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HomeMy WebLinkAbout0074 LAKEVIEW AVENUE - Health 74 LAKEVIEW i CENTERVILLE J 1 �. NO. �I O�C�©� U 3 / Fee----9------------ BOARD OF HEALTH TOWN OF BARNSTABLE AppiicationArlVe1[ Co0tructionPermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: Location — Address / Assessors Map and Parcel Owner Address -------------------- Installer — Driller Address Type of Building Dwelling —--- -- - --- - Other - Type of Building No. of Persons--a-r------------------------- Type of Well — Purpose of Well----------------- -- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. & ) yAw Ac/ dat Application Approved By — - date Application Disapproved for the following reasons:—=----------------------------------— --- — date po Q Permit No. � —� _ _-_ Issued-----!-- -�- - - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of COMPhance THIS IS TO CERTIFY, That the Individ al Il C nstructed ( ), Altered ( ), or Repaired ( ) by---� - - ---------------------------------------------------- ----- Installer l� cw acze �-- _ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ----------------------Dated------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----- ----- --- --- Inspector-- --- - - - ---—------ - boa -0 3 4 --- - -- No._----_-------- / Fee— BOARD OF HEALTH TOWN OF BARNSTABLE 21pplicat ion,for Ivell.'�Congtrurt ion permit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: --- Location - Address Assessors Map and Parcel Owner Address — Installer — Driller Address Type of Building Dwelling ---- --- ----- — Other - Type of Building------------------ No. of Persons---4_----------------- Type of Well — Purpose of Well--------------- ---------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The , Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. 9 X21-1 d�ate� L' Application Approved By ----------------- ----—— — --? date - Application Disapproved for the following reasons: ' / date Permit No.— d` _ Issued--- --!— -U--`-- — -- --- - -- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by--- — - -- —------ ----- - /� Installer at'-=---i�(_�&AP'62t e,u- lar P --- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ----------------Dated---------=______ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------- -- — — Inspector-------- - -- -- —------- BOARD OF HEALTH TOWN OF BARNSTABLE Veit Congtructionpermit No. LJ —6 3'7 Fee--! Permission is hereby grantedto Construct ( ), Alter ( ), or Repair ( ) an Individual Well at: No. __— _—�'/ f<�C' !'car.�1 _ t/r ('�rs_Z�s 11r �/f'---- --- —-- — -------—-----------—----------- Street as shown on the application for a Well Construction Permit D •ted-- -— ------ --- - ----------------------------- Board of Health DATE--�-� -- -- No. — Fee to c. r THE COMMONWEALTH OF MASSACHUSETTS Entered in compu'ter: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Yes 2pplication for Zi!6pogal *pgtem Con!6truction Permit Application for a Permit to Construct( )Repair(�)Upgrade( )Abandon( ) El Complete System El Individual Components Location Address or Lot No. '7 A LAIC V 1 C--w Qe_ Owner's Name,Address and Tel.No. CIE, t r-Y1LLG Me a u�Avs VnN&C-iD M Pte-i 16J Assessor's Map/Parcel ?_14 4-7 r SOY, S 4q e EM—%C-eV t LL C Installer's Name,Address,and Tel.No. i •. �� D gner's Name,Address and Tel.No. ��T�2 Type of Building: Dwelling No.of Bedrooms_ Lot Size e 2Zo sq.ft. Garbage Grinder(40 Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 440 gallons per day. Calculated daily flow .497 gallons. Plan Date S EPT 1®,19 Number of sheets 0 Revision Date taokl e Title U-eGeAzyC-:: 74 LAI``E\j 1 EV_1 Ve- CE1.L—g-Y_\j 1 u Size of Septic Tank ISCp Gr-NL-Lo&a Type of S.A.S IfX 18` W 2°- Description of-Soil CL GA(.W% J. Gt C J40.vkaC. 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 'ss d b this Bo d of ealt p Signed �✓ Date Application Approved by Date q -1�{ • �+ Application Disapproved for4e fo owing reasons Permit No. 7 Date Issued 1 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CE FY t the n-site ewa a Dis os 1 st m Co tructed( )Repaired( )Upgraded( ) Abandoned( )by J at L-Av - - t 1_L= has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.9 dated Installer Designer The issuance this t shall not be construed as a guarantee that the sys m '11 function as des' ed. Date Inspector _ s.. f Fee O� j THE COMMONWEALTH OF MASSACHUSETTS i y'Entered in computes '"PUBLIC HEALTH DIVISION.- TOWN OF BARNSTABLE., MASSACHUSETTS' Yes L . r - /Application for Mi.5po!5ar *pgtem congtruction J)ertnit i Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Addressor Lot No. -7,A LAr_S V i C vJ PC— Owner's Name,Address and Tel.No. 6.ZrkiMZ-VILL. C Mt2$VVk�LS YON�4�-�7 kAi,' T`1r..3 Assessor's Map/Parcel 'Z1G� �-? X+ ,o '�j®x �j4 Et,,-%-Z5ZVtt-LC Installer's Name,Address,and Tel.No. tt D�}gner's Name,Address and Tel.No. / ' kTrEq_ SUL.L.%vA1J l=. Type of Building: Dwelling No.of Bedrooms_ Lot Size sq. ft. Garbage Grinder( 9)d Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 440 gallons per day. Calculated daily flow 197 gallons. Plan Date S EPT° 1)r-1` Number of sheets I Revision Date t-A o ti G Title S EP-R G S-YSTF=m VaPGV_k Vc. & 74 LAY—E V 1 E'VJ De.. CEK1 m.P_V I Size of Septic Tank GXA L.L<OKA Type of S.A.S 11f K 1 6' W Z'- 5Dp(L,�t_c op j w2{tr a� CL CAC♦'k t k_.1 C� C(tA.vt�6 a✓Q Description of Soil Nature of Repairs or Alterations(Answer when applicable) it Date last inspected: Agreement: A 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 thee�systern in operation until a Certifi- cate of Compliance has been 'ss d by this Bo­d f_ ealt1 Signed. Date Application Approved by �� Date q t 4,%Ff Application Disapproved for(tLe f4owing reasons , " Permit No. — r Date,.Issued i THE COMMONWEALTH OF'MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CER IFY that the On-site ewage Dis os stem Co strutted( )Repaired( ) Upgraded( ) ' Abandoned( )by AL 0 at " 7 — has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2 dated Installer Designer A/ The issuance his t s�7 hall not be construed as a guarantee that the sys m i 1 function as des /ned. ,ateZ437 Date °� Inspector 1 �?yli 1 � -------- No. Fee Q� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS I Mwi-005ar *pgtem Construction permit Permission is hereby granted to Construct( )Repair.( )Upgrade(K)Abandon( ) System located at -?A t>y—ci y 1 t rt C C t,�T LTV l t_U and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and a following local provisions or special conditions. Provided:Construc�od ustpleted within three years of the date of this permit., , , 1. , .. Date: / Approved by i �'� �J �j o . a ' ok---e---//-_ � (P rivate Way) Drivee oo� -• 111 ,�a o —�♦ E \ CB/2) �� _ R�II d -Lr- �___ °� \ nd T30' _ _ \ o• ubli D Point o` // S 861 45" I I I .r'�' £�=;.; , J� Shirley Nyes • .. \ - �✓ / / / / \ \ \ \ f 1 \ \ �• 'F Stoney 2 P Pt \(/ Exist. \ \ \ \ I / / / / \ \ \ Y \i� \ \ •© We// W \ \% Shed �r \p / / / / , — �,��,'�\� \ - LOCUS PLAN \ d• ^ Gar � 1 �/ k'c,�' r \ I/ Scale: l =2006 \ try di I / i i� � ^p I/ Assessors:Map 214 o --,,- o� Parcel 47 1 \ I ►well r�\I I I I / I Shed �� I / co Q n r I I /h`° Well ` sow _+�Y/ �k4y, l _ J CB/Disk / is rip-, _11 ^t Dwe� Fnd W X � s8 bag I C /Disk \ � 6 ADDITIQN \ ` JDeck / FG. 63.5 F.G.57.0/53.0 tzz - / / c co a� O �� T'4N�\o \0 y ss// / 60.5 54.0 49.0 To E1.55.0/50.0 58.0 1500 Gal. P \�o p ��• y-- \\ ��� \ \ / / e10 oa I Septic Tank 575.2 Bot.El.52.0/47.0 -53.0 .�_ T Qp Pend Title 5 141± ry ,.N C G \ \ ��� \\ ` ` — '^� .� °� 10'. 10.5' 10 121 CO JA OF X \ \ � Ground Water a Elev.33 - MIN, / �� �\�\\\\ / `� \ \ \ � 60 sx. From T.O.B Ground ate Map SULLIVAN — NO.29733DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM' CB/Disk /L P`,5 - \� / \� \ \ \ Exisr. CIVIL Fnd \/ \ \ \ \ We Not to Scale Finish Grade NOTES DESIGN DATA ,pR�c/`AR� i_ 1 -�\\ LWaterSupplyForThisLotisPrivateWell Single Family-4Bedroom ESOP, / / ✓ \ \ Filter �_ With no Garbage Grinder ,bg P / \ \\ io Fabric Compacted Fill 2 Location ofWillies Shown on This Plan Are Approx. _Doily Flow=110x4= 440GPD O i / ✓ / / \ \ At Least 72 Hours Prior to Any Excavation ForThis pticTonk:440GPDx200%=880GPD "M ^ / I/8=id, Project The Contractor Shall Make The Required li 47 Pea Stone Notification 1500 Gallon Septic Tank areel i l \ Nficatii 4) / / LEACHING :AREA / $ �22Qf SF / / / 3.The Contractor is Required to Secure Appro riate (to Lake) i \ L.J Permits From Town Agencies.For Construction ! 440 GPD/O.74=595 SF Required Z / / M Defined byThis Plan. Sidewall=2(12*18 12=120 x 2=240SF / LeachingBottom Area=l2�x.18� =216x2= 432SF Chumbe9 _ 3/4°-I I/2��Double 4. Install Risers asRequirec�ta,Within 12!*ot Washed Finished 672 SF.Total Provided nished Grade. LEACHING CHAMBER DESIGN / / / / / / /✓ ' ' V� a 5.All Structures Buried Four Feet or More or Subject All Pipes to be Schedule 40.Use T% —'� r �t IO1 . _I to Vehicular Traffic Lobe H-20 Loading. 2 F 500 Gal.Leaching Chambers In Each(2) / ' I 1;'_�-01 6 Septic System to be lnsialledin Accordance With 12 x 18 Washed Stone Field as Shown 310CMR15.00LatestRevision'And The Town ot 4End Sections Total. 40 Barnstable Board of Health Regulations. - ce/Dis / / / / / CROSS SECTION -OF CHAMBER T. All Piping tobe Sch.40 PVC Fnd -�� l J _ / / / i sty w/f /i _ Boathouse NOT TO SCALE \ Boathouse l ' — — 1 1! 35 = .� EOW Title: PREPARED BY.• PREPARED FOR: , Fn d SEPTIC SYSTEM UPGRADE MR. a MRS. DONALD MARTIN Edge of Water AT Sullivan Engineering, Inc. pad rr wN 7�e PO S0X 544 74 LAKEVIEW DRIVE 09farvNeoX s5s CENTERVILLE, MA �a e, MA 02955 Hyannis MA C�2sD1--1)718 C E N 'E ITV I L L y M/1 (508)428-33#4 PSU11 E&W.11'� fox (509)790-7902 (eaury apoco fox Wequaquet Lake P�II . , copeaurvboopdcod.net El.= 34, (by USGS Hyannis Quad) 40 d 20 40 s0 160 Fuld: Draft: PLAN VIEW Date: Scale: 0 comp.: Review: Scale : I "= 40' Sept. 10, 1998 As Shown Prof. # Drawing # g IE� C)47