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HomeMy WebLinkAbout0027 OVERLOOK DRIVE - Health 27 Overlook Drive -- Centerville A= 118 -087 S M EAD® Na 2•1531AR UPC 12534 =Md co n • Meft In USA TOWN OF BARNSTABLE gool - LOCATION 7 C,�6�if�C�© SEWAGE # VILLAGE �4"4'ed- ailleD ASSESSOR'S MAP & LOT P I14STALLER'S NAME&PHONE NO. ADA-1pt3 SEPTIC TANK CAPACITY l S LEACHING FACILITY: (type) ���„ CtJ�1� , ' sze) �P• � NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: COMPLIANCE DATE: 114- 7 `7 `>p 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 ' R' 1. 2.5 A--0 = ® 13 -� t No. / Fee /00./ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: {� PUBLIC HEALTH DIVISION — TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Thoogal �bpaem Cow5tructiou permit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. C '1 ; Ile Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. v>� S /1_ _ L/ Designer's Name,Address and Tel.No.vI (a Wl a2�z? /,b Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) :?20 gpd Design flow provided gpd Plan Date / ,Z54�9 Number of sheets Revision Date Title Size of Septic Tank /ebb <Z4 Tyne of S.A.S. 2 Description of Soil Nature of Repairs or Alterations(Answer when applicable) cr � 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 Certificate of Compliance has been issued by is Boar of Healt S' ed Date IY$ )e 6 Application Approved b Date 10 Application Disapproved by: Date for the following reasons Permit No. Date Issued No. AQ� i�y f A Entered in computer: r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — TOWN OF BARNSTABLE, MASSACHUSETTS Yes, 101ppltration for 'Th5po5ar *p5tem Construction Permit Applicatiori'fof a Permit to Construct( ) Repair( ) Upgrade, ) Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. ; Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. rJ S f. // fI _ L� Designer's Name,Address and Tel.No. jut, MAd Rlit, 3X2, Type of Building: - Dwelling No.of Bedrooms Lot Size —0 51-60 sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow min.required)_ d Design flow provided 4; g ( q ) �� gP g P Plan Date ��C/ 15e�"j Number of sheets Revision Date r, ~ Title Size of Septic Tank /4�bb <:;4 Type of S.A.S. -Z 40 7 Description of Soil B Nature of Repairs or Alterations(Answer when applicable) ir. I r� I Date last inspected: t 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 Certificate of Compliance has been issued by this Boar of Healt g Signed Date 0, 1 0'r(o [7 Application Approved b� Date Application Disapproved by: Date for the following reasons Permit No. — 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 at '27 O zl el—,4, k '7)12 p ip has been constructed in accordance with the provision© �(s of Title 5 and the for Disposal System Construction Permit No. f �� dated { Installer �� f o i Designer —Ilc. o #bedrooms , Approved design flow gpd The issuance of this pe' it s l all not be construed as a guarantee that the system'ill futICtion as designed. Date Inspector 4G 1 p _ No. �. j Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS 'Wi,gpo5al *y5tem Construction Permit Permission is hereby granted to Construct ( )/ Repair ( ) Upgrade ( ) Abandon ( ) System located at 40,9 e e /e>o and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction ' ust e completed within three years of the date f this Date Approved �� ;I r TRANS. NO.: CITY/TOWN: APPLICANT: ADDRESS: 27 W� ODFC t� DESIGN FLOW: gpd REVIEWED BYtj DATE: S c�Di L �✓A •�o1'E� S N/A OK NO Legal boundaries denoted [310 CMR 15.220(4)(a)] Street, Lot, tax parcel number and lot number noted on plan [310 CMR 15.220(4)(u)] Locus Provided [310 CMR 15.2204(t)] Plan proper scale? (1"=40' for plot plans, 1 '=20'or fewer for components) [310 CMR 15.220(4)] Easements shown [310 CMR 15.220(4)(b)] System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]- if not, a variance is required [310 CMR 15.412(4)] Location of impervious surfaces (driveways,parking areas etc.) [310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] �l System Calculations [310 CMR 15.220(4)(0] daily flow septic tank capacity(required andprovided) soil absorption system (required andprovided) whether system designed for garbage grinder North arrow [310 CMR 15.220(4)(g)] Existing and ro osed contours [310 CMR 15.220(4)(g)] Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and (i)] Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(i)] Percolation test results match loading rate? 310 CMR 15.242] �. Certification statement by Soil.Evaluator [310 CMR 15.220(4)(j)] S Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR 15.220(4)(n)] Address 0017 Q�/�r � �/� Sheet 1 of 7 I E N/A OK NO Location of every water supply,public and private, [310 CMR 15.220(4)(k)]. within 400 feet of the proposed system location inftlie ta'Z of surface water supplies and gravel packed OjhliG.'Ratp.T su : . . within 250 feet of the proposed system location 150,ket�f;he proposed system locatioj;.in-the case of priv to wfif&'supply wells Location of all surface waters and wetlands located up to 1004t. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. 310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located [310 CMR 15.220(4)(m)] (if water line cross see 310 CMR 15.211(1)[1]) Profile of system showing invert elevations of all system t/ components and the bottom of the SAS [310 CMR 15.220(4)(o)] Stamp of designer [310 CMR 15.220(1) and 310 CMR 15.220(2)] a� Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) 310 CMR 15.220(3)] Test Holes adequate (two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2) or as approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] Test hole adequate to demonstrate four feet of suitable material? 310 CMR 15.103(4)] V Test Holes adequate to confirm adequate groundwater separation? ✓ 310 CMR 15.103(3) Benchmark within 50-75' of system [310 CMR 15.220(4)( )] Materials specifications noted? [various sections of 310 CMR / 15.000] V System components not>36" deep (unless Local Upgrade Approval or LUA requested) 310 CMR 15.405(1(b) Address . 'd`� i .�x,.. ,7r ..;.�`, �UC11 . Sheet 2 of 7 I J N/A OK NO SEPT)[CT�ANK,4 ,f ;> � J'R4 Size OK? [310 CMR 15.223(1)] Inlet tee located ten inches below flow line [310 CMR 15.227(6)] Outlet tee 14" or.14" + 5" per foot for increase ft depth[310 CMR 15.227(6)] Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] Note regarding installaiion on stable.compacted base [310 CMR 15.228(1)] Separation between inlet and outlet tees (no less than liquid depth) [310 CMR 15.227(2)] Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for upgrades under LUA [310 CMR 15.405(1)(k)] Minimum cover 9" (Tanks buried more than 9"must have risers on all openings and on,the d-box) [310 CMR 15.2228(1) and 310 CMR 15.232(3)(f)] Three access covers (inlet and outlet must be 20" or greater) - / middle access at least 8" (by 7/07) [310 CMR 15.228(2)] Access to within 6 " of grade - one port for systems<1 000gpd, two for systems>1000 gpd [310 CMR 15.228(2)] All at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] > 10 ft from building foundation [310 CMR 15.211(1)] Buoyancy calculation Required/Done [310 CMR 15.221(8)] H-20 Where appropriate? [310 CMR 15.226(3) Setbacks from resources [310 CMR 15.211] Required when other than single-family dwelling or flow>1000 d [310 CMR 15.223(1)(b)] First compartment 200%daily flow; Second compartment 100% V daily flow [310 CMR 15.224(2) and(3)] "U" pipe through or over baffle, outlet of each compartment with V gas baffle or approved filter[310 CMR 15.224(4)] Address 0- Sheet 3 of 7 1 ' F N/A OK NO BI TILDI F1�4 t�Z � ' C� r '!a � 4 s<�xx �s°L.��s'.Z», Located at least ten feet from any water line? [310 CNM 15222(2)] Disposal piping at least 18" below water line(when water and sewer cross, see 310 CMR 15.211(1)[1 ) V Cleanouts required/provided ? [310 CMR 15.222(8)] Thrust blocks specified in force mains? 310 CMR 15.221(6)(c) Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable [310 CMR 15.222(6)] Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15252(2)(c)] Siphonproblem/(leachfield below pump chamber) Endca s or vent manifoldspecified? Size and orientation of discharge holes specified? (not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] Materials specified (310 CMR 15251(5) specifies various pipe types allowed WRmot; , INN, Stable compacted base [310 CMR 15.221(2) and 310 CMR 15232(2)(a)] Y Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323(3)(a)] Riser if dee er than 9" [310 CMR 15232(3)( ] Inside minimum dimension 12" [310 CMR 15.232(2)(b)] Minimum sum 6" [310 CMR15.232(3)(e)] Watertight cover if<2000gpd);waterproof manhole if>2000gpd / [310 CMR 15.232(3)(d)] iaUMPr § Capacity(emergency storage above working--design flow)? [310 / CMR 231(2)] J� Proper setbacks 310 CMR 15.211 (same as septic tanks)] ✓ Watertight 20-in minium access manhole at least 20" MUST BE TO GRADE 310 CMR 15231(5 Service components accessible (not too deep with piping, disconnects accessible Alarm floats - alarm on circuit separate from pumps specified? Exceeds two units must have two pumps operating in lead-lag mode. [310 CMR 15.231(6) and (8)] Stable Compacted Base 310 CMR 15221(2 Buoyancy calculations needed ? Provided? [310`CMR 15.221(8)] Address ���V��6.dC?b� / 1-�/J� v' ��� Sheet 4 of 7 f N4/A .q� OK NO SUTA�3SQyR �� �' viY3 d $ F' �1 y 4k�k y /F Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(1)] ' Required separation to groundwater? 310 CMR 15.212)] Aggregate specified as double washed [310 CMR 15.247(2)] System Venting required/provided? (system under driveway or / >36" deep) [310 CMR 15.241] Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document !� y Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] Each structure with one inspection manhole (if>2000 gpd must be to grade) [310 CMR 15.253(2)] Aggregate I'minimum- 4'maximum. [310 CMR 15.253(1)(b)] f 2' sidewall credit maximum [310 CMR 15.253(1)(a)] In bed configuration, inlet every 40 s . ft. [310 CMR 15.253(6)] Width 2'minimum 3'maximum 310 CMR 15.251(1)(b)] 100 feet -maximum length [310 CMR 15.251_(1)(a)] Minimum separation 2x effective depth or width whichever greater (3x if reserve between trenches) 310 CMR 251(1)(d)] Situated along contours 310 CMR 15.251(2)] Breakout OK? [310 CMR 15.211 1 [4] and Guidance Document] WE' ION minimum 2 distribution lines [310 CMR 15.252(2)(a)] Maximum separation between lines 6' [310 CM R15.252(2)(d)] Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e) Aggregate depth below discharge pipes 6"minimum, 12" / maximum. [310 CMR 15.252(2)(g)] Separation between beds 10'minimum. 310 CMR 15.252(2)(f)] Bottom area used in calculations only[310 CMR 15.252(2)(i) Address Sheet 5 of 7 0 N/A OK NO Pressure Dosed System ? Provided pump and piping calculations as required [310 CMR 15.220(4)(r) Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and I/A Remedial Use Approvals] If used in gravelless system -make sure jet is directed as not to V-1, scour soil interface Guidance Document Inspections once per year(systems<2000 gpd) or quarterly / (>2000 dgood to note on plan 310 CMR 15.254(2)(d)] Construction in fill -Did the plan specify that the fill shall meet t/ the specification of 310 CMR 15.255(3)? Impervious barrier and/or retaining wall ? [Guidance Document] Impervious barrier installation must be supervised by / designer 310 CMR 15.255(2 ] �/ Retaining wall must be designed by Registered Professional Engineer [310 CMR 15.255(2)(a)] Side slope not exceed 3:1 ? 310 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2) and f Guidance Document At least 5 ft. from impervious barrier to edge of SAS (10 ft. / recommended 310 CMR 15.255 �2)(e)l ✓ Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge to scour soil interface Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a note on the plan regarding the requirement for perpetual maintenance agreement? Any alarms involved on separate circuits ✓ ' Did the applicant submit an operation and maintenance / manual? ja Has ap2licant submitted a copy of a maintenance Are the variances listed on the plan ? [310 CMR 15.220 4 ( ] RLS Stamp necessary on plan if a component is within five feet of property line [310 CMR 15.412(4)] New construction or increased flow proposed - [Refer to 310 Vx CMR 15.414 Address Sheet 6 of 7 r N/A OK NO Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems Is the system proposed on the same lot as served by private well ? [310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15.216(1)] Pumping to septic tank ? [ 310 CMR 15.229] Shared System [310 CMR 15.290] Addre Sheet 7 of 7 Town of Barnstable Regulatory Services 3 Sl, Thomas F.Geiler,Director Public Health Division 59. Thomas McKean,Director ' 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 49.EZop� Sewage4erm / d� _ Assessor's Map/Parcel /� 47-7 Installer& Designer Certification Form Designer: Installer: Ploet. 40 v--- Address: _ Z 't F Address: Lhti I,� F On was issued a permit to install a (date) (installer) septic system at�, Z_ ,C _✓� based on a design drawn by �n (address) �✓ F� f7G) dated (de goer) 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. Stripout (if required) was inspected and the soils were found satisfactory. 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. Stripout(if required)was inspected and the soils were found satisfactory. STOWN ( er's ature R. No.527 s r,0 A 4 (Designer's i ) (Affix DesigiiIV4016 ere) PLEASE UTURN TO 8 ABLE PUBLIC UMTH 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. ..-A gAoffice formsWesignemertification fom.doc / TOWN OF },STABLE 9 JUL —6 Ail q: 00 ;: �t_., �i I Sol 0 _ d� ` 2, a 7 6 V� L 6 o 43- D,00'to v ck�` 'Vx ff _ �Q/ III LO CATION SEWAGE PERMIT NO. /) lii:�L IJ� VILL G'E I N S T A LLER'S NAME i ADDRESS 144 G�S tfY1� ✓ B U I L D E R OR OWN ER DATE PERMIT ISSUED 1_ 13 -'7 DAT E COMPLIANCE ISSUED �-� � 7 I _ a b v No.797�--- �.�.. F:ms..$5..00.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , ...........-- . -.ToWA........OF..............8.8TM$IAVLe........................................... ApplirFation for Disposal Works Tomtrnr#iun Prrmit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: .27 Overlook Dr._: .Centerville, .026 ...................................................................................... ----_..... ...... ...-•••-•••--•-......---••---•--•-•----•----•-•--•................•-..... cation- ddress 2 7 OverI ook Dr r L°benterville, 02632 James F. OronlnP...Jrt-------------------------- G I 1 ts........................... ................... w A & B Cesspool service 128 Bishops Ter&616, Hyannis, 02601 a --------. ............... Installer Address dType of Building - Size Lot............................Sq. feet Dwelling—No. of Bedrooms._...:4..................................Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ------------------------------------------•--- W 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.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit................--.. Depth to ground water........................ (1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ................................. .:................ •......... ----------------- -.... ------------- ....-----.............-------•--•----..--------•..........- O , Description of Soil............SfMd................................................................................................................................................. x ------------------------------------- --------------------------------------------- -----------------------------------------------------------------.......----------------------- U Nature of Repairs or Alterations—Answer when applicable-_installation of a 10.999__ allon, ..A.tens...paeke_-d...pre. cas.t...leach. p1t....Uvei o t�#......................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'LI' TLE 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 the boar h th. Signe .............................................. 7/13/79........ Application Approved By.......:� :�,'/ . --��!�- --• � 7/1t1.79 Date........................................ Application Disapproved for the following reasons---=------------•-----------••-•-----•--------------------------------......-,---•----------------------.....•-•-- --------------------------------•-•••-•......-•-•---••-••-•-------------------•-•-•-•----------•....•-•---•----••.......:.-••------•-----•--•---•-•--•-•-•--•••--••-••-•--------••----••-••----------.. 7/13�?g Date Permit No.__.79"........... ...... Issued_ . ----•-------•-•.... ......... Date �5.00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................Town.........OF.............Barnatklzi.e ...........-..-.-..-.......... Apptiration for Disposal Works Tonstrurtiott Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: ..27Overlook �.R,,..t...Centerville.:....0263?.-•-..._... ..................:..... .. -- ........ ocation ddress or Lo No. -Janes F. Cron nz r. 27 Overlook Dr. , Centerville, 02632 .................. ...-----•-•----........--------------...... -----.........-----------....----------------••----................_.. ............ caner Address A & B Cesspool ervice - 128 Bishops Terrace, Hyannis, 02601 ...... . . . -------- Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms......4...................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -----------••-----------------------------------------....--------•---------...---- W 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.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) HI Percolation Test Results Performed by------------------------------•--._.....-------•-•----......-----.....---- Date........................................ W Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ------------------------------------------------•------•------......--•---.......-----------•....---.................................................... 0 Description of Soil...........aa ld..----•----•--••--------------•-•-----......••--------•--•-----------------------•----------•-•-------•-•-•........ U -•----•----•-•--•-•••-••--••---------------•---------•---------...-•••-------.....----•-•-----••----••--.....----------•-•-•------•-----•--•------------•--•-...........---...-------••-•-•...---•------ W •-•--------------------------------------------•--------------...---------------------•-•--------------•------------------------------------------------•----------------......------•-•-••----------•- Z. Nature of Repairs or Alterations—Answer when applicable_- Agtallat-lOn___of___a___1,00___,gallon•,__. ..stone----pazked...pre.—cos-t.-.1-ea.ch...pit....(.oyterX ow).A-------------•----------•------------•--•-------------.......----•--•---• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersined further agrees not to place the system in operation until a Certificate of Compliance has been issued the b/ar4_ h�th. Sign ,. �� ..... 7/13/79. Application Approved BY { ': d' ,.�............. ..........................79 Date Application Disapproved for the following reasons--------------------------------------••--------•--------------------------------•----------••-•------......... --.....-•--------------------•-......--•••--•---•--...--------••-•------•....--------...---------•-----•---•---•---•---••-----------------•---•--------------------------------------------•--•------•- Date Permit No. 9' ----------------•-------------. Issued._...------7/13/79 Date r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................Town.....OF.......Barnstable............................................. C9rdifirate of Toutpliattre THIS IS TO CERTIFY, That the Individual Se Rage Di osal System nstruct d ( epaired (X ) by.A..&••B..Cess-pool Services 128 Bis hops terrace, `11yann s, �1 . . . - - - -----------------•---.......------.....................---•----•-- at..27- Overlook Dr. . Centerville, d2t`52 -- James F. Cronin, Jr. - - -- - has been installed in accordance with the provisions of Tlj4Z 5 of The State Sanitary Co �s3dfs f�.bed in the application for Disposal Works Construction Permit �,o.................1.r_Al.......... dated.........-...................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® A A GUARANTEE THAT THE SYSTEM VIAL FUNCTION SATISFACTORY. DATE... �..GP... ...7. � Inspector....... --.... .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town.......OF........Barnstable $5.00 .................•------------------•----------------•---.--... ..... --•• FEE........................ Disposal Works %ottotr iiaj rEYA-o p yannis A & B Cesspool Service, s s Ter. , H Permission is hereby granted------------------------------------•------•--.-----.......--•---...---•----•-•-----------........-•--•---•--.....--•......................_.. to Const 2 We°r�l o 'rD(r ,a`�en t"er i 1 0 System James F. ,Cronin Jr. atNW...................................................................................................------------------- -------•-•............................ \ " Street as shown on the application for Disposal Works Construction P - it N 79. _.. ..... Dated.._..............�3...7�......... Board"of Healy DATE............................................................................... FORM 1255 HOSES & WARREN, INC., PUBLISHERS •-s p0 28"X 35 " p0 28"X 51 " 3 PLS -1, 24' Fri —) 2 -8 EXISTfNG ZoX� 5'-I,.. 5 IO 6ATH NEW MA51"Ep 2, 6,� 6ATN � 2�6"X��� . 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(ONLY? ' g" i111N LEACHING TRENCH )REQ. / PITCH t #"FERFT. PIPE •-MIIV.PITCH � 1/8"- I/2"I�IASNED STONES � 36"A1An. y� l \-INVE GAS BA LIT'ry ��' ' �� ` �� �. '•` 1/4" PER.FT. , _ '` ELy.J-`t 7-r..., INVL•"RT !M/ERT - _ s` \ Cy SEPTIC TANK EL.� Q3 ' STONE O 0 0 k,•� ! INVERT EI..'/./�i..��..� GAL ... IJQ.Q. . INVERT , DIST INVERT �- r �`1... BOX L9S.. ► a a . e e + .� ,CRUSHED STONE` ELT _ r, zrz / PROFILE OF ioMvf?:f l F-f /ma's �-" SOIL LOG SEWAGE DISPOSAL SYSTEM Q GROUND WATER TABLE j6W-- ! DATE,?,,*[?,:P,•Q� TIME ../,D:4l�.<I!'� NO SCALE TEST HOLE I TEST HOLE 2 •--� ELEV .5•0,8.�" ELEv.,anti DESIGN DATA ' /9 � y �� ;.;q �Y�`y�'"' NUMBER OF BEDROOMS . . . . .. ... a , yv- y y/ �• r ,�1 s /oj�2 /!v� A' TOTAL ESTIMATED FLOW ..�3Do, GALLONS/DAY yT.77 ..�lo �L9779/ BOTTOM LEACHING AREA `-rg.-g1 .le SQ. / TRENCH Z✓ �� �'f / .Sl TE PLAN 27 OVERLOOK DPIVE �p��, f'',�c'�'O<Il�; SIDE LEACHING aREA�r�j;A3oyl�'•CfJI�TSQ.FT./TRENCH /' lJ?S ' '` • • GARBAGE DISPOSAL . . .l✓.a . (50% AREA INCREASE ) ••��/~. /✓ot / `,--r4nda TOTAL LEACHING AREA .'y��..4�7 :• /ar�� ✓, .. . .. . ...SQ.F T.CENTERVILLE ?�G PERCOLATION RATE PER.INCH ,5 LEACHING AREA PER PERCOLATION RATE,. ,zBSQ.FT. a GROUND WATER TABLE 41& ----- -- - -.. -._ APPROVED .. . . .. . .. ... . . BOARD OF HEALTH /k-WATER ENCOUNTERED DATE .. . .. . . ..... ... ' ECPD WITNESSED BY . AGENT OR INSPECTOR �piHOd ,r •��1!/!??5�.���14 � l !I,�il,� BOARD OF HEALTH 411 �r CST i�:fo�J•///��� tr.S... ENGINEER .... _ . _ . . . . . . . .. .. . . ac TET s?t�3 crTE 29 /Ir� � tr�/1r� _Hai. PETITIONER