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Home My WebLink About0119 FULLER ROAD - Health 119 Fuller Road A= 189— 137 Centerville S M E A D No.2453LOR UPC 12534 SMad.com • Mach In USA OSFIPmUS®NINSiROwim WWM jF1 M F 7 Our of THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYtcation for 30t5poga1 bpgtem Conotruction i3ermit Application for a Permit to Construct( )Repair( )Upgrade(X)Abandon( ) Complete System El Individual Components Location Address or Lot No. 1 1 9 1-u L L L'R R o A 0 Owner's Name,Address and Tel.No. -77/" 3 4,g L CC/vy�2✓I[ LC-� lnASS G, (,✓L'LLC2 Assessor's Map/Parcel 1 01 F u L L L R R D In 1$4 P 137 CEN*t2V1i-Li , M.4Ss Installer's Name,ALd4ress d Tf�1.N ® Designer's Name,Address and Tel.No. d-o fr-4 2 S-3 3 q y �0 �/� �15.1\ -7 LLI PAR Q/'L EN�vING-6R1Ny ANC IV C 111vV'�--J� °� PARIc�R 20. 0ST6IZVILLE MASS Type of Building: Dwelling No.of Bedrooms l-f'y _ Lot Size 0, G/A c-n.-ft. Garbage Grinder(N©) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow L1 y 0 gallons per day. Calculated daily flow �/N 3 gallons. Plan Date TA to. y� 2.0 0 2 Number of sheets 1 Revision Date NIA Title ProPDs6p SsP71c SIIS-r M LIPGrAQ,5- Size of Septic Tank 1 SO D Type of S.A.S. 111X 3 7'L CAc H. C11A Ale C Description of Soil:O-•22' 0 ro-A IV 1 C LtoArvt j Z 3 a"C,,arsc S.4410&c 1. ► 3 e-4 9��t3 rN'i s H Ytr L- eclArs'C 1A1V0 10YR 0/1 ; 4q '- 91.E Y L'tSH 6121V C041-y# S.441D IGY/Z S14 9 9(0 �- 12_3' F3m'o s1-1 YcL• C rsE _s ryD JaY/2 l Nature of Repairs or Alterations(Answer when applicable) ,tikolll ffi M 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 i ued this Bo ra ddoof ealth. Signed �, Daft 6 02 Application Approved by Date L� Application Disapproved for the following reasons Permit No. cc�!2�� - C'S�-� Date Issued C, Fee 0 ! / ' THE COMMONWEALTH OFrMASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 21ppYication for �DigVoOaY &pgtem Construction -permit Application for a Permit to Construct( )Repair( )Upgrade(X)Abandon( ) ®Complete System ❑Individual Components i Location Addrress'or of No. 1 9 [=u L L R R o A h Owner's Name,Address and Tel.No.SD 5 - L y L e CL_Ntt2✓ILLE, AWS5 /�(31GAC. GWL'LLG(Z x Assessor's Map/Parcel 11 g F u L L,E R (Z D In 189 P 137 CEN7erz'L11I-LE , 41,46S. �. Installer's Name,Address and T 1.NOD Designer's Name,Address and Tel.No. So fr"4 2 b-a 3 y y j C I_LI vg ry G_NG tvt R N � Glr�y I -7c Y1U r� 'y PARI<<R i2P. 05rERVILLE MASS i i Type of Building: Dwelling No.of Bedrooms DL4 Lot Size 0•G/ALA-ft. Garbage Grinder(Pri) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow NHD gallons per day. Calculated daily flow yh�3 gallons. Plan Date T P M. N. 2 o o 2 Number of sheets I Revision Date NIA Title ProPOsEp S4 PTIc sysTem UPGrAQ Size of Septic Tank 1 5-0 O Type of S.A.S. I 1 ix 3 7'L C-Ae-44. C k.Q A r3 t-2 Description of Soil:O- Z 0 rG A Al I c�L,,PArh ; 2 3 el Co/�rs SA/mo,In L L ; 3 e-4 9�i B rrv'i s N YiF L CelArsa S,owc> 1oYR V1, i 41 - 41. yaL�ISH a1ZV C, s.4r5 5Jc7tiD' IGyR S/e 1 9G - 12.31r Briv',SN YC-L• C01jr5,6 .5A1V4e> (41Y2 Ga Nature of Repairs or Alterations(Answer when applicable) y f��drLi iA b ,Ali Y t (7n c' J y M Date last inspected: f I 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 i ued b this Boa dpof Health. Signed - �-X� Dat&_ �-`- Application Approved by < Date � l Uo1 Application Disapproved for the following reasons ` �r ' Permit No. C �� - C��5�' Date Issued a ——————————————————————————— THE COMMONWEALTH OF MASSACHUSETTS -Y BARNSTABLE, MASSACHUSETTS Certificate of ComViiance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded Abandoned( )by . - at 114 FLlL.l.L'(L R.D, C°EMEI2VI L-Le 1&o has been constructed/in ccordance with the provisions of Title 5 and the for Disposal System Construction Permit No� -C:: j dated (� V� Installer Designer SULL)VgAN _,'AjGrNEEaIW,6 I IV C- The issuance of this permit shall not be construed as a guarantee that the sys m will unction s es gned. Date S l S I r 1 Inspector �. J % 1 9 ——— — 6a No. C"i'L.J...i � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS ligoga[ *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade()<)Abandon( ) System located at I q r U L L G R 1Z0 / C E/Vf,�F1zV1 L.LE / MOCS E 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 oft``•s permi. Date: �� Approved by ( I fid D C LP rn 0 m l ;o ;o m ) 41 P f y Zfrr ' rn U► ! I IO � p �, � � m I �o M I ;o I I m rn I� m I Lh I D I iI IA-u �� lam, I I m lC4 �- Side o 540 TOWN OF BARNSTABLE LOCATION ZX f tea//g SEWAGE # VILLAGE ce"'714f''e I111 - ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. G�� V <<�rf 7-� SEPTIC TANK CAPACITY LEACHING FACILITY (ty�p/e) .�f/L�P��S (size) l/X 37 NO. OF BE1I;ROOMS BUILDER OR OWNER dg i iL PERMIT DATE:" �lj-',L_ COMPLIANCE DATE: S /S O }. 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 Sr.� r f� .� � �� °' I �� s TOWN OF BARNSTABLE #,'c LOCATION _ f �,ex le "j� SEWAGE # o�l�®aZ� VILLAGE C'�� 'jP v� A ��GSSESSOR'S MAP & LOT 2 INSTALLER'S NAME& PHONE NO. 'G/!�V �'G-ifS 7L, SEPTIC TANK CAPACITY �� r LEACHING FACILITY: (type) 17r�G�e -- op (size) 37 . i NO. OF BEDROOMS BUILDER OR OW�ER �L PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility,(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by i i i q ,j`i LOCATION SEWAGE. PERMIT NO. VILLAGE INSTALLER'S NAME A A DRES k. e UILDER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED � � /6 / \ / ti y � o 3� No......................... Fmic ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --- OF..... ApVlirafton -for ]Niipoiiat Works Tomitrurtion Prrutit Application is hereby made for a Permit to Construct or Repair ( l�an Individual Sewage Disposal System at: ----IV- 144 Ze2::��, A----- ------------------------------------------------------------------------------------------------- ss or Lot No. --- ----- —------ C z-re- ............................L.... .................................................................................................. wner !j�4_ Address ------------- . ............. .. ..L. ................................................................................................. Install'er Address ppeof Building_, Size Lot............................Sq. feet U Dwelling;Ko. of Bedrooms---- ---------------------------------------Expansion Attic Garbage Grinder Other—' Type of Building ...........................:No. of persons..--__-------____----------- Showers Cafeteria Otherfixtures ------------------------------------------------------ ----------------------- ------------------------------------------------------a--------------- Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. 04 Septic Tank—Liquid capacity-.----------gallons Length---------------- Width............._.. Diameter__-------_._-__ Depth.--.--._----.-. x Disposal Trench—No. .................... Width-_--_--------_----_- Total Length-------__---.-___--- Total leaching area--------------------sq. f t. Seepage Pit No..................... Diameter-_--_-__-_--_--_-.-- Depth below inlet........_........... Total leaching area---------------_sq. ft. Other Distribution box Dosing tank Percolation Test Results Performed by------- --------- ------••--•-.......•---•-•---•-..._..--•----•--••..----- Date------------------------------------ Test Pit No. I................minutes per inch Depth of Test Pit._............__._.. Depth to ground water..-.----.---.--.-_.--... �14 Test Pit No. 2................minutes per inch Depth of Test Pit.............._..__. Depth to ground water--.--.-_---_--.--------- P4 <............./-- 0 Description of Soil---------Jeto.-"I.... a x U -------------------------------------.................................................................................-------------------------------------------------------------------------------- W Z of IRK ------------------------------------I.........................................................................../ ...... -------------- ------ U Nature owairsAr Alteuations wer when applicable.-.----- --------- -----------------��2_ ------------------------ -----/A k 6 C 15-:~-----— -------------------------------------------------------------------------------------------------------------------------- A4reement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b j sued by the board f health. ned .....-------- . Date Application-Approved By.__... --------------- -------/t---------e�.j------Date Application Disapproved for the following reasons:...............................7--------------------------------------------------------------------------- .........................................................................................................I----------------------------------------------------------------------------------------------- 0 - Permit No......................................................... Issued.----j ----- - ------ ------------------ Date -------------- / .�,Vol, FEE..... .............. THE COMMONWEALTH dF MAaCHUSETTS BOARD OF HEALTH ..............OF...... � : .� ...... ......._........... Appliratiun -fur Di ipwial Works Tonstrurtiun Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( kloan Individual Sewage Disposal System at: � J� ..... .... _...-----•••-•--•••-••-••--------•---------•--•-•••----•••--••----••••--•--•-•-••••.............. c -Address or Lot No. W wner V10 Address Installer Address Upe of Building, Size Lot............................Sq. feet Dwelling No. of Bedrooms_________ ---------_________________________Expansion Attic ( ) Garbage Grinder ( ) aY Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) � x Other fixtures ------ ------------------------------------•-- ------------------------------------------------------------•--------------------••-•--•-----•-------- W Design Flow............................................gallons per person per day. Total daily flow.........................................---gallons. W- Septic Tank—Liquid capacity------------gallons Length---------------- Width................ Diameter_-._._..___._-_- Depth---------------- x t Disposal Trench—No- ____________________ Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-----_-------------- Diameter.................... Depth below inlet-----_.............. Total leaching area------------------sq. ft. z Other,Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date--__-_----------------------.--_-------- a Test Pit No. 1................minutes per inch Depth of "Pest Pit-................... Depth to ground water...-.-------.-.-._-.__.. Li, Test Pii�'No. 2................minutes per inch Depth of Test Pit................ .�'_..Depth to ground water........___-__._--_----- a ........... --------- , f' I O Description of Soil--------- ------------------------- --------------------------------- ------- - --- _---------------- x ------------------------------- W ------------- ------------------------------------------------------------------------------------------------- x �� ,�d----- V Nature of R�p��//y�/{/airs r Altetattons— w�e/rwhen applicable________ __________ _____>__ .._..__. ----------------- '._-------__--..... .._ �c-=•�R-�Ip--•_. /f Sk�.___ �e _______________________________________________________________________________________________ __________________ reement The undersigned agrees to install the'aforedescribed..,Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not'to place the system in operation`•until a Certificate of Compliance has been..' sued by the board of health. Signed---- Q - ...... Date APPlication Approved BY ------ ------ •-_---- -- Date % Date Application Disapproved for thouollo i re ns_____________________ � 'sty•.- '.�. 3.., 4 _______________________________________________.____________-__--___--___-___._________-_____--_. .jDate PermitNo......................................................... Issued...................... .................................. Date ,:Lt THE COMMONWEALTH OF MASSACHUSETTS k BOARD 'OF HEALT_ OF ..................................... Trrtifiratr',gf Tuntvitatt ae ,,TH S 1��TO . TIFY, T t the Indiv• al Sewa e Disposal System constructed ( ) or Repaired by 0.. =` ......... ---- - --- __Z/......... __ _._. ..... ..................•._._.._.___._.-.--_-._.__-.___._ V-lias been installed in accordance with the provisions of Article XI-.of The State Sanitary Code as described in the s+f application for Disposal Works Construction Permit No_______ _______________________________ dated__..___:.__._________.____._:..__._______._____ r'y THE ISSUANCE OF THIS CERTIFICATE SH T ( STRtJE® AS"A�BJ,Ajt��E1�kiAT THE SYSTEM WILL FUNCTION SATISFACTORY. .r DATE == Inspector....................................c.............................................. THE COMMONWEALTH OF MASACHUSETTS '} .BOARD,OF' HFrH TH �—ry4 S . :.......OF.... ...._w.a "• : No......................... FEE... ................ � f ' ��t Permission is hereby granted �' � �`' -- ---------------- .�... to Construct ) ep (�,� I ividua ew a Disp l system at No -I� -• ._.� --------------•---------------- Street ^ as shown on the application for Disposal Works Construction Permit No..................... Dated.._.._._. ..__...._....__.___-__...-._...- of Health DATE_ __ _ . J � : FORM 255, HO & INC.. PUBLISHERS - j NOTES tii „=•� . F S59'S1"39"E C3'• I. Water Supply For This Lot is Municipal Water. :�0Q a 2.Location of Utilities Shown on This Plan Are Approx. a .. "� F. At Least 72 Hours Prior to Any Excavation For This ° 'Bn % C.-I 117.43' • BM 60 i ! / Hatch ry 169.21' Project The Contractor Shall Make The Required u Notification to DIG SAFE-1-688-344-7233. f (1 Ro•• • Bee �.0 3.The Contractor is Required to Secure Appropriate—H b - Permits From Town Agencies For Construction 6 / Fay uoTE• �-•—•-. - .j RE RI PE-SH. Defined b This Plan. 0 •-�� o: Y ranb,ry`= • ��° 1 P� �--'" ,To NE��/ SEGTtC S`roTEM, 4.Install Risers as Required to Within 12"of Finished •"- (L \c,�T w`•p• EX\ST.NO+SE "I`� Grade. •ain erry j� • •' �. 5.All Structures Buried Four Feet (4) or More or ' Lii1 / — 4 - —� �� _ Subject to Vehicular tobeH- -O Loading. yV o ��• , ,o • .�,,L p^j Z -� 6.Septic System to be Installed in Accordance With ,r o r 310 CMR 15.00 Latest Revision And The Town of �. :a• `" Barnstable Board of Health Regulations. E : / _ W� S� 0 7. All Piping robe Sch.40 PVC. cli T7 DESIGN DATA LOCUS PLAN Single Family-4 Bedroom Scale:IAssessors Ma 189 S Z„a No Garbage Grinder p Dail gyp• I .r�, � � y Flow: 110 x 4 = 440 gpd Parcel 137 (D Septic Tank:440 gpd x 200%=880 gpd Groundwater Overlay District:AP Use a 1500 Gallon Septic Tank. ° LEACHING AREA R�/ 40 `� Q_� r `—P\Tg 440 gpd/0.74=595 s.f.Required / 9O �` 1 RET0/NSTXIST AC PUMP E"�\T~GLG6. SIdewa11: 2(11' +37' 2= 192 s.f. •6j� '� \1�"`=ur -pr,C,TgNK NLW H (p/Ip•T9-C�6'1- Bottom Area: I I'x 37� = 407 $.f. - �9s" N � 3"— �� 599 s.f.Total Provided. g RE�,o\,�- _ p LEACHING CHAMBER DESIGN TI:ee 15T � - u �, Al I Pipes to be Schedule 40 PVC. Use 4 �'. 500 Gallon Leaching Chambers in a j 1 /,?\ TELEPpON6 -P I I'x 37' Washed Stone Field as Shown. L' Q =3 q 1 82.i 6" F� C N6 N0/ 1 EI O.p �� T�7 VL. FGrade ldsh v PLAN VIEW XJ�Cr y Filter, Scale' I"t= 40" -m-� Fabric .Co"pacted Fill elm OF Pea Stone • Leaching 3/4°-1 1/2°Double •N Chamber Washed eiiir u •!Si'L 1 4'-ld I I W.29M FG. 40.0 FG.38.0 FG.36.0 CIVIL CROSS SECTION OF CHAMBER C n 33.0 ..NOT TO SCALE O Connect Existing 1500 Gallon a Top El. 34.0 House Sewer Septic Tank to SepticTank ;'> Bot.El. 31.0 Bedding a$ 5.21 r O TEST HOLE- T.H. EL . 3L.0 9 Tee or Bot.Test El. 25.8 ' 1 SITE PLAN Per Title 5 No Ground Water 2 I o olzr-AN\C iLOAtIA _ PROPOSED SEPTIC SYSTEM DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM c I C•oARsts SANo/ MILL UPGRADE AT Not to Scale +--�RNISH YEL. COARSE= i S SAND l o'/ri 4//, 119 FULLER ROAD y9'�---�---- -- -- CENTERVILLE , MASS. 1 YLLISH 6RfV con.�st C1 SAND 10 VR S!� FOR q� ABIGAIL G. WELLER DstN:I$H YtT.L. C:;'ARS6 t „ CZ sHt is 1 o vrt 4,/6 SCALE: AS SHOWN DATE: JAN. 4 , 2002 123' -- ---- --- _E I SULLIVAN ENGINEERING INC. _ ,.;, - LiY SULLIVAN LWZ;t_ERING 1NG oz/vw/o2 - No GROUND\n/ATEfZ OSTERVILLE , MASS.