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0126 GREAT BAY ROAD - Health
136 Great Bay Road Osterville A = 072 034 I 0 a ------ --- -- TILTON 4-�-�.,- - RESIDENCE ------ --1- r , 1 T -L-- ------ ------------ f O-------------- ----?-- LITTLE ISLAND.USTERVILLE MASSACIIUSM- S iL '7— 1 I -. r------------ . RR J` ,r--------- — I - 7 + IDEA. � , imfw _____ T T_ 1 �T = 1 ----------------------- ME N�y c Ly � �rest =• l r.w I � ` ♦ � 1 { I 1 1 &>!ttINQFIFa)a rIAN �O _ 1 secoNn cuxla PLAN , , 1 1 , 1 L1rF+ecN ennF rIAN '1 --- A1 .2 Y.yl o II II it ��� ®�• II II O s ® II e o � � u o 0 TOWN OF BA STABLE LOCATION . , lv (-f ec T ' &,, , Ld SEWAGE #' VILLAGE Qk%�ef✓%/.le, ASSESSOR'S MAP & LOT 072 INSTALLER'S NAME&PHONE NO. A 1 `oA divel en SbS SEPTIC TANK CAPACITY 07066 41,11;n LEACHING FACILITY: ('tyype _z Q�-tL, ,/size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: (y G COMPLIA_NCE DATE: Separation Distance Between the: s f 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 CT - 13` �yF $ N /fIrl 03q E COMMONWEALTH OF MASSACHUSETTS OF HEALTH T OWN OF BARNSTABLE Allpfiratiou for Dbripw3al lVadw Tomitrurtion Frrmit Application is hereby made for a Permit to Construct ( vj or Repair an Individual Sewage Disposal System at: N,0 r ---- ---- - C. ................. - ---------f T. ............................................ w. - L&.........................................V Location Addressor Lot No. .......................3 ....................... Owner Address .................................................................................................. ................................................................. ................................ Installer Address Type of Building Size Lot-------653-1-19..Sq. feet Dwelling— No. of Bedrooms U oos.................. ...................Expansion-----------------Expansion Attic Garbage Grinder ( ) �1 04 Other—Type of Building ---------------------------- No. of persons.............._.___.___._... Showers Cafeteria ( ) 04 Other fixtures ------------------------------------- <� ' 1 193 r--*-V--'----------I----------------------------- -------------------------------------------------*11--------- Design Flow---------------------- --gallons per Pe"I"rper day. Total daily flow....77()--------bc3.!7C7—gallons. I J 1:4 Septic Tank—Liquid capacity GO___gallons Length________________ Width____-_____ Diameter--.-._----_-_.-- Depth___.___._....... W iW..... �4 Disposal Trench—No. J............... Width..... ------- Total Length631";1........ Total leaching area.......f' sq. ft. Seepage Pit No.......... .......... Diameter----.-._.--.._-__._. Depth below inlet..__................ Total leaching area..................sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Per-formed by.......5Pt�T�77-2 E4 -------INC........... Date.....- 3.......17,9.�......... Test 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....__......._..._...... ............................................................................................................................................................. 0 Description of Soil...................0.....t.......Fn!.L4...........................;.- 1 12- ........11.............. --------------- ............................................... ......Iz_ .............. ......�JjXj ................................................. -----------------------------------*--------------- A�M ........................................................................................... ..... .................... ------------------------5-40-------A----------------------! P U Nature of Repairs or Alterations—Answer when applicable.--_-.-.................................... .................................................... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the afore 1cs I Individual Sewage DiFosal System in accordance with the provisions of TITLE 5 of the State it( mental E�e�d , The dridersig d further agrees not to place the system in operation until a Certificate o C liance e d e rd of health.,_ Sig ------------ ----- .. ..........6Z .. ........ ..... ...... ...... ApplicationApproved By ---- --- -- ---- -- --- ----------- .. ................0..... - ------- ----------------- ................... ------------ -- - ----- --- Application Disapproved for thefollowing reason : ..... -------------------------—--------------------------------------------------------------------------11---------------------- .................................................... ............ ------- -------- -------------------------------------------------- ............................. . ....... . -------------- ...r -E--Daie----- Permit No. .... ... ... ------ Issued ------------ ..... --- ----- --- -- ------------- . 07_2 03y ! u - No---- (� THE COMMONWEALTH OF MASSACHUSETTS ri OAR; OF HEALTH TOWN OF BARNSTABLE Appliratiun for Uin.pu�al WorkZor 5 C�unitrnrtiun Prrmit Application is hereby made for a Permit to Construct ( Repair ( ) an Individual Sewage Disposal System at: _ - 15_.,...........:...... - ddre`� ----- ,,�Liz- Location, --------------------------- -----------•-- - �uA- ilddresst -..-or Lot o. �i I fit_-_ LTA .. ... T �o I p .. 5 (,Uc�12 c�sr Owner Address W Installer Address VType of Building Size Lot......& .2..J.-�---Sq. feet Dwelling—No. of Bedrooms----------_ ____________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons_--_.-_.____-____-_----__. Showers ( ) — Cafeteria ( ) dOther fixtures........ =--------•-------------------------------•---- ---------------------------------------------- ------ W Design Flow.......................�-'(�/l____gallons per pis mper day. Total daily flow.... �._...... '"-__gallons. WSeptic Tank—Liquid capa6t __ _ gallons Length_----------.... Width-----._ __-_-. Diameter---.------------ Depth................ x Disposal Trench—No. .___1............... Width..... ...:-------- Total Lengtl ...._._e... Total leaching area....... ':-sq. ft. Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. 'r'z Other Distribution box Dosing tank ( ) t j '-' Percolation Test Results Performed by..__.�A C Z:-..'}__�!`I�----.-���..•.------ Date.__._...3...... q............ �7 Test Pit No. I.....2--_-----minutes per inch Depth of Test Pit----- --------- Depth to ground water-------1 0_-_-__-.--_. LZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ----•-•---------------------'-•-------'-................................................................................................................... DDescription of Soil..................n.--i......FI - -----------r.....•---"----•-..•--•..............................•--•-•--.... V --------- ----------------- -........ -----•----------- ZI •--'••--------- ----------------------------------``a----lQ......M_�;:D.......S.p-r`�-SA4�............................................................................................ Nature of Repairs or Alterations—Answer when applicable._...._................................................_._..._..._.._.__._...................... •--•----•--'-----------'--------••-_.....-•-•••--•-••------•---•--••-•••----'-------•-••-•--•-------•'-'•-•--'----...----•---••----•••--•...'---------••-•-----•---•-•••---••--•--•...............••••-- Agreement: The undersigned agrees to install the afo ede.scr.ibed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental COdF— the undersigned further agrees not to place the system in operation until a Certificate of C©mpliance has-bmn suited , e)? and of heal:h.� [/ -- Signed- ee� 't. �... Application Approved B F'�f --.�'%1-:,.... -� -- - �- 11 ���1�G� 1 9 PP i PP y .. .... ............ . .... J r -'--- to Application Disapproved for the following rea on : ..."------.-- ------------------------------------- /1 ..^ - - n" r'"--- -- ---------------�,------ ........... - �.............. �. �. Date i� Permit No. ----L------------ -- _--------------- -- Issued ............ j bare.:�. ....,.2;_., t --------- - �- - - '--------- -- /-- �- -- �J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE U Qrtifirate of ILampliZ nre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( L1 ) Or Repaired ( ) by ...................------------------------------------.................--------------------------------------- --- -----...---------------------------.-------------------..-------- -------- ------ ' �- �t�utt at ................h.OT...---2-----------...-----... c� T.....�a-...-....'! .E�f�....._.... Sl..t.... ...1/(-1 y Ost _.has been installed in accordance with the provisons of TITLE 5 of he Stan Envifon s e al de asribed in the application for Disposal Works Construction Permit No. ..----------/_......__. .... d.. dated .....___.....__..._...._.._- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B C-ONSTRUEA AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. . DATE ..... I - -� �. -------...--------------------- --- Inspector . J- �------------------------------------- -------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � TOWN OF BARNSTABLE No..... ' .... FEE-- ---------- -----• Ropoa1 Work.5 Tunitrartiun '"amit Permissionis hereby granted---------------------------------------------------------------------------------•---------------------------------------------.--.---------- to Construct 4 Q/or Repair ( ) an Individual Sewage isposal System at No. ��FLI�`(?T_.... f 05TEs`�-0!._. Street as shown on the application for Disposal Works Construction tt No"-G-,-/___..i�� ted.......................................... l" fff t d� Board of Health / DATE / -' ---------------- l FORM 36508 HOBBS h WARREN.INC..PUBLISHERS 1�6iE PAMILy 5 ZEDeoauS e?14EET o GAQ3AGE G21►.1vEe ` : FLOYJ 5x1►0 550 :f PQ SEE PlAi� cxi P>a6V� !4E[?C_o SEffilc TAQIL SSvX(So°1o= azs t)tie 1spo 6,AL- LOT 2 '~ l Etic�lr+�G 5`fST n- .lry iN�c-rKA�wts u�. STvwe; r T f2��,��r 0. L--7LVjLj-c: APFUGS t l uIJ ACE�4 S 6•PD -'.- 0,'15 ' AYF(.-ICAT101J AP. A IZ,w SF, �- —_—,I H�u�c ''I=�� s!!E'L -7 4 ( S F ,m oK- Qom, --._.._..._� s rz)4 6- Pr=uc0c AlloN .QATL- (11 i N 2 M I+J�iLES�, - I2' Sac -3'XL' ; � `ii`OF qi�., `;" PVC, �NF1LT24Tb�L$ RCHARD PETER �� i T- AIL OF f=-I �` BAXTER SULLIVAhi Na 24oie r;'.. No. 29133. ��_"_ 9��:'�• � ���I3TE��'0'�'ri� /3„�6AST0f.�E- '1.-��/i ONAIL �,p �' ti r �A:�IED �•raJE olJ T+�eoc� WR Ct_= io Flo-- t0 "Ff =i2 �_ . .. .. r!c r iv::-Ke I Sock ,,w/• �15T.iNv f�� A L y 9 c 5EFr1C STME A a: �o Sc,ei M4P `72 PGL I cv C�11IF I ED PLOT ..PiLocATI ow � 1.._.. !O =e ' S t'aZvi _..... __._. u%�•r��� fop: o� ��a• (x'�ba�-$AY — ... ___.. I� Cczlzt�rieN SGAL.1= 'I_ - A0 DALE-__ MAAtcslP rq�is Op051=.D PLAIN _1[1.�EfCENGr= , t GE�rI THAT T"AE I�WELL�N� ;I'tov.�N NEP 1�1 cpyt�-�l5 W'rrg THE 51DEL)WE Lam' 2 5�T�l;uc (ZE(�ulZrr�U S OF THE TOWN 0F?5kZ45TA13LG A I WMW IW 'A 'RvoD I-IAZARv ZNF �� IG ! I R, A FQDFE5S10 4L LAhID SVZvVoz LA�L T1I15 PLt\l.1 iS Not' BASED,o4 ' ail IpiWuMENr 5uevE/ Auo or-rS L7S SHOULD Klor 13 E USED Tv OS i'c!Zvr c�.t:. AAAS1, 1 STl�v_!.I S 1 t F}zo C I�TY U►J E6. AP?w C AW j- v< .I y St1 T 2 O 2 SunnN�`2 'R , t'iLrntJ, .12 �OeT14 SLdLS I'Lla M4264 24 )ejS u 2 ap9 / 1 Y�Svt AL.V 4-1 / ci // i S� 033 s.F U/rpLAN-,�) N i �, � �ZO G SF ,tit/ETt1a►J� � a- - � m / 1 �5, TorAL. r /, '\0 32 � rz A.�` , r� � i 1 m Pz.fERRCAAARD `fir SUILLWAN Wo2305 IVO. LIM EL%143� ` _ t4&VD a,ar �.+.•A -x.'�ry7 � .�1t-��,k +.s-..Pti"t�K.i�"d.> ,3 .� � s .-i �,1.';,y;� _;,n ,�y 3;�y,"w '`z '.',;�� �`'x. �-��".�',ti '� Ark-✓= �s��� '..n, s ^c- „-,� .�""�^.-�•a�R'*- sr� "� � =Z``�, � „ws`' �� ,i"rT _ �..vf�' , ....c . }7i �£ ' r - S r,� ''..'Y �Z•`S''�+`e'. ,;"` x -.+t et ry'Sf 6 k _ J T � �a fx"� a r,,s•''s, A 4-,. ��- .. �;- • ''fin , f�((�CC.�TT�flN ��r �'P ? ' �. � SE GE # � '",�� j. LME.GE"14 e!✓ �e, RCS . �L ''AS SO] pT i 1 f el; SIXC y 1'OS �� 1STALLR'S NAME igt,PHOI N0 . 1'I �a,� ft�• �`. E ' SEPTIC TANK CAPt�C�Tl' VC.' �`r LEAC�iING FACII.YTI' (ty ( _ �` size -' NO. OF BEDROOMS - - r. _ BUILDER OR OWNER. PE13MI'I'DATE V COMPLIANCE DATE I n ?.uo Separation:Distance Between the . _ Ma=UM Adjusted Groundwater Table'and Bottom of Leaclung'FaciLty Private:Water Supply Well and Leaching Facility (If any:wells east _ on site.'or within 200 feet of leachin faciL Ed -g' ty) . r Edge of Wetland and Leaching Facility(If any wetlands east " within 300 feet of leaching facility - 1~eet Furnished by a t •: , t t 3� J - y- A v_ • i I R .5{ Jl'S1 i'. xi e. n S¢r , 4 j• • � � yi F �•�r � l 4[ A - FS 1 , /14 � - N 75 i v Iy 44 : f ii ¢ r ors} � .` .zsxAcs"� { r 4 ' '_ �P '� SE�?VAGE # r�= _ VIf,LAGE`���cif✓��� ASSSSSSOR'S MAP &LOT fb - �- INSTALLER'S NAME&PHO,NE NO �f,I' n S`�t�c�:+n _ 1�n .Syr yr�� �OS� .. :- .SEPTIC 'TANK CAPACITY Ole,� LEACHING FACII.ITY.'(h' .� a•': F NO.dF BEDROOMS .. BUILDER OR OWNER / PERMITDATE- U G- C'OMPLIANCE.DATE:. Rva i Seoaration bistance Between the: s K § a c;. Mau ufn Adjusted Groundwater Table and Bottom of I,eaclung Facility . Feet Private.Water;Suoply Well and L,eaching'Facth:ty (If any wells east 7 on ste'or:within 200 feerof leaching.faciLty Feet'% Edge of Wetland and Leaching Facility(If any'wetlan' s:axpi within300�'feet of leacfung faciilty Feet } Furtished by: r "H •F i' .. J i t �•i 3 �� 2 , } �iIl '•i'�' 7. IL I (i ij;: h `v. � �-:1_ ..} � •i 1. 5.• 1 T}. it T --y ,fit �,,e Qo Fy�; 1� N 75 y,' _ .. 7 6 �, T DESIGN DATA NOTES heoy �� O� /1 - Single Family-7 Bedroom I. Water Supply For This Lot is Municipal Water. r{ No Garbage Grinder �. ` 1 /J Daily Flow: I10 x 7 = 770•.gpd I 2.Location of Utilities Shown on This Plan Are Approx. 17 Septic Tank:770 d x 200%=1540 d At Least 72 Hours Prior to Any Excavation For This y 9P - gp Project The Contractor Shall Make The Required Use a 2000 Gallon Septic Tank. Notification to DI G SAFE-1-888-344-7233. LEACHING AREA j 3.The Contractor is Required to Secure Appropriate Cd 770 gpd/0.74= 1041 s.f.Required Permits From Town Agencies For Construction Sidewalk 2(12 +63 )2= 300 s.f. Defined by This Plan. I c'i Bottom A - o Area: - 7 6 .f.ea 12 x 63 5 s 4.Install Riser t Within 12�� f Finished� s as Required o o s ed It 1056s.f.Total Provided. Grade. m _ o W v LEACHING CHAMBER DESIGN 5.All Str6ctures Buried Four Feet (4') or More or `\4 j �O All Pipes to be Schedule 40 PVC. Use 7 Subject to Vehicular to beH-20 Loading. W -500 Gallon Leaching Chambers in a 6.Septic System to be Installed in Accordance With mIs� 12'x 63' Washed Stone Field as Shown. 310 CMR 15.00 Latest Revision And The Town of W V '-A n, Barnstable Board of Health Regulations_ B 7. Al Piping LOT � P g to be Sch.40 PVC:' 49,818±SF upland q Z' O 8,206.*SF wetland n o y� Q Z 1.33tAcres total "O F.G. 12.5 8 � _ M FG. 10.5 -------------- Concrete .� n Patio ^ � N 93 Craw I �� Crete Patio 6 1.7_ I New -- `ti 2 m rV Space 9.7 8.7 N�f �\�2PBPG tiA 49.9' /F pk'e//ir79 ` i a "�' 9.5 Septic Tank n 9.3 Top El.9.7 _ :r o N W Y Bot.El.6.7 8.9 r c, Bedding as Ground Waters0.0 Y Per Title 5 . N7819'03 See Pere Test P-8399 _-''' �` ' 2 °' DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM O- ' ` ` l 'W/F Garage sE�rc-r4Ncly h Not to Scale D� 0 S tbock dimensions are to,"- _ Finish �O b ttom of shingle at ir. N Grade ��• 16.0' (xcept at cellar acce s) / 07 J 781g�3..' Q�� S �c / / I 32 W !h °°• _� � Filter / /�6J.S,9Q8., _1009 RESErivE min Fabric 'Compacted Fill _. / Pea Stone CN06.29M all 41 . - � Leaching i . bTo LOT 1B ^ w Chamber 3/4°-II/2°poublr-RiVkiz WashedREFERENCES: I 2'-0 Assessors Map: 72 o CROSS SECTION OF CHAMBER Parcel: 34 h ..NOT To SCALE. 1 0 a, o' o At the Board of Health public hearing on November 20,2001 at 7:00pm ZONE: RF-1 the Board voted after a review of the floor plans that this dwelling has. Setbacks: 9.199 6 (six) bedrooms per Title 5. Front: 30'min PLAN VI EW o.23 Side: 15'min Scale- I"= 50' �6, a SITE PLAN Rear 15'min 8 Al D SEPTIC SYSTEM 165.50 231.1 FO REVISE AT ,o',W Ay10 . ► o 136 GREAT BAY ROAD s6a.569�9 OSTERVFILoRLE,MASS. A�►o SUM R NER B. TILTON G PUB SCALE-AS SHOWN DATE: NOV. 2, 2001 ADDCD 11/2-0/0 1 B0AR,0 or ' SULLIVAN ENGINEERING INC. grw%siol rIlIZ6101 Hr-AL7rb1 GoMMENTS OSTERVILLE, MASS. _ M.H_._W. _ 6 DESIGN DATA NOTES Single Family-7 Bedroom I. Water'Supply For This Lot is Municipal Water. No Garbage Grinder Daily Flow; I10 x 7 = 770,gpd 2.Location of Utilities Shown on This Plan Are or This Approx. Septic Tank:770 gpd x 200%=1540gpd At Least he Hours Contractor hall Excavation Required s Project.The Contractor Shall Make The Required Use a 2000 Gallon Septic Tank. ( Notification to DI G SAFE-I-888-344-7233.•, I23� LEACHING AREA 3.The Contractor is Required to Secure Appropriate m 770 gpd/0.74= 1041.s.f.Required Permits From Town Agencies For Construction I Sidewalk 2(12 +63')2= 300 s.f. Defined by This Plan. Bottom Area: 12'x 63' = 756 s.f. 4.Install Risers as Required to Within 12"of Finished t cO m _ 1056s.f.Total Provided. Grade. o W v LEACHING CHAMBER DESIGN 5.All Structures Buried Four Feet (4) or More or N j 0 Al I Pipes to be Schedule 40 PVC. Use 7 Subject to Vehicular to be H-20 Loading. W -500 Gallon Leaching Chambers in a 6.Septic System to be installed in Accordance With a m �gT 12'x 63' Washed Stone Field as Shown. 310 CMR 15.00 Latest Revision And The Town of Barnstable Board of Health Regulations. LOT 2E 7. API Piping to be Sch.40 PVC. 49,818±SF upland tq O ^ 8,206-+SF wetland n o Z 1.33tAcres total m !� O h COncr 0 ^ O F.G. 12.5 f ete Q n F.G. 10.5 P ^ b ---------------- ��E�S Concr Craw nnn Ne to Patio = m ry S pace 9.7 8.7 �, 2A6 49.9' w WjF /ling w "� 9.5 Septic Tank n 9.3 �,. - BotpEll.6.7 F 1i G w� P� 11 I o Y9.1 ,� .7 Bedding as Ii Per Title 5 Ground Waters 0.0 t - _ r 28,j• /V7819 O See Pere Test P-8399 o vi r� !l. 22 0 3 P y -%! W DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM 'W/F Garage sE�r,�-TAN,c o v^j Not to Scale O O ID 31.0 S tbock dimensions ore to, .. Finish �O b ttom of shingle at air. � areas ��• 16.0• ( xcept at cellar occe s) / v'' N�87s0,3 S I O 32 00, w ii f Filter ' / 1 ,6 5,9` p 100� RESEKV E a,M Fabric �—•'Compacted FIII . Poe Stone OF CD � Leaching LOT 1B ^ - a Chamber Washed SULLIVAN Rive' iY w REFERENCES: i 2 a" NCIVIL Assessors Map: 72 3 o CROSS SECTION OF CHAMBER Parcel: 34 7NOT TO SCALE Q, C) 1� /2.c/o o• o At the Board of Health public hearing on November 20,2001 at 7:00pm ZONE: RF-1 the Board voted after a review of the floor plans that this dwelling has Setbacks: 9 g9 6 (six) bedrooms per Title 5. Front: 30'min PLAN VI'EW o23 Side: 15'min Scale I"= 50' 1 `t6. SITE PLAN Rear: 15'min AD REVISED SEPTIC SYSTEM 165.5D 2g�•�8 FO AT w Ayloo °' 136 GREAT BAY ROAD 08.560� OSTERVILLE,MASS. 5 V949 ! FOR y G �690BSCALE; S NER B. TILTON As DATE• NOV. 2, 2001 Aooco II/Zo/o l Bo'4Ro or- SULLIVAN ENGINEERING INC. R-vlslON[IT,26/01 }4 _ L_7w COMI�lET1Ts OSTERVILLE, MASS. '- r+