operation until a Certificate of Compliance has been issued by the board of health. ss/oNAL ENG� Si /JT—pate�� A ........................Approved B - ll�yj PP PP Y -------•---------------- -•••---••----••----•----. ••---- Date Application Disapproved for the following reasons-------------------------------------------------------------------------------------------------------------••- -----------------------•-...----.....---------..._...-•--•----•-------•-----------••---•-•--------------------------•--•-•-----•-••-------•--•----..................................................... t- 76 ------.Date PermitNo--------------------------------------------------------- Issued............ 1 —1 Datb No. •-a... ------.... FEs........................... THE COMMONWEALTH OF MASSACHUSETTS .f. BOAR�D OF' HEALTH To.wn----------------------OF........Bar nstabl e------------•-•------------ ApplirFation for Disposal Works Tonstrurtinrn Prrmit Application is hereby made for a Permit to Construct ( x) or Repair ( ) an Individual Sewage Disposal System at: .... yj �......7.'� CF ,�v, /� Lot_..----- .--•--------------------------------•-_•- ...._:.... r Location-Address . r I� aTo�� :' C..ft.............................................. .......--- --------.BX'iC�g�'ta j 4ii Owner Address .................................. ........................................... ...... 99 Installer ess 1 r7 Type-of Building Size Lot............ _S_______________ q. Dwelling— feet No. of Bedrooms........... ................•.._...__.....Expansion Attic ( ) Garbage Grinder Other—T e of Building No. of persons............................ Showers — Cafeteria Otherfixtures .. . --••-I--•-------------•--------•------•----------•-----------------------.---.------------------------------------•----------_-__-- _= W Design Flow...................55............ .....gallons per person per day. Total dailyflow..__..__..__._._.._3�0-__.._........_srallons. WSeptic Tank—Liquid capacity1--L�J •_gallons Length ..- .0--... Width Diameter_.............. Deptl�l._Q_....... x Disposal Trench—No..................... Width...r.............. Total Length------ �_f......... Total leaching area---- �7......_...sq. ft. Seepage Pit No.................. Diameter.................... Depth belo inlet_---_-_.... __.. Total leaching area?...._...........sq. ft. z Other Distribution box {• ) Dosin tank ( � � tea ' ,d Goa a G �:.ur�e can -u hart j5j79 �., C r , a Percolation Test, esults Performed bY-------�---------=-----------•-••---•--�n�-s------=�--=-=---------- date---•---------------------•----------.. Test Pit No. I.....2........minutes per inch Depth of Test Pit..1-�............ Depth to ground water--------------------- Test 1� Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ra' -•••-•••--••••••••----------••-•••••-••-----•-•--••-••••-----•---------•----------•-----------------......................................................... 0 Description of __-coarae..ye .SDI ------- v --------------3-•-5-=b•.5.med._..Vej iow_•sand......L... m9...Q-... nars xeli Y�._.s. .d.1----9 P� w ..Me-o-*---uxhit.e-...sari -0---•---•-•...... U Nature of Repairs or Alterations—Answer when applicable..........................................:................ . . ...RENWICK _ •----------------------------------------------------•-••---•••••••••-•••-- „.,.. .. B. r=, o-----•CAu13A7fKN..... Agreement: p No. 27654 Q The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syste Vda the provisions of iITIL 5 of the State Sanitary Code— The undersigned further agrees not to '� operation until a Certificate of Compliance has-been issued by the board of health. SIw !r-•--•-----•---------_•_•---------------------------------•--•------•-•--- _•------------- ? PP PP Y ` ..._......_..._ Dat Application Approved B �� -- d f l� Date Application Disapproved for the following reasons:.............................................................................................................. ----------------------------------•----•----••---------------------------•-----------------•--------•----...------...---•-------------------•-----------------------------------•--•••---•--•---•-•._..._ Date Permit No......................................................... Issued_....................................................... , Date _ t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1C�.lrs 1.�1 . „ ...... .................OF.......•. a2J. . ... . �:.�.................................. Tntifirate of Toutph anrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (VI/or Repaired ( ) bY......Q_.To-?UQQ... e0 r_!!C-!eS-------------------------------------------------------------••_-_____--------------------------_-___-------______--------------- _ Installer at hCS (" i C '=' ;)AT 1 = ...-..4�z. .T.F h l) 1..t_E----=----------•--------...._•-•-•••----•••--•- ti. has been installed in accordance with the provisions of Lc. 5 of.The State Sanitary Code as described in the t application for Disposal Works Construction Permit No_______________7...................... dated... ............. THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ��//% �- DATE............ 7.G..................•----------•---_.. Inspector--------- ----•---•-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................1.0�,.!Al O. .......b!?..Z.iN S':�.►.� .....•----•............................ . No.........�....__.... FEE...:.... ..'":..... Disposal Vorki,i % ntrnrtion rrntit Permission is ereby granted.....;k1�!C q--_LK �.......... Q� l�,T. E.!��.---------•-----------•------------------------.................... to Construct (4or Repair ( ).,an Individual Sewage Disposal System .� treL't" as shown on the application for Disposal Works Construction Per i Dated. _ h ` . __ .------------- •-----.-.-.-.-.-_- qBoard of DATE......%�•--- .2-. • 7-t-----------------------------------------•-••--- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS S011 LOG •. - • , r � , ,X i e(.x.�✓irt.i Aiv lc.ttESSei(�iGY4 ../w,iy�_` "...�„_— •• -'. s �.2 PEAST ONE 1—LOAM 9 FILI 12 -MA% .7 4"C is DIST J 1000 BOX 1• o•.0 1000 GAL. . o ,4 110MIN. GAL. t `�s,e%'e PRECAST. OR •.b 24" �1F5�• r e -`�-z-- SEPTIC i., :°,.' ° `" • I MIN BLOCK TANK • .'° . I ro. s a a' C< 6 L, ;e SEEPAGE'-- P 1 T dzli o • o o w srr ,.., r 20`._ MIN: r - FOUNDATION WASHED STONE" P ? s 8is'S 40�ELEVATIO SKETCH. - , 4 4a , rTo= �+ �s�+1 � NT_ _ 10,, PERC..;RATE + ' SCALE. 1"= 4` TEST BYE M W�l�*t.t�C1J 4 r TOWN INSPECTOR: Al" •1'� 41IeA*91 BACKHOE OPERATOR + TEST MADE ON ir w • oi va QD 00 i J q Ors. 1 � / l . • ' � io. - � .�.. "i :Q�.AAAA '/' � .i �• I' � r n a " € �, � • tI �, raj '� 'SI 1FCCC" ' to Y ' , Y.•' t„ S. a \\\\ t+^ ,M, ` „�.. �. �"_. 4r+ r''4 /cjy, - t"I r- .. - . 'r„ ',..r - tr`. - •s, .. ±'!i { '� p R-',.c '. �� ,/. x6 ' ;' • • +iM1 "' L M I A I • f\ • . '•' ' - - E i , � ,,ti _ F`r•• ,s^� _ * n�,� Y �', _ -, ` `, .` '. ,fir .. 1 �_ ...fry' +*� ` }�.' � . •� � � � � .• '` tl ! . ' i 1 •.+a - low Oerric..Po4a qzo 41:1 IS pa 114 /4Il Z"ll�rl'zi 3.�9 �tc�asm„pa:CI�A G,d �r,sktrac GAS.,* 7- . • ioa-•— .Es,s "i.vG Ea. . �, ; - • . - � - . ate • pw ' t .�/��`�/f7l�S� f:18$ .�c'`�•'� "`F'i.��C�.l.�,r4'�"'}`:.9;�'' :i+ r�7 y it OF Ca A flo,21654 ELEVATION ' 'SCHEDULE' h �, 1gT;� 1v 1 NA��'� PROPOSED SITE PLAN I. INV. AT FOUNDATION ;' '_ . 2` a £ .. SEWAGE SYSTEM DESIGN µ' 2 4'IN.V. INTO SEPTIC TANK' _ f INV. OUT OF '•SEPTlCtiTANK4+,M. s capi-may.lt...Gd,; ! A • : 4. INV.- INTO, DISTRIBUTION BOX • ..SCALE,; I°= 20 � 5. INV.:.-OUT OF DISTRIBUTION BOX >~t C - 74.9 6. INV. INTO SEEPAGE' PIT = q< o.,� CAPE C00 SURVEY CONSULTANTS 1?, + ROUTE 132 # 7. BOTTOM OF PIT "' HYANNIS ,MASS. ; i 1 � --