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Home My WebLink About0030 JILLIANNS WAY - Health 30 Jillian-Way �_.._. A= 057-001-006 f TOWN OF BARNSTABLE LOCATION SEWAGE # VILLA-GE A SESSOR'S MAP & LOTOS INSTALLER'S NAME&PHONE NO. �C � CdA ek. SEPTIC TANK CAPACITY ISO CS LEACHING FACILPTY: (type) lsize) N0.OF BEDROOMS BUILDER R OWNER T PERMIT:DATE: I' — J-,L / COMPLIANCE DATE: SeparatioaDistance Between the: i Maiiii ium:Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private.Water Supply Well and Leaching Facility (If any wells exist o f sate.or within 200 feet of leaching facility) Feet Edge:of Wetland and Leaching Facility(If any wetlands exist . within 300 feet of leaching facility) Feet Furnisbed by 9 d TOWN OF BARNSTABLE �J LOCATION i c�t�� SEWAGE # �- 6P VILLAGE SESSOR'S MAP& LOT.0 INSTALLER'S NAME&PHONE NO. Rb(4A � &AA. SEPTIC TANK CAPACITY /S00 eyk� LEACHING FACILITY: (type) rl) !�QSIPA C 4(size) NO.OF BEDROOMS BUII..DER R OWNER G 4 PERMITDATE: I /'L— 7 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 leaching facility) Feet Furnished by 3q b m No. L/0 Fee -51 Y THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ves PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zippfication for Migooar *pgtem Construction Permit Application for a Permit to Construct( !)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. L o 7 6 j //i&t Way Owner's Name,Address any}Tel.No. Prrs1;5.x ea r4rc 1 Assessor's Map/Parcel S-7 / r , 7-1 1 - Orr-03 � Installer's Na/me Address,and Tel.No. Designer's Name,Address and Tel.No. f10�� C"(-e � --l—It- 939�j JJJJ 3cz- ysNl 11 Type of Building: Dwelling No.of Bedrooms 3 Lot Size -2i 6 / sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 7 3 U gallons per day. Calculated daily flow gallons. Plan Date ab,-/97 Number of sheets Revision Date Title Size of Septic Tank Description of Soil I 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 Title 5 e Envir nmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is ' d y this o d of alt . Signed' Date Application Approved by Date Application Disapproved for the fo owing reasons Permit No. 17 te, Date Issued THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M ACC DATA No. / - L/C-', / Fee (] 1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for Zigpogar *p.5tem Co!aruction Permit Application for a Permit to Construct( �Repair( )Upgrade(.j Abandon( ) tL'JiComplete System` El Individual Components i...f fi �-.,*,.._. ...�•+r` Location Address or Lot No. L o T 6 f:I/, A s (�ds"j Owner's Name,Address andlTel No. ( �rr'SFrSo, Jrr,�e�l ,- Assessor's Map/Parcel l GG 03 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �1`71 - t1sq 1 Type of Building: Dwelling ' No.of Bedrooms 3 Lot Size o7�q sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) .� Other Fixtures Design Flow 3 gallons pei da�Calcul ted-daily flow C gallons. Plan Date t r 9'j Number of sheets r Revision Date Title Size of Septic Tank 15,60 Type of S.A.S. b4e c 4?//6r hnC6. Pr Description of Soil` ti 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-tle EnvironmenidFCode and not to place the system in operation until a Certifi- cate of Compliance has been issued by this:Bo d of Health. _ }} ` T1 Signed l�t� �� . � ��%a t= `° '� (i Date 1 Application Approved by— •,;. �� _x , < . ,' . _ _ Date ! A r r Application Disapproved for the`ifollowin easons r Permit No. re Y Date Issued -------------------- —---—:�--------------- - .-_ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance �r THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed Repaired ( ) Upgraded( ) Abandoned( )by at 7` 61/r wlgiz has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No`' �lX. r') dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will-function as designed. Date - Inspector (�ZN fS l o. _ l Fee loS— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS liopozal *pgtem Con!6truction Permit Permission is hereby granted to Construct( %•Repair( )Upgrade( )Abandon( ) System located at 1�"'l• /f 4 W ez�� C_ a and as described in the above Application for Disposal System.Construction Permit.The applicant recognizes his/her duty to f comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date: is=" Approved by 1� r , \ - . �1 SEPTIC PROFILE _ TEST xo LOGS T.O.F. AT EL. (wvr To SCAM ®r.... . ' , ACCESS COMER TO WHIN6' OF FIN. GRADE i ACCESS COVER (WATERT10M TO ENGINEER: OS,av,� WITHIN Ir OF FIN. GRADE 'j , S LIINNUM .75' OF COVER OVER PRECAST 2% SLOPE REWIRED OVER SYSTEM f WITNESS: �/ a! w1 i%f Li 1 x k• ' PIPE LEVEL 2' DOUBLE WASHED PEASTONE r� � DATE: +5,s FOR FIRST Z' \ PERC. RATE PROPOSED 3' MAX. ' tw.LAr� sEPTIc CLASS SOILS P# Z 1,nti TANK (H- 10 ) GAS -'_ ,{`,-d 2y - ►" aAFFLE �_ ool� aOnaool 4417 OpC� O 0 000Cl 2l,te, ,Ot ' 7 SLOPE) s' CRUSHED STONE OR tcwWlCAI CI CI 0 L� O C7 C7 C7 C1 ! ELEV. ELEV. COMPACTION. (15.221 [2]) I 2' 0 0 r (� � 0 0 0 � �2 17 L�1 �� (p DEPTH OF FLOW s �_x SLOPE) ( z SLOPE) TEE SIZES: 3/4" TO 1 1/2- DOUBLE WASHED STONE A 71' INLET DEPTH OIrTtl:T DEPTH � \ v -w 1; z � LOCATION MAP SCALE 1" = 2b oQ 1 , v 5 ' F SEPTIC TANK � `� LEACHING Ia '�� 9/�- ASSESSORS MAP 51 PARCEL OUNDATION D BOX AS ES C C< r FACILITY t ZONING DISTRICT• �, _ - - - I ► ' `� YARD SETBACKS: q` FRONT - SIDE - REAR j } PLAN REF. - / ` � I e � r � FLOOD ZONE: c NOTE tt: o ,f SEPTIC DESIGN: (GAR8IVGE o�sPosER Is mod" A��-1�� ) 1. DATUM IS �55J� Ic�1 \ DESIGN FLOW: BEDROOMS ( ' t GPD) _ JGPD 2. MUNICIPAL WATER IS -� - $. � USE A ='GPD DESIGN FLOW 3. MINIMUM Piet PITCH TO 8t Yl8" PEA FOOT. 4. DESIGM "LOADING FOR ALL PRECAST UNITS TO BE AASHO H- t SEPTIC TANK: i?o GPD t 5. PIPE JOINTS TO BE MADE WATERTIGHT. USE A G GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. ., ENVIRONMENTAL CODE TITLE V. )C\ _ 7 THIS P { FOR PROPOSED WORK ONLY AND NOT TO 8E ' t SIDES: 2 ''� 9 �� ,� IS LAN S RO USED FOR LOT LINE STAKING. k 1 t BOTTOM: ° �' 1' 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. x �. .. T �;� . �;.,r,,. 9. COMPONENTS NOT TO BE BACKFILLEp OR CONCEALED WITHOUT TOTAL:AL. -+�+ S.F. GPO INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED o \ \ _-,r' c, ' r ;� . ►. A u °�, sr " __ FROM BOARD OF HEALTH. 1 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE LOCATION OF ALL UNDERGROUND do OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. GEND Sl TE AND SEWAGE PLAN PROPOSED SPOT ELEVATION OF 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: 100 PROPOSED CONTOURVy 100 - - EXISTING CONTOUR PREPARED FOR- IN HOARD OF HEALTH APPROVED DATE NA SCALE: I DATE: - ilcp, ar aoe-Jl2-1641 \ Dec Da 382- M i `down c8�' Pering, LAC.-Nv\ r( lARNE CIVIL ENGINEERS L.A "f p S 4 III 3CTRVEYORS 2116 f Q 7 �►' 9 st ma 02675 - w B# -1 �� _ (a ; r /` r�, v�`93 mR�II_ JALA, .. .S. DATE ?-Y :n": 3:yS`:M-..h:"!x 9eMfJ"`'w't. , i:, ;_�•"4 w -^K-+--- -,:.�<.^#'. _r,-"'a ti+!#!'*1i:�`�J-'.'�"' ^'�.