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HomeMy WebLinkAbout0944 SHOOTFLYING HILL RD - Health (2) 930 SHOOT FLYING HILL RD. CENTERVILLE $ A=211 006 6t IN 6EC,QfC�O IlII �V UPC 12534 No. 2�153�LpR HASTINGS, MN No. Y Fee s - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Rppftcation for 33i!5paal *pgtern Construction Permit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3� Sj'7G?1fjilGj�L� Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Adare4s,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms_ Lot Size �`' - t Wiz✓ Garbage Grinder( ) Other - Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow O gallons per day. Calculated daily flow 9 /0 gallons. Plan Date 17— — Number of sheets / Revision Date Title 4 1*-e- 104244xl 01- 3y Ism. /9z� Size of Septic Tank f Type of S.A.S. A1G 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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Heal h. Signed C/ Date ZZ/ Application Approved by -Date Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE MASSACHUSEETTSNI`IG ENGINEER N;J8T SU ` V` Nj !� !�- r INSTI�LLl�TF®N AND CER T la Ed 1 >>i •O (Certificate of �1.oMpliang SYSTEMWASly ALLED tN �"f�:"T j,rGOR. THIS IS TO CERTIFY, that the n-s' .Sew ge Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( )by A PM at Sbo� �.� 'fflbeen constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.. dated Installer Designer AQ The issuance of to rmit "hal of be construed as a guarantee that the sy fu c ' n as deli Date V� Inspector No. Fee I T42o THE COMMONWEALTH'OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BAR NSTAB LE.,-MASSACH USETTS 0(pplication for Ditpont *patent Cow6truction Permit Application for a Permit to Construct Repair Upgrade Abandon El Complete System El Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Adde4s,and Tel.No. Designer's Name,Address and Tel.No. 3 i 1-t 11 , I 7 C 2 Type of Building: Dwelling No.of Bedrooms 7Lot Size 3 & -"-4- 44, Garbage Grinder ­-­Other-.--­T-ype oUBuildin _.No_of_Per&ons,_.. Shqwprs_(__ ) Cafeteria( Other Fixtures Design Flow 0 gallons per day. Calculated daily flow 0 /0 gallons. Plan Date q- /r- Number of sheets Revisioiy-Date Title Ate! O;P- 5.4 Size of Septic Tank 2!!;2a 42 -Type of S.A.S. 7 71CA44,&'— tAlh, Description of Soil Nature,of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: I 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 Certifi- c9e of Compliance has been issued by this Board of Health. Signed Date _ApplicatioR A-pp q4ty -­Date� Applicati.on Disap•proved'for the f6llowing'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 '81 eVl ras been constructed in accordance with the provisions bf'dr'tOe 5 and the for Disposal System Construction Permit No. dated I I Installer -Designer I. ,The issuance of tbi&r(ermi7t&hatt be construed as a guarantee that the s ill func,t,on as designed. Date Inspector -p- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi!5pooa1_ .6p!5tem Con!Aructton Permit ir Permission is hereby,grantpd t I-Con§tnict Re pa Upgrade Abandon -a System located-at TL, PUBLIC 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 becompleted within three years of the date of this ;Gerrmt.� j Date: Approved by tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cope engrineering civil engineers& land surveyors structural design Arne H.Ojala P.E., P.L.S. Timothy H.Covell,P.L.S. land court Daniel A.Ojaia,P.L.S. surveys site planning May 14, 1999 sewage system designs own of Barnstable TTN: Board of Health inspections . 0. BOX 534 yannis, MA 02601 permits RE: 930 Shoot Flying Hill Road This is to certify that the subsurface sewage isposal system at the Dalby residence, 930 Shootflying Hill Road (Assessors Map 211, Parcel 6) has been installed in substantial compliance with the approved plan. An as-built card has been furnished to the owner, and a copy is included with this letter. Very truly yours, "�� W. 0�_ __� r Arne H. Ojala, P.E. ,P.L.S. cc: Alan Dalby It J ` , , TOWN OF BARNSTABLE LOCATION 930 S466� SEWAGE # 98-�33 VILLAGE CthA t f>!t I(f ASSESSOR'S MAP& LOT � 6 INSTALLER'S NAME&PHONE NOAM 0J4L#Zga-L15Y1 ��mq f�tc 896-9oyr SEPTIC TANK CAPACITY 16d'a +4L1 1- LEACHING FACIL=: (type) 71Rs t/c/f /NFI[r/tA7o2s (sizej sy;zay X ro=o x 2 c up NO.OF BEDROOMS_7 BUILDER OR OWNER ALAN i hefl-fx! OALB`/ PERMrrDATE:-5//o/d? COMPLIANCE DATE: Separation Distance Between the: w Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet j Private Water Supply Well and Leaching Facility (if any wells exist on site or within 200 feet of leaching facility) NCNh' Feet Edge of Wetland and Leaching Facility(If any wetlands exist i within 300 feet of leaching facility) Feet Furnished by 1 fo RS FY -- --- 1' to`S,S��L� (L� o• �� i L' / F6 oR ut rt_ t � HouSC' l� �..12d .H.c. tµFtc.•cRftlro2S rr h -�g �. C 1n c lo l l I ( /45=Q� fiOQ �'� ♦ .� 4 0 V to 3 .�h ,r�.Ni \ f)1-0� Co 0-64SL) c p F♦ �L r l2?r b' ,%-N� 14 O �-/- No.---------------- "r Fee- --- BOARD OF HEALTH TOWN OF BARNSTABLE ZippCication-*rVell Congtruct ion Permit Application is hereby made for a permit to Construct (,i,� Alter ( ), or Repair ( )an individual Well at: Location —-Address Assessors Map and Parcel ------------- - - - - ------ -- - - ----------------- Owner _ Address Installer Driller _ Address Type of Building f Dwelling----—---------------------------------------------------- Other - Type of Building-------------------------------- No. of Persons------------------------_—__—__—_______ Type of Well— Capacity -- �0 -------------------------- -- Purpose of Well_- "'";rp'U —----__- - - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certi i to .of Compliance has been issued by the Board of Health. 44, Signe date/ — —--- -- — -- °?- Application Approved By -- r = -__— _�_ ____ date Application Disapproved for the following reasons:-----------------------_____________—__—__ ----------- — -- --- --------------------------------- ----------------------- date Permit No. `^' — —--- Issued--- —Z f� -- ---—--------- �P date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Indi 'dual Well Constructed (X4eAltered ( ), or Repaired ( ) by------ -- ------------- �� taller at----- t--���_�__�__'�7`v!__v j�It ----- ------------------ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. - - -Dated-- —Zg ---— - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----- - ——— Inspector----—-- -- - ------------ a - gg �_ ��- allo.---------------- Fee--------------------- BOARD OF HEALTH ��f r r TOWN OF- BARNSTABLE . ' Itcattoh.ArVellZo n0ructton ern t Application is hereby made for a permit Eo Construct ( ', 'Alter ( ), or Repair (' )an".individual Well at: oa7 Location =Address Assessors'iMa and Parcel ^�Y i .4/t!----s--��«N �.c7G,� l_- ^_ _p0----- -----/� ------- Owner ---- ^, Address —_ Installer — Driller --— Address Type of Building � Dwelling-----—----- ------------------------------ --------------- 1 . Other - Type of Building ------ No.-of Persons---- ---------------------___—___�_______ Type of Well Capacity------------olu Purpose of Well--.z',e,eaTip'U --- ---- Agreement: . } ' The'undersigned agrees to install the aforedescribed individual well in'accor,(dance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation, Thedundersigned further agrees not to place the.well in operation unti .a Certai to .of Compliance has been issued by the Board of Health.- Signe —--- - -- — --- '°'� -- date Application Approved B —_— _____— / 'date Application Disapproved for the following.,reasons:.------------------_------ — date p Permit No. ""—L ---kQ� -- Issued--- - -( -— - —----- ------ date M.IT/it6l:YQdQpQ�.totill+T�7}'4'w�il�QiM�ylw�LlF2Q 4s!1!�3TuSe':li@i!'YQGQI:!!i«l Q3Qb+ifssiNliQttti1�76f4'R+�lISOGOpQitipt�RN¢i�iN�iSti¢,nST.3l4�q�¢:JyQ,iti}Gsysd4ss.9Y�9iep4flf!iT,�YISfiQi'�U�1M!Mils!'r BOARD OF HEALTH TOWN OF BAR•NSTABLE �{ erttf[rate Of Compfi n're THIS IS TO CERTIFY, That the Individual Well Constructed ( Altered ( ), or Repaired ( ) by - -- -- —---- --- ------ -- [n taller has been installed in accordance with the provisions of the Town of Barnstable Board �of Health Private Well ProtectionUl ' Regulation as described in the application for Well Construction Permit No, - L-� f 6 Dated—j- --------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----- — --- Inspector----=—---- ---=-—=--- ?:r�:.4lxi�a+aerQ,b6as¢QsevQcsxQseiewYasreateaaQess9e;4rs6ecNc�ce.4'a�eoaQo•.wis:aes�iaaaal?asrvsvola48x.,/iQee�er+aTaReZarr.$4+..sY?2•�4i�tire+v4:a�6!+cY+Me±i'!sr!a!i+i��.r.w.,,:y!!.t�is!!is►+s BOARD OF HEALTH TOWN OF BARNSTABLE Vell to' nQruct ton Aermtt Noi Fee Permission is hereby granted to Construct ( 4)' Alter ( ), or epat ( ) ap Individual Well t: Street as shown on the application for a Well Construction Permit No.-= —� Dated=—� -— --- - ------------------------ Q C - Board of Health DATE r E r S P IC PROFILE 'LEGEND TOP FNDN 57.79' TEST HOLE LOGS ACCESS COVER TO WITHIN ,6' OF FIN. GRADE (NOT TO, SCALE) VENT SEPTIC DESIGN: GARBAGE DISPOSER IS NOT ALLOWED - ( ) ACCESS COVER (WATERTIGHT) TOD.A. 100.0 PROPOSED SPOT ELEVATION , OJALA, SE C� ENGINEER. x. DESIGN FLOW. 7 BEDROOMS 1 10 GPD) - 770 GPD MINIMUM .75' OF COVER V WITHIN 6 OF FIN. GRADE ( OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM J. DUNNING /BOH 100x0 EXISTING SPOT ELEVATION USE A 770 GPD DESIGN FLOW 55.9j.... WITNESS. 3-18-97,RUN PIPE LEVEL 2 DOUBLE WASHED PEASTONE -- SEPTIC TANK. 770 GPD ( 2 1540 DATE. 1 QQ \�) 54.83 FOR FIRST, 2 � M PROPOSED CONTOUR2000 > , PROPOSED : -. < MIN P IN , 5 _. 2 PER CH 2000 ,. EXIST. 2.4 3 MAX.. PERC. RATE. USE A GALLON. SEPTIC TANK. . . , PTI EXISTING ONTOUR GALLON SE C 53.75 C5j4.10000 > LEACHING. GAR. SLABTANK H 1 -. ~� 52.9 - 8899 ( 0 ) cas CLASS SOILS P , 5 .13 4 7 10 .74 _ p0 2 7 5+ 2 - 250 BAFFLE � ) � ) 53.30 SIDES: �� SS IN INVERT .VE ® 56 86 o 1 HI o 0 HIGH CAPACITY_ 3.5 AT _ 2 , 74.7 x 10 .74 560 5 P o S 0 E L ) M ANICA ( ) 6 CRUSHED STONE OR ECH L INFILTRATORS , BOTTOM. i 1 21 2 SIDES COMPACTION. 5 2 EL V.E EL V: 4 E 1 95 _ 1 0 1 _ 2 S.F.F 0 GPD TOTAL. S DEPTH of FLOW 1 1 ,Q , ( 7 SLOPE) (�._% SLOPE 0 » vn 49.4 0 55.5 TEE SIZES: coo o �.._._ 11 HIGH CAPACITY INFILTRATORS :WITH 3,5 OF E 14 USE. H G g ` O gop SO ppgp Op0 op p aQ _ A A _ 10 `� 50.4 » INLET DEPTH - AT AN UNDER STONE AT SIDES 3 ENDS D 14 U DE LS _ 14 » LS, T DEPTH 0 D UTLE E 4 » 3 TO 1 1 2 DOUBLE WASHED _ 0 E S ED STONE 7 , /- 4 .5Y 5 8 10YR 3' 2 . � I 24 _ =LOCATION 'MA A _ HOUSE P SCALE 1 0 41 .5 B r , LEA CHING G B FOUNDATION- 4 DATION SEPTIC 45 2 C TANK D BOX SL FA CILITY I GARA 68 CIL TY GE ,.' S L AS SESSORS 11 , „ 7 5Y S SOBS MAP 2 2 8 5 8 PARCEL 6 0 A F HEALTH BOARD ZONING DISTRICT: S RI CT. 1 1 . 10YR 6 E RD � 5 42 45.90 M A YARD _ > D SETBACKS , 1 .4 OV .DATE 5 APPROVED ' F RONT T 30 P erc , C SIDE 1 60 _ C TH 1 37.9 REAR . 1 0 MED _ COS PLAN LAN REF. CP ` _ L 11611A I MED COS : I H , H G GROUND WATER FL OOD ZONE: (RESIDENCE 10 E C E DENCE AND SYSTEM) , 1QYR 00 to 7 5 YR 6 6 YS M ) TM IES I ATED AT EL 35.0 v M to k cn :I N W0 rnco 6 `i v coin # o, v �. M N a rn A a L.1 » 1 , TH1 h 38 37.9 125 h 45.1 L PAR wA CEL 6 i N IN ET A PROP R : 5 7 31 .5 ACRES NO GROUNDWATER FOUND E � D ' 4 5 s PROP. COURTYARD 0 0 NORTH o R w s _ cn 5 N 8 NOTES : I . o Y s _ L s .� w , WEQUA UET K Q LAKE DATUM SYSTEM 1 . DATUM I Y M S S 5 6 TO 1N❑ BE INST ALLED ON IT POND SITE s 0 . 2. MUNIC IPAL PAL WATER IS SAVE 19 3. MIN IMUM MUM PIPE PITCH TO B 1 i` TREES F 8 PER FOOT, 4, DESIGN LOADING FOR A - 10 CLEAN-0 ALL PRECAST UNITS TO BE AASHO H 5. PIPE E JOINTS TO B MAD E DE WATERTIGHT. H UNDER HOUSE DE 6. CONSTRUCTION DETAILS TO B IN: .; E ACCORDANCE WITH A 6 MASS, 1 5 e CONSTRUCTION 2 ENVIRONMENTAL h # L .CODE TITLE V. VE 7. TH IS PLAN ER LA S FOR PROPOSED S 0 E R OSED WORK R ONL Y AND NOT T.F. 0 TO BE 7.7 - . .:' �a r S R STA USED FOR T _ � _ - 0 _ N K� N . 2 8 PI T _ E FOR P P SEPTIC SYSTEM T :S S Y E 0 SCH. 4 0 4 V INVERT T PVC. LNEO R WATER VE OUT (1Ir�OTE. SLEEVE.SEWER i •' 4 R SIDE OF WHERE 5 3 LINE FOR 10 EITHER S 8 9. C MP 0 NENT 0 S NOT T 0 BE B F TH R AC K THEY CROSS EACH OTHER c LL D OR E CO NCEALED A CE LED WITHOU T O�T _ 21 T INSPECTION_ � x # BY B BOARD OF HEALTH AND PERMISSION � OBTAINED 5 - D VENT FROM OAR F , BOARD 0 HEALTH,' 6 - �T H 2 22 # 1 0. CONTRAC TOR SHAL L L B RESPONSIBLE E F OR VERIFYING 5 .THE _ ..--------" LOCATION F T N Q AL N L UNDERGROUND G OUND 4 � R & OVERHEAD UTILITIES 5 D U CITIES PRIOR ---"T" 4 2 s TO COMMENCEMENT 5 - OF WORK h 2 5 23 5 h 0 5 9 a S - h SITE E AND , SEW a r A GE PLAN A a B NCHM RK. E q F NAIL T 1N A 6 S OF L SE - � g 30 SHO OT F T _ FLYING G HILL RO AD AT h S � D 8 OAK EL. s 59.0 , � -45 CO N THE TOW N F N 0 4 CENT , RV E I L L E AR B N STA BL E PREPARED RE ARED FOR.. A N N ,A D _ �..A H N ELE D Y k AL 30 '' 0 90 e 30 60 g _ h O g g 1 5 _ S T EP EM B�'. 1 R 15 19 30 98 : SCALE: , E DATE: s 5 A 4 5 k 5 REV. 1 6 9 9 6 5 a REV. 4 1 7 99 6 BR TO 7 BR 5 ( ) REV. . 5 3 9 E 9 A ` S S EL .) H OF ' OF n M N 1 A S to •� AR � N E E � N� H R 0 A G o LA s CIVIL L LA �, O,IA No. 30792 -0 0 9 o F 9 O .r C E STER s o - i 3 N -SAL. ._T� 9L1A ALA P.L.S. DATE i _ _ off 508 362 4541 fox - 508 362 9880 . I d ca pe a e eng ineering,ee p �" rin Inc. V g CIVIL ENG INEERS RS . . LAND SURVEYORS 939 main st. ar o m loth ma 02675 Y > x. 96-354 ., _l �I �