HomeMy WebLinkAbout0117 PHEASANT WAY - Health 117 Pheasant Way
Centerville
A = 228 132
152113 ORA 10% P2
TOWN OF BARNSTABLE
~ LOCATION /'T �eaSa �`° L�g SEWAGE #
VT'-LADE Le4Z e r c:A. -S— ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. IrU! 'ed e
SEPTIC TANK CAPAC=
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMIT DATE: —COMPLIANCE DATE: //L7/OS—
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 CRRT/FY THAT THIS SURVEY AND
IN ACCORDANCE WITH THE PROCEDI
E STANDARDS MR THE PRACTICE OF
TH6�OMA/ONMEALTH Of NASSACHU.
1
LOT 3 ) PAUL A. HERTTHSW,P.L S.loo' .0
(pl g7(B _ . 127 s• <
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LOT 4 _...�_
Nid A
10.2 35q.FTS(RY CAW) ------ �a
S •,¢0• 035p.F/;W PLANE -
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"Or.
m� y
Nam•�
• g _ 560542O E IO9 BE(BY CALC) I IP
N.
CB (NOT CONSTRUCTED)
AIII¢: i� N1 wuw{[�bia cn11.,J w.w 'j
ce
GRAPHIC SCALE
AS/LQT 133
No. J�C Fee
THE f:OMMNWEALTH OF MASSACHUSETTS Entered in computer:
es
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
0(ppYicatfon for Mopo0al Opgtem Cottetruction Vermft
Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) Complete System O Individual Components
Location Address or Lot No. /Ih J�,,• w c,y � p 7 ner's Name,Address and Tel.No.
Leh t =
Assessor's Map/Parcel
Installer's Name,Address,and T No. Designer's Name,Address and Tel.No.
ai sn�.y�r 29�
91 U&C AD /qiq-
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 gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
jk/Nature o Repairs or Alterations(Answer when applicable) L '� m ro,
NO � � Y� .`
c �n Dto
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 EnvironmentaLCoddewand not to place the system in operation until a Certifi-
cate of Compliance has been iss y this Board 7
Signed Date
Application Approved by Date
Application Disapproved fo the following reasons
Permit No. 2 uuY —6 5_-� Date Issued L
No: p oo .; t _ `� Fee
THE POMMONWEALTH OF MASSACHUSETTS Entered in computer:
'r + ¢PUBLIC HEALTH DIVISION ,- TOWN OF BARNSTABLE, MASSACHUSETTS
ZIppYication for ;Diopotal *pgtem Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individud Componentso
Location Address or Lot No. ��i h t�, w a. -7 wner's Name,Address and Tel.No.
Assessor's Map/Parcel �'--I/
13 _ _ ; r
Installer's Name,Address and Tel.No. i 'Designer's Name,Address and Tel.No.
cC C_:il'1) _0��y"20_i2
9
4� l uaec kD M
Type of Building:
.Dwelling No.ofrBedrooms Lot.Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons - - Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
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) N0,1 npo�� �, N G Gr a G( n v. /�" w
t / c.
�tl� (1F't.ltn t �a�.'r r�l�- f�rn �£7'
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 Environmenta,LCod and not to place the system in operation until a Certifi
Cate of Compliance has been iss d'by this Boae rdoI
Signed .�� // 1 Date �l 1i/� `
Application Approved by 1A, Date -� G v
Application Disapproved f r the following reasons
Permit No. 2 uyN G 5- Date Issued /
T ,
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of (Zompliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed (u )Repaired (_ )Upgraded ( )
Abandoned( )by
at 11 PAR a i o-. �,c��—�o., �r . /�o has been constructed in accordance
with the provisions of Title 5 ar d the-e-forD posal System Construction Permit No. cut-/-6 CP dated / u
Installers �. Designer /
The issuanc=e7of this pe^h 11 nothe construed as a guarantee tha�the syste l�functio�i as designed.
Date I 7 I Inspec er
No.!:) ri()yT�i Fees
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Zigozar *vglem Construction Permit k
Permission is hereby granted to Construc�rp )Repair( )Upgrade-( )Abandon
1 ( )
System located at 1 � P r � i� f� 4k _
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 date of hi. erm't.
Date:_ v `/� Approved by
� /
24'-0„
3' 0'
5'-3"
N
I
U) M -
m
F-
N
00 t
J I General Slab notes:
8' 6 1/2" »• I °° Floor to slope 2" towards doors if
o I 3 you do not use a floor drain.
" c�
i I -0 Plates to be anchored by straps,
i
6 -9n a c 1L c o I 3 tap cons or anchor bolts on 8' centers
> o o, (verify local code). 1" of level and
(A` o,'u `o u M1" of square. With a broom finish (recomended).
c
O o ar=o°o Add for masonary Rough openings when
= 'D 75 W a curb exists — customer to notify /
o o 0 L) o�`+ 1° ' v S 24'-@drify to Sturdy Built of curb height and
rn x fL u V o c u 0 0 Opening placement:
N so o o C7 „ :o COO Entrance doors +2 3/4" each side
o c o LJ w= u�° �'" Overhead doors +3" each side
a — 0 oW >
m O O G
I- 3n c�5:105in ca-
> > w o 0v
6'-9" L, "" -0= a 0(A
s
ma 4-4 O.J.. cu
o " 4 N 3.t cn W'o 0
(.r) 12'-0" O 7�—4-4 d N N X O 7
ZU vv vvNXU
00
N
Headers: Garage doors (3) 2x10 *Id SYP
Less than 4' wide 2x6 spf
5'-3" Greater than 4' wide (3) 240 #3 d YP
g 1fe 10x10 MoLel 4050
r
6'-0' 12'-0„ 6,_0„
S V 1_ u I I1L CUSTOMER: DRAWING: REVISIONS: DRAWN BY: 171
Y Morrison First Floor DATE: 10/26/04
PO Box 187
Suite 400 24x24 Oxford SCALE: APPROVED BY:
Dubuque, IA 52001
25'-4"
4'-0„
4'-0„
v
V .r
O w n
E N
6'-0„ oco ai - i : .24'-0„
°
0
. . . . . . .
M. a c I
i. v rn 1 ;
d eau I
-0"4'
13c v :
6'-0„
20"-4„
Aprox.
CUSTOMER: DRAWING: REVISIONS: DRAWN BY: PAGE NO:
Sturdybuilt Morrison Second Floor DATE:
PO Box 187 10/26/04 2
SURE 400 24x24 Oxford SCALE: APPROVED BY:
Dubu uE. IA 52001
TOWN OF BARNSTABLE
LOCATION �'� ��eQSn Z WQ. SEWAGE #
VII,LAGE• C.C/f e r t/i c: c, ASSESSOR'S MAP.& LOT.
INSTALLER'S NAME&PHONE NO. �u�.eq M
SEPTIC TANK CAPACITYc—
LEACHING FACILITY: (type) (size)
• I
j NO.OF BEDROOMS
BUILDER OR OWNER
PERMIT DATE:, \ , 7 Q COMPLIANCE DATE:
Separation Distance.Between the: a
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
/mmy mAr ms svmr AND
1N AXORDANCE N7r l ME P"M'
_ t STANDARDS 6DB 171E MAC=OF
,FBE�O.NNONWSAL"1 OF NASTACBC!
. s7x1'sAr1 (/'d�f�d Lew)►
LOT 3 PAM A YERA7f W P.LS�c;
I ) gY Cps, J' aft
lqu PgBs�( 1r (\J�m:=a
AeY�35 `I/J c �a
. s71q'sA'71 a� w•
N LOT 0 -"-A.. ____ N
aLi A LOT 14'
7D. :surtrercAaq ?-----
'•w
�P ,fig-. •£�,c� -__'Za 3. f i
aX / 556 1'Ko
Gad 4
N
SE09420X
rB7 CALCJ 1P
w , ca NOW A
4 v TCONSTN ucy��•j
,
se1�•.. I.lie., ,c,-�Y... I,n.�e(s•.S/....r/,�RL CB
d
GRAPHIC SCALE AS/LQT/33
1 1-h.20 R
1
9 7
r L.9CATION SEWAGE PERMIT NO.
7
i Y.lLLAGE
I'N' STA LLER'S AME ADDRESS
S U I L D E R. OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED `
h�
't •� �y l f Ta;7 �J`
u
x
No...: 6..�j Fss......�..._..... ....._
THE COMMc WEALTH OF MASSACHUSETTS
BOARD OF H ALTH
/m.W`....OF.....��
.........................
Appliratiun for Dtiputittl urku tum4rurtiun Verntit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
f car
v ll6cation-odress, � ot Lote t '4f
- -..................................
S/lrvi��f
................ . ........................................
a �To�,✓1 OoaL.&.................................. ............./" u,", Nd�e/r. [!v.�.//9J �9 S/9i.
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms........2..............................Expansion Attic ( ) Garbage Grinder ( )
Other—Type T e of Building No. of persons ....................... Showers
0.� YP g -------------•-------------- P ( ) — Cafeteria ( )
a4 Other fixtures .................................
W
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
;W Septic 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 ( )
1.4 Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1_-..............minutes per inch Depth of Test Pit.................... Depth to ground water........................
f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
---------------
0 Description of Soil--------•••-••-•••••••_..�f ti ...._... -
...................•--•-•-----------------------•------•-•---------------------------------••......-•----•.
li
W
V ------
•----------------
•--------------
---------------------------------------------------
•--------------
•-------
----------------------------------------------
•-•------
_....--------------
•------
•--•-•-----•---- .........-..................................................................................
.......... ...).. ...
U Nature of Repairs or Alterations—Answer when applicable.../!?f "?!.`....®v r zza ry-,i.p c� �_...........
----•---•----------------------------------•--------------------------------•--•---••--••-•-----•---•-----------•----------------------------•-•-------•-•------------•----------------------------••••-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with
the provisions of'ITLL 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b issu by the oard o he th.
Application Approved B Date
PP PP Y • ---•--••-•-•-.-
D ate
Application Disapproved for the following easons:-••••-.....-••.........•••-•••--••••-•--•--•--••••...••-•••--••••--••-•-••••••-••-•--•-••.............•••••...
..............•••••-••••••---••..............._..---•--••--.....••••••-••...--•-.....-----••-•-••••••••••--•...--•••-•••---••••-•-•••••••--•••--...---•-•••••-•...•••••......-••••-••••••---•••.....•••-
1 C_7
PermitNo....���..J -------------------------------------- Issued•.......................................................
Date
1
No................_....... Flms..................._.....
THE COMM WEALTH OF MASSACHUSETTS
BOARD OF H ALTH
� �/
------....._....._Lr�.i�/`".....OF.....�/�rHf �r .v
Applirativu for Ilisposal Works Tanstrurtion Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
T cation ress. — orf Lot I
�!i say �1/r, �6� f s vs,.� s S x �l.s l.�ry i,//,.f
......................--•--....-----•..........-•....---.... ....---......---------•---•------ --.....----------SD Lf/.r---�y-----........ �n f..'......
r ............... .......
Installer Address
UType of Building Size Lot.................... .....Sq. feet
�. Dwelling—No. of Bedrooms.....................................Expansion Attic ( ) Garbage Grinder ( )
a Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
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........................................
1.4
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
(s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P+ ........................
--------
- ----------------
------------------
•--------------
•---•---------------
....
-----------------------------------------
D Description of Soil......................... tr_ ...........................................................................................................................
x
U ........--•••---•--•..................•------------.........-•---•----------......-------------•-•-----------•--•---------•-•-•---------•-----•-••-•-----------...........-----------------•------------
w --------------- . ...................... ----------•-•-----•----------------
-------------------------------------- -
U Nature of Repairs or Alterations—Answer when applicable___/-_?-1 4`I o_v�i...�`/O w � Prcl, �
-•----------------------------------------•------•------------------.....-------•--------...----•-•---------•-•----------------------------------------•-------------------•-•--••---------.......-----•
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 undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b issu by the o rd he h.
Sig ed.......... ._..-- ----------------•--------•--•----.---- ..........................�A Application Approved B .... '
PPPP Y .................. ..._._.... �o
Date
Application Disapproved for the following easons:••------•---------------------------------------------•--•----•--•-•----------••......-----------------------
--------------------•----•-•••----•-----......----------•••-----......................_..---------------•--.........--------------------.....-•---------•------------•--•-----------•--------•------•-•-
Date
PermitNo......................................................... Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................................................................................
Trrtifiratr of Tamplianrr
THIS/CEjT_IY, That the Individual Sewage Disposal System constructed
by.............. -1.1! _=� =1" ----------------------------------------------•-----------------------.....----------------..............------------......_
In aller
at i '` Ons
`�----------•- nhas been installed in accordance with the pr of TITLE 5 of The State Sanitary Code,as described in the
application for Disposal Works Construction Permit No........Z7 In?........ dated_..��.;�- k- _____________
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.�2LJ ........................•-•-....-----------........... Inspector...... --------•-----...•....--•-----.....----•--------•----------....---•-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�.- �y7............................ .OF....................... '
No.......... ... -•-•-•......---•- �.
FEE........................
Disposal Varks Tunstrnrtiurt Permit
Permission is hereby granted................._.Q .V.......�.0_o..Q....._......_.......
to Construct ( ) or/Repair ( an Individual Sewage Disposal System
at No.......................::__�.�. ..........
l :...W�l� C e mil}Pry t
fi:.. t
as shown on the application for Disposal Works Construction Permit Street
.._g�'._ ._q 7Dated_.____ _.. _ ..........?.......
3 Board of Health
DATE................... . . ..................:.
FORM 1255 A. M. S LKIN, NC., BOSTON
BARNSTABLE'l
I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE'
IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL yP
' STANDARDS FOR THE PRACTICE OF LAND SURVEYINC IN
STK(SET) THE OMMONWEALTH OF MASSACHUSE71S.
LOT 3 PA UL A. MERITHEW, P.'Ls. ATE
AI
STREET
LOCUS
60
srx(sEr) e N LOCUS MAP
A
CD _
N
4 ro - .
S 15 9 ASSESSORS MAP: 208
FLOOD ZONE- "C"
NLOT 4 Pz ��'�� _===_== ZONING.• "RC"
w_ A LOT _- - --_ rn
HSE= PLAN REF.•
1Qz fSQ.FT(BY CAW) _ _ ___= c►� 106169, 536197
�O,4 Of SQ.FT W PLAN) w:______. wcr 236/73(ROAD LAYOUT)
0.
PLOT PLAN
"�,, OF LAND
5 ess � LOCATED AT-
L
117 PHEASANT- WA Y
CENTER VILLE, MASS.
860 34,'2O':. 109 819 KB y C ! PREPARED FOR:
ALCM IP STEPHEN A. MORRISON
' A Y DUNE 16, 1999
w
SNOT CT
CB CONST1p jf EDJ
We: Doe vj CV'o.Sp.Ql NR w
4eyo YANKEE SUR VEY CONSUL TAN.TS
P. O. BOX 265
GRAPHIC SCALE � UNIT 1, 408 INDUSTRY ROAD
MARS TONS M/L L S, MA. 02648
20 0 10 20 40 so AS/LC T 133 PH.(508)428-0055 — FAX(508)420-5553
( IN FEET ) u JOB/ 51978 DCB
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