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Home My WebLink About0300 GREEN DUNES DRIVE - Health 300 GREEN DUNES DR Centerville A = 245 - 027 E M E A D® KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSTAINABLE MIN.RECYCLED FORESTRY INITIATIVE CONTENT10% CaBfied66erSourcing POST-CONSUMER® y wwsriprogram.org SN-012W MADE IN USA GET ORGANIZED AT SMEAD.COM LY /FiwB �7 THE COMMONWEALTH OF MASSACHUSETTS !� —7 q BOARD OF HEALTH _ ----.....�w.44.......OF... 45 �.- '�..-......-.. Appliratiou for Biipoiial Works Tonitrurtion ramit Application is hereby made for a Permit to Construct �() or Repair ( ) an Individual Sewage Disposal System at: 3n Grp,r a - ...--•-----•---------------- --..... . .....LQca ion Ad �V ' or Lot No: �, +�i ....:........ ................. .......... Owner Address a .......................... -oe. . --- ---• ----------------------- -------------- -.......--------------...------•-------.... Installer Address Type of Building Size Lot_____ pl _-Sq. feet Dwelling.—No. of Bedrooms....._.______________________________Expansion Attic ( ) Garbage Grinder ( p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------------------------------- W Design Flow.............. ...................gallons per person per day. Total daily flow._ x.��v- .........gallons. WSeptic Tank—Liquid capacityj.�gallons Length---//........ `�lidth-----6_...... Diameter...... Depth...SAS— x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area---------- __sq. ft. 3 Seepage Pit No_________________ Diameter........1P._____ Depth below inlet........ _1..... Total leaching area---.�,�`�.sq. ft. Z Other Distribution box (X) Dosing tank a Percolation Test Results Performed by._.: .= ��5.._.� "IvtS_________________ Date....__ .__ .I�- ........... Test Pit No. l................minutes per inch Depth of Test Pit--------l .... Depth to ground water------ Test ' o Lr, Test Pit No. 2._�Z-._._minutes per inch Depth of Test Pit..../_.4?._-------- Depth to ground water------- ...... ________________ ... ...._.__........................................�..._____._.... . ` 0 Description of Soil..._*_t..�_d-3 ' 7W-P � ...... V "�------- -----------------------•-----------------•-•-••••••---------•-•--------------------------..------ ---------- ••-------------- •---------------- •-------------- W = J! � �' rv; �i c_rem _------•---------•---••-•----- .... .................................................................. UNature of Repairs or Alterarions—Answer when applicable.____........................................................................................... _ ----------------------------•---•------------------- -------------------......___... _----------..-------------------•-----------------------•-••-------- --------- -------............ ........................................ Date Application Disapproved for the following reasons: - .............................----................ ---------------------------------------------------------- .......................................... ...... —7 Dare PermitNo. J--------------------------- Issued ..---- --- --..--....--....--........................._.....-- Date No...... -• -=--- FEs.............................. 9 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ ••---- Q v.�).44......OF.... . .... Appliration for Bispnsttl Works Cnnnstrnrtiun 1rrmit Application is hereby made for a Permit to Construct (,)() or Repair ( ) an Individual Sewage Disposal System at:64&... &-A) ' ter'T' ............._........_........................_--------...............----...-•-------•----•- -•---.....------------•....... ........................................... ca•ton Address or Lot No. ... .- Owner Address W a -................ -. Instasta ller Addddrr ess ................... Type of Building Size Lot___7 Sq. feet Dwelling—No. of Bedrooms.._......................................Expansion Attic ( ) Garbage Grinder (oll aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures .................................. _ Design Flow.............. ...................gallons per person per-day. Total daily flow. .........gallons. WSeptic Tank—Liquid capacity gallons Length___��__..____ Width----- Diameter.-.--- ---- Depth... x Disposal Trench—No. .................... Width.......-............ Total Length.................... Total leaching area............ __sq. ft. Seepage Pit No......... '.......... Diameter_.------t �-.-- Depth below inlet.......�.�..... Total leaching area....y�_,�`�.sq. ft. Z Other Distribution box ( ) Dosing tank ( �,.� a Percolation Test Results Performed by....s� -------------------------------• --!-----------___-.. Date___.__:. __...__1--------------- Test Pit No. 1................minutes per inch Depth of Test Pit-------- Depth to ground water......l? -___.-. Test Pit No. 2..fl 2:.....minutes per inch Depth of Test Pit---./_o.`........ Depth to ground water....._&!2!'....... ------------------------------------------------------------------------------- •--•--.....--•------•---- 0 Description of Soil ' ' �'' 'aL4^„,e .. . ,• -------•-- ---� w Z .. � V -------------- '------ ---------�-••-•...........•••••••-----•............ .-------------- --------_---�--_------.--�--------------.------.......-•--•• W � 4 � h �� Sic- :s 6 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compli nce has been issued by th6 board of health. r r f Signed, i... ........ ....-.- <,,.r�/1 ............................................. U :r xro � Dare Application Approved By .......... .... �... . .�r ............................................................. ............................. Date Application Disapproved for the following reasons: .... .......................... ... .. . ................................................... ...................... .................................... ....... ..... ................ .... .. ................................ .... . . -- ...............-- --- ------- .................... --------------------------------------- -7 Date PermitNo. ..... ......�. . 1 --------_-------_-- Issued ------------------------------------------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / tit ----- OF ------------it .... --------------------------------------- C�Ertiftrate of C�ontylianve THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by ...... .......... .... .............................. ------ -----.... ........... Installer at ... .. .0. legit..1.7......... Y' ........ .(�,j•�.eJ4..... �.! ...... .................. .......... has been installed-in accordance with the provisions of TITLE 5 of The State vironmental Code as described in the application for Disposal Works Construction Permit No. ................................................ dated ........................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ...... Inspector ----- ...... �� ------------------------------------------------------------------ . ................. ...�.I€,...r...�..�.......------- --................-.... p THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH rr1i(.:........OF... ............................. ........... ... No... .t = � FEE...... ...... Disposal Works Tunstrnrtion "prrmit Permissionis hereby granted......................................................---•------------------•----------------- to Construct or Repair ( ) an Individual Sewage-Disposal System Street'......__._.._... ..................... E' at No.........�-.- T_.1� /....7...........-�7 c.�. '�""`-? '`"R'o as shown on the application for Disposal Works Construction Permit No.._+�L/=.:A3_/_bated.._.. .7_ ��,....... .. .......................................................... Board of Health DATE............. .............'. .�_..................................... Form 1255 H HOBBS&WARREN rr.t Publishers TOWN OF BARNSTABLE ' LOCATION SEWAGE # a VILLAGE ,-. ASS SSOR'S MAP & LOT INSTALLER'S NAME & PHON NO. SEPTIC TANK CAPACITY-� LEACHING FACILITY:(type) (size) NO. OF BEDROOMS �— PR.IVATE WELL O PUBS IC WATER BUILDER OR OWNER K � �` � �� DATE PERMIT ISSUED: T DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes_ No I A 13 TAN Pt f 1 32 0AP j i i ACCESS COVERS`MUST BE WI THIN GENERAL NOTES : 12 OF FINISH GRADE FIRST 2 ' TO DESIGN CRITERIA : INVERT ELEVATIONS : BE LEVEL I THIS S PLAN l S FOR THE DESIGN AND DESIGN FLOW: INVERT AT BUILDING:, 99. 00 . 4- PVC MIN. 2. OF 5 BEDROOMS AT AG. P.D. PER INVERT " CONSTRUCTION OF THE SEWAGE DISPOSAL IN SEPTIC TANK. 9B. 80 SCHEDULE 40 PEASTONE BEDROOM EQUALS 550 G. P. D. SYSTEM ONL Y., 98.55 INVERT OUT SEPTIC TANK 26 55 99.18.80-1 97.80 9B.00 s 0 6 374- 1 I�2- DIA. INVERT 1N DIST. BOX: , 98. 00 2. ALL CONSTRUCTION METHODS AND 3 OUTLET s9.eo WASHED STONE YES. GARBAGE GRINDER l0 MIN. INVERT OUT DIST. BOX. 97. 80 MATERIALS FOR THE SEPTIC SYSTEM 1500 GAL D-BOX 2' 6' : 2 INVERT IN `LEACH PIT: 95. 80 SEPTIC TANK SEPTIC TANK REQUIRED: , SHALL CONFORM TO MASS. D. E. P. LEACH PIT 5 /I00 BOTTOM OF LEACH PIT. 89. 80 TITLE 5 AND LOCAL BOARD` OF HEAL7H Q_G. P. D. X 20OX GAL . REGULATIONS. PROFILE • NOT TO SCALE SEPTIC TANK PROVIDED:., 1500 ' GAL : ADJUSTED GROUND WATER: OBSERVED GROUND WATER: s 10. - SIZE OF LEACHING C 3• ALL SEPTIC SYSTEM COMPONENTS LOCATED 20. FACILITY I TY REQUIRED. BOTTOM OF TEST PI T• 85. 80 550 GPD X 150X - 825 UNDER AREAS SUBJECT TO VEHICULAR TRAFFIC /, ss G. P. D. �// 3> DES l GN PERC RATE 2 M l N/INCH OR 'GREATER THAN 3 IN DEPTH SHALL BE � � ,,,. ,�e,., CAPABLE OF WITHSTANDING H 20 WHEEL LOADS. oar . PROVIDED: 2 6 'PIT(S) W/ 2 'STN. i r .}t ... S I DEWAL L : 377 S. F.X�_ - 2 GPD ' 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 ,4, . r 1 i OR APPROVED EQUAL , `� . ., , , r, ,• , BOTTOM. 157 S. F.X l . 0 - 157 GPD ; •h ti � i i , .r.. i � . 534 TOTAL . S. F. 1099 GPD 5. BEFORE CONSTRUCTION CALL D l G SAFE r , , r / ;` _. LOT 1 � , , , .� l 800-322-4844 FOR LOCATION OF ? , i r8 / , /; f � ; ,' SO S 3476s s. F. , � TEST P l T DA TA UNDERGROUND UTILITIES. , I ND I CA TES I ND I CA TES PERCOLATION Q OBSERVED / l , TEST GROUNDWATER 6. VERTICAL DATUM I S. ASSUMED ZONE : RD l i /�., TPA I TP+� 2 7. FOR BENCH MARKS SET. SEE SI TE PLAN. SETBACKS: FRONT - 30 ' GRND EL.100.8 GRND EL. 100.6 SIDE - l0 ' G.W.EL. N/A G.W.EL. N/A REAR 10 i / - - _- _ __ ► o r TOP a TOP SUBSOIL SUBSOIL r i A6 o di r 3 97.8 2 96.6 ee.41 r OAR s x r .,F r 1c, r YELLOW MEDIUM YELLOW / - SAND MEDIUM / i Y 7 5�3.8 ` SAND - / o , v — / FINE - 0a' SILTY 7' 93.6 - 1 TIGHT l s , HT i r .fir► � � ;� , SAND FINE 7 0 ».o `QU N P, :.. - a SILTY W .�l I l 89.8 V �, 1 y r -SAND RITE l0 90.6 0 NO WATER , 1500`a4 MEDIUM ,'e j I SEPTIC TA _ u SAND 1 5 NO WATER 85.8 - ti DATE: JAN. 7. 1993 D- ox II �' t e TEST BY: STEPHEN HAAS W l TNESSED B Y: GERR Y DUNNING tn j1-6' P1TS Y W/2' STONE ; PERC RATE: ( 2 MIN/I NCH f �•e -------------------- MA i ' r rl\ f T.P. 12 /r ` 00 6 r \\\\ 1 \`` ` RESERVE 1a t ,. ::. . SE�' T / C Sy/STEM LSG/V ------------------ LOT 17 35375+ S. F. / � �°'!' Y /�"� ! A / V / V S iP O R T . /VIA S J , V ' --------- i ' -------- .« P R EP A R ECG F-O R RAND 5 WE- Ti 5 " -- 10 0 s �` �� i s; S CA LE- : / .. 130 MA Y 2 6 • / 9 9-4 ji E'NG I N.E'.Lc'R I NG . I NC . cr n 8 azvcrntz N,..%/ ,' BENCH MARK: i z / , ,h`. HYD TAG BOLT 5 EL-/0/.43 0 15 30 60 [JOBDRN: SAH NO: 94-262 ` F I EL D:CFW/R VB FCALC: SAH/CFW CHECK: CFW f