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HomeMy WebLinkAbout0016 DEVON LANE - Health 16 Devon Lane, Lot 1, Cotuit-Barnstable A= 057-002-001 i I OWN OF BARNSTABLE LOCATION LVT— 1 �40a,J _# L SEWAGE# vII.LAGE C'�� ASSESSOR'S MAP&1,45 P INSTALLER'S NAME&PHONE NO. _ NICk(.Q-ti Mv,�ST -S f?9 SEPTIC TANK CAPACITY 1 .-SZ O LEACHING FACILITY: (type) -Th.'�-AJC 1-U (size) NO.OF BEDROOMS BUILDER O OWNER PERMTTDATE: rm COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 300 feet of leaclong facility) Feet Furnished by �. �,,�V�-' •; ,� �/� A f (��r i ��: /'� � , �,�_ . ,� .� ,? �- - � . . _. �.�� �= __ _� r ASSESSORS MAP W0: �, * PARcaNa�l � �� FEE/%A!C"No. ;t v-,. THE COMMONWEALTH OF MASSACHUSETTS' Barnstable MASSACHUSETTS �Xpplirativn for Pi6jjv!aaj �$Vstem Tonstrurtion Permit Application is hereby made for a Permit to Construct(X ) or Repair( ) an On-s:te Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. Lot #1 Devon Lane 14C L7,QVIO The Irene Trust Cotuit-Barnstable-MA /may Don Preistly, Box 599, Mashpee 508 477-0023 Installer's Name,Address,and Tel.No. /^-- "" Designer's Name,Address and Tel.No. Ferreira Associates 131 Spring Bars Road Falmouth, MA 02540 Type of Building: Dwelling No. of Bedrooms 3 - Garbage Grinder("g • -- - Other Type of Building No. per Persons Showers( ) Cafeteria( ) __"— "tiOthe'r�F�iixttu.,r�es Design Flow 5 '"` t gallons per day. Calculated daily flow 330 gallons. Plan Date 4-3 0-9 6 �-0'` _Number of sheets 2 Revision Date Title Sewage Disposal Syslt-em Plan prepared for the Irene Trust Description of Soil Test#1 : 0 "-1 " (0)\san.dy loam, 1 "-8 " (B) sandy loam, 8 "-120 " (C) sand. Test #2: 0 "-1 " (0) Nsandy loam, 1 "-8 " (B) sandy loam, "- 120" (C) sand. No groundwater encountered. Nature of Repairs or Alterations(Answer when applicable) Date last inspected: i t 4 Agreement: The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site sewage disposal system in accordance with the provisions of Title 5 he Environmental Code and not to placthe,ys min peration until a Certificate of Compliance has bee e y th' bard f He /Q Signed Date / r Application Approved by Date Application Disapproved for the following reasons c Permit No. � '"�! .G Date Issued No. FEE 1_4014�m V THE COMMONWEALTH OF MASSACHUSETTS 'Barnstable MASSACHUSETTS 41ppliration -for Visyvsal Sgetera Tonstrnrttun-FPrrait Application is hereby made for a Permit to Construct(X) or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. Lot #1 Devon Lane 16 L"7�vd� .aVr The Irene Trust Cotult-Barnstable-MA Don Preistly, Box 599, Mashpee +, (568) 477-0023 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Cb\A �cdlV�rc� Ferreira Associates 131 ,Spring Bars Road FAlinouth MA 02540 ly -Typ o Building s "" ''' -r Dvvelli7ig` To of~Bedrooms - 3°�- ---•Gar-bage•Grinder(P_?4�� -- �..__ ___,Other Type of'Building No:per Persons Showers( ) Cafeteria �� ( ) Other_Fix_ tures Design Flow 55 gallons enda . Calculated dailyflow _l p y 330 gallons... Plan Date 4-3 0-9 6 \ —Number of sheets 2 Revision Date Title Sewage Disposal System Plan prepared for the Irene Trust Description of Soil Test#I : 0"-1 " (0) `'sandy loam, I "-8. (B) sandy loam, 8"-120" (C) sand. Test #2: 0"-I " (0)`sandy loam, .1 "-8 " (B) sandy oam, "- "# 120" (C) sand. No groundwater encountered. R°? Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned,agrees to ensure the..construction and maintenance of the aforedescribed on-site sewage disposal 1 , system in accordance with the provisions of Title 5 of the Environmental Code and not to place th sys em in operation until a 4 Certificate of Compliance has been issued ,y this Board of Health. r � , •.,� ��$ �,Slgned ' ' Date s ~^� `l �..+.-+u^•%a ,•a="�r�a...E Qy.x �,sf-h.p. .. '�"" „. .:;.—w,,,,_.cy.�„ >, —g� 7 efApPlication A•Ppiovecl by e- -• - '-Date ' �Applicatiori Disapproved for the following reasons Permit No. "" Date Issued �`� f K. '_- �� THE COMMONWEALTH OF MASSACHUSETTS iW 19KAWWWA%4 , MASSACHU.SETTS i <!!! Cler#ifi ite of C9jamplinure THIS IS TO CERTIFY that the On-site Sewage Disposal System installed O or repaired replaced( ) on •0" by �• for`7°".� at has been`constructed in •h. accordance with the provisions of Title 5.and-the or Disposal System Construction Permit o. . — _ dated °Vse'of'this system is conditioned on compliance with the provisions set forth below: -The issuance f this certificate shall not be construed as a guarantee that the system will function as designed. This Certificate expires on 1 , DATE' .-- THE COMMONWEALTKOF MASSACHUSETTS No. /, MASSACHUSETTS _,FEE " ATuixs#rixr#iux� �exmi# Permission is reby granted to aQ tA ' 10 to construct or re air( )an On- ite Sewa a S,yst m located at � T � - �r''`�✓t< ' 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. . All construction must be completed within three-years of the date,below. \ DATE 7) Approved by FORM 1255 Rev.3/95 A.M.SULKIN CO.-BOSTON•MA V i V" 3 "n't........ �p ��C,' R T Al l*. 17 'j .. ........ q, "fX1- �A It" 4�j�� �1:z R 10, li�l l z 7 4" 4 1; V.;1� 's,- y v ROFILE �.7 jll,,� i�� PLA) SCALE­,'�� -�=t�501 7: io_ �v 'NOT LE TO �FXIVI H SAADE`�, ;:Ji 2 Z c F.IVITSH ,ffH, 0 ER TAW FINISH�SAADE A V, x iOP Fk ­ 7, x CA S T ZRON 7ESS 'ov W'D Q 12 o"7 4 r C�p:45NDS (,,'1.84 ot 4 o", 'ev AU fi ..06 EG(J 46 s A r 4FLEI fo GA Q 0 olo 00 a 0 I , t , � : - I'll,, ­.1 , , co Tb o L ORCED Z QQo Drsr, oo Q.600 Q q 47, -a so* Q a 4 0 a 000 TO BE`XNSTAL D, 0Af A a Poo A a..o EVEL tA BLE"BA.!�E!. 00 0 o 'ao v od 40 A SE TrC TANK- EIVCH, L EN15W ?i v", TO BE INS tA L L ED :A E�,BASE"' V �_LEVEL STABL OP 4 WIN.HE4576HT ' ' 'NO TE.- Q -1�SYS7 M AWVF OBSER % ov Y ,EOUIPMEN T:, 0 VE R _H "Ej 0 WOT "RUN" EA V i 1910 VED V T 4 TE GROUND IWA *4 j q� A t ...... v LEACHING : ,rPENCH �,SECTION, V Y ores W. NOT TO SCALE ,�,' - ND PERCOL A IWO M. , A ON�,DA TA SOIL, L 7rrC T w *Vposw t FOP APPL tCA rok 4w J&tAUSH, GRA DE, J' LFAOffAV ?)9&.0WS AV. :P8677 SEE. S YS TEM PPOF L E'l IN .9'jam e vErp mew~.aV A VIM k wr % 7: PA PERC F,: T Cr tAkEA���6Y, FfinqL RA AT MESSED BY ..... 4s SAME L DA :4"D.ZA PIPF VA.. TES T P T EL EV. WASHED STUNE IVA TUPA L SOIL- PNAX EFFECTIVE Nor k TH Eq q. ON 7 41 SHED S TONE LEV msL E A rrms, BA sED 1, -140 N LOr I EFFEC 7*1 V WID TH TOM 3­0 EXCA VA TED SIDEWALL SITE VV. VA TER OVV t :op�DEP DOD ZONE C -.37 7"H 44, 2 S P% FL 3) EFFE( T,VF WID TH NUMBER: OF TRENCHES, 58.84 % 41 S131" �W 'J z Tk�`� :,280 74,OA GALS ­ DESIGN, VA IV AM- NO OF :46"EDROOMS 3 S. F. SIDEW ALL: Aa!�A L SISF 2 0 7, ''D SPOSAL 2 A , 74 '1 GA L S/SF, �4ZGA L S - S. F. BOTTOM -ARE '­­�,:EST.�'TOTAL DA It Y-,E*FFL UEAl T �930 Y­ L P IC� TANK,4500-, -�T _472 ,:; .,'�'S TOTAL�: AREA GALS.i.� F 7, NO w GENEPA L % SH, NO S�,ST15MJ�dMP61VEI�tS ALL t�?`llvs'TA L L TE: E .,'5 OF�7HE,,��STA 7E�'SAIVITAPY� COD._�--, CCORDA NCE W. Tk? TI I TL (v 6 'Lo OR , WER A S:PEOUIRED EXCA VA TE EL EV -ICA, 1995 %A At EA A rNG DISTANCE 'DA 780 �MA LINE BE R614 A' D ANY,l OCA L RULES PPL' TO REMOVEALL LOAM A AD CL A Y CON TA rNrNG N,49 '10-hf NGE�IN 37.43,, CE AM TERIA L BEIVEA TH 'T14E L EA CHINO A�7,5A REP4 ANY., CHA THIS, PLA MUS T Bt,:!AP)6R0' At 4 GRA 8 78 :BOARD PrTH CL CA N. CLA Y,FREE" EXCA VA 71ED M4 TERIA L L vlF4L, Y, HEA L T141 PLACt TO 'BA�*�L HECHANICALL Y COMPA C T D IN 3.' li�HEIV��COIV,9TRUCTIOIV�,JS�" C'Oq)?L�F;rE Ll IV6 TIF YL "BOA PO, W:7_ PEA L TH, Foq PvsPEc ION CUR VE RADMS ARC 1570. 79 �4 FND. ELEV�'MUSTI BE� CHECREO COMPL2�TEO kHEN, 2 . �185.00 JO.00 -5 ',.THESE. ELEV.'MUST NGT,�BE�.CHANGE& WI7'Ho&1*4�- LEGEND OF, -HE,,.B'0' APD TH A PPRO VA L, 7 TH INSPEC TJOIV REG 4D,' �WHEIV EXCA VA 6. BOA RD OF",,NEA L % No rEa* 70 EXIS 7.4GROUND ELEV. 51919C ElL fl) TES T kOL E EVA TrON 19-'a� EVA 7`10N NO 7 tS (2) TEST'ROLE 2 EILEVA TIMM 6-9.3 DNA TER ELEVA TXOJV P0. 0) SROW 7. FINISH SROUND tL E V.UND8PLTNED A i '7*AKCN FROM MS T NEL L S A L OCA TED XIV SU �SEW Sys % GE L c` AN 6rpt INVERT LEV. E, J PR PARED' )7`0,q� TEST'PIT L OCA TrOAl 309 :SEPTIC' TANK HE- qEjNE, TRU T: TV, 'A LA T,,�­_`:,�`,�,,�� DE r* F DrsTRrBurioN B LO? "VON OX Ji, ' PVC M SS '��i '4*C.I,On SCH 40 hNS TA A, '04 4*Br r.rzoER PArPE-7*.rSHT JlorNv A EE 77 1 .2 SH QF P-h D PROPERTY LJNES DA T*E C AAl?rL 30. 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