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HomeMy WebLinkAbout0285 CLAMSHELL COVE ROAD - Health 285 C lanishell Cove Road Otuit 05 — 049 n Y Town of Barnstable Department of Public Health 27 December 2016 Re: 285 Clamshell Cove Road Cotuit MA 02635 The house at this address,requiring renovations,has three bedrooms and an office that is not nor will be used as a bedroom. Alfred PV. Rich,Jr. Margaret E. Rich 0 ��d r (6 Main Level 6'9" t-2' 10" 6' 1 18'8" _ 5 5" 2' 10°-1 E---5'S" 2' On 1-5'5" ose 2 , Entry/Foyer�o s r'3'21' 2'5 -+ ;., . 2'L_ Master Bedroom lose Living Room "cn _., himke �+ 60 60 , ff. losem- 14'4" 16' 10" 8' 11"— 30'6" '-i B sr Hallway N �` 2'4' 5' _ Laren 1 1) loset,J Office 11-2'41 _ Kitchen Bathroom b cn �o F- 10' 20-2" 40'S" N1 S UKE + C-P VW-z.-j uv►CN pro 125� T, Main Level Level-2 L171411 15' 11" 14' 21411 j 3'5" --11'6" Closet 'n `t _ °O 1-3'4" Closet (fil `o `T cn ' 6'91 - 1 Hallway �t Master Bedroom In r-+ N 2'6"—t 1' 41, 3' 2'9" Bedroom osAl)- ' 3"-� ;n Closet (2) Closet ) t--2'6 11 �-2'3' N 2—+ �o 4' 2" FT6" rn r Bathroom 16'3" 9' 251211 Level vo No....D. :. ..r.7 �.— � Fs �. .�':. THE COMMONWEALTH OF MASSACHUSETT BOAR® HEAL H l...10(. '. ...,.OF................ .vNF ....................................... , pphration for DhipmFal Works C9nmitrnrtinn runfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an �I/n�djividual Sewage Disposal System fit.: $� ._`.Cl....................................... ................_� . .._..... �.............. ..... .. ........._....---••-----•-•-- • Loca�'on t�ddres •• r Lot No. Owner Addr ss a .... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..................•........--•--•..---••-• p ( ) ( ) Other—Type of Building No. of persons...................... Showers a YP g •---•--••------•---......... p ( ) Cafeteria Expansion AtticGarbage Grinder Otherfixtures ----••-----•......................................................•----------•---•----------•--------•--•-•------------------.............._....-•---- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. ' WSeptic Tank—Liquid capacity--•........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. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by............................................••---..•............------.... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rl� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fYi ------ -------------- ------- ------------ --...-------•--------------.---..._.....---------------- 0 Description of Soil----•---------------------�.-_. .........�--....._. ._.....--•----•--------------------------- x V •---•----•----------------------------•--•-----••-----•----•---------------------...,._.. ....-.....--------------------\---------------•------------•--•-------•------....-•-----•-------- VW --•--••----•-------------------------------•-----•------•--•--------•••••-•------------.......--------------------------------------• -------•-- ....... .. Nature of Repairs or Alteratio n swer whin appl a e................ _ �............�...�"�............ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITif, 5 of the State Sanitary e— The undersigned further agrees of to place the system in operation until a Certificate of Compliance has bfen4sued_ the board of alth. Signed --- ... ........ --•• ................................ p? , Date Application Approved By----------- V .. ........ ....t._2 Date Application Disapproved for the following reasons:.......................................--------------------•---------------•--•-------•-------------•---------- -- ----- -------- .................... ••ate Permit No......... ..�9 ----� ---�----------------- Issued l ' Date THE COMMONWEALTH OF MASSACHUSETT t BOARD �--I�AL H� ..`....O.`'4rD...... _....OF........r r...�N .............................. Appliratiun for Disposal Works Tonstrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System Att ...... ... -� ��0...----- :_ D, ...... � _ .. ._........ ............ .... ... .... ....... ....... 3_ .- •--- C. Coca'on ddres =- `-� - L..3 caner` lC_.�a��\�,,.,.�"�' �� � ��I.JAdd Installer Address VType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria P 1 Other fixtures ----------------••------•---••------------...........--. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid capacity............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. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................... R+ O _ Description of Soil--••-•---- ..................... •• --•-•................................=.................................................................. U --•--•--------•-------------•-------••••••-------------------------------...........----------........................................................................................................ W ----•-•----•-------•--------•--•--------------••------•-•----------•------•••••••-••••-•••••----•-----•------••------•---------•--� ���. -----••---- x _ w� U Nature of Repairs or Alteratios�?�}iswOer when appl��le---------------------------------------------------------_--------------------..__._....._.. --------------------------------•-----------------••-------------- -................... -••-• -•-=••---------------•-------••-••------•-•--••.......••-----••-•-----••......•-----•-•-....._•••... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1LE 5 of the State Sanitaryrove—The undersigned further agrees of to place the system in operation until a Certificate of Compliance has b e� n issued the board of ealth. \-)Qm Signed .... ---------•-------------------•-------••--•-------••-•-- c- Date Application Approved BY------------- µ ---------------------------------- -•-----t...r. .! Date Application Disapproved for the following reasons:-----•--------------•-------•--•------------------------------------------------•----------••--•----------_.._.. --------------------------------------------•------•--------•-------------...------------...----------------•----•-----•--•-------•--------•--------------------------- 3 ) _02 Date PermitNo....... d2" ... .................. Issued-.....-..............................------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH r a..........OF.................. .... r.!.'... ... ...... ................ (Irtifirttte of Tu plianrr THIS IS TO P R IFY, Tkat_the Individual Se a e Dispersal System I5onstructed ( ) or Repaired (� by ------••--•••------•--••-••-•••-:_...................-•••-•--•-•-• ....................... .................................. ^ Installer( at.•--------•..............••••-•• •-•(• � \ _�!�rl_ .."` `... ..._.. .- has been installed in accordance with the provisions of T1T 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.._.__ �_`l__'__ ........ dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A-GUARANTEE THAT THE SYSTEM WILL FUNCTION SATAFACTORY. DATE...........D............................................................... Inspector................ r ................................................. M {7� THE COMMONWEALTH OF MASSACHUSETTS „ 041 BQAR F HEAL H 6 �""'�-� .. ... !`fir.V`.............OF......... �f t u,a .a........................... , No......................... FEE ..0........ Permission is hereby �rated� ��.-`-��� �1�1 � �--"` . c g S to Construe` o e..a ti Indiv al. Sewage Dispo aul System at No.........GX_•- •. ... ----�--.....-- �^^.. -�`t V-C. --------------•-.........----•-•---- ••-•--•---••......-- Street - �;m--R-....--•---•�-^.........._ as shown on the application for Disposal Works Construction Permit No._a.y..... Dated_`-___..�,_.�_.Q�.._.....___ .� .............•--.-------•-_. A".-D.. Board of Health DATE.__�...�-----------�--•............... .. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - i Q� f TOWN OF I3ARvS T ABL£ go - LO�'ATICN y� 1�� S�eyk. COV WAGE # 9 —AS7 _j,, D s VILLAGE_ \ �ti � ASSESSOR'S bi AP & LOT l�� 4� INSTALLER'S NAME & PHONE NO.(&rkkO►a SEPTIC TANK CAPACITY CO® D ` ' LEACHING IFACiLITYA:(tvpP) NO. OF BEDRCOMS PRIVAILYWJU OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: a DATE COUPLIANCE ISSUED: 5 ` VARIANCE GRANTED: Yes NO 1/� T 1000 3`� Ne tools L XI , �lG"sNn No---- - ..... Fim ................... THE COMMONWEAL-TFL OF MASSACHUSETTS BOARD 5)F HEALTH . ............ .......0 F........Z-1-216Z�- ---------------------------------------------------------- Appliration for Disposal Works Tonartution Prratit Application is hereby made for a Permit to Construct (4,-) or Repair an Individual Sewage Disposal System at: ......................... ....................... or Lot No. Loc "'A s ......................... .................................................................................................. 0 , I "� 4� Address _7 9 ...........Jh�.kq....... ...................................................... .........6�................ .........."......"---------- Installer Ad`d"r'e­s's... Type of Building Size Lot_._- _? ,-.:..Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder Vie) 41thep—Type of Building ........ No. of persons.........4................. Showers Cafeteria Otherfixtures .......................................................................... --------------............................................................. Design Flow........J__lr.........................gallons per person per day. Total-daily flow----------- 3,:� 0------------- ........gallons. -----------Septic Tank—Liquid*capacity./�!e�e_gallons Length................ Width__............__ Diameter.__..........._. Depth.......__....... Disposal Trench—No. ...... ............ Width..._ ............. Total Length ... Total leaching area.....................sq. ft. Seepage Pit No_ --l�---- ---- Diameter.........k.... Depth below inlet.................... Total leaching area... ...sq. f t. Z Other Distribution box (X Dosinp, ta 1-.4 4.Percolation Test Results Performed by.-- .................................. Date....11-.-Z.1-7.7.............. Test Pit No. 1................minutes per inch Depth of Test Pit.______._............ Depth to ground water--_-_---_____-__---_-_-. fr Test Pit No. 2............... t Delp tZoground "er........................ .4n to inc Depth st Pi..... .... .... .461 .......................... .. .......... -'r. ........ 0 Description of Soil.......... ...... .............. ........................ —----------------------- -- ---- ----------------------*---------- .......................... U .........................I........................ ....... ............. .......... ............................I-----/...L - v ... . ............................................................................................................. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ....................................................................................................................................................................Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syste`ni,-,;in accordance with the provisions of TI I TJ 1Z 5 of the State Sanitary Code— The under-signed further agrees not to place the system'in operation until a Certificate of Compliance has been is d b, Y the board of health. Signed----x. ....... . .... ......... ................... ................................ Date Application Approved By---_. ......................... .. .. ...... ............. Date Application Disapproved for the following reasons:................................................................................................................ ...........................................I..............................................................I.............................................................................................. Date Permit No.........7f ...................................... Issued...... 4'_..-..7.?........... Date . X No... w Fm�c..me. ._ THE COMMONWEALTHti.OF MASSACHUSETTS BOAR® QF HEALTH 4 t Appliratinn for Disposal Works Tonstrurtion ramit �. Application is hereby made+for a Permit to Construct )'` or Repair ( ) an Individual Sewage Disposal System at ri:.. 1,L..lc� �c ..: r , "�:. 12a.f: .. .................................--- - •- --_...-- - Location-Ad esst No. ... z .............•••••--••-•....._............_. l ""L"- O' ei >► " Address Avwz - n,---•-•-••------------- -•-• 4hY - VT ------------•------••--- J F. ��'p _ iA aInstaller Address d Type of Building Size Lot_____ __ _---_l----- f t V No. of Bedrooms ...._' Expansion Attic " Garba a render ct 14 Type of Building/ _ No. of persons...... Showers — Cafeteria d Other lrures .........••... ' = ------------------ . W Design Flow____._ gallonsfper person per day;,Total daily flow...___..____A ______________________gallons. 1:4 Septic Tank—Liquid capacity.Lk4ti?t__gallons Length_______ ______'Width................ Diameter................ Depth.................... W D sp1 oral Trench No _._.____. _ _ Width .._. ....... Total Length___________________ Total leaching area.....................sq. ft. Seepage Pit No. °�-'' Diameter......:____ Depth below inlet_________ _ ___ Total leaching area sq. ft. / M� 5 Z Other Distribution Sl i c ( ) Dosing tank z �x),'r Percolation Test Re tilts Performed by..... Date___ ._ a l4*044'►•---•------------------------ T .. ----------.. aTest Pit No. 1_.............__minutes per inch Depth of Test:.-Pit.................... Depth to ground water........................ (s, Test Pit'No 2 ..... ___.,.._minutesper inch Depth of Test Pit____________________ Depth to ground water._-_,-----------,______ s 0 Description of Soil..t................• -----X'o --•••--•-•---- ----- --•--•---•---••--- V'-. --- --- c ff � �•,�,e f... - ., ,t}—r2 W�s�s$ tlV'L�" V-.. ,Nature of Repairs &,;AUferarions-Answer when applicable______________________________________________y Y Agreement: = The undersigned agrees to install theaforedescribed: Individual.Sewage Disposal"'System in accordance'with. the provisions of TITLL 5 of the State Sanitary Code The undersigned further agrees not to place the system in operationruntil a Certificate ofr+xompliance has Issue�td�b`yjnlie board of health. Signed .........................._... Date G Application'Approved By..........4'- . -- --- ... . ..:._ ; f�fry X - Lf, AID Application Disapproved for th°following reasons_______________ _________ ______ ___ ..................................................... ...�. .. .. . -- a Date' �" ' S" a :�.3d�`•n3. ti� v.,- .1rstr•�'. N h xy. r f 4 ' Permit No .. ...._.-- a Issued: x r� rye, y s y3 Sk . r Ifs ,.ty 3.*. .•a!t �, .fly,` - -�� COMMONWEALTH OF MASSACHUSETTS ., BOARD OF HEALTH ,;;, . 101, ........... r OF....... .. ...�............. t, W„ �rrtifir�.te laf��It�anr�e�. {.� rft. I IS TO CERTIFY,=7 iaethe Ind v duai Sewage Disposal System constructed) or Repaired ( ) by t'r' Inst ler �. at � � •• --•----- application r Disposal Worjes.Cons action ermit Na9j+ :- r .2 dated ed m the has been installed in accordance with tie' rd islons of T 5 of Tl ate Sa.nitar C as described THE.ISSUANCE OF, THI'S CERTIFICA E SHALL,.NOT_BE CONSTRUE® AS A GUARANTEE THAT THE . SYSTEA+i 1AIILL FUNCTION SATISFACTORY; DATE.::: f .._... InsPo-ectr. : f°THEtCOMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH w 7 4rle'/. ......-'.......;OF......-.... Disp as I Work.5 Tonstrnrtion it Permission is .hereby granted to Construct ) or pair ( ) n; vidual Se Dispo Pit at No...... �y► -- . • ---- '• � � ' L' P �it �•-•----•------- ""'"+ Street as shown on the application for Disposal Works Construction Per ,•t'-No_ __________ _____ Dated..... > ---•---------•-•--••-----• ...... - f � �: _tom a DATE. ... •••••-• d x_ �'. ' ealth FORM 1255 HOBBS & WARREN, INC., PUBLISHERS Yam, r - - AD CRA *0 W,,q v i l i z b.00 - — -- - ,-� Pr000sE 0 WE�c (o -T I kt 0 _ -9\ ` N ._� a'�> > 1 1' 14) N Q r ° — �� Q Q`�aQ /Oo7 FUTURE — ` EXl�AN Sl o nI (U — • A ' 7VOTE _,ALL_. WORKMANSNIP AND MATERIALS S1�.gZL `3E I// ACCORDA/VC'E W/7-N D•E.:cv:E._ T/7-L E 5 AND THE TOWN OF 13A.41\l STi9/3LE RULES /91VI RF'GULATIONS FOR SUl35t/RF�cE Tom/s.Po sg c o/= s,9N/T,9R Y_ sEw/9�F A�ZN OF Mq �,+,r RICHARD \V 0 1AMES �� ^RICHARD Z.JAMES �'pr V O ` N.0 cn C U H No. 94 AR RN LEGEND F�. c r ���. 2�e71 J� EXISTING SPOT ELEVATIONS O, c) ''°� sxr;IT;>•�' �lO c'STER�D`` � EXISTING CONTOUR - - - O- FIN/SHED SPOT ELE.VQTIoNS FIN/SHED CONTOUR p APPROVED: ea'Q'RD of HCALTN CERDFIED PLOT FLAN IN l �.9 Rl�/STA,C3C F� MASS. DATE AGENTT4�' - �L.�7M S NF r L 00 V F /47lD I CERTIFY THAT THE PROPOSED R/CHAR D J. OWEARIV,R.L.S., R. S. 1BUILD/NG S140WN ON TN/S PLAN /9/ MAIN ST. (RTE. 28 .CONFORMS To THE HONING LAWS WEST DENNIS , MASS . 0F,5912n/STA13C.E /!//ASS. DATE // 7 SCALES /�=30 ' e r � // // 77 ��, �' cJUB_.'JO. l •3 � � C:C'./ENT: � �i7T ��v. �A.'V✓ �7v. �- L1 j P �• /y�-zi_ .�i rr� l=" .�+s�:n+. .+-..ter---..•-•+---�r_s�er.w- -r. vc-+�a_::�-:=s-�s�>-.�cs.�-rrs.�_._n-__...sy.�..-.�,�r,�_._s�_.._._--a.:� ToP of 20 T 1-;2,, F�U3>6 CLEAN SAND EL = �l0• 5 IOFTM/�•� 4" SCN. 40 CONCRETE PVC PIPE CONCRETE COVERS COVER e:. MIN. PITCH- �8"PER FT. 27"mw l2"MAx. PITC/-I • N � 2�� LAYER 4 CAST IRON A _ PIPE-M/N. T 7 ° WASHED STONE PITCH "PER F-7- . Dl S7• o j o 80X o00 4 h� 314�-//2" TEE hl #2 0 0 W W o WASHED STONE S .EL EVAT/ON _ '�--- - /OQO GAL. o 4 P p PRECAST LEACHING _o SEPTIC 4 o W PIT OR EQUJV TANK EL =8�•s �/oODG.oA/'�7, sveso/ � INVERT ELEVATIONS INVERT AT BUILDING 94.0 FT. hAlbE T SEPTIC TANK 93 . 7 FT GROUND WATER TABLE Mtp OUTLET SEPTIC TANK 9.3, 57 FT. SECTION OF 5AnV0 INLET DISTRIBUTION ,BOX 93. 2 FT SEWAGE DISPOSAL SYSTEM s OUTLET DISTRIBUTION BOX 93,0 FT. NOT TO SCALE INLET LEACHING PIT 92•-S FT. SOIL TEST -/44"•Fe :s DESIGN CALCULATIONS DATE OF SOIL TEST WITNESSED BY -_f2• d TorN^' NUMBER OF BEDROOMS 3 J�k OF PERCOLATION RATE GZ A41AI.1v JJ GARBAGE DISPOSAL UNIT. .. . . . . . . . . . . . . . . . . . . . ... SIDE'WALL AREA z s GAL.1S.F TOTAL E"STIMATED 3 L 3O GAt�DAv BOTTOM ARE�9 / O GA /S.F. RICHARD JAMES RICHARD G 1LG_ GALIBRIDAY X SR ELEVAT/O/V = 94. 0 CD O'HEARN y o JAMES No. 27671 W c, O'HEARN ti PEQUIRED SEPTIC TANK CAPACITY. .......g9.5 GAL. —0 �F �ti� �, �, No. 694 a ACTUAL SIZE OF SEPTIC TANK TO BF /A ISTAL LED. . IDO U GA svt3sG/ �s�� � S�r�Irt,Rt . . . . . . . . . . . . . . . . . . . . . .. . L. LEA CHING P%T(S) 2- /o Fr DIAMETER ZOO- REQUIRED LEACHING APEA . . . . . . . . . . ... .. .. 179. 1 S.F• FT. EFFECTIVE DEPTH sAA/0 ACTUAL LEACH// 2 6 7 S.F•VG AREA . . . . . . . . . ...... . RICHARD J. O�HEARN,R.L.S.,R.,6. , �� FT. E'FFECT/!/E DEPTH /9/ NJA/N ST. RESERVE LEACHING AREA , ,, , , , 26 7 S.F. WEST DENNIS, MASS. NO W,'7 TAE R ,ENC0611\17_E.2E 0 Joa. No. /3 5 CGIE/JT: O��QIp t TEST P/7 �`1 DATE•�� ///7 7 SHEET z OF LO.CAT IOC'N _ F _/ ,n�� ( EWAG PERMIT NO.36' VILLAGE INSTALLER'S NAME & ADDRESS BUILDER OR OWNER DATE PE MI ISSUED DATE COMPLIANCE ISSUED �L a Jv i.�t, 6S LO CATION SEWAGE PERMIT 0. L"L GG—E�' 06C p 1 ST LLE 'S NAME i ADDRE`S Y,2,1"-�I d� - j" UILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED - q cl �J� t , YJ a o � iS' �� \ v °{ t i: t. __ TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION �4rc) ry�"- ' ' r G OWNER ;AND INSTALLER INFORMATION ,,ADDRESS: 'uyslf-ZC ('Qt/p /Zo MAP NO. 0 SAS PARCEL NO. 0 4 nn /� � y OWNER NAME: A - frod ice. P i) A . x f VILLAGE: f o7-tJ 1 - INSTALLATION DATE: BY: ADDRESS: CERT. NO. TANK INFORMATION LOCATION OF TANK: o !`i CAPACITY .50,04AL TYPE .AGE !x FUEL/CHEMICAL F OIL v_ TESTING CERTIFICATION E ] PASS E I FAIL 'L DATE LEAK DETECTION E ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION E I YES ] NO DATE TO BE REMOVED i . ..FIRE DEPT. PERMIT ISSUED E ] YES E I NO DATE CONSERVATION E I CHECK IF N/A DATE /y; BOARD OF HEALTH TAG NO. C ]E ]E ]E ] DATE6/ IA)t-. - .. .PLEASE PROVIDE A SKETCH SHOWING. THE TANK LOCATION ON THE BACK OF THIS CARD Rou-S E 9 25 Cla,mAW (Ave goo-d S M E A KEEPING YOU ORGANIZED 10334 2m953L U40E IN USA GET ORGANIZED AT SM€AD.COM