HomeMy WebLinkAbout0159 COTUIT BAY DRIVE - Health 159 Cotuit Bay Drive
A=056-037 '
—— -— - —- - - Cotuit
No. 2&( -D3 I Fee
BOARD OF HEALTH
TOWN OF BARNSTABLE
ZippYication for Vern Con.5truction Permit
Application is hereby made for a permit to Construct( Alter( ), or Repair( ) an individual well at:
l S4 co?—atT /36,Y .01—,
Location-Address Assessors Map and Parcel
�j/M Co �lrinoa�Y Is • conA .,T /34y 0/'
Owner Address
Installer-Driller Address
Type of Building
Dwelling
Other-Type of Building No. of Persons
Type of Well Y PV Capacity
Purpose of Well t 0,1 y4To.,�
Agreement:
The undersigned agrees to install the afore described 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 Co Tian has been issued by the Board of Health.
Signed .++.iak S/iah/
Pate
Application Approved By l2I
Date
Application Disapproved for the following reasons:
` Date
Permit No. Mat r-031 Issued
Date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate of (Compliance
THIS IS TO CERTIFY,that the individual well Constructed(dl' Altered( ), or Repaired( )
by Oe^o,yA q^,.,nee(,
Installer
at /Sc? c47-,u ! 13'Y
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Pr tection
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 SATISFACTORILY.
Date Inspector
No. '" Fee � �
BOARD OF HEALTH
TOWN OF BARNSTABLE
Z(ppYication jfor Yell Conztruction Permit
Application is hereby made for a permit to Construct Alter( ), or Repair( ) an individual well at:
/57 Cpra r% i3,xy dr
Location-Address Assessors Map and Parcel
/i-/ C,74u /T /3Gv orui
Owner Address
Installer-Driller Address
Type of Building
Dwelling
Other-Type of Building No. of Persons
Type of.Well Y" /PVC Capacity
Purpose of Well
Agreement:
The undersigned agrees to install the afore described individual well in accordance with the provisions of the
Town o0arnstable Board of Health Private W8 l;PAtec�ignl�eel tion-The unde lsigned furtl �i rees not to place the
well iij operation until a Certificate of Compliance has been issued by tRe oard of Health.
J 5 CIj Signed Date
Date
1_
Application Approved By � /1 �
�- �...•� � Date
Application Disapproved for the following reasons:
l
�• .+ Date
Permit No. �li(��� I Issued S h(/L
1 t Date
------_e —e--ao_----vo_e.. —..—r__.v4-emeo ---- .—_Qe_------_..___e___e—e_ee—
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate of Compliance
THIS IS TO CERTIFY,that the individual well Constructed(,'< Altered( ), or Repaired(
by
Installer
at /Sq Co7�D-i7
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well,Protection y
Regulation as described in the application for Well Construction1P,eInit No. ��• '~ Dated �� �Z.(
1. oC . � 1Q
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
BOARD OF HEALTH
TOWN OF BARNSTABLE
`. Vell Construction Permit
No. `�V li Fee `4 Y-
Permission is hereby granted to
Installer
to Construct(t< Alter( ), or Repair( an individual well at:
No. /SCj 50-rk/T /30 v O/. j� i
Street �IJ-, t as shown on the application for a Well Construction Permit No. Dated -S}11f Z
Date C�1 2 Approved ByT
Lou
Loe--------------------------------------------------------------------------------------------------------
Cb—ruc� �pY Ore
70WN OF BARNSTABLE
LOCATION Ie CG'��i P" SEWAGE #
L _
VILLAGE ASSESSOR'S MAP 6z LOTO,5� AO3
ty,INSTALLER'S NAME & PHONE.NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) li-ob (size)
NO. OF BEDROOMS 15 PRIVATE `YELL OR44eUBLIC WATER
BUILDER OR OWNER llfq f- C Ie,._
DATE PERMIT ISSUED: '
DATE COMPLIANCE ISSUED: �" J` G
VARIANCE GRANTED: Yes No
�-
`�.
.�� / �� �
� ���
� �x
��_
No... � ........
THE COMMONWEALTH OF11MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
ApVtiration for BI_rVn!3tt1 Wor1w Tongtrnrtiun ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Systems
LK
............... N.................. .......................................................
Lom"on• \d ess v or Lot I .
Owner Address
W
Installer Address
d Type of Building Size Lot---_q�. ] Sq. feet
V }
Dwelling—No. of Bedrooms----------- -----------------------------Expansion Attic ( ) Garbage Grinder ( )
Other—Type T e of Building No. of ersons---------------------------- Showers — Cafeteria
L�, YP g P ( ) ( )
a' Other fixtures .-_-------.-_-------------------------------------
W Design Flow........................................ per person per day. Total daily flow.............. Q....................gallons.
WSeptic Tank—Liquid capacitylObot-gallons Length---------------- Width....--........-- Diameter----- .......... Depth................
x Disposal Trench—No- -----------------_- Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------...1........ 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....................
(i Test Pit No. 2................minutes per inch Depth of Test Pit...--............... Depth to ground water........................
�+ •----------------------------------------------•---•------------•-•------------------------------•--............................................:............
0 Description of Soil----- --•-----•---....-•---------------------••-----.....---•----------•---------.........-----•--------....-------------------------•----------•--•••--------------•_..
x
c.,
W -•••------•---- ----------------••-•---•--------.....--•--------------................---------------------------------------------••------------------------•---.......---------•----•-...........-•-•-
VNature of Repairs or Alterations nswer when applicable......................................................--.....................................--.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage.Dis System in accordance wiih
the provisions of TITLE 5 of the State EnviroX
he unde rther agrees not to place the
system in operation until a Certificate of Complid by rd of health.
Signed .. ........... ........--:�..-�............. ...................
..............:......
'^''�[ Dare
Application Approved By \, �1 .. ...................... ......................... -------�6=- e`
Application Disapproved for the following reasons: .................................. ............... .................................................. . ...................
------------------------------------------------------------------------- ------------------------------------------------------------------------- -------
Date
PermitNo. ....... .L-f....-----6.61......................... Issued ..... - ........................................ ......
Dare
I— ----—--- —---——
!•q ��� �,, mow./
t 6) J l//!
PTHE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Aliptiratiun for Biupautti Vorkg Tunutrnrtinn Urrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Lo lion ess ' or Lot N
CA
Owner Address
W
..,_ Installer Address
1"' U Type of Building Size Lot_.____��.).�.�r?.�......S q. feet
., Dwelling—No. of Bedrooms........... .........................___Expansion Attic ( ) Garbage Grinder ( )
aV1- Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures ................................. .
------------------ -----------------•---------------------•---------•-•---------
Design Flow...............................t.............gallons per person per day. Total daily flow............ ....................gallons.
WSeptic Tank—Liquid capacityl OtO_gallons Length---------------- Width---------------- Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No.-__--__-..I........ Diameter--- ---------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by-------- .............................------------ ...................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water-.._-.-._--__-__--_--.-.
f=, Test Pit No. 2................minutes per inch Depth of Test Pit.---__-_..________- Depth to ground water..--_-_----_-___...__--.
....---•-••--•'-------------•-•---...........-•---.....--•---•-•--........--•--••--------...................._........--•-••-'---........-•--.._......_......
ODescription of Soil........................................................................................................................................................................
x
U •-•-•-•••------•---•--'--••---""--------------•••--••----•'-----•-•-•-•-•-•--•----•-•••--••-•-----•••••-••-'--•-------'-••---"-------•-••-•--------•--------'-'-••-'••--•----...----••......•-----••.
w
-------------- -'-------------------------'-----•--------------------------------------._._...--•--------------------........----------------------'-----'----------------••'---•••......---•--••--•-•.
U Nature of Repairs or Alterations Vnswer when applicable...............................................................................................
a.-C.............. :4.�
� .----- s� —------ ------------------------------------------ -----------------------------------•--- ----------_---.--.------..-.-.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal,System in accordance with
the provisions of TITLE 5 of the State Environmental Code; undo si. urther agrees not to place the
system in operation until a Certificate of CompliX
sued by k .oard of health.
Signed ...... .�. <---�.Y- r-.------------ .........................
DareApplication Approved By . :�'V. +... - . ...................... . ............... / ��-----
.........I'-..:Dace---------
Application Disapproved for the following reason . ..--......-_..__................_..._................................................._............
....... .......................... .-.........._...... - .................................-- - .......................................
Da,
e
Permit No. ------- !.......& 1------------ --------- Issued ....................................... .........-.`� -
......
Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certifirate of V((���amplianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by ------------------------------------_..------------------------------------------------------------------------- ---....- ----...----------------------------------------.---------------
_1 r Inscallrr ,�
at --- .h ti � �- c.._-_------ ------------------ ------...........�R---�---------------------------------
has been installed in accordance with the prov'i,�ions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ---------!7.1y_.�..�� --------- dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY
DATE `. .... Ins ectoc�� .� G -----
...-- - { ------ P ------------ _.....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
p TOWN OF BARNSTABLE r
No.......I.U.-��S•� FEE..... 'z........
�tu�ruuttl Turku �unu#r�r#iun �rrntit
Permissionis hereby granted---------------------------------------------------------------------------------.-.-------------------------------------.-------------------
to Construct ) orr Repair ( an Indj ideal Se * ge Disposal Sy tem
at No..... hT... b ` ------------------
. --'-- ••---....••-----•---------------•---•......---------
Street
as shown on the application for Disposal Works Construction Permit ' ;- Dated_
DATE--------�..----7.�s--•-� --•-------------•-•-•-- Boardd of Health
FORM 36508 HOBBS 6 WARREN,INC.,PUBLISHERS
I
f A
�► l�'y L- u � WN� OF BARNSTABL E
LOCATION
, ~VILL [ SEWAGE #
AGE C_o ' ��/
'' ASSESSOR'S MAP fi LOT�.�,���37
INSTALLER'S NAME
PHONE NO.---!*,,),,
O._-- * ),,
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) /,-tm
%0. OF BEDROOMS 1 (size) �,x �
_PRIVATE WELL OR.115UBLIC WATER
BUILDER OR OWNER �� Ee
.DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes
No l✓
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BENCHMARK
TOP OF TAGBOLT #170
BASIN ON F.HYDRANT ELEV. 50. 00'(ASSIGNLD)
C.
8 p p p L
60
54 — C B.
TP
lb t
Op 56. RESER VE
r— 6. �` AREAA '
rill
C. E. 66 // �/
/ w � PROPOSED — ZONE.-21 / o
5 a H UST % D.BOX o REPLAN REF.. 292/26
6� � \ ZONE.- RFpy
��o � c) \ LOT 66 s
6 8 5, . - AREA=44,559fs.f.
6' �58. 5pN N
�PIPN TO WN WATER AVAILABLE I
6
a' clea and
gr de area o /
-�- PROJECT LOCH T/ON
3/1 slop ��
LOT 66 COTUIT BAY DRIVE
COTUIT, MA.
LOT 67
/ APPLICANT-
iom
�o MA UREEN MA CNEIL
C,R
6� / F� srE YANKEE SUR VEY CONSUL TAN TS
c j 5, v,1 AL � � P. O. BOX 265
60 / UNIT 5, 40B INDUSTRY ROAD
LOT 65 MARSTONS MILLS, MA. 02648
�Jg PH. (508)428-0055 - FAX(508)420-5553
r. 66 0� �" °F ISCALE.- 1 "=30' [D:A TE.- 9128194
ftuL
i o m REV.• REV.
5
IRON �s, �� s JOB NO. 50578 SHEET
la `I OF 2
PIPES bay No
EL.. =_5_9.2 PROPOSED �. •
TOP OF FOUNDATION
00' MIN.
10' min CONCRETE COVERS
58.5 PROPOSED 57.5t
CONCRETE COVERS
/ 56. Of
4" CAST IRON 2'_
/
OR SCHEDULE 40 4" SCHEDULE 40 P. V.C.
P. V.C. PIPE 2"LA YER OF
DIST. `5 118"-1/2„
FLOW LINE S=0 055, D=8' BOX WASHED STONE
INVERT S=0.05, D=21 110" S=0. 03, D=15.5' / PRECAST
MIN. 19 J LEACHING
EL.__54.39_ INVERT INVER o 4 IT OR
INVERT EL.= 53. 09 21
EL = 522 0 0 EQUIVALENT
EL.= 53.34 -- LEVEL oc o c
INVER INVERT D o 5' o 314" TO 1-112"
1000 GALLON EL.__ 52._6_4 EL.=_52. 47 00 . oc WASHED STONE
SEPTIC TANK o W c- — 47 0
EL.—
LEACH PIT 14 -----
4' 6'
PROFILE OF
14'DIAM.-- �
SEWAGE DISPOSAL SYSTEM
NOT TO SCALE BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE EL=_43. 0�
ALL ELEVATIONS ARE ASSIGNED
SOIL LOG
J.H. MILNE * THE EXCA VA TOR SHALL NOTIFY THE ENGINEER TO INSPECT
WITNESSED B Y: ED WARD BARRY THE SOIL CONDITIONS AT THE TIME OF INSTALLATION.
P# 8207 O
GENERAL NOTES t� F �
PERCOLATION RATE _2 _ MINI INCH �o Jofqro
1. THIS PLAN IS FOR CONSTRUCTION OF A NEW SEWERAGE DISPOSAL SYSTEM. L4 UIEY ` +
CMS .
2. PLAN REFERENCE BOOK 292 PAGE 26, LOT 66, BARN. REG. DEEDS. DA TE 04—12—94 DA TE No.351M
3. THIS PLAN IS FOR AND NOT TO BE USED FOR SUR/VEYINGIR OF SEPTIC SYSTEM OR ZONING PURPOSES TEST HOLE 1 TEST HOLE 2
EL.= 56.Of EL. = DESIGN DATA.
4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P.
TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS
FOR THE SUBSURFACE DISPOSAL OF SEWAGE. TOP & SUB NUMBER OF BEDROOMS THREE
5. ALL COVER TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 20 SOIL
12" OF FINISHED GRADE. GARBAGE DISPOSAL NONE
6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE
SAME, UNLESS NOTED BY FINAL CONTOURS. TOTAL ESTIMATED FLOW 330 GPD
7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE
OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER HED. SAND _GAL/BR./DA Y x _3__ BR.)
OR WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING SEPTIC TANK CAPACITY 1000
SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING. ------
UNLESS NOTED. H-20 STRUCTURES MUST BE USED IF FILL EXCEEDS 5' LEACHING AREA REQUIREMENTS
8. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL
* BE MORTARED IN PLACE. SIDEWALL AREA 211_ GAL./S.F.
9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH 13 NO WATER BOTTOM AREA _153.8 GAL./S/F
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO LEACHING CAPACITY (BOTTOM & SIDEWALL) 680 GAL.
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
10. THE EXCA VA TOR�CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND ( 3.14 X 5 X 12 X 2.5 ) + ( 3.14 X 62 X 1. 0 )
UTILITIES PRIOR TO ANY EXCA VATION. THE WA TERGA TE WAS NOT FO UND, THE GENERAL RESERVE LEACHING CAPACITY 680 GAL.
CONTRACTOR SHALL VERIFY LOCATION WITH WATER DEPARTMENT.
SHEET 2 OF 2. JOB NUMBER___50578 -----