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HomeMy WebLinkAbout0176 SHELL LANE - Health 176 Shell Lane Cotuit ' f 1 i, v No. .,. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS \�1 Rpprication for �igogal *patent Cow5truction Permit 1 / Application for a Permit to Construct(/Repair( )Upgrade( )Abandon( ) vIcomplete System ❑Individual Components Location Address or Lot No. 4&• COT(J IT' Owner's Name,Address and Tel.No. g�s^ g 79;Z3 Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 795 Type of Building: ! Dwelling No.of Bedrooms Lot Size (ma.W7 sq.ft. Garbage Grinder evo) Other Type of Building UVAb e?V07/{ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow .S 50 gallons per day. Calculated daily flow 45s6 4°',F gallons. Plan Date 5— Number of sheets I Revision Date Title 5C7'/_'7-c5FW AW P Lt91✓ •— 176 51 "j. C071J f 1- Size of Septic Tank /sop 64 WA Type of S.A.S. Description of Soil a-5 peIP P(_9 o-j 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 u;nti/lertifi- cate of Compliance has been issued this Board of He l ® 6 Sign Date Application Approved by Date Application DisapprovedForthe following r s ns Permit No. i Date Issued No. Fee " - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION --TOWN OF BARNSTABLEs MASSACHUSETTS 1 2ppYication for Migpogar *pgtem Congtruction Permit Application for a Permit to Construct(VI) ( )Upgrade( )Abandon( ) 12 Complete System ❑Individual Components Location Address or Lot No.1174 -51IF-1-6 t CDTO/7- Owner's Name,Address and Tel.No. ^ q fj S' q 7023 Assessor's MapNarcel Installer's Name,Address,and Tel.No. _., Designer's Name,Address and Tel.No. 795 --O f1 3!r Type of Building: `� Dwelling No.of Bedrooms '`� Lot Size sq.ft. Garbage Grinder(V()) Other Type of Building4WW> /01 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design:Flow r sU gallons per day. Calculated daily flow -> 6 r'o- gallons. Plan Date`` 0`i Number of sheets Revision Date Title 5rr; -r SF6VA6F ALMA-1 — 171a 697d 1 r } /Size/of Septic Tank /5�7v r,q LW& Type of S.A.S. Description of Soil At 101FIR 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 Certifi- cate of Compliance has been issued y this Board of Health / 7 D U Signed Date Application Approved by v v Date Application Disapproved for the following r asons Permit No. y '' Date Issued —————— ————`——————---———————— ————THE COMMONWEALTH OF MASSACHUSETTS "°BARNSTABLE, MASSACHUSETTS , Certif irate of C.ompliauce THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed/'Repaired ( )Upgraded( ) Abandoned( )by 7*1i_FF�- at J?� 5 H IF Lt-- LN- C O?U( T haW, �,eS constructed in ccordance with the provisions of Title 5 an the for Disposal System Construction Permit No. ated C c r_ Installer /V�"�Lpin4 Designer The issuance of this peryfit shall 'of be c nstrued as a guarantee that the system ill f ne 'art as designed. Date Inspector Inspector No. /� �1 1 ——— Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS Oigpogaf *pgtem Construction Permit Permission is hereby granted to Construct( 0Repair( )Upgrade( )Abandon( ) System located at /7(e S fr61 C LV• CO T U IT 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: Cons ctio mus be completed within three years of the date of it1S�erm't Date: Approved b t ) / / - PP Y / JAN-23-203E 16:41 Fr om;N RTHEPN PAUMG 5083940955 To:'-0877513754 P.1/3 JR4.19.2006 I,-00PM - AAR%TABLE BOARD OF HEALTH NO•B11 P,1/1 Town of Varnstable Regulatory services ihoum F.®con,Recur Public Divistou Than Xcl Rnt DIT809'r zoo mad►fts#4 j MA 02601 r ,,.506-662,46-14 P"c 109-790.6304 x � Ottjoin. � Data: G r- --u m ar. ry ,/ Addr'Nle "ptio rot=at '7 Ja s..: ZVv e0 Tyr; .r b od 0v a de6gn drawn by ydJJJbt 1�'de. M RB.wl� W4G4I�+o.0 ±J"i���/. di , Q ®Jr- r oau0t'� cas31y thgt tt saptio qgt= rgfamad above Vu latekd substautl % Woordin t0 tlw dl@6 Bch may include�approved " h N Waaloceti00.0 �® dim `ibo.box AtAil Updo I c that the saps a reftmood above 'wren irsaMllcd with M or obimscs (ioae smator t 14' tataral t afta of ft SAS ®r any Verdcal relocation 0 My WMPOAMI ob Uw®aptly a )but In sizordawe with 9tata&14c81 Plan r0vika;0x Coed u-bW11 by"per to Wow. DF��qs p� SqC� DAME E. t U GRAM N (;MIL No. 32686C pOF� GISTS ISTS \ate SS/ NAI E� ` a aCAMF V egiplar, taMp 81$ STAM TOWN OF BARNSTABLE LOCATION -7 b SEWAGE # v 4� VILLAGE d 'y '' ASSESSOR'S MAP & LOT j INSTALLER'S NAME&PHONE NO..�A� �`/'-I ^b /A h'7' '"" SEPTIC TANK CAPACITY i LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: ��7 ZO COMPLIANCE DATE: I L-Zo 0 k, 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 1100 feet of eachi g facility) Feet Furnished by f oo,5u CD IV L�I rtt' fx� C. o • fro LO CAT I N SEWAGE PERMIT NO. VILLAGE e--,<3 ode INSTA LLER'S ME i ADDRESS R U I L D E R ON DOWNER � DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED � I l � FRic $.... ....... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ....... ... .......T own.....op.........jBa. Utje..................................................... Appliratiou for Uifipoiia1 Works Tnnitrurtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: Shell Lane, Cotuite.MA...02635..--•--•----•--•.............. Lot 176------•-•---.....-- ......... .. ... -- ............................... ocation-Address or Lot No. Thomas E. Brew Jr. 14 Pulsifer St.. Newton.._.r?!�._....... „ -••,. ......................-........ ....................................•-----•-------•--•-----... ...------. .--• ...---... Owner Address A & B Cesspool Service 128 Bishops Terraces Hyannis, MA 02601 W Installer Address Type of Building Size Lot............................Sq. feet U Dwelling 1 No. of Bedrooms..................3---_----_--_-_....Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons........................... Showers ( ) — Cafeteria ( ) a Other fixtures ................ ................. W Design Flow...........................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ xDisposal Trench—No..................... Width.................... Total Length.................... Total leaching area-------------------:sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... 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.......................... (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ p4 -•---------------•-------------------••••-----••-••--•......--------------------•--•--•-.....---....:........-----------•-•-------•--•-------•---•-•••-•••--- 0 Description of Soil....S.and.......................................................................................................................................................... . U ---------------- --------------------------------------------------- .------------- •......... .-...----------------------------------------- •------------------------------ .... UNature of Repairs or Alterations—Answer when applicable.-.instal.lat bon..nf..a..-1QDQ..gaUon--orer�tcaSt-. septictank_ and_1 distribution_-box...................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI .` y g g P Y 5 of the State Sanitary Code— The The-undersigned ned further agrees not to lace the system in operation until a Certificate of.Compliance has been issued by the board of health. Si �#L� � t. � fi/13/8C ---- --- « Date Application Approved By------ ... •-•-- ---•----•...................•- ............6/13/aQ--•----•--- Applieation Disapproved for the following reasons:........................................................................ ..................Date Application ---•--•-••---------•---------•---•--------------------------•----•---•---••------•---------••--------------------------------------------------------------------------------------------------......... '/ Date PermitNo.........�97........................................ Issued_...........6/1-�6/Wao........................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tci .....oF......:. a...................................................... Appfi:ration for Dhgp aal Workii Tnntrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at SlAnell a Ce�tult 096 Lot 176 -------••-•° ... ��5.•• --•••-•....... ••--......---?-•-••-••......---••--•-••-• --•-----------------------••............. ocation Address ' or Lot No. T E. v a ik 14 > i;rer St. a et�tem R4 14,................-••---- ------ --- ......._....._....._..........--•._._.... ......................................R �= .....................a........... caner M, Add re • 402601 --, Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.................. ...:_........_.....__.._Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ________________________ No. of persons............ ............. Showers ( ) — Cafeteria ( ) a' Other fixtures w Design Flow__________________ ....s _gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity _._gallons Length________________ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No- ----------- Width.................... Total Length.................... Total leaching area....................sq. ft._ 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 :NTo. 1------ ..____,minutes per inch Depth of Test Pit____________________ Depth to ground water........................ r.X Test Pit No. 2................h inutes per inch Depth of Test Pit____________________ Depth to ground water....................... a . =----•----------•----•-•••-•---••---•---••-•-••-•--.......--••••••--••-•-•---------••-----••-•-••.......•••-•-----•-•--•---••-••----...._. DDescription of Soil.....S ------------------------------------------------•-----------------------------------------•------••--------------•-•-•----.............---- x w UNature of Re airs or Alterations—Answer when applicable_9tfi �tQ►I?T _.�� a 1OQ41.�],� p ,�►d--; Peptic ax ,I c4stribation box. Agreement: The undersigned agrees to •install the aforedescribed Individual Sewage Disposal System in accordance with f'1 '^ - the provisions of T:.T:+'1 LI S.of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of.Compliance has been issued by the board of health. . Signed j_ 6 .. D ; ApplicationApproved BY---•- ......-•----------•-•....•••-•••-•-----------•------••••---------•-•------•--•--••------ ----------6/0..--••-•••• Date Application Disapproved for the following reasons:................................................................................................................ --------••----•-•---••--_.. ----------------••.._.......----------- -_.. * Date F Permit No........ 3 ..•..... .......:........................... Issued........... :bT_ ........................... • F 3• Date THE COMMONWEALTH OF MASSACHUSETTS 'z BOARD OF HEALTH T61M ......O F'........................:..................................................... %Trrfifiratr aaf (.taantlifinnrr TT I I TO C IFY That t Individual Sewage Disposal System constructed ( ) or Repaired (X ) by A fl 0 e. i E-€� ps Te es @..Hy _..I�l►..__02601 -- -•--• ...•. sa � TT�� //�� y� /��q� q►�,,,�I�nst�all - LibO .a ► 0 � +SD6iF:i8ix9 p at.................... ..... . ..........:.... ..... :..........•--- ----- ................-- . has been installed in accordance with the provisions of T. TLE j of The State Sanitary CAe a described in the application for DisposalNVorks Construction Permit No. ._____ _ .____._.__. dated_._. .. ......."_______.___..___._____.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....::.:..:...:. 6/13/80. Inspector......�Pt THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Teas �Q— ...........................................OF........... at4l_e................................................ .( No.......................... FEE................::.:.... 13hilingat Workg Tnnitrnr#ilan ranfit A & 2 Cenral Se"10e t 128 a chops Tee o Hyamis, KA 02601 = Permission is hereby granted----------------------------------•-•--.....--•---------- ------------..........--••---••--•-- --------- ---..........•....._............... to Con (, l or ( an • ual Sewage It's osal S,yst a� r. L. .�. � .e —� ! €18 v. Jr. atNo.-- . •••-- .. •--------------•...----••------•--------------------------------------•-----•----------------------------------•--._........- street Dated 3� as shown on the application for Disposal.Works Construction Per i No.8 '� d__.._._.... 2"05, 6/1 /80 Board of Health DATE = :..............•--------------------..........-•---•..•••••- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - •. awr r-r ra•! •,' a'-Ir ro'-a a-sa o•-s• n'-2' Y_ly `�=1� `� ylhr i cm ou 't DECK 3 ( (c GUEST SUITE (OAK) 2A ® BREAKFAST d No aro I -`•` U �t b air aa5agl ear EBAT31 a < a =tl, T I -,- L1 LV pE (C)l s_ (U as rar �{ ('�0 7.�'WL 1� -A f n 09 GREENED WOOVE elm sw�� o TV b b b 7 t�� c �s�na,�rone 70 c O ' PLUM u M w of LAG eoMsI wLrta U V m�irt �R ria•am TM. 1 �J�J a mw ziq FAMILY RCI l ILnl1 0 - as KITCWEN 11YI sty ew. '_O' L'-3' i'-a• Y :'�.• I �� 3 ' m asm PAN ®-- o a# oer,o ' Q a Zr mo. nl.cwr s GARAGE I a=W+if P=7t 41 CCW sAe { 2A® ® CoAK) i a up !a. P za 2n i I24AN T44 I , i ® � I I I I s T Y41(rl SAO o 3? 14 LIVING ROCM .I -"-m ;LCI4 ifl rsrs Y,r tFOYER aAKX. 16 t sQ airs�•I •;jj � a # &A J � O lY ►u (QI� Z V Z /tau Q /� � a r la -r.a r a' a•-a' 3s e 10 © klu 3'-O' a'-w L'�• djl• 6'-2 I/'2' q'-T 51-2 V2' Y-2' T-a' - ?-lo• 5'-2' r i q31-0' •t ' F1RST PLOOR FLAN SCALE: I/4' P-O'. A\ 1 O �o) d 90) t2'-0• rr-0• I 4'-4• .•/-3' i'-o• � i'-i• -w•-o• i'-i• '`� 8 R-P� °. n o (i Sri e U NJ) G'II a O CO, rit' i a ,i a ra 2v,a 00 '� amrm uQ.,=unG 3s yr aq v4• a � 216 , rr• BEDRCCM /�/� h/ p(c� (2) 7✓4•s 9 V?LVL IWTIJt,,�i Cum) up W-4 V P i'S' T-1• Id-W V RD 1�- M-s•®JNG - W-0 CaUna uTHmRAL CmL?IG ,�, a - - -n � a 2,WIAB MASTER � � MASTER EEDRG2CM � 2� w Lrrc 1 - u[1 CO) c SUITE (� iUK Cu7l��) w urt ni. 9.4 -�' C ME) �/ LS iu 1 u• _ e !'CG 1�2 (OAK) \. - ss 3/4544 9GI - �m c3 2R 3A4'XW I' (2)1 314'x 4 v2•LVL V K-------------- u ® r 2A 5 2a 2A r ® rry 2asa I �► ® Y E±ATI-i ss3 UPMH 2q use ya �OFFICE , o. u 24 l/45M I - i� !GTWT . . 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V-4* � a•.o I _ j I i a a Fvor lob aaa I I I PORCI-4 1 a_ o I j I I I PJ P P 4t w I-. s ur I�Sfs j I Tr j I I I _ COMM oo•Fart eoue / §I .woL I I i d FULL EASE"PENT I Cs) tor LVL s Irr cce+cslere �sorslmo sna•CoNmEre TAD T7T. � sCOL&M M L.VAFae dAMUM POW LaAv wl�mlkr FOmva / 3 GARAGE f It- I • I I � ICI I `< I I b owwms M.MR DO= A I ; I 0!SaO-EF.mnc lMLL s FT �.- ILSUO• �FOOrms I I I r aFTnrr r L\------J ---.� 1 I I I I � r I d I% tr I ` , s•,er Caw ALL I r I --------- I I I I I I o w _ z w�uo ccw.rearma I I I - _ —Is r FI — -- -- — = > I a � Z — — Q I I n I --- I I I rr�+. ; tNo Q I I •Isror. 11 Ls J I I -t W.I-jaws vt I-jonTs I I •woc � •wroc I :. , � 3 J tuW V-o' 24'-0' W-z 1/2' a-T s-s 17 I' I I 1 I o 7'-w 2v�• I neArr Toa�r I I I'' I Q� —————— PGRC!-I ) El a-as MM JOMT b a I" I i e•�-�r aoraers M LL F lo'1[li•aannNUOM FOvrMG ------- ———————————————————— — , 1 ------------------- ��--------- ---- s SHEET" ^! !\Irk n , i•Rl =1 A %I N TEST NODE LOG LOU' N NOTE: EXTEND COVEK5 OF DATE: SEPTEMBER 16, 2005 P- 5 < SEPTIC TANK TO WITHIN cr,00L TEST BY: M. O'LOUGrLIN, CAE © 1 sTRetT G" OF FIN1511 GRADE PIPE TO DE LAID LEVEL WITNESS• BARNSTABLE HEALTH DEFT. -� FOR 2 OUT OF D15TKIL UTION� 2 PERC PATE. < 1�. � rkr GUIMQUI55ff T RD. BOX 2" LAYER OF 3/6" PEA5TONE OVER 3/4" - 1 1/2' DOUBLE SHELL LN. COTUIT 4 SCH 40 PVC PIPE WASHED STONE ALL AROUND 40.0 TEST HOLE # I O" 40.0 TEST HOLE # 2 Olt 1 to BAY Q 0> 9 7 ORGANIC 3u Jam 7 ORGANIC 3" T.O.F. LF LOAMY SAND LOAMY SAND BLUi'Fp z CL TOP (-x EL. 3G.7 NULL LN. oiNrr�. Q Q EL. 4 115 I, w S Ia' 18, -. � u �. 4 . (3) 500 GAL. PRECAST DKY'WLLLS 39.4 IOYRI/3 7" 39.4 IOYRI/3 7ii 37.50 3G.70 DO�-T OM (6,) EL. 34.00 LOAMY SAND LOAMY SAND „tiS oC = - - 37.25 INSTALL GA5 BAFFLE 1 I OYK4/6 I OYR4/6 I O BASLMCNT FLOOR IN OUTLCTTrF--� 3G•87 I. ° o (n EL_. 33.3 37.00 36.00 37•3 32" 37.3 32" I +u- ,., � &' STONE BASE cn 1 500 GALLON PRECAST 5EPTIC TANK � I LOCATION MAP o MEDIUM /6 SAND MEDIUM SAND 2.5Y7/G i I, I I 5EPTIC 5Y5TEM F)KOfILE 29.0 132" 29.0 132" i NO WATER, ENCOUNTLKED I III j' 40 DE51GN DATA DAILY FLOW: (5) BEDROOMS x I 10 GPD = 550 Gi D r 2 � 5ELT1C TANK: 550 GPD x G_00% = I 100 GI'D � ' USF: 1500 GALLON P;;?,[-CAST SEPTIC TANK m D15TKIBUTION BOX: r SOD Lf _ ..•.',.� USE: (4) 5C�D GAL. DR1tiVF!LS LINED w/4' JR,+ n #L42 OF DOUBLF WASHED 5TONE ALL AROUND CAPACITY: 51DEWALL ARC-A: 110 x 2 x 0.74 = I G2.8 GPD `v; ° BOTTOM AREA: 13 x 42 x 0.74 = 404.0 GPD 39.4At 5GG.8 GPD 37.9EXISTING DWELLING �r \ P/QO (TO BE REMOVED) `. pO po 'Z04 . G A=56.G I, T=30.23' -on • ,� >'v LOT5 9 1 Y Gob 17.5 5.7. 5ITE --- SEWAGE PLAN IF LOCATION: 1 7G 5HELL LN., COTUIT, MA CLIENT: BAY5IDE BUILDING, INC. F \ �\ yCALE: DAIS: DRAWN BY: ' �yaz�°FMass i " = 30' 09-08-2005 TMW DANIEL �ctiG JOB NUMBER: E[T R: RFVtSION: 5t1 NUMBER: o STEVE W. c �.,1 , � � E B N DUMB� %� 2 I i o BRAMAN �, 05-052 5P- i579� / /3.70, �' CIVIL N 40 S �� q No. 326 6C WELLER � A550CIATE5 �42 �% �,� Lkf ' s/oNAL EN I G45 FALMOUTH KD., SUITE 4C P.O. BOX 4 1 7 CENTEKVILLE, MA 02G32 2 WINDY WAY,#232 NANTUCKET, MA 02554 ' V TBM = EL. 41 .5 9 - Z a� TEL: (506) 775-0735 fAX: (506) 775 0735 w NAIL SET IN UTILITY POLE EMAIL: tn5wc11crCimcomcast.nct PROFESSIONAL ENGINEERS LAND SURVEYORS