HomeMy WebLinkAbout0511 WIANNO AVENUE - Health 511 WIANNO AVE. , OSTERVILLE , _
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TOWN OF BARNSTABLE
LOCATION , W/GLY)M G.��li_ SEWAGE# ?® fo— 3 a7
VILLAGE °— ASSESSOR'S MAP&PARCEL (G;—Q0 L_(
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY.(type) — .!Uo C,c-e- (size)
NO.OF BEDROOMS
OWNER
PERMIT DATE: << a-3 P-d COMPLIANCE DATE: "
Separation Distance Between 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
FURNISHED BY
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3 ��
No. ZOO-7 J Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in c*puter
PUBLIC HEALTH DIVISION —TOWN OF BARNSTABLE, MASSACHUSETTS Yes
,01--pplifation for Misposar 6pstem Construction 'permit
Application for a Permit to Construct(v<Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.!;It Wi em na t• Oww's Name,Address,and Tel.No.
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building: Acws)07 Sir cS.�C_
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 33 O gpd Design flow provided 34�i gpd
Plan Date 04V 6.- ZZ,ZOZa Number of sheets Revision Date
Title 7LUN pf�
Size of Septic Tank 1560 Type of S.A.S. 7--504 kk (h�%24rS
Description of Soil 04- (,Odtw\
26-r3`b C Met> s&Q Io k G f`f
Nature of Repairs or Alterations(Ans er whenl�applicable)
T rye tk 5y Sicv►N i r 5' f- &j Q Uldgr CdA SN(-•1A t 4.TN
r
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 C not to place the system in operation until a Certificate of
Compliance has been issued by this Bo d f lth.
Signed 17 Date �(� Z ( zC)
Application Approved by e Date
Application Disapproved by Date
for the following reasons
Permit No. ;L d`n'o Date Issued
.a '•bt n•�y :.,f'.. r. { 1` . £ •:4 R' H , ,� �'..r. .r „ M.,r..v ='e ,y. :hr •,,:.. .. ,. ek:
C
NooZo-3� D Fee S�
THE COMMONWEALTH OF MASSACHUSETTS Entered in co pater:
:'PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
application for -Misposal 6pstrut Construction Permit
t
Application for a Permit to Construct(u-< Repair ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components 0
e
Location Address or Lot No. i 1 Wi ahnv NVt . Ow is Name,Address,and Tel.No.
Assessor's Map/Parcel !(oZ apt i.a
Co .
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building: Aues)a7
Dwelling No.of Bedrooms 3 Lot Size•( Vh s. :.> sq.,ft. Garbage GrinderOQ)
Other Type of Building No.of Persons Showers(. ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 0 gpd Design flow provided �a�t gpd ry1
Plan Date 00-4-^—v ZZ,?�,pica y" Number of sheets Revision Date _ tN�_7j(%1 Z,a.
Title ,11.P C (tL+DaSA ( t w ✓\�S ,'
Size of Septic Tank ISOU Type of S.A.S. L- d (o�k 5
Description of Soil Lov\V'A
i
mV,D S � l�Al� Co�'y
Nature of Repairs or Alterations(Ans er,when applicable) '
sviQ46CK 544 +ram Taf i uc 5•,<r� �,�tt-+�� �r� El/1t�Q� {`JhS�c�c� 1 a„ .
Date last inspected:
t ,
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-aid not two place thesystem in operation.until aCertificate of
Compliance has been issued by this Boat(d o[ f health.
Signedg 1 , HR r- .p: Date ' f 1_' .y 2 <
Application Approved by i,�+�A `. �~'l `3 Date r tt
Application Disapproved by Date
for the following reasons
1
Permit No. O v Date Issued
- - - _ ------------- - ------------------- - -- --- -' - -- - - ----•--•-----------
THE COMMONWEALTH OF MASSANC IUSETTS
r BARNSTABLE, MASSAC#US4JTS
Certificate of Compliance
THIS IS TO.CERTIFY,that the On-site Sewage Disposal system Constructed�,,�) Repaired( ) Upgraded( )
Abandoned(" )by f�'
at S i w i 1 tiriu kt__ has been constructed in acco dgnce
with the provisions of Title 5 and the for'Disposal'System Construction Permit No. �7 0 aV —53 dated r f ? 3
Installer �h�iCe 5 a-sca-61 n C� Designer ��U t_L\\/�i (� sy S v1 ffe ri 11 C,,
#bedrooms a� Approved desig ow �j3 gpd
The issuance of.this permit shall not be construed as a guarantee that the syste will cti n as a ig ed.
Date , �� • 1 Inspectorh_. �
Fee - • �
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstem Construction Permit
Permission is hereby granted to Construct(� Repair( ). Upgrade( ) Abandon( )
System located at��(� . 1,1;c t1,1g AV<,.,..•—
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5'and the following local provisions or special conditions. L; "
Provided:Construction must be completed within three years of the date of this permit. --
Date f.... .Cy' Approved by t/v,
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FLOOR FL A N
a°r+ II FEB.2020
5 L A L E: 5/1 6" I'-O"
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LIVING AREA a 526 BF
Town of Barnstable
Inspectional Services
s Public Health Division
• wawsresa,a; • .�.
}6,19 ® Thomas McKean, Director
Z00 Main Street,Hyannis,MA 02601
Offii;e: 508-862.4044 Fax: 508-790-6304
k "
aller& Designer Certification Form ,.
Date: e_ytj#0 Permit# ZGW•— 337 Assessor's Map\Parcel
Designer: �' � _.._ Installer: v�
Address: '?< �''� Address:
On was issued a permit to install a
e �. .
(d te) (installer)
septic system at
based on a design drawn by
(address)
5Jii,a4, xc. dated L Z2�aZG
_ —(dqs>
r I certify that the so system referenced above was installed substantially according to
the design, which t#10 include minor approved changes such as lateral relocation of the
distribution. box 0&or septic tank. Strip out (if required) was inspected and the soils
were found satisf,000
I certify that the sgpta� ;system referenced above was installed with major changes.(i.e.
greater than 10' late telocation of the SAS or any vertical relocation of any component
of the septic syst *fat in accordance with State & Local Regulations. Plan revision or
certified as-built by d gner to follow. Strip out (if required) was inspected and the soils
were found satis ,o
I certify that the systo referenced above was constructed' with the to rms of
the I1A approval i applicable)
T. cya
(Installer'signatue $
bMAL '
(Designer gnat (Aix Designer's Here)
PLEASE RETURN T STABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIA CE` ", 'POT OT BE ISSUED UNTIL BOTH THIS FO AND AS-
BU LTC D BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
TUi�9►NK YOU.
1lto4klaptslHEAL'rMSEWER conn4oa\30
f�,!OMsigner Certification Form Rev&14-13,DOC
`'' TOWN,OF BARNSTABLE 4-1
571 All'e wo &e SEWAGE #
9
ASSESSOR'S MAP &LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY `ZC4C-%a—
L 7®
LEACHING FACILITY: (type) Qq (size) Z ` Y--sc)
NO.OF BEDROOMS _
BUILDER OR OWNER C A e-r'
PERMTTDATE: COMPLIANCE DATE: ,� —f 4
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
I d
1 ----37,
� � � v7
TOWIt!CF BAMSTABLE
LOCATION A!! Li i ogtn ld NO Ayi SEWAGE#
VILLAGE C C 2EIZIA Ll-1: ASSESSOR'S MAP & LOT �
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY -�-000
/ 0 1
LEACHING FACILITY: (type)=4-ia-k-L:l_t (size) X L
NO.OF BEDROOMS
BUILDER OWNER
PERMITDATE: COMPLIANCE DATE:
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
A
'**S`-F (O '
d
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Apphration for Diopoittl Workri Cnonp rurtion 1Prutit
Application is hereby made for a Permit to Construct ) cpair ( ) an Individual Sewage Disposal
System at'. 4
------------------------•--------•----•------...-•----------------•--------------------------••-
Location-Addressg..... ......................................... o. Lot No......--••----•••••------•----.........---
W b........----'•------�C%/ Address
a
Installer Address
UType of Building Size Lot............................Sq. feet
,..-, Dwelling—No. of Bedrooms_________ _ _______________________________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 capacity------------gallons Length________________ Width--_-.-.--_-___ Diameter-----_......... Depth.................
x Disposal Trench-No- -------------------- 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 ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
fZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a .__...---•-----------------------•-0hen
------------------ -•------------•--•........._------........................................................
0 Description of Soil------------------------------ ---•---- -• --.......-- _. ..-- -------------------------- -- --- ------ •• -----•-.--•---
V .---------------•----•---•---------•-------•-•----•--•-----•. -------•------ . . --- • ------
W --------------- -------------------------------------------- .....--•--- . ............................... ---- ----------------...... ..................................
U Nature of Repairs or Alterations—Answerapplic le.........................................
Agreement:
The undersigned agrees to install the aforedescribe iidividual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Envir ent ode—The rsigned further agrees o o ac e
system in operation until a Certificate of Co li n s been issu e a healt .
r
Sign . . ............. .... ... ------------------ ..0-------------------- -------------------------------------
• � ce
Application Approved By --- ------ .. - _--- 40------- ------- .. .. ......... . ... �. ... ... ..
Application Disapproved for the following ream s: .......................................................................................
... . ----------------*.........--- ------------------------------------------------ -----------............................
i
PermitNo. ---------------- Issued . ..-........................................................Da.e
Dace
--------------------------------------------------
-
.xr'.�,` ram,•.---�^::5 ......._ r..�o / y� ,'_._ ` ,
N�.... M . //
_....... a Fss.... . ....................
THE COMMONWEALTH OF MASSACHUSETTS --.
BOARD OF HEALTH
- TOWN OF BARNSTABLE
Appliratiou for Diti-pw3al Worlai Towitrnrtiun rnwit
Application is hereby made for a Permit to Construct X) or Repair ( ) an Individual Sewage Disposal
System at: � a ,
-• ...�.�� ti.. l. ...,......................... •••--•--•-••••••••-••••-•--••••--•••••--••....•---•••-•--••....--••-•-•-•--•---........-••---•-•--
((��,�\\// ////'OO— Location•i\ddress or Lot No.
..............�:a...�Lt.......................
.._.--. .`.........--------_-'_-•----•.•._-------•---,--- -_--------.--_---_•-__-__-•_•_•--------------•._•-•-••....----••-•--••------------......---------•� Address
a X -74
Installer _ Address
iType of Building 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.
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---------------------- Diameter___-.---..-.._..._-- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date--: ---•-------••---------------------
1 Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground`ivater...,:.
Test Pit No. 2'................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 •-•------••---------'--•--------•••--•••••--------------••-•---•• .................................................. .............................•:===="•°=
O Description of Soil.............................. -----•--- '�.. .h----- ......•n .................
UW ........................... ...............•--------------------' - ------------ ...........'
Nature of Repairs or Alterations—Answer hen applicl.,le..... ..........................................................................................
................
Agreement:
The undersigned agrees to install the aforedescribe Andividual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environment I//Code—The/u'n ersigned further agrees o to lace�the
system in operation until a Certificate of Comp i rice as/been issu e' oa?2i-of health.
Sind ....: ...... — -..----------- ' a . ..........-
g -
_ �y---..,.�� -L—.................. ...to
Application Approved B 1. - /....!...�.. �/ /t7�./.�!L.`7��................... ......... . ...
PP PP Y Y'- _•........ y-J \ _ ---1---
Application Disapproved for the following reason.. ........................ . ....... -- . ............................. ..................
- - - ----------- ..... ...... -----------------..-----------------------------------------------------------.----------- ..
•. Date
PermitNo. � 0----------------- Issued .-------------...----------------......----------------------------
Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
101Pr#ifirate of Contylian.ce
THIS To C RTI/�Y, T�l}�t the In �vidual Sewa e Disposal System constructed ( ) or Repaired.( )
by . 1 - �'� j%...-r..-.. .. ® -- ....-._......-_.. ----------------------------- ---------------------------------------------------------------------
at ....:.......... .---- °--------..................-...nvl......----........-.-.-.....-...................._rI In
v
has been installed in accordance with the provisions of TITLE f he State E 'ronmental Code as described
the application for Disposal Works Construction Permit No. ... �.'"`_ -O. ---.-.- dated ------------_---------------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATIS(FyACTORY. --
DATE_----....... ..................� - � �7 =I �^-..--... Inspector ....
.....
....
.� z.,L,=� ...... .......... ... .....
....
.....
...
------------ _- ______;----------------------------------;- --------- -.—
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE _=
No....�...... FEE.....!!/
Dispofial Works Tangtrart' "Vrrm
Permission,t hereby-granted,.— ',. /� = --O r
to Construct - I�IIo ��n/�dividual ewa e D� osalyS stun
at No. ��( ) r P1;--�--- �l .---.� �:. ...t - y f L��:......................................
. l
/ Street f)
as shown on the appli tion for Disposal Works Construction (Permit No?�...__._.��pated..t.......................11�,_.__....
/ - = -_---------o- '------- = .......
�/ o� i Board of He`akh
DATE 7,�--••-- �._......._..
FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS
O C,A T ION SEWA G E PERMIT NO.
VILLAGE
�s JUI LLB
INSTA LLER'S NAME i ADDRESS
ti
e U I L D E R OR OWNER
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED
j 0-
i
�f I
j
No..-----Q?.:5_:.[13 00.........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
..................... ....................O F.-......-......-..........._.-.........-.-----------.--..--............._.................
ApplirFa#ion for DhiposFai Workii Tonstrur#iun "amit
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
Wianno Ave. Ostervillea..MaA_ - ..... $ � _. ..51J- -..... ......_.
........----••---............................ ----•----• --•-••. ....................
Location-Address or Lot No.
I
Mr. Felix AI..M r4nd9 511 W angno..Alry��__ Osterg�ill'? ML..........
Owner Address
,Wa A•-&-B- C.an.c.o.................................................................... . ........3_5Q_.Maim..St_o._W.....XiarmQutJh_,...Ma.................
Installer Address
dType of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms........
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 capacity............gallons Length................ Width................ Diameter---------------- Depth................
Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. r
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
4 , Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water_______________________.
(i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-----------------------------
-----.........................
•---------
•--....
____-•-•----------------..............
--------------------
_-----------------
•....
ODescription of Soil.......................................................................................................................................................................
U
W •• ---- -•--------------------------•--•••••••••••----••-•--•-•••••••-••-•-•-••••-••----••-••••••----••--•-•-•-----••-••••••••-----•••••••--••••••..._...•---•--••----••••••••••-•••••.._....•-•-_...--
VNature of Repairs or Alterations—Answer when applicable_�000 Gallon s.pbc__taa�lc•--•_with___]L000_••__.
gallosn__-Ieaching__pxtq__-__-__-___
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with
the provisions of TITLIE 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.
Signed.. 1C'�
Date
Application Approved By---•-•---•-•.rowing
------• --------..._ .. ............
Date
Application Disapproved for the feasons:___•_____________________________________________________________________•__________._____.._.________-_-__._...
---•-----•----•---••_._.._......•••-•--•-•-••••••----••••...................•-••--------••-•-••••••------••------•----.............•••••••••••••.._..•---•--•••••-•-•••-•----•--•--•-•-•••--•••---------
Date
Permit No......................................................... _ Issued...................................
................•---
Date
.� N
No................_....... Fss. z tvv..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
..........................................O F.....................-.................. ......_.....__................................
Appliration for Disposal Marks Tons ruction Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal
System at:
-W�ann o Aue.----•--Os tervi l le, Ma.-...-•............... ........Lot..#...511-- ----• ......-•--.....
Location-Address or Lot-- ••--•••�•---• -
_Mr. Felix_A. _Mitanda........ .......................•--•--•................. . ........51.1 Wianno.A WvQf_ tervillea..Ma.
A & B CanCO owner Address
a 350- Main St. W. Yarmouth,,,_Ma. __
--..._..•••• •-••••... ......... ..•-••-••................_.__.......•-•-----••--•----- -----....._.
M Installer •�•• ----
Q7i Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............ ............................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ............... No. of ersons....._..........._.......... Showers
a YP g ------•-•-••- •-----•--•---•-•persons- ( ) — Cafeteria ( )
dOther fixtures ................................. . .......••------.......................... ...
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... 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 ( )
1-4 Percolation Test Results Performed by...................•---•--•-...............•-•--..._..........---•••...... Date.............._...
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 ..................••--•...••---•--••---•-•-•........_...._..__--•-•-.._.............••-••.....-••--•....•---....._..-•-....---••-.....- ..... ......
0 Description of Soil.........................................................................................................................................................................
U --
W
.. •• ••-•-•.........
U Nature of Repairs or Alter,ations—Answer when applicable..2000 Gallon septic tank with 1000
gallon leaching„pit.
_... ...---•-•--••......................•-••••••••--•---•-•....................••--......................---.....••................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System,in accordance with
the provisions of TITLE 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.
Signed.....
..--•'•-•........
..... •-•.............•-•-•...........••••................... ...........Date........_....
Date
A lication A roved B IQ.
PP PP Y ..
-•••......
Date
Application Disapproved for the f o wing reasons:..........................................................................................................---
......--•--•................................•----••-•.......••••'•-•-•........------•-•'-•-•••-....••••.....••----•--•-•...-•-••-••---...-•••------•.........---•--•••....--•-•.......................__
Date
PermitNo......................................................._ Issued.....................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH a
.......Town OF.........Barnstable..........................................................
f9rdif irate of Toutpluturr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
by- ._A &-B-Canco 350 Main St. W. Y_ar_mouth,..kk............... ..
at....- dill .. ..,Wiahno -Ave-----------Osterv- lte----.-M--a*----•-•-....... - 3.1:�0..,t*.,... d -
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......................................... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UED AS A GUARANTEE THAT THE
SYSTEIoA WILL FUNCTION SATISFACTORY.
DATE..... .......................)2
........�......��.....---- . ....... Inspector............ .... ....................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No Town.......O F.........Barns t able $15.00
g5- 1 -� ................................... ..........................................................
�io�oottl orko unu#rur#ion �rrmi�
Permission is hereby granted...............•. !...eS•-••... ..C. 0 C.Q....
to Construct ( ) or Repair (X) an Individual Sew ge isposal System ----•-••�~��
at No......................... 24...�.S11.......... �"l.t !��?......�`!�..><....... ST iR yr LI-IL
... --•............................••••--.................
Street e�5-1137 -z. t 1 85
as shown on the application for Disposal Works Construction Permit No....... ............ Dated...........
.............
---------- ..-•--....._
r� (� Board of Health
DATE..._.i.....--•�-•aF-• •�) i�, ..................................
FORM 125 fk A. M. SUL IN, INC., BOSTON
-
DIRECTIONS: ASSESSORS REF.: X s �
From Hyannis - Follow Main Street to the West Map 162, Parcel 004 : •� ' `= '
End Rotary, Take third exit onto Scudder Ave.
Turn right onto smith street at the stop sign. .`
Continue on to Croigville Beach Road and left �t x
onto South Main Street. Continue over the �-
g y OVERLAY DISTRICT•bridge to Osterville, and left onto West Bay � ��• ,� •,
Road. Turn left onto Wianno Avenue. AP - Aquifer Protection District
#511 is on the left.
FLOOD ZONE:
Zones X (0.2% Annual Chance)
• nO & X (Min Flood Hazard)
rI so' Community Panel No. k
Wide Public Road A ven, je #250001 0018 D •
r
July 16, 2014 LOCATION MAP.
/ I
Pave
Scale: 1" = 2000'f
ZONE:
CB/DH l '
LEGEND.
\ y \ CDT Cedar Tree RF-1
S55. 1 ' Ste- .� `- Area (min.) 87,120 SF (RPOD)
HT Holly Tree Frontage (min) 20'
Width (min) 125'
DT Deciduous Tree
i Gen \ Setbacks:
/ * U Mitres Shown
CT Coniferous Tree Front 30'
Play g \ ~f r..............
Gar en Ar Approximate 1 \ Side 15'
r - ... ......... �Q� Utility Pole
Rear 15'
House �� / L i \ - - Electric
' -�<.
..
1
E
r ti 1 -G- Gas
330' Setback Lawn
❑ \ �`- ` �, / � Wetland Flag REFERENCES.
., .. i•, � t � Light Po
st
` \ El CB/DH
\ \ Deed: 247641291
OHW- Overhead Wires
. _ ; ,. LCP 15548A
1 '
25 Elevation Contour LCP 1818H
LCP 13731 A
t PB 32-143
( i Sol ; \W
i 26 slob Paved
252 I Drive�ay 1 r
�r 1 Lawn 1 g
'�
I t
� 1
I 1 1
�\ f
L Q, \ Cb
Z [ DESIGN DATA
o~ \ Accessory Structure
` \ Sep tic t
-I Bedroom Proposed
y \ \ Walk \ as per �� Designed for 3 Bedrooms @ 110 GPD
Tie Card I No Garbage Grinder
...�2�" ag
a ! Total Daily Flow 330 GPD
sill2 Use a 1500 Gal Septic Tank
- 28• #511 \ I o 1 j
2 Sty. l / /� n LEACHINGAREA
/ / y 330 GPD/0.74(LTAR)=446 SF Required
W/f Dwelling l' j !l o Sidewall=2(12.83'+ZS)2'=151.3SF
I / m% o Bottom Area (I Z83'x 259=320.7 SF
Total Provided=4 72.0 SF(349.3 GPD)
C °9 LEACHIlVG CHAMBER DESIGN
� N AD Pipes to be Schedule 40. Use
� 2-500 Gal.Leaching chambers in a
/ LawnY
lZ83'x25'Double Washed
Pool Porch Patio
Walk
" -- �a ! /! SEPTIC NOTES
1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours
N '�r ( -` / Gar n i l l Prior to Any Excavation For This Project the Contractor Shall Make
cn Waiter -~' -� .• � � / the Required Notification to Dig Safe(1-888-344-7233)and contact
Fall + �- ''r ! I /: ! Sullivan Engineering&Consulting Inc.(508-428-3344).
J / / Z The Contractor is Required to Secure Appropriate Permits From Town
Lawn Agencies For Construction Defined by This Plan.
/ 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall
' ! 'r PROP� D / Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to
160' Buffer Pool ' / 0 1
r / PAC Assure Watertightness. In General,Water Lines Shall be Constructed in
1{ ` `tie / i Lawn/ N / r10090 TANK Coordination With COMM Water,and Shall be in Accordance
I i r / RESERVE J With 248 CAM 1.00-7.00&310 CAR 15.00.
0 '�; 4.A Minimum of 9"of Cover is Required for All Components.
-~ PRdP i- Existin Accessor 5.All Structures Buried Three Feet or More or Subject
PR6-VIDE 9 Y
O CLE T ACCES R Structure to Vehicular Traffic to be H-20 Loading.It is the Engineer's
PRO. SA STRUC RE (TO BE DEMOLISHED) Recommendation that H-20 Always be Used.
1N-1 TM- ( 6.Install Watertight Risers and Covers to Within 6"ofFinished Grade
oe r� i 25' m- Over Septic Tank Net and Outlet;D-Box,and One Leaching Chamber.
r •... ... .. ... ..
\ All covers are to be maximum 18"for concrete or 24"Cast Iron.
y, I ""PROPOSED Buff PR�O,pP6SED I 7.Septic System to be Installed in Accordance With 310 CAM 15.00&
Patio I / D-BOX/" \r -PORCH 248 CAR 1.00-7.00 Latest Revision and the Town ofBarnstable
� - \ _ r N Board ofHealth Regulations.
3
a 8.All Piping to be Sch.40 PVC
_ _- ,Zx ; \i` - Ir % �� �c ;- \- ►,�! 9.D Box Shall Have a Minimum Inside Dimension of 12,and a Minimum
i I Sump of6".
r �. Garden N 10. The Separation Distance Between the Septic Tank Inlets and
�-\i00'-Buffer•`•_�,. ---2� . ._.. ""-
\ "" _-.C• %r \;_�: _-__ - i :` _ - \ Outlets Shall be No Less than the Liquid Depth.Inlet Teas Shall Extend
��-o` - a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14"
CBIDHfn d I , \ 1 '�-^�� -\ \ -1 7- .- -` , Garden �p, Below the Flow Line,and Shall be Equipped With a Gas Baffle.
_ J
'. "'�-`' ' _ Approxrme On
Bookt�32,---1 `- -��
--e# t'in Lter-PLt1tr- _ -'�
Not-Garrstt_ucte�d� .-.. ---- r - \
j 13�` -
;«� fo__Carden \ \i
arusb1 ,- _ \ -'f91.3 r a 2' -~ 100'
CB/DH - _ Lawn fnd
-_ �. .- -� 1�_ r /� �. "" BENC MARK
fn _ r f &43 _ ` EL. 0.58
5 _ _
PERC TEST: 20-232
PERFORMED BY:JOHN O'DEA,PE- SULLIVAN ENGMERiNG
6
SOIL EVALUATOR NO.2911
Brush -
'� ,. 3 '- oo. WITNESSED BY:DONNALD DESMARAIS,R.S.-TOWN OF BARNSTABLE
3 EO'9 0 �3\� _ z J i\ � � „ NOVEMBER 3,2020
N take `` ���' ` SITE PASSED
�4 ,� a
Mr \ ` f ,
\ ~ ` a TEST HOLE -1 Er,.20.8 TEST HOLE -2 EL.21.0
-- - ._
'Q
3
0
! /
rr ...... :::...:_:::.::.:::::::..........:::..:::::::.::.:
s / 20.0 8 20.3
•� . R�:S�f: ::�:;�:;: i :�:�B:�:GAR:�:1:!)?CR�:�iE6:.....................
: ::: :
! .: ::.:::::::..::::0................:::.: :::;:::::::;::::::. :::::::::::...:::..:.:::::.:.::.::. :::.::..:
/ q, :; : PTSi•iC1 :;;:;:;::: :: .': � 4t ,..�'��4 .:.:.:.:.:.:.:.
2 \ :::::::.::.::::::.::.:::: .. :::::.....: ::...:....:::.::::::.::::::.:::: :......::::.::::.::::::: :::...............::::...:::::::::.::::::
/ 28 ::::::::::::...:::::::.:::::::::. :::::::..::: :::::::.:::::::..:::::::.:::. 18.5 26 :: :::::: 19.8
C LAYER 10YR 614 C LAYER 1OYR 614
LIGHT YELLOWISH BROWN LIGHT YELLOWISHBROWN
Beach 138" MEDIUM SAND 9.3 MEDIUM SAND
\ NO GROUNDWATER ENCOUNTERED 62" 15.8
WF 25 GALLONS IN<15 MIN.(7 MW.)
120" PERC RATE<2 AIRVIIV(LTAR=0.74) 11.0
\ NO GROUNDWATER ENCOUNTERED
Finish Grade \
_ _ \
3' Max. TEST HOLE 3 EL.20.6 TEST HOLE 4 EL.20.2
9" Min
Com acted Fill
P
Filter AI : EOAi :::: ` :::::;:: : :
.............................
Fabric ::::::::..::::::.::.:::::::
.......:: :..::: .::.::.
TAnd/Or 8 ...... 9.9 8 ::.:. 19.5
2 / / B.�A 1Z::1:OXR.5 6..................... B.LAYE�R..7.O.Y .16 ::? ::
n Pea Stone
aG..... SIt4 .................3 ...........
3 4" - 1 1 2" rr::i-:i•:-::•............................. (A r?:S`•'A-'.1`,�}:•::°::•i:•:•:i:•::•::°::•:i:•:: rri:i:'r:i(ii:i:i:::::::::::i: A�Y?:. :. . i(i::ii::(:ii:{:i::::i::
/ / 25 ::::::::: :::: ::::.::•:•::.....I..........:....................18.5 26 ......_;....:.::. :....::•::................ ........-...............• 18.0
LEACHING Double Washed
_____.__ -__ C LAYER 10YR 614 C LAYER 10YR 614 -
CHAMBER Stone
LIGHT YELLOWISH BROWN LIGHT YELLOWISHBROWN
120" MEDIUM SAND 10.6 MEDIUM SAND
- 4' - 10' � 47rr 16.3
i- 12' - 10" 25 GALLONS IN<15 MIN.(7 MIN.)
120" PERC RATE<2 MUVAN(LTAR=0.74) 10.2
CROSS SECTION OF CHAMBER NO GROUNDWATER ENCOUNTERED
NOT TO SCALE
See Note 6 (typ•)
F.G. EL. 21.00* *Final Foundation GradingTo Be F.G.
CoordinatedWith Landscape Plan
' II
Flow Equilizers
EL. 19.25 As Required
Installer To
Confirm Prior EL 1500 Gallon EL. 18.75 To EL. 19.00
To Any Work Septic Tank H-20 o-`
(See Note 5) D-Box EL. 18.33
1 Leaching - G
To Be Installed On /� Chamber
�Ta a ompac a ase _ 0
0 nlgSgy Bedding,,.T,.s
v L'
Inspection Port, lf: rre' tiri`tet�2ch?eiii[aia&:Rlae;`
' JO ' ;{ & Baffels aal Ur;SUltdtleo1L5:1Viliirt 5' Ctf :? N
as Per Title 5 TheQt+tEr:Perrmet4 :`.if:f:;11te::.Ss #eri `O
1c ::;.016f3
EL. 9.3
No Groundwater
Ate, •�U'/STEP{� �y4 Per Test Hole 1
S�IOJ DEVELOPED PROFILE OF SYSTEM EL. 3
Crystal Lake
NOT TO SCALE
REV. Increase Porch 1.5f & Add Septic 11 17 2020
TITLE: PREPARED BY. PREPARED FOR: NOTES:
Site Plan
• 1) The property line information shown was compiled from _
Proposed Improvements Enginceringh Jennifer M. Goff trustee available record information.
m
AtUlVallCon
Jennifer M. Goff 2010 Rev. Trust 2) The structures located and topographic information y
SUltln , Inc. was located using conventional survey method and RTK
1541 North Castle Road GPS on or between August 30 and September 13, 2019.
11 Wi nno Avenue n r 5 a e ue
Mass. (508)428-3344 P.O. Box 659 711 Main Street, Osterville, MA 02655 Son Om 0' CA 95476 3) The datum used Is NA VD 88. �
Barnstable (OSterville) secs@suilivanengin.com•www.suilivanengin.com O
Draft: ASL/CTR Field: WHK/CTR/JOD 20 0 10 20 40 80
DATE: 2020 SCALE: , » - 20� Review: CTR Comp./Review: CTR/JOD54
October 22, Project: GoffI OEM
Project#- 390022
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