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HomeMy WebLinkAbout0102 WATERFORD DRIVE - Health I_ 102 WATERFORD DR66of-�COTUIT I A=056 y Y TOWN OF BARNSTABLE LOCAIMN 101 W NTH P4,01 Iro'- SEWAGE # It VILLAG JAM510^S &�NAS ASSESSOR'S MAP&LOT45G•Doa- xa.b INSTALLER'S NAME&PHONE NO. 32e&:6 — SEPTIC TANK CAPACITY %5M QM L LEACE NG FACI UIM (type) 4 1+i n :6AM&¢¢5 (size) NO.OF BEDROOMSi� BU''�:..DER OR OWNER ✓S! J!' ,+�GrC. S PERMITDATE: 7 -2 $-9 COMPLIANCE DATE: Separation Distance Between the: " Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 4 Feet Private Water Supply Well and Leaching Facility (If any wells exist r 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) 1d" Feet Furnished by 3 31 23 5 20Z 43 R - J f+ No. �'� ! Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Rpprication for 30igozal 6p5tem Con6truction Permit Application for a Permit to Construct( Ll)Repair( )Upgrade( )Abandon( ) []Complete System ❑Individual Components Location Address or Lot No.,tt!®d, 61//477-F_Ip Fje,6 /2- Owner's Name,Address and Tel.No. -7-)/— [OLIO �o7-vfr 6AY5/DF_ t3L4C, IAIC Assessor's Map/Parcel 6 P d 0R o X ZZ O Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. `? <5'—Q 73.E J 6r. D 16/AND 1J FC0 GvaL -le4 � f�550G gdLy -3® 8 T Type of Building: 3..IF3 Dwelling No.of Bedrooms 3 Lot Size Lt*jjjW sq.ft. Garbage Grinder(A10 Other Type of Building(,!/W{311 FRfF E No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow (060 gallons per day. Calculated daily flow 330 gallons. Plan Date Number of sheets Revision Date Title _ Size of Septic Tank 5 Type of S.A.S. -Q 1" Description of Soil GAS�C Gtiv� 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 unti a Certifi- cate of Compliance has been issu B d of Health. Signed Date Application Approved Date Application Disapproved for the following reasons Permit No. Date Issued 0011 No. - �' / # Fee ,a • _ i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: t _ - Yes ` PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEs MASSACHUSETTS 01pprication for Migonl &potent Construction Permit Application for a Permit to Construct(V Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot.No.*/Qa U1fi T>r ll2 F®eb -Ag• Owner's Name,Address and Tel.No. -7 7 1.- J 0`/U L o 7 U 11- Assessor's Map/Parcel ._>° 6 607 X Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. -7_7 S—J 7 3 S J 0,6_' D G 14No -- -b FCa Gt/ GC ss©G yak 3o k5, Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder(A14 Other Type of Buildin -),p F/11 mg No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 66 o gallons per day. Calculated daily flow 3 0 gallons. Plan Date '5Z2 &7 Number of sheets Revision Date Title Size of Septic Tank 1 7 Type of S.A.S6Q Description of SoilAG Gt t T t Nature of Repairs or Alterations(Answer when applicable) . Date last inspected: f Agreement: t 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 's B d of Health. Signed Date f Ap Application Approved& Date Application Disapproved for the following reasons Permit No. '' Date Issued - ——————— ——— _ — THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed (+/ )Repaired ( " )Upgraded( ) Abandoned( )by 0,045 D 16 101 A1U at 10 ,2, / 2 U 1 U . tJ _r has been constructed in accordance with the provisions of Title 5 and the for Disposal.System Construction Permit N A dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will.function as designed. Date R 13 a- El "1 Inspector No. ———————————— ———————— ---Fee i THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS lwigogar pgten Congtructto n Permit Permission is hereby grantedto Construct �)Re air Upgrade Abandon ( ) System located at /01 WADER F(Jel) _bIL. C 6TU 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:Construction must be completed within three years of the date of this permit. Date: Approved by TOWN OF BARNSTABLE LOCATION (b2 W��ceti�oa4� ��. SEWAGE'# VILLAGE M�2d S'LnS ih�Al5 ASSESSOR'S MAP& LOTOS6•40a- .� r INSTALLER'S NAME&PHONE NO. 3�Ekb SEPTIC TANK CAPACITY LEACHING FACILTI'Y: (type) 6fn�nE3tt25 (size) ,E'!C Z NO.OF BEDROOMS__ BUILDER OR OWNERS✓Slcl PERMTTDATE: 7 .2 $-9? COMPLIANCE DATE: Separation Distance Between the: .Maximum Adjusted Groundwater Table and Bottom of Leaching FacilityL Feet - 'Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) N A Feet Edge of Wetland and Leaching Facility(If any wetlands exist :. within 300 feet of leaching facility) Feet Furnished by ..,t I W � Z ( ZZ Z z3 .5 3Z y3 �ENERGY.CONSERVATION APPLIC ATION.FORM FOR LOW-RIS E RESIDENTIAL NE W CONSTRUCTION and 780 CMR Ap ADDITIONS pendix J (effective 3/I/98) Applicant Warne: Applicant Address: Site Address: C i ty/To wn: Use Group: Applicant Phone: Date of Application: Compliance Pach (check one): Applicant Signarure: ❑ Prescriptive Package (Limited to I- or.2-family K.-ood frame buildiaes h Package (A through g eatzd Kith fossil fuels only) KK from Table 15,2.1b):— Heating Degree Days (�p6S) from Table 15.2.(a: (For item; d. through i., fill in al( values that apply from Table 15.2.(b:) a. Gross Wall Area b. Gla7"cngArea l ----sq.ft F. wal(R-value � sq F C. G(azin % (I00 x b =a) % Floor R-value g d. Gla h. Basement wall R- . zing U-value U- e. Ceiling R-value i. Slab Perimeter R- � r j. heating AFUE ❑ Component Performance: °=ti ��n �— t Iual Trade-Ofi (Limited to wood or metal framed buildiags only) Climate Zone (from Fi Ure 15._._ � � �)A ❑ Zone 12 ❑ Zone I ❑ Zone lre�a :�ach -Or.3�or'�c�e�, fron Appendix 1 [and /aC Zrac!e-Off�iornsheet ifappficab(e ❑ are A:'ach Corrplience Report and Inspection Checklist printouts. Systems Analysis OR ❑ Rene-wable Energ-y*Sources A«ach c%ias; Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross W"aj( =Ceiling Area _-_____sq.F. b. Glazing Area' s ft. c. a ❑ ADDITIO-i�ivitb GlaziaQ ° — q Glazing /a (too x b=a) 5/0 (c-) up to 40 /° nay use 780 Ci�CR Table I[.1.2.3.I below: lL�XI:l[lilI U-value Fenestration INE"I'I:tifUM R-Values Ceiling Walt Floor Basement watt Slab Perimeter, Depth❑ "SU`,-ROOt1�I„ addition o ° rt (greater than 40/° glazing-to-wall and ceiling gross area) Attach "Consumer Informacion Form" from 780 CNLR Appendix B. Official's Nanie: Official's Signature: Application ' Approved Denied ❑ Dace__o f ApprovaUDenial: Reasons) for Denial: (.provide additional.details as needed on back side) " Glazing Area k " tna be etthe�Roug Y. -h Open' g- ,,� -,, p atng or nit dimensiocis: BSM 06/I2/93 r �� J� 4� TEST HOLE LOG (02 DATE: S -.T. Jt.l9 -. .' � �4• f SOIL EVALUATOR: WITNESS a./.. £�cdtiivi.��r PERC RATE ----- :_z . i71 s4��ivsy F y3 ss� jo v !31 S3• ev DESIGN DATA { 4! D N s�� DAILY FLOW:(3)BDRMS.z 110 GPD- 33aGPD SEPTIC TANK: 336 GPDz200%- 4-&-'o' GPD �Z/ �NE�c b� USE:/Soa GALLON PRECAST SEPTIC TANK S'" I LEACHING FACILITY: y� USE: 3x 8;5',YZ�" S'oo c. -Q? cJGGS V � V CAPACITY: ti �2 SIDEWALLt-.�6 X Z:gyp, I 7 /ZS BOTTOM: - j TOTAL: 10A ' po � Gam✓ � yX i» , s Z.25 0��11 J• DANIEL E fq�yG "�`,rt nxd BRAMAN.'F t , F",�— '•x - y �:s m � °:� a. �s r t. ,�,r�r� �t� Gii;, 7fNo ti.-ej w 4�"i t,, i. 001 +' NOTES: RULICA 1. ALL PIPE TO BE 4"DIA.SCH 40 PVC. 2. PIPE TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION o f BOX. 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN _ 'J ct 6"OF FINISH GRADE. 5 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL. S. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED r , ON A 6"LAYER OF STONE. 6. INSTALL GAS BAFFLE IN OUTLET TEL r LAYER OF Sr FEASTONE OVER YV-1 UZ'WASFMD STONE ALL AROUND TOP OF FOUND. i c @ EL 6,6Q low 14' r ,t. •} (PD. ..- 4l Sc S 9 SEPTIC SYSTEM PROFILE r✓Vl Al, 17- 6 E i h S xYIK f� k K.7 . yf SITE SEWAGE PLAN GENERAL NOTES FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL MUM ABOVE AND UNDERGROUND,PRIOR 9_ dt//.�TF2fo.P�pjZ,�e wTv r TO ANY EXCAVATION OR CONSTRucn0N. __,_ _. L SEPTIC SYSTEM TO BE INSTALLED IN COWLIANC6 WITH M ' PREPARED FOR 310 CMR 1s 00:TITLE V. , t 3 3. =KM IS NOT TO BE USED FOBMPBRIY �f DSfEiiATIO% m TO � w. � ALL DISTIIBSED AREAS LOANED AND ����'`�•„,r �,* SCAM ��J1 J ., SCALE. .-I _.__. r.�. :-,R r• sr u' ^.r.r L CONTRACTOR TO PROVIDE U HOUR NOTICE FOR ANY y u � rx��r 3 7F , c✓ REQUIRED WSPECTIONS. t t,r w. . r�}�gsx°� ri�.��•i 5;�� Y r v 1" e � s i 3^=.s. �4 fi�;,' ��- »�, x zf,skt�rb air rty,h� -: 7 � .�r f.� � F � • r. `L r' - r .rs n f T� g c he�4N S� f'k'Ci5 ( 4r � 1 - Y 4' kr F •��� �i �'�� N� .. '�"" �` ..���.'1�'�'�,rC�^,�,.P�`'v.ti -' '` ` a ,,•go- `t• °5 'k' ,� .� # 1{� ���P�� }��t � WELLED & ASSOCIATES i Ty A u 1645 FALMOM RO" CEMRVH Uq MA. 02632 (508)775.0735 FAX: (SOS)77S-07S4 APPROVED BY$ .�. �7 ''5 TEST HOLE LOG ' DATE: !oy SOIL EVALUATOR.- WITNESS: :✓..._ �avv�.a :_::__. __ ._. ti PERC RATE 5.- f , , i, O� / � S�SSD/G. �O�S •1 � v r, Y !j, �3•v to ivy � r „Q 0— DESIGN DATA 41 N S�� DAILY FLOW:(3)BDRMS.z 110 GPD- .33oGPD pl �i�os� 3 SEPTIC TANK: 336 GPD z 200%s 4--1-'0 "GPD' USE:/Soa GALLON PRECAST SEPTIC TANK LEACHING FACILITY: _3'KB;S'.YZ� S'o c. ;O2`c.7GCS USE: - C CAPACITY: : . • ti N�� .., r2�. r " _ t SIDEWALL::./6 I BOTTOM:... /3;w ZS -- 41 TOTAL: ell .,h. 1? �a /o oDA , v✓ . _ y �+ "vmlollkvVIEWN °t � BRAyFMAN yG� i ,J re RUti4L NOTES: �� 1. ALL PIPE TO BE 4"DIA.SCH 40 PVC 2. PIPE TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION o E 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6"OF FINISH GRADE. 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL S. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6"LAYER OF STONE. 6. INSTALL GAS BAFFLE IN OUTLET TEL _•LAYER OP Yr PEASTONE OVER 39••1 ut•wAMD STONE ALL AROOND TOP OF FOUND. t. ., all o o�•B3 �=�--` `a�-`� S s0 GZ '' SEPTIC SYSTEM PROFILE M V 5-6 3 s td F [S GExERA1,xoTEs SITE - SEWAGE PLAN • FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL UTIIJ3=ABOVE AND UNDERGROUND,PRIOR TO ANY EXCAVATION OR CONSTRUCTION. _-:. . 4 3 2 Y2 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLUNCE WITH PREPARED FOR 310 CUR IS 0.TITLE V. TO PLiW 18 NOT TO U UM FOR PR =ff 14$ DErER11BNATION. { � 0 4.ALL D AREAS TO BD►' 4 `{' Ib'PUR$ED LOANED AND 8�D TE. `lvvE Z.l99, SCALE. ._/__- Qw... _. S CONTRACTOR TOPROVIDE24HOURNOTICEFORAM REQUIREDDYSPECPIONS. '' f+ f- ,,�� S i .77:y,� r y r r s yt-. :"%♦ :, y * y -"3, `��'lte Li vi ` VVELTJER & ASSOCIATES X 2 "S FALMOUTH ROAD CEN TE1V RVIIIA MA. 02632 LtwTZ k�(51/0)7754735 FMi (. 77 /.T J'V t s,t APPROVED BY: f ;