HomeMy WebLinkAbout0068 WATERFORD DRIVE - Health 68 Waterford Drive
056-002-X:3-n— Cotuit
/^(z TOWN OF BARNSTABLE _
LOCATION (�� ( Ck7V-e J SEWAGE#��`✓�S P
VILLAGE. \'M! SSSESSOR'S 4P�&PARCEL
'S NAME&PHONE NO.' k2,a(- L
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) , (size) �.
NO.OF BED OOMS
OWNER Mnolft—
PERMIT DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility (�� `r 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
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TOWN OF BARNSTABLE
L 3iCATION ZI UVr,. ,! �v�(<, �:lv� SEWAGE # �' 730
VILLAGE ASSESSOR'S MAP LOT
k4NSTALLER'S NAME & PHONE NO, logo
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%SEPTIC TANK CAPACITY l
N LF.ACIIING FACILITY:(type) z- �<<� �^ _p _�s—_— (size) ll a%5
�NO. OF BEDROOMS PRIVATE WELL O P6BLIC WATER
q
v BUIL DER OR OWNER
DATE PERMIT ISSUED: �- / y C�q
DATE COLIPLIANCE ISSUED:
VARIANCE GRANTED: Yes
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THE COMMONWEALTH OF MASSACHUSETTS
Lj
�1 BO,�.R D F HEAL/��.OF...._L��Z) �?,ate.. ....... 6 �� - 3
3
pplirtt#inn for Disposal Works Ton#rudion 11rrnti#
Application is hereb made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at_-___.._ . ....., = • •..V -Gv. ..... .d�"``�✓. =---------------------».»....---
Lmat' A -ess o Lot No.
».............._.._.—_ .. .. G1' ..................... •..... -. Address »......................»...».»........
a ................................................ - -- ...f
.................. .........M- --------- .._...--------..----- ............... I�
Installer Address l�
Type of Building Size Lot..�'(� #. .. feet
U Dwelling—No. of Bedrooms............ ........................Expansion Attic ( ) Garbage Grinder ( )
U
N Other—T of Building No. of persons............................ Showers — Cafeteria
a' Othe fi tures ........................
--- - - ----------------
W
Design Flow......... ... ...�_....... _ .. ,gallons per p�fn per day. Total daily flow..._.. gallons.
WSeptic Tank—Liquid capacity gallons Length................ Width:....;.......... Diam er...-_........... Depth................
x Disposal Trench—. o..................... Width.................... Total Length................_,Total leaching area............q�. ft.
3 Seepage Pit No.......r 1....... Diameter......I ... Depth b ow inlet.._.�a1..1�... Total leaching area .1...sq. ft.
Z Percolation Test Result Performed by....... ....>...l�.. .. s(............. Date...... _ .�. .�� ...
Other Distribution box Dosing / / r
Test Pit No. I........... inutes per inch Depth Test Pit.. ._. ... Depth to ground water. /ll.0...
a L��. p p � �-� eP gr
Lz+ Test Pit No. 2................minutes per inch Depth f Test Pit.................... Depth to ground water.............
a .. • .
O Description of Soil........ .. _.... .
V ......................
............... ...........•--•----•----.....------•--•------••-----------------•-------------------
-..........
----..-----------
-...........
--.-......
.. -- ........
•----•---
W ..........................................••-•--•-•-•---•-•--•------••--••--•....-•----.........................----••----••......----------..........-•••-...........-•-•.........-•-..................
UNature 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 LI'TL, 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 by the boar f health.
Signed......... ............. .�1 ..3..� .`f
Date
Application Approved By............
U - Date
Application Disapproved for the following reasons:..........................................................................................................
.....-•....................•------------............-•°•--...........--••-----......--•----•----.....--..............---...-•---.....----.........-----........-----•--.........------...................._
Permit No....---- .......................` /`�� Issued_.....................................................
-- -- Daft
»
Daft
I
fX
THE COMMONWEALTH OF MASSACHUSETTS
BOARD ,2 F HEALTH
..... . . ....................OF................. 1 L`..........................._............................... .J
�,\Tp Apparatiun for Dhipaiittl WorksZontitrurtion rrrutit
Application is hereby made for a Permit to Construct for Repair ( •1 an Individual Sewage Disposal
System at_...._..... - ...._....,- .�!......... � �-ri.��.4.!
s✓
...•. ••---•-- .. �f.....••--•........................
Location-Ad)5s� � r Lot No.
.............._.._•..._._..._.. .....O`wnerg/_ ..................................... ............- .... . Address.... .........._.........._..... ;
,w� ----•....--•••._...---•••--••-...cJU.....' ...................• .m� ..............
Installer / Address
Type of Building /_fi Size Lot.. 1a, q. feet _
U DwellingNo. of Bedrooms..............................................Ex Expansion Attic 0-4 — p ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
QOther fixtures -----------••. .-------•-•.......---•------•---------------•--- ...............................
Design Flow..........;J..�.. .............�._..gallons per pe�.on per day. Total daily flow..._.. 0 Ions.
W f
WSeptic Tank—Liquid capacity,J_ gallons Length________________ Width................ %ame er:. ............. Depth................
xDisposal Trench—. o..................... Width.................... Total Length................__Total leaching area.................aesq. ft.
3 Seepage Pit No.-----. --------- Diameter......yr'.j ... Depth below inlet.....!..._. Total leaching area."2.. .. sq. ft.
Z Other Distribution box ( Dosing to ( )
Percolation Test Result Performed by..- j? f
1.7 .. '- •.'.--F r• liter :: .......( .--- Date.. ` 3
�-r � ��
a Test Pit No. 1..___..._��,.._.minutes per inch Depth of Test Pit4 .L.7�-r.�_ Depth to ground water.,�l��l�l1~..........
f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Description of Soil........ - •••--...•••-••-•-...----•---•----•.....................••---•--------....._.....•--•.....-----••-•-•••...........---••--•
� --
w
.._.... J--- _...........................................................-----------
UNature of Repairs or Alterations—Answer when applica.ble................................................................................................
...•-•••.......---•
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITL: 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 by the board of health. II
y Signed.......... •. •• ....... �l!... -�./ •l�
. •--• ------... - U
f� y�7 Date
Application .Approved By............. `.1.... .....................................----....._...-- ....................1_.�._.-..1_ ...�-.51
yJ V Date
Application Disapproved for the following reasons:............................................................................................................
......--••--....•....................•--•-••-•--......------..........---.......-•------............-•--•---......-•-----------•--•-------•-----------•----------------•-•---•••-----•-•..............
1 7 Jo f Date
Permit°No.....>.... .. _. . Issued........................................................
_ Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH�j
......(�.../ G1 fiT.,:........OF.................... �:1,10.4 (......................
Tnrtif iratr of Tuutphattrr
THIS IS TO CERTIFY, That the.Ind:vidual Sewage Disposal System constructed ( ) or Repaired ( )
by..................... ...--.-•-... ...._..- ._.. . ..•• ...... . !.... --••-•-•••-.--_. .. . .... , --
IN
at........................ ® ...1..----•--- ...: ".__ _...' ----•--------••-----......---................................-•---•.
application for Disposal�osal Works Construction Permit �o.__....,,_ � � e State Sanitary Code as described in the
has Installed n accordance with the provisions of T1TI,�,�, -`�of��) dated....................... ........................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. ������,�,/ ,.� �,,.����-
DATE...... -•••-••--••-• -_....••-•-...._.... Inspector -''tG
._.._._.__._.- -...,-- - --------------- -----------• _�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
• No. I ...�.__)� ..... �.......................... ........................................................... FEE ..........
Disposal Works Tunutrurtiun rrrutit
Permissionis hereby granted............. ........ .. .............•.......-----............•---•-•-•--•......-•....--•-......--......
to Construct (><) or Repair ( ) an Individual Sewage Disposal System
at No................1- ^='7-•---- r t `� ,`"-' ,. �' �^
�-
Street ��—.�
as shown on the application for Disposal Works Construction Pe- it No..�l'� e)_ Dated. -------------
.
L'oa d of Health
DATE........................----•••--•.............--,---------•--------------------
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BUILDER « DATE REVISION DRAWN B7 PAGE SCALE
KENDALL t WELGN JOB ADDRESS 68 WATERFORD DRIVE DESIGN EXTENSION OF EXISTING GARAGE PLUS OFFICE ABOVE 08-03-2005 I Ug _ 1/4". 1'-0° JB DesgnS
GOTUIT MA, i
N : 1 PIERCHAK OF DRAWINGS LEAVES PURCHASER RESPONSIBLE FOR COMPLIANCE WITH ALL 2 EXACT SIZE AND REINFORCEMENT OF ALL CONCRETE FOOTINGS 3 ALL FOOTINGS SNALL EXTEND BELOW FROSTIAE VERIFY DEPTH. gOB138.083D
LOCAL BAUD'.CODES AND ORDINANCES.J B DESIGNS KAY NOT BE HELD RE8PON5®d.E MUST BE DETERMINED BY LOCAL EM CONDITIONS AND ACCEPTABLE 4 VERIFY STRUCTURAL ELEMENTS FOR DESIGN I S� WEST BARNSU.MA,026"
FOR NTE CONDMONS OR FOR THE 114E OF THESE DRAWINGS DURING CONSTRUCTION_ PRACTICES OF CONSTRUCTION,VERIFY DF_SIGN WITH LOCAL ENGINEER- NTH LOCAL ENGINEER AND BUILDING ON9CIALS.
9RD•.O IS•OL.
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BUILDER DATE REVISION DRAWN BY PAGE SCALE
KENDALL 1 WELCH JOB ADDRESS 68 WATERFORD DRIVE DESIGN EXTENSION OF EXISTING GARAGE PLUS OFFICE ABOVE 05-03-2005 1 JB M aOF Z 1/4". f-0a
COTUIT MA. . ... ....
N PURCHASE OF DRAWINGS LEAVES PIRCNASER RESPONSIBLE FOR COMPLWNCE OATH ALL l EXACT SEE AND REINFORCEMENT OF ALL CONCRETE FOOTINGS 9 ALL FOOTNGS SHALL fD(TEND BELOW 14t087LINE VHiFT DEPTH. 6oS13Ta•oa"
LOCAL BULLDING CODES AND ORDNANCEB.J B DESIGNS MAY NOT BE HELD RESPONSIBLE MUST BE DETERMINED BY LOCAL SOLL CONDITIONS AND ACCEPTABLE {VER,PY STRUCTURAL ELEMENTS=DESIGN L SUE WEST BARNSTABLE MA.O2b"
FOR SITE CONDniONs OR FOR THE USE OF THESE DRAWINGS DMD40 CONSTRUCTION, PRACTICES OF CONSTRUCTION,VERIFY DESIGN WITH LOCAL ENGIM ER. UNTN LOCAL ENGINEER AND HUaDSIG OFFICIALS.
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PATE REVISION DRAWN BY PAGE SCALE JB DBsgnS
BUILDER KENDALL<WELGI 1 �ADDRESS= 68 WATERFORD DRIVE DESIGN EXTENSION OF EXISTING GARAGE PLUS OFFICE ABOVE OS-03-2005 JB x 3 of 1/4°=
GOTUIt MA. eoellTsoslo
NOTE: 1 PURCHASE OF DRAGA11G01 ceV EA PURuueER REBPONS BLE FOR COMPLIANCE auTN ALL =EXACT e�AND RESffORCEMENT OF ALL CONCRETE FOOTW.6 I ALL TOOT N6B SHALL EXTEND BBPU FROSTIAiE vER FT DEI 7N.
LOCAL BUIDMG GODEB AND ORDINANCH.J B DE&GN8 MAY NOT BE IUD RESPONSIBLE MIST BE DETERMINED BY LOCAL SOd CONDITIONS AND ACGB-TABLE VERffY STRUCTURAL ELEMENI9 FOR DESIbN N SISE UIEST BARNSTABLE MA.OI06B
FOR SfiE CONDITIO OR FOR 7NE USE OF THESE DRAUIINGS DURUIG CONSTRUCTION. PRACTGEB OF GOIffiTRUCTION.V ER1Flf DESiGlN USTN IDCAL ENGPEER. WI7N LOCAL EN61tJffR A1ID BUUDIIG OFRCIALS.
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