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Home My WebLink About0030 SWIFT AVENUE - Health 30 SWIFT AVEp"STERVILLE A - 165 067 o e TOWN OF BARNSTABLE �b, , LOCATION 30 v� d�' '� � � SEWAGE # ZOO-�+16 +' VILLAGE A5�wl�/� ASSESSOR'S MAP & LOT �`��Z INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1 Sm C u r ` LEACHING FACILITY: (type) endMiP4,G r (size) S�d� NO.OF BEDROOMS BUILDER O R O R Y, Q /� PERMITDATE: 8 ®a COMPLIANCE DATE: d/ 00 Separation Distance Betweeen 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 pp Furnished by. l6 v S 5 13 No.? "�64( Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN dF BARNSTABLE., MASSACHUSETTS ZIpplication for Oigogar *pgtem Congtruction Permit Application for a Permit to Construct( )Repair(V)Upgrade( )Abandon( ) LJ Complete System ❑Individual Components Location Address or Lot No. Owner's NUe, ddress and Tel.No. ai� Assessor's Map/Parcel 0,5 7-el Illif Installer's Name, dress,and Tel.No. / Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(leo Other Type of Building %e,59 Pl1G'e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow //r1�1 gallons per day. Calculated daily flow t33e gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 13--aO -P Type of S.A.S. 7— .5' O R,01 G P ell`s Description of Soil 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 issued th's B and j4 Health. Signed Date Application Approved by _ -i o Date ? Application Disapproved for the following reasons Permit No. `Z0WW'-q66 Date Issued r' TOWN OF BARNSTABLE LOCATION dtJ1 �` QliYi SEWAGE# VILLAGE_ —ASSESSOR'S MAP&LOT A�� ';11 E INSTALLER'S NAME&PHONE NO, SEPTIC TANK CAPACITY — f LOm LEACHING FACU 1TY: (ryx} �. -� 0,4AZZA 6, (size) Soo �i oe/ j NO.OF BEDROOMS BUILDER OR<ENe81 PERMIT DATE:�f1 gwD COMPLIANCE DATE: [� Separation Distance Between the: Maximunl Adjusted Groundwater Table to the Bottom of l..caclting Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist j on site or within 200 feet of leaching facility) Feet F.dge of Wetland and Leaching Facility(If any'wedands- exist within 300 feet of leaching facility) Feet Furnished by G d 1 1 1t _ Z`P " Fee , THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -T '0 BARNSTABLES MASSACHUSETTS 01ppYicatton for Mtoaar *pztem Construction 3permit Application for a Permit to Construct( )Repair(V)Upgrade( )Abandon( ) LJ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel ®G 1—e jA f Installers Name,A.1dress,and Tel..No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder(�� Other '1 Type of Building /rC3) ede (f No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 7 3� gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description.of Soil �X Nature of Repairs or Alterations(Answer when applicable) �V9��' a _ Date last inspected: -.,a- 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 th' B dof Health. / Signed - Date Application Approved by Date ?� Application Disapproved for the following reasons Permit No. Date Issued ------------ THE COMMONWEALTH OF MASSACHUSETTS LL t� v.� BARNSTABLE MASSACHUSETTS Certificate of-eornpriance THIS IS TO CERTIFY, that t e On-site Sewage Disposal System Constructed( )Repaired(✓)Upgraded( ) Abandoned( at D �% 7` (/�' S�`�' �/A E has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer A r The issuance of this permit slh 1 of co strued as a guarantee that the sys r functi tXases, ed. f Date Inspector .' ----------------------------- ---------- No. 7 l9(� ! D� Fee -S7) �- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Mtootal 6potem Construction permit Permission is hereby granted to Constr7C ( )Repair t(Q�Upgrade( )Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant_Wnizoi, her duty to comply with Title 5 and the following local provisions or special conditions. G° 7" Provided:Constructi must be completed within three years of the date of t 's p rmit. Date: ( Approved b i �A exIs Lf cP c0. 30 S:4 r®r r �Z_,EXZS"X Z eo oellot NOTICE: This Form Is To Be-Used For the Repair Of Failed Se`tic Systems Only.` - CERTIFICATION OF SKETCH AND APPLICATION FOR A MSPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) 114/ herebycertify that the application for disposal works /�Y// PP P construction permit signed by me dated '•f/l�l concerning the property located at 4?0 S meets all of the following criteria. 1/The failed system is connected to a residential dwelling only. There are no commermal or business /uses associated with the dwelling. ✓ The soil is classified as CLASS I and the percolation rate is less than or equal :o minutes per inc:u V 'he:a are no we•.lands within.100 feet of he proposed septic system Vhere are no private wells within 1f0 feet of the proposed septic system- There is no incense in flow and/or change in use proposed V There are no variances requested or needed 1{ The bottom of the proposed leaching facility will not be located less thanfive feet above the maximum adjusted groundwater table elevation. (Adjust the groundwater table using the Ftimntor ` ethod when applicable). If the S.A.S.will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14)"feet above the ma..cimum adjusted groundwater table elevation, Please complete the following- A),Top of,Ground Surface Elevation(using GIS information) . B) G.W.Elevation +the MAX High G.w.Adjustment.. _ l / DIFFERENCE BETWEEN A and B ✓ 0 SIGNED: DATE: (Sketch Ptaposed plan of Ustem on bade] ¢boa Maw.cut 4 FILE No.287 08/14 '00 AN 10:47 ID:BORTOLOTTI CONSTRUCTION FA,`::508 428 9399 PAGE 1 BORTOLOTTI CONSTRUCTION INC. DRAINAGE LAND DEVELOPMENT SEPTIC SYSTEMS FACSIMILF. TRANSAMON DATE: �7 TO: A2/' Number of Pages Including Cover: qe ____ i MESSAGE: - e Tf you have arty questions regarding this matter,please feel free to call the office at 508-771-9399 or 508-428-8926., Our FAX number is 508-428-9399. P.O.BOX 704 •MARSTONS MILLS,MASSACHUSETTS 02648 • (508)771-9399 • FAX(508)428-9399 i+1O: Fee v 1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOv` F BARNSTABLE., MASSACHUSETTS ' 2pplication for 10i5p0al *pgtem Con.5truction Permit Application for a Permit to Construct( )Repair(V)Upgrade( )Abandon( ) U Complete System D Individual Components Location Address or Lot No. Owner's N e, ddress and Tel.No. ap Assessor's Map/Parcel. 031 Installer's Name,Afdress,and Tel.No. f Designer's Name,Address and Tel.No. k_ Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building e e No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow ll4 gallons per day. Calculated daily flow 1�3`0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /v``OO 411 OV Type of S.A.S. Z— S^ao Sri' G 4 Cl'`S .Description of Soil /z.S Y 2,5 ,r Z Pi",Aure of Repairs or Alterations(Answer when applicable) al,DQmge�! ,irate 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 this B ard 4 Health. l Signed d'�-' Date Application Approved by -z Date � ZovV Application Disapproved for the following reasons Permit No. Zdwv Date Issued _ ®®—m THE COMMONWEALTH OF MASSACHUSETTS i BARNSTABLE, MASSACHUSETTS (Certificate of--Compriance THIS IS TO CE TIFY,that t e On-site Sewage Disposal System Constructed( )Repaired(✓)Upgraded( ) Abandoned( )by r at 319 W% 7` has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The,is of this t 1 t c strued as a guarantee that the Dace f,. c�i as e ed. Da. Inspector t I v ———— ——————————————————— ———————�—) — �65=Dw7 Fee i THE COMMONWEALTH OF MASSACHUSETTS, PUBLIC.HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migozal *p5tem Conotruction Permit Permission is hereby granted to Constru�cp( )Repair(✓Upgrade( )Abandon( ) System located at 176 Sk/l 74 ®S r and as described.in the above Application for Disposal System Construction Permit.The applic re o niz"ig her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Constructi n must be completed within three years of the date of t s emit Date: ��( Approved b T. i a HP OfficeJet Fax Log Report for Personal Printer/Fax/Copier BARNSTABLE HEALTH DEPT 5087906304 Aug-14-00 12:50 Identificati Result Pa es T Date Time Duration Diagnostic 97710722 OK 02 Sent Aug-14 12:48 00:01:17 002586030022 1.2.0 18 N. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................:......-----------...OF .................................. Appliration for Disposal Works Tonstriution frrutit Application is hereby made for a Permit to Construct or Repair (Individual Sewage Disposal System at: e;Pr .............. ................. ......................... ........................ ..................... ------ ..... ................................ / ess ------------------------Installer Addres;... Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) 04 Other fixtures .......................................... ......................... --------- ......------------------------------"..............WW Design Flow............................................gallons per person per day. ,Total daily flow............................................gallons. Septic Tank—Liquid capacity............gallons •Length................ Width................ Diameter..................Depth................ Disposal Trench'—No ............:------- Width_._...._.. ._._.__Total Length........_....:.._.'Total leaching area......... sq. ft. Seepage Pit No.../.............. Diameter. Depth below inlet.__... ...... Total leaching. F--- ft. Z Other Distribution box Dosing tank 1.4 Percolation Test Results Performed by.......................................................................... Date........................................ 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........................................................................................................................................................................ ----------"------*------------- -------------------------*------------------------------------ -------------------"------------------"-------I--------**---------------- .........................................................:...................................... -------------- ................ ------------ Nature of Repairs or Alterations—Answer when appli .. ...... ........ ... ...... -------------------------------- .............................................................................................. .......................... ..................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TAITA IE - 5 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 board of health. ..........ed.-...... ..... ............................. ....... D t Application. ......... --- .... - ;W—--------------------------------------------- Approved By......... ..... .......... -------- Date Application Disapproved for the following reasons:........................................................I................................................---- ..................................................................................................................................................................................................... Daft Permit No.----- r7 E3 imo Issued..................................................... Date _ ' F$s ao THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................................... ................................ 1 ... .... Appliration for Disposal Works Tonstrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (V)�-a/n Individual Sewage Disposal System at: .Tw - ....... _.- -- - .. .................•- ................./� s/.---. d __...........---....._......»..__.... Location-Address - o Lot No. :T.---` a..............V ----------------------------- ---- 3.S .v!.. ........................_..._ ... a ` Olw /- /� �J AAddress ---------/--......-•....\\_.._.<,-..... ............. {..1. ---t-.......-J--.....................---^.................-------•- Installer )Address Type of Building //Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .Expansion Attic ( ') Garbage Grinder ( )�., 'k Other—T e of Building No. of persons............................ Showers — Cafeteria p.t Other fixtures .................................•-•------------.....- WWDesign Flow............................................gallons per person per day. Total daily flow............................................gallons. W. Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width......... /. Total Length..................... Total leaching area....................sq. ft. 3 Seepage Pit No...r-------------- Diameter �_5�.. Depth below inlet.....K............ Total leaching area( 6. sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date....................................... a ,.� Test 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........................ a ----------------------------..............•------=--------........-----------------------•-------------------------......... ......._....... 0 Description of Soil-•---•.................•....---•---•------......--------•---.......----•------------•--------------------=-------•-•----•--------•-•-•------...................._...... V ----------•---- W •--•---------------------- ------------------------------------------------------------------------------ f UNature of Repairs or Alterations-Answer when applicable_ X. G ` !.d��`��............................. .....................••••••-•--------..............----......._....•-----------------•••--- �.......=s�7c-fv '....................------•-------• .........--•--•--•-------••--•-•- Agreement: 'j The undersigned agrees to install the aforedescribed Individual Sewage-Disposal System in accordance with the provisions of TITIS 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued ,.bbyy'the board of health. �7-Signed....... iigned.------- _ .........---•-•--•------•------ ---------...... 7-7 Application Approved By ` !1� ..�.v ................•--•-................................••....... - Date Application Disapproved for the following reasons:....................................................................................__....................-.._ -••--•-•.....................•-•-----........--------•-•-----•------------------.......----....------.._......:-................--•--...........•--.......................---••-----.......•-••-•_•-•--- Date PermitNo........................2_ r I -...... Issued-..........................................._. Date —————————— ------------------------------------ --- ,7_=T, --- THE COMMONWEALTH OF MASSACHUSETTS BOARD OFHEALTH ..........................................OF -� ` / � h.................................... Trrtif utttr of Toutpliam THIS IS TO CERT-IP', That the divtluaall 1Sewage Disposal System constructed ( ) or Repaired by............... .... - ��•• v ......•"`' Installer at......... -------- ...... 1 .._.: ., !-------- ---------------- ...............--....................................................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__ �__`7_ ..�r�1' _.... dated........ ...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARA�TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........--•................f►.t` _ 2./_ - �� - -- Inspector..........................._ . �►-. THE COMMONWEALTH OF MASSACHUSETTS /9 s' BOARD OF HEALTH ......OF OC' /..: n.................................. No. .............. FBI -Q-�--.............. Disposal--arks Tonotrution f rrutit Permission is hereby granted..._.............................. to Construct ( ) or Repair (/ n Individual Sewage oral -�•--- :_ .%�...._._. .. .._.System at No.:. c-....... Z. :�r'. ��>�.�.................. ...... Street �- _ as shown on the application for Disposal Works Construction Permit No:._' , .._ Dated..........�.��. �a/_7 Gc ------------•-----------------•- -------------------- '�'-�'� --••-.• Board of HealtlY��_ DATE........ .!-.1..G -•-•------------=-------- TOWN OF BARNSTABLE LOCATION SEWAGE # Kc7 VILLAGE 6ZS U I t ASSESSOR'S MAP & LOT L^ INSTALLER'S NAME Sz PHONE NO. I�-c✓1�- -/L �3� � SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 6 :W. , (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER '! '-'�:: DATE PERMIT ISSUED: -y -' 7 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i` r - i +A t 4 ,I �oL. V'AA