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HomeMy WebLinkAbout0601 OLD STRAWBERRY HILL ROAD - Health 60.1 Old Strawberry Hill Rd Hyannis A= 273-120 C { J. TOWN OF BARNSTABLE LOCATION CON. D` `ne iry 8 EA # VILLAGE rAPA§ESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. 4S-Cc, SEPTIC TANK CAPACITY LEACHING FACILITY:(type) NO.OF BEDROOMS Nett Nt�V O C3c��C OWNER 1pl\,t 0V1LneqJ& t,- LA PERMIT DATE:,. COMPLIANCE DATE: 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 s V--O _ CIZ cA a . a �� ✓ �� � . No..6..� .Z FEs.... d... . THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH �1 E Allp iratiou for UhipwiFai Morkii Towitrurtiun Prrutit Application is hereby made for a Permit to Construct (/or Repair ( ) an Individual Sewage Disposal System at: or- Location- dr N N l s or Lot No. c _IVA...... Wit.__ y�.ti��llf..,��� Owner _-_---Address - a ......-•- - ......................................... Installer Address Type of Building r� Size Lot.../__'O_17110....Sq. feet Dwelling ✓—No. of Bedrooms--------------------------------------------Expansion Attic ( .'/) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons............................ Showers Cafeteria ( ) Q, Other fixtures ................................/g� .�ee-............................................................................................. W Design Flow..............._......./IG.........gallons per parr per day. Total daily flow..............­33 .............gallons. WSeptic Tank—Liquid capacity_1.00__gallons Length..... Width.- --- Diameter_'______________ Depth.... x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........Z--------- Diameter____________________ Depth below inlet....... Total leaching area...Zj� _____sq. ft. z Other Distribution box ( kT- Dosing tank ( )1-4 Percolation Test Results Performed by.........................�:/J•L..-�'��L S__.......... Date_____/�./...._/___.__.___.._-. Test Pit No. 1�____ $_________minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2..... __.:minutes per inch Depth of Test Pit____________________ Depth to 'ground water_______________________- --------•-- --._._.....-•-•---•-----------••------------•--••--•---•-------•----------------------•--•-----•---------•-----------•-----------•------•-•-- ODescription of Soil-------.- ��•-------. ---------------------------------------------------------------------------------- -----•-•---------� 8�� G3c? s ------s- k--•------�=-a.,/S-1-.............................................................. ----------------------------�1 ^ !. _---- --------------------------------------------------------------------------------••-•--•----- V Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------ ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with T �-• the provisions of 1 f:'I1 :!nI�E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed.&cam •' -i'.�t. -� ` 1 .mil / D to Application Approved By•-•• 01 .._---•------ Date Application Disapproved for the following reasons:.............................................----------------------------------------------------._..........._ ....................••-------------------•--•--•---•---------------------------------------...---•-------------•----------------------- -----------------..__.---------------------------•-----•-------- Date PermitNo......................................................... Issued-....................................................... Date C ` V�! No... ? ,, . Fss....J�. �............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® ,/? HEALTH �. -du. ............oF.................�F-.....................'.....-.'.`---.....---------------...----•-------....------------•... Appliratiou for Uii#oiial I lVorkii Tomitrurtiort Prrutit Application is hereby made for a Permit to Construct (/Or Repair ( ) an Individual Sewage Disposal System at: c , YANNtf Loca ion-A3dr or Lot No. Owne� } Address a ..............................................Installer........................................5�a-- ,-6`• --•-----•-------•-----------•-•--.....----........._..-•----------•--------------....._...._..._. V...� � Address r� ��� Type of Buildin t . Size Lot___ �..r-__•__________....Sq. feet Dwelling—No. of Bedrrooms__________________________________�___-----Expansion Attic ( G rbage Grinder ( ) Other—Type of Building ..............................�No. -of persons............................ Showers ( � — Cafeteria ( ) dOther fixtures ---------------------------------f � 1,�� ---=s-----------------------------........................ 1Z;-1'e............. Design Flow........................ `;6 _gallons per p -per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons 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 ( p�r"' Dosing tank ( ) f_:._��__CJi__ � Percolation Test Results , Performed bY-------------------------__f_ _�__'..!..___._.___. Date..__.�____........................... Test Pit No. 1_ 's----minutes per inch Depth of Test Pit____________________ Depth to ground water____,._______-____._,_.. (i Test Pit No. 2.. f ..minutes per inch Depth of Test Pit.................... Depth to ground water........................ //.-t�.... = ._.... ------ ------------------------------------------------- • V sTt -..^" -f.......fir'"_.'_✓C.7.47• -------------------- D Description of So>l_.. ;r _ �� /----------------------------------------------------------- a ; �: - ------------- ...........................:_j----_--.. �...... . ......_---••-......--._._...___-. ••••-- --•-•----•--............•...... C�f - ------------------------------------- ------------------------------------------------•--------------------------------------.-.---------------------------------------------------------•---•--•---- UNature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TT 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. r^. Signed�.-- = j ApplicationApproved BY ........................✓Q ......... -------------------------•-------------- Date Application Disapproved for the following reasons---------------------------------------------------------------------- -------------------------••-----------•••- ------•••-•-••••••--•-••...............•--•----•••••----••--•--•-----•-•---•------•--•--•----------••--•-'---•-••-••••••••-••-•----•-------...---•••------•------•••••••• ............................... Date PermitNo.......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......f...`:z-.o...:...............OF............. ........ .......................................... Trrtifiratr of Tompliaorr THIS�CER at the Individual Sewage Disposal System constructed or Repaired ( ) by FOL ...............:....'.".�.--/J---�-----•-.�-•-.-•----------••-••-•-------......... --•-/�---i---.........s...---...----....-•• ---•----•--------•• at 2- Z `/ '.'7 1 (/� Installer -----------•---------------------•-------•-----------....._._ .................... has been installed in accordance with the provisions of TT�&��,�,�,, ` o#,T State Sanitary Code as described in the application for Disposal Works Construction Permit No........�_�- ._........ dated_.______________•-------------•-_---••---___-•. THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. �j DATE----•--•--------------------•--........---- ���.. Inspector. -•. --•.............•---•----••----•--•---- -b " THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ®/ 2 3 f o' '............0F..... - 1........................................ - No. --•--- FEE.....��.................. t r 1 o kDSe$`? � iort amit Permissiohereby granted --------------------•--------•-----••-•-------••-- ---•------•._....._......•--....._...........-----•-•--•-••--•----•-•--•... to Construct Z) r Repair ( ) an Individual Sewage p sal Syst ,r �- , > Street as shown on the application for Disposal Works Construction Permit No.................0--- Dated........................................... ----------------- t I Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS t . (' t t• / I r 5SI 44 - -f• � \.. ( ., ;;' Vie. S - f �- R 1 `'✓ $ I } + r I S .s _ 0 -4 ( - - If x `10 a �a �,.� +:��y� t" 4•tar t I k i CJ., f 4t to w �} N ! �. O S S .'.s IZVor 4f k'1 i M" E, �� k � • J. �� X •y mac. r`'I t r r. Y i y is 64 LEGEND CERTIFIED.` '' PLOT PLI '14 E>f16TING SPOT ELEVATION " Ox0 E'#frl$TING CONTOUR --- 0 - - - %G ROBERTi G4. u # FINISHED SPOT ELEVATION 10.O lX P. � Y < F1�II9'11ED .CONTOUR 0 C ., I fyt�`` .` �. ; Nn.2L162 Q r APPROVE D t GOARD OF HEALTH ASS/ONAL����� 8AitA 1A9L9 � @ r OATE AGENT . + :_... ' SCALE= —3 ---DATE;= IFa ' �D*EDGE ENGINEERING CO IN c�ninr�-m�t� CLIENT I CERTIFY THAT THE EGISTE:RE REGISTERED JOB NO. �* �' BUILDING SHOWIN . _ON THIQ 1 All : Cl�l'IL ' LAND CONFORAS TO THE`' Z© 1144 E 4lNEER SURVEYOR DR.BY= / ' OF- BARN A E AS4` � 712 MAIN ST. CH. BY= c .1✓ HYANNIS MASS. Y SHEETS OF: , DATE REG LAND ✓ s ao / Fr` Iy/w. _. q /YO?E f' E/TN�R f/E PT/C TAit/�tC p,Q -- ~: T LEffCH/iv!,•.,o/T .�iR /�90 E .TMi9N /�.,BELOIfV M fM. 'GRAGl/r', �1 2Q W.4ME.T.ER• GONCjqCTEh'EAvY CAST /R©/T/ CO!/E/? SN.�1LL DE USE.C� j r jq� COVERS �B N. .o/TCN /F/N DR/VEJfVA-Y r A, a .00E co VEfr t CLEAN -5: A/V O. ` 1 ,5ACX�/Lf j. d •I 4.. CAST A R ` .L • f 2 YE IRON P/PE o. 3IB irk of MIN.PITCH GAL. D/ST, o• ^' e • • o • • • • • o ee' WA5HFD S7YINE /q"PER P'r SEPTIC TANK f ;,I BOX v o n I • • • • • • • • • • nd f a v o eo Bs s • • e re°oo" " . v c o .� •EFFECT/VE • * , + �2 - LY o_ o* DEPTf/ v o 1' • o • • • • • • • o ° o o a WASNEO STONE' o • e • • • • • • • o • c p o - o y o a � • o o • • • • o p o y PREGgS T SEE.PAG'E !Nl�e/CT �°LEl/AT/DNS o o o • • e • s • • • ' a e o PIT OR—,F—aa/-�'- j • e a //VYERT AT BUILDING INLET SEPTIC 7-.4/VK �—�FT. �� F7 O/i4M• C SEE TsIBULATION> j OUTLET SEPTIC TANK _ 9S®� FT. f e INLET DIST/?i19UT/DN BOX FT. GROUND PVA7,ER TABLE I SECT/ON a F OIJTLETD/STR/B/lT/OIIi.dOiX �1 S�_3 FT. _ _ ' _ - - j INLET 1-EACH1,Va PIT , /cT .' SEN/AC:'E O/SPOSAL SYSTE/►? T,gBULAT/ON LEACHI VG P/T ' • DESIGN CRITER/A SCALE : % ' _ / o" OMENS/oiV A _FT. FT• NUM6ER OF BEDROOMS D/HENS/ON C ram' _FT. ` GjtR9AGE0/SPOS.4L UNIT N so//- LOG TvTAL EBT//r1.4'TED FLO,w�3 G.4L.1DA_Y SOIL. TEST `I SOIL TEST � SD/L. TEST • NUMBEAP OF=GL'OAGN/NG P/TS _ ELEY. D 1`-ELFY, g p ,DATE OF SO/L=TEST `f �Z3 A-Y S/OE LEACH/NG PER P/T l �!g SQ, FT. I• O - Z. �/ T BOTTOM LEygCH/NG PER P/T �� $q. pT. L c'A,M Lodr�"t SUITS I�//TNESSED BY R P/3 i MaR2i4 y < ;TOTAL LEACH/NG AREA : _1:�� i• 5.�. b S-w/3.w - RCQLi4T/ON /lAT SQ, f T — / .. JOWNCOLAT/ON RATE 1*2 , R SERVE LEACN//V6 AREA Z • .1,a D Y: �.Z -✓ '•L.. 77 f RO$ R7 -_ r `P G�r14F.aZ4S E. N!� � r - M F a �40R '1P LNG/ f •`WZAr CO;iNG. 3wst,•x.'ta ::r' r-tv _ .y'':. „�E1 e'{.;, .. 4 .rt ,....: .,,., - r ='i a a�. - l• a/� �y f�. �t.. t _ +(`•' t k't ���!-fi fT'�NS.�.�L/N��I�Efi' :.R ,•�;7Y�.� - C'+� 'a": (� N�FsI�® S ' } t/Y.iiNN!' 2 py x O Jim i 4 ;k Fyn r r o f\A s No. ©�1 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:_- PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIpplitation for Misposar Opstem Construction Permit Application for a Permit to Construct( ) Repair(,Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. 0 OX J k\,CC,,j4 b(fO fOwneCs Name,Address,and Tel.No. Assessor's Map/Parcel 3 ,10 J N CV 0 Installer's Name,Address,and Tel.No. y�/y) Designer's Name,Address,and Tel.No. TYPe of Building: c_k S: Sd�r .Z ct Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided J�j�. gpd 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) 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 Certificate of Compliance has been issued by this Board ealth. Signed Date Application Approved by 0A Date Application Disapproved by Date for the following reasons Permit No. t�C( � Date Issued ----------_-----_--- _--___ ___--_-__-=____-=___-___==__ a_�a r, w No. Fee -74 i THE COMMONWEALTH OF MASSACHUSETTS En red in computed ,s- PUBLICIHEALTH DIVISION - TOWN'OF BARNSTABLE, MASSACHUSETTS ) Yes on application for Mispo'sal 6pstem Construction Permit. Application for a Permit to Construct( ) Repair �Upgrade( )k Abandon( ) ❑Complete System ® ndividual Components Location Address or Lot No. (o O �, (�` «, u !Owners Name,Address,and Tel.No. Ln M Assessor's ip/Parcel 37 3 2 -0 1\I 1 CV- Installer's Name,Address;and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: �y�r\n 0 r S0� .2C, Q O Ip�1 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria.( ) Other Fixtures -Design Flow(min.required) �� gpd Design flow provided K WA gpd Plan Date Number of sheets Revision Date Title r Size of Septic Tank Type of S.A.S. Description of Soil t Nature of Repairs or Alterations(Answer when applicable) I ( CO t!n- ( r Date last inspected: Agreement: f 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 Certificate of Compliance has been issued by this Board Signed Date Application Approved by �I i�� t�U/�t! -� t ® - Date Application Disapproved by Date i f 1 " for the following reasons Permit No. () e Date Issued -------- ---------- - --- - -- -- ------------------ -----•------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CE/RTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by at (� ( (� c� S S r r^� bw s r k, M��, (�� h�st�beken constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. I— ated r Installer ��'��, ,., �Jc_ Designer / #bedrooms Approved design flow gpd The issuance of this,permit shall not be construed as a guarantee that the system will'f inctiomas-designed. _.._ Date-. Inspect �Z>' Inspecto ' - - -- - = - --- - - - --- - - -- - - ---_._ - -- No. G .Vim`1-^ �, Fee .THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair( �� Upgrade( ) Abandon( ) system located at_:. .01 1 [ r? �SkC16 c�lrcf rw R.J r I and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 permit. Date "! ( Approved by