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HomeMy WebLinkAbout0341 MEGAN ROAD - Health 341 Megan Road Hyannis - i A 290 126 6 1 i i TOWN OF BARNSTABLE LOCATION_T /"/ 44N PAD SEWAGE# VILLAGE / ASSESSOR'S MAP&LOT INSTALLER'S N E&PHONE N rj O. 4 C4AXO SEPTIC TANK CAPACITY 6 (16E1 n,,'4M $41 LEACHING FACILITY:(type), 14e� `f0� 3©SU•S (size)2-,., AJ 1 NO.OF BEDROOMS BUILDER OR OWNER _ PERMIT DATE: 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 leaching facility) Feet Furnished by w - �- --r-- w o I� ► No.. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for Zigool *pgtem Con!aructiou. Permit Application for a Permit to Construct( )Repair(✓)Upgrade( )Abandon( ) O Complete System O Individual Components Location Address or Lot No.lc,( mpqqn Owner's Name,A Assessor's Map/Parcel '1 ! �a WAn Installer's Name,fi"Snd"PJCO Designer's Name,Address and Tel.No. 350 Main Street W. Yarmouth, MA 02673 574- 6d2 Type of Building: Dwelling No.of Bedrooms ,3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 33 9 gallons. Plan Date —A — Number of sheets Revision Date fv_ Title Size of Septic Tank /DOU Type of S.A.S. 30 d Description of Soil, 'ODe r R k/Z Nature of Repairs or Alterations(Answer when applicable) 4�e r� 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 Environme Code and not to place the system in operation until a Certifi- cate of Compliance has been' ed by this Boazd of eal � Signed 1 l Date Application Approved by Yk Date Application Disapproved for the following reason Permit No. Date Issued v t +r No.. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF 6ARNSTABLE., MASSACHUSETTS ZIpphration for Zt5pool bp4tem Con.5truction Permit Application for a Permit to Construct( . )Repair(4Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No.Yo filP/,9 n 2 Owner's Name,Add"V off` r Assessor's Map/Parcel Installer's Name,A*&8d L Nco Designer's Name,Address and Tel.No. 350 Main Street ��yer �Gr� W. Yarmou • 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 3 3 0 gallons per day. Calculated daily flow 231 gallons. Plan Date 7" Number of sheets / Revision Date Title l Size of Septic Tank Type of.S.A.S. v�'y 1r) ,//P.4 hJl'S Description of Soil f e'C 1.4 f 7 Nature of Repairs or Alterations(Answer when applicable) Z,!!r P ,�4 7 i Date last inspected: Agreement: y+L) 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 Environmen ode and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board°�f VeaSigned A n Date _IX Application Approved by / J )D r i;�1 v Date j "5 Application Disapproved for the following reasonsrl v e Permit No. Date Issued ------------------------ — -- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( V<Upgraded( ) Abandoned( )by at (4 A has b constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No, d Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No.AI/ /'./C� E -----',----.---------- 2 —Fee fW ` V THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mtgozar *pgtem Con!truction Permit Permission is hereby granted to Construct( )Repair Grade( ) andon( ) System located at_ 3CH 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. ,l Provided:Constructi n must a completed within three years of the date of pe it! Date: Approved by Town of Barnstable ' Regulatory Services o Thomas F.Geiler,Director IMMS ABLE, . Public Health Division ATFp ;�A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer &Designer Certification Form Date: 1'(F? 17 6- Designer: � �� f''�/ � Installer: +B atIC& Address: . F0 - X q.v Address: t��S37 On rAA),6 was issued a permit to install a (date) (installer) septic system at 341 M A-t,) uA-o based on a design drawn by (address) / Mfy,efL-dated ` C� (designer) T _?=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. I certify that the septic system referenced above was installed with major changes (i.e. 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 Regulations. Plan revision or certified as-built by designer to follow. OF Mass o D R­� YER (Installer's ignatur-e) o No. 114 R�° GISTS /� D Jesigner's NITAP Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARN ABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE>WILL NOT BE ISSUED UNTIL BOTH THIS FORM ANW,AS- BUILT CARD ARE RECEIVED BY THE.BARNSTABLE PUBLIC HEALTH``DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form TOWN OF BARNSTABLE SEWAGE# .. LOCATION VILLAGE f / ASSESSOR'S MAP&LOT INSTALLER'SINMEE&PHONE NO. SEPTIC TANK CAPACITY1 � � I LEACHING FACILITY:(type) //V"�I����5 _(size}. 7� �''�"�fi��•((�K�t NO.OF BEDROOMS BUILDER OR OWNER v PERMIT DATE: 0.5 COMPLIANCE DATE: �'I"7'0� 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet Within 300 feet of leaching facility) Furnished by r � VkJ " I �&-_gjp3 QZ'3q qj , 44 9j ASSESSORS MAP : l�o TEST HOLE LOGS NOTES: PARCEL : ��L�' 1) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH FLOOD ZONE : NQ�1 �LPr�' 1� SOIL EVALUATOR : D• .i�, S•, (�S THIS PLAN, 1995 MASSACHUSETTS TITLE V & TOWN OF ti WITNESS : /. IJI(Z-tI;' Cf�R►K �'°,L-E BOARD OF HEALTH REGULATIONS. REFERENCE : L0A' C'.IzT -4L -76g4'`lo DATE : OUNE 23 'ZQ 4 2) THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES, PERCOLATION RA f E z 2 m',J I NGII SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO �L�.SS j pl L; L 1 /Z =Q,'1 Y INSTALLATION. ► f q —L:j 1.;1� 3) THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION TH- ! TH-2 / Si�� wAr�t�/ ONLY, AND SHALL NOT BE USED FOR PROPERTY LINE r DETERMINATION. U � �1 I 4) ALL PIPING TO BE 4" SCHEDULE 40 @ 1/8 "/ FOOT. (UNLESS �RM�/ ;A� � r I SPECIFIED OTHERWISE) LOCATION MAP T S l `/ 5) THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A 39 � Sc, GARBAGE DISPOSAL. Co 4/LSE p 6) SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) C MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON �SA-/ ✓O -7 �S 0 A BASE OF 6"OF CRUSHED STONE. /4 L,GAdj P,7 Tb PUM Pf o/ Ck-LI5 1cc>/ A�IJ NO 0NbL1rJ Pry-�vh7s ��„i��vl_.S �,,��n1 I�v�f�t- �; � :' (J�=fic_EI rr (�J � �(• ' -(`�o W�il;���'� u�f in1 I�� �F �/<OP. i.�AG�t//J!j . NAIL- SEPT ! C SYSTEM DESIGN w) �a_Vr\V-1-A R- Tow► o I:- 13n^lz�,ZIr,L�r \ r� 01✓ N�FL�r�-;- - Ut i1or�`j tCl�v� t'�_ - I� D R►vEWAY FLOW ESTIMATE 39 9S- A- at I- I°tSSV Q \ BEDROOMS AT I I O GAL/DAY/BEDROOM - �j?� GAL/DAY Iti EXISrI SEPTIC TANK Plr �3 GAL/DAY x 2 DAYS - (O(�D GAL USE I �J GALLON SEPT I C TANK - I�rINI� — (ZCPLfC� w/ 1psw 6�LLL7eJ +"'_ StN fc 7��,,►c Ir- rt=f ,��0 Dkrv,aGCu P 0 SOIL ABSORPTION SYSTEM I EXIST► V I poi 4 lk�E (�;) l�lr rL7RA7alZ 3060 VnJri s wl4 STv/oe n� c- a SErP,- JI r�t5 /. "l�f.c= u�✓ <_N[:� ( 25•35 i; X 12 i i� . i x J� 1 a -rwN►- SIDE AREA: rP - '� -� (f� ►6�� �X2xo, 7 �l - IIl . U3 I I �XISTIIJ(.� 3 B� M BOTTOM AREA: 25 . ?5 x I'?. !(- X 0> 7'/ 330 Pp I I \ TO = 4z,,6- SEPTIC SYSTEM SECTION "f oT- = 2.(.-1 ° �L I / ` I 3� 3 1 .�07 Iv' Ihsfa r► I4' E�. 37.�5 (0 {reds ego D-BOX 3�,33 GF _ J — —I�Oo GAL :Y�,Sb Wa�� -��sf 3�•So .. 'n ' EL: 5 7, SEPT I C TANK (�� � J / / hGH/IJ �IZC�SS ��c'Flor..l 1/ �y If2 E)ov SITE AND SEWAGE PLAN blP (�/gskfed Slime LOCATION : 341 A54A-14 Rp.40 \kA or MA o� i 14 YAW/S, MA 02-660/ � YER � ` No. ER a I--so" as`� PREPARED FOR : Lou/SE pIfA s GISTS gNITAR� G / �Z./(n 1 SCALE o P �� DARREN M. MEYER, R.S. w _ DATE: C � � lie, 43 VINE STREET 4 DUX BURY, MA 02332 Z pl'Arl U F--IA f30 . R) LN51 rt c r�u�y Co�vS��-,ter f�S ' AT HEA TH AGENT (781) 585-0293