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Home My WebLink About0424 OLD MILL ROAD - Health 424 OLD MILL RVOOSTERVILLE A=166.011.003 P F i E 4 0 o k�> I E TOWN OF BARNSTABLE /�'� b it LOCATION 7- 11 4A SEWAGE # 4 2/l VILLAGE OsE,9�4 oil LC- ASSESSOR'S MAP& LOT 7 INSTALLER'S NAME&PHONE NO. 13.. C. SEPTIC TANK CAPACITY C2g-T- LEACHING FACILrrY: (type) A.EcAz77' s00G,4L DES!,Jtrl ize) /- X-zr u z NO.OF BEDROOMS BUILDER OR OWNER .� ,[1.,.��To,s— PERMITDATE: _ 9- q p COMPLIANCE DATE: S-- V— 15! 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 �� 1 _ l�-� 2 - �s:-3 Z � zf � 3 - `9-6' � ._ �,o y - Z�� s- ��a.6' ti• — ��- G � N 3.y �`- � 2 3 s •� 3 .�` J oQ�'��,�;�y �qs��T -� • ; No. 16610111003 lot— Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Yes ZIpprication for Migpogal *pgtem Congtruction Permit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. wner's Name,Address el.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 16�4, ,,, 4, PS/I Ae� Wt&a� IVA4 ?'234--4 Type of Building: �- Dwelling No.of Bedrooms ' Lot Size ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow __� S,® gallons per day. Calculated daily flow 3 S3 gallons. Plan Date Number of sheets f Revision Date Title Size of Septic Tank .rjd 5a Type of S.A.S. 2-_W q 6(1 A ki Description of Soil 56LI'd 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 issuedtb y this)Board of Hea)zh. Signed 9 ;e Date - I - Application Approved by Date 7 "-7 l7 Application Disapproved for the following reasons 40, Permit No Date Issued 7-� _ . . e __.•.w..w ..s :R.. .�r* wni'M'�'"'tir",y�Ie?•.rtr..�.#..„`.�n,r�..:.w.-...e,,,..«,.:.•v l.;. -•.,,.r,,,1+.-n..�v.......i,r. ra,,; 03 t r ? Fee • \ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS F 01pprication for Mig'ogal *pgteitt Congtruction Vermit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. jr7` Z Y Q ,41, wner's Name,Address 1.No. Assessor's Map/Parcel jii�� v jy"" A� tee, t e Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Ar W-4&.ew,/,t/,j9_4 -)-25--e W15- Type of Building: Dwelling No.of Bedrooms Lot Size--(/ �q. ft. Garbage Grinder'( ) Other ; Type of Building No. of Persons Showers( ) Cafeteria Other Fixtutsees ( ) Design Flow d0 gallons per day. Calculated daily flow 3 S3 Plan Date *0•Y G gallons. __y___�_�,9� Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. 2-mod g G'(RtM 194�jjZ.y/f Description of Soil 1-9 —/41(,Q, 0( SGtrr Nature of Repairs or Alterations(Answer when applicable) Date last inspected: r` Agreement: </F 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 issueV this Board of Hea th. Signed Date 7 Application Approved by C Date Application Disapproved for the following reasons 14*4 Permit No. Date Issued y 7— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(,>e) Repaired( )Upgraded( ) Abandoned( )by _ A at l U' (cQ �d has been constructed 'n Ccordance with the provisions of Title 5 and the for Disposal System Construction Permit No. Z�/ dated y 7 Installer Designer The issuance of this permit shall not be construed as a guarantee that the system w-ilLfunction as designed. Date Inspector - _ --_—_ ------- No. n� Z�/ v THE COMMONWEALTH OF MASSACHUSETTS Fee PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi,WfSal 6 gtem Congtruction permit Permission is hereby granted to Construct( /Re�ajr( OYP rade; AbandonSystem located at 41 Zy D/�//61 z ��./� li �/ and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. _ Date: 7 G Sr Approved by t V, TOWN OF BARNSTABLE lk`P /1"- b 1 t- 0 0.5 ;;LOCATION 51 2S/ oL4 �.,j l� ,QTsr s�.i�/c SEWAGE # VILLAGE 4C);[ ASSESSOR'S MAP& LOT <INSTALLER'S NAME&PHONE NO. l3 C. iF--o yy y .,_SEPTIC TANK CAPACITY /Zae, c-«r ;`LEACHING FACILITY: (type) nALIrA T s-yoG 4 L ize) NO.,-OF BEDROOMS 3 BUILDER OR OWNERs-- :,.':PERMrrDATE: — - q COMPLIANCE DATE: S"- 9 — 9 :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 --------------- 1 � w �a - (rMa � b � (V W 7 ' C to oy TEST HOLE LOG DATE:.-FHB. /Z 9/oZ SOIL EVALUATOR: n WITNESS: r PERC RATE: -C' Z v O ,B 61 A>y/z S Z T�'��• GO 8� ��q,.,y -aw efNy N/rJ. o I I l Z Sy yy o Z/S 71S/ ,g L d� Oro �Za 1,.� �Za J�0 I o,�. PTt�posED �... v �---�. _ �y0 .Gt/A��' E�t•l Gc �vnJ��rT�C�''>. 9W�LC V\ O/ - .S8 DESIGN DATA :3 - DAILY FLOW:(3)BDRM&1110 GPD= o GPD SEPTIC TANK:33o GPD 1200%s d,6 0 GPD ` USE:/Soo GALLON PRECAST SEPTIC TANK W ---�. 2,1) LEACHING FACILITY: , rs��C 1 So 0 4. D,PS/uI ECG S y,vim. o.� CAPACITY: SIDEWALL: 74,x Z xO.,7ya 112"s As OF r BOTTOM: /3'X ZS x 0,�2 y- Z yo, S ++►� ��, TOTAL: 3 5'3,0 E TAD $ am ell DANIFL E.gs�gC-•ten- �' ��. NOTES: _ BRAMAN yH V• 1. ALL PIPE TO BE 4"DIA.SCH 40 PVC. CIVIL 2. PIPE TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION No.326B6C ti 'A O 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 1 A�or FC I S T 6"OF FINISH GRADE. 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL S. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6"LAYER OF STONE. 6. INSTALL GAS BAFFLE IN OUTLET TEL 2•LAYER OF 3/8•PEASTONE OVER 3N•-1 112•WAS UD STONE ALL AROUND TOP OF FOUND. EL to O � 57,7 10• 11• a a d s•+>. fit. SG.S 5737 S S,o 0 n 58.ZS 1, S7oo SEPTIC SYSTEM PROFILE ?N/S ��a/° y ��s �r�.9••�_:,gt� ' 4 >1 C.�iT/Cif G Go.cJG E2.✓, SITE SEWAGE PLAN GENERAL NOTES FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR [DATE: TO ANY EXCAVATION ORCONSTRUCPION. 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH PREPARED FOR 310 CMR 1&00:TITLE V. �� 3. D IETI�MiK 16 NOT ATI0NT0 BE USED FOR PROPERTY LINNI�-,o-c},a,P.G�/9 A SCALE: / / 4. ALL DISTURBED AREAS TO LOAMED AND SEEDED. S. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRED INSPECTIONS LT WELLER & ASSOCIATES FALMOUTH ROAD CENTERVILLE, MA. 02632 ' EL: (508)775 4735 FAX: (508)775-0754 APPROVED BY: