HomeMy WebLinkAbout0065 FERNWOOD AVENUE - Health 65 Fernwood Avenue
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rF. TOWN OF BARNSTABLE
LOCATION S Ave SEWAGE # 22!�L-
VILLAGE 1 Vq-n1�t S ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. 6-644 5 6�0 S- co v =
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type)/ /-CAP/NFLTr7 (size)
NO. OF BEDROOMS S PRIVATE WELL OR PUBLIC WATER 02O&LIis.
BUILDER
DATE PERMIT ISSUED: z
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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Fee
d THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
es
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01ppfication for Miopooar by.5tem Con!truction Permit
Abandon ❑Complete System ❑Individual Components
Application for a Permit to Construct )Repair(
APP ( ) P ( )Abandon( ) P Y Po
Location Address or Lot No. 6 C F-Br/7"GO q �� Owner's Name,Address and Tel.No.
Assessor's Map/Parcel v�4iJ
Installer's Name,Address,and Tel.No. Desi ner's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms .r 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 V) a , aoOl Number of sheets Revision Date
Title
Size of Septic Tank ` Type of S.A.S.
Description of SoilL�-
Nature of Repairs or Alterations(Answer when applicable) ��4v'4/ /IJ�9�►
Date last inspected:
Agreement:
The undersigned agrees to ensure the cons ction and maintenance of the afore described on-site sewagedisposal system
in accordance with the provisions of Title 5 o e Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by oar f He th.
Signed Z5 Date
Application Approved by4t(2h Date �0,-,;07
Application Disapproved for the following reasons
Permit No. Date Issued
f.. . .T.,.: � T ..<. ems.. J ��;- '�"-�lRli+l::nse�rw.::.r+Ek'r*.7•N'u.,a'rw.r.y�..�i�i'� �...m.y` 4,r+--+ �L
s. ~No. � �7 Fee -- —
M THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
s
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
Zipplication for Mizpaal bpMem Con!5truction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System O Individual Components
Location Address or Lot No. < F P6! GC (/.� Owner's Name,Address and Tel.No.
Assessor'sMap/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Cf CcnS C��� �/�
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 r101" 3 O acCl Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil S t°P
Y
Nature of Repairs or Alterations(Answer when applicable) $ 7'' S�'° �� C � / �+ f
Date last inspected:
Agreement: j
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 o e Environmental Code and not to place the system in operation until a Ceftifi-
cate of Compliance has been issued by t ' oard f He th.
Signed Date /
Application Approved by Date
Application Disapproved 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( )Repaired( )Upgraded( )
Abandoned( )by I (�P S l�T f Pn n /�=/!; ��✓Imo^,f'C G�7(7�
at has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Pe l� � TI.f dated
Installer �' l 1 �SGc '�$ Ccs�,C Designer
The issuance of this,permit shall not be construed as a guarantee that the system wi 1 function as designed.
Date 9 Inspector
17 �--
---------------------------------------
No. �YJ r�:^�� Fee i
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
'Wi0pozar *p,5tem Conttruction Permit
Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( )
System located at S P-e c t✓G e /-7 G S
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 thi t. n
Date: /� a(¢j—.E!7 ApproveO-- `./
F
MAP SKETCH ADDENDUM
6orrowermilent EVENS ETIENNE f FIRST UNION MORTGAGE CORP.
Property Address 65 FERNWOOD AV
Clty HY NI countAARNSTABLE State MA ZInCode 0250
Lender FIRST UNION MORTGAGE CORD
BUILDING SKETCH go
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MAP SKETCH ADDENDUM
sorrowericaent EVENS ETIENNE / FIRST ONION MORTGAGE CORP.
Property Address 65 FEMWOGA AV
city countBARNSTABLE state MA au Cods 0260
Leader. FIRST UNION MORTGAGE CORP.
BUILDING
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TOWN OF BARNSTABLE G�
LOCATION (OS- �F62j,U0®r�, 4 V6_ SEWAGE
VILLAGE__f f c, ASSESSOR'S MAP 6z LOT
INSTALLER'S NAME & PHONE N.O. Ced t C!l u : SOS-3*"Q3,
SEPTIC TANK CAPACITY 6-
LEACHING FACILITY:(type)711/-exe//yx,/_ uan,5 (size) Ll X YFA12 rla6
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER 02(//3L j c,.
BUILDER
DATE PERMIT ISSUED: — C�
.DATE COMPLIANCE ISSUED:
VARIANCE GRANTED- Yes No
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TOP FFNDN EL, 29,1' SYSTEM PROFILE TEST HOLE LOGS
ACCESS COVER TO WITHIN 6' OF FIN, GRADE (NOT TO SCALE)
F ACCESS COVER (WATERTIGHT) TO
ENGINEER: AH OJALA, PE
MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6' OF FIN• GRADE WITNESS DAVE STANTON
2% SLOPE REQUIRED OVER SYSTEM 27 2'
RUN PIPE LEVEL 2' DOUBLE WASHED PEASTONE� DATE:_. 11/28/01 I CJDO�R PJ� A�Opa
FOR FIRST 2'
1400
24.85' PERC. RATE _ < 2 MIN/INCH
EXISTING s
GALLON SEPTIC -
TANK (H- 10 ) GA 8 cs 24.35', SIDES CLASS I SOILS P# a
�� .
BAFFLE 24.46' _
24.63 ENDS 06' CRUSHED STONE OR MECHANICAL jr2'
Q ELE V,
COMPACTION. (15.221 (23)
0 14' �?� > r Qa 27.1.' �� FERNWOOD
c� oR
DEPTH OF FLOW = - 4 ( 1 % SLOPE) �`� 0�5$ o i7 000 22.35 A '
TEE SIZES, 10" 3/4' TO 1 1/2' DOUBLE WASHE STONE LS Focus
INLET DEPTH = 6" 1OYR 3/2
OUTLET DEPTH = 14"
� LOCATION MAP NOT TO SCALE
EXIST SEPTIC TANK- LEA ,HIND LS ASSESSORS MAP 289 PARCEL 164
17' DFOUNDATION- FAC: !-_ITY
24" 10YR 5/6 25.1'
5.25'
*APPROX. WATERLINE C
LOCATION ONLY (CONFIRM
PRIOR TO ANY EXCAVATION) MS
EL, 17.1'
2.5Y 6/6
i-az7N + 2s•o
_ rr
•""�►.•..,.,,�,�_ `1241 09, 27.9- -- :�i 2a,4 120 17,1'
LOT 40
20'f 28 - NO WATER ENCOUNTERED
4 NOTES:
T E S
14,450t SO, FT. 28. --
27 SEPTIC DESI(.'N: :GAC)-PAGE DISPOSER IS , n > 1. DATUM IS APPROXIMATE NGVD
T A i . _WEa_.._.
/ �.�w � ,, , L4` : .,I _ `^� ; G=,D 2. MUNICIPAL WATER IS EXISTING
26. ' PAVED
DRIVE ��� USE A 55Q GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8' PER FOOT,
W* � 28.5 SEPTIC TANK: 550 GPD ( 2 ) = 1100 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO -H-10
5. PIPE JOINTS TO BE MADE WATERTIGHT.
X
/ USE A 1000 GALLON SEPTIC TAP!K (EXIST) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
I d/ X LEACHING ENVIRONMENTAL CODE TITLE V.
6 J BACK HOE SIDES 2(47.75 + 10.83) 2 (.74) 173 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE
X f" ACCESS 47.75 >' 10.83 (.74) Y USED FOR LOT LINE STAKING.
-H f X (GATE) BOTTOM: -- - - -- ----- _`82 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC,
N X EXIST. DWELLING
28 TOP FNDN = 29.1' ' --x 28.3 TOTAL: _751 S 555 _ GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
USE (7) HIGH CAFAC TY INFILTRATORS WITH 2' STONE INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
-27.7 FROM BOARD OF HEALTH.
x- 2s3 AT ENDS, 4' AT SIDES AND 14" UNDER
27• 10. PUMP & REMOVE FAILED LEACH PIT
Pg
2 .727.8 2� H
1 28.4 v
` l PA TIO
727.8 0 + 62
SWIMMING CONC. + 27.9 + 27.7 ; 100.Q PROPOSED SPOT ELEVATION OF
X1 � � I 1 n l n AVE .
POOL PATIO 100X0 EXISTING SPOT ELEVATION 65 FE R + v �V O O D A y E
---�27'2 IN THE TOWN OF:
27. 27 27.6 BENCH MARK 100 PROPOSED CONTOUR: ( HYANNIS) B A R N S TA B LE
SHED 6 TH CORNER OF CON-
2 � PATIO EL.= 28,3T 100 EXI`.iT.ING CONTOUR --�^
PREPARED FOR; EVENS ETI EN N E
o ' 7.8
+ 26.6 + + OAK TREE
' ?2 + 2 9 20 0 20 4-0 60
27,6
B']ARD OF HEALTH
APPROVED PATE _ - MA SCALE; 1 = 20' DATE: NOVEMBER 30, 2001
off te8-362-4541
/•' fax 68 362-9880
Of
down Cape E ;gineering, Inc. ` ARNc "�� J,�t
�� ARNE H. S(\.
OJALA
o ,
c,SUI1_ ENGINEERS OJ A }v CIV,1. r
LAND SUR�/EYORS Na +': `i
939 rein st. .io-mouth, rDa Q2675
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