HomeMy WebLinkAbout0074 WAYLAND ROAD - Health 4J 4C). r-1 n " $,
A-7 9 °7
0
No. '° Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftplitation for MispoBal *pstrm Cunstruttion permit
Application for a Permit to Construct( ) Repair�t_) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No-1y UJ�y�.c�� �� Owner's Name,Address,and Tel.No.-1-6k—25Lk—5-7 1�\fj
i-��,r��a �2r�c�vcne�
As ssor's Map/Parcel Zn
Installer's Name,Addressi and Tel,,No. �'� .�Lr Designer's Name,Address,and Tel.No.
O
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(min.required) gpd Design flow provided 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) \n ��� �� (1et�) �,'�� < �C•(1
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 o . ealt�
e Date CCr1
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. 20 — Date Issued
---------------------------------------------------------------------------------------------------------------------------------- ---
.r`
No. 01)-I Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Zipplitatlon for BispoSal 6pstent Construction 3permit C>
Application for a Permit to Construct( ) Repair V) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components '
Location Address or Lot No ILA LA VjG;'l�,"C)& '0 Owner's Name,Address,and Tel.No."')'Ok�-F t- ••r d CA5
� 1 t\'� (\e.
Asgessor's Map/Parcel '�."k lc,-1 V7 CNX�—.rx a'-ve );. p Chin n�C:r� �f't�c
Installer's Name,Address,and Tel.,No. Designer's Name,Address,and Tel.No.
Type of Building: 11
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 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) ,n�c.kA.cw\ CK_ (^fiat r }
-t
Date last inspected:
Agreement:
r 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
Ivt
Compliance has been issued by this Board of liealth.n
Sig6e Date
Application Approved by / 'f Date
Application Disapproved by ( Date
for the following reasons
Permit No. •'�0 Date Issued
-----.- -------- - --
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
HIS IS TO CERTIFY,
CERTIFY,that the On-site Sewage Disposal system Constructed( ) � »+ Repaired(y , Upgraded( )
Abandoned( )by�.:+i )®Cti;(�t`� hC •e'�4 A 1, .r�, !I?_ f
at�Lk („ti t,L,yam . �'('t„r�. �f.�mi 15 has been constructed in.accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. idated
Installer ,)X yx ;�,� �x�h'b " 1 Designer p/, A
#bedrooms Approved design flow /" Y>~"'" gpd
The issuance of this permi s all not be construed as a guarantee that the stem will function as-designed.
Date �� "- Inspector
-- --rz 1 - --r,-�- .--... ... _tea, --= - •- ------•------ -•--- --- -
No. '`
Oa` � Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
`� Misposar *pstem Construction permit
y Permission is : reby granted to Construct( rr) Repair(A ) \ Upgrade( ) Abandon( )
System located at jL k• 14 (,,�jti4 rr.,. l C,-� e�
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:iConstruction must be completed within three years of the date of this permit.
Date- 1 d �� 7 +21 Approved by
� � c
------------------
CJ yl _ V
Sewage Permit No.
Location:
Village: AR
Installer's Name & Address Li-e-g e J V'.
Builder's Name & Address Re*ll
Date Permit Issued
Date Compliance Issued
o ,��j�/�
t
ZL
�� �
..�� ,:
. ��, ,
�,
;�
:w SS
,,:z:�
�� i
L �,
Q�
9h
FIns......:3............
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Town Barnstable
................O F.......................................-------------•-------------._......................
Appliration for UiipusFal Workii Tuntrurtion ratnit
Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal
System at
............... �''� _;Jam. .
Lot #- - ....-----••---Hyannis ....................................................
-Capricorn 'Ltdust 765 Falmouth°load', Hyannis
... -- ---- ... ....................... .....••----•-••---•--••-----•---...........--••--•--•-•--•------••-•....._.....................--
W Steve . Lebel Owner Address
...................... -------- -
Installer Address
Type of Building 3 Size Lot----------------------------Sq. feet
Dwelling-No. of Bedrooms._._..__.. .. :..Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ............................ No. of persons............................ Showers ( 2) Cafeteria ( )
Other fixtures •------------------------------- • ... .----
55
W Design Flow............................... gallons per persoIbq,oay. Total ji� qpw..............3X----•----------•--..0 S.
WSeptic Tank—Liquid"capacity-............gallons, Length.......U.......... Width.................Diameter..........:.:... Depth................
x Disposal Trench—rNo..................... Widt i----__-.--.__.._.. Total Length.__...6.......... Total leaching area._.__._2b�....sq. ft.
Seepage Pit No......................Diameter.................... Depth_below inlet.................... Total leaching area.......-..........sq. ft.
z Other Distribution box ( ) Dosing tank ( )
Eldred a Engineering-.- 11-2 -81
a Percolation Test Res ltL 0 Performed by.......................9............ .- . __._.___.. Date...___.__.. .5...._..................
Test Pit No. 1_.. '.._..minutes per inch Depth of Test Pit...12�....... Depth to ground water
@riCOLlnte@ —
�,
(s, Test Pit No. 2._.N......minutes per inch Depth of Test Pit..N"NIA---------
to ground water....�a.......__..
- ......................... ,_..._...
® Description of Soil_________________0 — 2 loam & tOpso it
r — ------ - ---------
x Z -----10 medium yell__ow sand
w 10 r - i_ Y._..;med white sanctraced-°fraveljno__water.:
at 12'
----------------- ----- -
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 THTl 1 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 b the board of health.
Application Approved BY = -----------•--• % /�D z�
Application Disapproved f r t f o, g reasons.__,. : -- . .. ......t.e.
..---- 7------l�`:.. _ �.--- -- .c•�-- 1 _ _ .---
PermitNo........................:...................•---•-------- Issued--•-------------------------••-•---•-•-•••-- .......
Date
No .. .. Fmc.............................
.....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
..........................................OF..........................................................................................
Appliration for Bilipalial Workii TomUurfiou ramit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
Syste%at
-u 0 Hyannis-, MA
� # . ......................... .................................................................................................
cii-fi:raorn R".ItydrTrust 765 Falmouthor!Wd. Hyannis
-----------------------7............... ....................................................................... ...
.....
Lebel SteveKner Address
...........
.....................I............................................................................ ....................................................................................r.............
Installer Address
Type of Building Size Lot............................Sq. feet
U 3
Dwelling—No. of Bedroom .__._Expansion Attic G bage Grinder
pi Other—Type of Building ............................ No. of persons___.___..__.______.__._.___. Showers Cafeteria
P4Other ures ....................................I.........................................................................3317----------------------------------
W Design Flow................................1-()()()..gallons per persor6*6day. Total 44 &w..............................................Titus.
9 Septic Tank—Liquid capacity............gallons - Length________________ Width_..__._.____.__. Diameter__.________.____ Depth_______..__.__..
Disposal Trench—V. o..................... Wid ----------------- Total Length...... t........ Total leaching area-.....me.r.V6....sq. ft.
-6-
Seepage Pit No------------------_- Diameter____.._.__......__._ Depth below inlet..__._.__________._. Total leaching area..................sq. ft.
Z Other Distribution box Dosing
&1�eage Engineering 11- 25-81.
Percolation Test Res�tq I---------------------- Date..................M
2.0 Performed by...........................................12' Wd----encounter
Test Pit No. l'....N/A...minutes per inch Depth of Test Pit...X/A......... Depth to ground water-----j�-&----------- e -
Test Pit No. 2................minutes per inch Depth of Test Pit._.___...__...____.__. Depth to ground water...____.._.._______..._.
.........0 t1o,...P...s...od 2:.......*----------"----------"---------*------------------*-----------
Description of Soil................. J'0.&......merdim..Ye-110V--SfMnd*-----------------------------------------------------------------
w ...................... .................7--- ----1-2-1----- aamd/traldiNd 6f... at 12 1
------------------------------ ................................................................!......................................................................................................
U Nature 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'TTLZ' 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
A.
operation until a Certificate of Compliance has been issued by the board of heat.h.
..ne .................
..... �
. ....�.Pa _
Application.Approved By...... ....... ........................................................................... .....................
Date
Application Disapproved fof"the ollowing.reasons.:.................................................................................................................
.............................................. ........................................................................................................................................................
Date
PermitNo.......................................................... Issued.........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
.........................................OF.....................................................................................
x rtifirab of Toutpliattrr
THA�XGJ�FAJIFY, That the Individual Sewage Disposal System constructed X) or Repaired
by...................................................................................................................................................................................................
Lot # C'�j C�) Installer Hyannis, rdA -------------
.... . ........................................................
rp t� Sanitary C in the
...... ......... .I....... --------
at........................... -"--Y-----------------J------17____
has been instilled in accordance with the provisions of IT e State
application for Disposal Works Construction Permit No......................................... dated.................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU S A GUARANTEE THAT THE
SYSTEM WIL FU 6TION SATISFACTORY. "D
._..................................................................
DATE___ . ................................*..................... Inspector...-.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TownI . BBarnstableC-9 ...........................................OF......................................................................................
No...... .
V FEE.........................
V..n
Ewposal Vorkq Towitrurtion "Pamit
Steve Lebel
Permissionis hereby granted..............................................................................................................................................
to ConstructA )hpr Repair an Indio Sewage Disposal System MA
......................................... ..............H
... ....�_.:�A.I.........../...
at No...........................
Street 1*
as shown on the application for Disposal Works Construction Permit N D ......................................
.............................. ------- ..............................................................
DATE.............................. ............................. Board of Health
FORM 1255 HOBBS & WARREN. lf�C_ PUBLISHERS
ram/F I-JA2TI_��( L'G
boo-Oo
-Go. FT.
Iv^ �oT i G
/Im'y. (2G'Gi1lE 0 .
• � -23±-� 1 (� rl
v
24"± OF M�Ssq
o RT
ELLIS H
ai-
110o s, ± 1c�b F31�D
Io0 W IDTH �— v SEfC �� Llu
' I � o
A= 1 O o•13di— C)C4\c_ 16 19 f
7Z- 540- 00
WA PLAN D
40' WIDE-
--- LEGEN.G�_._�"�_..___� - CERTIFIED PLOT PLAN
EXISTING SPOT ELEVATION Ox0 jS
EXISTING CONTOUR -- O -- - v
FINISHED SPOT ELEVATION rn LoT��. ^}7F,
FINISHED CONTOUR 0. U ORSE
No.10951 ti IN
Q
APPROVED , BOARD OF .HEALTH �D � �
FSS/ONAL E� ` D ,a ,
DATE AGENT SCALE, J - :3' DATE= 7._r- f4, '.
ft'LDREDGE ENGINEERING Ca IN CLIENT F.ar,co I CERTIFY THAT THE PROPOSED
EGISTER REGIST"ED JO® No. 81 205 BUILDING SHOWN ON THIS PLAN.
CIVIL LAND CONFORMS TO THE ZONING LAIRS
ENGINEER SURVEYOR •BT' J �'D' OF BARNSTAt$. E , ASS.
712 M A I N .STREET CH. By, �•Q•� '� � -
HYANNIS MASS.
' SHEET OF 2 A E RE"a. LAND SURVEYOR
20 FT. M/N.,
/MOTE /F E/TNER :s,�E S-�T/G TANK OR
�. �'._.EffCN/NG P/T ARE /yDRE TH.9.`� /Z"BEtOJ-v ,
/p fT• /y/N. II =rRAOE� 14 24 �O/AMET.ER CONCRETE COVEp
f S/,/ALL 8E BROUGHT To GRA L> ,v EX;.?.q
CONCRCTE i �► PVC P/PE �y EAV y C/A S T /RO/Y C O VER Sf•/ 4 L L
M/N. P/TCN Sc-J �
EL - l co.S COYERS�`- �9QER Ar 1 /F/N OR/vEN/AY
T
1 - Z 1vf. %I At. CONCRE T.9
__ Up[//O LEVEL
.. 2 LAYER
R
ON 0/PE 1000
=`b� MJN.P/TGN GAL. , • • • • • • • • • 'I
I4 Rem '-T. $EPT/C TANK D/sT, • • • • • • • • WASHED S7�-YE
BOX v . o • • e • • • • • � .•• � /
' e • •EFFECT/VC • 3 4
n . ► • • pEPTH • • • • 0 1%45h+E0 STONE
v
1t;:C:• s ••moo I • • • • • • • •'' G D v
4-1 1 v/D e• • • • • • • • • p ••o PPECASrSFEPAGE
lNY L,-A-r 4' EvAT/aN5. 78• 5 x i, o = -18 6/ D ° r" ► • • • • . • • • ' e o �/7 CR EQU/V.
/NYERT AT DU/LD/NG �-1•S FT. P'TCAPk--lT-K 549 G/D 6� D/AM.` E` - 90•S
EE TBUL4 T10N>/CT/NLS ANK973 FT FT O/4f•
OUTLET SEPTIC TANK 91. 1 FT, _
/NLET D/STR/8l/T/ON BOX 9�-•9 FT. SECT/Q/V O F GROUND 1 ,4-r,ER 7A91-E
OUTLETD/STR/B11T/ON BOX 9(.• 7 FT
/NLET LE.atN//vG PiT �f .5 /cT .SELVAGE O/S'.Pd4S'A L SYSTEM
LEACNO/VG P/T TABULATlD/V
SCALE % _ /�- O" D//'9E/KS/ON A 3 FT.
DES/GN CR I TER/�4 ,01,6fZ/v5/o N 8 Co F r.
NUMBER Of 4&EDR04OMS D/HENS/ON C 4 FT. M0.1
CARQAGED/SPO.SAJ_ UN/r NO `. SO/L LOG
rO7'A4 E.3T/MA"T'ED 0.44.IpA y SO/L TEST At'/ SO/L 7ES7-02 SD/Z. TEST
NUM8fR QF L�-ACN!/VG P/TS_ ( f^EL EV 9 a•O EL FY.
S/D6/EACH/NG PER P/T 188 ,p4 RT. DAT E SO 0J= IL TEST . PPiL 2�, 1982
3 0TTOM LC-,�9 CN/ivG PER P/T 78 i LoAAA RESULTS +V/TNESSED 8Y J���lFFaj2-D
fT a 2 o �L ''CRC04A'r10N R,4TE A/ LPS M/N•IINCH
TOTAL LEACH//YG AREA SQ. Fr. AExC0LAT/ON RATF A&2 7HA�,J M,,Al.//NCH
RESERVE LEAG"N//VG AREA �� O SQ. FT. jr' 2,c,
OF h'1li
Al � •.T'�'%:'`,''_ ;,; R� r t L
,/ y /
HORSE
No. 10951 O N
/ k �F o.29874�C -� _ EL DREDGE ENG/NEF/P/NG CO,/NG.
1 I !sT �`�
SUR 6y�¢ o4FSS�ONA1-���\ + `L' �-0 7/2 MA/N ST. , HYR�/NiS, MASS,
® ND GROUNv YNi4TtaR ENCOUNTL�REO CL/ENT: F �u�, PATE : io/;4
Q GROUNO LvATE.Q AT ELfV
JOB NO., 61205 SHEET 2 OF 2
1
��
��
o£�-
,�
-� � r
s<.->.