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Home My WebLink About0170 TOBEY WAY - Health 170 Tobey Way Hyannis A = 268 003 � M� a TOWN OF BARNSTABLE £L LOCATION -- -7 SEWAGE # VILLAGE ASSESSOR'S MAP & LOT 240— INSTALLER'S NAME&PHONE NO. L*7/!2 Le c5ra"`e' SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS �' �'e :P��'i,•y ,syr,� esr�, BUILDER OR OWNER 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 -EP Furnished by C /''� � �✓��'� u p . IN. .. . No. C7""—.jam _` t 7 Fee �J 1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes ' PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pphration for Mtgool bpg;tem Con5trurtion Permit Application for a Permit to Construct(Repair( )Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot NoMg r Owner's Name,Address and Tel.No. Assessor's Map/Parcel od 4<p Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building AYT• 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 �S`�4q�1� Type of S.A.S.,rtL® s` .;V 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 Certifi- cate of Compliance has been issu by this Board of Health. Signe Date Application Approved by Date Application Disapproved for the following reasons Permit No._ 3— 4 17 Date Issued - Fee /0 C — _Enteredrin computer: s, THE COMMONWEALTH OF MASSACHUSETTS Yes PUS,LIC:HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS Rpplication for Mi5pogal *ps�tem Construction Permit Application for a Permit to Construct Repair( )Upgrade( TA)Abandon( ) Z Complete System ElIndividual Components Location Address or Lot No �', 'OT�y 4-ol ,�y Owner's Name,Address and Tel.No. Assessor's Map/Parcel „[q 4<, !"' Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. (X/^ .0 E-,goE- 7 71-01107 �v//,� 4./jJi�.ro•,.c r �.�,�-�� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) r Other Type of Building A1,4r, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow r�a gallons. . Plan Date aJ-a3 Number of sheets / Revision Date Title Size of Septic Tank/S`�9.l� �'/O Type of S.A.S.,47eZO -:3X W� 9 411` 6 Description of Soil `�w '�'/�i✓E" C'�' Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: S - 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 issu by this Board of Health. ti pp _ Signe�" t� _ Date Application Approved by V _ - Date Application Disapproved for the following reasons - Permit No. "� '`� '' Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY;`flirt the On-site Sewage Disposal System Constructed)Repaired ( )Upgraded( ) Abandoned( by (72,?* 4,41&a."2 7� at �O� ` 00 3 eotef D Zelm Toe�l� �.��4L%A1✓/Y/J' has been constructed in/accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ) o 1) 2-I IJ? dated Installer �7'i!� G E.�oE"G'f Designer.ta44-le The issuance f thiL permit shall not be construed as a guarantee that the s Este wi function as designed. Date i 12', Inspector r --------------------------------------- No. 7> - Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Ifi6pogal *pg;tem Construction Permit Permission is hereby granted to Construct)Repair( )Upgrade( )Abandon System located at Cd7' `L�3 TcaB.Y Ae-f 3/ L 70 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 completed within three years of the date of tlns p6 t. Date: tiC /G �� Approved by I TOWN OF BARNSTABLE � LOCATION, SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME.&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type--�F��% (size) -0 NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: 0"—J cP COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ,l 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 C� AW i ®� 61 ec .ems 3y I P 4r, Town oTi3arnstabic Department of Regulatory Services Public H"Ith Division Date 7 200 Main Street liyamns MA 620, MASS Date Scheduled U (/ Time U:o J Fee rd. ro Ovtt� Soil Suitability Assessme It for Sewage Disposal r«r«med fir.A(L).r1 Q449,1 t '�C Witnessed Br._D6Vt1 - IC location Address Owncrl 'sNan= At45A ress bf y,(�Isr U / r Address PN4.9/4M[0 W. Asacsaer's Mapi!'arai: °I ()? 3 Enginews Name aw, (q�e(/✓ NIiWCONSTRUCr10N _� RLTABt Telcphortc6 �d�- G '� y/ Land Use Slopes(`h).Q_z surreaStorcsf(o0i[€ r/js. n Drinking Water well 09-UL n IYA?C 2 ' Distance;from: open wart nndy.N��n ramble Wet Area.LyY� Drainage way N n Property une 3S FS' n Oil= n SIM,TCM:(Street rtamc,ditwions or lot,exact locatiom or lest Imes&I—tWK locate wralands In proximity to hales) • �y) J Z ro . ,mil 3s� I�z IS+ 09 � ott I DOW p:� uNCot�T� . r 4- rarrntmaletial(geoMgie)�I4C_&a//�ltt 0Uru.Sh Depth to Bedrock 300 Deptlt to Grotmdwalu:Standing water in Itok:tlU W AZc 2 weeping from ril Fax No ry Mlimat d Seroonat iBgb Oroundvrater Nar AM P Method used: Depth Observed standing in obs.hole: N 0 N n. Depth to aol monlea: fv OJ A in Depth to weeping from side crops.hok: N ra M1J in. Groundwater Adlmtmatt n� R Index Weil it Reading Date: Index Well level Adj.(Oct" Adj.Gramdweter Level _ M. o � 'F..• MM Observation 7� Time al9" _ Hok N Depot o[rere lo�r/ Tim at 6" Start rre-soak Time® /0:05 Endrrasoak ay0 5M/� Rate MnArxh � at►t/1 1NCGi Site Suitability Assessmatt: Site Passed __ Site Failed: _ Addiltonal Testing Naded(YIN) Original:Public Ihxith Division Observation Hoic Data To Be Completed on Back n•rma r`nr/wrArftrtfx+ORM I i - WIN .0 cce� N„ „^+ � a g r:`��ii3-. l^..• '.,,9➢�'* ?n. a . � y'� »sN�.x:�i-s'�Ca� SOII (1Q,er Depth fiom Soil Ilorizrm Soil Texhue Soil Color Mottling (Structure,Slones.Do ilderes. Surface(in.) (USDA) � (Hartsell) SANISI�''".x[:ravcil A(f l: L,Sunt� /�y23f'2 /VoN C ooJ2 NP4J c a as.C. '•�' soil other vwd.�;e A`• •.�'vc i aNx.:�R F`off'.n�"AX:i.4;� 'tt• Depth from Soil liorlzon Sofl Texinuc. Solt Color soilUlag (Structure,Stones,Douideres. onsell) t • surface(in.) (USDA) (M —Can�..el -19 �- ►��S Q to yR A/fl `l w—,-d n,fi I . Depth fiom SoU timlmn Soil Texture Soil Color Mottling (Structure.Stones.Douldcm- surface on.) (USDA) (Mlmscll) Soli Tw lure Soil o or ulna Depth from Soil Nerizon (USDA) (MonsclQ Mottling (Stmdwc,Stories,Doulderes. Surface(or.) Flood IaLDra�C4 Tlate Man: Above Soo year flood boundary NO— Yes Within Soo year boundary No_ Yes Within too year flood boundary No_ Yes �n16 otfVatnrntlV Oceu�rine.,C�wioue 117aterial - Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? y�S If not,What is the depth of naturally occurring pervious material? C I.cert)fy that on C Q f (date)I have passed the soil evaluator exammahon approve�Iby�h. Department of Environmental Protection and that(he above analysis WO performed by me consistent with ihrd in 310 CMR 15.017. irninilln.expertise and experience dcsrx �v gb p-r c�Ql RY CA C' k- •� 4 l �f C I c I p ASSESSORS MAP : — Z�g ._. TEST MOLE LOGS PARCEL: FLOOD ZONE: j-0 �'j� 4D 7�Al/ /> SOIL EVALUATOR : NOTES:_ �I� WITNESS : T),A\IV,, REFERENCE: ,t /oT �/�i L/GG DATE: 2 ) comply�P _ '. 1 The installation shall com 1 with Title V and Town of Barnstable Board of PERCOLiAT ON RATE: -� i�t I 1° Health Regulations. jb / t �! r 2) The installer shall verify the location of utilities, sewer inverts and septic W �-�-----'� -- components prior to installation. P / TH- I TH-2 3) All septic piping to be 4 inch Sch 40 PVC at 1/8"per foot. /ZL�CJD �, SfD 4) Benchmark is to be set by the land surveyor. ` �' �` 3 Z• 5) This plan is not to be utilized for property line determination nor any other purpose other than the proposed system installation. 6) All septic components must meet Title V specifications. LOCATION MAR6- toNAOy c� �b %��(� 7) Parking shall not be constructed over H10 septic components. 10 ({,� 1 U' 8) The property is bounded by property corners and property lines as depicted. 9) The property owner shall review design considerations to approve of total number D t MriXJ% �J$ *kV'1L' Wk of bedrooms to be considered for design. Receipt of payment for the plan and Cinstallation based on the plan shall be deemed approval of the number of ...__.... ` G ��1 bedrooms. f _ �� ' V ,� �b -�� 10)Compliance with zoning setbacks is to be determined by the property owner and contractor. n Can, �u -F 44 11}This plan is conceptuallyg based for a five bedroom dwelling. 0' $ ` � _ _ ____._ .___... -.__.(►J_-__ 12)Utilities and location of such is to be determined by contractor. SEPT I C SYSTEM DESIGN / FLOW ESTIMATE BEDROOMS-;`AT I 0 GAL/DAY/BEDROOM - 55UGAL/DAY 10 �o 0 S-EPT I C TANK v 1 I / �LGAL/DAY x 2 DAYS - 1160 GAL 0 USE 1�0 GALLON SEPTIC TANK ° f it 1 SOIL ABSORPTION SYSTEM 1 o y0 6J/ D� SIDE AREA: x 4' ✓' �X 5 \ BOTTOM AREA: = �� 1 � -� SEPTIC; SYSTEM SECT I ONC l I , \ � . ILI D u�l IID �l' N &A, Dc� DO�j(�G_I R � _.� SEPTIC TANK �U � � � b� I��_!. _ .. W f a � 5 At'Cbh►1 b SITE AND SEWAGE PLAN LOCAT I ONfiL 176) AA _ PREPARED FOR : 1-0)fwf�_ 3MIJ 6&A(L l o SCALE: ( DAV I D B . MASON V5 DATE: 10� DBC ENVIRONMENTAL DESIGNS EAST SANDWICH . MA W !�/ �'12r DATE HEALTH AGENT._ �. / - ( 5 0 8 ) 8 3 3- 2 17 7