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HomeMy WebLinkAbout0040 CLAMSHELL POINT LANE - Health F 40 Caamshell Point Lane, Cotuit i '' , ti New' r Fee 100 o d THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppfication for Migpogal *potem Cottgtruction Permit Application for a Permit t Construct(yO epair ,X)Upgrade( )Abandon( ) i Complete System ❑Individual Components Location Address or Lot No. L4 0 C ip M SNEGL Pt, L-P wb Owner's Name,Address and Tel.No.L/>—4 8 9— q 1 48 CG T", /n/SS QRC- lar K . LII..I=S Assessor's Map/Parcel 2 I (o F?L:)t Li-, D CC- 12 D Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel. - yak About ut �eter Svll,V�h /0c Tel. CSnS.L'n6 G7 ��.g� 'J �a r,E'er' Type of Building: ©� yt A z�►--tom. Dwelling No.of Bedrooms to Lot Size 2R,200 sq.ft.fi Garbage Grinder(r(() Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow (1 G 0 gallons per day. Calculated daily flow 663 gallons. Plan Date N o V. P&, 1911 Number of sheets 2 Revision Date O( 2 7 `7 If t Title Sits= PLAY - SEPT/c 5VS1-,FM UPPrr/4DE Size of Septic Tank /50 0 C-ALLo/VS Type of S.A.S. 12`A 5 3 L�y�cti/n� L'�f/a/v�BEr Description of Soil 0 - 3°I�--0— OrCG14/yie. Mµt�TLra L , 3 �10"— B3 N. CoArsE SAIIiD IaYR 513> 10'�2-90 "— 131 r yet_°psi, Brfv. CeArsc.s n 10Yn 6/c ZS - 38"— [32— t3rN• YLI:-Cogrsc-_ .Si4I'VO 1vy2G&G . 38°�- 12_7" - C— L-F.YeL'160 13P'N.CaAf25E SAiY4 /GYf2 GZ�� 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 b � S � Y in accordance with the provisions of Title 5 of the Environmental Code a of to place the system in operation until a Certifi- cate of Compliance has been issu by s Board of H 4h. Signed Date Application Approved by Date ' Application Disapproved for the following reasons Permit N . ® Date Issued } \ _ ! I Fee 100 � � Entered in computeri THE-COMMONWEALTH OF MAS , CHUSETTS Yes / PUBLIC HEALTH DIVISION -.TOWN OF BARNSTABLE., MASSACHUSETTS T rication for moo° em Congtruction Permit p _ Application for a Permit t Construct O epai �)Upgrade( )Abandon( ) �l Complete System ElIndividual Components M., Location Address or Lot No. H 0 "14/►'l SFr,44 Pf, LJa 1V a Owner's Name,Address and Tel.No. L/T—4 0 9— Q 141P Assessor's Map/Parcel R U'I'UO'O GC 12 0 ''• Inl)P /2/VlL16F_L V36—Lr4olvt 55- Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel. o. ,:i&f �r B r'F�. ��1J Yvw,- GYMP� r - t r u S ✓,J� ,tit R's( x 1. y c r / t Type of Building: ►.dot 1 x, A Zow tom, Dwelling No.of Bedrooms Lot Size 2cl 200 sq.ft.-t Garbage Grinder(t4p) �.. Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ,r Design Flow d gallons per day. Calculated daily flow G 3 gallons. Plan Date N v U. ( 4 r 9 9 9 Number of sheets Z Revision Date O 112 719 y Title SItE PI-AA>` SEPT14 .5 \/STZ M UP6rADE- Size of Septic Tank 9<. -- ' Tyfe`of S.A.S. I 'A 53 LE/�ctiin��L'l�pmBEY' 4 �� u n E / Descriptiori•of Soil 0 - 3 --0— OrCAr✓1c r'MA--z/LrAL , 3 -1O — Brfv. CoArsE 5AlvD I CYIZ P-1\ 11 / 1 1/ 11 Brfv. c�Arsc s✓�rvn 10 YR2 s/c , 2.S - BD — 5;, — 13 rN• %1 L.Cli,4rs 1 _5A/y0 1vy2L/G . IUyTL L/L/ .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 a of to place the system in operation until.a Certifi- cate of Compliance has been issu by this Board of HeWsh. Signed ate Application Approved by l , Dat Application Disapproved for the following reasons . - Permit N Date Issued ---- --=---------- ------------------'—- ��> THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Com0liance. THIS IS TO CERTIFY,that the On-site Sewage Disposal Syste Repaired ( )Upgraded Abandoned( )by at H O C LAM S A F L Lr `D� Avt L,41YFI IC' f U/ /19 S S• I bee constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Pe ated '' � Installer Designer The issuance of this peript shall not be construed as a guarantee that the system w esi , e � s ,ate, f O C) Inspector --------------------------------------- Fee 1No DO OG THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mir ool *r5tem Con! tr tion Permit Permission is hereby granted t Construct( C Repair( )Upgradel� bandon( ) System located at t-f C LA m s e ►li T L,4/V /UASS 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 da a of this p :Date )U Approved by TOWN OF BARNSTABLE OP 1 /Olt zoo 3-o 3 A LOCATION _ 10 `Clar►n-64e-11 fbi, - L-;q ° SEWAGE # 1� VILLAGE �OttL - ' . ASSESSOR'S MAP & LOT�i�P b/ INSTALLER'S NAME&PHONE NO. -160n -T0421:�- ?7y e36 —02 1 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) NO. OF BEDROOMS 04 OR OWNER 04t ✓Y)Ct4 Ille PERMITDATE: `ZZ 6 COMPLIANCE DATE: C) a 3 Separation Distance Between the: . Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 3(Ket of leaching facility) Feet Furnished by I� ////���- I��-s G- i�n f / �i� 6 A 33� B0 v C2) s4 12- G 73'2 '3113 4 �. �j j: Q Q P` ,/ V/ `6. 2,37 3 -72- --C�3 ( J (/ C U � r TOWN OF BARNSTABLE 200 3-03(o SEWAGE # LOCATION L✓� Cla + �,e �' VILLAGE o + ASSESSOR'S MAP &LOTPV 6�t INSTALLER'S NAME&PHONE NO. � � S°`�Z� �7y �36 ��2 SEPTIC TANK CAPACITY f�o6) LEACHING FACILITY: (type) �GY7 l�b` (size) NO.OF BEDROOMS OR OWNER oet mc,-c K. p, p 03 PERMTTDATE: 22 03 COMPLIANCE DATE:__1 Separation Distance Between the: . Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 3 eet of leachingfacillity), / Furnished by 3-3 C2) C V•, A N 116 19 ,. G 73 px 36 '� C 7 8 f 'A 7.8 ,C k NOTES Finish Grade - 1.Water Supply ForThis Lot is Municipal Water. 2 Location of Utilities Shown on This Plan Are Approx. FilterAt Least 72 Hours Prior to Any Excavation For This Fabric Compacted Fill Project The ContractorSholl Make The Required - Notificationto Dig Safe(1-800-322-4844) 3L The Contractor is Required to Secure Appropriate Pea Stone Permits From Town Agencies For Construction Defined byThis Plan. 4 Install Risers as Required to Within 12!'of _ Leaching Finished Grade. a Chamber LJ 3/4"—1 1/2" Double Washed 5.All Structures Buried FourFeetorMore orSubject Stone to Vehicular Traffic Lobe H-20 Loading. 6. Septic System lobe Installedin Accordance With �- 4;10 I 310 CMR 15.00 Latest Revision And The Townof Barnstable Board of Health Regulations 7. AI I Piping to be Sch.40 PVC. CROSS SECTION OF CHAMBER NOT TO SCALE. FG.41.0 FG. 41.5 39.0 38.0 38.8 1500 GoIIan 38.6 Top El. 39.0 Septic Tank 38 4 Bot.E1.36.0 38.2 Bedding as 5.1 Per Title 5 10, 10.5 10 20` I Bottom of Test Hole E 1. 3 0.9 No Ground Wafer Encounted DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM Not to Scale DESIGN DATA Single Family-6 Bedroom 0 Te§f Hole Elev. 41.5 With no Garbage Grinder 0 Organic Matarial Leaves, Daily Flow=110 x6=660 GPD Pine Needles Septic Tank:660 GPD x 200%=1320GPD 3 Brn.Coarse Sand Use 1500 Gallon Septic Tank „ E IOYR 5/3 10 LEACHING AREA Yel'ish Brn.Coarse 660 GPD/0.74=892 SF Required 28„ BI Sand IOYR 5/6 Sidewall =2(I2'+53')2=260S.F. Brn. Yel.Coarse Sand Bottom Area=If x53'= 636 SE 3S„ B2 IOYR 6/6 896 S.F.Total Provided LEACHING CHAMBER DESIGN C Lt.Yel'ish-Brn.Coarse All Pipes to be Schedule 40. Use 127 'Sand IOYR 6/4 6-500 Gal.Leaching Chambers ina No Ground Water Encounter. 12'x 53' Washed Stone Field as Shown Test Hole by Sullivan Engineering Inc. 12/21/99 N� PETER SULLP/AN W. VN� L � V Dagmar Liles 40 Clamshell Pt. Ln. Cotuit'Vass SHEET 2 of 2 nI� ! ,��,r,yv G 1 c 4 Q. Vow#J A f—SC0 G t7 � 1HE o Y� FTp ` I- �2..11�11�9 C... 7 ! ;" DATE: � J p �S � 4R- t � A FEE: /V !� BARMASABLE. El i ivEO 9� 16;9. ,0� `?REC. BY own of a astabW -?S CHED. DATE: - ��� Board Hea� � �lE 367 Main Street, H an s MA 02601-� Office: 508-t 90-626 ) F C 2 8 1999 Susan G.Rask,R.S. FAX: 508-790-6304 t7 Sumner Kaufman,M.S.P.H. TOWN OF BARNSTABL€ Ralph A.Murphy,M.D. HEALTH DEPT. �� VARIANCE REQUEST FORM LOCATION Property Address: Assessor's Map and Parcel Number: Ma., �l&)- 006 Size of Lot: 7 0 C-rc- Wetlands Within 300 Ft. Yes ✓ Subdivision Name: No Business Name: APPLICANT CONTACT PERSON Name: 171/S.lie c�m�r . ,L r l>°S Name: PZ � o -��1 ✓�e h /�E Address: Address: 7 r ;,L / P G 6 oX 65 6S-/-�r✓�'iic, n-m p oa�sS n9,9 • Phone: h-Oe el�2a ✓a3Vq Fib FAX: v� " `✓aF ,3//S quEST roe Lo Bede'ao.�� Jes ��,� — NO Vd—t-)'41hC-e-9 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) Checklist(to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variances only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance re at least 15 days prior to meeting date VARIANCC-ED D Susan G.Rask,R.S., Chairman NOT APPR Sumner Kaufman,M.S.P.H. REASON FROVAL Ralph A.Murphy,M.D. Q:/WP/VARIREQ NOTES Finish Grade I.Water Supply ForThis Lot is Municipal Water. 2 Location of Utilities Shown on This Plan Are Approx. FE Filter Fabric �— �mPaefed FI I I At Least 72 Hours Prior to Any Excavation ForThit 10 Project The ContractorShall Make The Required Notification to Dig Safe(1-800-322-4844) . N I/8'L Ile 3 The Contractor is Required to Secure Appropriate Pea Stons Permits From Town Agencies For Construction 4 Defined byThis Plan. in 4 Install Risers as Required to Within 12"of _• Leaching 3/4„�I I/2" Finished Grade. a Chamber Doubl 5.All Structures Buried Four Feet or More orSubject' Stones Washed to Vehicular Traffic to be H-20 Loading. 6, Septic System lobe Installed in Accordance With 310 CMR 15.00 Latest Revision And The Town of I 12'-0° Barnstable Board of Health Regulations ' T. All Piping to beSch.40 PVC. CROSS SECTION OF CHAMBER •:NOT TO SCALE. FG.41.0 F.G. 41.5. 39.0 38.0 Top El. 39.0 38.8 1500 Gallon 38.6 Septic Tank 38.4 Bot.E1.36.0 38.2 Bedding as 5.1 Per Title 5 10' 10.5 10' 20, 1 ' Bottom of Test Hole E 1. 30.9 No Ground Water Encounted" DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM Not to Scale DESIGN DATA st Hole Elev. 41.5 Single Family-6 Bedroom 0 Te With no Garbage Grinder 0 Organic Motarial Leaves, Daily Flow=110 x6=660 GPD Pine Needles Septic Tank:660 GPD x 200%=1320GPD 3 Brn.Coarse Sand Use 1500 Gallon Septic Tank 10„ E IOYR 5/3 LEACHING AREA Yel'i.sh Brn.Coarse 660 GPD/0.74=892'SF Required 28„ B1 Sand IOYR 5/6 Sidewall=2(I2'+53')2=260S.F. Brn. Yel.Coarse Sand Bottom Area=12'x53'= 636 SE ,, B2 IOYR 6/6 896 SF.Total Provided 38 LEACHING CHAMBER DESIGN • C Lt.Yel'istrBrn.Coarse All Pipes to be Schedule 40. Use 127'1 •Sand IOYR 6/4 6-500 Gal.Leaching Chambers ina No Ground Water Encounter. 12'x53' Washed Stone Field as Shown Test Hole by Sullivan Engineering Inc. 12/21/99 PETER SMUVAN N0.29738 CIVIL 4 / Dagmar Liles 40 Clamshell Pt. Ln. CONit,:Mass. SHEET 2 of 2 Ncca i Sfairs f� 0-7- A;R + O ! -7 AcLQ 4Er (to too of bank) O r Q�;-, / GJ If' >� �� _•ti r� sl _- Top of Bark INJ 1111', J r ' s C ure C Enc;c 4. LOCUS PLAN scale I = 2000 ................................ - / Map 6 � assessors / C3 Pa rcei 6 i I \ \ OF -' PETER 2.1 f O r_ I C-Qox _ i S13- 3 b 13 A G M A R L I L E S P C LR i11 AllLJG6vi'1 NA).� �{c5 M 51-I C LL.. 't•.L 1/, ?y ' o Cotult M,o sS _s RpIIiLT LOC.►T9D16 C N I This pmla hu.t,=+..b r.^,.d sa Order of Coeditione o �- c1 tea. t L=.!45.441 ` k This pim wM be aon"md m D" H. a s.e on ane =x5_ �— irecticns to Site: Route 28 toward Cotuit: Left at (4G tilde //ay) 6�IC�o2 REvISED HOUSE FOOTPR1Nj /- the lights onto Putnam Ave. to arc: Left:;ntc Ma-in 9/I/o o RSV15E� HOUSE �ooTPR1NT St. and right onto School Street: Lefton Crccker PLAN VIEW i Necx Rd.which turns irtc Santuit Road: Turn ngr.t Scale 1 20' ao�eo ADDITIONAL WORK L!MIT A 5 onto Clamshell Cove Rd.and right onto Clamsheli R=vtsior, z19/00 PLR CON, CON1M, COMMENTS Pclnt Lane. House is*40 on the right. 1=reccre Sy. re^cred For: tie: ticrth Uccle t„ r,, �n2e Sullivan Engineering, Inc. CapeSury r SITE PLAN =2v PO Box 655 7 porker Road DAGMAR K. LILES SEPTIC SYSTEM UPGRADE40 . Csterville, MA 02655 Osterviile MA 02555 216 RUTLEDGE RD. 40 CLAMSHELL POINT LANE i�/NO'//�5 Of 2 (SCe;42a_JJaa ;5C8)42&1-J115 fox (5C8j420-J994 (5Ce)420-2995 fax BELMONT, MASS COTUIT MASS. 'CD FSuIIFEQceI.cam copesur Sti opecod.net ATTACHMENT A 99067 f. 1 k 0 00 A 00 FS EZ At o 1 1 1 r i MHW.oJ.�TL91NH ' bi Y .. 0. clLJo; l Q I /.� t 41 W) .01 .30 Xq / a • ,• r ( I y W p o l 1 l 'y'' y Q�_.......... 0 > y : arz � a� i- I-F �_I m N z 1 J. qa r �n 3r � � ' \ Q N .SI o. d , s� r, Z m o AC a F 1 + o co 1 IF / b I r I , � Y p •r. w / q z v I / __.�. -r 192t"to MHW (record) \ OF o f f N 15 06'00 E. ' PMfl * ooSULLIVAN SCOPE OF WORK I Demolish Existing Dwelling to The Deck And" r $ CIVIL Rebuild on Existing Foundation. Existing Slate Patio,Wood Deck,Stairs a Driveway y All to Remain. G Prepared By. Prepared For: Title: SITE PLAN North Scale Sheet �� ��Llt'1/ _ DE � oat As Shown Sullivan Engineering, Inc. p DAGMAR K. LI LES SEPTIC SYSTEM UPGRA PO Box 659 7 Parker Road 161NOV/99 I of 2 Ostervilte, MA 02655 Ostervii,e MAL 02655 216 RUTLEDGE RD. 40 CLAMSHELL POINT LANE { (508)428-3344 (508)428-3115 fox (508)420-3994 (508)420-3995 fax BELMONT, MASS COTUIT, MASS. yap # PSu11PE6hoLcom copesurvVcopecod.net I r