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HomeMy WebLinkAbout0053 GREENWOOD AVENUE - Health (2) 53 Greenwood Avenue Hyannis A 289 094 p 6 �I d li li TOWN OF BARNSTABLE ;� �®�,® .y���'- LOCH T aON SEWAGE # \,7U'AGE ASSESSOR'S MAP & LOT INST.A.LLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type), size) X < � NO. OF BEDROOMS � J'�'t BUILDER OR OWNER 'L/ PERMITDATE: �COMPLIANCE DATE: ' . 10 LgIo3 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 ''., 1 1 } _ k b A No. OHO fly. k 4 OH O if; it Fee �© THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIpprication for Migogal *p5tem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade )Abandon( ) El Complete System El Individual Components Location Address or Lot No,f9 Owner's Name,Address and Tel.No. Assessor's Map/Parcel��9" 9,� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. o",0,7 �ip Type of Building: Dwelling No.of Bedrooms a' Lot Size sq.ft. Garbage Grinder( ) Other Type of Building d0P-dW- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow Z�1P3 gallons per day. Calculated daily flow gallons. Plan Date p--7 d— Number of sheets / Revision Date Title Size of Septic Tank /3"2;Pf Type of S.A.S.9SMONSV 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 Certifi- cate of Compliance has been iss by this Board of Health. S gned Date Application Approved Date 16 , 6, O Application Disapproved for the following reasons Permit No. d — Date Issued 50 Fee THE COMMONWEALTH OF MASSACHUSE7S Entered in computer: PUBLIC HEALTH DIVISION--TOWN OF BARNSTABLE., MASSACHUSETTS Yes ZIppYication for Mi.5pozar *pztem Con5truction Permit Application for a Permit to Construct( . )Repair( )Upgrade(k)Abandon( ) El Complete System ❑Individual Components Location Address or Lot No.f?6:4�FG`N 4fioob Owner's Name,Address -and Tel.No. Assessor's Map/Parcel�00,9 - / 1rr Installer's Name,Address,and Tel.No. Designers Name(,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building G�'�f. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow S'3 gallons per day. Calculated daily flow — o gallons. Plan Date .l—o Number of sheets / a` Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil se< hyX„� ' 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 iss d by this Board of Health. Signed -�' Date �o oS Application Approved�y Date A., O Application Disapproved for the following reasons Permit No. d _5 `?� Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded(k) Abandoned( )by cWoFy/'�' at S-} .I( yc` /r has been construct in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.2003-W i dated [OR., 03 Installer �Ti�+, L C�o�`v/t" Designer .O,r/ico B ✓�L /,� Tne issuance of ' L9 perrmit shall not be construed as a guarantee that the system ill e�tio as i n/ed. Date f/�/O/D 3 Inspector �Y A p -------/Q-------------------------------- No. , Lcr) 3 —? Q Fee -5"0 --- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS lie;poar *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade/)Abandon( ) System located at y„eA,iv/-f 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 pernut Date: /D 3 Approved by LOCATION : E PERMIT UO. IWST&LLER 5 W&ME ADOR SS BUILDER 5 Q &MF- �- ADDRESS DATE PERMIT ISSUED DATE COMPLI &MICE ISSUED : .�,, � � ., �•---� � � -� � � 1� �. ���.. � r I ` 4. * D ASSESSORS MAP : ___'� ___ TEST HOLE LOGS PARCEL: __�1._. NOTES: ' r FLOOD ZONE�_- ►^ ->AC _...__ SOIL EVALUATOR:_ I�I�IfJ WITNESS : REFERENCE: DATE:— 1) The installation shall comply with Title V and Town of Barnstable Board of 00k,14 PERCOLATION RATE: Z.t7,Mt1A, IV • Health Regulations. 2) The installer shall verify the location of utilities, sewer inverts and septic components prior to installation. � 1� �L�9 lam.• ,��t.��Y� �l`� _ TH- I t r h TH-2 3) All septic piping to be 4 inch Sch 40 PVC at 1/8" per foot. 14V H f-41-1 l -lkl/s �'T' ,� �/ � 4) This plan is not to be utilized for property line determination nor any other ac 1:-rE02e11F FT / /ZL� purpose other than the proposed system installation. / i � 5) All septic components must meet Title V specifications. 21'c, 6) Parking shall not be constructed over H10 septic components. LOCATION M A P (Vk6) w � A 57) The property is bounded by property corners and property lines as depicted. , 8) The property owner shall review design considerations to approve of total number __ of bedrooms to be considered for design. Receipt of payment for the plan and �1 installation based on the plan shall be deemed approval of the number of j VW 6VV-AVD bedrooms. 9) The existing cesspool(s) shall be pumped and backfilled per Title V lD 1 p Abandonment Procedures. aA40. bj o SEPTIC SYSTEM DESIGN ` d BEDROOMSAT 110 GAL/DAY/BEDROOM -22d GAL/DAY / SEPTIC "TANK no GAL/DAY x 2 DAYS - GAL --��' - -•.. USE GALLON SEPTIC TANK SOIL ABSORPT"ION 'SYSTEM" ' 06U L)bA0t -1 Lq 5<o LPL4-/1 4 4C) )( 71 X \ O IDE AREA: 2 o ___-- BOTTOM AREA: X 0 SEPTIC SYSTEM SECTION 1 s ra ------------- a , 2 bG � I L731,E �,• �, 3► D-BOX GAL bit �"�A'��`�17��1�v�� __.�b.�+� • SEPT I C TANK 2S� y ,` (o,(o?J' b DAM SITE AND SEWAGE PLAN y5 LOCATION : �J� Lp�, il�tr—I(1JOO1� lA1li'GVi o PREPARED FOR : 'TI wx �o z b� SCALE: � W DAV I D B . MASON'S DATE: 7& 63 0 s DBC ENVIRONMENTAL DESIGNS W EAST SANDWICH MA W DATE HEALTH AGENT ( SOS ) 833— 2 177 Z