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HomeMy WebLinkAbout1079 MAIN STREET (COTUIT) - Health .,�° �. � ��/ .. - �. 0.3.y � ., � .. 0 y II a � .. TOWN OF BARNSTABLE LC-CATION vh S" � CO k EY SEWAGE # �"a VILLAGE iC 0' } ASSESSOR'S MAP& LOT D3 Ol —V INSTALLER'S NAME&PHONE NO. J ��4'5'r �� � � �f� SEPTIC TANK CAPACITY IM�2f �� LEACHING FACILITY: (type) ,�D�l�3� i (size) NO.OF BEDROOMS BUILDER OR OWNER OW41 z PERMITDATE: COMPLIANCE DATE: 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 leachin facilit _ Feet Furnished by � �:��:T •(0 4 D � q No. 1� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 21ppliratiou for Disposal *pstrm (Construction Permit A Inkor !t oCb ( Repair ) Upgrade( ) Abandon( ) El Complete System ❑Individual Components Location Address or Lot No.� �1/'�', —JVV'f- Owner's Name Address,and Tel.No. may; Assessor's Map/Parcel ,st' ,�� — v 7�✓ ' ce S Installer's Name,Address,and T 1.No. .�, JNvi � '� Designer's Name,Address,and Tel.No. i� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Of Nature of Repairs or Alterations(Answer when applicable) / �N re 7 4 � 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 by this Board of He th. e ��,— e Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. ffZZ Date Issued r _ _ No. s Fee O THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ' PUBLIC HEALTH 'DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ti . -ftPYicatiori for Misposal Opstem Construction i9ermit Appl ation for Permi2to Cons "f( 0 Repair( ) Upgrade( ) Abandon( ) ElComplete System ElIndividual Components Location Address or Lot No. 1 n�i�l" / �rf Owner's Name Address,and Tel.No. �^ Assessor's Map/Parcel Installer's Name,Address,and Tel.No. ,? /S(+f"' e ``" , "�-• {/ � 4 'f,`' Designer's Name Address and Tel.No. ITC /le Cf OI1 1 i r ' rpk�F�", �-,�92 dw►J -�•- � eta-�-r��' - Type of Building: Dwelling No.of Bedrooms PIA Lot Size sq.ft. Garbage Grinder( ) Other Type of Building / / A No.of Persons Showers( ) Cafeteria( .) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S.) Description of Soft t 4 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: s 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 Healthf r, • / S'gned � _. { -� DateP -r /'1 (�l j�fi��^ .. ApplicationAppcove' by f f 4 �� . . .._s Date— Application Disapproved by' Date for the following reasons J Permit No. 80 6 .� C / Date Issued ,:2 >j ------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY--tharthe On-site Sewage Disposal system Coo structe4-,), �}Re aired( ) Upgraded( ) Abandoned( )by / s at y �/ has been construct d.in accord ce " e with the provisions of Title 5 and the for Disposal System Construction Permit No (/dated Installer P'" -- `���4� Designer r= � •. #bedrooms V Approved design -flow _ gpd The issuance of this permit shall not a construed as a guarantee that the system rill function4las desigtted. °^ (J Date � Inspector -------------- -------- - - -- - ----------.- ---------------------------------------------------- ------------- ---- ----- No. 442 fi Fee L THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,•MASSACHUSETTS Misoosal Opstem Construction permit Permission is hereby granted to Construct( ) r. Repair( ) Upgrade( ` ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction mint be eo le d wikhin three years of the date of this permit. s Date / / �C.,! Approved by / � v �v l./ j • , ME Legend 0 Parcels Town Boundary 03 039 #`��036 � Railroad Tracks aR Buildings ( Ce ® Approx.Building 4 I€7 1, I Buildings Painted Lines Parking Lots az, i Paved Unpaved 34 5 Driveways 034013 #1077 #mot 067 034057 Y Paved f M Unpaved 0778 a �? ,:. �•� t '";,._K�:;';:' ` Roads . KI Paved Road Unpaved Road ` Bridge ti ® Paved Median y 034 55 Streams Marsh Water Bodies 019175 � � 0340 t 1 �. ~�• 034055 #52 OaO O �..;:. .1097 dig # 9 t :;:: 4053002 034007 : I' 034054 Map printed on: 1/12/2022 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026oi O 83 167 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 508-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale:1 inch= 83 feet cartographic errors or omissions. gis@town.barnstable.ma.us TOWN OF BARNSTABLE LOC;ATOYN /0�;- l SEWAGE # �' VILLAGE ASSESSOR'S MAP & LOT tJ'-5L/ MINSTALLER'S NAME 6i PHONE NO. � -V 03 SEPTIC TANK CAPACITY_J,d U o LEACHING FACILITY:(type) /, Md (size) f NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COUPLIANCE ISSUED: ` VARIANCE GRANTED: No t� ' -lop y ..9 tar v O/ j o 'r'� • THE COMMONWEALTH OF MASSACHUSETTS A RD F H ........... ...O F.......`..f..... .....`<J./...... ....,.�. .....�......... Appliration for Uh4pasFal Works Tuns, n Min Prrutit Application is hereby madefor a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: a✓c.y� C..=.--.L. --�� .... �. �. -- -------------- -- ------------------------------------ ----------------------------------------- �Lo n dress or Lot No. a ......................... __....___-.___....... ..••_------..... -._------_ .................. -••b". ... ............. - ............................................ .. i .__.__.% A'F't Installer .. / Address Type of Building Size Lot............................Sq. feet Dwelling A!!�'No. of Bedrooms ......................................Expansion Attic ( ) Garbage Grinder ( ) A 4 Other—T e of Building g ............................ No. of persons.............--------------- Showers ( ) — Cafeteria ( ) Q ---a'' Other fixtures ............................................................ ------------------------ --------------------------------•••-•------------••---------- W Design Flow............................................gallons per person per day. Total daily flow_..___.......__............................_gallons. Septic Tank—Liquid capacity 6.6.Pgallons Length................ Width................ Diameter---------------- Depth................ W Disposal Trench—No. .................... Widt . .. Total Length................... Total leaching area....................sq. ft. I Seepage Pit No...../......:...... Diameter.... .......... Depth below inlet... -__-......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.................................................................----•--•-• Date......................................... ,.� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.................... fi Test Pit No. 2................minutes�_, nth of Test Pit.................... Depth to ground water.................__-_._. x -- --------------- ---- ..............-•----......................................................... 0 Description of Soil... ... V .....---•-•-•------•---•-----------••--•-•-------------------------------------------••.......•-----------••-----------------•--------------------•------•------------•--••.............-------••---: W •--------•-------•-•-------------•---•-•---•------•------•-- U Nature of Repairs or Alterations—Answer when applicable__. ....... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of ITI : 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b g_thebrd f ealth. Signed. ......... _.•--- ----------------- Application Approved By------ --. •- ---------------•-- r'--•- ......-........... .............. Date Application Disapproved for the following reasons---- --------------------------=------------------------------•----------------•---------------------........--- -••----•-------------•-------•-------------------•-•----- --•-- •-•--- •---- ........ Permit Permit No.. Issued.......... -- -.............•.Date----- Da 1 A f >' \ rNo " ,. .�. :..-,.. THE COMMONWEALTH OF MASSACHUSETTS .� ,.� A R D P F, H-i A Appliration for Uiipoaal Works Tontrnrtion Vanat Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: . � .... -. f_ !� � wt � f. ••-•-•......••.... -•.....•••--...•-•----•--•..................•..............•-••-•••••-•-•---••.................... Loca o .Address or Lot No. _. .... --....---- t �! caner n, Address v i �r ' ��':......•-------------••-••••....... ..................................�^..............................................................�> •f. u —'c Installer Address dType of Building Size Lot............................Sq. feet Dwelling of Bedrooms.:_......................................Expansion Attic ( ) Garbage Grinder ( ) pal Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) QI Other fixtures ---------------------------••••-- - - -•--- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity/!!€`-Pxallons Length................ Width--_----------- Diameter---------------- Depth................ x Disposal Trench—No..................... Width.r....._.._...... Total Length.......... Total leaching area....................sq. ft. Seepage Pit No...../-------------- Diameter----%d-_.......... Depth below inlet...Ia.............. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-� Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......_................. 0 O x Description of Soil... `l�'��c �: •-r�.......--•...............•--•----------------------------------.---.------ -................................... W ••--••-----•----------------••---••••••••--•-••-•••••-••••••-•--•--•----•-•••---•-••-••---••--•-••.....---- -------- U Nature of Repairs or Alterations—Answer when applicable_. ___ljL._.__� _.___� ±i `�'_:%-�*� -- --------•---------------------------•-----•-------•---------------------------------•-••.......•----•-•••-•--•••---• . ---•----••-••-•-•-•---•-••-••--••----•-----•••••••-----•--•----••---•--•-•----•. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b the b hard of health. Signed_/f• 4i�fi U`� ,',��L: f '� ff�?.. ` ,5; `� 6 .r'...:-Date.. Application Approved By IC �» `�•.!-<✓./?'. i . •..... ................................. � .................. ••. Date Application Disapproved for the following reasons:___,....................... ......•.....................•••............••••..••••••....._.. ._............ :.... J % ��� __ .ij Date Permit No.� --------. � -- Issued. `I{ ------------------------ ._......_..:f r=-------....;_...................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH V tllt ..;,... r ...... ..:.......; .. Trrtifiratr of Tontphattrr THIS t- TO, CERTIFY, That-the Individual Sewage Disposal System constructed ( ) or Repaired ) by-----------------_' .....................� = . - )----- ............................................................................................. t In ' G has been installed in accordance with the provisions of t''( 5 o Y tate Sanitary Cod ,as.desc >be _in the ------------- application for Disposal Works Construction Permit No..__� __; '". "� _, dated_...._- ............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C S UE® AS A RANTEE T AT THE SYSTEM WILL/FUliCTION SATISFACTORY. DATE....... ------------------------------------------------ Inspector.,,_-Inspector.,,_- --------------------- -•------------------•----•----•-------------•---- THE COMMONWEALTH OF MASSACHUSETTS ARDr OF H,EgLTHl ,1� +, r° % , r.........: ..OF......^...._... 1. No�:__.../......I;....__. FEE,..................... Dispin t1 Vorko ollstr it arAft Permission is herebyrante I"" � "` f g �--' _ to Constr ct pajr�( ) an�Indivadualer.�WaeDisposa .Syem � (�..)lor ReTat No.•-••� L ---•---•-•• °i .............. �__r... ...>..__! . ! ---------•-• X_,:r ........ Street as shown on the appcation for Disposal �t'orks ConstructionPer, it No _ ._ �ated_ � / . Board of Health DATE.......-lif_.�j`.------ •--•-•-•--•-••--••--•..............•............ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS l) ; NOTES 1. DATUM IS NAVD88 2. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO ' BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. - 3. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING _ DIGSAFE(1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND &OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. 4. EXISTING SEPTIC LOCATION PER TIE-CARD ON FILE WITH TOWN. /1077B - U61ST " 1 \ EXISTIN \ �j1`POSE LOCUS MAP SEPTIC TANK 5eo ---�s\ / 1f I \\\ / SCALE 1"=2000`t TO BE UNOER \ REPLACED ^^I / I ASSESSORS MAP'.34 PARCEL 14 EXISTING 1989 ^^\�i a / `\ LOCUS ISWITHIN F,EMA FLOOD ZONE X D077A _ TITLE 5 q,fp - \ �3SEbRO0M-\/ \^ pRtTw I (AREA OF MINIMAL FLOOD HAZARD) \, SEPTIC TO - \ REMAIN. 17 ZONING SUMMARY gROPO I \\ ZONING DISTRICT: RF DISTRICT o p11 MIN. LOT SIZE 43,560 S.F. MIN. LOT FRONTAGE 150' _--%r 1a 15at MIN. FRONT SETBACK 30' got wPl { EXIST. DWELL \ ) O E MIN. SIDE SETBACK 15' a a �� MIN. REAR SETBACK 15 L gloat �tti '} (— a7� MAX. BUILDING HEIGHT 30' FNO. PROPOSED a o V I I \a J W _ P GARAGE c ? SITE IS LOCATED WITHIN THE RESOURCE STOCKgD f ,j� —n0 �- Iv o o PROTECTION OVERLAY DISTRICT (� 05 LL µN _ SITE IS LOCATED WITHIN THE AQUIFER PROTECTION OVERLAY DISTRICT SITE iS LOCATED WITHIN THE SALTWATER ESTUARY PROTECTION OVERLAY °RwfWq�M (3 BEDROOMS EXISTING- MAX.) #1089B fD ,Imo, Mry II I \ LAJ NO 5 � EXIST.OWr1t, ! G GWG T #1089A I R i SITE PLAN �v7 OF V8fMAIN STREET 01T 508-362-4541 COTUIT fax 508-362-9880 downcape.com © PREPARED FOR down cape engineering,inc. ANDREW PRCHLIK civt engineers land surveyors . MARCH 22, 2018 939 Moin Street ( Rte 6A) Scale:1"=20' YARMOUTHPORT MA 02675 - 17-386 HISTORIC 0 10 20 30 40 50 FEET - 17-386 PRCHLIK.DWG