HomeMy WebLinkAbout0017 WESTON CIRCLE - Health E
TON�IS
189
TOWN OF 13 NSTABLE
LOCATION -���6�Cs�cCO � SEWAGE tt a20
VILLAGE,- �JkkP-t/S ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO
SEPTIC TANK CAPACITY '�CD SrtZ hCG�_.aO
LEACHING FACILITY: (type) /V L� (size) 1 fib,
NO.OF BEDROOMS
BUILDER OR OWNER
PERMIT DATE: 3 f 2-9/0l COMPLIANCE DATE: s4k DI
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 ODGICY- 9-0T5Qz:6
�n
Ell
L
I�
i
No. 1,9 Fee —50
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
0(pprication for �Digoml �bpgtem Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System ,Individual Components
Location Address or Lot No. 1-7 fA1'��Gwc�,e_ Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
Installar Is Name,Address,an Tel.No. Designer's Name,Address and Tel.No.
% 1\ S Si,
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 0 gallons per day. Calculated daily flow 'l gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Mr noo Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) kl
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 i
Signed Date
Application Approved by 944 Date J
Application Disapproved for the following reasons
Permit No. awl—Mo Date Issued d
--- - - ——— --------------�.------------------
No. L/ Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
0(ppfication for 0i5ppoal bpztem Con.5truction Vermit
Application for a Permit to Construct( )Repair( )Upgrade( � )Abandon( ) ❑Complete System 44ndividual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
Insta s Na Ge,Add Address, No. / C Designer's Name,Address and Tel.No.
% Ar-
1 U J S �SG)is�\•`p�t�y: S ..
' Type of Building: 1
Dwelling No.of Bedrooms Lot Size sq.ft. Garb`age Grinder( )
Other Type of Building _ No.of Persons Y �" Showers( ) Cafeteria( )
Other Fixtures +� ��++
Design Flow gallons per day. Calculated daily flow `7 4-1 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank J�r a S rr'i M c— \naa Type of S.A.S.
Description of Soil VIA Co a r 9 c-Q_
Nature of Repairs or Alterations(Answer when Lay plicable)--r)a St 41 ra
--�r��ti ppm �►�lUt r�
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 isssued_b}�thi -t6f-He4lt
Signed �� ` Date
Application Approved by Date 62
Application Disapproved for the following reasons
Permit No. aco/—M o Date Issued Z d
----------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
' THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded(1/�
Abandoned( )by ., F C
at -P STo C'i rL_ nt 1 C has been constructed in ac ordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. r9�)D 10 dated _-3 2 d
Installer Designer
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date (4)2- 6 1 Inspector \—coal, c t
--------.--------------.------.---.--.---".--
No. nL�� l�Q Fee �-/
THE COMMONWEALTH OF MASSACHUSETTS i
PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS
33t5pool *pgtem Construction :Mermtt
Permission is hereby granted to Construct( )Repair( ._a Upgrade( )Abandon( )
System located at 1 ) (A ]SSG J u r
rr
t—I C.
4
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. �l
Date: Approved by lc_ot.2.vi
r,
1/6/99
NOTICE: This Form Is To Be Used For the Repair Of Failed
filed
Septic Systems Only.
CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL V
WORKS CONSTRUCTION PERNIIT (WITHOUT DESIGNED PLANS)
I, f 0rJL , hereby certify that the application for disposal works
construction permit signed by me dated ���j , concerning the
property located at STON I F G 2GL
w `4w^l .� meets all of the
following criteria:
„ s,
"� This failed system is connected to a residential dwelling only. There are no commercial or business
uses associated with the dwelling.
/The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch.
r/ There are no wetlands within 100 feet of the proposed septic system
There are no private wells within 150 feet of the proposed septic system
i�. There is no increase in flow and/or change in use proposed
There are no variances requested or needed.
./ The bottom of the proposed leaching facility will not be located less than five feet above the maximum
adjusted groundwater table elevation..[Adjust the groundwater table using the Frimptor method when
applicable]
If the S.A.S.will be located with 250 feet of any vegetated wetlands,the bottom of the proposed
leaching fact ty will_
not be located less than fourteen(14)feet above the maximum adjusted
groundwater table elevation,
Please complete the following:
A) Top of Ground Surface.Elevation(using GIS information)
B) G.W. Elevation the MAX. High G.W. Adjustment
DIFFERENCE BETWEEN A and B
SIGNED : DATE.-
[Please Sketch pr os fan of system n bac< .
NOTICE
Based upon the above information, a repair permit will be issued for bedrooms maximum. No
additional bedrooms are authorized in the future without engineered septic system plans.
q:health folder:cert
i
,
m
r � �
o
a
LOCATION I I W A G I PERMIT NO.
VILLAGE
ALIA/I
I N s T A LLER'S NAME i ADDRESS
s
0 U I L D E R OR OWNER
keA
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED ZS
I
• V\O
Npp
�I
V f�
J
coo
a7/
Fx$............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............TOM.................OF..........Barns.table...............................................
Ajipliratiou for Bispaa al Works Tomitrurtbart 1hrmit
Application is hereby made for a Permit to Construct (g ) or Repair ( ) an Individual Sewage Disposal
System at: /
.........Ln t_ .<.t::... '^-.<a �A........ ....................... 77��4 18 .MAr.............................................
Location Address J or Lot No.
.... Ca ric5 Fie. ItaY..�rust •-------_---------- ----7b5---Falmouth..Road,_..Hyannis..........---•--•.
Steve Lebel
Owner Address
w .........................................
Installer Address q
U Type of BuildingExpansion Attic g ( )
Dwelling p ( ) Size Lot.-Garba e Grinder feet
Other Type Building ranCh------------ No. of persons............................ Showers 2 —
PLO YP P ( ) Cafeteria
d Other fixtures ......................... ------------
Design Flow............. ..........................gallons per person per day. Total daily flow............._
gallons.30
WSeptic Tank—Liquid capacity 000._.gallons Length8-__6......... Wldth_4..1.A .__.. Diameter................ Depth. '_�'_'.._-
p Disoral Trench—No. ................._.. Width.................... Total Length................_... Total leaching area................____sq. ft.
x
Seepage Pit No.-_-1_-------------- Diameter.._j6.............. Depth below inlet_.4!............ Total leaching area....2-66-----sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
"" Percolation Test Results Performed by----Eldredg@-.En insert-insert Date_il_2.XJ_4I................
4 Test Pit No. 1<..2...Q._minutes per inch Depth of Test Pit___-1-2.L_....... Depth to ground waters-0-M----enoounte —.
f=, Test Pit No. 2---I/.A.....minutes per inch Depth of Test Pit�A........... Depth to ground water_-_ e_____________ @
.•--•---•---••-•----•-•--••-••••••••-•••-•-••••••••••....-•-•-•--•---•-•••-......---••----------------•...--••--•----•-••••••-•--•••--......•-------.•-•-.
O Description of Soil----------------- --••----1499M..&....:0138011-------------- ----------------------------------------.---.-------------------
U •••--•••.._..•----•-----••---••-••••-•--•...---•2-'•-••-••-io-.......medi=...yallow---sand------------------------_-------------------------------------------
UW ••-•••-•--------------------------------------1.0.1------ 12= ,_ -toe sar�d/traced...of----g--aV491/m.wa-tee---at 12 '
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"TILL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Complia e has b issue by t e boar f health.
Application Approved B c.._..... .......... .._ l /�f '
Tj ate
Application Disappro ed f the following reasons:--------•..............•------------------•---•-••----•-•--•-----•--•-•---------•.... =-----------------------
-----------------------•---•-•---•-•--..----•------.....---------•----:.....-•------•--------•--------•---••-•-•-•--•-•-•-••---....................................... ......------
Date
Permit No. Issued ---_�~--•---•......•-•---.....
L
1
—No.4-._3�— ------- F>ca. _..............
f
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
•.........Town................OF...........B.Arns.tabl-e---------•----------.....-•---------•--.-----
Appl# a#ion for Bi,gpoii al Works (fonuitritrtion Frrutit
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
System at: I
�/1/C S f; .•.. 1 r `. ........... .....•----------••-----.......11a-t__.#... .....--- ...... Hya za i .� M� . ....................................
Location Address or Lot No.
Capricorn„Really,,.�, t-........................ ......7.65-__Falmauth..Ii.aad,.... ya=is-................
w Steve Lebel Owner Address
Installer Address
UType of Building Size Lot....•_______________________S feet
Dwelling—No. of Bedrooms._.__._.__3..............................Expansion Attic ( ) Garbage Grinder ( )
P4 Other—Type of Building _ranch---------... No. of persons............................ Showers ( 2) — Cafeteria ( )
a' Other fixtures ............................... ...
WDesign Flow.............5,5..........................gallons per person per day. Total daily flow__......._...33Q-......................gallons.
WSeptic Tank—Liquid capacitAQQQ..gallons Length$°.6...._.. Width.4.11.0:. Diameter................ Depth.''$".___
x Disposal Trench—No..................... Width...................: Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.................... Diameter....(............. Depth below inlet---(!............ Total leaching area.._..2------sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by....Eldredge___F,ng.1ne8 ing.....----•- Date.41-25-81................
Test Pit No. 1Ic..2..O._minutes per inch Depth of Test Pit----1,2,!........ Depth to ground water,n,One---ancounter_
rs, Test Pit No. 2...N/A....minutes per inch Depth of Test Pit.N/A.......... Depth to ground water...4A............ e
•--•---•......................••----....._......----•-------•-•-•-•----------.............__.._.._..--•-•-----...-•---...-------------------.._....•--_..
DDescription of Soil.................C-L - .......... --&...:tapso-i1----------------------------------------------------------------------------------
U -•-••-•-••••••----••--•----••••--•---•---•--•••--2�----=---10..------medium---yellow---sand......................................................................
W ---------------------------------------------- ----med....white-..sand/--trace.&..of--gravel/no...water--__at 12'
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 IT f,;: '5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has beeIg issue by te boar f healthSi9 .
-
/at;e
---•- -•--•...................•-----•-•---•-•--....•--..._••-•...--•--•------
Application Approved +�j
-"IIate
Application Disapprov f o the following reasons:................................................................................................................
-•--•--•-•-•-•-••••----------•-•• ..... --•---•--•--•-•-••---•••--=-•-•••--•----•---------------------•----•-•---•-----•••-••-•-•-•••-••-•--•---•---•-----•-----•--•--•-------•-•......--....-----
Date
PermitNo......................................................... Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
................Town.............OF...........Barns•tab•1e.-........................................
Trdifiratr of (tompliatta
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (X) or Repaired ( )
by---------Steve__7.rebel-----------------------•------------------ rr -- ------___-_____----___-__------------------------------------ ---------------____
� Installer -
at...........L i-t,--w----....... 1.�-- i �'--- �...._--------------------------------1 3 s F+II
has been installed in accordance with the provisions of TIT Z 5 of The State Sanitary Cod a described in the
application for Disposal Works Construction Permit No. 3 ,..._. ................... dated_: �:........._..._._.•......
THE ISSUANCE OF THIS CERTIFICATE SHAL NOT BE CONSTRUED S A RANTEE THAT THE
SYSTEM W 'L NOTION SATISFACTORY.
DATE .................. . Inspector = ... =
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH '
......Toticra........................OF...........Ba.rnS•ta.ble..........................................
No. x•. ..... FEE..;�.Pe_.V•........ I
Disposal Workii TIons#rudwi n rrntit
Permission is hereby granted..........&teve---irebe1---------------------------------------------------------
---------------
---..............-.........
to Construct ) or ,ep it ( ),an Individual Sewage Disposal System
at No--------- GS ....0 .
Lot-.......- I� r ; °
Street
as shown on the application for Disposal Works Construction Permit No........... `Da ...............
•.................. .•-•---_ ... .. ...........................................................
,.od'Health
DATE........................ u ' „ ...............................
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
r� �
tH OP Afq
�4 Ills
suR`
m
Wit s
U
Q-c,
'9 ,oa
z4
ov
0.
f0
vt
c
r � �
t V ® o
CA
(UU 07O 0 �000 6/FLi
oT EX�q.,✓srvN 2�°.►� SEVTIc 7?4A C
i
l .4o�c / .9a
' p
LET
LEGEND. CERTIFIED PLOT PLAN
EXISTING SPOT ELEVATION ®x0 �P��� OFM
EXISTING CONTOUR -=— --- �y p T WSJ-70ty
FINISHED SPOT ELEVATION ��� `4'� t�y� A /S
FINISHED CONTOUR
p ORSE ti I ;.
� R®VED BOARD OF HEALTH � pNo.10951�n � p
DAT E AGENT 6 "°°� SCALE, 30 DATE $
LDREDGE ENGINEERING CGS 9ili CLIENT �z�° I CERTIFY THAT THE PROPOSED
EGI STERE REGISTE,R EDI JO® No. �/� ' BUILDING SHORN ON THIS PLAN
CIVIL LAND CONFORMS TO THE ZONING LAWSi
,�} .A�.r'f. . - ASS.
ENGINEER SURVEY DR.Sv�--- OF BARNSTABLE ,
712 MAI N STREET CH. ®Yl
iti 42 ati
NYANNIS, �JIASS. SHEET.LOF ATE R t3. LAND SURVEYOR
S } n /Y07F /F EI71H.CR TslE SEPTIC TA, OR
Jar
} %EACHI-MG O/T. ARE MORE THAN"/ /2BELO,H/
-/O FT M/N 1R.4OE, A 24'O/AMFTER CONCRETE COMER ;+J
SHALL B.E BROUGHT To 4MADE.C,-+N EXTRA
CO/VCAP7 . 4�PYC P/Pf HEAVY. CAST IRON CO✓FR Sh�ALL DE USED'E
M/N_P/TCN
CLG-1/•®rr,3.c' COYERS /B'PEiQ FT /F/N DR/VEN/A y
t
a 2•J. MIN. CONCRE"TE
d G1�ADE CO VEf� CL EAN .SA/V O
15ACX F'/L L
- LQU/D LEYEL .. - • �•r •
+• �: •.a 2 LAYER
MON PP/PE ODD v a o
.M/N.P/TtN GAL,. , e • . . • e •e /
%'PER Jr7; SEPTIC` TA/VK D l sT, • b • • . . . . . , e i WASHED STt?NE
�'. - e • e• � � •E'FFECT/VC � • . •r 3/4 - � �2�
ti. • • t • . pE.�TN • • • • v o WASNAFP STaNE
s Q _. • R 1 • • • • • • • 1 • o •
'• ,. t 7x 470 o •� • • • o • • . • • vp.o
. cS`/8GAL ayy o • • p PRECAS T SEEPA/ • • • • • • t OR EQU/V.T CsP1T
1AlV4wA'T CLEYAT/ONS.
GE
, s
/NNERT.AT, EE//LD/IV6
!HEFT. SEPTIC ,Ti4NK..` �� 3 FT: 60 FT. O/AJW C SEE TABUL.4TJON>
OUTLE i''`SEPT/G Ti4NK : l 0 0:l' :'
99.,9 GROUND N�ITEK TABLE
OAILFT D/STRs&vT/OM s®Af SECT/O/!!;O F• � -
O<JTLt•TDl3TR/®1J7l4N MX 99,7 7 -_
SEWAGE' ,01SfPOSA L SKS7"EM: #
!NEST LOACNIVrr PIT 9q•5 FT. ,
TABULA7`JD1V i
LEACH/NG P/T z,s XT
DES/GN. CRITE IA SCALE
_ - DMI Y$/ON C FTlzt,A/
NL/MBER OF BEQR�OMS 3, `
GARBAGE DlSPO.S/fL UNl r AYD SOIL LOG
TOTAL --sril -creD FLOW 33 G.4L.IDAV, SO TEST A/ SO/4 7E'S7-02 SD/L TEST / f
Num8ER aw LErAGNlNG PITS �^-ELgY, pATE OF SOIL, TEST
SlDE:LEACH/NG PER P/T Sqt FT '
- Z RESULTS AVIrIVESSED BY C `/��
BOTTOM LEo1CN/NG PER P/T $Q. FT.. L'�'q�'? PERCGLAT/ON RATE•#/ LESS M/NCl/NCH
TOTAL•LEACHING AREA. 2C;p 6 .S'Q FT. � Su/3 SO1 L PERCOLA77/CN RATE Ik 2 'rH,s4^/ M/N.1INCH �
RESERt/ELE.r4C'NJN6 ARE/' SQ. FT Z - 7 -2.o
P- 1549
� tN OF/l,�s �P�-� F k /-O T i o iv /1
O� G AL E yG. F/N� 5�+✓
IV
N /V
a $ CA4,�} ORSE �✓e.C-
�t 0.10951 p u �n✓e t.
? 4 0 ELOREDGE ENG/VEER/XG CO,./NC.
FQ/ggB��p� �c G/STEP \�w - CL . ,s 9,S 712 MAIN.ST- , HY.9.vNiS. MASS
AL T.T.
NO SUAVE �GNE�6 NO`GITOCINO YV,4TCR JrVCOU/VTEREG
CL/E/VT:F/zA�c� DRTE
Q' GRO U/VL> WA TE,Q AT ELEV _ �
.JGB NO. SHEET z OF Z-.