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HomeMy WebLinkAbout0062 BETH LANE - Health 62. Beth Lane Hyannis A = 272 152 + a i h n TOWN OF BARNSTABLE E LOCATION 1joC I���/1 l l�tl>✓ 0 16614 1 S SEWAGE # 2oo 3_p9 b r 'ILLAGE ASSESSOR'S MAP & LOT� 2 INSTALLER'S NAME&PHONE NO. RmSe2-F fz,�- 00 P, CC�r SG�S"� aS3o SEPTIC TANK CAPACITY LEACHING FACILITY: (type) _SGY>Gt1I. NAe2 tz (size) Z ' 3 NO.OF BEDROOMS r BUILDER OR WNER 2 IC e PERMITDATE: ' O COMPLIANCE DATE: 3 —I Separation Distance Between the: 40 . 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 d _ J �w 'O r �� y.- v + r s � � �` rJ (JO • ' � LJJ ' No. ✓ U L�'l rr 0 Fee 5 O THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for dig gar *pgtem �Congtruction 30ermit Application for a Permit to Construct(Nb4k pair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. #f(o 02 Owner's Name�4ddress d Tel.No. Jeff n r1 r� j i eR A Assessor's Map/Parcel a .w -# - 'S N Cc.b»).1,Cu! Installer's Name,Address,and Tel.No. SO 9—El 3,� 3 0 Designer's Name,Address and Tel.No. 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 U 3 Number of sheets / Revision Date Title Size of Septic Tank Type of S.A.S. S a o w i(a. Cf u. AaA-a Description of Soil -4-c-e, 6�CRAA Nature of Repairs or Alterations(Answer when applicable) l-L A aA a-S U 0 t4-001%4 T SC >z — 'x c� ,r �� 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 oard of Health.Signed Q A �C Date 4 3 Application Approved by 4Date 3 (P U 3 Application Disapproved for the following reasons Permit No. 2 0 D 3 —y Date Issued 3 y4� .. 1 . No. /�6� — 0 1 f = 1 A' -st -�a Fee Q (� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V x- .. Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 11pprication for Mi p gal *PEU rY �Con.5truction ermit ' ' i Application for a Permit to Construct(Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components 1 k Owner's Name, ddress an Tel.No. Location Address or Lot No. S r enn/Ory+l (/1�R� t Assessor's Map/Parcel " `D a (3 w �^'�" Installer's Name,Address,and Tel.No. -'ro 3 a-Q,T 3 U Designer's .ame,Address and Tel.No. Type of Building: Dwellin" "'` No.of Bedrooms g 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 3 30 gallons. Plan Date U a Number of sheets / Revision Date Title Size of Septic Tank Type of S.A.S. .,?- S 00 v 1(a. cl,s•i�'e"�e' Description of Soil %�?e_ U"(o AA ; �+q Nature of Repairs or Alterations(Answer when applicable) 2"AtA o JC r 3 J Date last inspected`-, Agreement: The undersigned agrees to ensure the construction and m tenance of�,te afore described on-site sewage disposal system Y in accordance with the provisions of Title 5 of the Environment' ode ar}(d not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed __ C� ' o.. 5�jo c Date -9 4.3 Application Approved by --L Date SA, 0 3 t Application Disapproved for the following reasons \`f S j Permit No. 2 Do 3 —U 9 Date Issued 33 0 3 s f 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 (97- 4L La ix— r has been constructep ip accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. z603—0% dated 3 (a D 3 Installer Designer The issuance o this ermit shall not be construed as a guarantee that the system w' nc -as d� gned. Date rJ ( 3 Inspector -------//-------------------------------- No. OQ/ t� °s Fee SU— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION'- BARNSTABLE., MASSACHUSETTS lwigpo5al *pgtem Con6truction permit Permission is hereby granted to Construct( )Repair(✓ )Upgrade( )Abandon( ) System located at 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: Constru do must be completed within three years of the date of this per 'a Date: 63 Approved by �Y �M 1 ; . 1 , TOWN OF BARNSTABLE LOCATION (�oC I�P L►a�� t'`)iAY44iS SEWAGE VILLAGE ASSESSOR'S MAP & LOT 212 — (S 2 INSTALLER'S NAME&PHONE NO. ge-0— fr2 Qy P, SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) 13 NO.OF BEDROOMS a p BUILDER OR WNERC A PERMrFDATE: ' � COMPLIANCE DATE: 3 Separation Distance Between the: . Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well 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 L� L SeiO Gal. C9i�i6�e Q r. i U e ` , 41 P ._. ! ---------- - Yn ROOF SHEATHING The Town Of Barnstable RAFTER SIZE Department of Health Safety and 2" X 4 Environmental Services Building Division CEILING JOIST SIZE: 2" X 0.C. WALL STUDS 2„ X `O.0. FLOOR SHEATHING SILL X 2"X z�q kjxtt ' FLOOR JOIST SIZE: 2"X a ° O.C. FOUNDATION WALL THICKNESS 1 BASEMENT FLOOR SLAB THICKNESS R� FOOTING ►" SIZE X e LOCATION �� / � SEWAGE PERMIT 930. VILLAGE I'MSTA LLER'S gAME 6 ADDRESS JOHN A. AALTO 'BACKHOE�SERVICE 159 Wdifitit Stree - West-Bamstable, Mass, 02668 0 U I L D E R OR O%7q ER DATE PERMIT ISSUED DATE C 0 M P L I A N C E ISSUED •r�� / r f/ � W fk Q \ I N Fims.......... .............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF- HEALTH --T . .................OF .. ApplirFation for BiupuuFal Works Tunutrurtiun Prratit Application is hereby made for a Permit to Construct ('X) or Repair ( ) an Individual Sewage Disposal System at: ,1 � •�-A ! Location-Address or Lot No. ......................6 ........ _ ....................•----•-•-......._.._.._......_...... ............. ..... ................ ............... .:............ owner ess - Addr Installer Address d Type of Building Size Lot.................... .....Sq. feet U Dwelling—No. of Bedrooms.................?>.......................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons........................... Showers ) — Cafeteria ( ) Pa .Other fixtures -----•---•-------------•--•••••. . Design Flow.....•............5-5................gallons per person per day. Total daily flow._..........._3 3._0................gallons. W WSeptic Tank—Liquid capacity..1.00�0gallons Length----_�'J......... Width.....:4------- Diameter................ Depth....4 ...... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. .ft. Seepage Pit No-----------)--------- Diameter.- Depth below inlet-, (a Total leaching area....�.A.i_.1;.'sq. ft. Z Other Distribution box ( Dosing tank ( ) G • 1#C1h'L Percolation Test Results Performed by..�.c......=...c�. �� .�................................... Date s•----•--..........�--•••--•--- a� Test Pit No. 1_..4_�-__minutes per inch Depth of Test Pit...!. r_-........ Depth to ground water.....k°_N F'. LT4 Test Pit No. 2.....!x.......minutes per inch Depth of Test Pit........... Depth to ground water....................... O Description of Soil..... _ -�"� v ©`'Z -------------- Cxj -•-••-•----•-•---------• - 1. --... ' .. ----- 9!... ---- ---------------- ....................................---------------------------•----------------------------------------•-----------------------------------•---------------------------•------- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ----------------------------•----------------------------------•---•-•--•-----------................-----•--•---------------. --------------•--•-•---------------•-------------------•-----------•--•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITHE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i ed by the board of th. Sign ......... t. -•-----•--- 1..--J/.............. .. Dat Application Approved By--- (.L11/� •..............•-•-••-•-•-• .....Z'_�...........Yc......... PK Date Application Disapproved for the following reasons:.... -•------- ..••-----------------••-••--••--••-•--•........_....•---•-•--•-•----•-----•-•---•--.....-•••••-----...--••---•-••-••••-•--•----•=•-------•-----•-••--••---•-------------•-----•...-----•-•--••......--- Date Permit No......................................................... Issued.... J^ °z -Z..?--- .?................. Date N ........... Fmi............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH ......T4�............ ........OF_Nbl4 ..................................... Appliration for Disposal Works Tomtrurtion Prrutit Application is hereby made for a Permit to Construct" or Repair an Individual Sewage Disposal System at: TW A ............ ..... ......... ........................ .................................. Location-Address /,Pr Lot No. - ,j ^.4 .. :1.................... _1 .............................................. ................................................................ ............................... Owner Address .. rA.—al-JU...... ............................ ............................................................................................... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................._..._............__.._..Expansion Attic Garbage Grinder P4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria 04 Other fixtures ....................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow____.........._S-a-.0...............gallons. W Septic Tank—Liquid capacity..,b* 0gallons Length..... ........ Width..._.A....... Diameter................ Depth._._A:....... �....0..... Disposal Trench—No..................... Width............._...... Total Length.._............_.... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.. Depth below inlet �.. ........ Total leaching area..... ft. Z Other Distribution box (4-1 Dosing tank 0W 4eo*i Percolation Test Results Performed by._ .:..=`:._:`. :_.: ........................................ Date_5..'C9 5? ................................. .. , Test Pit No. I...4!_ ___minutes per inch Depth of Test Pit....-.'/.......... Depth to ground water........N...1�,:...1.... Test Pit No. 2....... ........minutes per inch Depth of Test Pit.................... Depth to ground water........................ . ....... ..................................................A.... ...................*........"". --------------*--------------------- 0 Description of Soil....... ....... ............. ...... . ........ . ...... ................................ ....................................... ......................... ..............&..... U ---------------------------------------------------------------------------------- W 0 :1: ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable.................. ............................................................................ ..................................................................................................................................................................................................... Agreement: The undersigned agre6...,to install the afoiredescribe"a Individual Sewage Disposal System in accordance with the provisions of TITI-L -3'fof 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. Sign9 .................................................................... .............D............ i....................... ........I ........ Application Approved By.... Date Application Disapproved for the following reasons:...................................................................... ......................................... ........................................................................................................................................................................................................ Date PermitNo........................................................ Issued..................................*..................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH &.7410%...............0 F.......... .a...ICZ-P..�.. ...................... Trrtifiratr of Tomptiana IH I 0C I,-TIF, 'hat the Individual Sewage Disposal System constructed or Repaired by... ...... . ........................................................... ................ ......................... 4 Installer ......L.11..at......... - ------ State T The 5 , has been instilled in accordance with the provisio of o Sam)r y Code as described in the application for Disposal Works Construction Permit No. /.'�................. dated-... kzly_ _ . .. _�_9--------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS.A GUARANTEE THAT THE SYSTEIVIVILL FUNCTION SATISFACTORY. DATE........... ........ ........................................................................ Inspector... -0 m THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .... ... .... ........OF............. ..................................................................... No.........../�, ....... FEE . .. Disport or 11trurtion "pantit Permission is hereby granted, Vo........................................................................... to ns 4T`or, Rep „, W iv ' .Disposal 77...... ------- an Knd' idjaySewage D al S t at ........... CoConstruction ,-2e e ... ...A" as show application for Disposal Works C uction B*nit Dated.../- ��- ------------- ... .... ,­ ------- ft . ..................... - Board•of th DATE-2:4 - FORM 1255 mOBES &'WARREN. INC.. PUBLISHERS AREA ' PLAN SCAL E : I L0T- ` 2 5 B E T H S LAME E TH S - IAf LOT- 26 o US, LET 4. TOWN -ATM Q LOTS:� ar: Sl1rr{._ tr9� '�sise� mc.'�"' s•, ,"�'.S..v. iw,*�^,%�, .'•r;,.�r+a'�-';". NIO O cap o u Lr �+ Lev- B . • m m w M1 2 Charles PZAc Ip yy v -P No. 7468 O w .:: ii...... llff STEM 77 � � v+s�`� �'�r --�� �.�a"" �s+.me :fir '. �q• '�,, e.� .1 �� �: � ,�, " � S .' MA f? SEC .. . R,C"L LOT i ASSESSORS MAP : 2 — -- TEST HOLE L0(33 PARCEL : I SZ �- SOIL EVALUATOR :'-,A\fI J 5t FLOOD ZONE: I'.'lO ( i� ,�GI'--- ---- WITNESS : t t� NOTES: -- �C7>' ��VtG L�'� REFERENCE: _ DOC�� �oc7�C. �'15Z�._) p! —.327 DATE: C'Rb PERCOLA7 ON RATE G 2, t I 1) The installation shall comply with Title V and Town of Barnstable Board of Health Regulations. TH- I TH-2 2) The installer shall verify the location of utilities, sewer inverts and septic �S p l- �{5 components prior to installation. 3) All septic piping to be 4 inch Sch 40 PVC at 1/8"per foot. 4) Existing cesspools to be pumped and backfilled per Title V abandonment � LOCATION MAP �l�5/ 32 �I I tD 5) This plan is not to be utilized for property line determination nor any other purpose other than the proposed system installation. 6) All septic components must meet Title V specifications. 7) Parking shall not be constructed over H10 septic components. 5At�T� 8) The property is bounded by property corners and property lines as depicted. 9) The property owner shall review design considerations to approve of total number of bedrooms to be considered for design. SEPTIC SYSTEM DESIGN FLOW ESTIMATE ...�' ✓ BEDROOMS AT I I GALIDAY/BEDROOM - J%U GAL/DAY SEPTIC TANK GAL/DAY x 2 DAYS - Z� GAL Aoi /�00 �I✓ : '(d_.-_ _._ _ Q _oo USE at)0 GALLON SEPTIC TANK(EYU`> 1(,.4 01 L ABSORPTION SYSTEM xg S DE AREA: BOTTOM AREA: ' �� 7-3O Id � N1 1 \ fa . , SEPTIPC SYSTEM SECT I ON Z ml , gut , ,, tl �D ! lu 1 n ►�nh)t I y� �/ r/ y I � Y xt u 0 l �Z / �ODi� GAL D-BOX �� b� f--� f I II �—� !—' = 0 6 SEPTIC TANK �✓ Z W0 CD L � s 1 . SITE AND SEWAGE PLAN - LOCATION :E, E PREPARED FOR :/�'M �06uU %56 SaVIG�� M SCALE: DAV I D B . MASON �S DATE: �- d z DBC ENV1RONMENYAL DESIGNS W EAST SANDWICH . MA DATE HEALTH AGENT z ( 508 ) 833- 2177 00 F, F- 5 3 TYPICAL SYSTEW PR OF I LE FINISH GRADE A-RE A ' _, PLAN NOT TO SCALE FDN TOP FINISH A 0 U110 SCALE : I FINISH GRADE OVER T 11 IR I A-N K= GRADE OVER PIT= OR -7 0 -v. LO T,-;,p 2 5 BETH S LANE ' P V c, �,,C. 1. TEES a zz, 0100, S , F . BSMT A.5,400 000 -GAL. 4 FLI% DIST. BOX REINFORCED CONCRETE —8 M BE INSTALLED ON A LEVEL STABLE BASE SEPTIC TANk . TO BE INSTALLED ON A � LEVEL STABLE BASE 2- 1/8 1/2 ".WASHED PEASTONE ALL BRICK a,MORTAR COURSES AS AROUND FREE OF IRONS, FINES REOUIRED TO BRING COVER TO GRADE AND DUSTIN PLACE L-EACHING PIT A ",T6 1-1/2'.'WASHED CRUSHED 4"C.I. MANHOLE COVER 3 BASE TO , BE LEVEL SEE DETAIL STONE ALL AROUND FREE OF FRAME IRONS, 'FINES�AND DUST I N. PLACE FOR FIN.' GRADE SEE-SYSTEM PROFILE SOIL AND. PERCOLATION 4 DATA f8. PERC., RATE : MINJ�N' , S NE BETH FOR INV. ELEV SEE ' , LA b SPOHR TAKEN BY : c. u I-1 ,3 SYSTEM PROFILE INLET �' A0. 0 o Y: a.-4.VZPA (497ALr+-1 LINE" , WITNES ED'B ST.ASI�S,e�D OF S OPENINGS -1/W/4 DATE: OUTER DIA. �a 1 -3/4" TEST PIT-GND EL INSIDE ,DIA. ,, . . -t , .7 EV.Ld TOT A L ,, �� HOUSE62 LOT 26 o 3 AREA Fs o V 0 0 0 0 285 !& O;L 0 0, 24 o .0 0 _3-1944. 5 LOT ,* 2 0 0 o o 0 p'' 0 b 0 25 0 0 0_15,F, Y AVM,-, BONE DIA. 6 6 B 'OERC. HOLE OT. �PkCi F I L t EFFECTIVE D I A.,- ,, Fo PIT DOWN 34 ,. MZEC' -Wf M- t)i u_rj A 4CM -STQ)I8 4�>g p I tLE LEACHIN'G T $ECTIOW. ' DESIGN' DATA : N6. SCALE E. �ST NOTE: DO NOT RUN HEAVY EQUIPMENT OVER�'SYSTEIVI No"r OF BEDROOMS DD I S P OSA L A LELACHING . PIT NOT ES: T 3,30 EST. TOTAL DAILY EFFLUEN G LS 3 SEPTIC �TAWK 1'000 G AL. 28 DAYS I CO NC. TO BE 4000P.S.1 2'. REINIF W , x- 6 6 GA W. W. M. . �BUI LDER OWNE 3. 2 'AND 4 SEdtI N§ A ABLE,FOR' ' 0 RE AVAIL. ES ALL� GREATER 'DEPTH REOUIREMENTS Ly SY.STEM:'COMPONENTS SHALL BE INSTALLEE N �WITWTITLE5 OF THE STATE SANITAF NOTE: a ANY-LOCAL .RULES APPLICABLE.. JULY 1977 ...... -ELEV 40-0 OR LOWER A �', EXCAVATE TO, UIRED;TO, REMOVE -ALL,LOAM AND CLAY ,CONTAIN'ING 'A' D NY,�CHANGE TO THIS PLAN MUST BE P R - ,BYJHE, .I ; REO WITH CLEAN CLAY FREE, GRAVEL 1ICALLY4- '­ B D OF �HEAL, H ,:AND 4CHARLES 0. SPOHR4' T T it tPLAC E EXCAVATEDMATEFHA H P) tMATERJAL, BENEAT MECHAN MNSTRUCTIONAS COMPLETED, PRIOR TO BACKFILLIN%)i�_� �3-,WHEN : COMPACTED IN PLACE 0 ON Ac SID AREA F. G ' BOTT i;�.FOU NDATION E LE V.'_M UST BE cH ECK ED W H E OMOLETED, N AL- 'N TIFY THE ENGINEER' FOR. INSPECTI s.F..@ oA, S S. F/GAL GALS M AREA=, S.F. 0 ES E EVS. MUST NOT BE CHANG APPROVAL,,B �SPO R. GA L'S', T TA L'�'; TOTAL.,AREA S E L Eb'WIT OUT.AITTENI. ,.7�,' A G Y CHARLES D. H 0 ,: LEGEND , 'DATION,.INSPECTION ,REQD. -F, OUN 50.-0 -',:' EXI�ST.­GROU EL N'D tV p fV U N D ER L I N ED, 50. " FINISH-IGROUND',ELE 06 D E S c R Up 0 N` - -LEV'r PIPE N V 1: R ....... T. ........... EVA�G -.,S -s P `P 0 S'A T ST p I T LOCATI"ON';7 FOR" IC, TANK y- STRIBUTIC iN, "BOX N E �c _PE L OM TS TIGHT J N N, f oE R �§IT, IBER PI 7 R Eo U '% IRE To 8' 24"1 FRA R DE PA M ROFILE v -ED' UJ z� DATT 'Ic !:G'.N PROPERTY�,,u N E L'OT E D:� DR,A#N,, A WN , 9C LE:AS'S HO M N's CODE", -s .rA P tL MA P -C;H E C K S