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FIRE STATION=118-013 1l
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No. Fee
Tj1E COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
0.ppiication for Digpoof * gtem Congtruction Permit
Application is hereby made for a Permit to Construct( or Repair( )an On-site Sewage Disposal System at:
Location Address or Lot No. A3 Owner's Name,Address and Tel.No.
Installer's Name,Address,and Tel.No. ��l Designer's Name,Address and Tel.No.
� �ev oaCga�co�strvJ �33!
Type of Building:
Dwelling No.of Bedrooms f- Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 4-� gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title s175- Pe--4'J 0= 40jr /3 GGC 100,5'SW mild>u,63) $/9Ab;Fi 6LC
Description of Soil �` zi'/,r ii4 /�'°—�Z �$��, B��Lr�2S6Sa•LbGy� t��`-�i `'ML.�iynn �i �
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 until a Certifi-
cate of Compliance has been iss by this Board of Health.
Signed Date oZ 710
Application Approved by n
Application Disapproved for the following reasq6/
Permit No. Date Issued
TOIIWNnO/F'BARNSTABLE
LOCATION. - S/ S�R�'�!t P� r SEWAGE #
VILLAGE C� ri/ ASSESSOR'S MAP&LOT 13
INSTALLER'S NAME&PHONE No.... /`f
SEPTTCTANK CAPACITY
LEACHING FACELITY: (type) (size)
NO.OFBEDROOMS ,,A�y�
B OR OWNER 43—;oLla� eom- co
PERMITDATE: COMPLIANCE DATE:
Separatjon Distance Between the:
Mai imu"M 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 Wedand and Leaching Facility(If any wetlands exist
within300 feet of leaching facility) Feet ;
Furnish4by
f�
v
Vt
yam,,
f kv .._��, l,. ,.,s:!- p'At". ,.i. .t of # ,'+k+t �"y,s,.:...._�R. r. _. s.. .`�•',, ,L.. - .. .,r, �,r ,i ce -'.. ti
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No. X - Fee
wr v .:a.a� .
lE 4O(11MONWEALTH OF MASSACHUSETTS P
t PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
_ 01ppYication for MiggsMl *y5tem Congtructiou Permit
M Application is hereby made fora Permit to Construct( or Repair( )an On-site Sewage Disposal System at:
Location Address or Lot No. Owner's Name,Address and Tel.No..
DsT2.Yiu-�= e-Q Q\L V t�>.L i tt�� ) v
Installer's Name,Address,and Tel.No. S
Ti.. ).Designer's Name,Address and Tel.No. �•
R ! v► 1a Cguct,(?oh5frvc+it33 I
0.13 x b�
55
�89
„ Type of Building:
{ ---Dwelling'. No.of Bedrooms Garbage Grinder( )
o- Other Type of Building i No. of Persons Showers( ) Cafeteria( )
Other Fixtures
', .Design+low gallons.-per day. Calculated daily flow gallons.
Alan-Date plod /z I99lo Number of sheets Revision Date
ltle SIM`Pt q N aF 40T A3 444 /Sm 5 S/ a9 ✓lu b� �MJ iT' l$ i
es on of Soil Z�r�a�'/�,r� ,�.� ��,'Y' 41,4IJSCri Sa�C� Sd8'=%70i1s�w,e�SMJo Cb
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement;, �
'r° 1-. 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 issVed by this Board of Health.
�,..k. Signed j Date g '� d
Application Approved by a
Application Disapproved for the.following reas(6/
Permit No. Date Issued _
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Certificate of Compliance -
THIS IS TO CERTIFY,that the On-site Sewa a Disposal System installed( re aired/re laced on
by"R.7Y.-Rev i fdfCJL'a2 `reJ[�a aL Do. R 0<11
as a n Q —t haibeo constructe. m accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. " dated
Use of this system is conditioned on compliance with the provisions set forth below:
r � i
No. l Fee J 0
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC.HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Dtgogar *p!5tem C.On5tructiou Permit {
Permission is hereby granted to Bev Lie-Q
to construct( repair( )an On-site Sewage System loc ted at 3-L7 t` B i C'. Ci��-h� ;'yt c� ,
i
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.
All construction must be completed within two years of the date below. r .
Date: Approved
f
•`� CRpGK�NE vs� ,�5'22� ' / ./R 12.5 '
�R '► /
A TO WITHIN Z O ES �� EE ��
COVERS LOCATED o JPM �S RE ,r
12 OF F.G. TEST HOLE w \L�_R °N �9�
A T WELLER-&6ASSOC.20
12.0
ELEV.- 17.0 , ACME PRECAST
/ x 12�3 TOP of F•c•- 16 t F G D83 OR EQUAL �
FOUNDATION �
F.G. =16't PIT #1 /. I
INV. - 14.5 F.G.- 16t ELEV. = 14.5' �Qe
1500 GAL. 4" DIAMETER T 0 e Q /
I
INV. _ -2"
14.3 14.1 DIST SCHEDu 4 d�
INV. -
SEPT1C TANK INV, -13.3 Box 0 p,VC, pip f TOP ELEV. 13.9 LOAMY SAND -- A x 13.3 I
�o.00' 6 CRUSHED 13.1 INv. = 12. vvvvvvvvvvvvvvvvvv SANDY LOAM - B
" INv on water x 6.2
BASEMENT FL. EL. 9.5 MIN. STONE BASE vvvvvvvvvvvvvvvvv " -24"
a
Ld
" 1.9 if vvvvvvvvvvvvvvvvvv ... COARSE - C1
0 N x 12.9 x 11.0
BOTTOM ELEV.12.4 SAND �' �I ^
ALL COMPONENTS LOCATED IN POTENTIAL
VEHICLE TRAFFIC AREAS OR BURIED 4 FEET o -48" PERK TEST
OR GREATER SHALL. BE H-20 LOAD CAPACITY. '� MEDIUM - C2 J �
WETLAND a
SAND
tip
EL. 7.4 CORRECTED -114" EL. 5.0 8.0 ,f
12/95 OBSERVED WATER
EL. 6.2 WATER OBSERVED 10/96 x 10.9
PROFILE -12o EL. 6.0 x �2. /
NO SCALE /
'7.9 f / x 13.5
a
Q 9 36
x
,' /
NOTES: x 12.0 O(ae/ y Cy x 12.7 /
x �,.
PROPOSED SYSTEM BACKFILL �
(1) REMOVE UNSUITABLE SOILS BENEATHP D � / /
WITH CLEAN GRANULAR MATERIAL FILL TO BE GRADED AS FOLLOWS: NOT at \1
MORE THAN 15% RETAINED ON No. 4 SIEVE, NOT MORE THAN 90% RETAINED ,
ON No. 50 SIEVE, OF FRACTION PASSING No. 4, 14.9
10% OR LESS TO PASS No. _ _
100 SIEVE AND 5% OR LESS TO PASS No. 200 SIEVE, SOIL TO BE APPROVED - ��
BY ENGINEER FOR COMPLIANCE PRIOR TO PLACING ON SITE.
(2) LOCATION OF UTILITIES NOT SHOWN ON THIS PLAN, AT LEAST 72 HOURS
OQ ��� � r
PRIOR TO ANY EXCAVATION FOR THIS PROJECT CONTRACTOR SHALL MAKE < l
14.9 x
•moo, 1;%°�'
1,
THE REQUIRED NOTIFICATION TO DIG SAFE (1-800-322-4844) AND APPROPRIATE �( 10 / Q�t�Je ___,..._____ -• ---....._._ _.._ ___..._.._. _..• y --' //` 14
WATER DISTRICT TO DETERMINE UTILITY LOCATIONS.
14 �..,,
\ 12.9 x x /
_12.2 ,...._� ,_ 10.0
� x - 12.8 r x 4.3
• � +r
x 10.5
/.� '�•--- x 12.6 x 12.5 15.4 `�
NOTES � x 1 `� x 12.7 '`�� _ /' l . '"� ��36.00' �! / ' OT
1D FOR ALL ASPECTS OF THE SEPTIC SYSTEM THE CONTRACTOR ���,, , `� ,`,�1` r / / TOTAL 445,255 sq.ft. 1b.22 acres
SHALL COMPLY WITH ALL GOVERNING CODES AND REGULATIONS. // X 9•; �:r ��� x 13.1 �"' x l /^ 36.3
IN PARTICULAR 310CMR 15.000 THE STATE ENVIRONMENTAL CODE TITLE 5, '�, 14.5
THE TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS PART VIII: 8.5 / /� I �" GAR. p ,� ---- ��w ' x i x 1 5
_ _...
ON-SITE SEWAGE DISPOSAL REGULATIONS AND THE BOARD OF HEALTH / x 12.2Qom:
RECOMMENDATIONS FOR ACCEPTED PRACTICE. Qb
/ I I 66.
.00 x 14.6 ,� �. ' / at .�5�' �✓ ;'. x 13.6
_ ' '°ti ` � � x 14.6 oQ' � !, �\G 5 r\ f / Ot,•, x � a
proposed .,` X�'• (1 V15.6 4 16.4 EP 0.7
1 .6`-. Qc p,5 x 14, r�
house x 15.2 �. d t d. Orox .• 0?O 1� x 13.0
•
�7.8to of SEPTIC TANK4d � ,
1 L = 17.00' 2 �. b ��
831 # ( .found. e:. r \O D
• _ _ PROPOS D I. WELL _ -_.. �, - ,� XQ PN5 � r � ' ,`� � �! •� �`�.�' .
! o '� ,.X 14.E 4 E #3
5 xx
x 10.7 _ oo. 8 \` TP �4.
5o,22'E WETLAND &0
x 13.7 14.0 _ --- ` \
/ .
50' 34.00' 14
14� ,,\
:
J-
x 2.8 ,,' x
i ,
_--- r PROPOSED SEPTIC SYSTEM �}� ` 16.00' .,. ,_,� . _.___- �•' IN E1NE EL. = Al ONF e �� � ,�
.9L 0 T. 1,p x x 7.1
' OD LA IO E ~ �'� � x 14 /
7 vvvvvvvvvvvvvvvvvvvvvvvvvv FLOOD --- g, N AT 13.9 xy4.5 %
� /
i
vvvvvvvvvvvvvvvvvvvvvv vvv ; 2.1 �� - x 9.3
N vvvvvvvvvvvvvvvvvvvvvvvvvv 4: .9 _ _:. ...x t0;0 10.3
x 10.1 #19 , `� ' JAMES H. CROCKER, JR.
vvvvvvvvvvvvvvvvvvvvvvvvvv ,.
' � N o � � x TRUSTEE OF THE
v vvvvvvvvvvvvvvvvvvvvvv v
\. - B29 7t �', ,� 2 ,`. (J•r► `°, CROCKER PENSION REALTY TRUST
fx .
WASHED STONE #20
C-4 TOPPED WITH 3" OF PEASTONE /
"I ,� `x 12.4
EXPANSION AREA X 10.0
x 9.4 •7.5 WETLAND �•
B27 #21 ®. , °`� X\s'8 SITE PLAN OF LOT 13
PLAN OF LEACH FIELD 8'4 ,ff `
7.3`
L.C.C. 15055H
SCALE; 1' = 10" x • 8.0 IN
x 9.7 PLAN OF LOT 13 (OSTERVILLE)
,1
SCALE; , = 20 BARNSTABLE MASS .
GRAPHIC SCALE FOR
B26 7;9 X 7.3 0 20 40
ASSURANCE CONSTRUCTION CO.
#23
SCALE: AS NOTED DATE: NOV. 12,1996
ASSESSORS �;
LOCUS MAP B24
,J" MAP 118 PARCEL 124 LEACIING FIELD DESIGN BARTER & NYE INC.
SCALE 1 + 25,000 ZONES B25 ' 8.4 g g _. REGISTERED LAND SURVEYORS
N �CEVALLEYRO o �;' Ap ALL PIPES TO BE SCHEDULE 40 PVC PERFORATED CIVIL ENGINEERS
RESIDENCE C WITH CAPPED ENDS ❑STERVILLE, MASS,
n 0 o USE 2 - 4 DISTRIBUTION LINES IN A
\/ Y GZ Q MINIMUMS 12'X 50' WASHED STONE FIELD
m E RD. �o AREA = 43,560 S.F. DESIGN DATA AS SHOWN
FRONTAGE = 20 SYSTEM IS WITHIN 250 OF A RESOURCE AREA �HoF
NORTH LOCUS SINGLE FAMILY- 4 BEDROOMS THEREFORE THE APPLICATION RATE EQUALS
BAY WIDTH 100' NO GARBAGE GRINDER 440 G.P.D./.74 = 595 S.F. OF BOTTOM AREA REQUIRED ` a�"�'
ST. MARY S s NO ALLOWANCE FOR SIDEWALL AREA ELEVATIONS ARE BASED ON N.G.V.D. tAXrER
ISLAND 5�. FRONT SETBACK = 20 DAILY FLOW 110 X 4 - 440 G.P.D. FLOOD PLANE LINE IS BASED ON V N
BLUE HERON DR. BP SIDE SETBACKS = 10 SEPTIC TANK 440 X 200% - 880 G.P.D. USE 12 X 50'= 600 S.F. AREA PROVIDED FLOOD INSURANCE RATE MAP °
REAR SETBACK = 10
USE 1500 GAL. SEPTIC TANK CLASS 1 SOIL PERCOLATION RATE 1 IN 2 MIN. OR LESS COMMUNITY-PANEL NUMBER 250001 0018 D
REVISED: JULY 2,1992.
"BAY BUILDING HEIGHT = 30' II• is•014- #9614313