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HomeMy WebLinkAbout0017 ALISON CIRCLE - Health / � Arson C e Os�ecv;l(c- 1 ll TOWN OF BARNSTABLE <(,OCATION !-7GSLs J � c A� SEWAGE# .VILLAGE T"A ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. s �i�¢ e.�; ;✓e��-� V-�? SEPTIC TANK CAPACITY (type) }" � ;-o (size)LEACHING FACILITY: e �.���", NO.OF BEDROOMS OWNER / Q� PERMIT DATE: ®�!' �-��"� COMPLIANCE DATE: 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 �)d-410 - - ''F'/<f�' V Fee ! ®`� J THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZI rication for i� o aY 6pgtem �Con0tructtou Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) EI.Complete System 21ndividual Components Location Address or Lot No./-7 J ,,r,4? Owner's Name,Address,and Tel.No.T4*!-,5 Assessor's Map/Parcel�7 CO 3�•-�p _`���'S-- �{�,�o/ yf/� ��,2p� Installer's Name,Address,and Tel.No. !l� �� �`• Designer's Name,Address and Tel.No. 40,p� g3f �Qsd J' 3�"6" Z�`'8'�l� •///i// f�� -+i�'-�li�-f/3��/,i �r o..e�l i7l/� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( 19�� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ,3 gpd Design flow provided �7'� gpd qu Plan Date ®G 20-0 77 Number of sheets / Revision Date ' Title 711e S la-i - / `ifi d `ii--21 ,�a a;,Ile C r r� Size of Septic Tank l 6®® Gre O ae h 4 Type of S.A.S. —;1qv h` , 3,P� U 3u 1�� Description of Soil S.., ji:�I/w,17 Nature of Repairs or Alterations(Answer when applicable) ., ,pia 101 Srr 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 Certificate of Compliance has been issued by this B of He lth. Signed Date G Application Approved by Date t t rA(e"U 77 Application Disapproved by: Date for the following reasons Permit No. ®� — Date Issued + No. .'• , Fee /C::�>G ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: k,� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYication form.5poS;ar *pgtPm Cong1ruction Permit Application for a Permit to Construct Repair ,w Upgrade Abandon Lv1 pp O p O pg O O El System Individual Components Location Address or Lot No. �� . eof fir / Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel 1116/Z T7-7 7'7_ r7_7s JJ �-r��c�,si, OW Installer's Name,Address,and Tel.No. �3o��•/r�� �• Designer's Name,Address and Tel.No./ &w e v.- F191/.� 4 W,/ `/)'Y/ Type of Building: Dwelling No.of Bedrooms ) Lot Size. �; sq.ft. Garbage Grinder ( d Other Type of Building No.of Persons Showers( ) Cafeteria( ) i Other Fixtures Design Flow(min..required) 3 3 47 gpd Design flow provided �+� gpd Plan Date /I-- Number of sheets Revision Date ti Title %,A, r r./� fJ,�a� a /-7 1���s a �r rr/,- Grr �,//�• / Size of Septic Tank /,, �r/J 6"rI A;V, .�c Type of S.A.S. �` ,w,i, /,+fir lib J c7'J?) fUry� 3 p TyrZ r Description of Soil i Nature of Repairs or Alterations(Answer when applicable) �1 yg,.- �. �/4 1Z 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 Certificate of Compliance has been issued by this B and of Health. J Signed - Date I 1 Application Approved by i Date 1 ~2 to U-7 Application Disapproved by:� v Date for the following reasons Permit No. r7,`Oa_")-`S� 0 i kv Datedssued ./ / — ? U •„ — — — ---- — — — — — — -- — ------ THE COMMONWEALTWOF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( r1 Jpgraded ( ) Abandoned( )by �- at /� �/h� F� % -r��ff has been constructed in accordance with the provisions off Title 5 and the for Disposal System Construction Permit No. �o c, — Sol dated i f— ? d "U-7. Installer /��y /�,;1� 9 w>/i,.#e-//e, Designer #bedrooms 3 Approved deign flow 7 yla /t� r d / \ C, gp The issuance of this permit shall/no b`e construed as a guarantee that the system idVfunctiongasdesigned. Date Inspector lfjG�C't i r - —=---=— =— _.----------------- —�—r———————-- No. `l to r_ (� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Pigoot *p!9tem Con .tructton Permit { Permission is hereby granted to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) 'i 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 vermin Approved Date l��7 �f C/ '7 Pp b Y • FROM :down cape engineering inc FAX NO. :15083629880 Dec. 06 2007 09:47AM P1 Town Of Barnstable Regulatory Services C*.Molt Themas F. Geiler,Director JPublic Heaitb Dh,ision Thomas McKean,Director 700 MsLin Street,Hyannis, MA 02602 Office: 509-96--4F44 Fax: 508-790-6344 Installer & DeSi er'Certificationor�o Date: 0 Sewage Permits �� _Assessor's Map\Parcel N6 installer: Designer:� C7 ✓1 e E .� Address: 3 /`�Gt•� `~- Address: On _ 'as issued a netmii-to install a (date) Ons ler) �I ( ocj based on a deli= drawn,by septiC System al �J Q (address) dated (deSIMIe�- � ) cwrifi that the septic SyMM referenced above waS installed substantiallY according to the deSim, which may include minor approved ebanizes such as lateral re�ocatyon of the disriaution box an.dior septic tart-. I =-dt° tha: the septic system referenced above was installed with major m changes (i.e. greater than 3 0y latexal relocation ef:the SAS or a � vertical relocation of any componeat of tine septic system) but in accordance ,Nitb State 8: Local Rcgu.lations. Plan revision or certified as-built by designer to iolloIA-. t ��c�`•� ARNE H"�'`in jCD QJALA a (Ins let's Signature) I � '7 U61, NAt. (Designer's Sigrialu-T�C) x Designer's Stamp Here) P EASE. RETURNI To 'BARNSTAB I; PUBLIC TJEAIJR DiNWON. C£RT FICATE OF CQAIPLI,4NC£ yV7Ll. NOT BE 11,;SUE11 UNTIL BOTH THIS FORM LND AS-BUIIIT CARD ARF- REC IVED eY THE BARN TABLE ptTBLIC HEALTH DIN ISIQ! , THANK YUU, n, ci-nifitationForm.l-?6-04,doc • ,4 Os iCI_�I I �SI'I C I41 FAR I- Cis 3R N( T_ : _�5SESSAIENTS- .SUBSURFACE ';-,E aGE'DISPOS SY5-�r r�-*I F OR F z_M _� d CERTIFTICATTON. Fr or tv_address: / / � I IO'-I C ,a r Sarre: �r aJ4el— Owner's Address: 3 /2aSG n, JS - /�" Ootoc26- �foay Date of Prspection: / O Warne of ans�. ector /pEease pAnt)MQ✓ir /zq Company Name: 6: IVvl 'o.-- /d—7—,E:-C- - i 112iltng Address: Fps 4 1eiephone\urt;ber���B CERTIFICATION S T ATI AIL'-t. I cen-, -ha t 1 iave pers oraliv,ins e teQ :01 Z ' �' .Z . cn 0^ G .... } �__`_and e'?_o-be _.r.c.,ion a-nd mair,_'<c__ -ere--`-- _e. ^_s_0___ � 1"ate 2aproved s stem _nspectg: pursuant to Sec±cn i`.?44�of Title "(3�0 CNFIR-1 .(In0) a azz- La Lac� .. - - Lam__ `0 cam- Dc CJ - _ - ,. - ". -, • - . Inspector's ,Signature: Date:CZ s _ - r 4 iC rppl 7, y C,i ue-_5 1 a. aai_eS� how'iC jT�i2I2 P• _ i £r'tQIiT11i2 Ll e 1lul L C rdit n-ns of-.use.' - `)FTIC? S[ I_1'JPEC3IYl_s FOR-1'1-\.QT FOR 1 SUBSURF. CE SE-VA_i sT D.Tspos u YST =,i -y i_'-1"TyT g�-� CERT _ ropers address / /�Sve� Ci ✓- Date of Inspection: l p inspection Summar;': Check ,B,C.D or E!Af__j�_i'S c-orn:ple-xe a_i of Sec-Lkgi iD A. SSystem Passes: _a.. roto CX':_. Ara-ra,�il<�,=c':e a -0`eva_:i2 2d a=C_CZ=aLe= Comments: B. System Conditionally Passes: One cr ors -Ez co �^ "= ' t = _- -ai:�Q. _-` s_ y cr cCiuY�E- <_'"LhE rE'�'iaC,..,_.. ,:-Er'•a= 2s _-ors w"er es, .o or not Cie erm -Er:, (Y.N -2,,-D)in t e `J= -- -__` _ E�n)air•. '?c=aDk �e ai arc* oFE_ %v year oir' or_rE s a:Lk(-_ _ - - - - - 150'__C. s =.,in::ai'+_a! .__�;lt�-_uC�0:.. __,._..i on -ic yc=a>_..._e is_11=e - - _- EXis 'Lc LaLLc is : aced v Ln ?Tly,co , = AD`., t_. .rc 4c Boa- C--Za _ k-III pasS Ec'0 It it is sTlC _ C = LL2L uht Lai:<is liss Lrtan 20 rears o;C__ a a'-I�. 0`:;s?_l ar:on o sEw are backup o, J_eak Cut o staLC rEt'E t of 1-u' Cat d1., "O a ,.roKe-4' c-EC or ume -- .- - -c= armrc;-ai of Beard of:_c .-)' i2ra_ _ ` _ __."sticii DoX>S o7i2Cc Mc- .,_cke- `-_ Bear c BEu ne \ �'a _ c. OF F!Cf A-L INcPECTIO� ��FOi- ---NOT FOR VOL.L c� ASS c.�: � S SUBSLTRF-�ktiE SEz"-_1GE DISPOS A_z_ .�.�'S3F PAR' CERTIFiC TI.IOa(can'^ ecl) pronern.- -Address: / C/v O;miner ��r o ✓'- Date of Inspection_ O' C. Further Evaluatio-? is Required by the Board of ealih: _ e\i�t�,-h-i'�...�r�Ci..�.. i,jr,C'—vaiu.a-C C� ine BCZIC n Cond-1 -0: s ; Lio ec, �wC!.� .:'G sa:v:j C'. Lie ,a in aceordance-z-ih -13 C�IRC C3,_-),b) - Svster7, �Tili n2ss iznleSS '30<r�of Health deg Ii. 5 - -__ system is I,-orf lF CilORlT2 iII a i1]2nner�II_C_ zl(pratee-public healtt. safer, c C =n rCGcn.Coi Cr-^"v .-'W.J.��feet C'Z s�_ Ce r�-ate' .: Ce= �ooi or e%is ._' >eet of a _ =_=ed c=- _-_ __ - 2, J-L`ste% iilt fa""' a the Board Gfear:.t and�iJlIC Supplier. ff any' d-e =•r_nt es t t c -�c i,. S r�tv and e---�,-�,-, nent.: sestet-n Is fE?:C=To:lln� _n a ai.anner that protects fl e D 3 i£ ic8ii i, a'_ Ci aCSC jCn j c _ S_i ;+a"d - i._.. _.. has 2="'UC tai' cnC_ _ -- -- , :.Ce Water o _T1j;j�a� t - _ ,.._.C-.,. ii- - 50 The j 'SiC' 1GsG=Cr Ct? KardS�'Sand C .S3.1kS ___ G_ t�t ____ ___ �cate - \`e- od used-0 cam_ --Weds_nce ;;ate. _ bast--ria a C:v o-,-. CC_-Mo n Ore sence O ai'i"Loma ?o�%'i'.and i.ait__ -2 a s e ua _C _.a a e - -- Other: Pao- Od FICI_—1 INSPECTION FOR I-NOT FOR z QL UNi RF 3_ ASSic- �UP-SURF-ACE SEWAGE_AGE D SPOSAU SYSTF-JI ; ��C���� �o�- P_,RT CERTIFIC TxQ o__�_ e !d_e s _ r ov,-Tei• �Gj✓ et, + Date of inspection- 7 / O D. S-vstem F aiiure Criteria applicable to all systems: c' 21t i== ` 11c.__ C'r -1 ,+.,:`L to „it?M7�_t... �iG:�_d _e�'e:VinkGiS� `iiiiC=i vG c"- seSSr00 - adl— s- NOT s! f1'-r'.LIL P.� .�1:•.� O_e RGl_L '_L S� .__, __ ea- due tl CY �f SAS $c=00:0= 1i`2- ?Ot.r V J_a CE55_0^. _ vi :�^ c' = 0= ^ �;_1C - -/^ o n o=2 c e SS-coo Oris - ?CAS - Pc_ _Jl� 0 -O c^Of sacc o r ah.o a 0 t_. i CiTC ;r w- __ su-cpl� Lvelf %v--uh no acc �_blc t C.Lc _ a'2,+SS. Ts 2e.r:i a�3eS 1 e�i Sz ai2r a -2l,CIS• performed at a DEP certified laboratory,for coliform bacteria and volatile o-lgamic 6n-mposne. Ir dIcateS that the-well is free frompollutio I from that+alit-v anCz the )I eSn%Cc 0's'2' C a1C r initr0�eu ai!C a'ilirate nl nti £ro�en iS ece.te Cr 1 255 tlia? e 1?b`n•proT�io2u ci?h -0- _'=v _`'2r :- re Criie- a are tr:zn:ered. ; Copt of the anah-sis inusi be attached to this form-1 QS_ Cc.\p) The ctcterl7 fa1fS CeieiilZ c_•` e 0^ a v^'rice i 0v deSC=;b'Q Q CN � J :tt_ere `P un _'v�teln iZ�s S c iea th i0 =4. .__'V,iil he__. _Sa: ;0 Coiled' .r. T arcr_e_Sx-sterns: To be considered a lar_e S-�7stem the system mmust Cei--_ a facll;t--Lit a re: crt f o- -of �Fd. -- - =s =- _ _-. �_ :o `=L G.�%J -rl a .+ -_ --'---"' Or -_�rti,- �c�_�.- -- _ _ -- - -- - --- - .. __,- nnn OF FIC,�,L i SPECTION FO AI-'SOT FOR VO U T_-RY PAIRT B , CHE� �S i r,:cperr _address: / All © � 04 G��rer: E�GrbP ✓- n Date o ins_ _._ion: C_ei:'t:r_ rpl_p��:i^a 2c� --C v� You_ us:1%d C2 LIM �7"•y'jP 15`C�2T_'1 .._ eQ' �'i 1_-a_ rd':� _ _ _ _ - _2iCe vc.'...___`_s C_ __.._ betni.in'CQ._..,.- .. S;_ :^1�.....— C'i: _ -O_ :-- a'=;"-_ co. ae iocaed e- / 1 - - _- - ✓ _ :2 :aiiC Ma. 0 a3C :=2 � C=- '!25 0.�=225 ___: :'a! Oi CC - - __ oa._ \l a -_2:fir iiZ Oz:-Z-(a-r OCC _ L - — C _ c� Ci%e and to`$tj C'i 11 Of the So :y USQi-v�Q�Svste�1,-7y,� Ln_ ^O a 1'l L_ _..�� _ _ _ ^L<ne ___. :G_ OFFICIAL 9NSj�r�r''.0 10-i 1ORM—N:O IORVOL'L-NT- .L"�i SUBSURs_-3CE SENV—'GE DISPOS---L SYST}_-N:I ItcZ?I CTjON FOR—',i {PART TC Prope,:`--_address: / /�l/Jo✓I /'r O-xner: /cJG✓�t•c� - Date ^i lai5a2Cie0u: / /� rLOW Cn1DI T�ON> REISIDE1 T iA-L 2 �eC_co is gees-gn). �.1" - �J _ 0 J_C GN "'O;'v eu 0^ !v L R _ _C: e..c:7_ ^Q -v_ e - _ Ar Does res'ien, - ca. ace _ 0-ne'): A-IO/ c on, c ?2 s. _.:ter c _ `.`eC 0: '0j:/�O tvec _ - - - _ -- - 'easonal use: - or o : i' " •.Z- ---`-" -e2C`r;c' -- ':a"al (ias:- - _. �SaC' _asp dale of occ , --cl Co-'iZ?r z CZ_ ;'INDUSTRIAL es tabIS__-. Lec -20'vv DaS--d On 3 10 Ov - _yec_.r ,;;. (sea__;rersonsis -.etc.': Grease'rap n-eser_:<<-e= o-no): — 1r�',' _ " aSi_ _pi ice`_r_ ti present i_ eS Oi Oi: Nor. sad,- — „a e -reeler .._ _d -gs. _ ai'a_ da or ilcc 0T-HER( esc-Cc) GENEP--k-L, IlrORNATTIO Pumping Records /-j_ Source c` r.`o1=:EaL_on: a5 c sie r r a- a--OriyO ?.'e..-=C_1 LO,.is uiiVin a: T I-�zi�S', , ui_C 00`. Sv^^_!g]G•1^, ;nr c 's-`_-- S"-e CeSSDOO! - u, - _ �� OFFICIAL !N*SiECTIO'-N FORM—NOT FOR S OLU ; r -,\;E N T\ SL BS RF--'CE S,L NA--k-Gi PART C S- STF-i I FORalATTO cl Ad- BUILDING SEE ER( oc2 c c_s= o-p a ) �' !/ ~aa of cons `:cn � -a :=n C a' - (e-condi-lo _of;oi--s• S-P-rTC i_ �` _c a,— c, raTc ial Oi con _:richo LO CTe e= _�_..__ be"`__sS_. --- -_ t s c um! cs f SCUIM .G-.._ � v� c 7OP r. c re c �e�_ios ._._Lneu e o -�� C!.i A r vh L v /�Gcj/ ���-S G�r C/ 67 6, 661e L-"- 6-o C) J, o h GRE AS t T R-,-P £ o c a.t e c n, --= _:a_` ._.._�)). ,-`T'T T T R,: ((�"� y O 0 j i '�?'�Z I LS_>.L 3SPEZ...ilG� ����— ��5 1 VR �lli.v� �i STUB S 1-R SCE SEA `AGE 7ISPOSA-: SYST.; EMI F--AR c - /\y S i E,./j--F 7?lVT E p;epe-?� address: Date of Inspection: TTC;TTT nr TT0T.,i'T 1� Dcp __ _ : n�. a-a.-:Y and._ca .-s i co dit;o is ,2 - ceo = 0c. iT'I� P CtiliBg R: 1C S - 00.'C ' cl OFFICIAL INSPECTION FOI',11-NEE FOR t-OF.LNTAR i-S -LSS I ST.BSI,RF:3C.�. S�Z�_�GE s�,TSPn.�A�'. Sz�� 9 L 3'f BSI- CT"O` r0r�?s PART C SIX-STEM nF0WQTATs00 iCC Ct propeYt; Address: �SO v+ C<✓' Bate of ^specton: SOIL S©RPTiO SYSTD 1'I ISMS): (locate o t site pins.eaca atier. o re ;red) S a S -_c- o - T`pe.e1=2 PITS: ' -- .-a _C ;ail ries. ,gym e leas' - lErenches, nil:-her. ie-- lo in ' ;1d_ _ _.0= cO7 si15 Ci _ ',C Gl e Q_^^� __ — _ '✓_t. -- - ` /G fi• /G Fz�l cl CLSSP`?J: S: /V (C'SS-,00,, i_t b-�v=`r a r c S 5.7 OC cf cO`S__ O-• ___.'_.._ iJ_1 J! `i Cl ur_.. _tC'S _:L�vrf.--1"C=o~=1O•�. _ __ _ __ __ .. _�__.,..�. _'� :?_•'•�_~'ry_ ten--_ __— __ OFFICIAL INSPECTION FORM—:VOT FOR S BSARF_ACV SEWAGE DiSFGSAL SYSTFATINSPi_< T:ON FoRf%l P A-RT C . Pro�er.� _address: Date of inspection: SKETCH Off' SE.3"AGE DISPOSAL SAS'�:--q _ - - - -- -- - Porgy Lts • A ®FF aC_sAg INS PECTION E OR-1s—NOT FOR �OI l:_i_-!�_t%SUBSURFACE SEVVAGE DTSQPO�, T. ID Cz STET i 1_x3 i _ =+ I ropers,address: Ci"�- //�� / S r/✓1 t. "A;�114 Date of Inspection: . �_' ti_N-,I feet O eer_ abu- c5_e ago _ e .--n. ?;e` 'ocai Bo_ - M1 `. _ must Ul-c a = --he lgh greu.nd vs=ater eie'raii n: i - 4 1 -7 LOC.NTION SEWo,C�E ER IT k10. VILLAGE — — — — IPIST LLER S U&M: ,ADDRESS — ,—� — — BUI! ER 5 Q &MARDOR SS DATE PERMIT 55UED D b.TE COMPLI &MCE ISSUED : — — — � � , � ��� . � n - ��"� �z,. �� � - . 6 • t, V No.. �v..... Fs .......................... ! THE COMMONWEALTH OF MASSACHUSETTS G--r� OAR.D.. ... HE F o ---- 1a� Apli iratirru -fur Ditipwiat Worko Tomitrurttuu Vanift Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal ation-. ess or LotrNo. .......... ....... ---z------ -------- --- ... ......_.. W Owner . '' Ad ss Installer Address Type of Building Size Lot.o:.W.ff__l_=.Sq. feet V Dwelling—No. of Bedrooms_.____________________ _____________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures -_- ----- ..... ....... . W Design Flow........... ' .....................gallons per person per day. Total daily flow._---_________--.n.,r._4 la----------gallons. WSeptic Tank—Liquid capacip,4_ gallons Length---------------- Width................ Diameter................ Depth-----------.---- x Disposal Trench—No. ...._--.---•-.--._-- W ngtih.................... T l�le g area....................sq. ft. Seepage Pit No..�- y --. e o i -----._-.--. o - ac ung area..................sq. ft. z Other.Distribution box ( Dosing tank aPercolation Test Results Performed by-------------------------------------------------------------------------- Date....................................... a Test Pit No. I................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.-.---_.___-__--__-. --. •4 Descriptionpf Soil--,— �'" �x`'�- ..v2 �c. �a-------� Gf ..----------------------------------------------------------------------------------------- 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 Article XI 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 b?gard of health. Signe Dat Application Approved By. �- •i ................. • -- ----- ......f f �- Date Application Disapproved for the following reasons:------------------------------------------- --•---------------------------------------------------------------- -•....--•--••-•--•----...--••----•----------------------------------------------•-••-•••••••-•••••••........•••--._.....•-•-----•---._......---.....-----••---•----•-------................---------••-• Date PermitNo......................................................... Issued........................................................ Date CXV _ No......S�7w t_.••• _ FEa ..................... •--_---•- THE COMMONWEALTH OF MASSACHUSETTS ---,.--BOARD OF H EA.�L,T H/ 0F..... ... .:: ................. Appliration.-for Di,ipniittl Works Tom itrnrtion Prnu t Application is hereby made for a Permit to Construct (�- or Repair ( ) an Individual Sewage Disposal S stern)at f l / U- -•---------•------------L cation:-------ess�--------------------------�........................;r-----•---....... orLot.No................................................... owner } f Addzkss W ,_ ! ��-a's- /, ' fi r='�'� �!`f-�----'r--- ✓�--- Installer �i Address ~ Q Type of Building _`2 L-'' Size Lot- ------.� .�_Sq. feet U Dwelling—No. of Bedrooms----------__-_-•__-•-•--•__________________Expansion Attic ( ) Garbage Grinder ( ) pa., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures . /'-^ ^'---------------------------------------------•----------•--------•------------------•------------..----------•------- g _________________._�._ allons per person per day. Total daily flow-----------------............: .G'._F�._..........gallons. W Design Flow__.__.____ __1.__. .�. WSeptic Tank—Liquid capacitv'4.4�- ^!gallons Length---------------- Width------- ........ Diameter---------------- Depth.._.-___.-_---- x Disposal Trench—No. .................... W ` f______-___-___---_-_ TIdLength.................... T tal leach" g area.......__-_..__._-Sq. ft. Seepage Pit No._Z/�2' :"Dimete --- ...... Bept1z'Flo •let c inig area------------------sq. ft. z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by----_-----------_-- .................................................... Date...................--------------•----- ,� Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water-__.-._---_-.-_.----- �14 Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water-----------.__-----_-_-- Ix --•--•-•------ G - '� - -- Description pf Soil---;-------U--- --- �'+(----�&!_--- �--- ----- ------- ��` --------- -------------------------------------------- xG '�-i �.V . ------ ... •................................•••---------------- W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- V 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 Article NI 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 bo rd of health. , // Dat Application Approved By---�--- -- -•-•--•--•-•--•-•----------•---------------------- --- -- --- l� - ---7_6 Date Application Disapproved for the following reasons------------------------•---------------- •---••----------------------------•-------•--•-••--••-------- ...................................................... ................................................................................................................................................. Date PermitNo--------------------------------------------------------- Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOAR7,Q,F HEAr.fV-!� ...0F... u.:........... O.prtifiratr of T"'ompliaurr THISJS,,TO CERTIFY, Th t the Indi ual Sewage Disposal System constructed ( )wired ( ) by........... -; �""L• f 4 - ------------------ x ;�'� staller -,� r has`been installed in accordance with the p�visions of le o he State Sanitary Code as described in the application for Disposal Works Construction Permit N -._ .__...._. ._ .... dated._//_-_2,_,(_-_---_4............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS-A GUARANTEE THAT THE SYSTEM SILL FUNCTION SATISFACTORY. .�. -� � DATE_ V C- 3 2,4. Inspector _�_, •__:- _t_:.� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........./ OF...../..... .. 11 -? ............... N ............... FEE........................ �i��o�ttl ' ork� �on� r rti rrmit Permission is hereby granted------- ---.---r -- --'�Fy �� --------------------------------------------------------------- to ConstructRepair ( ) an ndividual Sewage Dispo al Sat No. -T r �� = 9 �'t Street as shoWfi on the application for Disposal Works Construction Per o.--_-_��__ __. . : ed.... �_`-._7��____........ ------------------ of Iealth DATE----- _ oard��------------------------ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS 3Z OJ 10 r /02 l - i 000 C-At_ SEPTIC TAWIL (- 1000 GA(,, L, ACH PIT W I r�-t I av�jp sx P a a�t oW Al J h br,.op vk OfZ1 2� R1CHARD G t . A. BAXTER i C T 1S= 1'�I3 pLG�"f =-'► _/1 !_ sva� 16 lLa til- ►-Inv ZZ 19% ���'r ` P Z- , Poo��AT1vt�,ur�ulJ 4%�. /� ►�i C;, + +w L NIZ� CoOaT" CP4C-_ ��'�2r7 fit,T�• �( Z� THk1 , hF.,1 1'r QOT T Q 'O',T 1{.J'%1'F!...�A,1 t:.!--s'T ��t.:i:!J=.�j � '("��;. . c?K' I`r F t-.� �s•f•L�. �.^, �F�p L.1 C�'+-ti..l"r' �� * ApG Vdit>e DaV Cc . LEGEND TOP FNDN. AT EL. 42.1' SYSTEM PROFILE NOTES ACCESS COVER TO WITHIN 6" OF FIN. GLADE (NOT TO SCALE) 100.0 PROPOSED SPOT ELEVATION ACCESS COVER (WATERTIGHT) To PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE 1. DATUM IS APPROXIMATE NGVD 4 MINIMUM .75 WITHIN 6 OF FIN. GRADE OF COVER OVER PRECAST 2X SLOPE REQUIRED OVER SYSTEM 2. MUNICIPAL WATER IS EXISTING 1OOXO EXISTING SPOT ELEVATION 41.0 lc' 3 39.3't RUN PIPE LEVEL 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. ° 100 PROPOSED CONTOUR \*E�ISTING FOR FIRST 2' ��• "EXISTING 1000. / 2° DOUBLE WASHED PEASTONE 3' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO oy` 100 EXISTING CONTOUR X 7 'f " OR GEOTEX�I E FABRIC H- 10 EXISTING GALLON SEPTIC TANK GAS UMP 38.0 37.4 ALL SYSTEM COMPONENTS SHALL BE 177 ' BA E 37.66' MARKED WITH MAGNETIC TAPE OR 5. PIPE JOINTS TO BE MADE. WATERTIGHT. y becca COMPARABLE MEANS FOR FUTURE LOCATION. 0 37.48' 2.8' AT SIDES Ho Re s" CRUSHED STONE OR MECHANICAL 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH " COMPACTION. (15.221 [2]) 0 2' o.a' AT ENDS MASS. ENVIRONMENTAL CODE TITLE V. DEPTH OF FLOW 4 $ 35.48 a TEE SIZES: 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO INLET DEPTH = 10„ BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. LOCUS 3/4" TO 1 1/2" DOUBLE WASHED STONE Rauh 28 -- OUTLET DEPTH 14" ( 1 X SLOPE) ( 1 X SLOPE) H-20 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. FOUNDATION EXISTING SEPTIC TANK 24' D' BOX 3' LEACHING 5,88' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. LOCUS MAP 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING SCALE: 1" = 2,000'f BOTTOM TH-2 EL. 29.6' DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION *THE INSTALLER SHALL VERIFY THE OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO ASSESSORS MAP 146 PARCEL 42 LOCATIONS OF ALL UTILITIES AND ALL COMMENCEMENT OF WORK. BUILDING SEWER OUTLETS AND ELEVATIONS 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND LOCUS IS WITHIN GP OVERLAY DISTRICT PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE TEST HOLE LOGS REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. ENGINEER: DAVID FLAHERTY, R.S., SE2755 WITNESS: DON DESMARAIS, R.S. DATE: OCT08ER 4, 2007 PERC. RATE = < 2 MIN/INCH CLASS I SOILS P# 11950 Alison Circle ELEV. ELEV. \ 099 4 41.5' 011 4 41.6' - o' SYSTEM DESIGN: A A 2 R= .5 LS LS GARBAGE DISPOSER IS NOT ALLOWED 910 1 OYR 3/2 40 7, 1 OYR 3/2 8" 40.9' DESIGN FLOW: 3 BEDROOMS 0 110 GPD = 330 GPD %' B B 3 / USE A 330 GPD DESIGN FLOW ! LS LS I / " .8 1OYR 5/6 38 , 1OYR 5/6 3 SEPTIC TANK: 330 GPD (2) = 660 32 31" 39.0 I *RE-USE EXISTING 1000 GAL. SEPTIC TANK 3 / LEACHING: C C I / SIDES: 2 (30 + 10) 2 (.74) = 118 GPD PERC 3 BOTTOM 30 x 10 (.74) = 222 GPD MCS MCS TOTAL: 460 S.F. 340 GPD / 3 2.5Y 6/4 2.5Y 6/4 do USE'(4) STANDARD 3050„ INFILTRATORS. WITH 0.8' STONE AT ENDS AND 2.8' AT SIDES 120" 31.5' 144" 29,6' BENCH MARK CORNER OF pp /�,� MA CONC. BULKHEAD EL. = 41.2' �5p' APPROVED DATE BOARD OF HEALTH NO GROUNDWATER ENCOUNTERED � J �a / LOT 31 20,858f SF EXISTING 3 BR e\J�C. 0.5f AC. SHED DWELLING O TOP OF FNDN/ EL. 42.1' // QP ° O BECK GARAGE TITLE 5 SITE PLAN °� / 0 ♦ (SLAB) OF 17 ALISON CIRCLE (OSTERVILLE) BARNSTABLE, MA TH-1 +' ,��U 40 PREPARED FOR BORTOLOTTI CONSTJ HRH Y ENCLOSED JAMES BARBER � PORCH 12 OA (SONO TUBES) DATE: OCTOBER 9, 2007 Q Scale: 1 = 20 Y � _ 0 10 20 30 40 50 FEET off 508-362-4541 fox 508 362-9880 of�s�c N°�'�s ARNE H.OJA ARNE N LA CIVIL H. down cape engineering, inc. No, 30792 OJALA y No,26348 0 bo Cl VIL ENGINEERS OrF�G�STER�� � �� a! S 0 AL � s LAND SUR VEYORS ve'�° DCE #07-239 DATE ARNE H. OJALA, P.E., P.L.S. 939 Main Stree t - YARMOU THPOR T, MASS. 07-239 BORTOLOTTI-BARBER.DWG (DDF)