HomeMy WebLinkAbout0087 ISLAND AVENUE - Health 87 Island Ave
265-026 Hyannisport
i
j
TOWN OF BARNSTABLE
LOCATION 57 is L SEWAGE #
VILLAGE -4 /v41A M I a�ROtz,"i ASSESSOR'S MAP& LOT
INSTALLER'S NAME&PHONE
SEPTIC TANK CAPACITY _ L,2>O E..4L.
LEACHING FACILITY: (type) P 1 7'S J.— (size)
NO.OF BEDROOMS
BUILDER q CO�R� LSZ�
PERMIT DATE: �a XT �,� COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 leachin facilip) /J_ Feet
Furnished by Ra+' ?0 4n 'fT/ lam'
ti
N p�• of
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I
I
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NO-Y-.2.-
THE COMMONWEALTH OF MASSACHUSETTS
1O V BOARD OF HEALTH
TOWN OF BARNSTABLE
, ppliration for Mit-p tial Work,5 Tomitrnr#inn Famit
Application is hereby made for a Permit to Construct (' or Repair ( ) an Individual Sewage Disposal
System at:
Location-Address m/� � f}or t No
l ----------------
Owner jq� D Address
A I ��
a -- - `< t.............. ��
Installer - Address
UType of Building Size Lot............................Sq. feet
�-t Dwelling—No. of Bedrooms............ .. Expansion Attic ( ) Garbage Grinder ( )
-
aOther—Type of Building __________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
04 Other fixtures ------------------------------- - -
W Design Flow............fl-_�........................gallons per person per day. Total daily flow..-_-_.--`�.IA:....�...!fir ------gallons.
WSeptic Tank—Liquid capacity_ 505n.galIons Length---------------- Width---------------- Diameter......-.----__-_ Depth------- ...
x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area.—----sq. ft.
Seepage Pit No........�,-------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
'-, Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I----------------minutes per inch Depth of Test Pit._-___---__-__-__- Depth to ground water--___------__---_-__-.
f� Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water-.......................
----------------------------------------------------------------•---------------------------•---•---.........................................................
0 Description of Soil........................................................................................................................................................................
V .............................................. ------------------------------------------------------------------------------------------------ ---------------------------------------------------------
W
x -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
U Nature of Repairs or Alterations—Answer when applicab .---__�u .t._.�� �___S:Y's.-1..r4......1.�- . .,�_5' ..... 1�3px
Aoft..tv-----cA,t� �O---� s l ...W..0,r t�...---
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the boar of th.
Signed ---.;�. - ----- ---------------------- ---------
Application Approved B ...... ................ -------------- .�.1.��'. ........:.
-
Date
Application Disapproved for the following reasons: ............................ . . . ................................_.................... . ................ .
........ ......................... ..... . --------------- ..................... ................................. �.te..................
s !��
Permit No- -------------r ��..... .:. Issued ..... - - Date......
Date
h-- ----�� .L
THE COMMONWEALTH OF MASSACHUSETTS
(� BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiuu for Bili-putittl Warkii Tomitrur#iuu runtit
Application is hereby made for a Permit to Construct ((�or Repair ( ) an Individual Sewage Disposal
System at:
Location-Address ` or
r�G r
J {
Owner
Address77/
7. .................................. ......................:..............
1 Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............X___15__________________Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Other fixtures ---------------------
w Design Flow....`......./..f�........................gallons per person per day. Total daily flow---------_°wit___..J�... d....__gallons.
WSeptic Tank—Liquid capacity.l__Si�n.gallons Length................ Width---------------- Diameter................ Depth.....a-'"� -7--
x Disposal Trench—No. .................... Width........._---------- Total Length.................... Total leaching area___47`�....sq. ft.
Seepage Pit No---------Z.......... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date......................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
R+ -----------------------------------------------------------------------••----------•-.............--.........................................................
0 Description of Soil........................................................................................................................................................................
w
U /pt?irs o/1. leer D.'ions-•-'u�-Answer
when
�appl applicable------- .`I: la�r�A7.r ��f`�F.!:a..._..l•rn•=,
Nature-of Repairs or Alterations—Answer when a licicf
.... - ------------------•••••------•----•-----•••--------••-•--•----------•--•----•-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the board4ofea-fth. --
Signed ......... .
.�
Application Approved B -r....-_ / ... .. ----- ------ "'s ."':� .....
-----------------
....., Date
Application Disapproved for the following reasons- -------------------------------------- ----------------------------------......-.......----------------------......-----------
................ ........... ..........................:.......-----------------------------------------..-......----...--------------------------------------- ------------, ................. ......
Date
Permit No. 'Issued
Date
---------------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
C11e>r#ifirate of C orayltunre
71S IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( c e'�or Repaired ( )
t
15,701,
at ------------------------------------------------- ........ -------------------------------------------
has
been installed in accordance with the provisions of TITLE,5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No ._�,��. x dated -'' ..._���''
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE ...... L . --------- Inspector ....1.�..; 1M------------'._--- --. v -' -
--------------------------------------- ---------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
�tu�ruu�l Turku �ua�utr�r#iun �rrmt# .
. r - Q��
Permission is hereby granted.............. ' `=- " === ------------------. ----- . . •--.......---•--...
to Construct ( L,)_ or Repair ( ) an Individual Sewage Disposal System
"7"ti! �. h' .�� , ,. �f :.(.c_.,!1c.�T".._..._...-----•---•----.......-•---
at No.............................. - -A -----------
Street —
as shown on the application for Disposal Works Construction Permit'No' _ ";�"�y Dated__,."_ ' .''. ~\�
------
Board of Health /
DATE........ � `-- ' `'
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
.............
4 TOWN OF BARNSTABLE
LOCATION p 7 IX L--+a_-� SEWAGE # BLC=al.bS
VILLAGE - %JdkN N I f P�, ASSESSOR'S MAP& LOT S,
INSTALLER'S NAME&PHONE NO. DMZ M -,-T-t C,,4.Lt
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) P 1 T'_C �—
(size)
NO.OF BEDROOMS S
BUILDER OWNER J ez-7-
PERMITDATE: COMPLIANCE DATE: '7-J-4.--17
Separation Distance Between the:
Maximum Adjusted Groundwa
ter Table and Bo
ttom ottom 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 leachin facili ) /f Feet
Furnished by_ ���'�n �0�� / (�vl p- j
i
/
H-3 44:, v
iQ O
- I/B' o 1/2'
LA 1 }
3 O washed
— I I EL�1,30.8 stone
ELEV. � � � ----
ELEV. 31. 7 !
_ zocus I ` - - — Se t level f i r s t 2' - - ^- ---- - --
-- 3,e o I
_ 4'orC Sc`i ¢0 2
was
—N---= �✓ -� — __.-. --� hed
NAVTtJC<.6T SOVi1/D Sc�i �o I �- /4'�II 4•"PIIc Sch 46
LOCATION MAP ----�
E.Ev. 31.9
E�Ev_3l. 3 i 22eve/ 1
Assessors Map 265 _i_j..........; ELEV. 25:8
' Parcel 26 � Z.� 6 • ---`{�- 2•� �—
Area 31 . 800 S . F . * .4
S
ELEVy2/. 8
/SDD U0 ; on 0 1 S t . Lecich ng P I t
Sept c TcnK Box (y2,0 C
C oa0i;7
I � 01 y20) y
0
SYSTEM PROFILE
Nor to scale
�1
J ,���cu MARK N TEST HOLE */ TEST HOLE `z
Top cone. aal
� E Ie.v, 3c.s Cn von ELEV 33. 8 ELEV . 34.2 _
Top 8 ToPP 8
Q r Subso I I I I Subso I I
!—� SYSTEM DESIGN
y I ( 5� Design n F I ow : f bedrooms O Z/4?— ga I /doy -007go f /day Wli.D. Vg slyd I Fine Fine Sep t i c Tank : SSQ go I x /.5�� _ _BtSga I Use /SD4P gal Tank
Sand
Sand �
Leaching Foci I I ty : x S' deep w/ Z s tone
/ I I Bo f t om : $ n"Z x I.0 o%/SF
+'
lea,er Ser ire i + Sides ,L� , ���s � �i 12 � � _ I /O�Pt'x 5�rr 2_ .'S�R� Sf :; Q3 -®a i .
I+33.7 ----- Z .5 — —
NO WATER NO WATER TOTAL 4.71
M 1 Se�ofT I r QC a 5 OSR 77e aico /S ReP
2 /
DATE : 4/8/93 PERC. TEST NO. P- 8033 Ao
WITNESS : W� ��fr ,phis de.5
Jerry Dunning . B . O . H .
Gax4 )r
D F yLoci( PERFORMED BY : Mar t in E . Moran .P . E .
5 4,, t3 o DESIGN RATE: < 2 min . / in .
a 33 6 6
�''k'oPDSC'.CI \ 1 h \aj
PERCOLATION BEST -
Q +3'' ROPOO l e7 \N
' 24 5a I I ons of water in -
1 ,8 EA1C hl M4,C X mi nutes 23 seconds at a de th �t ' ti o
� Top Conc",6isd, P W. �:� � , .'� y
�la1 �33.7 yev. �z.s Civy vv) o f 5. 0 f e e t No.23a,7�o�
I Dryw2// N
i�
CP
69 f'tf.eC. TEST NO. P-803 3
2
( sS6,EN D
L
,, , 1
ss.• , ,� .� � ' Q N N E ltll U �i 9 u N o
v AD� f,�
l 1 ��� �i�, Y
I s. 0 /�/ ,E.r lslii7f Co1?1o4,r e I
� }- 34.¢ . ao /�dlaiDr� F SO NARW I CH MA 02661-fop, 4
�90 �
e,,� - 432 - 2878
o %J � /! +� e � .. �ro1Vos e c/ clrlvewa;�
C" ne �C --�.4. �� o ,7 . - ,; iwe
— OWN 0 B .A R S T A B L_ E
o i-Ec %oos ,o S I 1 LAN SEWAGE� W� � DISPOSAL
JsAL SYSTEM
�. I O R
S1T,F PZ_4A/ R r t
i
��o o Island Avenue Barnsiable . Mass
f
NANTUCKET Saurvo --- -
_.______ ______ �PPC�ECT SJ - 113 SCALE . i - 3 � ' DATE^ Feb. I4, l 9q4
X _ 9,�
V SOU ,-fir 360 �G• washed
LEV4 31, 7 8 stone i
S —
31
s.. e_ f level( First rsit 2'LEV -_
/O" LTA `„---- - - '`�' _.... —_7- - ........: 3/4't
i✓AbVTvccer s0(JiNp -�- i ii✓ --- - __-7%�7._ washed
3/.
LOCATION MAP
Assessors Map 265 - ELEV. Z5.8 f
Li_� — iJ.
Parcel 26 � 2 -��_ 6 ,r. , -�--
Area 31 . 800 S . F . t ---+ Z -� 41
/5D® 1 ELEV, 2/. 8
� Ist Leaching '' I t
Sep -, ; c cnr� gox
SYSTEM PROFILE
No t to sca +
J - BFuck nnAQJc TEST I--IOL.E *� i EST I-40LE �z
t Top CoaC. Bsd
E1aV. .sCnAciva} ELEV 33.8 ELEV 34.Z _
t 310 Top 8 i Too 8
I subso i I sUbso i I SYSTEM DESIGN
S ig. Des I gn F I ow :'¢ _bedrooms o go I-/day go I /day
✓ _ Fine ! i Fine Sep t I c Tank ' ga I x / 66�go I Use 1J�OlJ go I Tank
Sand j Sand -
2
Leach I ng Fac i i i t . S
�+_ _ x ^ dee w/ 2 stone
Bottom . 4 .�SF
Goa, er,:5�e /,�Ps� , ' I 'o
f , l 2 I -------- --- - --- ---- -- /---- --- - - ---
- ' � � � � Sides : /O_'0' x 5 ac
NO WATER NO WATER TOTAL 4.7� 'eaI x Z - 94Z9aI.
1 P 433,4 Sew fi c TAnk-
t DATE : 4/8/93 PERC. TEST NO. P-8033 C7 �a9e d��savosa� w
+ �-- ' --- _ __- - -- WITNESS : Jerry Dunning . B . O . H . w� �!, phis des *
G'yS Ad Dr well
1 \ i�3 t."F+.` r. I. r j,�' (Pre-ca-.Y,, Paa�%�113/o�k� PERFORMED BY : Mor t t n E . Moran .P , t .
-�J o DESIGN RATE : < 2 min . / in .
r!: x . ' ;33
PERCOLATION TEST
24 5 a I o n s o f w o ter i n
I I . 6 5 d' % 13 ,o BENC H AMRIt 8 ' ?/ f '�
�Js minutes 23 seconds at a de ih � Q
—,� Top Cvnc.,6Rd. P
�33.� �O �'/ev. 3z.5 clv"q o r 5. 0 f e e t 9 n�o.2?A17`o
gS"4 �yor� Ke=� ` G ` +s ram01
C?
+
+ , P-8033
t �V • / ti. / a U3S , I
� r� N
\ � /
�° ,';i � - -toP,
r
/ .' IfF,. t a4. ,E-x /'SAr•�9 s�o f /war�.or, � ' ` X S ; -R S 0 . H A R W C! H . ►` A G 2661 ► !
�/ ,/t. � c 'c� iN 0 I� A (� i ' S T a I_
A S JU/� G D i S ' � 5A ! SYSTEM I
5.5 1
2.0 %pG 0 R
SlrEL,4A/
� dbe f-- a r n nam . J r
oa
IS � and Avenue Bar n s 1 , ab I e . MCI S
I �o +moo
NAN UC KC ? SQIJND !�1 - _
_- __ PR0 Jr'_ 93 - i 3 SCALE . I = 31� ' DATE : Feb. 14, t q4