HomeMy WebLinkAbout0022 BIRCH STREET - Health 22 Birch Street
Hyannis
A = 309 085 =
TOWN OF BARNSTABLE
LOCATION C.L � JI f SEWAGE #
VILLAGE ` ASSESSOR'S MAP & LOT309®
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INSTALLER'S NAME&PHONE NO.W'Lu(�m
SEPTIC TANK CAPACITY G�YI a
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
BUILDER OR 0 R
PERMITDATE: tfO 5 COMPLIANCE
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
F 7
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t� SI 4t
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No. C_ , 5 Fee
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
y . Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01pplication for 33iopooaf 6potem Con5truction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Addresg or Lot No. �� ��-t Owner's Name Address d Tel.No.
,ram m D�;,� _^
Assessl"arcel 11��tt dui/
Installer's Name,Address,and Tel.No. t,()M Designer's Name,Address anIf Tel.No.
5 '
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 � t� gallons per day. Calculated daily flow2LL5, gallons.
Plan Date 7— QLLY0 Number of sheets , Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or terations(Answer when applicable) I V
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. vir ntal Code and not to place the system in operation until a Certifi-
cate of Compliance has be issue s o of alth. 3
tgn Date
Application Approved Date s 3
Application Disapproved for the following reasons
Permit No. 1$ Date Issued
No. Oi:J 3,• ! J 15 ,�4, ., . s;°Fee J Cv
THE COMMONWEALTH OF MASSACHUSETTS ntered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Z[pplication fo'r Migozar *pztem Conotruction Permit
Application for a Permit to Construct( )Repair( )Upgrade Y
Abandon( ) ElComplete System ❑Individual Components
Location Addressor
of No o3a�" - Owner's Address and Tel.No.
16
Assessor�Map/Parcei c�<X1�Cf � +✓t C�]
U 15
Installer's Name,Address,and Tel.No. W(Y),—p—mW A W M� Designer's Name,Address and Tel.No.
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�-1 IhV� � . �fl(li� ✓ •.
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 no gallons per day. Calculated daily flow KK�(Gt ✓, �CI� gallons.
Plan Date — Number of sheets Revision Date
Title
Size of Septic Tank 1 15' tj Type of S.A.S.
Description of Soil; )r-rjm-q
Nature of Repairs or Alterations(Answer when applicable) r 1 1 - 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..qLdaeZn_vir9mMta1 Code and not to place the system in operation until a Certifi-
cate of Compliance has been`is'�s ed t 's o of ealth.
tgne pffg Date
Application Approved Date W S 3
Application Disapproved for the folio ing reasons`'
Permit No. r � 5 Date Issued S
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS ,
(Certificate of (Comp iance
THIS IS TO CE TIFY that the On-site Sewage D's osal System Constructed(. .e)Repaired( )Upgraded( p�
Abandoned( �by r�
at 3 r Ill has been constructe in ccordance
with the pro isi us of Title 5 d the for Dis sal System Construction Permit No. Zp�3' 3��dated `7
Installer�Til ! (n ,ML V 5 Designer �' 1 ,
The issuance o116107
this permit shall not be construed as a guarantee that the syste i cJe�i ed.
Date'7 Inspector
w
- --------------------------- -----
No. -
C'3 3 I
_ � Fee 5 d �-^-
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE,. MASSACHUSETTS
Migogat *pztem Construction Permit
Permission is hereby granted to Construct )Re air( )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:Co structippn must be completed,within three years of the daQof/03Date: � Approvedy
TOWN OF BARNSTABLE
LOCATION- LL 17 U� SEWAGE # �
VILLAGE T1`E(�I�1lV\S ASSESSOR'S MAP & LOT309-
INSTALLER'S NAME&PHONE NO.W%W (MY 1OLVI� _0� (-klQli�_
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWnR �� f
PERMITDATE: -7 tS 8 COMPLIANCE DATE: -7 110'0 5
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
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20;FT. 'MINIMUM"FPOM CEILAR SOIL�,,'TEST
TOP �Or,rOUN DA
00W
DATE 0 SOIL "TEST '�&Q�, _'_200
MINIMUM �10 FT. MINIMUM FROM SLAB OR CRAWL SPACE
-(A �!D)� 4211
Y
CLEAN ,SAND
tOIL TEST DONE
SEDA3Y'
7
COVERS INSPECTION 'PORT
D1 SEED
E 40 PVC PIPE, LOAM AN ELEV.-,L��6
'HEDUL
08SERVAMN H
PERCOLATI N RA
L tE
"MIN -1/8- PER FT.-
v PITCH 0 MIN /INCH 'AT 41
T -4/2" DEPTH HORIZ EXTURE COLOR MOTL �,OTHER
0
SHED/STONE,
0-9 A kN
NOT REQUIRED
'MINIMUM �, I - I- el I . .
9.70 MAK 7 'N'T 0 TS
-4 �,CAST'IRON PIPE VE D
J(OREbLIAL) L
9-26
P1tbH t/4" PER' FT. -
8 L AMY
0: SA
_777,4..
It
96.70 ? :_C1 - COARSES 10�R5/ - 20o-30% ,
AND
'PLOW,tINE
6
COBBLES
97.40 LEGEND:'
ELEV�,
10 j TtNG $PbT 'ELEVATION *Ob
EXIS
ELEW
U-1.
LrV,,
-nNG CONTOUR
lu Exis
nz�
6.50 ------ 04,
-9§_Aa SUMP ELEV. FINAL SPOT,ELEVAr
�7 dVEL 95.37
'ELEV.
0 0 c 0 0 0
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BAFFLE
"o . I o a
00 0 FINAL ,CONTOUR '
00
94.20 ItST,0CATION'
4c
r'i'll,�� :' �,` :, ",I �� , I .
-DISTRIBUTION
_E4v_ tft o . o ELEV.
UTIL POLE
R
E E T
4 INCHtS (TO�'SE PLACED ON'FIRM,BASE) TOWN WATE
TO BE WATER TESTED�,
4 HIGH CAPACITY INFILTRATORS NATK
00 TLE CATCH B ASI N
QUID Ity
BOX ,
TEE _K2Q
ET 19�INCHES
OUTLET G
IF.MORE THAN,ONE
STONE IN AN
16- ET 24 4NCHES �,�GAS LINE.
5.60. ELEV,
Mt -NA
'CESSPOOL
E (To et,PLACED �ON,FIRM,BA 90;WATER ENC NtE§C
oil
X,2'
EPTIC T K ZONE
'INCHE,
29"'INCHEJ 'ON D
1500 GAL
�S
11 X 30 � _:TRENCH 'FORMATION
/4*-,tO 1 -1/2" CLEAN -CLEANOVT
INDEX
A
'A
ADJUST
DOUBLE WAtHED STONE SOIL�. BSORPTION .
PRWLE,., ,,FREE OF FINES & SILT ' DESIOW:CALCULATIONSI
-SYSTEM
lt�r,'DISPOSAL
NOT TO "SCALE
OF,,
SYSTEM S 'BEDROOMS
OARBAGE. DISPOSAL�UNIT
TOTAt ESTIMATED FL
. 00 ,
USGS, PROBABLE WAT
ER.-TAsLE ELEV.
�GA .
OBSERVED WATER TA13LE j L/DX
(11101:12AL�M./bAY Xl,.-.
ELEV.
REQUIRED'.SEPTIC'TANK,CAPACITY &
j
abi7om OF TEST HOLE ,ELM
-SEPTIC TAN'
K
AcTuAL_tzE,,,6r -Jw—,CAL"
e7l, N PERCOLOO
DESIG R'RAlt
< MIN/IN'
SOIL
0, CLASSIFICATION
t UENT LOADING'RATE
4
94
I-EACHNG
,,AREA
,SO FT
(i1X30)t(4i)=)
LEACf
RAfEj
�f!NO CX�AbITY-,(Ai�EA :X' GAL./DAY
AQ4.00 0.74'
00 +
:,Sol L tY
#tSERVE LEACHIt4G"
PAPAct, IN AGAL./f AY
TEST
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AP, AND;M*
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TITLE 5 AND� 'ME TOWI`
4 ULES AND REGULATIONS FOR',
THE"Suo ACE DISPOSA _VF�SEWAGE.
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SURF
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2.,ALL.�to`VERS'�,
T(
'WI THIN tr FINISHED 'GRADE
"k, 'S� OF-,TkE-�ANITAOY tYS*M`,S4,ALL' BE"C' APAMIE.OF�
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V-TitTANOINO --Ab:LOADING'�UNLEtt THEY AREUNDER'. OR
0
0
VES ,0R,PARK H -LOADING':SHALL ZEI:
10 FT,,��OF�DRI ,20
IWG �APEAS.: '
NG ,AREAS
:''u _THfN t047. OF:DRIVES OR _PARKI
SED UNDER OR:-,W
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