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HomeMy WebLinkAbout0022 DEEPWOOD CIRCLE - Health 22 Deepwood Circle Centerville A = 169 013003 . I SIII `� UPC 10259 ' �a No. H163OR4. V N�Ys�MQf� Y� _,,,,,,,.........._..... .._.,�. �.,�..a._... �_...�-..._ ._�� ._,_wa�.r...._.._.'--- .-�_.�.�: _ � =-- .�.,.......�. _......v(at�._`•_y�:.�.�a-_ �4�i.�s_:...u�o.:wl Syqs No. oa 1 }✓ Fee THE COMMONWEALTH OF MASSACHISETTS Entered in computer: i. Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for Mi5po.5al 6pgtem Cow6tructiou Permit Application for a Permit to Construct( . )Repair�rade( )Abandon( ) O Complete System J Individual Components Location Address or Lot No. ♦ Owner b Name,Address an4 Tel.No. ��/ Dwzj- f L;4.c s.✓T'c 2v i/ L n� a�/L/�6vc Y T'O Assessor's Map/Parcel / C Installer's Name,Address,and Tef No. Designer's Name,Address and Tel.No. 0- 3 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ) Other TI pe of Building_(� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 3 5 r gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank X S r% f� Type of S. S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) es 7- 0 /V tr 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 an t to place the system in operation until a Certifi- cate of Compliance has been issue >hisBcard of Heal Signed Date Application Approved by v /1. Date ? o Z Application Disapproved for the following reasons Permit No. Date Issued o L_ �,/L eta -. . � ,, � No. d U� s r Fee ik # THE COMMONWEALTH OF MASSACHUSETTS / Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for �Digpo!641 4, potem Construction Permit Application for a Permit to Construct( . )Repair Xupgrade( )Abandon( ) El Complete System i-_J Individual Components Location Address or Lot No. r Owneris Name,Address and Tel.No. AQ_ Deze wvrr �,a c�C t a.✓T 6 2 v $a' i lT"q I�7-c) Assessor's Map/Parcel l -- .-0,/ 3 o J 3 /, t Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. fofvs� ' 17g.2�� .'"IEytlZ Type of Building: Dwelling No.of Bedrooms- Lot Size sq.ft. Garbage Grinder Other Type of Building /< S No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow -3 30 gallons per day. Calculated daily flow a rT gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank L- r r s r%yam /y yC) Type of S.A(S. ,2 Description of Soil Nature of Repairs or Alterations(Answer when applicable) 4/ � s7vtiL 7v CC ,S7 �i.S / LItiL" Date last inspected: Agreement: The undersigned agrees to ensure the constriction 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 issued by this Board of Health-- _ Signed �y�,> r ' 2'"- -'` Date / //,I-3/a) `Ap`plication Approved by Application Disapproved for the following reasons J. r Permit No. o U U) Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( ) Repaired ( ),Upgraded( ) Abandoned( )by /?/2 / N &' S i at _�2 .. /fir t w a v i 2 e lr_ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ? o2-P1't dated R Installer /9/Z. - '� Designer /i)A 2 i2 . 'L, The issuance tof his p rmit shall not be construed as a guarantee that the sys m will function as de 'gned. Date I I Inspector ------n ,—/—' ------=------------------------ No. „[d C,,) Sly J Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 'Wi5po0ar *pttem Construction Permit Permission is hereby granted to Construct( )Repair(�Upgrade( )Abandon( ) System located at 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 p t. _ Date:- Approved by_� F r TOWN OF BARNSTABLE LOCATION �— �'PGc�o�ti 'ec SEWAGE #�06-2- S�f 9e VILLAGE C o t�v � ASSESSOR'S MAP & LOT '®d va)3 INSTALLER'S NAME&PHONE NO.119/1c I&'' 61,5ri— rd ,S'o F 3G-� SEPTIC TANK CAPACITY fi X s f 1,60 a LEACHING FACILITY: (type)C) S o 4e;40 Zwe12 S (size) ZS X 13 k NO.OF BEDROOMS 3 ` /� BUILDER OR OWNER /2 f C o-Ie C�f3/ /d ;r PERMUDATE: ( COMPLIANCE DATE: u A 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 j 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 J 1 r 53 63 nn 0 /SDln t .10 p 0 S CC TOWN OF BARNSTABLE 'l 0(:!),cd LUgATION Lo-k SEWAGE �c7iL-3 VILLAGE ���'��� ASSESSOR'S MAP & LOT Z b INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 0®O LEACHING FACILITY:(type) (size) r l 1 ( NO. OF BEDROOMS PRIVATE WELL OR UBLIC W ETA R BUILDER OR OWNER DATE PERMIT ISSUED: I o- - 3- . DATE . COMPLIANCE ISSUED: ` b- 4 VARIANCE GRANTED: Yes No � � � J 6 �c� �� � � � - , � `�` I o/ S� , � �' 6%� � ��,, TOWN OF BARNSTABLE i LOCATION SEWAGE #,2,00.4. VILLAGE i f 2 ASSESSOR'S MAP & LOT 'D13'�3 INSTALLER'S NAME&PHONE NO. P SEPTIC TANK CAPACITY AE X r s f /O©a LEACHING FACILITY: (typeK-2) -5 ���' `���` S (size) '_2-S X 1-3 X Z NO.OF BEDROOMS BUILDER OR OWNER /? PERMIT DATE: /I d:I 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 Fit,,� 53 l5-o N r 1 _ top 5,- THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH S' ....... ► .........OF.....C,, � '`- ................................ Appliratioo for Diopoott1 Workii Tomi ror#ion ramit Application is hereby made for a Permit to Construct �, ,) or Repair ( ) an Individual Sewage Disposal m . .Q_...__ l cE ............. � .•-• ...C...-- or Lot No. .11 t' ............•.... ocation Ar.ess _ moo......................�-. ��: 6...& y L�................................ Owner Address r......L.c:6 5 .................. .... /V G/✓/�i ... Installer Address yy Type of Building Size AIL Size ----Sq. feet U Dwelling—No. of Bedrooms.......... .Expansion Attic ( Garbage Grinder ( Other—Type of Building _f ............ No. of persons....a................... Showers ( ) — Cafeteria ( ) Q' Other fixtures ... W Design Flow....................... ............gallons per perso r day. Total daipy flow...................... _.................-3__7.�?_.__.galltons.r WSeptic Tank—Liquid'capacity.l .gallons Length"16..... Width.4--le)._ Diameter................ Depth.. x Disposal Trench—No..................... Width.. .......... Total Length._____ ._.____..... Total leaching area....................sq. ft. Seepage Pit No----------I-.---__-- iameter......... __.. Depth below inlet...�..__.___.... Total leaching area._ _. 6..sq. ft. Z Other Distribution box ( Dosing tank ( ) Percolation Test Results Performed b .__ . . �cs� �.` �" Y _ ate..--... I _. ,..a Test Pit No. 1....____________mmutes per inch Depth of Test Pit....t!s.3.......... Depth to ground water................... Gt, Test Pit No. 2................minutes per inch Depth of Test Pit---- Depth to ground water........................ E4 .................F.............. O Description of Soil � ..:__ .... ��� 4 " --------------------•------ x ....--------•---------------- --•--------...._........----••------------. ---...-------••---------........---••-..........-----•------••-----•--•-. 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 TIT 1 . 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 healt; in .....•.•.... ..... .. ...................... .....--••--................_..... ^L Application Approved BYIt e --•--------•---•-----•••-•=.....-• -• •....... -- ---------------------------- -•-•-- - -----C --_------ Date Application Disapproved for the following reasons:-•-----•--------------•---•----------------------------•---•-------------------••-------------•-•-•-•-•---..._._ -----------------------------•--------------•------•---••------------------------------••.....------...•.•----------•---------•--------•-----•.....•--•-•---•----------••--------------•--•------•...... i Date PermitNo.... ------`- ' .. Issued........................................................ _ Date 1 � ► t � 1 No. . .. 2 Fes$. ........rJ.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ ........OF....... � -P� -.--...._.. AVVfiratiaan for Diipaaii al Works Taan,strurtiaan ramit Application is hereby made for a Permit to Construct (A) or Repair ( ) an Individual Sewage Disposal System a'L:r'�t --- - -----••--- S--1 o oca �A/ddress ` r ` J,� or Lot No. Owner Address W Installer Address G Type of Building Size Lot----�_.4_�.0 -Z"..Sq. feet V Dwelling—No. of Bedrooms____________ ................._....__._..Expansion Attic ( �,� Garbage Grinder ( ")G aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) p-' Other fixtures --- ---------------•--•----•--•--------------- W Design Flow........................�,1'. ............gallons per perso p)r day. Total dai�y flow........................ ..__Z5._..Q..._gallons.P. W Septic Tank—Li uid'ca acity..`K.X...I.Q a I I o n s Len th=6i.... Width._'.-/P. Diameter................ Depth----'-�-- _.... x Disposal Trench—No..................... Width... ....... Total Length......- __......... Total leaching area....................sq. ft. Seepage Pit No........... iameter.......... ..... Depth below inlet...-................ Total leaching area...A�" ..sq. ft. Z Other Distribution box ( Dosing tank ( ) /' - '—' Percolation Test Results Performed by. 1 r ._N`� .:..�_:e�`I�. te... ':..` :.�_ .._..__. Test Pit No. I..... :77`.minutes per inch Depth of Test Pit..../.J�....._._... Depth to ground water.G?l ..f. (i, Test Pit No. 2................minutes per inch Depth ,of Test Pit.....G ........ Depth to ground wa er........................ a' •• --------------74.-----•.•--•--� ....... O (.l �,f � Descri Description of Soil l� -----.�.J�......���L---- .C2 P 1 �------./- -----------------------•.......--•----- .....................................................................................------------------------•-----••-------.....------•----•----. W 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 T I'=- 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. r 1gne�d_" ...... ------�-- •------ Application Approved BY `` .............. '..------`.. t f Date Application Disapproved for the following reasons-...................................... ............................................................_........... aa6 t -------------------------------------------------------------------------......_...---_-.._...-----------.--- Date Permit Na._...... C�a' � IssuecL. • ` Date A THE COMMONWEALTH OF MASSACHUSETTS BOARD OF -HEALTH ..............Lt !-Q .........OF........... ..................................................................... TrrtifiraU of Tom ptianrr THIS IS� TIPY, That_the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY--•--•-----. ..................................--•-.... ...................................... -- ..--.. ............._..........--•-------_..._ ---- --- -- // Ins>�a]1eL at..._....:_k�.Q -�� ---------(�....� J ..............-..................... has been installed in accordance�with provisions of TITS of The State Sanitary Code s esc ibed in the application-for Disposal Works.Construction Permit No..............�p__...�. .�.�.? dated_._----_�/__�__2 .............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................- ) . Inspector-----------------•-•--------- J.... ----- .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -ft : st �( �..dV:Q...............OF........ .�-> ...�._�. ..':...........�-::�":................... "��'" d� No........ FEE..........:`.•. ...... - V Permission is hereby granted....... ...C�.. ... ---- --------------------- to Constru t ( ) or epai ) an Individual . e D' posal Syst "at No.. — Street as shown on the application for Disposal Works Construction Permit No ..�!2.1.�Dated.._....�.��� 'cam - DA Z. � - 'q .: S_; (a Board of Health FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS �1✓51 Cz t1 ��.. IOTA ;:�' S t N 6d, E:!AN11 L 3 3 ED r2"Ar4S "pis l a,`C..r ww.. -.t 1 a x 3..a . 33Z7 RYA �v,��,� •9,A� S E'PnG ,�rs�C% 33Lz ><�Sa,K s 056tY"D E � y.a Use 1 oata G�:�1 o►a Sync a►a►c. ?C. No. 29733 Oil �ls�os���rr•�- usE �oaa C�al.,.ou��r _ � .a ,�, •._, 1 �� G211614-M p 5To 1_m 6 AzEA _ wo sF -L _ L A 'T7 E•6l Eck.! FLo v:t% 425 Ez?V N To-mc•. OhlL`{ F'►,ovc! 550 6c?v 5 - r-tC01ATl0NTZI.TC . 1=VE07 IkA -ZK1 .i.OzLs55 0 . a TmST N bL'E- = 'Z..4A•8�S No w p -Ef� 1 - I q C� Toy of Fti117 p U ' vc. ►sr. 5c toao ►NY .. o• �Thl� 11.1� 31�fj' ►.l L>xH a 3?1 luY 1Nv 7'r�3.1tC 1r ` 34,o1 Wpsx CERTIFIED c. A �' 6' l' b 8 P I-A X 'Z e F F_.-R F=:N c_z �7 '" `� / 3 P sq 4-�'t .� F�. �K 3 �1 WILLIAM GJ m'v , PlYE r e p No. 19334 F-J'Aczci.1alatLS W 1,79 714'E 5 t Zug ��l I�1`�•^• i h�S , A N� S�T'��K "IiEGx11�E t•4�tyTS aF-T�-1 E _ t�,F1DkQUb%-P_tC At4-D tS 1 �T LIC�It�IT: �Av 11:� �z�fA`Ct=2� W ITl-4t" THE 'F l-aUi Lhl THIS R&NA 15 NaT-;bn'5t R oN hrl IN 5T Ru Nl�f�T 5uK\rCY AND I HE oFF5El'5 5hOWN 5HaUt`'D _ r3 i= uSEp Ta E'STX'jL15H Lc;T LINE:NE S. ti � I41 LET -Z GF Z \�AjA,)' a 3 �3•Q.�lc�s�1 Q � NCI � I lb c�Lam: jN OF M 4 \ PATER SULLIVANCJ O N No. 29733 0 .O� ��c�STOL �Q BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville,Massachusetts 02655/Tel. (617)428-9131 WELLIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering March 9, 1987 Town of Barnstable Board of Health P.O. Box 534 Hyannis, MA 02601 RE: Lot 3 Deepwood Circle, Centerville Permit: 86-1213 Installer: K. Hickey Dear Board: In accordance with your request I have inspected the installation of the above referenced septic system. The system has been installed in accordance with Title 5 and Board of Health requirements. Very truly yours, Peter Sullivan, P.E. Baxter & Nye, Inc. PS/bc o �LjN OF Mgs��c r PETER � SULLIVAN No. 29733 ti �J'S/ONA L MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS . 5 ASSESSORS MAP: Rol TEST HOLE LOGS NOTES: �� 0� PARCEL: (3 1) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH S SOIL EVALUATOR: I �C�R He P-4; THIS PLAN, 1995 MASSACHUSETTS TITLE V & TOWN OF FLOOD ZONE: L WITNESS: jV 1A f b 5T A&.S BOARD OF HEALTH REGULATIONS. 2� REFERENCE: �� 1�$ t DATE: 0GTbP121) 2G02- 2) THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES, P� d`j PERCOLATION RATE: `2 '� 1ACA SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO 1 Sall. L "IZ 0.7y INSTALLATION. TH- i EL,53, TH-2 3) THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION LOAMY ONLY AND SHALL NOT BE USED FOR PROPERTY LINE Q4t DETERMINATION. „ 3 Sp MD - { 4) ALL PIPING TO BE 4" SCHEDULE 40 @ 1/8 `7 FOOT. (UNLESS B S h)by Idyll S/$ SPECIFIED OTHERWISE) LOCATION MAP(wr.s) Sy 1 „ 5) THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A ct�" GARBAGE DISPOSAL. 1 s�� 2., /6 SO' /,��•tf y 6) SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) `' MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON C M E Dt UM 2.Sy 6/ A BASE OF 6"OF CRUSHED STONE. 2. St' 0 7.) Ex�5 W6 1,5H,,g prr To BE P~60 CEVSHED Fi � 4 'W,60 per-- T�'R.r.� .j� y - No o 9M1-1 ) MVATE WELL. w/N l50'0F P2aPo5, _.�. sy 9 A b w�,.kt,0S I w /5"b a� P�eoAc? G IM& �s SEP"T I C SYSTEM DES I GN "' ----- Jb FLOW ESTIMATE �cr►� de �sg9� , d1221S1tgl �� fvUAyS � lY� i ►3� BEDROOMS AT I!a GAL/DAY/BEDROOM • 330 GAL/DAY 1 3/ o � - i SEPTIC TANK 16 D350 GAL/DAY x 2 DAYS a4 GAL USE U GALLON SEPT I C TANK—FYIS'/ k�fffthGE W/ 1)5cO6A4V n / 3 �XrS7/N i SO i L ABSORPTION SYSTEM - / i (,EA 4 CphW EZ W S7yNiEr ow .-ti S/ASS �25►Lb�t3�x'�'� SIDE AREA"I 2s2+ l32 x2 x o,7� / LOTS t� �► I I � : � C � � - / 11 OgZ!4'6. i BOTTOM AREA: 2.5 )c 13 x O. 7y = 2vo40 / -- - —► �— ' 352,gg —St � SEPTIC SYSTEM SECTION SZ — _ _.. SNA'¢�t� DR ivir BEN Gt-1 ►`1k.R �c', 1 �► a /b /� J C-G sv,sa 1 f ?oP a�Go ND�t"flc�t � t Z"_ " Dvv6/�jtla�thCe( S7`or►p Eti�v,4�=59.5� S'77 o.*26 7a / GAL ECEL47I6A/ SEPT I C TANK �'ar /�u°/►t�3's� JY � � ZSi x13 rtrJ , ,rjd�t G�= ; 715,�P7 c.p, e4, N , SITE AND SEWAGE PLAN z L rt 1-140 F 2 P44 LOCATION : r VxL CE P Woo" PREPARED FOR 0 o SCALE DARREN M. MEYER, R.S. DATE: Z 43 VINE STREET DUXBURY, MA 02332 W• © tkoc) goop A.- I D W � ATE HEALTH AGENT (781) 585-0293