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Home My WebLink About0619 FALMOUTH ROAD/RTE 28 - Health (2) 721 Pitchers Way Hyannis '+ A = 271 - 133 '� I 2�1�� Flow Ito v. 3 + 33o G RD � i-Ic T�tK 330,. tr70 % E P. ! 1 # ' �P'�'"i'n��f PcSAL PiT - use Iona SU",/ALL AezA = 150 I,So s F A 2.S + 3'7S G.P.D T , L L AJ� ; Al Srsf'r�ti( :ZEA t ToTA L 'fl E.S16W _ -425 G..RD I O . _ 1 v { ToTot_ �a11_'-r. Fc..Dw s P.A I S , 33D 6, p 1p; E�1GDl.ATIOr!.J O'WTE`: I��I�a 2.tit1A! 0R4 E.SFi , 1 , I VT a tlAXTER : 2 i,48 Na. i �,.: Chi ED i r - , {-kx. �4 TOP`.Fwn ; . Lon ►N , P�we 97 + a _ -4 bKTIW. ' f 1 INV: : loop QS�t! 'M K L SAG 1_ '' ' 9 3 ,• T 1 - �) A Per 7N19b� Ktl Pczo�'I L_� ------ —- LoGAT... QtJtJI�j I E. :l GI�tZTi 1=`r T'4-4�7 Tlar-- {`auODATiOIJ t-1F;�L zz►J G(:X4APLY'G W I Tk T► G > . ETt ti�K Cqc t�Eor i. �litc►�t 51°�.L1►-tr~ f 1r 3 s TS' of �TIa� 1 � 1 I i UA7 TI 6 ctc Isruz � t ala.z `5uev�Yo*v T1-t 1; aaoZ- t3AScn 064 , Aw I (.o'STEfZV LU_-- ._. a IbCAle 0671.. 5�T' c:�M► , :r ec. . c�Scc� :ram i �t Nt.-. Lo~tj `r, AlinO)d _t rN TOWN OF BARNSTABLE LOCATION G-,V SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. , r el SEPTIC TANK CAPACITY ��-f'T�r- �'�s ® ® G��C os� 'ooe /o LEACHING FACILITY:(type) (size) l NO.OF BEDROOMS OWNER Jo- PERMIT DATE: -55:-—.11 —1-1 3 COMPLIANCE DATE: — Separation Distance Between the: . �O 4le�lTtf�' Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility i X 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 �T//2-7 ��®��✓/� 17 37 ieo SloO No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS \ ftphration for -M1s ' BAY 6pstem Construction permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) []Complete System Individual Components Location Address or Lot No. >,T./ �'/TL//��J' b�f-Ay Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 0`3 >/ /CPJ Hy Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. P ,r d C_ .�� .� �aA✓' ,�. .P v7s—®7o7 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 47e e-P No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3 f` gpd Plan Date 9 — /3 Number of sheets ! Revision Date Title �� Size of Septic Tank i Ti n� �T o o Q "-Type of S.A.S. Description of Soil "pe'-,dr 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 Certificate of Compliance has been issued is Board of Health. i ed Q Date J Application Approved by Date G Application Disapproved by Date for the following reasons Permit No. Date Issued No. Fee T THE COMMON EALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS V\ application for Dis sil stem Construction Permit Application fo a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. o�/ /T`/yct dd�J' u'/9� Owner's Name,Address,and Tel.No. 9 Jr Hy ��a�ty Assessor's). a ap/Parcel A >- C Installer's N atne,Address,and Tel.No. Designer's Name,Address,and Tel.No. o�07 /,-/,0 .eQ ,OF i Type of Building: ,I Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building � No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ® gpd Design flow provided 3 o gpd j Plan Date 3 �7 9 !3 Number of sheets Revision Date Title Size of Septic Tank er �'Ti 'y 67 J c 0,0 ""Type of S.A.S. Description of Soil i 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 Certificate of I Compliance has been issue y- is Board of Health. Wid � 0 � r Date �Application Approved by ;; I/ Date Application Disapproved by Date for the following reasons Permit No. Date Issued ------------- -.----------------- ------------ ---.------------------------------.`------.------------------- ------ ------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS ,, (Certificate of Compliance THIS IS TO CERTIFY that the On-site Sewa a Disposal system Constructed . Re aired /) Upgraded ( ) Abandoned( )by at ,a l �/TG 1Yca"Ge Gfi A y has been cons ct din ac rdaaGe _ with the provisions of Title 5 and the for Disposal System Construction Permit No� ated installer �,7-rn e4gP0 4LkA- Designer 4CW A'/.d 4? 41;Pi/�-rP— #bedrooms 3 Approved design flow 3 cs gpd The issuance of this permit +shall)not b construed as a guarantee that the sy em—will 'oo�esigned. Date 1 lJIIJJ / Insp to oc`r =L • ------ —-------------------------- ------------- -------------------------------------------------—----------.---- - -- No. �5 Fee,, THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair( � Upgrade( ) Abandon( ) System located at i and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Constru ti fi mu t be completed within three years of the date of this permit. Date Approved by r f Apr 0413 07:32a Colleen Mason 508-833-2177 p.1 Town of Barnstable Regulatory Services c� Thomas F. Geiler,Director Public Health Division KAM Thomas McKean,Director 200 lain Street, Hyannis,MA 02601 Office: 508-862A644 Fax: 508-790-6304 Date:.� !� /3 Sewage Permit#Joi/ 'O'r .Assessor's Map/Parcel�� Installer&Designer Certification Form Designer: ..7 1 - � � Installer: . Iy�'� Address: L✓ j1 c�7 � '� Address: On 1 �� J �- was issued a permit to install a (date) (installer) } K septic system at � � F I IGS W' k�J ased on a design drawn by (address) dated (designer) V I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (Le. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State&Local..R'- -114tions. Plan revision or certified as-built by designer to follow. Stripout(if ro - -pcted and the soils were found satisfactory. �t1 OF tij,��,s DAVID gay B. 1 MASON ��I lnsta ler s Signature) c j No.1066.o isv I R E (Designer v PLEASE RETURN TO BARNSTABLE PUBi x OF COMPLIANCE WILL NOT BE ISSUED UN a flt_, .uL;i jti t iub r'ORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU, gAoftice fonnsWesigercertification foandoc r E NOTES: ASSESSORS MAP : �ZrT TEST HOLE LOGS PARCEL FLOOD ZONE: Nll�" P�l.(r _. _.___�__.._.. ..__.__ ---__.___ SOIL EVALUATOR : l/IV 13, MA— G5& 1) Tlie installation shall comply with"Title V and Town of � 3oard of WITNESS : 'D� `D+L`v)q � l lealth Regulations. REFERENCE: -�L OF q� 1�-{0_�-&4;I(T1 %Z Ic, IN-)t f DATE: �G,( � 2 �,c1 2) "I'he installer shall verily the location of utilities, sewer inverts and septic components prior to installation and setting base elevations. 1G1-�A-f2,1� '� 2 _ PERCOLATION RATE: ,G_ 1►(I t —�1 �.._a Z - --- - A 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8"per foot. The first � � 1� �`1 two feet out of the d-box to the leaching shall be level -T TH- I , TH-2 4) This plan is not to be utilized for property line determination nor any other � J k2 !�� 5 purpose other than the proposed system installation. 3 / 5) All septic components must meet Title V specifications. lji4�,ly) LPtq-" 1 6) Parking shall not be constructed over 1410 septic components. �j,r / ( 7) The property is bounded by property corners and property lines. [ 'CO 8) The property owner shall.review design considerations to approve of total J LOCATION MAP Z� -�l design flow and number of bedrooms to be considered for design. Receipt 6 ), of payment for the plan and installation based on the plan shall be deemed approval of the design flow by the owner. 9) The existing leaching or cesspools shall be pumped and filled with material 4 1 t per Title V abandonment procedures. Those within the proposed SAS shall be removed along with contaminated soil and replaced with clean sand per Title V specs. Wo 460, VW q0 L,24, 00Q. 10)System components to be 10 feet from water line. Sewer'lines crossing the L d water line shall be sleeved with 4 inch SCI 140 PVC with ends grouted if \ applicable. The proposed SAS is being installed below the water service SEPTIC SYSTEM DESIGN � line. The line is to be sleeved as aforementioned and maintained in place. \\1 �� 1D �• �, 11) If a garbage grinder exists it is to be removed and is the responsibility of the \ �•� owner to ensure such. i FLOW ESTIMATE ' 12)The installer is to take caution in excavation around the gas line if such O \ exists. \ 3 BEDROOMS AT GAL/DAY/BEDROOM - 2J,70GAL/DAY 13)The installer sliall.verify the location, quantity and elevation of the sewer lines exiting the dwelling prior to the installation. 'X , IC C \ SEPTIC TANK 14)This plan is representative only that a system can fit on a property meeting SAL/DAY x 2 DAYS • ��V GAL Title V requirements. USE 'I GALLON SEPTIC TANK W SO i L ABSORPT L ON SYSTEM ____.._ ......... _. 44 16 _.._. DAVID �� r l M�soN _ �,.. 1 J /S SIDE AREA: ZX Zy -f- l3 �('Z, X U►'1 - 109, U l BOTTOM AREA: Z X�-. ! X �-? =7�Dtc IIt SEPTIC SYSTEMSECTION LO t14 L�O 2- 92-1 57 07- vAL 57, 1 'L i SEPT I C TANK C.e7t 5-6 ititTt�( Zy x J3 51TE AND SEWAGE PLAN LOCATI ON : �21 i c. .� > PREPARED FOR :; SCALE DAV I D B . MASON R5 DATE: 9 d3 z DBC ENVIRONMENTAL DESIGNS (.AST SANDW I'CH. MA W ; DATE HEALTH AGENT ( 508 ) 833- 2 177 Z