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HomeMy WebLinkAbout0101 PATRIOT WAY - Health 1 G1 Patriot Way Centerville A = 192 224 _ a t Z No. 4210 1/3 ORA Pe' ndaflex' 10% N 1' r (TOWN OF BARNSTABLE - LOCATION !o t I�t-�2to�- c„s-njc•. SEWAGE# aoo 1-a�q. VILLAGE CWfr,4L,rt kkC— ASSESSOR'S MAP&PARCEL /9 Z- z2-1 INSTALLERS NAME&PHONE NO. &6Z,JSoy.1 5, cc Sd 8'27 Sa $77 SEPTIC TANK CAPACITY I S 0 0 LEACHING FACILITY. (type) 2-5-60rA1 Z!�-WwFUS (size) NO.OF BEDROOMS 3 OWNER f�)t,p�• PERMIT DATE: -1 Is )0-1 COMPLIANCE DATE: '7/S I a,� 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 I t- Q L FC)'(-)I (33 13-2. 31,�,� No. (j0 'o� Fee $1 0 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for �Bigo5a[ 6p5temc Cow6trurttoll Vermtt Application for a Permit to Construct( ) Repair(); Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 101 Patriot Way, Centerville c/o Jan Merril-Century 21 Cobb Assessor's Map/Parcel Installer's Name,Address,and Tel.No. '7 7 5-8 7 7 6 Designer's Name,Address and Tel.No. Wm E Robinson Sr Septic PO Box 1089 Centerville N/A 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) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) We will remove existing 1000 gallon septic tank and replace with 1500 gallon tank to code 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 this Board Board of It Signed Al � Date 9_S Application Approved by Date 7- S' O '7 Application Disapproved by: Date for the following reasons Permit No. ZZ0O -7—XM Date Issued 7 :�0"7 1 ivo. . (71) Fee $10 0.0 0 THE;.COMMONWEALTH OF MASSACHUSETTS Entered in computer: t/� PUBLIC HEALTH DIVISION - TOWWOF BARNSTABLE, MASSACHUSETTS Yes Zlpprf cation for Milpogal impotent Con0tructiou. Permit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑ Complete System 14"Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 101 Patriot Way, Centerville c/o Jan Merril-Century 21 Cobb Assessor's Map/Parcel N 2—.2 I r Installer's Name,Address,and Tel.No. 775-8776 Designer's Name,Address and Tel.No. Wm E Robinson Sr Septic i PO Box 1089, Centerville N/A 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) gpd Design flow provided gpd Plan Date . Number of sheets Revision Date - Title Size of Septic Tank Type of S.A.S. Description of Soil h t _,Nature of Repairs or Alterations(Answer when applicable) We will remove existing 100.0 gallon septic tank and replace with 1500 gallon tank to code Date last inspected: Agreement: l 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 Board of Health: ,r Signed �U Date —2 © / Application Approved by v�., (� Date 7—.r—O 7 Application Disapproved by: v Date for the following reasons Permit No. 2 no —7 Date Issued S- u`7 THE COMMONWEALTH_OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (X ) Upgraded ( ) Abandoned( )by Wm E Robinson Sr Septic at 101 Patriot Way, Centerville has been,constructed in accordance / with the provisions of Title 5 and the for Disposal System ConstructionPermit N�.._`Z�' '-2f dated 7/3—/7 Installer o'' Designer #bedrooms &)e l,.r lWi)4 o-' S,,o .� A ,y AJ/,/Approved des ign-fl gpd /V 11f" � „f r d A , The issuance of this p it e / shal not be construed as a guarantee that the system wiltifun_ ion as,designed. 1_/ Date / Inspector ————————————— — --------------------------- No. F$1 0 0.0 0 ee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Mi!gpogal *patent Construction Permit Permission is hereby granted to Construct ( ) Repair ( X ) Upgrade ( ) Abandon System located at 101 Patriot Way, Centerville ! / a r 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: Const ctio must be completed within three years of the date of thin-p'e it. Date /v Approved by L�`^ TOWN OF BARNSTABLE 'LOCATION �o� ����fD�Gt��y SEWAGE # GE LCA)Z�I�f/!�L E% ASSESSOR'S MAP & LOT �7-2Z INSTALLER'S NAME&PHONE NO. CIVC0 77 2-,1660 SEPTIC TANK CAPACITY 6X,d7� /Cza S*/ -LEACHINGFFACIL=: (type).A:6 89�/171C�1a� _#S (size) t2S"X NO OF BEDROOMS BUILDER OR 0 R. PERMIT DATE: �COMPLIANCE DATE: - Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Sdpply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) ""Feet Edge of Wedand and.Leaching Facility(If any wetlands exist within 300.feet of leaching,facility) Feet Furnished 6y z _:. f 1�, ti yc �. � f - L-0 C AT ION SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME & ADDRESS T ' BUILDER OR OWNER DATE PERMIT ISSUED z41z,6Zz�, DATE COMPLIANCE ISSUED ��i '"„'� ;' �' - � � ,� o JCS � ���r �c� '� (�:1 J �i7 f No. v"" �� f Fee S THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Mi"dog �pgtem Construction i3ermit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.Z� Owner's N e,Address and Tel.No. jG��S�M Assessor's Map/Parcel/ 1 l ^ c� Installer's Name,Address,Ad&1WcCANCO Designgr'ss In �! C n' Nam Address a0jel.No. 350 Main Street r W. Yarmouth, MA 02673 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 y gallons per day. Calculated daily flow gallons. Plan Date 6'6 '3 Number of sheets / Revision Date .V.m Title Size of Septic Tank -fXis /4Y0-CD Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Env' nme tal Code and not to place the system in operation until a Certifi- cate of Compliance hasJ=n issued by4is Boat f ealth. Signed Date Owl 3 Application Approve Date g rd'd Application Disapproved for the following reasons Permit No. Date Issued Z 2 C3 No. J ,%1,l 1y F Fee THE COMMONWEALTH OF MASSACHUSETTS ntered in computer: r` Yes PUBLIC HEALTH DIVISION —TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for Migpogar 6pgtem Congtruction Permit Application for a Permit to Construct( . )Repair(�ade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. y Owner' Name,Address and Tel.No. (� �G.f�(C�SCN1 Assessor's Map/Parcel 19d -d .' 778 -IJ>av Installer's Name,Address,and Tel.No. Designgr_s Name,Address anyLZel.No. Type of Building: r4 ;Dwelling No.of�edrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 U gallons per day. Calculated daily flow 3 5� gallons. Plan Date 6:p ' Number of sheets / Revision Date .,u104 Title Size of Septic Tank -eY C /U U C::) Type of S.A.S. Description of Soil fC r ��`✓1 r n Nature of Repairs or Alterations(Answer when applicable) 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 Env' me tal Code and not to place the system in operation until a Certifi- cate of Compliance ha,l Bo d\1 f ealth. Date Q �c�Signed Application Approve by Date Application Disapproved for the following reasons { Permit No. C9 C 3 —y G cal ;`Date Issued Z Z- d THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, th tthe On-site Sewage Disposal System Constructed( )Repaired( L.4-V`pgraded( ) Abandoned( )by at i la / < < H fC P has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2.163- 4(YJ dated 7`t2'03 Installer Designer- -The issuance of 4s pen shall not be construed as a guarantee that the system ' f W- ss ed Date g a3 Inspector a/T --------------------------------------- NO. Fee 6 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Wgpogat *pgtem Congtruction Permit Permission is hereby granted to Cons t( )Repair(..�-)'lgrade( )Abandon System located at �r � i4 /'i o /0 / �-�t +i z"/✓ i[�(J f 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 da a o' f this e Date: aa/ Approved by TOWN OF BARNSTABLE LOCATION �dl ��� f��l.�l � SEWAGE # " VILLAGE r—&-Ale/PC/i 0 E% ASSESSOR'S MAP & LOT g 2-2 Z INSTALLER'S NAME&PHONE NO..X"'/9 ( ANCQ 77 g'.im Q© SEPTIC TANK CAPACITY 9*/ LEACHING FACILM: (type)�d09,4/l2VWL-"fl.S (size) as,"X/.q iX e1r NO. OF BEDROOMS BUILDER OR OWNERS-�L� PERMIT DATE: / ( COMPLIANCE DATE: _IS 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 1 Q O Cf< '' t � u a ASSESSORS MAP : ���,.. TEST HOLE LOGS NOTES: PARCEL : 2.Z-`� 'A 1) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH FLOOD ZONE : )(x SOIL EVALUATOR : 1�V• MEE. ER � ,RS a HIS PLAN, 1995 MASSACHUSETTS TITLE V & TOWN OF — BOARD OF HEALTH REGULATIONS. 1 LN. �\AO s WITNESS : REFERENCE : �_• _7�1 ��" DA ,g DATE: 3 2) THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES, o pr 12`I PERCOLAT I CN RATIO G'2wtl� I�1Gtl SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO `� 1j�'CR u� G1ip It, L 0 Y- INSTALLATION. �No. 1140a I� TH- 1 Et, 73 7p TH-2 3) THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION 'tE $ ;� ti O ONLY, AND SHALL NOT BE USED FOR PROPERTY LINE �p s'tii:rtp� LU�M}I DETERMINATION. f ' `I `Sft�� (0�0J/� 'J 4) ALL PIPING TO BE 4" SCHEDULE 40 @ I/8 "/ FOOT. (UNLESS SPECIFIED OTHERWISE) L��M IU LOCATION MAP CK 1'.S) KS� 5) THE DESIGN OF THIS GARBAGE DISPOSAL.SYSTEM DOES NOT ALLOW FOR THE USE OF A -71 6 6) SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON C S'A 1� C' A BASE OF 6"OF CRUSHED STONE. _PrT 13� �2.`15 ��vvn--T� V P p ._._ _ _ _ _ _ D uJ o C0 �l V P�► -�. Fw5 w / so,o PRoPca� Ltl_ 1311.- -0 •�° _._ SEPTIC SYSTEM DESIGN 9 �--� �'s �'�_.ass ___a_ ..P P_o�s�.�•..�� t�.nt. �__ .._..._. r — OVER HEAD FLOW EST I MATE kD BEDROOMS AT f 4 V GAL/DAY/BEDROOM - GAL/DAY --__0 ____ -_ • oV�2HE o _ SEPTIC 'TANK �P,D !�� �\ \ �6a r 74 330GAL/DAY x 2 DAYS GAL -�-FAI r USE /00�) GALLON SEPTIC TANK --E(/S A�E w f 1,500C,AC S-T �asEr��oqr 0k A , __._ -- -� rh= FtIL6D, bA-mv EOf OR 9 SOIL ABSORPTION SYSTEM �N►��S12�1�• r I Zs W, I Xi5�ln1 `z ' lo, VJ ' ST wx 2°L>) E Duv_E`- j ---� ��,-,r ZS 2 �3 z xZ x U. ��1 = �r2 y� ToF "EL7S.o \0 SIDE AREA• C >y � BOTTOM AREA: Zsk 13X Or7y = 2116.So 31i;a .qg I Lo ►� y 330 4t>0 re y c . SEPTIC SYSTEM SECTION N 7 4'Z 75,E SV,�n 9 M - of lr1rriSA CiYae1e_ I/3L MAx IF( .7/• ° V1GNj / eP S�1J4 6�s 7 f.° ►d 2' ovble GUa rl�ed Sf�n , 1 L____I VI D-e x / oe GAL o 7�.6s u1�-�esf - = t7 L7 I SEPT I C TANK 'r kwel& o WASI-tEO S! NE 3 rr EVEN15 I �S^ No suRv� I SITE AND SEWAGE PLAN 1. LOCATION : V4Ay /(/PREPARED FOR : ka— �ion � _ - DARREN M. MEYER, R.S. SCALE : `�G 43 VINE STREET DATE. z /+/ 1 - DUXBURY, MA 02332 W UV L DATE HEALTH AGENT (781) 585-0293