HomeMy WebLinkAbout0329 MAIN STREET (CENT.) - Health (2) 329 Main Street (Cent.)
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Ec1Li•«f iN�t�and aad i,oacThi�►�r t�ac�lity+t�'_m+Y wetlands east ,,;,,�;,,_�,�oc
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U TOWN OF BARNSTABLE \ �
CATION "/ Iti- ( SEWAGE # ��
L=AGE lJ-C'Nl/U Y ASSESSOR'S MAP & LOT ZD
INSTALLER'S NAME&PHONE NO. ,, r
SEPTIC TANK CAPACITY C-2�� 5 t` ) 110` V c)A
LEACHING FACILITY: (type) Gkt� he C 1
NO.OF4EDROOMS
BUtLDER-OR OWNER
PERMIT-DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
.61 -d
No. —0 7 7 i' F •V* r Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
�. PUBLIC HEALTH DIVISION -TOWN OF BAMSTABLEs MASSACHUSETTS
2pplication for Mig ooaf * gtem QCongtruction Permit
Application for a Permit to Construct( . )RepairXUpgrade( )Abandon( ) ❑Complete System)Odividual Components
Location Address or Lot No. ' kR Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
i\@ t*-1�, C' �rhZa. M,_Cann
ao`8 J I1 *
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
�b�D�f'�-g �.Qfi�C ��yGC :S1-}�`c� �t�.ru►t'�inf»��'�,, �vc.S
(04-e -53\O 1
Type of Building:
Dwelling No.of Bedrooms Lot Size 5�0 sq.ft. Garbage Grinder WA
Other Type of Building No. of Persons Showers(Cafeteria(V)
Other Fixtures 'Sioic I LAvw,gy
Design.Flow gallons per day. Calculated daily flow 44 e o 4 gallons.
Plan Date Number of sheets 1 Revision Date
Title S
Size of Septic Tank aka\ Type of S.A.S. ew AtW%reQ..S
If
Description of Soil 2,0-54C-�,o { jr 1
Nature of Repairs or Alterations(Answer when applicable) C>_\CCN
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 t Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has
Signed Date 3
Application Approved by Date �d
Application Disapproved for the following reasons
Permit No. cQ= 6 0 - Date Issued .�
-"..�',�- �'�"• .. -- s..... .. *,,,.,. � 'mot--•. _ !� r:;;i
t Gqa, j
} No. C7�-�' S—0�' - ;._:y Y 1€ Fee �y 0
Entered in computer:
z t
' THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -TOWN .aF BARNSTABLE., MASSACHUSETTS Yes
ZippYication for ]Diopooal bpetem Con.5truction Permit
Application for a Permit to Construct( . )Repair><Upgrade( )Abandon( ) ' El Complete System Individual Components
Location Address or Lot No. ST Owner's Name,Address and Tel.No.
Cec,�e�cv�1\e 1MP C h-�ci�o Mc Cc nn
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
' 1�ober-�s '�ep�tiC �afi.;,C< 5'HAN 4Nu�a�nc���'�\ 5vo5.
S�-s39-19tp(o
Type of Building:
Dwelling No.of Bedrooms Lot Size 15,D50 sq.ft. Garbage Grinder 001
Other Type of Building No. of Persons 4- Showers( ) Cafeteria(V )
Other Fixtures L1av%4TuZY , k-,TG eQ StOk , t_AtiNpaw
Design Flow 440 gallons per day. Calculated daily flow 4-41,o 4 gallons.
Plan Date_3 I`P J OS Number of sheets ( Revision Date
Title 01DSMc�Q
Size of Septic Tank ctsT . \,000 G g\ ' Z Type of S.A.S. 3 C.t-1 AMP_,r_¢S.
Description of Soil e';kC -k-o G1c��
Nature of Repairs or Alterations(Answer when applicable) t�2 f' -� (��Q�
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 oft Er._vironmental Code and not to place the system in operation until a Certifi-
cate of Compliance has.]aeeta-issued-by_ 's and-of H
Signed Date
Application Approved by _ Date 3 9 d
Application Disapproved for the following reasons
Permit No. C 5 ` 10 7-7 Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
lfiortifirate of Catmplia xre
THIS IS TO CERTIFY that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded(V )
Abandoned( )by Al> ScPT)C-
at 1ViAln1 ST: CF_�.ft'F_fZd,LrrM has been constructedt in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.M 5 -10?? dated 3
Installer Designer.--_ .,a .�.,. macs.
The issuance of this permit shall not be construed as a guarantee that the syste r`w�Il�unction as=designed.
Date 3 i���U Inspector'�47s� '�
-----------------------------.------------
No. 00 5 —Q-7 / Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Mi5pogal *p.5tem 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: ConstrMt)i
must be completed within three years of the date of this eert��rtit.
Date: 3 Approved
T
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I
Town of Barnstable
OFfNE Tpy�O Regulatory Services
s
Thomas F:Geiler,Director
• BARNSTABLE, «
MASS, �0� Public Health Division
\ TFD NIA' s
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date: 18S
Designer: s►+c"Y 9,na, s 4c�s. Installer:
Address: .t> ��X Address:
Fc'0—)o,,JT1-4 . !Fk n RS3(0 0\1'n4
On 3116106' �r c� �ap�; was issued a permit to install a
(date) (installer)
septic system at 3a? MAtr4 5 ,, , 4nJgr,&1,le based on a design drawn by
(address)
Syff-1 L), Sdc S , dated ���9 10
(designer)
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow.
� OF BS c
nstaller' ignature) o. CARMEN
u SHAY
No. lief
�FG�.ST
(Designer's Signature) (Affix Desi �$ re)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:Health/Septic/Designer Certification Form
• TOWN OF BARNSTABLE
r
LOCATION �� SEWAGE # t��
VILLAGE C-eAleAu Y ASSESSOR'S MAP & LOT 11-7
INSTALLER'S NAME&PHONE NO. ,w, (
SEPTIC TANK CAPACITY _ ��' � 5 0��-- �l 9�D
kU
LEACHING FACILITY: (type) _,r t G Pa S fT—(size) `C
NO.OF BEDROOMS
—Y
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 fff any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
10,
All
a \ --
�P(Soy �`7z���✓ �v ��~
-In TOWN OF BARNSTABLE 6 aGe
LOCATION 3 A / A M A I* ST SEWAGE #.Z •6100 s`� �9
VILLAGE G eNteef V111 `P ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. S O A/
SEPTIC TANK CAPACITY / O O®• /f/T D L/
LEACHING FACILITY: (ty ),Z LOW C`JA Wlge Q'S' (size) 5700 G LPL
NO. OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: 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
r
1
d y'
�./9l
ASSESSOR'S MAP NO. 11`7PARCEL L
CAT10N jiWAG, f p E R 17 Nth.
V, I L F, /
105TA LLER'S tjAME f A D 0 R E S 5
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XdL, DF: P OR :WIN ER
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ASSESSORS MAP NO: D
PARCEL NO:
No �............ Fzc$.... .
'THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
/...........:.OF...... ..........................
Appliration for Disposal Works Tonstrurtiun Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair (A�an Individual Sewage Disposal
System at:
location-Address or Lot No.
•........... ... --------• S-S----------
Owner a ...............................Address
�_....__ -----��-•�f..�.t.11.. . s�._'rXl_�-.1._�.-Imo.-2�.......... ......•-••--
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms----------5•_•--•--._.--_•--_•.._______--Expansion Attic ( ) Garbage Grifider ( )
'k Other—Type e of Building No. of persons............................ Showers
Ga YP g ------•--------------------- P ( ) — Cafeteria ( )
Q' Other fixtures ------------------------------------•••••......
W . Design Flow........................................ ..gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity-65•• allons Length................ Width................ Diameter________--_._.-- Depth................
Disposal Trench—No. ____-•__---�-•__- Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No----�_.�GQ�i imeter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
c Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
..-•------•---------•-------------------------------
-------------------
-•-.--------------- --••-------------------.......................
0 Description of Soil........................................................................................................................................................................
x
V ..........••-••----•••----••-•-------•--....••--••----•-•----••--••--•--•----------•••--------••-••-------••-•--•-----••---••--•••--•-•-•--------•-----•-••-----------••-•----•--•••-•--•--••-•-•--•--•-
W
VNature of Repairs or Alterations—Answer when a plicable..�_�_Aj-U..9_../.�..__G_E5,K-ap, �. ...... .........
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of i T T IE 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 he bo d of n Ith.
Signed---- kn. /` ,.�Y %f
Application Approved By_.`' 142a.�.-----••-•---•--------- 1.cam
................ ..... ate
Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------------------
---------------------------------------•-----------...---•-----.........--•-----...............------•----•-••--••---•-•--•--•-•••--------------•-----••••-••---•--••---•------••-----••--••--••---•----
Date
j
Permit No......--- ...�----------•-- Issued_...- l
Date
. Fx$..... 1:.........
No.. --
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
{ Applirtttinn for Diiivaiittl 3 vAs' Cian.itrnrttnn prrmff
Applicatiom is hereby made for a Permit to Construcf or Repair (40—)an Individual Sewage Disposal'
System at: T
I^
.. L. I��
._._ .. - '' ---•- ".... .............................. --------•••-
_ Locafon Address _ or Lot No.
G�..�•� ....1`" .[..,... .. "`+s ...wr..----SS.. .tC:. ....................._.._.i...__-_............. i
Owner Address
wY ,_ .►.. „, ....._.. _." _ . ..1� '" . ............... ...........................-----------..............
' Installer
Address
�. ' Type.of Buildingt.............................Sq. feet.
Owellin No. of Bedrooms.________ 7'
. � _Ex anslon.Attic
a g— p ( ) Size oGarbage Grander ( )
p, Other 4 Type of Building ............. ..............._^ No of perslons _____ Showers ( ) Cafeteria
w
Other fixtures ..........................................r ` ----------------------
W Design Flow__________._:______.___:____................gallons per person pe`r',day.Total daily flow ......................__ ___gallons.
C4 Septic Tank—,Liquid capacity0� glIons Length :..... Width..............: Diameter................ Depth................
W' Disposal Trench No .________ W>dt't
x p _____.............. Total Length......_..........._. Total leaching area.-..................sq. ft, •°
3 ' Seepage Pit No _: _ ameter..___._.___:....... Depth below inlet____________________ Total leaching area.................. q: ft.'
z Other Distribution box ( ) Dosing tank
aPercolation Test Results Performed by _._----_ ................... -._----_--------------------- Date......................................
,.a Test Pit No. I.._._____.•.....minutes per inch Depth of Test Pit _..._....... Depth to ground water________________________ _
'- LX Test Pit No. 2................minutes per inch D,lepth of Jest Pit ____.__...__._... Depth to ground water........................
R.'
O Description of Soil....._...........................................
W ------------ ------------------•••.--------••----.-----•-••----------------------••----- -• -••---. ..................................--
- ------------------------•-------------- --- ---------------- ---- -
x Natuie of Re airs or Alterations - Answer when
Z.
Agreement ,
The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with
the provisions of : :L . 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 boayd of health
4 Pelican Approved^Byy � ' °,
` l t
s�_ _ .._. ___... .. ..................... .........
.... r..
Application Disapproved for the following reasons: ----=-------------------•-- ................................
------------•...................................•------------•------•-----...-------------••---------•-----...._....._...._..------------------------.
D
Permit No............. k
_ Date
' _ `-,._. .._.._...__ Issued...... JJ/((
T' ? -----------------------
-Date
THE COMMONWEALTH OF MASSACHUSETTS "
BOARD OF HEALTH
Aj OF 4/3 �,.� 7A4 J3 t
�rr�ifirtt#le >r�f``�unt�littnrr $=_
TI I IS TO CE9 That, .the. naividual Sewage Disposal System constructed ( ) or Repaired (, .
the
by........ --^� ------------------------------------------------=--:..-- --
G—� Ci Installer' +S
at.---------
has been instailed in accordance with the provisions of. TIT-12 - of
u The State Sanitary Cod as described in the
application for Disposal Works Construction Permit No.__. .. ----
---- :�
--------- dated---._. ..�---y----��-� ---------- _a THE ISSUANCE OF THIS CERTIFICATE SF°IACo:`NOT BE CONSTRUED AS A GUARANTEE THAT YHE
,SYSUIVI WILL FUNCTION SATISFACTORY. .
DATE................................................................................. Inspector.---.........-------
4" THE COMMONWEALTH OF MASSACHUSETTS.
d �_•; , BOARD OF4 ,HEALTH
No......................... Ft ......................
, t' rr tt lar nn ilan rrmit
Permission is hereby granted______._.
► .............m .........._.........................................................
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
N "'•1 �.
- --...: -- --._ --`= ---- - •-- Sty _
as shown on the application for Disposal Works,Construction Permit No.lt....... Dated.......... --�---_. -.--_-
DATE.................. ��~- ar•^••�� ---------------------•--•-----
FORM 1255 HOBBS W R N NC PUBLISHERS -
_LOC_QT_LO-N 5_EWQC;E-RERM1T_V l0-- ZEE--
IeN-ST L L R� ——►J-- � e- � �._A�D DR-E S.S
—D A=T-E-P_E-R_NAV-C-1.55.U-E = — —
;Y
oil
4 No. ?. ]...... .............
THE COMMONWEALTH OF MASSACHUSETTS
s.x EOARD OF EALTH
.OF......... ..... _.......... �
Appliratiun -fur Dispotial No n trnrtinn um"if
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at• �.
Loca on-Ad s r Lot No.
.' -•--- a
ow Addre's
a = aw•-••-••••. •-• - -------------------•----.------- ------------------------------------...... --•••-..:.-..-----------------------------------------
Insta er Address
UType of Buildin' Size Lot............................Sq. feet
Dwelling �'No. of Bedrooms---e..... _____________________Expansion Attic ( ) Garbage Grinder ( )
per-, Other—Type of Building ____________________________ No. of persons.-_____________-._-.._---.__ Showers ( ) — Cafeteria ( )
Q' Other fixtures -__
W Design Flow.:::.::.............. gallons per person'per day. Total daily flow........ - lops.
Septic Tank Liquid capacit/Vwl___gallons Length________________ Width ---_... ._ llia ....eter.__- _-.__-__ Delith................
x Disposal Trench— o_ -------------------- Width...__ ._ .___ t L ng _ T 1 l�ching area.----.--------------sq. ft.
Seepage Pit No..... ............... Diameter._/ e el net........_/. ..... otal leacl ing are`____.... sq. ft.
Z Other Distributio box ( ) Dosing tank ( ) �//�'C ��� `0/77.tLG'��'----
a Percolation Test Results Performed by-------- ----------------------------------------------------------------- Date----------------------------------------
a Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water.-___-_____--__-____.-_.
44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- D th to ground water........._-.--.--_____--
P4 ---------------------------------- -- - -------- ------ ---------------------- ••-----•----•-•--••--••-•-----.......-----------------
Description of Soil . .....
x - __
V
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 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 is e y t e board of health. a
Signe. •. -•--•-• -• . ---•_! - -----------
Dat
Application Approved By------- --- -- •. •-- •••. • •. ----••• ........ ................... Z IS------
ateApplication Disapproved for the following reasons:---------------------•........ __.__....____.__._______.____.__.._______._.:_..........___...._...__......_.....
-------------•---•--- --------------------------------------------------------------------•--•--••••---•-...•---- - ------------------------------ = ----- ---------------------------
Date
PermitNo......................................................... Issued.-- - Y'f -------------------
ate
I
No. . . .--- ------- .................
THE COMMONWEALTH OF MASSACHUSETTS
�... BOARD OF, ,-
�.
.���lir�ti�n �flar �i��u�ttl �r�� --la��tri$rtil��t rr�it
Application is hereby made for a Permit;to Construct ( ) or Repair (f ) an Individual Sewage Disposal
System
" ' `---t
� ` Locat on Address � �w
a _..._: 3 _ a. v+ ....... -•-'` +A.,me .....� o No.
-- - r Lot .
- .V.. ..... ........................................'......._.._-'
l OW r Address
-- _ .......
.. .--............................... •-•-••••••-----------......---••----•-•-•--•••._...._..._...----------------------•......---------
nsta er Address
UType of Building Size Lot............................Sq. feet
DwellingNo. of Bedrooms.._a_________________----------_---------
---Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Q' Other fixtures -----2k-----------------------------------------------
Design Flow. .. -•----..� `�� - gallons per person per day. Total daily flow-------- .. % gallons.
W Septic Tank Liquid capacit ._.gallons Length................ Width........ ...
Dia eter-_-_-....__--_ Depth-.._-.--_-.._.
Disposal Trench— o_ ____________________ Width.._._....... T%tal L ngtlz_ .___ _.. To 1 leaching area-_.._.______. ._.___sq. ft.
Seepage Pit No... __________. Diameter_/r *epth b�01el�:'•inlet `_-_"--Total leaching area, sc1. ft.
Z Other Distribution box ( ) Dosing tank ( ) �✓ ,� > ;i'�. •-w«
Percolation Test Results Performed by.....................................a . ................•--•------•---••---- Date-----------------------•-----------•-
a Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water-----.__-.--.--._-.-._..
(� Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Dgth to ground water------------------------
-----------••--= ------------------------------=<-•-....---•------...---•----•-------'/--........................................................
.Description of Soil.................................................... .
11, /��f,
�''" r
_____________________________________________________
U ., --------------------------------------------------------------------------------------- ------------ ..,,, ;ea.++, _
UW ----------------------------- M----- 4y a__________-----------------__________
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 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 issued-by the boardf,off health.; i
-- ••. l f
5 Signed;-:_ -:-�'1..x�' ,...---'�-- t ------- � �•
at
Application Approved By-----. ...
YX .............. g e
. .._.
t ate
Application Disapproved for the following reasons:-----------_-----•-- ------ ---•-•-------•----._...-•-•-------•------------------------•---•----------•....
................................................. ---------- •------••---•-------•--------•-------------.-----------------
Date
Permit No--------------_ Issued.......................................................
Date
r•
r'
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O HEALTH
' .:... ......... /��,/,, ��O F............ .. :.: ...(�
{„
rtilirate ii Tomplittzur ,,.�'~
T 1 0 C RT T Individual Sewage Disposal System constructed ( ) or Repaired ( )
by ------- ......-_... 7.............................................................
at....'"•,"'- - Q Q/j!''�'L,
'f' '
has been installed in accordance with the provisions of Article XI'of..The State Sanitary d as described in the
application for Disposal Works Construction Permit No.-------- .._ ______________ dated..._ _./.� ,,,X..............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G ARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE . -
t Y: I _ Inspector
j THE COMMONWEALTH OF MASSACHUSETTS
BOARD HEAL
. . .......e '...4. . OF .�...�.. ..... ry
No...�Q.-. t s' FEE_._.L2..••..........
r rurtion' Prrmit
Permission 's reb ranted___- __7.......................................... -
to Construct or e a an, Individu age osaII tem-24
at No. 4` "t *Rt -- --- -----
Street
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FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS -
a '71
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PREPARED BY PREPARED FOR
Ernest
Street Marjorie jtaA •& M Land Services 329 S. Main enterve A 02632
618 Main Street West Yarmouth, MA 02673 Date. March 22, 2010 Scale.
Ph. (508) 7,37-1777 - anmland®comcast.net
Re v.: April 22, 2010-Extend Dormer
x Rev: May 18, 2010 Add Case Open.
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Hyannis MA
DRAWING
HENRY
OF 6
BARRYJONES'
VENT PIPE(0 Least 24 inches tall) 40RAIyTfSN"111IY 6 i;' $
Schedule 40 PVC w/Charcoal Odor Filter
Atl OUTLET PIPES FROM THE �.y.• $. ,w..„-..'•_ ,r ' .�
. t` SECTION -A .. DISTRtBUT10N sox SHALL BE.
NOTE- ALL PIPES ARE TO BE 4 SCHEDULE 40 P.V.G. CHAMBER cover must be 12 -
10' min. from-- to GRADE WITH STEEL MANHOLE COVER SET LEVEL FOR AT LEAST 2 FT. CONCRETE COVER
house to septic tank PROFILE VIEW OF LEACHING SYSTEM ! << j D i
Existing Foundation I P D-BOY cover must be - -
Septic tank covers must be 3- 5"OUTLET
to GRADE WITH STEEL MANHOLE COVER ': 4 KNOCKOUTS
within 6 In. of finished grade ty:
Grade over Septic Tank - 97,00 Grade over D-Box 96.00 ade over SAS - ELEVs 96.00
_... - p 8/t'En r 1/t ' ►e,h.d t4'r.,Aed semis "N r/s'- t/2".►sslud P.a.Wn. _»t.-.. 5.5' - 12' INLET
OUTLET
4�L 6 f "
S e D.02 4 r i` ;229 Main St
5=0.,0 3 HOLE H-20 - . . 2 w '
F- OR GREATER DIST. BOX S. Maximum Cover Top of SAS-Etev,=95,00 .,
N 26 EXIST, s= 0.010 per foot -15.5' ---- 4" - SCH. 40 Te t.75' Yr
X In 1,000 GAL t
w IN 0 25 JP / C3 Q o o C3 Q d
LO SEPTIC TANK o PLAN SECTION CROSS-SECTION
11 OI H-10 N n 20' N o Effective Depth »C] O Q
j o.,sore. rn 0 3 Units @ 8.5' = 25.5' ._..r
FULL FOUNDATro °' a ,l rn "' 3.25 25.5' a i
N 3.2s 3 HOLE H-20 DISTRIBUTION
m j ' ' --.... •.�...- O N B 0/� y 1,EY:ds as i
„ n n 4 5 --- 4 �i
. _ ,,„.- t...,,...t.:._..._. t'•
m 6 In.of 3/4 -1 1/2 m > > ly 32' NOT TO SCALE - 5R6ft / m
SYSTEM PROFILE t ,... wM.•M
> compacted stone j -y � _ 13 q ? Effective Length ®P✓o�pxnpG;tiaprBGroymz�yB.�Pi�TEG � r i
Not to Scale - c ; EFFective width -
- c _>c j ° SOIL ABSORPTION SYSTEM (SAS)
- GENERAL NOTES
6 in.of 3/4`-1 1/2` o 500 - C H-20 LEACHING UNITS 1 WIGGINS PRECAST 1: Contractor is responsible for Di safe notification
-- compacted stone - 07 - P Dig
safe
ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6- BELOW GRADE Not to Scale and protection of all underground utilities and pipes.
Bottom of Test Hale 1 Eev.®Ss.00 2. The septic tank and distribution box shall be set
♦Obs. Groundwater - Test Hole 1 Elev.= NONE OBSERVED level on 6 of 3/4"-1 112 stone.
3. Backfill should be clean`sand or gravel with no
stones over 3" in'.size.
\� 4. This system is subject to inspection during`installation
by Carmen E. Shay - Environmental Services, Inc.
5. The contractor shall install this system in accordance
PERCOLATION TEST ,
l`, �� �\ p�j ,� {^ with Title V of the Massachusetts state:code, the approved plan
and Local Regulations.
Date of Percolation Test: MARCH 7, 2005 `�\ �`� 6. If, during installation the contractor encounters any
Test Performed By: CARMEN E_ SHAY, R.S. / �� )� soil conditions or site conditions that are different
Results Witnessed B)r WAIVER (per BARNSTABLE B.O.H.) r� �\\` /r `� from those shown on the soil log or in our design
Excavated By. SHAY ENVIRONMENTAL. SERVICES, INC. O� rr \ �/ `�\ installation must halt & immediate notification be
Percolation Rate: Less Than <2 MPi ® 30 (`,, / •;�� ASPHALT �\ - made to Carmen E. Shay Environmental Services, Inc.
`,DRIVEWAY \ 7. No vehicle or heavy machinery shall drive over the
/ \ \ septic system unless noted as 14-20 septic components.
4 8. Install Tuf-ri
� te gas baffles or equals on all outlet tee ends.
O rr \\ \\
9. All Distribution Lines shall be ,4" diameter Schedule 40 NSF PVC pipes.
Test Hole �O r/r �'X \�\\\ \���\ \`�\ r 10. All solid piping, tees & fittings shall be 4" diameter
NO. 1 r
,� � \\ �`\ �\` Schedule 40 NSF PVC pipes with water joints.
__"__ - _ ` ... ?' 11. Municipal Water is an n Connected to ALL OF The Residence d Abutting
DEPTH SOILS ELEV. � � � �\ `\ `� "9 P g
0 97.00 _ i of I �� Properties Within 150 Feet,
Sandy Loam C� i f ♦ C IyQTE,
to YR 3/2 ,� <: �\ � \ �oS THE :PROPERTY LINES ARE APPROXIMATE AND _.
` ` �\ COMPILED FROM THE PLAN BY CROWELL & TALOR, YARMOUTHPORT, MA
o"-s- Ae ss.25 • \ `�\ �\ ENTITLED "CERTIFIED PLOT PLAN OF LOT 7 CAPT ALDEN LANE,
Sandy Loam �\ OSTERVILLE, MA'" DATED APRIL-24, 1979
t � AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
10 YR 5/6 �� `� `� IT SHOULD BE USED FOR NO PURPOSE OTHER THAN
9 - 30 B,, 94.50 �, LOT #A \ THE SEPTIC SYSTEM INSTALLATION.
Sand Medium �' 15,050 Square Feet +� EXISTING
� 4 BEDROOM �\ \\10YR 7/4 HOUSE .. \ - EXISTING. LEACH PIT TO BE PUMPED OUT AND
/ �\ \ FILLED ,lN PLACE OR REMOVED TO FACILITATE. INSTALLATION OF NEW SAS.
86.00
NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
9 FROM THE EXISTING LEACHPIT TO BE DISPOSED
6 OF AS PER BOARD OF HEALTH SPECIFICATIONS.
NO VVETLANDS ARE PRESENT WITHIN 200 OF THE PROPERTY
EXIST 1000 \ I.
12.5 ASSESSORS MAP 208, PARCEL 117
' Septic Tank �
o -,a
LEGEND
98_ ;.: ? ASPHALT
O �: ,
Perc #1 2 DRIVEWAY
_ .-,` .� / DENOTES PROPOSED
Depth to Perc: 36 to 54 � r •'•...-.
Perc Rate= 2 MPI a _�\ .P�� , r / O SPOT GRADE
Groundwater Not Observed
• \ �� it
No Observed ESHWT �\ r =.r / rr �r DENOTES ,EXISTING
- PROJECT BENCH MARK TEST` OLE 1 f0,' ,2// r , , X 104.46
ADJUSTED H2O Elev. - None " ti 3p` SPOT GRADE
TOP OF FOUNDATION ELEV.=`\94.00 '
\ Failed �\ :: / , / Q
ELEV. 100.00 (Assumed) Leach 'Pit .:/ r , ,'� I'L PROPERTY LINE
100-_ 4 PVC // , 96P PROPOSED CONTOUR
EXISTING VENT PIPE �/ LOT #B ,/ ,
�� ��� ._ - - _97 EXISTING CONTOUR
GARAGE
2-le DIAM. ACCESS MANHOLES /
DEEP TEST HOLE &
.. .� • _:�� , r / , / PERCOLATION 'TEST LOCATION
o
Dr t / , l 6 FOOT STOCKADE' FENCE
I (jr / r
<'1
INLET ' ,_ ce- 0,,
OUTET
�:. THE ACCESS COVERS FOR THE SEPTIC TANK.
DISTRIBUTION BOX AND LEACHING COMPONENT t / t
. •• r--. .-_ .-•, .-r- -: I P P
LAN
. - „ SET DEEPER THAN 6 NICHES BELOW FINISHED � � / I � � T..;: ., I
'=.-'•L-.-•. - ..,...r. ...t.. .... :' GRADE SHALL BE RAISED TO WITHIN 6" OF
STEEL REINFORCED PRECAST CONCRETE -
FINISHED GRADE. l 1 1
OF PROPOSED SEPTIC SYSTEM
INSTALL 1lJF-TITS GAS BAFFLES OR EC}UALS - UPGRADE
PLAN VIEW o t ,
o o I
3-24 REMOVABLE COVERS° r' e•.'
t PREPARED FOR
Nt
;o
C
NOTE: CONTRACTOR TO NOTIFY DIGSAFE AND
MS
CYNT HIA Mc ANN
4 •..
CONTRACTOR TO VERIFY LOCATION OF ALL UTILITIES
3 min. clearance AT
_.. .. ,.. 1l INLET _
_ PRIOR T AV
INLET 8 m n.T- 2 m1n:inlet to outlet .-
0 EXCAVATION.
.--»--""_-......_ 8 min. - I
#3129, MA -
u-Tu d�Tevel TtFr � ,;
WAIN STREET
10 info. . I ...
5 -r 5 7 a:
i E �
ENTER"✓1 LLE MA
4 0 min.
6e.saiel. Liquid depth
I _ •. f
Desl n Calculotlons
_ - M
< . PREPARED`. RE ABED BY.
Number of..Bedrooms. 4 Bedroom EXISTING
:. . . . �. _. . y
� .. .. _.. Garbage,Grinder. Na ,. o C R EN G
, _
- 4 to
6 0
Leac
hing nCapacityRe u1 red 440 Gal. Da (MIN. P T V,. g 9 / Y ( PER TITLE (✓� e'i`I�1 Y . , �. ff/� 1
<,
CROSS. SECTION END-SECTION 'se tIC T k, _ _ o
Tank 2 k 440.Ga1. ,Da 880 USE.EXIST.' 1,000 GAL.-Se tic Tank. .,_
P I Y P H n ,
ENVI D R NMENTAL: SERVI ES
« - C INC.
0 ,
S01 ABSORPTION 1 20 40
5 0
LAREA. :.Usn percolation rat of'<
.. e 2 min: inch
9 P i,
i _ 4 _ f
O
D ttom'Area. 0.74 al s ft. x;'4 6 s t 4
9 4 1 f . 307.8 allons
BOX,
627
_TYPICAL 1 OtJO: GALLON ;.SEPTIC TAN _ � ,
A }'� Sldewall Area. . 0.74 171. s ft. x fi80 s ft. 133.2_gallons or R ,�. . ..
9 ! 4 g sTE
_ EAST F LMOUTH MA 02536
Providing. � ,
NOT ro idtn 441.04 gallons
TO SCALE 9 A
TAP.
tr.. ..
TEL' FAX 50 548 9
Use. 3 PRECAST 500 C H 20 UNITS HAVING A 2 EFFECT! DEPTH' ;: _ ;,: .
8 07 6
. O � SCALE. 1 _-20 ,
TO BE USED I 4 E WITH OF`WASHED STONE ON THE t SCAL 1 E 5 DE5 ,NO „ - E0 DRAWN I `t'. CES DATE: ;MARCH ,8 .2005
3.25' OF WASHED N
,.: A ED STONE 0 TH N
E E DS.
P OJ Cf SD703 . FILENAME:R E :.SD703PPDWG SH ' F
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