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Home My WebLink About0119 WHITEHALL WAY - Health -0r' �� ( '119 Whig I - , � �� '=Aa'��z�z= ❑ .;� � F_`Hyannis �-, r J�� o i� d „ i �� y �� a � e o � � a. .. a No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftplILation for Voposaf 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon X ❑Complete System ❑Individual Components Location Address or Lot No. / C Wner'sa;mne,Address,and Tel.No. Assessor's Map/Parcel `�� G✓ Installer's Name,Address,and Tel.No. ®� L�Vj ®l Designer's ame,Address,and Tel.No. 6144 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 Re pairs orAlteratio (Answer when applicable) Se FC 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 not to place the system in QPeration until a Certificate of Compliance has been issued by A' oard of H (SVned) Q Date Application Approved by V Date Application Disapproved by Date for the following reasons Permit No. Date Issued No. / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zipplicatlon for 33ispoSal .6pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon X ❑Complete System ❑Individual Components Location Address or Lot No.. .rt( 1111 e hG Owner's Yarne,Address,and Tel.No. -/g� Assessor's Map/Parcelr � y ZI Installer's Name,Address,and Tel.No. 8 `7rQl Designer's ame,Address,and Tel.No. Type of Building: J ' 1 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) l-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 Y Nature of Repairs or Alterations(Answer when applicable) Q yl 001 Out Lit 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 • d not to place the system in operation until a Certificate of Compliance has been issued by oard o/f Heart . S ned c.� CjAk Date ' Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS " y. Certificate of Compliance �.. THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(y)by I ljc4fl 14 ✓1.c— at h�� has been const ucted' a gajtd� with the provisions of Title 5 and the for Disposal System Construction Permit No. Installer (� J S �,l'r'� Cj a(Y1 Q Designer #bedrooms Approved deign flo ,( gpd C, � The issuance of this permit shall not be c nstrued as a guarantee that the system w' n ro7a •esig ed. Dater Inspector /� ----------- --'-------------------------------------------------------------==--------- -'----------- ------- ---------- No. / -#3 Fee Tj E COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS MispoBal &pstetn Construction permit Permission is hereby granted to Construct( ) Rep/air( ) Upgrade A a'do ( System located at t° G/ Ci 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:Cons ction inX!r cpleted within three years of the date of this permitDate Approved by s TOWN OF BARNSTABLE LOCATION L<)� ' 1 i LJV: t� �-JNy SEWAGE # VILLAGE ASSESSOR'S MAP LOT INSTALLER'S NAME & PHONE NO. 33. Say, 71-3614� SEPTIC TANK CAPACITY GHQ I�ai, n r-1 rZ LEACHING FACILITY:(type) p,} s zs N -_— NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER 61t-e k b'�e l�' D-?J, { DATE PERMIT ISSUED: Z �S DATE .COMPLIANCE ISSUED: 5 VARIANCE GRANTED: Yes No �� .:� �� '1 0 � _ � W � -C � \ �� ? ASSESSORS PMAP NO: No. _. ..�� PARCEL N4.: Z $1� Fizs�:-��......._ THE COMMONWEALTH OF MASSACHUSETTS / BOAR® OF HEA TH_ .................... Appliratiou for Dh4paia1 Works Tomitrnrtinn ramit Application is hereby made for a Permit to Construct (C-l"or Repair ( ) an Individual Sewage Disposal Syste. at, 1/. � ......._. .ol./?ram- ----- � � Location-Add s I�t b j� .... ... .1.... .. .... ..... ............ .... ..._s r_... l ... caner P. / J Address W l J.�_./?�L. ;:--•---✓ ems!. ..1--.1..._.._... ,,5� YL.... . W <................•- --------•-•--------------------•--- Installer Address Type of Building T e d "` Size Loi .._.. . •----...Z.Sq. feet Dwelling—No. of Bedrooms................3...............---.---Expansion Attic (3arbage Grinder pa, Other—Type of Building ............................ No. of persons...............--....------. Showers ai afeter C) — ) ( ( Q' Other fi t�tkrer ------------------------ W Design Flow............ �`+........ ..••..gallons per person per day. Total daily flow......... -7------------------gallons. 1:4 Septic Tank—Liquid capacity�4V®gallons Length................ Width................ Diameter--..---......... Depth---------------- Disposal Trench—\To. ------ _--.--.-. Width-------------------- Total Length.................... Total leaching area...................sq. ft. Seepage Pit No---------------------- Diameter............--...... Depth below inlet.................... Total leaching area.-.-. ............ q. ft. Z Other Distribution box ( ) Dosing ank ( )/ /� 00 `-' Percolation Test Results Performed by_e�.... = C� ? ate... ,... ...Q'.. .... Test Pit No. l� . ......minutes per inch h of Test L'it..... /.. Depth to ground water....... -. Test Pit No. ...,11--minutes per inch Depth of Test Pit../-�`_...... Depth to ground water........ .��. O xDescription of � ---- a-,• -----•--------------- •--•-------•---------------•-•--------------------------- - ------- W 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 i T''L% r- of the State Sanitary Code— The undersigned further agrees not to place the s stem in p p as been ' ued by the boar iealth. operation until a Certificate of Compliance h - MI.:.ter . . -- ----------- --• -1 . Application Approved By-•-•••• ---•- -----..............� •----•------------------------- •-•-- 1/Le Date Application Disapproved for the following reasons----------------------------••---------------•---•-------------•-----------------------......................... --•-•--•-•-•--•--•-------•-----------------•-----•-••----•----....-----•---•--•••---.........----•----•---•----•-•---•----•-----..............................................-........................ ••-.•-Date-.-.-• Permit No.............. --- � Issued----------------------------------•. Date N K Fm:—ic2 ...................... THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF A HEALH Z T - ------------ Z.......... Appliration for Uhipaoal Workii Towitrurtion Prrutit Application is hereby made for a Permit to Construct 6-1,or Repair an Individual Sewage Disposal S st at:, T Ale 11 62J1 1161-- .......... ............ ..... .........V 0 _ Z , ------------- --------------------------- AdW`�;----------- --"2 ...... ... ....... Location Address ................... ........... -5a ..... ............................................................. Instaier Address Type of Building Size Lotsfeet U :15..... ... Dwelling—No. of Bedrooms................. 5.......................Expansion Attic)j 6 Garbage Grinder 1(96 A4 Other—Type of Building ............................ No. of persons._..._.................._... Showers Cafeteria Otherfixtures .................................................................................................. Design Flow___________rs______..........._._....._..gallons.per person per day. Total daily flow__-___._� .r . _.________._.gallons. 1:4 Septic Tank—Liquid capacitp2'?.gallons Length................ Width......._.._.___. Diameter..._......._.__. Depth_.__.__..__.._.. Disposal Trench—.\To..................... Width.................... Total Length.................... Total leachinc,area--------------------sq. ft Seepage Pit No_____________________ Diameter.__.........___..... Depth below inlet.................... Total leaching area--- sq. f t. Z Other Distribution box Dosing,tank /--------------- Percolation Test Results Performed by., �Date..i/ Test Pit No..�103.......minutes per inch D4th of Test P1t*....A..,�;;._?'.__ Depth to ground water--- �-4 rX4 Test Pit No '__.minutes per inch Depth of Test Pit. .____._ Depth to ground water______________________C ------------------------------- 0 Description of Soil.o.n4cl.......... .................................... ........................................................... e_ ......... ----------------------------------- ---- --- ---------_---*------------- ........................................................... .......................................................... ............................................................................................................................................. 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 T TTI:,4: 4 oi the State Sanitary Code—The undersigned further agrees not to place the system i operation until a Certificate of Compliance has bee�ssued by the boar health. 0 ............ ................ ----- ApplicationApproved By............ ............................................................................... ........................................ Date Application Disapproved for the following reasons:--- ............................................................................................................ ......................................................................................................................................................................................................... Date PermitNo.................. ................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE .............OF.4!S0........................ . ...✓... .......... ............ (9rdifiratr of Toutpliatta S Is TO CqTIFY That,the Individual Sewage Disposal System'constructed (t-,<or Repaired q . .............................................................................. ....... . ...... . . ............................................. ....CL ... .. ---S...............................................--------- has been instilled in accordance with the provisions of T ' �A ap f-L 1E t The State Sanitary C e des ri' ed in the applicationNo date for Disposal Works Construction Permit ........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE-THAT YHE SYSTEM.WILL FUNCTION SATISFACTORY. DATE............. ..................................... Inspector..*............................................... .................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL T I. a ..............OF_sc ....................... Noi:��.....ILE�; FEE..._._.... ....... Disposal or sonar4wtt "Permit Permission is,Jiereby grantied..:T. <�'�M =_.?.........1:Z_............................................................................................. to Constryct R pairvidlyal �e*age Disposal System or, ��pa )Van IncIn4 eAat No..)_(.................------�.e...... w_-...1... X, ---------- ................................................................................. as shown on the application for Disposal Work9 Construction Permit No'Z6L.761- i�Dated...�__R .................. ...........I......................... .............. DATE------------ L Board of Health .......................................................... FORM 1255 HOB14'ii!:WARREN.' INC., PUBLISHERS a •t v= M EL V I NMAJ C, kk 0,6)?6r BF' 'PAM LAW. r = P- MP,I&VlO "�±\ r� .v Vo.31115 �1 IL v\ 08 0 N �? ��T 12 �O��►9, � s•.;c• /e3' ZoNc A=43 9'40 S.A. fS' LeACA z o / IOD a r2i I iI car / �—s 11° 56, .moo" w , �� 4sPAUL A. �. c� LEVY -+ - —�, v +}I Tk --AA L L \/4AI 9 C pQ'� �IS LEGEND 050' - W S EXISTING SPOT ELEVATION Ox0 EXISTING CONTOUR --- 0 -- - CE TIFIED PLOT PLAN FINISHED SPOT ELEVATION FINISHED CONTOUR — 0 L Or !/ G#17,c:f/,4LL AM NOTE: The location of any existing undergj•ound sewerage, ., ---^-- wells, or or other utilities shown on t;` .is plan is approx- IN =a; imate only as determined from records and/or verbal information. The contractor is responsible for the •' ' d verification of the existing locations in the field. ' SCAI.E�;'' � _ y4� OgTE , LEVY & ELDREDGE ASSOCIATES, INC. ' CLIENT.9!16961,51I CERTIFY THAT- THE PROPOSED,�` ENGINEERS-LANDSCAPE ARCHITECTS .DOS NO. BUILDING SHOWN ON,• THIS PLAN . !3 PLANNERS LAND SURVEYORS CONFORMS TO THE ZONING LAWS ,`- DR.BY ®F'. .-SARN.S.TABLE , MA «' BSq W. MA/nr sT,eEE r . CH. ®Y$ GFJJTEiPV l L,LE,M RSS 0t. SHEET! O6� 2 AT G. LAND , SURVEY .4 - .., +iw-+,. ..a+�� "'^+4;, �,A r-K;, - _ y�,.. .. .'.. 'S-j . v "."i` •'�3 �'�'w�•$ �'*,'*h�i�9'"cs a'}y vW"'`F"-�`�.',yt . .. ._ .. r . 1.` .. W.. iy'• , 2A FT. -N9/N /1/OTF /F E'I.TNER 7AvrC SFPT/C TAN/C•,OR -. /EffCNIrYCC P- r ARE MORE-'' 77N J,"/ /2"BELOrV' :er /® ter.- IWAV 24 01AMF7ER' COrycRE7- CO//E.4 q' SWAZ I- &E BROUGNT° 770 4:;,TA®.=:Ci4N EXTRA C®Ncl��0 PE S T 11,6,4Vy CA bk'bW C0 SYgZ'L- C3E U.SE1O D PYC P//►91,v. ,circa cod�I�s CLEAN SAND z LAYER 4-CAST ` 1R0m PJPE fib /f9/N.PJT� �i/4d. • � I 1 • • s • e• e > �4e VV Rem —r' S'EPT/C TAMX D/S7: � r n • • a • e • o e e ® p. • a ryASHFO SANE' �~s BOX v e • p m t o e • e se o f » N tti e r roe DEVT�e • • • ' s m ® lyAstl FD STOrYE p 2, 5' 377.S�h/3 � .•oo • ® o e s e • e.► ®p O //3 X/. D s /�3.0 GPiO ♦ �4 < e o m s e • • • e p ®®�, { PRFC.AS T.SE.�PAGE Prr C�pAet -v 0. c-Pb a ♦o e e s e s s • • e e o P/T OR EQU/V. �LRVA7 AONS ly l vy,ER7' AT BU✓LDIMG' _ �`/. FY. 6 FT: D/AJ49. /N4E7' SE•PT'lC Ti4,vK •�Q FY �_ lZ FT. PM (� SEE TA9B!/"rJON> 40U71.E7-SEPT/C 7-AN H .1100 FT. _ 11VLFT DISPRJ.61171ON BOX 6A.8 0 F7 SE�'T/®N OF• GROUND WATER 7A46zE O tlTLET D/ST�4/®tJTION SOX 58.(�,( F7 .5��.�� ®/S� s� .S I��/b1 /NCET I-rACHMa />l7' 59, 1 0 FT DRS1a V Cfd/TE-RIA SCALE : %4" _ /= o" D1/+9E1VS/0/V A 8 FT. 01mx-.v5/®ld 40 FT. N1JA-98F,R Otc BEORDO/yJ,S .3 DIMEMS/aN C� F7' G14RCA6,®/SP05,41. UNIr eNF_ SOIL LOG TOTAL 6571MA-reD FLorV33 d GA4.10AY SOIL TEST AI SOIL TEST*2 v .tiluMaER or= tEacwrNO ,o/rs_/ f--Lera! �-��y DATE OF SO/L, 7-ES 7- S/DE [�.4CHlA/G PAR P/Y L�_S(7 P T. O`-2, ToPSQ'L RESULTS I•V1T/VES.SE•O BY ?osy/ �c/��✓ 410r7'0/s-9 LZSACH/NG PER P'/T // 3 s & . PC1vcaXA7-101V A,47� e / Z A M/N INCH f F Sugscr L ,� ,/ TOTAL ieACH//vG AR.--A Z so ,r laE.tC0LA7"/pN RA7"E .eESE'r7vEL�lN/NGAREt��S� �. DAVID P. `Lidt.f+il3 �/� f t-/ t,• '0 �� MARIA!10 LOT '1 / #17''ftJ`F�4. CIVIL q Uf G.31115 ® � •eS LEVY & EL®RE®GE ASSOCIATES, INC. to �„ tt• �0:9 A / 989 IV MAlNsr,_� ENTER �NG G T0v/v7 LNi4T�e� ENCOUNTL=K�o Q - GM0UVL>. YVATER AT EL Ed. _ CL/ENS: E- D,g7E 1 {p .IOB ND.° SHEET�OF 2