HomeMy WebLinkAbout0107 WHITEHALL WAY - Health 107 Whiteh
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Hyannis
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No.�/ o�-� 4o Fee D-6
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
RppliLation for Disposal *pstrm Cunstrurtion 3pPrmit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon K ❑Complete System ❑Individual Components
Location Address or Lot No. �Q (, Owner's Name,Address,and Tel.No. �j 9-V,28- a a 142
q 5/ iF &AOi C w6k
/
Assessor's Map/Parcel ` A��' � i O
Installer's Name,Address,and Tel.No. y O� Sf- $9��v Designer's Name,Address,and Tel.No.
Po-Go x"jam N%
v
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)
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 Environment e a not to place the system�inoperation until a Certificate of
Compliance has been issued by this Board of Health
Signed Date I r�
Application Approved by Date )v
Application Disapproved by Date
for the following reasons r
Permit No.
'�70 Date Issued
No.�/ ;J co � 4o Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION'- TOWN OF BARNSTABLE, MASSACHUSETTS Yes
RppYitation for bisposal �&pstpm Construction permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ft ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address,and Tel.No. S"V�
/ 5 l J , �� �C�ot t� skAssessor's Map/Parcel �
Installer's Name,Address,and Tel.No. S ab 4✓29-- 'S Designer's Name,Address,and Tel.No.
t13o��v Iv-ttc,.Cvns f rct-�on�•�..�nc i�o.t3o�c 70�/ y/�
3�ar d
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.
t
Description of Soil 1
Nature of Repairs or Alterations(Answer when applicable)
a'
Date last inspected: -
Agreement: ,
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage dispal'stem in
accordance with the provisions of Title 5 of the 12 fen.a.`'Co)d"e"`a_nAot to place the;system in operation until a Certificate of
If r
Compliance has been issued by this Board of Health.
Signed i � Date
Application Approved by Date /
Application Disapproved by Date
for the following reasons
Permit No. r�j! ��j lO Date Issued f'D DA � S
-----------------------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of-Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned(w by
at 0�7 U has been constructed in accordance JJ
with the provisions of Title 5 and the for Disposal System Construction Permit No.�V✓,901P dated 4/�9
Installer o�' �nSf� f ��rt �r7C Designer
#bedrooms Approved design flown gpd
The issuance o thi4permit shall not be construed as a guarantee that the system fnctn'as designe
Date Inspector
l"/
1 _
----------------------------------------
No. � c Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *pstem Construction 3dermit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(1�
System located at I C 7
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.
-« 4
Provided:Construction u be completed within three years of the date of this permit
Date Approved by
TOWN OF BARNSTABLE
LOCATION LA 10 -WJ : � �-,`' W SEWAGE #
VILLAGE t,,v, 5 ASSESSOR'S MAP & LOT -ZZ7-2-- O5
INSTALLER'S NAME & PHONE NO. ?, O�S C 0\i '�-S y k, 7 7 f -3 G I G
SEPTIC TANK CAPACITY (��y lIp
� k5
LEACHING FACILITY:(type) L.2o c� (size) 6dO e)n Cl cw
010
NO. OF BEDROOMS 3 PRIVATE WELL OR PIIV' 1' Rn
\ BUILDER OR OWNER
DATE PERMIT ISSUED: Z (J
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No �G
{
�l,lrew
ASSESSORS VIAP NO:
PARCEL NO.: _
YmB
THE COMMONWEALTH OF MASSACHUSETTS
a� BOAR® HE T
Appliru#ion for Disposal Works Tonstrurtiun Vrrutit
Application is hereby made for a Permit to Construct (G.-Y""or Repair ( ) an Individual Sewage Disposal
Syst n;a
: .
7... ..................
6/
...........
.. pl..... .......
�Location Ad yy r o-
------------------- ---�.-----t-...-- Addrss r': _ - ........._ t .S�..---•-
Installer Address
Size Lotl i _.�_�-3..Sq. feet
U Type of Building Si tt
a Dwelling—No. of Bedrooms.....................................Expansion Attic GartSage Grinder (�
aOther—Type of Building ............................ No. of persons............................ Showers ( ) = Cafeteria ( )
A4Other fiUures ...----••---•-------•------------•-•-------------•----......-•-•--.......-------•-----"....-----•-•-•--. g
W Design Flow_._......_._��-..___:....................gallons per person per day. Total daily flow.....___... .�..1-. .__.__....._gallons.
WSeptic Tank—Liquid capacity C)C'?_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. f .
Z Other Distribution box ( ) Dosing tank
a Percolation Test Results Performed .......... � _-• �
Test Pit No. 1 .5'5...minutes per inch D th of Test Pit.___ ._. __.../.' epth to ground water............. /�
fs. Test Pit No. iinutes per inch Depth of Test Pit.- ......... Depth to ground water../V....�<
Description of Soil----
W rn �=s.,n
x ---------
-- --- ---------------------------------------------------
V 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 i l r[.a. 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 and of healtbw
neA!!--- ••--.. . a-- --Application Approved BY .- -...----•----•-•---••---•--------------••----•..------ -•--•-_• t at
D to
Application Disapproved for the following reasons---------------•--•----••-----------------------------------•--•---------------------•-•-•...---•-----•----...._
••--•------------------•--------•---•----•-----------•--------------...-----•--•-•-----------•------••---••-•-•--------••------••-----------•-------•---•-•-•---
_ Date
PermitNo.......................... ----------- Issued.......................................................
Date
No. ........... 1� FEs............................_
THE COMMONWEALTH OF MASSACHUSETTS
. )``M` BOARD OF HE . LT
Gs° . ............OF....
Appliraiion for Di-spo l Warks Tutuitrurthin lirrmit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
Sy t
�..
c u A ress � a•^'^ �a
......... ....
Owner Address
a •...._.....••• x --------------•..------------••--...•---.........
= ``
� Installs{ Address
UType of Building Size Loth ___I ... ----Sq. feet
Dwelling—No. of Bedrooms.____. ________________________________Expansion Attic ) Gauge Grinder
aOther—Type of Building ............................ No. of persons____________________________ Showers ( ) — Cafeteria ( )
dOther s ------------------------- ••--••......•-•-••-•-•--•--•••.........•-•----••--••----•-----••-••......••. ....
W Design Flow___..._..... ....................gallons per person per day. Total daily flow___________,.: __ .............gallons.
WSeptic Tank—Liquid capacit .? .gallons Length................ Width................ Diameter................. Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Z Seepage - _- - Depth below f� i is-_-- Total leaching area f.s 1__
See a e Pit No _______________ Diameter____........_._.____ / q.
Z Other Distribution box ( ) Dosing tank ( r-,,.
Percolation Test Results Performed b �^ ______ ______________ __!-•.__w......=..�...._>+ � e - • "____ _�_
Test Pit No. .......
minutes per inch D th of Test Pit ___ ----/:`Depth to,ground water________________________
f� Test Pit No _minutes per inch Depth of Test Pit ._.____-___ Depth to ground water ��
O __. __yY____ .... t .___ �••- j ...�.....
x Description of Soil... � w ' t . �
(� ------•-•-•---•------•----------•--•-- ---- --�� ._. ----,------� --------- ---�---'t�'---'�-- ---- --!•--- ----- �I •--•---
------------••--------------
(=1
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 l i-L ;of the State Sanitary Code—The undersigned further agrees not to place the sys em in
operation until a Certificate of Compliance has beeq issued by the-board of health.
a.... �. ..... .ram �
S>gned ��r, 4sa
Application Approved BY `-.-....•-------------°--------------------•-•-----•----•----•-...•...--•---.....-•--•--------- ------ /-...D......e
--/ ate
Application Disapproved for the following reasons:................................................................................................................
-•------•-----------------------------•---...----------------------------------------•-............-----•--..•.....-----------------------------------------------------------------------•-•-•--.
�— Date
PermitNo.................................�. ............ Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD HEAL. H
..................OF...�O-�*- . --.+�--,.�.�--�,f ...........................
Trrfifiratr of TaamptiFattrr
74TIS IS TO.„ RTI.FY, Th t the Individual Sewage Disposal System constructed ( or Repaired ( }
by.��- .... -(,5 :
at . •-•-•-•••••_.... •-••-••. -• .••• •--•--•.
� � nstaller
...............
I
een
ed
provisions of
ahas
Ibcat on forlDis1 osal accordance
Constraltion Permit No.TmY .•-•••5• h; State SadntayCod a ed in the
PP I // ..................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE
SYSTEM W7/2
FUNCTION SATISFACTORY.
DATE....... ��......................................... Inspector..........
` .. -
A = �� `� J THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTJ-1
>C " to .`.jam ' -
............ FEE........................
Rii at aark � tt r n rruti
Permission is herebyranted.��.. `�-- i
g ---------------------•- ----------------------•----•--•-•---------•-•-••----••.................•••-•......
to Co>}s uct 03, r�R airf(t� n individual S r ge Disposal System
.--- •. • --- ---• ---- -
Street S � �-
as shown on the application for Disposal Works4onstruction Permit No:....... ........ Dated.___- f•( -,C°
.....................-� <
4 Board of Health
DATE------------------------~---='-•••-•--•............•...........•............-�
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS -
r
MELVtN .
- L
DAVID P. y I
X MARIANO
;r
tpy CIVIL
,A No.3111S,
Svc'� '• 6 �
LOT 't0 its og r '.1
I
tg u•1`
I03 .
LC)T 9
N
o LoT It .
Z
ZONE RC-1
A=43 6-6o s.F. / W
30' r,?oNr .SE7-8Ae,r � � 40
lS' �'Ef�it' O C S•s
A6S0M'F_ Lo; ?fake'cT o�� G60
TaIV,r
1�4PoA Or ow
A'Y•»+,
T , \ RESrr4dr r Pr�N I—.r_ I � PAUL4A:
No. 206i7.,.. y
(• Q ^I
W N IT E �A LL.
LEGEND ;
EXISTING SPOT (ELEVATION Ou0
EXISTING CONTOUR --- O -- CERTIFIED PLOT PLAN
FINISHED SPOT ELEVATION
FINISHED CONTOUR 0
WI I
NOTE:. The location of any:, existing undcrR.;:•ound sewerage lL?T L ' T4 ALL W�T�
, ,.
wells, or other utilities shown on this plan is approx- IN
imate only as determined from records and/or verbal '
information. The contractor is responsible for the SINS 1AS Zd A -a Y;
verification of the existing locations in the field. SCALE:,,P" YO" DATE
LEVY & ELDREDGE A=CtATES, INC. CLIENTG•Re�6'Q1'EA9 *R
----- 1 CERTIFY THAT THE PROP03EO
ENGINEERS-LANDSCAPE ARCHITECTS JOB NO. -BUILDING SHOWN OW THIS PLAAI .",,,
PLANNERS LAND SURVEYORS CONFORMS TO THE . ZONING LAW �
DR.BY T. ,�� 4
OF SARN_STr®I.E., M
889 r 1AIN-ST E-EET CH. SY s ¢.
CEN"P RVILLt, MRSS,
SHEET.rL OF � ATE tEG. LAND SURVE
�t
A
20 FT. /`9/A/. N07EE/TNE .THESEPT/C, TANfC'. p�Q.
/EACH/KG ?/T ARE MORE. 7'/,4A:/ /2"18ELO-W
7 CONC.R.E rlc- CO aII-R
q'PYC Pip-- &.= B.V!?UC�dT T® G1?,4��.�.,N EXTRA . .
CONCRf�TE M/M. P/TC/d . /`�E.�Vy C/SST /�OJY Coi/E/� SHALL. C3.E us —'o
er COYEI�S IBwO�R�T /F/N AR/VEh/Ay
J• MiN. CUNCR�'T'E
_ G7v'r4oE CO CL EA/V. .SANG
BACA
4'. 4'CAST�. _ _ 2 LAYER
v a o o P a� QF: J�B�
OAL: r
~ 4I DIS'T, o• • • ° • ° ° °j m4� WASHED SANE
S.�f�T/�° TA/0//C BOX m o • o m" • • • • ��m �' I
. , �•.- - - _. • e • o DEPTH • • e � e v o WASl�ED STOiS/E ..
s: b O f I o • • • • 0 1
ll3x !.O = /!3. O GPp ♦. as m e • • • o • • f f p • o PRECA S T SEEPAGE
g ►• e e o s • o s f e a "o P/T OR ZvL11 V
T/i CAR4UTc� 9 O. 5-GPD m ee
ft /Nd�,�nT A'T B!!!LD/NCa E,F7 D/AIRY.
INLET SEPT/C r4NK �- F. D/s4 G SEE TfiBULATION>
�� DU7'LE7'°SE°P'7'IC 7'AMJ•� �J.SSF7' � �-'
A&Z"cr 10/$7R/0117,10 / Box ;1 o,1F3.' SEC'P'iON 4F' - GROUND WATER TAOLE 1
oUTLETrrACH Na oc-NBOX F S�Nl.4GE ®AS/70, A.L, SYST'&/�/N[Ey" LEACl/JNG /�'/T 7A5411-AT/®N
LE.ACH11V6 .10/7" DI/'9ENS/ON a
SC�AL-E �4~ _ / - O
D/Af.E1+Y5/9 It,I FT.
NVMJL-R OF BEARooms 3 D/HENS/ON C FT
LIN/TA)dAJR 50/Z- LCJG
7-07r44 E97/M-4TEb FLOM/,334 —4L.1,OAY cSO/L TEST AI SO/L TEST,' S�/`� TE'�T
NUM3E4 OF 4eACHlN6 P/T.5 / !^FLC`b!�2.2J� E��Y ,DATE OF SO/L 7'•ES7•
S/OE 4L`ACJ4,M6 PER P17- SQ FT. D`-2'•SUR RESULTS /Q//TNESSED BYI cX�.aa.,/ _
®O TTOnr L 4CH/NG PER P/T $Q, pT., LU4Nr E .1L PeiV C04A77O/Y il.4TE At/ tom_ lJAl//NCH
TOTAL LEACH/NG AREA
—T TE�2 M/Al.�lNCN
RESERVE 1-FAC/d1NG AREA-•�SQ. FT. 2'-10"
:S
jF DAVID P.
4 14 MARIANO
%t`-.3 CIVIL
31115�C LEVY & ELDREDGE ASSOCIATES.. INC.
'sg9 W. MAIN ST
S.0• 2S _.... _— , GENTtRV4L LE,,
NA
® N®G�OUNt? yY�4T.LR ENGOUNTERo CL/EAty', NBE'i DATE .1 9 !?I8,6
Q GAO UNL> j vA TER NT
1/06 No.. SHEET 2 OF
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