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HomeMy WebLinkAbout0040 GENERAL PATTON DRIVE - Health 40 eri,tal ` ton lDeiv Hyanrns �,, A 292 121 - ------ -- -- -- -- - -- --- -- - - -- —---— - _ - - 4 —77 d - TOWN OF BARNSTABLE L LOCATION ZjD 6kr to E SEWAGE # ;;W3- i 3 Z- VILLAGE byOWW�5 ASSESSOR'S MAP & LOT 2 9z-1 Z1 INSTALLER'S NAME&PHONE NO. Po�*iHSO J S&(Jh-C- 5og- 7-U-87 79 SEPTIC TANK CAPACITY LEACHING FACU.ITY: (type) 2 (size) 13 X2S X Z NO.OF BEDROOMS BUILDER OR OWNER -TVA(LS v+ski S PERMIT DATE: �13 I G? COMPLIANCE DATE: S 17 A- 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 ��--� 1 ��b �; � 1- � � �, �� � �,,, �- c c �_ %� � '` i� � �� � � s } ' ,� No. J�/ Fee 5 0 .0 0 THE COMMONWEA&H OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pplicatian for Otgo0al bpgtem Conotruction Permit Application for a Permit to Construct(,. )Repair( x)Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 40 General Patton Dr Ivars Lietuvietis Assessor's Map/Parcel 2 92-12 Installer's Name Address,and Tel.No. Designer's Name,Address and Tel.No. W. Robinson Septic Sery Darren Meyer P.O. Box 1089 43 Vine St Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder J10) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons.per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil; Install a new Title 5 Septic Nature of lqr py"c%(An"r 15WFP?AcO� 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 thp Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss b d of Her. Signed `/ Date f y Application Approved by 4"j- - Date -W.7- Application Disapproved for the following reasons Permit No. 2003—/3 ) Date Issued ( —3--d 7 E�'!'P!y'f'•.`w .._: -' J a- �. M1.',..�...� �i ': . .. ..- _ .- v-Tt 1y/_T :,ye:LF. - .. r,( • :`,S,:t-.„_..__.. -\. _ q _� .4 ��;1 50.00 r No. "` � Fee u;r "�;y . Entered in computer: THE`COMMONWEAL:T- -MASSACHUSETTS Yes PUBLIC HEALTH DIVISION-7 TOWN OF BARNSTABLE, MASSACHUSE-TTS' 2pplication for �Digozal 60tem Construction Permit Application for a Permit to Construct( )Repair( X)Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. Owner's Name Address and Tel.No. 40 General Patton Dr Ivass tietuvieti-s Assessor's Map/Parcel Installer's Name it. and Tel.No. Designer's Name,Address and Tel.No. W.l . Robinson Septic Sery ' Darren Meyer. ` P.O. BOX 1089 43 Vine St C-ntevii-lueDumbur t�a 461 -585-0293 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft.' Garbage Grinder(no) Other Type of Building. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title _ Size of Septic Tank Type of S.A.S. r Description of Soil ' 4 s Install a new Title 5 Septic Nature of§9Ul!8►ef I.tr*.gs UAnU,LEr)5hepa Date last inspected: j 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 Environmental Code and not to place the system in operation until a Certifi- cate-of Compliance has been issued b 't 'SB,oard of Healtb. Signed i . Date b <J Application Approved by �- Date' ,��—� 3 Application Disapproved for the following reasons Permit No. 2 00 3—13 2 Date Issued Lietuvietis fTHE COMMONWEALTH OF MASSACHUSETTS V ' BARNSTABLE, MASSACHUSETTS --Certificate of Compliance ` X r THIS IS TO CERTIFY that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded Abandoned( )by W.C. Robinson Septic . Service at 4 General Patton Dr Hyannis '....T"' has been constructed in accordance with the provisions of Title 5 and.the for Disposal System Construction Permit No. d 03-13 dated V—3-43 y Installer Designer The issuanc�,o this permit shall not be construed as a guarantee that the systin will nction designed. Date �r Inspector No. 9-ya 3 r3� Fee 50.00 Lietuvietis THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS ig;pogal *pgtem Construction Permit Permission is herebyranted t' o s ct_ R ( X 1 U rade(( Aband ) g �(� N%e�a 1a�tori $ Zve ) 'y(anni . System located at 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 perm it^ 3 Date: `3- Approved by . ITOWN OF BARNSTABLE LOCATION Xf? (F N P. I f7A Trpr� D121 UC SEWAGE # --4003 - i 3 z. VII-CAGE ASSESSOR'S MAP & LOT 2 z-I Z INSTALLER'S NAME&PHONE NO:.-Ro*truSat+J SEfD{k`C- 5d 1F• 77S S7 79 SEPTIC TANK CAPACITY 1 Sor- LEACHING FACILITY: (type) (size) i 3 X 2 S,c Z NO.OF BEDROOMS_ �. j BUILDER OR OWNER -TvAR-5 Vj Chi S PERMIT DATE: Y13 I 0? COMPLIANCE DATE: Separation Distance Between the: IMaximum 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 1 Furnished by I 0117# I ^� .,Page 10 of 11 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1 General Patton Drive,Hyannis I Owner: Lilley Davis Date of Inspection: August 31,2004 SKETCH OF SEWAGE DISPOSAL SYSTEM . Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. i General Patton Drive I I 1 109 . . . Cesspool with three overflows Titlo G I.—P't;— 17-- A/I GMOM 10 ASSESSORS MAP: 2 .,,. TEST HOLD:; LOGS NOTES: PARCEL: VL,,, 7) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH S01 L EVALUATORkr' - r4 M . PUS PLAN, 1995 MASSACHUSETTS TITLE V & TOWN OF FLOOD ZONE: WITNESS : a BOARD OF HEALTH REGULATIONS. REFERENCE: r N- ' l$ DATE: zoo's 2) THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES, PERCOLATION RAT 21►�rn� N SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO p� INSTALLATION. (L,T*L 0 TH- I t, TH-2 3) THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION `7 FL;, 5� SUM ONLY, AND SHALL NOT BE USED FOR PROPERTY LINE - IoyrL.3 DETERMINATION. `pkN+ 4) ALL PIPING TO BE 4" SCHEDULE 40 @ 1/8 "/ FOOT. (UNLESS iDH RsI SPECIFIED OTHERWISE) LOCAT I ON MAP IA S) THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE DISPOSAL. h�.t�tv�1 G 6) SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) C, �� / ?JC- MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON 2, l 6 A BASE OF 6"OF CRUSHED STONE. ! ?� 'F-w5V Gt« /T S To 46 p D Y k's� 1MFiyt. 91 kntb>� -v �. w l50' ri PaoPa l�cl vLiE SEPT I C SYSTEM DES I GN �a• o.,.Y � a _ a . ow a>: FLOW Ei T I MATE -- 3 BEDROOMS AT 110 GAL/DAY/BEDROOM . 330 GAL/DAY l� F&TTON SEPTIC TANK 330GAL/DAY x 2 DAYS 64 GAL ' S�cJ1-,W - Ll•`l!Q`_:_ O -.. USE +�a GALLON SEPTIC TANK,AlEto SOIL A'E SORPT I ON SYSTEM 1 t,� 2 SOd �rct ✓ . &e4*1§7 Ls Act . + / r .,. .�� .... �,. ,.,,....... r.r. ":+'f'� rj—' •'.N►'Ifi c►V l.<�'l +1,ivr'x.lr Fs•" -� XK�11�Lc 1 "I �' SIDE GE AREA: rf 25 2 �-/►3 z x 2. K 0.7 y /f 2. 4�8 �(T A 1 , 1 �7 �� BOTTOM AREA: x �c 4, 7 bar � , 2 S /3 � �p I. �' 9 .� 1 , o �`?., { ► SEPT i C SYSTEM SECTION '330 �0 10 !6 13 ) Cove/ wX►, t 3 Sv i o \ 3% ,' �a s 75-- .�' 37' 36 �, GN f r Gam' v �,e GAL o� �S D-BOX 37, L� i� Z_1' -37 dk°' SEPTIC TANKf-v le 3700 ss 3�"-1��L►� �?OUbi�c 7 i 7T� © SDL 27, SS SITE AND SEWAGE PLAN i (\A OF bfq� LOCATION : !�—o R N HY,4A)AII.5 Alf oR CA - No. 114p o PREPARED FOR : a �FarsYE� M Svc Fare pz� H /l ' Y 0 CL Y DARREN M. MEYER, R.S. SCALE: ?LAN o� 43 VINE STREET w DATE: � Z , j C�i�1►�•''�� N 5���� p��7 �' C�UXBURY MA 02332 w DATE HEALTH AGENT (781) 585-0293 ? � g Z MA�e. n M6