HomeMy WebLinkAbout0050 BEACH PLUM LANE - Health 50 Beach Plum Lane
Osterville -
A = 166 018002 a
a
" o
a °
a
9
°
a"
� N
No. C 03— as 7 �, Fee -
1 r
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .1 1_�
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ZippYication for Oigpont *pgtem Congtruction Permit
Application for a Permit to Construct( )Repair( Oepgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.150 / V�'1 1A►� Owner's Name,Address Tel.No.
Assessor's Map/Parcel /
psf-r v;!(.� MA1 ee ( �oy,4,� (-
Installer's Name,AddreAad T31.WCO Designer's Name,Addres and Tel.No.
S50 Main Street fey`(- ?'n
W. Yarmout;; MA 02673 2 S- -10SS'- o a1� 3
Type of Building: 4 /
Dwelling No.of Bedrooms 7 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures p /
Design Flow y _ ( gallons per day. Calculated daily flow Ll U gallons.
Plan Date t 3 Number of sheets I Revision Date N�
Title c%a e c
Size of Septic Tank /Oo e) n� Type of S.A.S.
Description of Soil P--e/ /)1r4 4
Nature of Repairs or Alterations(Answer when applicable) /fie/' /)/4 h
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 issued by this Boar ifaltK.
Signed , Date a 3 3
Application Approved by 2 Date
Application Disapproved for the following reasons
Permit No. 2 U0 ?—o,5_7 Date Issued 1. d
No. C)(1�' �5 7 I ,�+ !r— ".. �z Fee
rf n
✓ Entered in computer: _L
- J THE.COMMONWEALTH OF MASSACHUSETTS
Jy n •,. - w d`,. Yes
PUBLIC HEALTH DIVIS G OWN OF BARNSTABLE.,'MASS�ACHUSETTS
2pp ication for Mi0pogal 6p.5tent Construction Permit
Application for a Permit to Construct( . )Repair( V)ALJpgrade( )Abandon( ) 11 Complete System El Individual Com t. ponents
Location Address.or Lot No.,V �� P c1rYl I- r 7 C Owner's Name,Address and Tel No.
Assessor's Map/Parcel I (_ I
�4 D
Installer's Name,Address,and Tel.No. Designer's Name,Addres and Tel.No.
° Type of Building:
t ! Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures p
Design Flow S I gallons per day. Calculated daily flow ����� gallons.
Plan,Date / 3 Number of sheets I Revision Date
-Title //<' - See c%a!e C
Size of Septic Tank A0e) is/inck"yam"Type of S.A.S.
Description of Soil_A el'' )1A/1 Ar
P
»�Nafure!of Repairs or Alterations(Answer when applicable) Ael /)/14 t I
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 issued by this Board�of alt .
Signed I a Date C9/3 3
Application Approved by ti`/ rC Date y u ?
' Application Disapproved for the following reasons
Permit No. .2 Uo V 7 Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,t �t the On-site Sewage Disposal System Constructed( )Repaired( vj'6pgraded( )
Abandoned( 9;�;a
.J~�at U tyA f,c,0'2 (C) i f1f1 u i has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 2 Uu ?' ° 5�7 dated 2/y6?
Installer Designer
The issuance of this pedrut shall not be construed as a ste guarantee that the sy wi �u ct�. as •es'� a.
DAte .1 7 9/403 g Inspector g ne ��
> E
— - UO 09,7----------------------------Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
I=iZpogal *pZtem Conotrurtton Permit
Permission is hereby granted to C struct( )R�r( -)grade( )Abandon( )
System located ate >f
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 permi
Date: t�l�3 Approved byl °(/`'- �,
TOWN OF BARNSTABLE
L081nON -2 (SOC4 PLUM LEI tl SEWAGE # I-W-0
MAP& LOT166 0(S'002
INSTALLER'S NAME&PHONE NO. A+9 2W O —7_!-). 7 C D
SEPTIC TANK CAPACITY CXIS10.25 16M !,EAI + kt-63 (15Z7� �✓�-I
LEACHING FACT ITY:'(type) s— �1'6 LL (size) �SV,57A l3
NO. BEDROOMS 7
"BUII..DER OR OWNER
'PERMITDATE: COMPLIANCE DATE: " 63
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 leachin g facilitY) _$ Feet
`
Furnished.by
,4
r
i
b9i
E
rol
0
0
14
I
u 1 �wt
TOWN OF BARNSTABLE
LOCATION .,�Z (3EAeq PLUM LAhJ SEWAGE #. �306
VILLAGE ySTE���LC� ASSESSOR'S MAP& LOT S_00Z
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY CXrf N� /6130 A I + I O ZM rg 04l
LEACHING FACILrN: (type) s" 1 (size)
NO.OF BEDROOMS
BUILDER OR OWNER J aTAN�
:M"ITDATE: COMPLIANCE DATE: '�3
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
Furnish4by
KK
14
(03 �
33 ,
�33 'S"4'
S CS---) 3
-- TOWN OF BARNSTABLE
LOCATION f)I'P�41 SEWAGE # /'✓
7 e!p 2
VU,J-AGE Ostf eon i/r'/ ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. C4h40
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type)o7- qA-7,y dof/" (size)
40,
NO.OF BEDROOMS
BUILDER OR OWNER ✓J
PERMIT DATE: r" '' COMPLIANCE DATE:
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
(AS
6�
r
-?q .- S' ( -7
LOCATION SEWAGE PERMIT NO.
_r,s-o 3.eq vM1
V LLACE
INSTA LL.ER'S NAME & , ADD RJUS
Co
B U I L D E R OR OWNER
uV 4
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
J
-�('� �
z�
���
�.
---��.
-�
, �
^.- �s.
/
G� �} y par
No.._!._`5 .-I..n- Fzs... .. d.......
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
Appliratinn for Dhiposal Works Tons rur#iun Vanfit
Application is hereby made for a Permit to Construct ( ) or Repair ( �an Individual Sewage Disposal
System at: ,
5� ----- ..cs2 ......... c J S Ira ..............
Location Address or Lot No.
..........
.......................
Owner Address
a .......................-OAACO.................................................... .......--•------------- -..................._.......---------------
Installer Address
d 'Type of Building Size Lot............................Sq. feet
V Dwelling—No. of Bedrooms_________ ______________________________Expansion Attic ( ) Garbage Grinder ( )
U
Other—Type of Building _______________ No. of persons..........._................ Showers — Cafeteria
PaOther fixtures -----------•----------------•----------•-•-•--
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity____________gallons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench—No____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. '
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date.........................................
Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
f Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
x ------------------------------------------------------------------------------------------------------------------------------------------------------------
0 Description of Soil...............................................................................------------------------------------._..._._.....---------------------------•--•-----•--
x
W / ------------------.
------- --
----•-•----•----------------------------•--•--•-•••---------------. -------------------•------•----•.--•----- ----
ns r �f �V Nature of Repairs or Alteration§—A Z� -4 ___/d�0_..__n ✓ __.
..'s.fOILL.....C10......CK�. . ......7.....
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been i by thoard of health.
�==
Signed---- .........----------
�-J"=`- '..v
Dte
Application Approved B CJ............J ..- s. - -------------------------------------------
PP PP y ----------- e ...-...
Application Disapproved for the following reasons: ..-------•---------------------------------------------------------------- -------------------------- =-----
-- ---------------------------------------------------------- . ------... ------ .
b
sPermit No. 1: a . ...............--- Issued ..............- - ....-..
F 3 -
-T"
No._l.S..:...v. Fps........-7d......._
THE COMMONWEALTH OF MASSACHUSETTS
,BOARD OF HEALTH
TOWN OF'BARNSTABLE
4
Appliratiun fur. Disposal Works T. nstrurlilart Frruti#
Application is hereby made for a Permit to Construct `( �) or Repair ( 101' an Individual Sewage Disposal
System at
�O Vq 1 .Location-Address `
'`"`` --------------or.Lot No.
............ ................... .....
Owner---- ________________________________Address
�.� -----------------------C 11 d---------------------------------------------------- ----. ---------------.--------------.-
Installer Address J
d Type of Building Size Lot........................... q. feet.
U Dwelling—No. of Bedrooms--------- --------------------------------Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons............................ Showers — Cafeteria
a Other
g ------------------•----•-------------------P--------------......-------:---------------------------(.....--•--........-----_........._..
� Other fixtures --------------------------------- �
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench—No. .................... Width..................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
a ..........-..................................................................................................................................................
xDescription of Soil...............................................................................----------------------••----------------------------•----------------------•------------
-------------------•--------------------------------•---•-------------------------------•----.......------------......---------------------------••------------ •--...-------•-----•--- -----
W ------------------•--------------------------------------------------------------------------••--------------vw............................................ ---- --------
UNat re of Repairs or Alteration§—Answer when a plicable____ 1.7Jt4(_/-_--_._�""._ ._.....MOP......
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE,,.5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been i e. by th board of health.
Signed -----------............................ ....... ... --------- ----- .7..........................
Dace
Application Approved BY ------------ 1 --. ............
---------------------------------------
Dace -
Application Disapproved for the following reasons- ----------.................................................-----------------------------------------------------------,--------- --
Dace
Permit No. ..... --- --.T .
Issued ^'
Dace _
3 A
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(9rdiftcttte of Compliance
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (V.,)
b ----------------------------------- -' - .<...U......--....---------......---........----------
/ hs� I, ./
at ----..5 .................
� � ....... (..�11,,11---------a .... --!..---................ ���-�-.!/I.. :.............--------- -------------- -------
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ..........�. ..-....$ dated ................................................
THE ISSUANCE OF THIS,CERTIFICATE SHALL NOT BE CONSTR ,ED AS A GUARANTEE THAT THE
"SYSTEM WILL FUNCTION�S`ATISFAC GRY.
DATE. '"�. ............ Inspector ----Z_�
THE COMMONWEALTH OF MASSACHUSETTS ------'--~
BOARD OF HEALTH
TOWN OF BARNSTABLE
No.Y.. ...........f GG
FEE...� ..........
Disposal Vorks 'lanotrurtion Virrutit
Permission is hereby granted--------.......................C'-�'�.6-----------------------................-----.....------•--.................._.---•-
to Construct ) oe_011A�Z
epairanAndividual Sg- ra,e Disposal System
�— y �. ...........----...........................-----------••----.........
at No..-----':r'-�.------. -.............................................................r'cJiY1 . -..•�`"�
Street
as shown on the application for Disposal Works Construction Permit No _ Dated.........
............................. !.�2.v.>................................
Board of Health
DATE.................. S.........................
FORM 36508 HOBBS h WARREN.INC..PUBLISHERS r
�'-•C�' /av�o d 57��
CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS)
I, •� ou&A) , hereby certify that the application for disposal works '
construction permit signed by me dated �' "�,� , concerning the
property located at 6-0 am 0*1'ailk meets all of the
following criteria:
• There are no wetlands within 300 feet of the proposed septic system
• There are no private wells within 150 feet of the proposed septic system
• The observed groundwater table is 14 feet or greater below the bottom of the leaching facility
• There is no increase in flow and/or change in use proposed
• There are no variances requested or needed.
SIGNED: DATE:
LICENSED SEPjX
YS M INSTALLER IN THE TOWN OF BARNSTABLE NUMBER
[Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan,
this plan should be submitted].
i
.y
17
5A1 Ni
')7.97
.37
a� 7 S
• J
F
Tn u r,_ SS, 9Z •9�1
x
� log ' 17 �•
V Ex� ern 1
7
/ r
r t*;
ioo'31
�CQ. Ii
TN i
U7
Noo S7 G
'o`7
mx
17
Shp a'A;.:�
s*/•
�.•�-r.,r.. __ ... .
EPTIG TANK = 330x15aV.-t--
USE- 10O0 GAL, _
DI'SP05AL PIT vsE I0O0 GAL.
I 5 DUWALL Av-SA, I S.r `cT I7 L ,\N
5
150 5•F X 2.5 a 37 G,Pq
BOTTOM AREAI . �0 6.r-,_ vSTE RYI LLE MA.5,5 .
Iro it 50 G.Po. .
'ToTAI.. CESIGNT ,4z5 G•Po.
TOTAL TDA 1 LY FLOW = 330 G.Po,
Pr=ZCOLATION RATE i I''IN ZMfW 6P-t.655,
yB_AV ER
.mil ZS(� .� •:
it
N0I,-F # FU 97, oo . TOP FNU• �a
�102: 'P- 2357 �9/19�t�3�
A A
iLoAr1
Susso�'� loon IWj
Z DIST. INS. Gel.
1Of5O BUK r �iCPTIG /�
INd, 99 TANK ' /h�--
r .
LCACII
PIT INV. INV.
WITl1
Ir�3/q.1YL
WASNGD
Ra .�
C1+ PLOT PLA�W
TT1 PR-0FIL1;
L.o(A-T ION �STrcv 11.L�
IZ No� 5C1aL,E SC= I,t So' 'DATE 9 11
Klo\WA T�� �$�
I P L A r•� REF 62EN C C-
1 CE RTi�.Y,;• TNAT TN6 To��N�QziUU SNowN _
HE%Z V-0 l %'-'OMPLYS WITN 'C H6. S I CF LIW E
AWD -56TIAGK R.6rQt�1IZEMEN'1"> of THE L:7T 17
To wN �,F ������a AN v 1 r I.Jvr--
LOCATED WITNIW TN6 GLooD PLb,.I►.I L 7 S
I D I►T E. 1\ BA
ley'A�l t J�)
TU15 PL��I I S NOT ���>I=D dkI Ar`J R.EGISTSz,It 'I.A�Sumyrw NIDeS
INSTR,vMEI�T Lr-y r -rNE l�I=�SET:S 'SuoUt� C>STEiZVILL& • M,46 j
�IoT 1'�F V 5 EDTO 17 E-TER,'�f►1. t oT t I.
��5 APr�ICA►,j `t-
14
LOCATION I ll` SEWAGE PERMIT . NO. .
1�����l�� v• TA
VILLAGE
INSTALLER'S NAME 4 ADDR SS
I U I L D E R ON OWNER
Ll V t
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED
77>1 e3
�v
.Y
£�(,5tt R
pit
71-1a
�.
5
JtI,
&6 /oq/00q,
No... .... - FEs..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD HEALTH
............)-.!.?.W.-.4.............OF........................�IIz.N�� � -....
Apptiration for Disposal Works Cnayawundivit Vamit
Application is hereby made for a Permit to Construct (LY"o"r Repair ( } a^^n-- Individual Sewage Disposal
..... -_ N- -------------- -------- - ------- 1.....1_. ------------- -----------
Location• ress or o. i
------ c. st ........ .......�.b .....:.T...._ I..-•---•--•-------vac 6-L4
W� // Owner cc - Add�re^ss -
a •...........................•..... ........ ................. ................•........ ....................•••........ ................ --••.........................._..
Installer Address
Q Type of Building Size
V Dwelling—No. of Bedrooms............... ..... _.__.Expansion Attic ( ) Garbage Grinder QUA
pa, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Pa Other fixtures -------•--••-•-•-•-•--•--•-••-• --- -
- ---...
W Design Flow...... (2...........................gallons per person per day. Total daily flow..... ....................gallons.
WSeptic Tank—Liquid capacity.!..gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
'-� Percolation Test Results Performed bY------------•---------•••••............................................. Date........................................
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_-_______-___-__•-..._..
fi Test 'Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
--••-----------------------------•--........-•----......------............---------••-•---...................................................................
0 Description of Soil........................................................................................................................................................................
W
V ------------------------------------------•-•--•--------------------------•--•----•------•---------•-.-•---------------•---•-----••-•---------------------------------------------------
---------------
W
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
--------..-•--•-----•-••----••-•-......-••-•••---•••-----•-•-•---•••---••----•--•-•---•...........•-•-•••••••-•------------------•-.....--.............................................................
Agreement: 1
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITL U 5 of the State Sani r Code—The undersigned further agrees not to place the system in
operation until a C tificate f c as been iss dot e bo rd of ie
•.
Date
A lication A roved B ._.._
Date
Application Disapproved for the following reason ...................................................................................................................
---•---•--------------------------------------•-•----------...---•--------•----------...---•--............_.....---•----........_..-•-------------••••-•-•-- .---••----•-•-••---------...............
q.1 Date
Permit No.......... / --------------------- Issued......•--••-.
te
-- --- ----- --- - ---- — - - - - ------_-=------_ ==•o:=��
No......................... Fss.............................
THE COMMONWEALTH OF MASSACHUSETTS -
` BOARD—OF' HEALTH
r .........................r...............OF.................1-.?.F7•.......�'I.CX,.....F._---•--.................----
Allp iration for Disposal Works Tonotrurtion Frrutit
Application is hereby' ,made for a Permit to Construct ((_-)"or Repair ( ) an Individual Sewage Disposal
�vhn �1 •15r...
Locatiln-Ad, resi Ile
r or No
a, [Owner to Address s
r .
Installer Address
Type of Building Size Lot�:!():1__-AC .,.....�..€e+et
a. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder
p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
d QtAeS. fixtures ........=.......... ..................................
W Design Flow.....__..."._o............... ...........gallons per person per day. Total daily flow... a_ ........................gallons.
WSeptic Tank—Liquid'capacityj�..gallons Length................ Width................ Diameter................ Depth......:.........
x Disposal Trench—No..................... Width.................... Total Length.................... Total,leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth'below inlet................_... Total leaching area...,...............sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
IH Percolation Test Results Performed by.......................................................................... Date..................---...................
Test Pit No. 1,1................minutes per inch Depth of Test Pit.................... Depth to ground water----_ a:__._......._..
rXq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.......................
Ri
ODescription of Soil..........................................................................................................................................................................
U ---•---•-•----------=---•••---•-•--•-••-•------•--•••-•---•-•-•-•---•••-•__.......•-----......•••-•-••-•--•••---------•-••----•----•---•......---•--••-••--••--•-•-•---•----••..._.....•-•-.....__.----
W
V Nature of Repairs or Alterations—Answer when applicable...............................................................................................
p
Agreement
The undersigned ;agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITIZ 5 of tY e State-SanitaryCode— The undersigned further agrees not to place the system in
Operation until a rtificat of h as been issued'by the board of'liealth. I
. .,,
/r Date
Application Approved B ...............................................`; -----'-•-•-------------------
Date
Application Disapproved for the following reasons:................................
...
Date
PermitNo..------ ...........................................FT . Issued-...---••---•--•- D -- ----•....... ..... .........
ate
THE COMMONWEALTH OF MASSACHUSETTS
,,�,_.._ . .. . —.BOARD•....OF HEALTH w
{
'Trrtifirate of Bout#,It;tnrr
=THIS IS C TIFY, That_.the Individual Sewage Disposal System constructed A or 'Repaired ( )
C�i(M
by
Installer
X C•/
at- -,--- ----- ---------
----- ---------------------------•--- ------- -• •---•...--•----
has been installed in accordance with the provisions of TI,�I�;F ,oj The State Sanitary Code de b ii�rtthe
application for Disposal Works Construction Permit No................... ............: ... dated....._.-._._.---- _____.... ..................
THE ISSQjAN OF HIS CERTIFICATE SHALL NOT BE CONS 11E® JUA.RA?TEE THAT THE
SYSTEM WILL FPO O I'SFACTORY
1 r
DATE... .._ .... Inspector..:.......... ----•-•......... .
THE COMMONWEALTH OF MASSACHUSETTS t
BOARD OF ,HEALTH
4j� ! oF........ ................. '.......... a
t
No............ Fss. t
Biopoo irkv To'niitr ion frrmft
Permisi he b granted................................................--------------------- ... ............................
j to Construet air �d id� t�� m i
at No. :
Street
as shown on the application for Disposal Works Construction Permit, No..................... Dated..........................
1 'V vs Board of Health 1 of
DATE.
• t
FORM 1255 A. M. SULKIN, INC., BOSTON
FAtA%L%? - ':5 BCDQooM
'I J►�c:rr� i ��' 2 I'i
j 1.10 GARBLIGE (jQ%ND�2 e
c3AIL:( FI,.OW z 110 A 730G.Po i
11 SEPTIC, TAsiK = a3ox15d%-- -49r6.Po
USE• 1000 GAL. ^ '
o15Po5AL PIT V SE I V 00 SAL. ��ach�lvv� •',
I S�Dw�AEL A2GA a 15o S.� ,� M
150 5.>= X 2.5 = 3'l5 G.Po �•/5�'E RYA LLF- I 1A�5
BOT TOM AREA s 5i r-._
I Asir x l. o = 5o G.Po
ToTAL DA►►-Y F%-OW = 3306-Po
I (.
PGZCOLATIO14 RATE : I''IN 2MIN OIZ.LESSA.
II
U � I
DAXTER y�� 4•� •
�STS
i
TOP FWUt
, �
9 Yew
El 1�5 / Y^. Ti,+�l`Y�" Imo• �s,�o I.
LowM 10 ov INJ. I
Sass NS. li EPTIG
Uo%� DUST. I!
t Z BvX IPTl 9A
{d00 {N�/ 9�i• TANK /rj•— !�
LCAC►1 i
PIT INY. INV.
Mll TN '?�. 9' '
WAI VA;D
E�• 6TvN6 '
ND
CEQTIFIGD PLOT PLA{J
P>ZoFILG
1Z' NO SCALE SCALE 1'= SOS SATE
t�10\WATE P. 77-0Aos rl-� P L-A►�! RE F 61ZE►N GE
1 CERT�t=Y TNo•T ?NPc "�ou►a�,�T,c�u SHovYN
1mlzsoAI GOMPI.` !s WITP I MF- S 1 o6 LIN E Lam �7
Awe S6T�GK R.6Qv12EMEN`f> pF 'fNE
TOWN Or- $AZz� 1rA 6 L$ A N'D Ir.,
►Jor--
I� LOCATED WITHI*J TN6 G1.000 PLAIW L. 'q 7 11�' S AxTra Q V. N YE i N C.
-1 R.EG 1 S't f�Z�►V'►AW D S u Z-V EYo2S I
-f i 1,5 PL&►.I 1 5 N crr V3 N'e r o old &Q o s•rEiLv I LL& • MASS- I
i{JS;'2UME.NT -SV9-VL-YC- -TPC !?1=rSET'-S 6W0UL'D ,
t,}5FC? TCb C�E=TEFZ.'^I ►i� . �T ; IVE�j ADPLICA^�T �-
S� C-T
37.91
� a csg) 17 SA10
11
Oj
' J
y2 y7.97
•37
l '�•G7
i
j
TnNY� ZO' MiU
s�., 9Z •�
K
10 t • 17 n'
P Ex? AQEA
100.31
Noo • s7
o� �m 717
9g•17 O ,�,:.�
�rJ r RICHAPD r;� EUA.
'
1 ell 43AxT:R -3
99 7 9�•
� t+n 24u,ae O �.• �,.
r '•_
,t� - .: General Notes _ -__-._- _.._.—_ ®�
Ground Snow Load-Barnstable 30 PSF
goof Dead Load- 10 PSF
Total Roof Load 40PSF r Wrlr�ow5 DHbu-BE P.tJV�e3t=hF,.A SF�LEh ��
. _ I; I H 51ZE5 5HCWN FE V-FLDN - -
cm ti�rallumber .. 1 , , '�, 'Fo(2MCNCE. C-LA" - L.0 .. -
Floorloists and Roof Reams a PEeFoef/=2:C'"Dr, 50
Fiber Stress z - 1,100 P51 r ---T7Fi t♦ ,tt.N B95[I�.�.:-so +tp Modulus of Stress
z -1,100,SI PSI I _- Lo»-HIG'K AN L IMPt'cT-TcE"515T/SNT� (J FA�E V-761: .3B
9,1.V.
All Lumber Exposed to Weather =
to be Pressure Treated n Z_ Zx to i� I
All structural connectors as manufactured by Simpson Strong-Tie Co.and
to be manufactured from Type 316L stainless steel including nails and _ /' 1zE51ctu�
_ bolts.-rated for high level of corrosion resistance. _ N,
r
Weathering Potential-exposed concrete: Severe
Use 5-7%air entrained concrete: 3,000 PSI Z-
'cP�s Eh W
Assumed Soil Bearing Capacity _ 3,000 PSI Zx.to P_T•RPT ATOP FGN-WALL
`4.D5 Z.J itoLoaaNh G+ ECGH
fioLp
B Wind Speed-Barnstable 110 bMPHCocN Ems.u5E 5/r;'P9.15-tZ"it.vr-tcr(EM69U,
Basic �°Mn•1>C' -
Wind Wind Debris Region - yes� � � Zq"'V.G. BETutEE_N EA_PCIR�' cou".
eg - J $)BFL07V.- 3/4„T''G AM KITED PLYWnoo- 2.01 .6ce Yi -
MeanRoofHelght(addition) 16'-0't - -' GWE a-NDIL• F-XT, r-eor� WILLS
Roof Angle 45. 0 -
Wind Exposure Category- - B _ 5" r- of W. : ol�u-r�P�(� I Rrccl n•TER._.. -
.,.3-,- - -S1iEAC w�U%5,LY.n[I<AT VWi�Pf»RI'F.f7 fi-YW D- i
Height and Exposure Coefficient -: 1.00 - - -- `I�' �DQE).pplctNG b'I A c• Q FILw1CL EDGEbi
.. - - 7Z-+'.fit.
Climate Zone(all of Massachusetts): 5A '.
.0 value(maximum): Windows .35 - - - !"l.00lz r[cpNl1N(G. PLDra _ -
Ceilings .030
_ -Wails - .060 tL(�CDowNO e _ -
Floors - .033 ._ - - -
- //'`'�� fie-
. � "INN, �"'rD KEN FZOM GE"IftE'�_R.of Rvt-r
�^ [ / BY TEv b NVE 3/°3/9Z
r
)Lid 5LA. I'1ff If. .1 I !-1&' 00 DW _
ATGT7 54
-
- U1 LNC OF.DLflITI0A1 —_ 1.
N
ZL
I °MILNC..COvEL..G4Fi� y a lvp 13L0"
T�DLY YtPOZDmirlER
u u °- 1 1-r _ _ , e I I I lM HGRiit Ild1...1.41-4i�
. 3'-(� No 4 g-4. 4° x _ 3-G ..__IZ° VemcCL_y..tyit< _- 111
�atoe Ira4 G P�
---5 5ttELvEti-rj I -curM) C@W L SPr[� .•/ ,
• I 4 o I9
G° =o �•��— 41
13
IL
r Z
- 4 0 I k O �I �I � •.eroLE, I
El1 4 ¢tr ZL" +. 0 �y '( K5 8ce5,t[o°Lnro(,a pa
:. I
11 3 � L 61 0
ZL 8° Z-b° z 8' I a .._6F.WD1) 11L wpw
. . ^-1
Loy r-T fi:'JUr(' ��. FLDN OUN(7DTlo)J PLCi`1 r .
y_'e 11-0°. .
rTE Pc�r i �i>rNt eor.No, 1� c Du vra>rts, _ .
A New Home.Office Addition to the residence of
6°`cpd.sr��. —.(�I�1)�IC.._(1SND1Sln�! ►�dr(�.�lyP-.�"L(_p/-i {�trN f� SNvrS� '"'°"°'"
Marcel and Mary Poyant M4%V " 5 "
Located at AKRO ASSOCIATES ARCHITECTS TINC�
50 Beach Plum Lane, Osterville, Massachusetts 27 Eastview Tevaze,Marstons Mills,MA 02648 a
1 of 3
' Tel.and Fax: 508419-1217 - -
11
J
z�
I
El
_ om t`r4m ---
i - �-
w
I t c.wo'�'Lklt1 -._ _.. � —
. -i%jusT'4'�VO7D. VFLK _T/JNlif c9mz SURJfLFi/
1—
----
i
RIc,Nr 5tve% ��ya"15_atl: :. >z� F�vGs� i
zx rt's=Wtt.'
u . NBW AvvrnoN 1 X14•nK6 I
IF
I
;•\----- .5q ' _ 6=Asp}S6�Y 9HING1.Y.h. —�� rt� — - \ 1 ---- - -
y
-hc4..aN_1;c.F� Ic _:
IE
[TOr -- - - i
l _
I
i _ I
.2 4ov.-f10N._._. _ fJ(iST�G VCo i BEYoND
-.
. - .uSE_tGE. k1kfE1%5ttt4�D L:a-�- Il-r
:_. MMOM 3G"6ocK oN RcoF ?—3�
YeoWrK vnE1.u. cet�tE¢h. u5E GuTGo'x�-'�U.EYh � �tc°t 20'�GONT.CONC• F`f4�.. I
NEW EXI# N nG
C9D1 ION I ► __
-._-RnoY' I1zAMtNG.Pl�rl _ }'KdN-f �I�vAr>c�r► _ l,Er--s 51» �.�vnTl�la . I
i
A New Home Office.Addition to the residence of
lil�tEEIOZ 51 yD�lC",..._�Gy�F.. LhAlllfi.lLPAa
Marcel-and Mary Poyant
Located at pEastvlew
SSOCIATES ARCHITECTS
errace,Marston Mills,MA 02648
50 Beach Plum Lane, Osterville, Massachusetts08-41.9-1217
r
M r+
o *' a. °
� m
3 00
m D •
O � a
�D �. 2�=Z�� I RaiGM oPEN�G
o
tA
(D
3
N � '
LA 3
N
� rF
3 Ul v
$ z r46 f
g
�'01�, ?�
z
4'o" nvN1*auN _ I 7!e FiEw CAEGK
EX EbVfl HT•G D_T�II.- ?�1m
s' o
M z
i I I li
go
a
0 r z — — — --—--— N
co
f%46P OAK.
r
^' I •1 G Q � N n � �J"� � � � 1C G
E � y
F �g
10ry
� i =� A j i �i •
;t
5/4 TR£X Deck '
6n 2 RS 7'10"
I
3771ja 3068 3771
2xE
NEWStudTZE.I.-
a ff II
in
Cmn
NE I
{ { DINING {
! AREA NewDeck I IoCm
Q.� Cr N x
�7-11%/
�i - ..�,.�„•,a..;}y.-•f ;�_M r 3-LVL 1-3/4"x 16"
S I I I I I I lum
na4 LLVL 8x6(nom V 8x6 nom)
n I I Point of Ongen Column
-� II If II If If '�
i1 If 1f It 1I `_
COUNTd, KITCHEN ( I I LAUNDRY
1 I I I I f I I II II tI II II tf r fI If em2 ndAfMASTER BEDROOM floor closet
°
o
BATH
j UVING ROOM z DINING ROOM ,.. ALTStAnONSar�aAMMONSlodwP IDENCE
W of
MARCEL 8s hL1RY JAM POYANT
M Beach Plum Law-Ostctvdlc-MA
A LG E R Eatetpnses PwJ No A£0301
P/ STANLEY F ALGER,JR Scale
t, >ARCHLTECT< Date Apr 23,2003
WA 38 LEONARD DRIVE Rev flay 10,2003
HALL ; �'` t OSr$Rvn1E-MA Sheet No
1 FAR 02655-2416 Oro
MA Reg No I267 GENERAL OONTRACPOR SHALL
SalgeW*aoi com VERITY ALL DWEN SIONS dt
Tel 5W428-2M CONDTI'iONSONTnBSIfE
FMT nOOR PLAN
CAA
16'-5 1/2"W
' 3"OP VC DS ? i—— - ^ - r_ m
I { C DS
O
i p
-2141 z
h
LL
U m
m > C �-
Bul g I o ��• �
3 `` 3
3 l�I 3
NORTHEAST ELEVATION
2
Scale: 1/4=1'-0" o I
• lodge Vent ;W ndow -----J v
window; ............ -------------- --��_----- —��------- --- ---�
4 12 I Zj 4 --- --------' --- LdC Fla m ---- ----
I
BATH j
o NORTH BEDROOMFFT 1 I
I
New 8"0 Exh
3068 3771 37 1 WEST BEDROOM duct to roof
-j ILL
SOUTHWEST ELEVATION HALL
Scale: 1/4=1'-9' 0110 '
{ N
Ridge Vent 4 EAST BEDROOM
Match Ex Shingles
Wood"V"Gutter SID and Alum Dn Edge
1
f
1, -
i ALTERATIONS and ADDITIONS to the RESIDENCE
Of
3771 3771 3068 MARCEL&MARY JANE POYANT
Hj 50 Bcach Ph=Lane-Ostetvdle-MA
F. Immm ALOEREntmpnses Pro)No. AE0301
�p STANLEY F ALOER JR Scale. 1/4' -1-0"
FA I(' >ARCHITECT< Date Apr23,2003
} � 38LBDNARDDRIVE Rev May 10,2003
..nw� OSTFRVILLE-MA Sheet No
-Hew Deck--
02655-2416 Of 4
1
SOUTHWEST ELEVATION Ief MA Reg No 1267 GENERAL CONI'RACI'OR SHALL
3 l 1
Scale: 1/4=1'-0" ---- ------------- --^------ ------.—.------------`I /•� Salger)tQaol mm VERRY ALL DIM NSIONS& 1
SEC ,eel O R PLAN & EXTERIOR E•EVATIONS
ASSESSORS MAP : I TEST HOLE LOGS NOTES:
e/ o y �
PARCEL : 1) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH
FLOOD ZONE : )( SO I L EVALUATOR : IJ� -EA M g I�EYEK THIS PLAN, 1995 MASSACHUSETTS TITI.f: V & TOWN OF
_ WITNESS : N A t9�(LE BOARD OF HEALTH REGULATIONS.
REFERENCE : CICr? DATE: :fL { - ;2CrJ?� 2) THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES,
"{vPK qe� PERCOLATION RATE : e- 'L M ItiCH SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO
�15641 _ y INSTALLATION.
TH- 1 EL,', q9 ZS TH-2 T� 3) THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION
a
ONLY, AND SHALL NOT BE USED FOR PROPERTY LINE
A 5(DAM IpyZ DETERMINATION.
-I 4) ALL PIPING TO BE 4" SCHEDULE 40 @ 1/8 "/ FOOT. (UNLESS
g �)A4 �-�� SPECIFIED OTHERWISE)
I 51\0J Vv TI
LOCATION MAP(N T,5'1 5) THE DESIGN OF THIS SYSTEM DOES4WALLOW FOR THE USE OF A
4o Ip S.9Z GARBAGE DISPOSAL.
)Mt;TaI 6) SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED)
SAS MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON
I�+�} G Z•��'/� ( A BASE OF 6"OF CRUSHED STONE.
71 EX671n>4
J?UM PC
TU 13E
/ w ,�/� rw o V 6 E��_ T+2E 2EA�1,�
I
11�2ivk7�_i C L(, ' _\^'/IN-I-�-- c�F F�►�c�f'oyEl) ,qC►}�n/G
1
q�- w� z��l�s �� Esc- 'o F�?r PTb
SEPTIC SYSTEM DESIGN �� / ✓ _
/ /i L-�- ✓ G/L
AC � /I r�.��.i�C��-E -
i
FLOW E;�T1M .TE �. k�tr!
BEDROOMS AT //y GAL/DAY/BEDROOM - �YO GAL/DAY 1( - lizo Loll&�--yo U1/t_ti?�' r
12. /NST)9CL 2N° / �c� ��c,G�� ,S r,TI
SEPTIC TAN,K� --
5&a_vF-- 4_s-- 7T�,Lkcr>tqEr�
q/6GAL/DAY x 2 DAYS - ���' GAL
_-JZvb
Cx�sn USE ��� GALLON SEPT I C TANK- &rISTiN�
Dw Ny 4 g /� o00 ��L fh�1k roc 4ej,\)oE k . T11Nk�_ lF Fr� Z).4 q�� ✓> �yC
SOIL AISORPT I ON SYSTEM unVrJ4rLs/zEr�.
USE LS) 5-6r-f 4-4i-c y,/ HZv L4 oC» 1°�C, sr
( GEfKN (µRm8EA?s w/ 4 ' s yofES J,x �3iv,rZ 0 )
A Ex snn � r
G /`fie r `�i 1 _' \ SIDE AREA: I t!�o.S�z. -['i3�Z� x Z X O, 7V = / �17.g6
BOTTOM AREA: So. s-
SEPTIC SYSTEM SECTION
/o Z � \ � BENc-t•+ MK�-k- � (/��
Ion 14„ 0nn S v
kAl,Q Ji
/ A', GAL SS - -- `c
/f flt vh/C
IA,' iAEU) SEPT I C TANK . �� 'rrr� � ��, �i4 I r�
11
I ,ouci3
P•
� �nt�
DA ==N
SITE AND SEWAGE PLAN
N 1 4 IDS 1 4" Fill
^ -
�`� �� - U 645
(j�7. PREPARED FOR LOCATION :
y gN17A� � � � {�� �'
_ - _—I �
�_ _ _. .�___.. _._ �
m- 61 C S irr ,BASe �v
DARREN M. MEYER, R.S. SCALE :
43 VINE STREET DATE
DUXBURY, MA 02332 3t:zylo3
DATE HEALTH AGENT (781) 585-0293