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0051 MOUNT VERNON AVENUE - Health
'MOUNT VERNON-AVE HYANNIS A = 287 LOTS 113-1,2 & 3 a� SIII � �CYCCEp 0� UPC 17734 No_2-153CR HASTINGS, MN TOWN OF BARNSTABLE C, ` LOCATION � .�/ SEWAGE # VILLAGE ASSESSOR'S MAP & LOT 7 - U INSTALLER'S NAME&PH NE NO. SEPTIC TANK CAPACITY / DD LEACHING FACILITY: (type) (size) Ad NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: / 0 COMPLIANCE DATE: 1 fly 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 ' ' .��L+ L_ � Q� O � •- t �► d � � � �� �ve ?No. Fee-,�- X THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ .s/ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppfication for Mfopooal bpetem Construction Vertu Application for a Permit to Construct( . Repair( )Upgrade(ki Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. HvaN�,.is Po Assessor's Map/Parcel Installer's Naame,�Arddress,and Tel No. `7 7 ( d t//` Desi ner's Name,Address and Tel.N:) �T(�. t_ �V- KElP_ �17 E-A?-V I L L.F_ Type of Building: Dwelling No.of Bedrooms Lot Size M '640 sq.ft. Garbage Grinder(46 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow S gallons per day. Calculated daily flow gallons. Plan Date 0uul-1 3 ,ZOO\ Number of sheets l Revision Date C�1� Title 5 i��i, S;✓E?z c. �Y5�VM ��t2�i71= S l M_ t--,c►..1�©►�9 �cy b Size of Septic Tank I SCO C-AL_Q►-LS Type of S.A.S. IZ x4Q }=t G—L� t U l.. C�/4LLlLS L Description of Soil C7-d" L0,110An E e C' � 57" 1-62 C_5a�r_kD ,e YU _ 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 issued this Bo of ealth. Signed Date Application Approved by 0 Date L Application Disapproved for the following reasons —67, Permit No. Date Issued Fee--t��'-•� r $THE COMMONWEALTH OF MASSACHUSETTS Entered in comput f Yes � sUBLIC HEALTH. DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS .' Yication for Mhoozal b item Con,5truction Permit Application for a Permit to Construct( .�Re�air( )Upgrade(1U Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 5) (ApuNT't.V ePJJow-);�lV-G Owner's Name,Address and Tel.No. Assessor's Map/Parcel 257 �,D Installer's Name,Address,and Tel No. Designer's Name,Address and Tel.No. A 6 i �8" 0��- Type of Building: Dwelling No.of Bedrooms ZT Lot Size 14,340 sq.ft. Garbage Grinder(90) Other Type of Building No.of Persons Showers( ) Cafeteria( ) i Other Fixtures Design Flow 5 d gallons per day. Calculated daily flow gallons. Plan Date'- c o u l 3 ,ZOO\* Number of sheets 1 Revision Date I Title S I M Pu A.," S c IF 1'l(. 'SYS% yti U �S I M C-f-N O" �,U G Size of Septic Tank Type of S.A.S. 12 x44 r t C L3> t-U 1.• GALL _ n Nc� 5 Description of Soil b-d" 1.-.aAw� " — �. �t2 C. � �+ r� E[. �L `, • it 1` 2 / = C A►.A \&•f (, 97 -.C_ t� 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- r4.. cate of Compliance has been issued this Boar, f 'ealth. Signed �- Date // ®) Application Approved bybt_0�016 Date Application Disapproved for the following reasons I `+ Permit No. ~" Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance - THIS IS TO CER ,that the On- ite Sewage Disposal System Constructed( � )�Repaed( )Upgraded( ) Abandoned( )by at l M-r p►.! tv s o 2 h e constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. -' ated Installer Designer The issuance of this permit shall not be construed as a guarantee that the sys em a will function as igned. Date {! I'Il d a) Inspector =—=—_—�--— —------------------------- -�� No. Fee &ao/ ...r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE., MASSACHUSETTS--,'4 Migaal 6pelem Con5truction Permit -Permission is hereby granted to Construe)Repair( )Upgrade( )Abandon( ) System located at G I MT V E r,—t j d'-.Q 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 completedwithin three years of the date of this pee m/t e Date: ' �� ( � Approved by x v L: - l R- y TOWN OF BARNSTABLE LOCATION �OG�✓jGcf��oK'' ��SEWAGE # VILLAGE ifiyC r..�✓hT .�� ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE N0. t7/rrl F`�o�`� 7 9�0 ,P SEPTIC TANK CAPACITY- ram'o LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER G�i PERMITDATE:`. - 060000MPLIANCE DATE: fo — —'2 40,00 Separation.Distance.Bet. een e: - Maximum Adjusted Groundwater Table to'the'Bottom of Leaching Facility Feet - F PrivateWaterSvpply Well and Leaching Facility (If any wells exist r I on site or within 200 feet.of.leaching,facility) Edge of Wetland and Leaching.FaciLty(If any wetlands exist t F vet,_,, witfun 30 1eei of leaching faciLty) Feet a .I Furnished by —�, J. 1 D i 6 �Q 4v r 70 r , 3 J-J d7�fl� a M AsBuilt Page 1 of 1 TOWN OF BARNSTABLE G LOCATlON J/ . �f,fhUt 94e' SEWAGE #t -, 4O& VILLAGE ASSESSOR'S MAP &LOT. 0 INSTALLER'S NAME&PH NE NO. /.1 0 SEPTIC TANK CAPACITY D LEACHING FACII.,ITY: (type) (size') NO.OF BEDROOMS I: BUILDER OR OWNER PERMIT DATE: / / ^COMPLIANCE DATE: 11 I,Y ha, 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 _I ZN 4 Q� http://issgl2/intranet/propdata/prebuilt.aspx?mappar=287101&seq=1 1/13/2015 -4Sr'". [•. ".S �-a. ..7 #.k w!•-s a kz,� '�",.,CT.n ;is ..:-. 9 x- e* >i .,:. "�ry",� -•t -aa Y3.. '�' - 4'�, 'ct ,r r""- `'� ,'c 'b.i- '-g i' 4`M efts"} s, -JR,'+. .'a 'F�+ .�a• yd� y s ty -n. �,, f � $.� i.• "`�..�* e `tit-9+� x-,•,°�� �rS- .;�YJ�B a� �i'e�6s.+..••s��`��,.' �.t'�z�-�.� T,• :E''�tL"•J�i'• E $. LOCATION;: J lJ ,l SEJAGE # ft VII.I;AGEAseSSOR'StAP& LOT 2R 1 INSTALLERS'NAME:&'PH NE'NO: . SEPTIC.TANK CAPACITY / GD LEACH ING FACILITY. ... . ., (type) (size) _141V NO.OF BEDROOMS -- - _ .. BUILDER OR OWNER' PERMITDATE / / C CO TE MPLIANCE Separation'Dstance Between the Maximum Adjusted Groundwater Table to the Bottom of Leaching Facthty Pnvate Watei Supply Well and Leaching Facthty;'(If any"wells t on:site';& ithin 200 feet:of leaching facibty) Feet: Edge of Wetland and lL ' hing Facility(I€any wetlands exist F< wtttun'•300 feel.ofYleachtng factli;ty Feet;. Furnished by I ' �� � � ^v - .,.I, '`"• tr`t 4 �i ',ii°ti ti;�'- �,a3 �,� �, 'krl�^'i,. w�Y v i .. - r _.—._.._.._. � I 4 I { t " - I t 80gehffl NOTESDESIGN DATA 1. Water:',apply For This Lot is Municipal Water. Single Fomily-5 Bedroom RO�d/ W No Garbage Grinder = (Poblk ;V-1-Wr Ndth or<o kl Awwb) 2.Location of Utilities Shown on This Plan Are r Thispprox. Daily Flow: 110 x 5 = 550 gpd ..r j / + At Lea,t 72 Hours Prior to Any Excavation For This Septic Tank:550 gpd x 200%= 1I00gpd •r Project The Contractor Shall Make The Required Notification to DIG SAFE-I-888-344-7233 Use a 1500.;Gallon Septic Tank. i LEACHING AREA " 7737o5'-E 35 3.The Contractor is Re uired to Secure Appropriate 90.00 _ / Permits From Town Agencies For Construction 550 gpd/0.71=744:s.f.Required OCEA so - a -- Defined byThis Plan. Sidewalk 2(12 t 44'12=224 s.f. .• -.- ' Bottom Area: 12'x 44 = 528 s.f. �• 12" f F 4 Grade. 5. as Required to Within o Finished 752 sf.Total Previded. d �GV$ O - �- 'i P 5.All Structures to be H-20 Loading. LEACHING CHAMBER DESIGN All Pipes to be Schedule 40 PVC.Use 5 • 6.Septic System to be Installed in Accordance With -500 Gallon Leaching Chambers In a 310 CMR 15.00 Latest Revision And The Town of 12':x 44'Washed Stone Field as Shown. e / Barnstable Board of Health Regulations. 1 0 .1 . 7 All Piping lobe Sch.40 PVC. LOCUS PLAN 4n ;' i— so &Existil'ig Septic System to be Pumped d Filled w� _ ,� 2 sty w/ i / With-Clean Material. Scale: I"= 2000' I $ Assessors Map 287 F.G.28.G - � F.G. 23.0 Parcel 10I\. Zoning=RF-1 Cz 2Required Setbacks-, Front: 30� 25.5 20.0 - Side: 15 19 I '6r IO M%N. ' i 1500 Gallon Top El.2I_o Rear 15' - — Sept) n �:,y: Bot.El. 18.0 � __ _ - _ _ �15 Ground Water Overlajr 24.5 c Tank 24.3 27-- Q 23.0 22.8 'it �' Y yGPTK Zone AP o i All Structures t be Bedding as 9 Bottom Test Hole EL. W. a H-20'Laading. Per Title S 13:0,NoGroundWoter O 25 n ' C DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM e f0 i 0 ,d s Not to Scale „ 2 0 28-f _ r/r Parcel .�. 104.87 i N 78'10'25" W / j•q0 ti � r.� I 1r i ney w..6—L ae �.v. o wowsp-Marl"°°and - 1' i►$ L t of lnYK K.9M LAN VIEW � . a SI,�LL1VAId P NO.29733 CIVIL Scale: I"= 3.0' •�s NA iIn6MGraft TOS'T HALE El_aV. ZB.O 0 — niter Fabric " nil - a L OA1H SITE PLAN trRN. GOARSe SAT.ID E SEPTIC SYSTEM UPGRADE • YID L'19H 6RN COARSE - BLeaching , AT sib-11n-. 20 sP. ovR /� 51 MOUNT VERNON AVENUE g1 BRN ISI-1 YML. COARsr- HYAN.NISPOORR L T, MASS. S7 " SAriv 10YR &1& �- I_T, YESIs�I 5Rt4 E.J. JAXTIMER' " COARSE SAND Io7Fi `/`/ CROSS SECTION OF CHAMBER 12O ho �Rour.v wA,-rE� SCALE AS SHOWN DATE- DULY 3,2001 rMOT to SCALE O-7�02�O SULLIVAN ENGINEERING INC. SULLIVAN ctvGINCERING• %NC... OSTERVILLE MASS.