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HomeMy WebLinkAbout0219 WIANNO AVENUE - Health 219 WIANNO AVE A J f TOWN OF BARNSTABLE LOCATION aq/ 41M#.w �Gs SEWAGE# VILLAGE � ��� ASSESSOR'S MAP&PARCEL/y / INSTALLER'S NAME&PHONE NO. Pr-W4 SEPTIC TANK CAPACITY I000 e;L &4i 1, l LEACHING FACILITY:(type)J!`d p G l 46� 6T (size)/�j( {/p ;Lz� NO.OF BEDROOMS OWNER PERMIT DATE: /��Q f COMPLIANCE DATE: - 3--o a Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 5-1- 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 � kuJ ���Y �••�/s e ` i s . No. .�—t/� 1 2 J (� Fee <00 THE.COMMONWEALTH OF MASSACHUSETTS Entered in computer: C/ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS pplication for �Biqo at *pgtem Cougtructiou permit Application for a Permit to Construct( ) Repair(�, Upgrade( ) Abandon( ) ❑.Complete System LJ Individual Components Loon Adc�eas or of No. Owner's Name,Address,an/d�T 1.No. Assessor's M.apZParcel 0_! /r/ v'`16 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: / p Dwelling No.of Bedrooms Lot Size 5_i l sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ` !/ gpd Design flow provided Ll 9Ypd Plan Date ,g Number of sheets Revision Date Title Y 6/ /C z�'� ® 9Z-1 W,GGY/1�l® CZ°U� Size of Septic Tank 60®� eX/-5 Type of S.A.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 Certificate of Compliance has been issued by this Bo d Vf, a Signed Date !® 3 '® Application Approved by . .S Date /l Z ZOO Application Disapproved by: Date for the following reasons q Permit No. 0� — 3 q l Date Issued /O Z Zoo Fee No. �--C/Q (— I y� THE COMMONWEALTH OF MASSACHUSETTS Entered�in computer: '�� Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for Mi5pogal *pgtem Congtruction Permit Application for a Permit to Construct( ) Repair A Upgrade( ) Abandon( ) ❑ Complete System e1ndividual Components Location Address or Lot No. Z H W I[.t xea �x Owner's Name,Address,an Tel. Assessor's Map/Parcel Ile, �t e� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms /7 Lot Size .� /�r / sq. ft. Garbage Grinder ( ) Other. Type of Building �'✓`'� *Ce, No.of Persons , Showers( ) Cafeteria( ) Other Fixtures //, t• Design Flow(min.required) 17 VIII gpd Design flow provided k7 y _ _© -gpd >•�" Plan Date �� 0 9 . Number of sheets Revision.Date �� Z Title 5/ le �� O /� G �/ wla lle10 4,& Size of Septic Tank ���� e�}t'/5 /4� Type of S.A.S. - _5_61pp 940/ Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: I 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 Certificate of Compliance has been issued by thi4Wealth., _ Signed Date J Application Approved by / S Date l� 2 7001 Application Disapproved by: // Date for the following reasons Permit No. 3 `7f� cDate Issued p l p __ .. __ - _. __._ .,..-- :..:ter=-+= _a=—. --a.=.+.r=s.. a-.a_.�e►+ esa+—+ac+—^}f �-6, THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site �SleLwage Disp ,all System Constructed;( ) Repaired ( �) Upgraded ( ) Abandoned( ))by�� !/ /,r c C)OO >�r!— at Z�7 �11 � ��// �G�G ©Jr! has been constructed in accordance r with the provisions of Title.5 and the for Disposal System Construction Permit No. 2009- 3 q QI dated Installer 1b o 9-io Lo-yt N Designer ��w1 CAS 12 E_ #bedrooms —1 Approved design-flow ' 1 G�y5�( gpd The issuance of thi pe mit shall not be construed as a guarantee that the system will kfwnct\•ioniasN designed. Date �� Inspector No. 2 ool-- 3"( 1 Fee /0 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BBARNSTABLE, MASSACHUSETTS ;3i5pogal Aqppgtem Co//ngtruction Permit Permission is hereby granted to Construct�(y �Repair Upgrade ( ) Abandon System located at /� 1G/ 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: Cons ction must be completed within three years of the date of this Alt. Date �/ 2 d Approved by Town ®f Barnstable �b®F'ME� � Regulatory Services Thomas F. Geffer°9 Director BARNSrAB. Public Health Division �p 1639. �b Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 I[nstalller° & Designer Certification Form m Date: Sewage Permit#0200 r J � Assessor's 1�i1 alp\Parcell ]designer: v` Installer: (doe 6 X/� I''� 4► Address: cJM6 ! ✓` CJ Address: 1 0, &C 17 ot C)(,L(k x;V:t On ilkle k11/?//l was issued a permit to install a (date) (installer) septic system at [ w 1 a ti m D / based on a design drawn by (address) C� of4 dated /6 Q (des er) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. OF MASS ��ti DANIELA. o . OJALA (Inst er's Signature) CIVIL N No.46502 � s. rrr� 4 A Signature) � � (Affix 'ix Designer's Stam Here (Designer's g ) ( g p ) t LEASE RETURN TO BARNSTAPLE PUBLIC HEALTH DIVISION. CERTIFICATE OF CO a�T,WiCE 'WILL NOT BE ISSUED UNTIL ]BOTH UHS FORM AND AS-IBUILLT CARD ARE RECEWED BY THE BARNSTABLE PUBLIC HEALTH>IDMS>ION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,Nap I y0 Parcel /'/0 Permit# Date Issued Health Division 91 Conservation Division Fee Tax Collect ' Treasur ` SEPTIC SYSTEM MUSTPlanning Dept. HSTALLED IN COMPLIAnz WITH TITL �- Date Definitive Plan Approved by.Planning Board z1f Historic-OKH Preservation/Hyannis Project Street Address I ol a 44"✓e__ Village CO s ✓ u �� Owner S0�_-NNA-1 CL-y ,__L,L)vC_ Address Telephone %-/a.c) I-x_k-i 5 Permit Request I b X`i c ._, b C, k Z G - S Square feet: lst floor: existing IUv q gam_ proposed�'� 2nd floor: existing �_ proposed Total new�L Estimated Project Cost 7 5 'A00 Zoning District Flood Plain Groundwater Overlay Construction Type t^I,,�,�� e Lot Size I .L 2 A C Grandfathered: O Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family a- Two Family ❑ Multi-Family(#units) Age of Existing Structure t I LI Historic House: ❑Yes 'No On Old King's Highway: ❑Yes .@-No Basement Type: ('Full ❑Crawl ❑Walkout ❑.Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ►yvcp Number of Baths: Full: existing / new i Half: existing / new a Number of Bedrooms: existing 3 new / Total Room Count(not including baths): existing new 2 First Floor Room Count , (0 Heat Type and Fuel: 26as ❑Oil ❑Electric ❑Other Central Air: ❑Yes O'No Fireplaces: Existing / New Existing wood/coal stove: Cl Yes UkNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:W existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use - Proposed Use BUILDER INFORMATION Name__ I✓6n nc c,,,. Telephone of )U y Address �I l �� _�. ,,� License# VVV 1.3 Z Home Improvement Contractor# /6)0 WE Worker's Compensation# /,r E -7 3 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO _,—Ric Cou,C r Cc 7t C'�; Q SC_��w� SIGNATURE DATE 5w�55 i- '07 - Sullivan Engineering Inc. 7 Parker Road Box 659 Osterville MA 02655 Peter Sullivan P.E . Mass. Registration No. 29733 428-3344 fax 428-3115 e-mail:PSull PE@aol.com May 11, 1999 RE: 219 Wianno Avenue" Osterville, MA 02655 - Dear Board of Health, At the request of Mr. Mogan, I have evaluated they:data available for.the_septic system at the above referenced property. In summary, the system has the present capacity for 510 GPD and as such will handle the flow from a proposed bedroom. Please find attached a"copy of the calculation and'the available supporting data on the existing septic system. If you have any question, please feel free to contact me. Very truly yours, Peter Sullivan PE Sullivan Engineering Inc. cc: Ed Mogan Kr - C1 fj 0 Town of Barnstab. k r Department of Regulatory Services unnr,srnet> c Public Health Division Date MASS. 200 Main Street,Hyannis MA 02601 ` Date Scheduled v V Ti'me ]Fee Pd. /OV OD -�- I Soil Suitability Assessment for Sewage Dis osal� A d�A 0 S 41o�' of V Pcrfonned By: , Uwl C� • iYr ""' � Witnessed By: �'`� � Location Address' a l�" / Q dVe. Owner's Name Q f�e,- V Address / A5se5sor's Map/Parcel: - / J O / 1 0.. Engineer's Name '� d �' -0 e NEW CONSTRUCTION REPAIR Telephone 11 Land Use' , 4� 11 V Leal✓ Slopes(%) —97<'J Surface Stones 0 �g Distance's from: Open Water Body%P"— ft Possible Wet Area r"/� - ft Drinking Water Well !- ft Drainage Way✓V ft Property LineC7 r ft Other It SKETCH., (Street name,dimensions of lot,exact rotations of test holes Sr pert tests,locate wetlands to proxinuly to boles) Ix A) � a �v Parent material(geologic) r- Depth to Becb•oek 3OC2 �c Depth to Groundwater: Standing Water in-Hole; /t' Weeplhg Imill fait Plice Now v ' Estimated Seasonal High Groundwater UJTERAUNg g l .N F.Ory SEASONAL HIGH W ATL. Y-TAD fi E' - ^ Method Used: Depth Observed s nding in obs.(tole: ��� _ In, Deptll IU 5011 Itl4tllg3; I1L Depth to weeping from side of obs.hole: In. Gruutldwuter Adjustment Index Well 8 Rcading Date: Index Well levCl � Adl•fflCtoP _ Arl�.c)rt?untJwuter 1�vel^.zI ."A EARCOLl'AT1.0N TEST y.` Nttt� J. /; Ttt a Observation Hole ff Tinto at 4" V _ Depth of Perc _ Time at 6" Start Pre-soak Time @ rd�l L Time:(9"-6") End Pre-soak /0 i //J;rjO-� �ti� 'D ' Rate Min./Inch G7� Site Suilability Assessment: Sile Passed Sin-Failed: Additional Testing Needed(YIN) A/ Original; Public Health Division Observation Hole Data To Be,Completed on Back----------- ***If percolation test is to be conducted witilin 100' of wetland,you must first notify tile. Barnstable Conservation Division at least one (I) wee➢c prior to )beginning. .� QASEPTlC\PERCFORh4.DOC Dr';EP.®BSERVATr®N r-r®g,r•;LOG Depth from Soil Horizon Mole # Surface(in.) Soil Texture Soil Color Soil (USDA)- Other (Munsell) Mottling (Structure,Stones;Boulders, Co istency.% ravel I� Depth from DEEP OPS]ERVATr®N HOLY LOG Soil Horizon Hole# Soil Texture � Surface(in.) Soil Color Soil Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. COnsiStency,%Gravel Depth from DEEP OBSERVATION HOLE LOG Soil Horizon Dole#Surface(in) Soil Texture Soil Color. (USDA) Soil Other (Munsell) Mottling (Structure,Stones,Boulders. Co siste c G vel DE EP 1 DelOBSERVATION rr®L� LOG _Depth from Soil Horizon Soil Texture it # Surface(in.) Soil Color Sop O hhe[ r (USDA) ,• (Munsell) Mottling (Structure,S.toneg;Boulders, Consi ten a I ------------- Flood r nsurance hate Map: Above 500 year flood boundary No Yes Within 500 year boundary No YesT Within 100 year flood boundary No Yes . Depth of Naturally �celirrine Pervious]Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious marori'al? Ceita----leation I certify that on L �. (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in�10 CMR 15.017. c% . Signature Date Q:tiselrrtC\P1?R r co R M.DO C I I . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ;reap &0 Parcel /`/d Permit# Health Division �/ v7� Date Issued Conservation Division S� pm,C-- Fee Tax Collect - Treasur f'' 1 SEPTIC SYSTEIW MUST B INSTALLED IN COd��PLI ,;�Planning Dept. WITH TITLE Date Definitive Plan Approved by.Planning Board A'" 5R0 I'4T".\I , Historic-OKH Preservation/Hyannis Project Street Address �1 �d- -•►-•� G��:ahn v Cc✓� Village co s ✓ v Owner S a.V%A-e_ C_ r,�n v v c- Address Telephone I-.ti 5 Permit Request I b X 4 r:, a 4,,-L,- Z,,L.�,�,�, b4�11 YVVAAL-� Square f eet: 1 st floor: existing I zlUv proposed P,Lq 2nd floor: existing F.00 proposed - Total new lob Estimated Project Cost 7 5 'AO Q Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size l >L 1 A C , Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ©- Two Family ❑ Multi-Family(#units) Age of Existing Structure t 3 Ll . Historic House: ❑Yes fallo On Old'King's Highway: ❑Yes @-No Basement Type: UaTull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1 yucp Number of Baths: Full:existing / new I Half: existing / new d Number of Bedrooms: existing 3 new I Total Room Count(not including baths): existing 7 new 2 First Floor Room Count G Heat Type and Fuel: was ❑Oil ❑Electric ❑Other Central Air: ❑Yes O'No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes @-No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Fi existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current.Use Proposed Use BUILDER INFORMATION Name 29 M DC'a— Address �-I ti'L`� � License# a G U 7/ iM A- C�a�3 -I- Home Improvement Contractor# /U 0 7/9 Worker's Compensation# Le ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Inc CUB C c Cuter C,"(D S0-V., w� SIGNATURE DATE _w�55 co Sullivan Engineering Inc. 7 Parker Road Box 659 Osterville MA 02655 Peter Sullivan P.E . Mass. Registration No. 29733 428-3344 fax 428-3115 e-mail:PSullPECaol.com May 11, 1999 RE: 219 Wianno Avenue Osterville, MA 02655 Dear Board of Health, F At the request of Mr. Mogan, I have evaluated the data available for the septic system at the above referenced property. In summary, the system has the present capacity for 510 GPD and as such will handle the flow from a proposed bedroom. Please find attached a copy of the calculation and the available supporting data on the existing septic system. If you have any question, please feel free to contact me. Very truly yours, V-4'� Peter Sullivan PE Sullivan Engineering Inc. cc: Ed Mogan Members of American Society of Civil Engineers, Boston Society of Civil Engineers r. �'L I'v PC N.) C9 �I��sz Zr•1C� J�T� Qs T-E�V t L G EV A L U tt= Oak S 71 ..kc.% �E( 1 C_ .. 114i Ali "�. PETER �G _M CT-tio DoL,o sULLiiPAN NO.29733 3�O CMC<, S,co i t,ti 197E CIVIL is L C&��c k` n-S 1 na F7 k c-►T-fL N-K-0 e-S RL-L-A C CA 2 v- ( 3-1 3-t 3o-t-60) A 3 xso) - CA911-cCTY; 132. K Z,J 33o Cep. So C-CFP fS Pll-c- NAY— C eA,,LlTY r-- -7 5D ( P p Cp1.A C t-U 5 l©L-A L Nip �xt5 i t r..Q.G�. ��F 5 Mks �►.].5'�[_�� '� l �1.5� � I Fits. _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiott for Diripoonl �'Ii ork.6 Tatuitrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair (c an Individual Sewage Disposal System at: N^ LVc]tlOn•Address or Lot No. ......................_............................... ......................................:S.G�....5.................................................................. �. Oe•, r Aid ss tlrl 1n t L. al✓'.1....: .... .4 :.�........, �, ....................................... �c.... .�....I�sl�... . i -c 1 ............. Installer Address ' Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................E.xpansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QOther fixtures ...............................: W Design Flow............................................gallons per person per day. Total daily flow....................................:.......gallons. WSeptic Tank—Liquid capacity 6..90-.galIons LengthA..U.'-(a."... Width v..s... ..... Diameter................ Depth...'.?.......... x Disposal Trench-02 No...30 ......--.. Width....................Total Length....................Total leaching area.....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet....................Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.................•---..................................................... Date..::.................................... `4 j 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........................ ........................... ......-...i O Description of Soil.......d,4.C!^......5 ^cl��.....c�YlsY..!s .............................................................................................. x x ............................................................................................................................... ..............------..............--------...---------........ Nature of airs o Altera ions—Answer when applicable...n.x w...... �.C....:..l.S� U.`r�c................................. U pp tt _ pP �.:A h....t ?^�.....!. ^-� .......... .l.h.. t 4�................................................................................................. 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 issued by the board of health. Signed.,...... ... .. f /,..r•./...................... ........y1.2.�`t..Y.........:. Q rr `Y Application Approved B -�..... �2:Z. l.. .. ........................................... ...y. f�:...:.! Application Disapproved for the following reasons. .....................................�'.............................................................................................. ...........................................................................................................................................................................4................................... ........................................ el ,e Permit No. ........ :.....a............ ................. .............. Issued .:.............I. ..�:.... 1.. ------------- __--_ _------------------------- ------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (ger#ifirate of CZumplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( � ) by.......1:..c.c . .s. .!....... ......................................In>. ulk•r................................................................- .................................................................. V at ........ ......A.. ......... .S.i.t..[..u.... .. .............................................................................................................................. has been installed in accordance with the provisions of TITLE5 of The State E vironmental Code as described in i the application for Disposal Works Construction Permit No. ..�. ....�".....' ..... dated ..... .�.....1 ...� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT E CONSTRUED S A GUARANTEE THAT THE i SYSTEM WILL FUNCTION SATISFACTORY. DATE............./. ...... ..1.....��...�......��`. ....:..:...... Ins.ec c ....... , �: ............................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `l TOWN OF BARNSTABLE i No....................... FEE...: .......... Disposal Work.9 Tnnotrurtiun Permit Permission is hereby granted....... ......... ................................................:................ .. (�r•*,r.��,..♦ r:va an n:�np�;ll�.G�;gtrm.- ._ TOWN OF BARNSTABLE LOCATION I � I.J ;..w (��� SEWAGE # VILLAGE �S�-c�-u�ll� ASSESSOR'S MAP & LOT �, INSTALLER'S NAME & PHONE NO. YA a q, U b SEPTIC TANK CAPACITY 1 5 o y r aG3°x3v" LEACHING FACILITY:(type) (size) NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes NoI FI — c � TOWN OF BARNSTABLE LOCATION a 19' Ij L SEWAGE # VILLAGE ASSESSOR'S MAP & LOT -_ INSTALLER'S NAME.& PHONE NO. E 0 M 7 7 UCH SEPTIC TANK CAPACITY ).5 o 0 Co-� rr aG 3'x3v` LEACHING FACILITY:(type) (size) NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER �► w51�2° BUILDER OR OWNERS DATE PERMIT ISSUED: � `-�y DATE COMPLIANCE ISSUED VARIANCE GRANTED: Yes No r �M�� ��d � �� �� r I ��O �, , � � ' ,. �i �,r 9' \i vJ � - , i\I V �' , Y r� r� .__ _ i . 4 � ���g �`1 -�, r � 1 { � � ,� o �—„ r '17A —ld-j No.-/...0�..... Fas. /...7`. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratinn for Diripwial lVurkg Tomitrnrtinn Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ran Individual Sewage Disposal System at: ...21A. .. a..._.. s. -I-i{----------------------- -------•••--••••----------•--•--•-•----•--......--------•------- .•-•-•--•--••......--•---••---- I' Location-:address or Lot No. �Y'.JCC!X.._►..`�.L._ �Gll....................................................... J�L�w.t Oast r Adr ss Installer Address UType of Building Size Lot............................Sq. feet ,., Dwelling— No. of Bedrooms-------q.................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ---------------------------------- W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacitvISvQ_gallons Length-JO.'.G.".. Width__6_,___11--- Diameter---------------- Depth__I/........... x Disposal Trench-2 No. __3U............. 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....................... Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ......................--- - ------ 0 Description of Soil-------��tU�- ....... c,°^ {.... --•--------------------------------•-• --.•---- ------ -----•.............-----•-----.. x w ------------------- ----------------------•------..._.....-'-----------•--------------•-•.---•--•------•-•------------......---'•••--•--------•----•--•-•••............_...._..-----••----•--•-----•-- UNature of l�a+irs o Altera ions—Answer_when applicable.-._n_xs,a.....4/�OI,�C__-____4_SOU.���................................ -l! CJA !�� 1 lYr 'a ! ��...........'b_..1.'!�.. . ..___._.. 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 issued by the board of health. Signed ------..G> ... ...2.512 -�. . ....................... y .2./SY....:...... Dace Application Approved By :-:_ .---- E'(. =- ��... '/'.r �1. ............- - ... -------- ......°mot*.!6 : Dace Application Disapproved for the following reasons: ....................................... _, ....... ........................ .. .. .... '- "'-' ............ Dace J Permit No. ....... ..........!.......... .... Issued ... ...........�aZ ..I.:....��..�1.. `�° /(/ T , THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Di`ipooul Worlii Tonitrnrt"ton ramit Application is hereby made for a Permit to Construct ( ) or Repair ( v)'an Individual Sewage Disposal System at: Location-Address or Lot No. Oa n r. Address Installer Address 9 Type of Building 1 Size Lot............................Sq. feet ,., Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ...........................................`......................................................................................................... W Design Flow...........................................gallons per person per day. Total daily,flow............................................gallons. WSeptic Tank—Liquid capacity1 SvA_gallons Length-_ Diameter_.............. Depth...`.l_......... x Disposal Trench-V-•No. _..3s2............ 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. I................mmutes per inch Depth of Test Pit-------------------- Depth to ground water........................ tit Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------- - ------------- ---------- 0 Description of Soil......QACL ...... 4 ....... _ x w UNature of (Repairs or Alterations—Answer when applicable.---n—fL.-_____4_4_vi_��.......l: V�.�h_ ................................ ...J. 3= ` . .........`...:_..5...........`J._..1.`!NJc44'`--C.1.................••-------•-•-----------•-----....._..-••-----•-•-•-•--•-•-•-•-•--.........--•---.... 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 issued by the board of health. Signed ........�> ...�..........61 r�'Y - - - 1� 5`/.-=...... Date / ......... ... ......................................... ...Application Approved BY :....... : zv.......... _ .... f Dace ! Application Disapproved for the following reasons: --------.._-------------- -------✓.................. . ....._..._....... ....................-re.................. ...................... ....................... ........................... . .................... ..................... . ........................................ ............ ........................................ Date Permit No. ....... ....... :.......-------------- Issued ........... .. .. ....1�--71 Dace `/' /v/—,f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 10-1-Extifira#e of Cantlatianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System co.nstnicted ( ) or Repaired ( e ) by .... ------.1�------ �-� , Installer I, at ......._Z.t...r--------L"..,..�. c�...._. ..� ..c... s. �`..�..,:�......................................................... ..................... ............. has been installed in accordance with the provisions of TITLE of The State E vironmental Code as described in the application for Disposal Works Construction Permit No. ^r dated .....�� .... '-. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUEA , S A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..........._ .."''.-�� ;...�.....`�F ..........._ Inspe d ...... ........... - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.........!........: FEE........................ �io��aottl orla� �nit,�tritrtion �rrmit Permission is hereby granted...... .f Cn�n... 5 ... c? � `' to Construct ( ) or Repair an Individual Sewage Disposal Syst atNo......2.A_S....... �_: .�.v__./ _.v t U S c v ti ---------- 1 •••...••----------•............................... Street e as shown on the application for Disposal Works Construction Permit ;:................ -D�a'ted..... �'��� IA 1!:�.. " Board of Health DATE.---•" .----� .. ................ FORM 36508 HOBBS a!t WARREN.INC..PUBLISHERS d. Iq0 j 9 00 A. 00 Q to\ TOWN OF BARNSTABLE ZONING ; 14 1987 �N� °F BY—LA'r�S DATED SEPT . -7 q,00, FRC. ANK yb ZoNt. Rc ° 4 Y WHITING N SETBACKS '1J 7 `, 9 No. 29369 A �ECISTERcO FRONT = 20' SIDE n j o' F' q / r REAR 10• PROPERTY LINES SHOWN HEREON WERE COMPILED FHOM PLANS OF RECORD AND DO NOT REPRESENT ., j PROJECT IIO. 3.3283 0 't I AN ;ACTUAL SURVEY ON THE GROUND: THE STRUCTURE DEPICTED ON THIS PLAN ,WAS LOCATED PLOT PLAN i ION THE GROUND BY SURVEY ON-SEPT 19 1988 11l AND EXISTS AS SHOWN AS OF THE D _ .ATE OF LOCATION. BARNSTABLE MASS THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: 1" 3 40' SEPT. 20 1986 SHOULD NOT BE USED FOR ANY OTHER PURPOSE. �-------- ------ � THE BSC GROUP—CAPI COD INC t. (�Y ' ROUTE 28 MADhiCET PLACE Bl2 j PROFESSIONAL LAND SURVEY Q� MASHPEE, MA 02649 (508) 477-2525 ' 1 1 I 1 I 1 1 I a 0 1. OHS 0 92� f. s L;L) �F6 3 'I i \o\� 3�� of w TOWN OF BARNSTA ZONING Mq � BY--LAWS DATED SEPT 1 7 4q o FRANK Z0Nt:: RC 4 SETBACKS No. Oak .o ( � , 'rclsTER�Sc� wvoa FRONT 20' a i % �4AIvow6SIDE 10, fi 9E4r z z q REAR 10' j s ! � PHOPERTY LINES SHOWN HEREON WERE COMP LED 1 oQck � FROM PLANS OF RECORD AND DO -NOT REP SENT - i AN ACTUAL SURVEY ON THE GROUND. ` 4) O`�""� o . BAR R PR T NO. .3283.0 00 i t I . THE STRUCTURE DEPICTED ON THIS WAS LOCATED ``SPLO ON THE GROUND BY SURVEY ON S P.T� 1988 ' rF�S ! AND �n { I i D EXISTS AS. SHOWN AS OF T E� E OF LOCATION I + BARNS E ►�; . 1 � ASS 1 i THIS PLAN IS FOR PLOT PLAN SIN �bSES ONLY AND t n N 1.G Z `- A G. SCALE: 1",� 0 4 SEPT 20 1988 SHOULD NOT BE USED FOR ANY FtR PURPOSE. 1 THE 9SC GROUP A�E COD INC ROUTE 28 �M ArCET PLACE 812 p I ROFESSIONA LAND SURVEY ' MASHPEE. IMA 02649 (508)_477-2525 ALL SYEM SHALL SYSTEM PROFILE ARK D�WITHCMAGNETICTTAPE OR BE NOTES TOP FNDN. AT EL. 35.6' PROVIDE MIN. 20" DIAM. WATERTIGHT COMPARABLE MEANS FOR FUTURE LOCATION. I ACCESS COVERS TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) CONCRETE COVERS TO WITHIN 3" GRADE 1. DATUM IS APPROX. NGVD Sou h 2" PEASTONE OR GEOTEXTILE Q St FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS EXISTING MINIMUM .75' OF COVER OVER PRECAST 72% SLOPE REQUIRED OVER SYSTEM 32.5' G6 RUN PIPE LEVEL BLOCKS OR 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. ey FOR FIRST 2' MORTAR ALL PRECAST RISERS �o� L us EXIST. 1000 COMPONENTS H-10 INV'S EL. 4_DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO GALLON SEPTIC /' �2. S' 29.5' �• 31.55'* ENDS BET SIDES 30.3' H 10 o��o TANK (H- 100.0) GAS Imm (RE-USE)** BAFFLE g,g ��� 29�63 �0�� 0 01 .. ��00-0 -���� 'o°o°o°o0 5. PIPE JOINTS TO BE MADE WATERTIGHT. > o ° ° ° o o o 0 0 o O 0 0 ° ° �a�a00 0 0 DaDaa❑a��0� o 0 0 0 > o 0 0 o O � � OOo ° OOOOOI� O � � OD o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6' MIN. SUMP '°°°°°°°° o��aao�ao°0°0 MMMME1 o�aoo 0°0°0°0° ° ° ° ° ° ° ° ° ° ° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 12" MIN. INr DIM. N >00000000 oaa000�o00000 oaoaoao�000 ,00000000cc 6" CRUSHED STONE OR MECHANICAL ° ° ° ° °°°° ° ° ° ° , DEPTH of FLOW = 4 COMPACTION. (15.221 [2]) °°°°°°°° °°° °o°°°o°° 27.5 MASS. ENVIRONMENTAL CODE TITLE V. TEE SIZES: 1 } } INLET DEPTH = 1Q- ( % SLOPE) I LH-10 500 GAL. LEACHING CHAMBERS BY ACME PRECAST (OR EQ) 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO (2 x SLOPE) 3/4"-1-1/2" DOUBLE WASHED STONE (3) UNITS REQUIRED BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. antuCket OUTLET DEPTH = 14 OVERALL DIMENSIONS TO OUTSIDE OF STONE: 40' X 10' �, 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. Sound _] FOUNDATION EXIST. SEPTIC TANK 86' D' BOX 15' SAS 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED LOCUS MAP WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION *THE INSTALLER SHALL VERIFY THE 22.5' BOTTOM TH-1 OBTAINED FROM BOARD OF HEALTH. NOT TO SCALE LOCATIONS OF ALL UTILITIES AND ALL NO GROUNDWATER FOUND TEST HOLE LOGS BUILDING SEWER OUTLETS AND ELEVATIONS 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING ASSESSORS MAP 140 PARCEL 140 PRIOR TO INSTALLING ANY PORTION OF DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION SEPTIC SYSTEM OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO LOCUS IS WITHIN AP DISTRICT ENGINEER: A. H. OJALA, PE, SE COMMENCEMENT OF WORK. **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT WITNESS: DAVID STANTON, IRS 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND DATE: OCTOBER 19, 2009 WITH 1500 GALLON H-10 SEPTIC TANK IF NOT SUITABLE. REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. PERC. RATE _ < 2 MIN/INCH 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE CLASS I SOILS p# 12730 REMOH D FACIE BENEATH AND AROUND THE PROPOSED ELEV. ELEV. SYSTEM DESIGN: 1 0„ 4 32.8' 0" IT 32.5' A A GARBAGE DISPOSER IS NOT ALLOWED LS LS DESIGN FLOW: 4 BEDROOMS ® 110 GPD = 440 GPD g» 10YR 4/2 12" 10YR 4/2 G USE A 440 GPD DESIGN FLOW G � B B of SEPTIC TANK: 440 GPD (2) = 880 LS LS �/ ��' O RE-USE EXIST. SEPTIC TANK** _ 3699 1OYR 5/6 29.8' 36" 10YR 5/6 29.5 �o -�-�� PQeG/ / 1L LEACHING: LOT AREA # / G SIDES: 2 (40 + 10) 2 (.74) = 148 GPD 56,197f S.F. BOTTOM 40 x 10 (.74) = 296 GPD C C PERC I /�+/ TOTAL: 600 S.F. 444 GPD EXISTING DWELLING ' MS MS ,9 j TOP FNDN. EL. 35.6' �'/ USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) NOTE: MAY BE GASUNE IN WITH 2.25' STONE AT ENDS 5' BETWEEN UNITS AND 2.6' THIS AREA AT SIDES 2.5Y 7/4 2.5Y 7/4 Op, SHED EXIST. ST o DECK I I yFgo CONNECT TO EXISTINGALI SEWER LINE FROM ST (/ J��T<i� S. 11 z s�NS F-�Lo41, MA (NO DISTURBANCE To TFs PPR VED DATE BOARD OF HEALTH ' „ , POOL PATIO) 12O 22.8 120 22.5 APPROX. AREA OF EXISTING NO GROUNDWATER ENCOUNTERED SAS PER OWNER �\J�INGROUND TITLE SITE PLAN �T❑ Q TITLE C r A 33 POOL I QpJF OF x ° 2 ° 219 WIANNO AVENUE 12" MAPLE \° OSTEVILLE 0 ° PREPARED FOR BORTOLOTTI CONSTRUCTION/ J2 32 MEYER OCTOBER 19, 2009 BENCH MARK - CORNER OF POOL APRON ELEVATION 34.6 REV. 10/27/09 (SEWER LINE FROM ST) = F. \TN OF+ OF 414SS9c4. c off 508-362-4541 i��o DANIEL �Gs �� DANIELA. yG� fax 508 362-9880 227,94' °' o ® ALA ,g OJALA CIVIL No.40980 q No,46502 down cape engineering, inc. IFS c�sY Scale: 1 30' qNO UR"F' ! S 0 AL C/l//L ENGINEERS �t (O -7/0� ° / ` LAND SURVEYORS 0 15MW_ 30 45 60 75 FEET / l 939 Main Street - YARMOU THPOR T, MASS. 09-233 DATE DANIEL A. OJALA, P.E., P.L.S. 09-233.DWG(SBO)