HomeMy WebLinkAbout0131 WHITEHALL WAY - Health 131 WHITEHAL
HYANNIS '
A= 272 187
w
I
I
i
v
e 9
{
AiSESSCRS MAP CO: Z�Z
PARCEL NO.:
No ....�_MD Fxs.............................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® F HEA T
&I.%d,9 ..-.......OF................ ........4� ... ......................
Appliratinn for Dhipati al Works Tonstrnrtinn Frruti#
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at,
a
..y:l ....� ..... L :- ....1_. ...... I-- . . ��,.�._is..•......... ..... ..._.
Location-Addres
f -----
Owre� . Address
Installer Address
Type of Building Size Lot= .�._._lSq. feet
Dwelling—No, of Bedrooms............................................Expansion Attic ,¢� Gar age Grinder (�'�
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
<a4 Other fixture ___________
W Design Flow............................................gallons per person per day. Total daily flow........ .................gallons.
9 Septic Tank—Liquid capacitJOAD.gallons Length................ Width................ Diameter---------------- Depth..............
Disposal Trench—No_ ___________ _______ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter._.____-_______-___- Depth below inlet.................... Total leaching area..........- ......sq. it.
Z Other Distribution box ( ) Dosing tank ( ) ,�
Percolation Test Results Performed byr
a
._.._4ff.. ' '. � t1LX - __ /1' .e� ea.�.l e........_...-014�_�_.__.. 1e�
Test Pit �To.d .....minutes per inch ) i of Test Pit___.__f_r�✓�. Depth t�a�ground water,___
(s, Test Pit No.. �: ,minutes per inch Depth of Test Pit___ ...... Depth to ground water________________________
Ix ............�.. �* -------- ff...... . f............................
Description of Soil--- r .-------/lG[ .. _ e] �d
-----
x -------------------------------------------------------------------------------------------------------------.......-----•--•-•--••------•• ...........................................................
U Nature of Repairs or Alterations—Answer when applicable._`___? _________________ D
-----------------------------------•-------------------------------- .......................................................-----------------.........................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance wiih,
_my�,
the provisions of T iy=�:�: 5 of the State Sanitary Code—The undersigned 'further agrees not to place the systqm in "
operation until a Certificate of Compliance has been issued by the b rd-of health.
Signed. -------- ••• ..__Llie,5 ... i.
at
Application Approved By. :............• ...................... ---------- -- -{.
( Date
Application Disapproved for the following reasons:.......................;;:l-------•--------------••----•-----•-----•-•-------------------------•---------------
•----••---•---•--•-••-••--••---•-•----••-------•••----•--•-------••-•-•-......--••--•-•------------••..._..
q Date
Permit No...... --P---•---`16040-----. Issued.
? Dom ``
�-
No. C41� �� � Fee
HE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
ZippYication for �N!6paAY *pgtem Con5trurtton 30Crmtt
Application for a Permit to Construct( )Repair( `)Upgrade( )Abandon(V� El Complete System ❑Individual Components
Location Address or Lot No.`3 k Owner's Name,Address and Tel.No.
Assessor's Map/Parcel 1-7 2� 'Q"'7
Installer's Name,Address,and Tel.No. O / Designer's Name,Address and Tel.No.
az Goq�ic
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 gallons per day. Calculated daily flow gallons.
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) '+ A��Z
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 issued b thi d of Health.
Sig -- Date
Application Approved G Date
Application Disapproved for the following reasons
Permit No. Date Issued -
No. ,!/ Fee
HE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,, MASSACHUSETTS
ZippYication for MiOpaal 6pgtem Congtruction Vermit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon(V) ❑Complete System- ❑Individual Components
Location Address or Lot No. k"LA— Owner's Name,Address and Tel.No.
C• ,C"evVt` U
Assessor's Map/Parcel 2 -c? 9J
Installer's Name,Address,and Tel.No. \N Designer's Name,Address and Tel.No.
,�*c
Type of Building:
Dwelling _No.of Bedrooms Lot Size 't'' sq. ft. Garbage'Grinder( )
Other "` ,Type of Building,, 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 Type of S.A.S.
y-
Description of Soil
r %
Nature of Repairs or Alterations(Answer when applicable) ;� QJ&p- "C 1N At V,,,, '"Dr t k l 1\,Ve— 1 w
1 S ``t O
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 issued by this/B and of Health. �q
Signed J �`"'" >. .. Date.i 1-0 1
Application Approved bey /. Date,
Application Disapproved for,'the following reasons
Permit No. Q Date Issued----------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
y
Certificate of Compliance
THIS I�TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Fepaired ( )Upgraded( )
Abandoned(t/)by K .. F-'.-ZAoe-,A5
at 3 l.c�ti. ,�* l G&Aa tw-,A-ie h,a>been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated �.+t.
Installer Designer
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date Inspector
No. Fee
THE COMMONWEALTH'OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE,, MASSACHUSETTS
lwigpogai 6pgtem Congtruction Vermit
t Permission is hereby granted to Cons
0.cL( )Repair( )lJpgrade , )Abandon( Vr
System located at A
i 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 this unit.
Date: l �' �x ?� '" 5l Approved b,,_f
� Jr
g'
....-.roc
N Fps ............_.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALTH
r .._.....OF....� ...... .... ..
Appti.rati.on for Disposal Works Tonstrurtion Vrrmit
Application is hereby made for a Permit to Construct ( r Repair ( ) an Individual Sewage Disposal
System at:
1 �` .3
Lecatron AddrE t r `r E r t No. S y�...... t s">'t" ...----•--------- ....... ........ ....... ........'_...--- ..----. ......_�........
Owrer Address
...................... ............ '" ' --
Installer Address
Q Type of Building Size Lobe _ _Sq. feet
U Dwelling—No. of Bedrooms.............•-.............................Expansion Attic 4 Garbage Grinder ,�Z
aOther—Type of Building ............................ No. of persons............................ Showers'( ) — Cafeteria ( )
a Other fixtuTes -------- ----------------------- _
i W
Design Flow............'�.. ......................gallons per person per day. Total daily flow.........5 .:,_Q_.........._.......gallons.
CL Septic Tank—Liquid capacit1?a---gallons Length................ Width................ Diameter---------------- Depth................
..._.. Width.................... Total Length Total leaching area..._.........._.___.s ft.
� Disposal Trench—:�?o.............. a g g q.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. it.
Z Other Distribution box ( ) Dosin tank ( )
Percolation Test Results Performed b °. .__ "r'r''r tell ._. __ J
a Test Pit No.,)e<N5......minutes per inch Depth of Test Pit ,� Depth tekrourid water.. :.
ri Test Pit No d &a ._minutes per inch Depth of Test.Pit..... :.._.... Depth to ground water........................
P4 -- - - -•--------------------------------------------•-----------------------
Description of Soil �� � ` ' f..
U --------------------------- ---
�o -r -----------------------•-------------------------.
W
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 TAIT L: 51 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 b and of health.
Signed , _ .......... ` ................•----. --••-- .. '........
�,,,-__-mow;_-�_--• •.. 7 De
Application Approved Br = '1 -� = y ._........
hate
Application Disapproved for the following reasons-------------------------------------•--•---------------•---------------------------------------------........__
-------•------------------------------........._._---------------------......_.....------••-------...-----------------•-------•------------------------------------------------------•------•-•-------
//�� Date
Permit No.------ ^�-:`-_9L�.11........ Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEA - p
✓ .............OF../. 'mac!"r '�a .... �. t'......4.......
Trrtif iratr .of Toutplianre
THIS IS TO,rWIFY, That e Individual Sewage Disposal System constructed or Repaired ( )
by_'r e-_s I ,1-' ------- ---- ----- - -- -------------•--------------....... ...........--------...---------------
' Installer r
has been installed in accordance with-the provisions.of T!Z . j of State Sanitary d as escri•bed in the
application for Disposal Works Construction Permit No:.- _C�_���;1. ............ date.i___. _ 1-�/ __.______.______._.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
�/ r6
DATE------------------------------------ � = Inspector ----•-••---•..........---•-•------------------------------------------._----
THE COMMONWEALTH OF MASSACHUSETTS
~` BOARD OF HEALTH
r-- ............ .oF... ... E''...................... - a®
1TQ_J.^......... FEE........................
Disposal Mahn Tons#rudi �t rrntit
Permission is e'reby granted. m. ._ a - ............................... -----
to Cos�j�uct ( , or Repair ( tri n'dNidual Sewage Disposal System
at i�TO SaeT...... +Oi z.---- _fa_ ............e ..� "�} ._ k' a _+�.. ............................ .......
,�mdd r z
.... k.._.... ... ..
�« •, Street
as shown on the application for Disposal Works Construction Permit _ �L
PP P c,Ilo..R:- ated. r1 V.-----
��._........
`)DATE . F /.... ................... Board of Health
........ •.. •.......
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS '
- CIVIL J q
PJo.31115
•,Fs (P
N
zonJE' RC- 2
A = 43 560 ,5. A--
aaa of o �t
I o0 T�nc lap I
N.
T a71 g110P 1w
PAUL A.
n LEVY y
u NO. 10617 y
50 _T P
LEGEND
EXISTING SPOT ELEVATION Ou0 EXISTING CONTOUR --- O --- 4 CERTIFIED 'LOT PLAN
FINISHED SPOT ELEVATION .� a
FINISHED CONTOUR 0 j
NOTE: The location of any existing underground sewerage,' ---r
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 1 1,0 ,8•W A d
verification of the existing locations in the .field. SCALES /J'=;' 0" DATE
LEVY do ELDREDGE ASSOCIATES, INC. J Ot.IENI EW /C ' I CERTIFY THAT THE PROPOSED '
ENGINEERS-LANDSCAPE ARCHITECTS JOIN NO. 111�5� ®UILDINO SHOWN ON THIS PLAIN
PLANNERS-LAND SURVEYORS CONFORMS 'TO THE ZONING LAWS 1
DR.®Y1 OF BARNS MA3 ¢ .
$89 W. Maav STREr-� CH. SY1'�Yy� WA
SHEET_:L OF R LAND SURVEY :
Arai i ,c. s
—} ` "'R_" ::' # a-•-s _.L... ,
EITXER THE SEPTJC;T.4N/C OR:'
. iE.4cAel vG yr Aloe MODE 7-NAN 1Z"JEL01•t/'':
— TRA®�4 � �4 4D/
.j � AN?ETER G°®/YC.e.ET.E COtiE&'
PJPt SWAZL BE &R0&agT T® 4)TAG..6A'v 4xrRA
�- CONCR�Y� t/EAVY CAST/,eON Co-✓E�' SH,4LL 846 USER
C®YeR5
C, CC)VET CLEAN .SAND i
_ 614C/CFI LL
.� UQU/D LEYEL.
IN.PJ�J/ GI��. • i 0 ® e o • I I • �a �4 w�4 SHAD .STL�IYE
TANK . D/ST, e • e • e 044
f
® • •►
is BOXo0 6 • t Qs • s • ® � .
- a♦ e • •eF_F/'zCT"/V4w : • • .1 4
377JrG—PD • ♦ v I0 + � v + 00e _ i.
• Abo PREtagST SE.e✓P.�dGC
!/3 /13.0 s° . � • ® s e s • • o p •+p
or o e . o e m • • • • e e o P/T OR Lilt//V. '
IA/1��• ��EYa4IIONS PiT 09P'907 =,/qa.5 G�'� p = 90
INVERT AT Bt!/1L.D/A16 .Qp i-'F7' (®� D/Alv9.
/ltitLE7 SEPTIC YANK 5S •70 FT . F7 D/r4�9. (5��TABULATION
®UTZET SEPTJC TANK 5$.Sb FT
/NLET P15tR,/401/770H,BOX �.30. C7• .SECT"/®!4 OF C�p[j/4/I>.6tr�T,ER T/l�LE
O!/T1g7'D/ R/BIlT'/O/ �X ./O
/MLET LrAC/J/N!x P/'r S'7.90 Fr 7A A Tl®N
L CHI"a !0/7'
,�E. 16N CRITERIA SeAZE % p/�fEIaIS/ A! 40 / FT.
i
SO/L- L.OG
iTo?AL EST'//+"TE,O FLo*v -d30 _0.4L.1,0AY SO/L TEST A/ $O/L 7Lc7ST*2
NU/98ER Glc 40ACHI/V0 PITS_/ j^EL�✓. � 94 -. 1` ELOV, OA OF S®/L TIES C9125 C
S/1,E L ACK/Nfi PEE2 P/T sQ, PT. f �_�nt F I• RE'SUI-TS K//TNESSEA dY 7-" /mac Iee-14^J
BOTTO/ti9 L-19A �r PER!�/Pii3 $Q. pT. fiP59/G �` Pt�PC®LAT/Olv RATE !►j/N INCH
TO/:4/- /.EACH/NG AREA 2�� SQ. FT `�' �'50; PE�'COL� y/ON RfA7"E�2
,FRS-ERVELeACNlNGAREA 2 SQ. FT 2 r J
_/2
02 2
QAViD
-MARIANO ro
CIVIL
j:Jo.31115 coLEVY & ELD.REDGE ASSOCIATES, INC.
2' 1.-y9 9 889:InC MA/nl.sr, CEAIT V/GL�E MI�Si
s/ANAL /Va 42,Toovp kvArleAl cL/earl:
p G/CO U VL YVA TE.F' .di7 �LEL!
1/06 NO. _ $10E,�7"
3� TOWN OF BARNSTABLE
LOCATION L & - kA 11 w' SEWAGE # '�6-966
VILLAGE ASSESSOR'S MAP & LOT 177 Z- 1s3-
h
1D INSTALLER'S NAME & PHONE NO.
N) SEPTIC TANK CAPACITY I Odd F w ®rl,
�. - --
(n LEACHING FACILITY:(type) (size) bad 1116L S
/J NO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WATER
BUILDER OR OWNER \tr
DATE PERMIT ISSUED:
DATE . COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No \1
r'
• .
P
,t'
' .i' �.
�v
` ��
s �
r � o
/���
a
J