HomeMy WebLinkAbout0123 CANTERBURY CIRCLE - Health 123 Canterbury Circle
Hyannis- F/R
A - 249 127
A
R
TOWN OF BARNSTABLE �,
LOCATION awazkL, crrlc SEWAGE # 6001L /4
VILLAGE C-^-� ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PH O NO. _tea.✓ `�C '
SEPTIC TANK CAPACITY d l S
LEACHING FACILITY: (type) s� SG(�I�r4,-�.-C (size)
NO. OF BEDROOMS Lf
e
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
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
v
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O
_ _ a
~ No. /.ti Feef/t G
THE COMMONWEALTH OF MASSACHUSETTS
Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS s
Z(ppYication for Miopooaf *pztem Construction Permit
Application for a Permit to Construct( . )Repair( )Upgrade(--)Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. �� ev�'e`�,� Owner's Name,Address andTel.No.
Assessor's Map/Parcelt��2/U.3�
Installer' Nam Address d Tel.go. Designer's Name,Address d Tel.No. e
5 O�ilk-" �R pus, �a v/
arm�w61 ✓►eft dz&� mlc% A
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building S No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets J Revision Date
Title
Size of Septic T k Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable n 51
s 'f
Shut- nda ,ems . s
Date last inspected:
Agreement: DESIGNING ENGINEER MUST SUPERVISIE
The undersigned agrees to ensure the construction and r#d&T$dOATIONIAorg yW IT.fiq vage disposal system
in accordance with the provisions of Title 5 of the EnvironmeTW(MT4M 4M g4pAbW ation until a Certifi-
cate of Compliance has been issued y thi Board of th.AC RDANCE TO PLAN.
Signed Date 4a kw,
,
Application Approved by Date i
Application Disapproved for the following reasons
Permit No. V f Zy_�`,- re ,fi Date Issued
-- - - uu-----------_.--
THE COMMONWEALT&FIFGM1VUE NEIREEMT SUPERVISE
BARNSTABLE, M&OWMAMROTIFY IN WRITING tjd efT''i°'� le
�ertif Kate T �YSEM WAS INSTALLED IN STRICT �'II.
THIS IS TO CEATIFY,that the n-site Sewage Disposal System Constructed( )Repaired ( )Upgraded(" "+
m:• Abandoned( )by
at has been constructed in accordance .�
with the pro 'sionslI-ofn Title fle 5 r Disposal System Construction PermVA4-7 it --/2� dated u rV
Installer I,C. E Designer
The issuance of this perm4�At shall not be construed as a guarantee that the systemwill functio srgned.
Date �-�"t-U) Inspector a.
THE COMMONWEALTH'OF MASSACHUSETTS--
j BARNSTABLE, MASSACHUSETTS
I Certificate Of Compliance
that th n-site Sewa eZipoAsal�ystera Cb structed( )Repaired( UpgradedTHIS IS TO CE g
Abandoned by
at _ XWLeas/be constructed in accordance
with the pr is' ns f %tle 5 and the. r Disposal tern Construction Pe Nv ^"/ ted M .
Installer Designer
The issuance of this e s 11 of b construed as a guarantee that the sys a will fu ctio as esVnd.
Date Inspector
e f
r
No. iris ifI '/' ! Fee 601i
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
x.
i
1 PUBLIC HEALTH 'DIVISION-TOWN OF BARNSTABLES MASSACHUSETTS �s
,'Application for �Dioonl *p!tetn Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade(✓)Abandon( ) ❑Complete System ❑Individual Components
i Location Address or Lot No.��3 �7�e�hu�y ,�/�, Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
f i
Installer' Name,Address and Tel. o. Desi ner's Name,Address d Tel.No.
i
Y i1 k�-0 OU ha►CdC h�. a ou5 PQ V1�C
AA oz&7� -
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures r
Design Flow ��a gallons per day. Calculated daily flow[ gallons.
+ Plan Date Ar Number of sheets Revision Date
Title
Si ez of Septic Tdnk /JM aal '01-tii Type of S.A.S. i n (i C<- IS
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 1115 0- r-aw "M. •,L V a&A 0 rjp,-
YLQ
G d�U S'�. /'ts-r ) LYr r _ 3Ux _ h r, 0 6 -13t,'
41 Z 41-1
Date last inspected: J
Agreement:
r i s�:",; r
TM }
The undersigned agrees to ensure the construction and mamtenatice of the afore described on-site sewage disposal systefi
in accordance with the provisions of Title 5 of the Environmental Code and not, place the system in operation until a Certifi-
cate of Compliance has been issued y thi Board of a th.';
Signed D 4
8 g ate � ..
Application Approved byd�' mow, _ . .�'1�21 Date i j°. Q-
Application Disapproved for the following reasons
F
!1
Permit No. +02 00lar" �,.` T Date Issued A4 40
-------------------- -------- ; —-------—�I
THE COMMONWEALTH O ;MASSACHUSETT$
' BARNSTABLE;t?MASSACHUSEITS
Certificaite of (Edm Yidur
F
THIS IS TO CE `TIFY, that the�011
n-site Sewage Disposal System Constructed( )Repaired( )Upgraded(.,,I)i:_ Abandoned( )by /.�/ 1 - .L
I. at has been constructed in accordance
with the pro isions(ofn Title 5" e f r Disposal System Construction Permit�l�Vo**Agr/ dated r""_V�;!f - -
�* Installer lX�- �G �1� /1 Designer i
The issuance of this permit shall not be construed as a guarantee that the systegm will functio as designed.
' Date 3 2 0 a �• Inspector
--.r----------.r -- --` ----- �-may--
� No. SDI' L� � �` V,� — —— —— ———— Fee 3------w� .W �}S+
THE COMMONWEALTH OF'MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
�Digozal *p6tem Con$truction Permit
Permission is hereby granted to Construct( )Repair vl )Upgrade( )Abandon(, )
System located at C n / V �( 4
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.
I
'F Provided: Construction must be completed within three years of the date of this 'ermit.
Date: 0 Approved
k
e
s
d
• d
TOWN OF BARNSTABLE 15C•
LOCATION v SEWAGE # 0&,-O v
VII LAGE G+ ASSESSOR'S MAP LOT6je—/Al
INSTALLER'S NAME&PH O NO �� ✓ C
SEPTIC TANK CAPACITY e9 S
LEACHING FACILITY: (type) .: S-d i (size)
NO. OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
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
!a�- 131
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[t O O L
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13h Z�L3 6r/
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Outback Engineering
106 West Grove Street
Middleboro, Massachusetts 02346
(508) 946-9231
March 29,2000
Town of Barnstable
Health Department
367 Main Street
Hyannis, MA 02601
Subj : 123 Canterbury Circle
Septic System Inspection
To Whom It May Concern:
Outback Engineering, has conducted the necessary inspections for the newly
installed Title V septic system for 123 Canterbury Circle.
I hereby certify that the new septic system has been installed in conformance
with the approved plan.
Very truly your ,
i��
James A. Pavlik, P.E.
BENCH MARK: TOP OF FND. J TL 2
ELE.= 00
9 � (SAS) SHALL BE
MANHOLE COVERS TO EXTEND TO 34.0 LONG
WITHIN 6" OF FINISH GRADE 12 17 DEEP DE IFS, c A N»3 Ue y
" 2X BAFFLE REQ'p M A•,V
S Z•30 1 '506 52 •I j t•�/ D B 1x -- _-_ -- _-_ -- 2" PEASTONE TOPPING
5 GENERAL NOTES:
c (,AL. TANK I' 51.160 - - _ - - - -
CAP ENDS - - ELEVATIONS SHOWN BASED ON U.S.G.S. DATUM.
14, 6' c USHED TONE • - -- _- -- _ -- _ _ "'�• DSYSTEUPE P.V.C.
BE EITHER C.I. OR
PO Ly ET a y L.C.-W Ic 5 - - - - - - 3[4 DOUBLESCHEDULE WASHED - THE BOARD OF HEALTH SHALL BE NOTIFIED
EL= So•7b STONE ALL AROUND PRIOR TO BACKFlLUNG. OF SEPTIC SYSTEM.
JmA
SEPTIC SYSTEM STRUCTURAL COMPONENTS
SHALL BE CAPABLE OF WITHSANDING A
20' MIN. 2.0 30.0' 0 tJ p i - SEPTIC SYSTEM UNDER DRIVEWAYS UNLESS SPECIFIED SHALL
H A L
SOIL TEST LOG C vtJ ��� COMPLY WITH A H-20 .LOADING.
RATE PERC -< 2 MIN/INCH USE FOUR (4) INFILTRATORS I�E.P 7 Fl —THE DESIGN AND COMPONENTS OF THE SEPTIC
PROPOSED SEPTIC SYSTEM MODEL NO. 3050 CHAMBER �,J Za SYSTEM SHALL BE IN COMPLIANCE WITH THE
Dom{ ELEV.- S4 o 3/Z NO SCALE WITH 4.0 OF STONE O SIDES I S V R'b STATE OF MASSACHUSETTS SANITARY CODE
,� A wan Sam I k do 2.0' OF STONE ® ENDS TITLE V. AND SHALL BE IN COMPLIANCE WITH
� wa 8 n SAND J O y �Al NO STONE AT BOTTOM �pQ I SAR-CA THE LOCAL BOARD OF HEALTH RULES AND
24. . 52.0
- REGULATIONS.
—THE NO
ci IM ED S A�J p /p Y4- LOCATIONOFTALL UNDERGROUND PUTILITIES AND
f: z SHALL NOTIFY DIG - SAFE PRIOR TO
CONSTRUCTION.
:44 1 A — NO GARBAGE
O$ DESIGN CRITERIA:
-7t�� a�S E�
ND vi KE�V
! / D R I V l= DESIGN FLOW
4 BEDROOMS AT 110 G.P.B. / DAY 440 G.P.D.
t - W A y J REQUIRED SEPTIC TANK:
- 1,Soo c ALLorl
V SEPTIC TANK PROVIDED VOL
DESIGN PERC RATE <2 MIN/INCH
_ � SIZE OF REQ•D (SAS) AREA = 440/0.74 = 595 S.F.
i ( ) SIDEWALL 2)(2) 34)+(2)(2)(12.17)= 184.68 S.F.
hl� L1� (p t / BOTTOM �12.175(34) = 413.78 S.F.
SIZE OF LEACHING FACILITY PROVIDED:
14) 7A 1—(D , Ca LA 413.78 S.F. + 184.68 S.F. = 598.46 S.F.
EFFECTIVE DEPTH: 2'
EFFECTIVE LENGTH: 34'
F) /sT. s EFFECTIVE WIDTH: 12.17'
itr�- 5 t�v,c e w o I O OUTBACK ENGINEERING
c M 4 3 4 RJ--\ 1 � � � 106
6 WEST
Ro GROVE
o STREET
46 .
S"r Io t,C o w _ ��E LrL Iiatsl - I (508) 946-9231
PROJECT: SEPTIC SYSTEM REPAIR
EX'S 1 ' SP° t t ; T,O.F, = 55 .� FOP
12.3 _CA�.1TE� - uR CIPCLt _ _
O i \ AS SHOWN �01, JP -
N 6 I E . 't-1 ® (� 2[�' vJ —�C_ v✓ `<C, mo MAP Z 41/ LOT 1 Z �ft
` O LevP�` ► V OWN R: C N A�L t.E S S W A T nl
� Qill� ,� I3 CAN 2 Teitr3� v c. [It cc.E
54s�9 N A rJ t MA 0 O
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