HomeMy WebLinkAbout0190 OAK STREET (CENT./W.BARN) - Health (2) Iqo Oak Street
Centerville
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1521/3 ORA 100/0 P2
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No.S.._.—__'_-' ' Fx$....L_S2>.. ........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
...........oF......
1 ..: TA��
ApplirFation for Bi-gVog al Works Ton> nrtion ami#
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at:
..... - . n ----------• ------•.... ? ....................................—Location-AddressI 0 -or` No.
.................... — ............. .........._ ......... f ....... ...............................................
—Owne: )�ddressss
�,Q' '-•tYL" c............................... .............. •..... •- I� '.'.6r�- A -------•---.-.--•--•-------.----
Installer Address
d Type of Building Size Lot--- /. Sq. feet
aDwelling�. 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- .........................gallons.
1:4 Se ti quid capacity/A?a.gallons Length................ Width................ Diameter................ Depth................
x Disposal "Trench o. _,_7........... Width/�-- ---- Total Length_._._Z�.._...... Total leaching area, .:Z—__sq. ft.
Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.....................Total leaching area..................sq. ft.
Z Other Distribution box Dosing tank ( )
'-' Percolation Test Results Performed by. ` ,1�s ....................... Date/.._=.�1_.=���....
a d
Test Pit No. 1_______________minutes per inch Depth of Test Pit___ ' ..__ Depth to ground water_--__/�_.__._......
f=, Test Pit No. 2......!l........minutes per inch Depth of Test Pit------?2........... Depth to ground water------- l..............
-•-•--------•-----------•----•----•---•----•----•--•---------------------------••---•••... ......--------•-•-••--.-- -- ----•-------......._._...--..----
O DF tion of Soil-----�----��---.���f.�„�"�..-u�.�l�---------�--'--��._ ��-_..� ----
i
W -- -------------------------------•-------
VNature 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 i?:'I-Ea 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b iss ed e board of health.
Signed-- r ................ '-
` �J' to
Application Approved By f7!St
Date
Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------
' .....................•-------------------.....-----•--------•-------------------------......-------------------------•--•----••------------•----•-..._........-------•----•--•-----------------•---_....
Date
........................................ Issued-.......................................................
Date
No.............. .»..--- Fes$.... ..._ ..
t THE COMMONWEALTH OF MASSACHUSETTS
-y-� BOARD OF HEALTH
-%' .. / .........._OF.......�: ........................................
...............................
Apfira#ion for Uiipo,aa1 Works Tontitrnrtion Frrmit
Application is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal
System at:
..................».................... ..-• --•--• -•--•..................... ............................................ ..............................
••.•-•------Location-Address � �Sor Lot No.
owner S Address
a ....................:..• ................................................ ..........
Installer Address
gUt'_>_._Sq. feet =—
U Type of Building Size Lot.•._._,. _...
Dwelling 4;<. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons_______________._________- Showers ( ) — Cafeteria ( )
Otherfixtures ------------------------•-----------------............................... ------------- -:.....---------•---•----------...........................
Design Flow................r�....................gallons per person per day. Total daily flow-.._. _9_f�.._______...................gallons.
W � Septic, Tank. Liquid capacity��:!rl.gallons Length................ Width................ Diameter................ Depth................
p T __._ Total Length__��__...... Total leaching area_. 11,F_,.37��'21::.sq. ft.
x DIs osal Trench_.. :�,o.___:.d_____________ Width�f_____
3 Seepage Pit No_____________________ Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box Dosing tank ( )
Percolation Test Results Performed by._ �' _ '" - f ......................... Date- /___'_._:
Test Pit No. 1______ _________minutes per inch Depth of Test Pit.. "7_:... Depth to ground water_-__;f�._..._....._.
44 Test Pit No. 2........!........minutes per inch Depth of Test Pit...... ........... Depth to ground water......Je...............
a •---•-----•-•--••-•••••-•••--•..............•---•--••-•----•---.....---------....•- --•-----..............................................................
VO De/script ion of Soil.... ` --� -----7rl -�
/ - ................................. . r- c, ........................s'
............................................................1 � e- -----F � - `¢� � a ! a 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 TITLi:
p 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.
Signed...................................................................................... ..........................
Date
=�= _ --------------'-'---'---°-�----�--'-----'-�-•--•----.....................•---- ��APPlication Approved B r= =- - Date
Application Disapproved for the following reasons--------------------------------•----•---------------------------------------------------- ....................
.............•-•-•-------•..........---••-----------•-••----------------••-----•--•----••....--------•--•-•----•---•-•---•--•------••-----------•---•-----•-------------•-------••••--•----••-•---------
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............ ......OF.... .!` ....................................................
�rifirtt� of f�ont�r�innrr
b IS• 'IS ...O C •? �eIndi�
idual Se e Disposal y'-tem constructed or RepairedTHIS'IS TO at tY �` ..........»G __c,� �------------------- ...........................................
» _
Installer
at...............: ---•-------- .......
- ...
has been installed in accordance with the provisions of m ` - j of The State ary Code as bed in the
application for Disposal Works Construction Permit No.-. - .-- �a d------ -- --- .....--••••.••
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
o
DATE....................• �' .............................. Inspector.....-----•----A ----------•••••------•••••--•-----•-••------•••-•..-----
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�1.
ri �' �77T � .` ...................OF.......... `� 7 . .._ +.......__.__.._....................... r-
No._.....:.............. FEI �---
io�ro��I ��k� �o � lion rnti�
Permission is hereby granted----- ........................................................
to Construct ( r Repair ( h an Individual Sewage Disposal System
atNo.---................/..........C.• -•- .----------------•---••-•-•----------------
Street
as shown on the application for Disposal Works Construction Permit ---.2 Z&Dated____Z7 �
.................... . .f'>�'__._-- 4.___P_f I_ _'_C.G!'.j�csi...._._____.__.______.._.._..._.._...
DATE- � ... Board of Health
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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To E.ST.�L/.sis/ Lar L/NE.,S
ASSESSOR'S MAP NO. PARCEL
LOCATION / y® SEWAGE PERMIT NO.
_ I110 oAK 1�f: L' 1UJ
VILLAGE `` Y
. M
f
INST All. ER'S NAME i ADDRESS.
a S U i l D E R OR OWN ER
M 1i14 t
DATE PERMIT ISSUED rA
DATE COMPLIANCE ISSUED
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"qr „gn
i9 �. 9£F
STANDARD LEGEND
c NOTE:not all symbols will appear on a map
GOLF COURSE FAIRWAY
_.
EDGE OF DECIDUOUS TREES
fie' _..
i
.. .......Mi ....... ..d L
� _._.._..._- _. � � EDGE OF BRUSH
ORCHARD OR NURSERY
F
0VE
G�i r�T EDGE OF CONIFEROUS TREES
MARSH AREA
y- EDGE OF WATER
3 2004 67 ° 1DIRT ROAD
DRIVEWAY
OT
ONSERV CONSERVATION �---PARKING AD
�—PAVED ROAD
zufi0s � ---- -- DRAINAGE DITCH
----- PATH TRAIL F
(00 PARCEL LINE**
i F—---MAP#
MAP/+ 1 aG� \ / 64 . 31E PARCEL NUMBER
#367 E HOUSENUMBER
2 FOOT CONTOUR LINE
6 - 10 FOOT CONTOUR LINE
64 1
° Elevation based on NGVD29
4 /
MAP 173 i`4'9 SPOT ELEVATION
I i c� STONE WALL
-X—X- FENCE
20�
RETAINING WALL
-i I-+-i- RAIL ROAD TRACK
r
`- P 173, -?~_ �_-=' STONE JETTY
61 ° 2 ` SWIMMING POOL
PORCH/DEI(
90 --' 90 BUILDING/STRUCTURE
4 ..... 1 ° =u DOCK/PIER
\ °
HYDRANT
e VALVE O MANHOLE
o POST O� FLAG POLE
T O W N O F B A R N S T A B L E G E O O R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N I T o SIGN ® STORM DRAIN
N PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photogmphs by The James
V=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD UTILITY POLE TOWER
" e 0 25 50 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation.Planimetria,topography,and vegetation were mapped to meet National Map Accuracy Standards p LIGHT POLE O ELECTRIC BOX
s 1 INCH SO FEET* enlarged sca e. on the map. at a scale of 1°=100'. Parcel lines were digitized from FY2004 Town of Barnstable Assessor's tax maps.
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, f; .. Tank dio
I i- /<<: ower
J4 u_ ls"
f .0 0
_ a „ Landing Point
S ��/3 — /Z a / _ i t�__ ✓ — j E.� i�lS / Shirley'.
1 O/ E _ I I: s _:a�.,ffe• I _ ,;1 ,/r
Cranberry ` /�� C �`i. .. 1 4e. Nyes
i 3 Bog. iP ��\.3 ( �> Pt
2 5} ;�..
P.
Stoney
23
o` i' / Q OS 7 C• I 2/E L % •:c?l1 '1i; '>. :/ / cr.. +I �'' Lewis
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EL=/034 ti I oo mot LOCUS PLAN
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SEPTIC- SYSTEM DESIGN
t FOR
f
THE HUNTINGEST CO.
SCALE- I" = 40' ( Q LOT I OAK ST.
11kBARNSTABLE , MASS.
i
Town( . WA;E,Q C.B. DESIGNED BY SWR
(/ ,9VRi��?B�t�- ><nd. B.�% j `11N 0 494 MAY,1986 JOB 205.03
4ssw rc✓ nHt.
P � : SHEET 1 OF 2 SHEETS
� ) � r
-'�:% ILSON HILL ASSOCIATES
39 PLEASANT ST., PO.-BOX 602
.� SAGAMORE, MASS. 02561
888 - 7484
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S(Otdy
ffill
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- pokodt
,� -J 0,'!�•_ <'2vu , dwer-o nil 1.. ' ;'-.r rr — •.•,`
$hobtflylgg(
/
L� D
Tank
di .,1 u
o
i 1 °� `V `
f / ���i
v Landing Point
2) /3 �_ „ J _t�j ) r Shirley,
r 1 /Z .•Cranberry tk•I Nyes
Bog /.. L - \ •( Pt
Q ti /. •�• w•� .�
t.'p � 1999D 'Y Stoney
Pt
m R 23 T— Ty 2 b %rj
1 N �7 r`. I se�2vE r/ ( �4 ' ? Lewis
a Io
io34 r � oo �j LOCUS PLAN
24' `I
m
_'3 W 3 3 9, oa i
SEPTIC- SYSTEM DESIGN
FOR
THE HUNTINGEST CO.
\
SCALE, I 40 O LOT I OAK ST.
= - I
r BARNSTABLE . MASS.
I
TowN WATE,Q C e" DESIGNED BY SWR
AVAIkIg84,L' fnd B. Of
/oo , p^ MAY,1986 JOB 205.0
<Issu rc HN SHEET 1 OF 2 SHEETS
=%"�� �;�• . ,6 �� Vl=L1 0 17 HILL ASSOCIATES
V 39 PLEASANT ST., P.O.BOX 602
SAGAMORE, MASS. O2561
6 8 8 - 7484
BA;-i OF DESIGN
Pico poS ED �
FI�yT Fl[�� Elm✓= /94, 3 f ¢ " DIAMEP`R _rt=C,'�r 4 PVC-
NUMBER OF BEDROOMS 3
/ 2 GARBAGE DI.-IPOSAL CNITS n/ane
-/034 , 1, ,i . LEACHING CAPACITY RE_1I:IPrr) j_jp jc-
�.. -/�Z•UD Fi�J CseliDF f� ,'7R iF'�1
,�, 4 . SIDE AREAPRUPOSEC So SF
/
—.-__---.- _3.1 --- --- 7-Of' � 99.-7 7 . BOTTOM AREA PROPOSED 384�y
l�F_rdOVrt�S�E 9- .D/S -- 5, _ o/ -6 . PROPOSED LEACHING _'AP 'f78.72 9V.d
r i , o o °
a� ,•o�,; ,.. �_.�i � °,,, 7 . SUPPLY TowN
8 . PRECAST REINFORCED CONCRETE UNITS
� 9 . GROUND WATER NOT ENCOUNTERED
D o f 99.2 /34T T0A B, Z
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NOTES
?' QI 1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN
w/4,o� 3�9 /_ ACCORDANCE WITH THE STATE SANITARY CODE AND
O /iy STo,�i ANY LOCAL RULES APPLICABLE.
ANY CHANGE TO THIS PLAN MUST BE APPROVED BY THE
2 of %I" PEA 4 QAg -z- oii7oP BOARD OF HEALTH AND WILSON HILL ENGINEERS .
3 . BEFORE BACKFILLING THE SYSTEM, THE CONTRACTOR
SHALL NOTIFY WILSON HILL ENGINEERS AND THE BOARD
/ — I PRO-FILE of HEALTH AGENT TO INSPECT CONSTRUCTION.
NO SCALE 4 . HEAVY EQUIPMENT SHALL NOT TRAVEL OVER DISPOSAL
SYSTEM DURING AND AFTER CONSTRUCTION.
APPROXIMATE DISTANCE 52
SOIL LOG ,
r,s C-aC/Ie d/•7
DEPTH SOILS EL E v SOIL. TF.S'1' SEWAGE DISPOSAL SYSTEM
04 m FOR
q9,7 DATE OF TEST /- 3/-85 THE HUNTINGEST CO.
TEST TAKEN Bw%TE�eNYE,rw�. LOT I OAK ST.
sang BARNSTABLE,MASS.
Ga vvel 9-�,7 � WITNESSED BY
oMPacfed PERCOLATION RATE -4MINUTES PER INCH DESIGNED BY SWR
sin dy GOUND WATER 9 q3. 7 MAY 1986 JOB 205.03
SHEET 2 OF2
93.7 1'�
ILSON HILL ASSOCIATES
39 PLEASANT ST., P.O-BOX 602
F,heS qo SAGAMORE, MASS. 02561
`} 888 - 7484