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Home My WebLink About0311 MEGAN ROAD - Health 311 Megan Rd / 291-254 Hyannis ' 1, R i y TOWN OF BARNSTABLE LOCATION �f - �0 SEWAGE # V .LAGE c ASSESSOR'S MAP & LOT —'62L<f, INSTALLER'S . AME&PHONE NO. ),s -.,S() 69 p SEPTIC TANK CAPACITYJ' LEACHING FACILITY: (type) WW x6 1`t (size) W NO.OF BEDROOMS BUILDER OR OWNER 7rIIAL PERMIT DATE:. C�I.3� � COMPLIANCE DATE: C- Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility — l V b Feet Private Water Supply Well and Leaching Facility (If any wells exist t,�� . on site or within 200 feet of leaching facility) !V Feet Edge of Wetland and Leaching Facility(If any wetlands exist (�9 within 300 feet of leac 'n f cility) v�' Feet Furnished by_ ,.� S n y /S`f' TC _ O O ID A CA y � Q o r r"Q-C fig i/ No. Fee� d THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �� Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Mtopozal *pztem Con.5tructfon Permit Application for a Permit to Construct( )Repair( Apgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. (� i O ner's Name,Address and Tel.No, �c-r�/�lJ� Assessor's Map/Parcel G � � (` Me ��i Installer's Name,Address,and Tel.No. j�`,,C Designer's Name,Address and Tel.No. 5c,<, s� M Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder 000 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alter tions(Answer when applicable) d J X6 A-v 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 is ued by this Boa�� Signed Date Application Approved by Date lDt—�✓ 1�—g.� Application Disapproved for the following reasons Permit No. °" -,5 Date Issued . No. -� Fee - THE COMMONWEALTH'OF MASSACHUSETTS Entered in computer: _`_• 1 Yes PUBLIC HEALTH DIVISION•-TOWN OF BARNSTABLE., MASSACHUSETTS- Application for M g0ogaf *potent Conotruction Permit Application for a Permit to Construct( )Repair( Apgrade( . )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 1 , I Owner's Name,Address and Tel.No. Assessor's Map/Parcel 1 1 l �vy\ w,, — a S �\ ("re In (2 A r I Installer's Name,Address,and Tel.No. Designer's Narie,Address and Tel.No. Type s 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 - Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) i fr�CC� V-'t `` l �CA (� i Date last inspected: I 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 Cer'tifi- cate of Compliance has been issued by this Board-of H hh-� Signed Date 16 1311c,4 Application Approved by Date Application Disapproved for the following reasons ( l Permit No. Date Issued •✓�� / 9„� -----——————— _-- -- .-..-. . —?=THE COMMONWEALTH OF MASSACHUSETTS _ - J BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS CIS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired (( Upgraded ( ) Abandoned( )by C.,-c�kl c� �a . „ i Mr \_( g at ? ( M�, t _v n �� has been constructed in accordance with the provisions of Title 5 and the for Disp sal System Construction Permit No. dated ,"6 l^► 9>� Installer".�:YtN (n "K t-I \s C x a Designer � The issuance of this permit shall not be-construod as a guarantee that the syt,�will function as desi ned. , Date Inspec --------------------------------------- No. j I, THE COMMONWEALTH OF MASSACHUSETTS. j PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS io�aY �pgtent c�ongtructiottertuit Permission is hereby granted to Construct( )Repair( Upgrade }Abandon( ) System located at 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. s Provided:Construction must be completed within three years of the date of thi it. Date: ,/ �''" ,��'�, �L Approved bye 5 CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, C`', ��`^ , hereby certify that the application for disposal works construction permit signed by me dated �� ( 1 , concerning the property located at�?k k meets all of the following criteria: 77re are no wetlands within 300 feet of the proposed septic system There are no private wells within 150 feet of the proposed septic system XhT�e,observed groundwater table is 14 feet or greater below the bottom of the leaching facility y The is no increase in flow and/or change in use proposed There are no variances requested or needed. SIGNED : DATE: 1IC41 N v LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. Cl C/ /D®O iO 17 G c • '�}L�V•��rl 1 ' S F" �77''ty•(�,'� f , t �°�,t,rb,'�. 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J,"&P�� 'or :t Pdb.4NQdAbd[FACALWA .k 1,JO /dstivt e..e 'ArSd mt,laof' vdC.� . ,Li�.dt J�yd� ya%fd iQf '•�.P'f7 fAV Gd� , si� _, , ,.VI+ '�.�T �' v�"'j• r r C �''iT �5� G 4 T�'l'. /1avi91d� r `"77a'� r`�l�! � � �,; �,'tir.,•, , ,, Y'�s�,,z�tis ,�,i -;� � y .. . 1! O CAT ION - SEWAGE PERMIT NO. 41LLAGE INSTA LLER'S NAME i ADDRESS z � o4kS co R/? &A B UILDE OR OWNER 1 DATE PERMIT ISSUED _ ,� S 7y a DATE COMPLIANCE ISSUED (o °- /;1_ 7 � r- � T In y No................h v." "`Fss..... ................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town...................oF........Barnstable - ----- -------------------------------------------------- , pplira#ion for Disposal Works Tonstrnrtion Urrmit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: .........Mean...Road......-•-•-_.... ....................................................Lod 10 Location-Add or Lot No.r A _- .5.-.. ----- =� P---------------------------•-- ... 3.�_ .._.4.. ._...1 .f/._� h��S..-----...........................-- Owner Address ` ----•---------------------- ? ............................................. -------•------------------ Wiz..................................................... Installer Address 10,122 d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms......... .................................Expansion Attic ( ) Garbage Grinder (ng Other—T e of Building No. of persons............................ Showers — Cafeteria Q, Other fixtures ---------------------••-. . ...- . W Design Flow.................. 5...._....._......._..gallons per person per day. Total daily flow--------3.3_0............................gallons. WSeptic Tank—Liquid capacitylQQQgallons Length._8.1..611... Width._41.10-41 Diameter................ Depth.4-r 9 rr x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area----------_.........sq. ft. Seepage Pit No------1-------..... Diameter.....1Q1....... Depth bel ow jnlet_. TjTotal leaching area.26.7........sq. ft. Z Other Distribution box (X ) ' Dosing tank ( ) Percolation Test Results Performed by.ape_--Cod...Surmey...QQ sultarlt.S Date.....1/21/19............... ,aa Test Pit No. 1.....2._______minutes per inch Depth of Test Pit.....1.21....... Depth to ground water.I1Me_-__-----__. (i Test Pit No. 2........_-------minutes per inch Depth of Test Pit.................... Depth to ground water.,._�_,,�, ° Description of Soil..Q.Q_-1_..Q...1Qam... ---bX'QWD..med......5 al,n-- . .............. U ...................................GQhbl s-=-------------•-•------------------••-•---•------------------•-•---...------.................................... s ...H NWICK m W -------------------•-------------------------------••---•----------------------•---•--•----------------------••------- ------••------------------------------=--------- B. ot V Nature of Repairs or Alterations—Answer when applicable----------------_ ................. fCNAPI�aN""" y ... -- -- ---- ----•----------••----------- ---•- - •- - -- --�� ------ ---- jFFs.....rE4•G\�� Agreement: Z The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acc i the provisions of TIT :;.. p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' sued by the board of health. c� Si ' ..._ 7/ Date Application Approved By....... G . . ---- -may Date ` Application Disapproved for the following reasons:---••-...... ------•---------••---•--•-----•-------------------------------------•----------------- ...---•------ •---....__.._ Date 7? No f 4 FE s............................_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable . ............O F.......... .......................................................................... Appfiration for M-4poii al Works Tomuurtion Prrutit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: Mean Road Loy 10 r ............................................................................................... ...._.._.--•--._..........._...................._..............._..........._..................._. Location-Address or Lot No. . Owner r _Address `! ----------------•----------•------------ --...-----........---•--. i s ----------••-- •........................ Installer Address Type of Building Size Lot.... ®Z1`2 ........ feet U Dwelling--No. of Bedrooms--------- ---------------------------------Expansion Attic ( ) Garbage Grinder (nq Other—T e of Building No, of persons............................ Showers — Cafeteria a Other fixtures ............................ W Design Flow.................5.5.....................gallons per person per day. Total daily flow.......33-Q...........................gaallons. If WSeptic Tank—Liquid ca.pacityl.`O.QQ.gallons Length_�_..6}_._... Width__�k 0. Diameter................ Depth.. ...rJ........ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No------I------------ Diameter._... ..... Depth below 'nlet.._.' 1iTotal leaching area._67_-_.....sq. ft. Z �-��, Other Distribution box (x ) Dosing tank ( ) 0-4 Percolation Test Results Performed t�+`ape...Gad.. .urvey.._0�:_�4Iltant�5 Date.....1/0179............... '4a Test Pit No. I...._2---------minutes per inch Depth of Test Pit..... . Depth to ground water.?.on.e..._..._.__. Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ ....... O Description of Soil_Q_R - ;a ....Ot --` __4xt ; St s--- -�1?- .2 ---bY'.J......:�t...... all __ Mgs�,_ ----..cobbl&s..--------------•------------•---........---------..------------------------------•----.. .-----•----------- V / l�1 NW(�K N W -----------••------- -------............................................••-• -••------....._.....---..:------ •--•--••--•-......•---•/------ ----------$-............-+�, /•---•-•--. v....CklARMAAI---- U Nature of Repairs or Alterations—Answer when applicable_________________ _ ............................................ -- ........... •c..¢�No._27654 p_ Agreement: .,. /7f �0- G�STE� The undersigned agrees to install the,aforedescribed Individual Sewage Disposal System i FS d1Ah G\ the provisions of TITLTE 5 of the State Sanitary Code'`— The undersigned further agrees not to place em in operation until a Certificate of Compliance has been issued by the board of health. 1 F t f 4 ,IF%vY-a�i :_ ate Application Approved By---- , � h /' to_ Date Application Disapproved for the following reasons:.......................................... --------••-----------------------•-•---------------•---------•------------:..--.._.......----------...-----•---------------•---------------•-•••--•------•---------•-••••------••-------••---•------••- Date .. _ _...._......_�...._..................... Issued........................................---------------- fy Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...:..........`.;...�,1 G2�Y1.....OF.......... k4l.t....... ......................................... TrrtifirFate of ToutpliFanrr THIS IS TO CERTIFY, That the Individual Sewage;Disposal System constructed (�, ) or Repaired ( ) . �i }.. It: �(J l .4- /JShflei; ! a has been installed in accordance with the provisions of T. 5 of The State Sanitary Code asscdb in the application"for Disposal Works Construction Permit No. . _......_l_Y3.. ..... dated_ ....7 ___ ____ ____//..T ...__.__..__. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIO SATISFACTORY. . DATE...--•--••--.... •.... .. ....�. .......................... Inspector............---------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH „a !� ff ........... ~l - .1........OF............... .................................................... NFEE, .—......--•••--•--- %Vooa t Works �onotrttrttion rrinit Permission is hereby granted i=': '_ . �' �J-------------•-------------------•- to Construct (N4) or Repair ( ) an Individual Sewage Disposal System, ..._._.. f - Street '-----•---•-- •-••-•------••---. ._.. .-- as shown on the application for Disposal Works Construction Per No _.:____ Dated--_ ............... �c._.... Board of Health DATE-----.. •...... .. -/' cry FORM 1255 HOBBS & WARREN, INC., PUBLISHERS SOIL LOG . 'I Asr6Ms •LOAM S /ILL - - �s=rAw /00p ots/ n/C, ' �r'—'a• .�- ..—l�•• ��' :y, ::�. -,� Oi...a A,,,• S --_ _-�t _- - - • 4"C.I. ` GIST, i.'• ° � . ' I atD 1000 BOX 1000 GAL. • n • I p�dC 97.cs IO'MIN I GAL. i ----� j:.°. PRECAST 0R ;I" 24" SEPTIC I. :.:,• BLOCK • ° ;1 MIN ILTANK � j SEEPAGE d° PIT • ° ° 20' MIN. --... --+i.;:: • . e • I I FOUNDATION I i I • /2 WASHED- STONE f I NO L. :rysi i me•01 I ELEVATION SKETCH 10' -- ------I PERC. RATE= SCALE I"= 4' TEST BY TOWN INSPECTOR BACKHOE OPERATOR TEST MADE ON ! 1 or • s o99e 7r�F'+ o0= s7,o4w.4C +a3 lot16 1m3 ` 3'7S.o a e=>T ,: b � o Anwa t �O 0 � � n • �' Awr P ,u3li vL G4G)it/id� /1AiaR,O 01r, / ca �a Fib Z tact r* cov IA,r F,-4") • 3 $�c�kaa�rrsi�� IhEtwlC c4,e/+Ud x l:o ar►L/a1}'/e,R 33a srlc /QI!' s1 /+l.QX. .RGca�.avdGE �•v�es y �2�a -a+o1 �,tr s+'-�7'�n�v. 5,0"w.K++.c.s +9 8 S•F. ,° 2,g roc,�s. ■ 47a ait, .•%o oY ,i9a77 oar x / a ��o/�F _ _�e��•/��'�" 3J r04W iM ELEVATION SCHEDULE PROPOSED SITE PLAN I. INV AT FOUNDATION = ' SEWAGE SYSTEM DESIGN 2 INV INTO SEPTIC TANK �p QN 3 INV OUT 'OF SEPTIC TANK 4 INV. INTO DISTRIBUTION BOX ' �m'�' SCALE • •I" = �aD �C :3, 1979 5 INV. OUT OF DISTRIBUTION BOX Z. 6 INV. INTO SEEPAGE PIT . 00 CAPE COD SURVEY CONSULTANTS ROUTE 132 7 BOTTOM OF PIT = '�� HYANNIS ,MASS.