Loading...
HomeMy WebLinkAbout0043 SAIL-A-WAY - Health (2) 43 SAIL AWAY RD., CNTRVILLE A =230 159 4m ,,....�. TOWN OF BARNSTABLE LOCAJJQN Y A.I L-/ ''ze.,,=-LX _ SEWAGE # �/Ii.LAGE C V�I�L. ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. f SEPTIC TANK CAPACITY > LEACHING FACILITY: (type) Lfl-A%�'�lF%G,;� (size) V NO.OF BEDROOMS BUILDER.OR OWNER - E-,�. PERMITDATE: COMPLIANCE DATE: —&=�VQQ 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 �1 ik t3 i ci No. CN�V"�� Feea! THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Migpoml *proem Con5tructiun Permit Application for a Permit to Construct( )Repair( )Upgrade(V<A bandon( ) Complete System ❑Individual Components Location Address or Lot No. ��;� {� , Owner's Name ess and Tel.No. Assessor's Map/Parcel 3o� al 17? 'PAci I=i C., AV-e. SIA&j t Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. I i Type of Building: Dwelling No.of Bedrooms _ Lot Size sq. ft. Garbage Grinder( ) Other Type of Building T No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow q A c) gallons per day. Calculated daily flow LVIA® gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 d® � '`��r+�^ � Type of S.A.S.gd!�. Gcd��c��c���.�r� Description of Soil L o A vw,A.. S.A��' M-da 5 4"�b Nature of Repairs or Alterations(Answer when applicable) O'D S.I Z>t rPr Date last inspected: DESIGNING ENGINEER MUST SUPERVIM~ Agreement: INSTALLA ON AND CERTIFY IN VVRITING The undersigned agrees to ensure the construction and maintenance of the,afor die cT 1 I`d�'t itl H�pBSsa system h�v ri+ " CE T in accordance with the provisions of Title 5 of the Environmental Code and not to place the systeR r ation until a Certifi- cate of Compliance has Bo Signed Date �`1-00 Application Approved by Date Application Disapproved for the following reasons Permit No. Zayz� "0 ( Date Issued Z � � Fee --+ y I ' �`•� a ' s, THE COMMONWEALTH OF0i /CS;SACHUSETTS Entered in computer: Yes r PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppfication for Migogar ibrgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade(v Abandon( ) )„Complete System,}[]Individual Components Location Address or Lot No.q Owner's Name�A dress and Tel.No. Assessor'sMap/Parcel -D3o/ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: U Dwelling No,.Aof Bedrooms' "-_, Lot Size sq.ft. Garbage Grinder( ) Other Typ"f Building r No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow n gallons per day. Calculated daily flow tA'-A O gallons. Plan Date�_ - �, Number of sheets_ Rev' son Date sx t 1 Title Oi�, 1 ' V. Size of Septic Tank l<`0C? ti cY c --tida►a Type$f-.:A,,S'- Description of Soil 1 ., ,n „6. ,r �0-1 &;.. a ' r i JNature of Repairs or Alterations(Answer_when applicable) Bt.S`C k1t� ( � 1`i��Au�C� i�t'�Co"D S,l �.r 06,1 _ Date last inspected: Agreement: The undersigne�;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 Certifi- cate of Compliance has bpi s ugd b this Board altlL Signed ,. Date `I'®� Application Approved by Date 'Z- ZvZr-0 Application Disapprove jd dr the following reasons Permit No, 7=Z, -,Iirl - / Date Issued ------ -��.__--� ' - ''-�- -- ----/--------- THE„'C�UI�IWEd� H-O:F.�1I1id►SS HUSETTS BAR STABLE, MASSACHUSETTS (tertificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded Abandoned( )by fti D-C-A 0" C at t-r fL Vt has been constructed in accordance with the provisions of Title 5 and the for Disposal ystem Construction Permit No. dated Installer _ Designer i The issuance of-this pe, t s 11 n t be construed as a guarantee that the sy to '.l function as desig e o d Date Inspector ---------------------------------------- No. 74-0y Q G I Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpogal *pgtem (Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(y�Abandon( ) System located at rL- 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 this permit. Q Date: Z ��ZCI7.re7 Approved by �J J. Pavlick Engineering 76 Village Street Medway, Massachusetts 02053 (508) 533-8242 February 4,2000 Town of Barnstable Health Department 367 Main Street Hyannis, MA 02601 Subj : 43 Sail-Away, Centerville, MA Septic System Inspection To Whom It May Concern: J. Pavlik Engineering, has conducted the necessary inspections for the newly installed Title V septic system for 43 Sail-Away. I hereby certify that the new septic system has been installed in conformance with the approved plan. Very truly your J es A. Pavlik, P.E. TOWN OF BARNSTABLE LOCATION - T.A.1-A !! ���� � � SEWAGE # AW VILLAGE C� ��/CI�IUE ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. i�;O CA V el l f-, C. 01 u _ SEPTIC TANK CAPACITY / cs LEACHING FACILITY: (type)�'. r�jisl TG`1� (size) 6 NO.OF BEDROOMS BUILDER OR OWNER ,- PERMITDATE: COMPLIANCE DATE: O 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 14 d 3 d � �f 1 LOC q IL;AJION SEWAGE PER NO. VILLAGE Cl Div 7,-Zf INSTA LLER'S NAME i ADDRESS a nd c A s-0w BUILDER OR OWNER DATE PERMIT ISSUED 16_ ��. `�� DAT E' COMPLIANCE ISSUED r —1 �'i w � a \ �` �\ \� \} � . ������ r No.. 1...�..._....... FEs.�.,1�.M........... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .................... Yl)....OF. OL D$ b) ....................................... ApplirFation for Uispoii al Works Cnnnitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (f) an Individual Sewage Disposal System at o-atio -A dreams ---•or•Lot No. c,........-•--------------------•. -- -• .....No..••--••••-•-•-•-•-••..............•-••--- Owner Address .................. ...................................................... Installer Address UType of Building Size Lot............................Sq. feet �. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -----------•--•-•-------------------•------...----•-------------------------------------.._..---------..........---------------•-••-•---...-------•-- 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. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ �_l Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........_____........__. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil-------- ._ l� ..-----•--------•--•---------------------•-------- xV ...---•.......................................•-------- .-----------------------------------•----•-•---------•------------------•--•--......------•--------------••--•--•-----------•--------•------.-•-- -----------------------------------------------------------------------------------------•----------------•------- ..........................----- ........ . U Nature of Repairs or Alterations—Answer when applicable....1-400 S-_Q0_16`y,_._.( __________________ -- ----------------------------------------------••-----••-•••--•--•---. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary,P ode— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has�ee ued by the)b®r 1 lth. 4• Signed.-- -=--•-- .. .-- -�-••---....-=•-----------------•-----------...----------•- -------- ------..... Date ApplicationApproved By.................................................. ........................................ Date Application Disapproved for the following reasons----------------------------------------------------•---•-------•----------•---------------------•-----•--.....•- -•-•-----...--•--••-•-----------------------•------•-----•-----------------•---------..........------------------------------------------•...---------------•.......................................... Date PermitNo......................................................... Issued.......................................... .-------.---- Date /!� No.. f _....... FEB ..........:.'............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 � App iration for Disposal Works Tonstrurtinn thrutit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at:,, ...«.....i:..............«::.......:.........:....._.........._................................ ................................................................................................... Location Address or Lot No. 1 _. .. ........................... _. .. ....................................... Owner d Address a �+.... J � ............••.. - !;-•-•............................................................. . Installer Address Type of Building Size Lot...........................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) A4 e� Other—T yp of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2......I....._...minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ,-v_;__-_____,4__-. I.................+...................................... ODescription of Soil........ --. ...: .....................•---------------------------•--------------------------..._...._...-•-•----•-••••-•-.........---- U -------•-••---••----•--•-------••......•-•---•---------------------------•........•-•--...---------......--••-•••-•••----------••----•----••-------•-•-------........••••••......•--------•---•-•---•-•- --------------------------------------------------------------------•-----------------------------•. U Nature of Repairs or Alterations—Answer when applicable_._ fr : :.%____1`_._'t_. # 1+ ::r___________________ ..---•-------------------------------------------•-•-----•-•-•-•--•--------...------._..........------......------------------------------------------------------------------------......--------•---- 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 been issued by{the board of health. a r Signed_." = ----- ------ ------- --- ... r' Date ApplicationApproved By.................................................................................................. ----••--••--•--- ------..---•-- Date Application Disapproved for the following reasons--------------------------------•--------------------------------------------------------------------------_...•- .....................•--------------------------•-••----------•----------...-•--------...._..---..._._._..---•-•-----------------•-----------------.-•.----------------------------•--•---••----...--•--- Date Permit*No.:.................................. - - - Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS ,. .;x BOARD OF HEALTH . OF. . �rrf�firtt��'iaf� f�vrnt�fi�anrr , THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by k :. 1 i:t......_..... .................I....................................................................................................-...._._......._ Installer . : : at ------------------------•--.....................................,-•--------- ----------•----------------------------...._. , has been installed in accordance with the provisions of T fi he State Sanitary Code as described, in the N application for Disposal Works Construction Permit o_ __ ______________/__.____________._... dated_.... ...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ✓ J DATE:......: .. . ...... . ............ .................................... Inspector. 6.0.. ....................... - ,, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................... OF...... ...................... :.'....• .-•---•••.......................No 7/� ............ FEE........:................ Dis pos al Works Tuns#r iort rrntit Permission is hereby granted_.-.-:. - ......................_:_....:_:.._.--•---......------------`._........-••-•-----•-....---•-•----............---•-•-- 1 to Cons-t uct ( ,) or Repair ( ,'.)''an Individual Sewage Disposal System . atNo. .._--••• --•....._ ' •. ------• ---- •...............••.-•_.:_ ..---••-•--•••-•-•-••-------••• ........--•-•- • -•---...._........._. Stre2t— as shown on the application for Disposal Works Construction PerylVNo: ::__ _1____ .. Dated...1i4.`_ �"'j?P. ......... 3/ a. Board of Healt DATE..... -----------•-•-----------•------•---•------•---•--------------------••--- g#:' FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - - '4 ' ti:" h � .. ..., .Mau. r �- r, w w _ 1. , ��0 �,N�-I G _,�": COVER�_ 'I"0 ��, '=�� ,� � (,.,J�c EX TENt.) TO 'WITI IIN, 6„ 1 �- tFle�laaHED GRADE ' S LIP s 5 1 O M I N. �,,- Nt�� r .�✓ / i 2� N. t�- v ,: LEVEL ,'-AvJA � ,+ 7)G•VC9 � l 1 � � PEAS ®N ..1o ;AL. --=---- TOPPING r IF GfctS¢ CISO' MIS - — � {' I�._._a ..� .. ,fit G SASHED .' �j .7 1 STONE ALL J _ AROUND LOCOS IIAP SOIL TEST LOG 5 fx r( r>.j r Lr z A-1-0R-5 u>'' — �_� PROPOSED SEPTICE i GENERAL — C (��RG. RATE G 2 ��.lc.r� 1 EL .0 NO - SCALE �:TtJj' �`� bIs . �-� r �02 - ELEVA (IONS SHC)WN BASED ON U.S.GS. DATUM DEPTH . Z -, `I'a - °�., '' ... / EITHER C.I. OR �oA►� SYSTEM PIPE SHALL �E 11 e A 5 A 4 1� a.�........._. A t o��'''`"� s fit N 4'} .-......,,,.. . r.,...a,... �,.. �, �`'� �a�, �,�„ "� r' i [y(:Y 4 0 P.V,%C. l2 _'---- -- _ - - - - _' ._ � ,, SCHEDULE F" HEALTH SHALL BE IZ coa,�� (.s,avcy 5�e.► - . _ . - THE BOARD 0NOTIFIED Ca4 2i :, - 1 �5.�5� G; F SEPTIC e71 S Y� - x..„,,. .w. „a. '4.`r• f +r,...r, e---" D ."� 1 PRIOR TO gACI4FILLIIV 0 SYSTEM. o,�t�' STEPS STRUC`� tURAL COMPONENTS . � - SEPTIC BE SHALL,�I_L C A P A E�L E OF WITHSTANDING A 5 A V4 '_` `` ., H - I0 LOADING, UNLESS SPECIFIED OTHERWISE. ` . _ SF ►�TIG SYSTEMS UNDER DRIVEWAYS SHALL - DING. COMPLY WITH A H 2O LOADING. .. .. - T.)EL�..t� ZE:(L (.ZSP�T)i►acj e-j r7 -THE DESIGN AND COMPONENTS OF THE SEPTIC 31.0 IGa I _ 0,CIO -- SYSTEM SHALT._ PE IN COMPLIANCE WITH THE OiL TEST CONDUCTED ON c(.� 0 t STATE OF MA-SACHUSET S SANITARY CODE 5q� `� I TiTI_E V, AND SHALL BE IN COMPLIANCE WITH By Mkr) - C.APi St--PT'C_ ANC t3Y I 1 THE LOCAL POACID OF HEALTH RULES AND (�Ck✓�L� T)QNtJ11.1Ca AGE:*-JT � -fit �AQh1STX-bt,E .--- , C _-- _ �, I Iw, ' t 4T D � „✓ � PE �tflLATIC?NS. / ,� a - TIIF CONTRACTOR SHALL ELF RESPONSIBLE FOR I '� 1_(�CaTION OF Ai_I_ UNDERG�dOUNI� UTILITIES AND G SHALL NOTIFY DIG-SAFE PRIOR TO , CC) :STRUCTION. TIP Z VJ A--rzE o 135 el v ��A R GRINDER, r� y ' RAGE G tJE, of L E DESIGN P 4 ITFRIA n 4-4-11 DESIGN FLOW' 1. X �S� Co �Tov � — — _ MS_ �EaR00 AT Ito G.PE / DAY © G.P.D. -- o REQ.UIPED SEPTIC. TANK : . I ST, �o -r- Lets . 4 3 X �-O t1_ : _ t� I, o t� GAL. �. 'SS�o L �. - y 0 SEPTIC TANK PROVIDED l oo GAL. ' E-� �� ` SIZE OF LEACHING FACILITY REC�UIRED: ,P-o _ 59s '���T 1-OLC ,ya h _ LOe-4TZ;,cm S I DESIGN PERC. RATE MIN.JINCH �� SS L lat� R K �t c k. S WALL Z C4 •.Vn so) ( ( ) 1�a c BOTTOM �4 - p oK SIZE OF LEACHING FACILITY PROVIDED: !,{� ``z• , EFFECTIVE DEPTH 1 3 u EFFECTIVE �.F.>\ I e(_e -a VT FF FFGTIVE WIDTH �. r `V t ffJJ r -7( V I L L A C,�. A "CI LI 2 VIL I'`Q 2 A• g 1�'A' V V �"4 1 J t ,053 i �-�r 6 �/ ,rip t✓�' y yP•j / (y_s y ./ PROJECT: ��.��' I C J`�'..'�'� ►� '[C s"p A I v. L — A\,,"I r.­,cf ry! -'' O\�1NE R: THCLMN M/�T)T) N L CrJA