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HomeMy WebLinkAbout0063 BRISTOL AVENUE - Health 63 Bristol Avenue „ TOWN OF BARNSTABLE LOCATION 6?J 8rt6ro4. kr—mng SEWAGE # 2002—023 i VILLAGE 6ANhhS ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 15 MAMWT Com4ruc wQ Go 5o`—7w-3553 I SEPTIC TANK CAPACITY S1~I'ea.n '1'„ I"'AysS (;Au.oJs 650060 60 LEACHING FACILITY: (type) JlNYec.(3) 500"Lwa4�4&.t(size) ;33L x 13w W 2`14 NO.OF BEDROOMS rBUILDER OR OWNER Onak 11mc` te- PERMITDATE: /1? COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility N feet i. Private Water Supply Well and Leaching Facility (If any wells exist N j'on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist N�j� Feet within 300 feet of leaching facility) i Furnished by Sean ehri4ly_ V4i. 1.2 �I = 35 ' .+a = IaI,� - '52 : n .4 3 --�, 3 45 El S4 LL-E y # b3 GAR► .E 9, a � pj121�i�L �V�i No. r � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 3pplication for 33i5pozal 6p!5tem Congtruction Permit Application for a Permit to Construct( . )Repair( Upgrade( )Abandon( ) IfComplete System El Individual Components Location Address or Lot No. �O?J��)S�(_ F— Owner's Name,Address and Tel.No. "gAnl►J\5 jY1R - MQ✓1L Dot-)Ce.tw- Assessor's Map/Parcel n 1 63 $y,s4D) A-ve., VrqCc.Y1YN%S YYYk Installer's Name,Address,and Tel.No. Sn�d 7 75-3Scti3 Designer's Name,Address and Tel.No. C1$l- 5$5-6Z cl En v,,3l l+ c6o�o ci1 nf\ 00 . D`yre , Me'12✓ 43 V i n-2 St. PO box RA3 5, aYfh YY'A.6z(.b D � . 02-33Z Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building SF No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 1 4 Q gallons per day. Calculated daily flow 2 gallons. Plan Date W V. 241? Number of sheets Revision Date w r Title Size of Septic Tank 600 aC4 Ik,A. Type of S.A.S. (3) p 116Y1 pceogcf)Pc Description of Soil Chars 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 is s Board Health. su y Signed Date Jan 16, 2�z Application Approved by o-• Date Application Disapproved for the following reasons Permit No. C= __S2- Date Issued <; No. Fee THE COMMONWEALTH OF"I�AASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH.DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Z(pprication for �Diopooar bpetem Construction Permit Application for a Permit to Construct( , )Repair Upgrade( )Abandon( ) F Complete System O Individual Components Location Address or Lot No. ��j���Sj )I- Owner's Name,Address and Tel.No. �tyA,, itj Mr rIC_ 1k;vCett�_ Assessor's Map/Parcel �Ci1 j' (., 1?j1,1 5-}v I Ave., �t 1cc n t,% Installer's Name,Address,and Tel.No. if '�0'3 )7- S Designer's Name,Address and Tel.No. ( c 3Sg3 g ���•� 58�-GZ I P Lrir ;C1'1+ C(,f)�-,iYUC- 6-' COu. �tYte'rA M2y-ef r ICU (�tJ X I O G 3. S)- Cny✓v\ VY A. 6' ?L LLB V�a v�yve u� Type of Building: I, J Dwelling No.of Bedrooms T Lot Size sq.ft. Garbage Grinder( ) Other Type of Building SEK No.of Persons L Showers( ) Cafeteria( ) Other Fixtures Design Flow 4 4 Q gallons per day. Calculated daily flow 4 )-:; • Z gallons. Plan Date Nov. 4 2 n b 1 Number of sheets I Revision Date ':f- Title Size of Septic Tank 1500 an I)(,✓L Type of S.A.S. 5W 6011(iY't (YrPna<,-Ifc.c�^ 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 Certif7- cate of.Comphance has been issued7by.this Board,61 Health. Signed Date Jonl 115 2Dva Application Approved by ✓tea„�� C ��-`C (F 1 Date I /'la /(1 Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS �. I BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired Upgraded( ) Abandoned( )bytJ at R 1 S I b L �/ ���I p+NN 1 S , �(�►� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.0M_,)' ___ dated Installer IJ(<1C1}'�t CCTV SVl)CTIDN Designer V)PO2-12-�_iJ MF Q1~2 The issuance of this permit shall not be construed as a guarantee that the syste ill fu tionn as,desipe . Date Inspector U No. �1�c - U��� Fee 1­,(� — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS �Dizpogar,*pgtem Con!5tructton 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:Construction must be completed within three years of the date of this permit. ( n Date: I��C 1��Approved by�:� � PP. �. i J. TOWN OF BARNSTABLE LOCATION 63 gr>yioL AV.0-wNJE SEWAGE # 2 -02 VILLAG ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY V�P�P—a.,n J1%Amc yJ rAc�.onls 61500 GL) LEACHING FACILITY: (type) 'kre,:W Gy�f.raJ�ty�t+(size) 33L x 13w k a`H NO. OF BEDROOMS rom BUILDER OR OWNER MA kce�k¢ PERMITDATE:_I�, .1? 12 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility eet Private Water Supply Well and Leaching Facility (If any wells exist fU on site or within 200 feet of leaching facility) Feet Edge of Weiland and Leaching Facility (If any wetlands exist l within 300 feet of leaching facility) "A Feet Furnished by JeQr, 13X = 43 45 ' D Apt - ;z S 4 = .;Z7)6 P b3' t GAR► iE v A , j I i II ' ASSESSORS MAP NOTES: 2� TEST HOLE LOGS II 3 } - PARCEL : 1) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH FLOOD ZONE SOIL EVALUATOR:,I �i �.M, t► I� Gi�L- THIS PLAN, 1995 MASSACHUSETTS TITLE V & TOWN OF . WITNESS : A , f `t1?3L BOARD OF HEALTH REGULATIONS. 3� REFERENCE: �JA DATE: (�aV�nn13 l-7 2 bDl2) T S L ri HE INSTALLER SHALL VERIFY THE LOCATION OF"UTILITIES, PERCOLATION RATE: Z lno� SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO 9 INSTALLATION. TH- 1 EL, 40.° TH-2 3) THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION d ONLY, AND SHALL NOT BE USED FOR PROPERTY LINE 1�.. DETERMINATION. 4) ALL PIPING TO BE 4" SCHEDULE 40 @ 1/8 "! FOOT. (UNLESS �„ RP saNby Lo�M toy�3jZ 35'0 SPECIFIED OTHERWISE) LOCATION MAP(w `J) N A 5) THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE DISPOSAL. O M Ear V+tt SA-Nfl 32 6) _SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) � CI c 2S MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON Z 5 y /6 3U. A BASE OF 6"OF CRUSHED STONE. I�t2� ��:�=X�577 N�C,__�s�°��.�_�7.�_._��_.r����,r���✓G�S!tE�__W..v_ SEPTIC SYSTEM DESIGN 9. a weTLA-NDs _Y.ln:_ � a oPas b L64uf1x� � f %. ��!o��rz->fl�✓�S, F,�n�. T%fL� l/_ �/z. /U,wru.,o!G_ .!°✓�9'z'+�Si�/3�t.�_ FLOW ESTIMATE BEDROOM'S AT110 GAL/DAY/BEDROOM - GAL/DAY (. _ Uv At. VrvSvtT?3r� ��p�G__S �k--Vwv,0 SEPf I C TANK To 32.0 a rot or.C� � GAL/DAY x 2 DAYS GAL I2.) USE I GALLON SEPTIC TANK — ti/�l.J ►AGE � - I -�� C1ti►ylen2 bw.(>'Kv.._as hd>!�d "-� /Qv r Q SOIL ABSORPTION SYSTEM \ D / . ' 5lz�r E >N NLS, 7 Jrui c U�✓ y// / 35 C 1 wk L7 t mot, : (' 33 13 2. x o, 2 U S I DE AREA: � Z + Z x 7 4 _ 13 6, f� W BOTTOM AREA: 33 x 13 x o •7 - = 3►�, r 46-3. - CPr) G SEPT I C SYSTEM SECTION '4P � . �.t Vr1� b D� ���5, P, I Toe::-Et, 43 { l • , �S 0 to 5 r 9EMOVA-G TO c� 38.7s _"� �OV2.(S {v �n1]rn (p ' ,----�- _r.. .T.+ _ 2 ' _ qq kpy- cuEr4nzw �r i 6L. 32,0 fJ2 TvP 3'Fs, SUS o a o �F I.,,A - V/ GRS 37, Z S� Z 3� ��D006Lc 10,4S. S E Po,�Glt -- BgFftr~ �1 0 310.E 3 , Je-- 6''St 9st .c 615twe { D-BOX o,�J/ E �t=7L7 GAL 37,08 1J4f 1 !o SEPTIC TANK �e eI�P55� 61 -- -- 5' s Gs�sr°a©�s Ea : 3(0.0 -to � pF M SITE AND SEWAGE PLAN tAVrE 7) �L 32,p Pfe►�e�fi s�vE W. ym LOCATION : 60 3 S L MEYER PREPARED FOR 0 a SCALE: DARREN M. MEYER, R.S.a DATE: 43 VINE sowp h g STREET DUXBURY MA 02332 DATE HEALTH AGENT 7811585-0293 W /