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HomeMy WebLinkAbout0820 MAIN STREET (COTUIT) - Health 820' laid r Street:v Cotuit A=035-070 i 4000s TOWN OF BARNSTABLE LOCATION 134 A SEWAGE# a®0 VILLAGE Q'tU ASSESSOR'S MAPS^&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY GAk, to, Lie LEACHING FACILITY:(type) U(A) S'cp yyJ;1'Tsize) NO.OF BEDROOMS 3 OWNER PERMIT DATE: 1 ,Zl d COMPLIANCE DATE: 0 6 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 300 feet of leaching facility) Feet FURNISHED BY Cpjl�`� � aI"A,935lo L-o AALD Rfo� S�=6N 03 3 C-6 H L'65 ).-e-o" ( � 3Li-ov C3:4 E .J ii No. 1 Fee THE•COMMONWEALTH OF IVIASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplication for �Bis;po!Yal 6p!6tem Con5truction Permit Application for a Permit to Construct( ) Repair(Upgrade Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.�Zo Iat in Owner's Name,Address,and Tel.No. Ayl m G Du IG(. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. U� An 6 Type of Building: Dwelling No.of Bedrooms Lot Size ZM,n D sq. ft. Garbage Grinder ( ) Other Type of Building t 1LI No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided �on gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil 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 and not to place the system in operation until a Certificate of Compliance has been issued b this Board of alth. Signed Date S 7 Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. 9_00 Date Issued 5`� No. P�1 �- y Fee gym. ��� '� r '. .TH€-COMMONWEALT9OF MASSACHUSETTS Entered in computer: Yee .PUBLI.0 HEALTH DIVISION -.TOWN-,OF BAIINSTABLE, MASSACHUSETTS 2pplicatton for';: .5poga[ ,Apsste'M-Con!5tructton Permit Application for a Permit to Construct O Repair Upgrade( Abandon( ❑ Complete System ❑Individual Components Location Address or Lot No.02,b vo V) Owner's Name,Address,and Tel.No. rt C-'lbulc( Assessor'sMap/Parcel C6' ✓` (Z� 1. ( V'Ulfi J�� 2� 76 4 ^ v Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. , JC, ivy, I U -1,� Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building G _(M 11, No.of Persons Showers( ) Cafeteria( ) Other Fixtures '►� Design Flow(min.required) z/ gpd Design flow provided '1 gpd Plan r Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 'w Date last inspected: . r 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 and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 7 Application Approved by ( Date d2 547 Application Disapproved by: Date for the following reasons k Permit No. 0,00 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance I THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (V ) Upgraded ( ) Abandoned( )by at 8?0 MQ 1 n' �%T rM)-Y has been constructed in accordance with the provisions of T*;la 5 and the for Disposal System Construction Permit No. and U- )I L dated 3 Installer Designer #bedroom Approved design flow �O, gpd The issuance of this permit shall not be construed as a guarantee that the system will functlion as designed. Date 6�9C 0� Inspector �� �';_V 4A/,� No. �` ( Fee ��" ----�lJ r 1 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS x1h5 pool *pgtem Con5tructton Permit Permission is hereby-grnted tot, onstruct ( ) Repair (V'J' Upgrade ( ) Abandon (- ) System located af'�Z O RAO)r) � (bl U rt 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 date of this permit. Date 3- S'G Approved by 10 Town of Barnstable Y �OFTNE lqk� Regulatory Services Thomas F. Geiler,Director * BARNSTABLE, • ' 9 MASS. Public Health Division . :4 �A'Fo►r+A'�°' Thomas McKean,Director 2.00 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: SA C) Sewage Permit# 000if- i► Assessor's Map\Parcel 35' 70 Designer: eM►l 020v-A ,._n( Installer: TiC an Address: �k..r C; ,r kgkic� Address: d `'7 On 3 ) lot 3&$0-r'l A. 5tlu?. a�._ was issued a permit to install a date) (installer) septic system at X;)-y M&iY)St. C+0t, ftf, based on a design drawn by (address) Rtf—C dated Ld �C (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or out septic tank. Strip if required) was inspected and the soils were found satisfactory. ( p I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required) was inspected and the soils were found satisfactory. a•� "` F�AS°, Sa; l`J;AN ,a ." S. "ifsww-�`d (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 03-09-06.doc Sullivan Ei gineering Inc. 7 Parker Road, Box 659,Osterville MA 02655 508-428-3344 fax 508-428-3115 s May 8, 2008 Board of Health Town of Barnstable 200 Main Street Hyannis,MA 02601 RE: Sewage Permit#2008-112/Gould/ 820 Main Street, Cotuit Dear Board of Health, Today we inspected the installation of the above referenced septic system, and.found. it to be substantially according to the design: , I have attached a copy of the as-built, along with a copy of the unsigned'Installer& Designer Certification Form. A signed copy of the Form will be submitted upon Peter Sullivan's return on'May 21, 2008. I,trust this meets your present needs. If you have any questions, please feel free to call. Very truly s, J hn O'Dea, EIT Sullivan Engineering Inc. Members of The American Society of Civil Engineers and The Boston Society of Civil Engineers .....- - -.. _.._ .. .,.. : PROJECT TITLE ^7 r ' i, � - --.rZ�,Lf'is�Gd1 � � �_ r=,� �„'�( .. 'n,.1%-,w •`,t�iJSJ 4-G.. .. .._.---------------- ----� -----.._. --. — — T'� .ta)' _�.._.___ ...._ .. -.-_ ..__... � '� i r ,..7 ti. i >1 z t V. Al S u � r, I L x , 1 �2 r � l - 4 -F 4- ,.: i . ,. ��• _ -� PARED FOR , y Ate- .. t PRE a.. _ - ,. .....-, .. r.. FIR : .: .:_. .... :. f -{ r c� ., : .:...... .�:. ., ... .. ....... - - .:ter. _ F } , r x antral Coretrue p y, lnce. -Y_._. 2.'JkJ"l • 1,C.lf"el -� F "e _ it 1-77 Steve Devlzn President 0)" j: 261 Bkkthom Orn/e i idrsfons Mills,MA 02648.508=420-1340 SCALE " - . ,... .,, 0 DATE lZ fl;'Lr/ DWG NO. DESIGN C h cv t�l r CHECK DRAWN JOB NO. SHEET. QF ............ >4 PROJECT TITLE • �ry 711 �wy'{fin C " � O 1 - 1{ P i i n'tf y {, , 4 I r.. k T. k c _ — � PREPARED FOR :I IL r 1 s , : _ L .r-- - _ e �- 7-IIZ �•�._ l_� 1 { � � _,.4 I�. .,Z— r. `, -- - r -- ��' 1 �i {• Cen,tra C®nstruct�on Company, n Steve Devlin.•President . __ ; 261 BlacktfiomDrne!'Mnrstons:Mlls,.MA,02648.•508420-9340 iAL q i p DATE DESfGN SUS► ., L CHECK N DRAW' ,. JOB NO. ' ` ;SHEETOF S PROJECT T M. i PR t TLE - 4`4 ; I. , 4 l.._, y \. I. e ew w i 1 ;f I - f , > f s^ 1 f I ` I :wr - I v _._.._ I ' l a : I , - t-f I I : r ��Lty GWC r , --- ? ' . . � .. P1S 1 , J PRE RED FOR I y s - _ : _ , C, a Central Con tion C®nspany, Ins. _ Devlin •Press 3� l _ Steve D dear • a �': 261 Blackthn Drive*Ma stan sMis,M 02648.5084 20-1340 -- i — _ 4 ..SCALE 0 ii G NO __... . } QF _-__ .... P.R:OJECT TITLE. lit -- 4 It , � - . - -- - ly, ► L�" PUilrtep{ yr�-- •u i �.. � �__ ---' ,, , . -' -- • ' f� � � �t bin I -- IT I 1 . - - r I — IC t.ems �l — — .._ _ ..... 9A T twv3.G.biJ.... U ; f S� t ' • Z Air. 1 — a\ �✓�-�c,r;!.�;.�'— i''�I { I ! 1 7:. J� W,L rSaw ? PREPARED FOR: i mom cj � I. J, 4 ifI , 1 .. Centr®I Constructson Corp .�n gnc. P y, Z`I �ff Steve Devlin. President 17-1 261 Biacktho n Drive*'Marston Mills,MA 02648.508420-1340 I'. - —--- SCALE ' - O .. ._.. DATE DWG NO DESIGN ev J CHECK DRAWN . - JOB NO. SHEET OF - - - - •PROJECT TITLE .. .al„ — 14 , • p � • , : _ b` , �, T1 I PREPARED FOR rr 2 i - - - t - �. .x 1 tl®El`C Otty, Inc, Centre Construe comp t?3� _.: "The Building". Steve Devlin •.Presiden �. 820M 40 e :1 Main Stree•Cotuitt MA 508-420=13 o'C f� i -- — — �r� - _ w" SCAL _ c R t _ oR- 1J ��7�C 1 r O vI. DATE. DWG NO.. 16 a ------------ .__ - — - ---.. DESIGN S CHECK. r 11: .` DRAWNG J B O V . --- - N SMEET .' OF PROJECT Tf TLE. r = s _ b _ _ P REPARED.'FOR. . 5 ll � , Central Construction Company,`Inc. f - - n Steve Devlin President "The Excitement is Building 8 0- � 820 Main Street.•.Cotuit, MA•50 -42 1340 —24 J LE SCA ...-..--'----- - --- -.'____----'--V -------- - _ 0 h'A� / L, a i•� - � �v yi; r :— 1-_`,. . V-1 9�_ E . DWG N DAT DESfGN S d) iv CHECK DRAWN JGB NO SHEET:, 0F' FRJ'ECT T7 T O L>£. r , s _ ! CFI - �uY3i3G� - r. r r i i�S N Sr � �• t t r. ¢�, _ r { �:.`:���: (: � PREPARED FOR I F i t I•. � jf 1 - t i I I AMR Y tt r. `I I r , a Central Construction Company, Inc, Steve Devlin •President { The Excitement is Building" 820 Main Street • Cotuit, MA• 508-42.0-1340 �----. - - —— -PROJECT TITLE ' , e - - _ f f , PREPARED FOR A. _ " 1 Central r a�C�p�l,ei ee� pq In �� dl Construction Com i1 � 'LICe Steve Devlin •President { _ "The Exciterrient.is Buildin ' - 820 Main Street•Cotuit; MA•508-42.0=1340 , - Q SCALE: O i \ DATE DWG NO. r r r DE S[GN CHECK DRAWN JGB,:NO SHEET` OF. .-P-ROJECT T1 TLE is p 1 � t i TJ _mac a i . . r t -� I , SS pp „ .-- t �} rf ll'V y t PREPARED FOR . i � � I f s i. I;I j Central. Construction Company; Inc. I Steve Devlin •President ° "The Excitement is Building" 820 Main.Street•Cotuit;MA•508-420-1340 i SCALE = / G . y� i s Y�.` J ln1 "` =' i. DES GN 4 ' DW G'NO (j - --- -------=- 1--..- - — -- J �- - CHECK l DRAWN . w , SHEET ©F ' tia Y. 3 .3 C Rio 2 TM u ; �I L J {r _ I, t 4 _. # i -. { ED FOR 7777 E rr r' Y : , , , ?...:. i. t' : >.. g - ..1. n ] _.t r... ....: ... "..:, - •_' i �', i} -'� -�— t— 3 _ - o� , _ 4 - 1 tog , .� Central t Constructionuny, 1� Company, i Steve Devlin •President . 1 j. 261 Bloddhom Drive Marston Mills,MA 02648.50E-420 1340 SCALE O C DATE lZc z If DWG NO. DESIGN- CHECK _ DRAWN is F JOB NO SHEET O PROJECT :TITLE. eM­ �v�� •1 rriaJ i 4 zni_`_. _MT7 13ecrL t j t i t -- I --- t i 1 F i i C21, 1 / PREPARED FOR L>pW izt ia.��o Z4�s`6 Centr®1 C®nstrucfi®n. C®mpuy, Steve Devlin •President ! i 261 Biackthom Drive•`Marston WE,MA 02648.508 4201341 l SCALE � I • a . L O t. 'a - ( I DATE DWG NO. j ! DESIGN �... ,✓ - CHECK . I _ DRAWN. OF JOB NO. T SHEE - - � i 9 r i PREPARED FOR 1 --tt: T. qL �. s, - Central Construction C®m an Y _ Steve Devlin •President- s �. 261 Blackthom.Drive•Marstons Mills,MA 02648.508 420134[ j ' _ k � SCALES--, j O f j � DATE C"iJ DWG NO. DESfGN CHECK DRAWN. JOB NO. SHEET OF c , — .. .. ~✓ PROJECT ._TITLE ._ . , 11: j O i r. t _ _. . -71 i 7 _ _ { I � IE A R Pr x E R Kc �q L L : II , i LLf ' Central Construction C®m �n: 9i I I { --� Ste ev Devlin •President i 4 . � 2 f = r e, ;�Z% �• 261 I om D08 I B aikth rive•Marstons Mills,M11s MA 02648• 420-1340 F�EI SCALE i o DATE !Z:�(Z. 6 7 DWG NO. DESIGNS CHECK ! - DRAWN. JOB NO. SHEET OF i _. x t. PRO CT .TIT E LI .3 . —ul- IV U YA I � - � a : f d t i 'Y { 11 - 1 i � i7 1 �1 1 of .... _ • j _ ,; -_ a._.�.,�•--�. Aft L� O - I i --- -- -- - -.� : 2. PREPARED FOR rt� FZn` ✓ i � s e I i z u` 6 Central Construction Company' Steve Devlin •President G 261 Blackthorn Drive•Marston Mills,MA 02648.508420-134 I.. `•:Pi���-;,j �� - 1 , _ y o 777 DATE 'F DWG NO DESIGN DK- A- N 7. PROJECT .Tf TLE I 2,r= I - 1 _ L : S-`I ahu I i � l }: e l t rimer---- . t3D ,.. � �-6 I—6---�-1 F � ; �i __� • `1 C CFI,c try s�' Central Construe Corgi on v p y, lr I _ Steve Devlin President n� 261 Blockthom Drive Marston Mills,MA 02648.508-420-1340 ;s SCALE ----, V 1—�--- — --- O 77r DATE DWG NO. a DESfGN -ev , CHECK DRAWN. — JOB NO. SHEET OF ` — - PROJECT PR TITLE -- �- k j t iL 2€3Cr� Fes, sz.01 acdc PA.0Nvy"�. � e �-, ram• V Ali" — S '2 ---- VO 4 ' I a ' �igo 12,E :� tb i 9� 1 , f l ( ✓ i t1.1S t t PREPARED FOR IL�r3 sccf ey,, �-- )mowr,cc tcwa; �kr .� - - - r �r c i r- _---= Central Construction. Company, ) n ;- - __ - ✓ ----- - - -- Steve Devlin President f �.f i a 261 uc Bkthm o Drive•'Marstons Mills;MA 02648.508-420-1340 SCALE ------ _,_ a DATE DWG 'NO. — -- 1 — _—_.:.� SIGN j s 2til—i A')CHECK DRAWN, JOB NO. SHEET OF Ilk .. .. ... .. PROJECT TITLE: . q ZQ � z`-fly- i El y 1 1 e Va. PREPARED FOR : 16 ?sF � V-,V') i J Central Construction Company, Ii Steve Devlin •President 261 Blackthorn.Drive•Marstons Milk,MA 02648.508-420-1340 r • -- . , f o- k — �� r DATE x W G NOR / DES - i , § - x M OF LL �� '• x + r J TITLE PROJECT 0 r — i s e . i _ — i s i + a S: I ,l i. . - t • J4 #{ jjp { { i r F7:_ PARRE ED OR R -f E r. - �.- S�.•fit' j n t • ,: ; I f w C ; t al Construction Company, h _ F Steve Devlin •President 1 Blackthorn# ;.. ac orn Drive•Marston Mills,MA 02648 508-420-1340 h . � SCAL-E IL( t� 1,� d DATE m: r `.F.� DW'G NQ: z QEStGNk -� 77 DRAWN,." ---_ JOB NO ;� SHEET OF PROJECT w L L � RO TsT • a dio 6 CC64 d� ° sc;L` fir- f^ r t 3c 17-0 g , t a 1 1" ti ti Z - ' t PREPARED FOR. pfnYL w 1?-A.€ I l •a Z .. !7 i /A d F"cf c E <"f a 3� OrLEd �xESif SG � l �trfi� o'.. �' rz � . 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