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HomeMy WebLinkAbout0065 BOSUN'S WAY - Health s 65_Bosun's Way A-046-129 �� w� No o— Fee VY THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitation for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. (� p{ Q� � { Owner's Name,Address,and Tel.No. Assessor's Map/Parcel L L_Tr DGW i'd ,44 Installe„ a e, d�yes� Te1�Njy a ` FC��ja 7,?G Designer's Name,Address,and Tel.No 3t� �4r� 5 �� / _ -/ J T (p l�// ,L �' r c CGr lNUT d' Tie �Qd,�, lG C ✓� >N�n r:. Type of Building: Dwelling No.of Bedrooms Lot Size j G sq.ft. Garbage Grinder( ) Other Type of Building fx,Jt_-CFvF No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3-130 gpd Design flow provided t'S� ►/1 E� /7 gpd Plan Date 0! h,e^ 1), —Number of sheets I Revision Date f j S4 aOl41 Title Size of Septic Tank l y1 t - Type of S.A.S. 4, �xr Str�C Description of Soil V Nature of Repairs or Alterations(Answer when applicable) ►�,•�< C4 J',QA c 74� )a a 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 Board of Health. S' a Date y Application Approved by Date f2_ ' /!7 Application Disapproved by Date for the following reasons Permit No.�° ��-� f Date Issued No / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: f r PUBLIC HEALTH DIVISION; TOWN OF BARNSTABLE, MASSACHUSETTS S 4plication for Disposal *pstrm Construction permit Application for a Permit to Construct( ) r Repair( ) Upgradeplk Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. (o s �l j as/ �� �{ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Ls I + �1 Pig,,1-4 /✓, Installer`ie, _dd d Te1,N�o�o rU/jov 7)6 Designer's Name,Address,and Tel.No. 9 39r Ile S�iet (D 7 Type of Building: { Dwelling No.of Bedrooms jC Lot Size G sq.ft. Garbage Grinder( ) Other Type of Building -d,4 G No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided PX�.� +7 _��_ gpd Plan Date 0(+c h,r Number of sheets Revision Date Ft)s 4 p_ al Title Size of Septic Tank Type of S.A.S. Description of Soil R Nature of Repairs or Alterations(Answer when applicable) s�:0 ho a ddd :� 1G,� 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 Board of Health. e Date 2U Application Approved by Date Application Disapproved by Date for the following reasons Permit No. "— Date Issued ---------------------------------------------------------- ------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by at >; _ �,gGa K,54 has been constructe in a or ce with the provisions of Title 5 and the for Disposal System Construction Permit No. daieVf —j / Installer _ Desii ner + g #bedrooms T b+rt C. Approved design flow A AV 7 0 gpd The issuance of this pe it shall not be construed as a guarantee that the system will cti ri as desi�e . Date Inspector VI ✓ J,, ---- ------------ --------------------------------------------------------------------------------------------------------- - ------ •J-- — 0 7 Fee �. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS -Disposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade Abandon( I System located at Vi G ffG A 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. Provided:Construction in st be completed within three years of the date of this pl rmit. Date L)l� Approved by LO ,,AT 10 SEWAGE PE IT W. VILLAGE �J IN.STA LL R'S NAME & ADDRESS U I*L D OR N ER tA A DATE OERMIT ISSUED DAT E COMPLIANCE ISSUED S_1 r- 7� � L 0 N i i ll No....... 4`6.1..--- . Fps..,...... THE COMMONWEALTH OF MASSACH,JSF^-. BOAR® OF HEALTH /U.r .�7..... ......._0F........ � .. ...._. S� Appliration for Disposal Works Toustrurtinn Frrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: �') ' s Location Address' ............................. .... . . o°L...... ......................... a ..5��� d!� jAr%sTrs /) Owner �rlesss •--•------ -'ice •---"•-----•................•-----=--::a_............ ... ...... .. •-•^^' .. .: 4!..c.................------....--...... J Installer Address of U TypeDwelling Building ngNo. of Bedrooms......... ............................Expansion Attic/��.�I Size Lot Garbage Grinderq pa, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q, Other fixtures -•----•----------------------------------------- -- ------------------------....--------- W Design Flow_._.._.. ... ____________________gallons per person per day. Total daily flow....._......................_........I.....gallons. 14 WSeptic Tank—Liquid*capacityl�?©.gallons Lengthg'.x...... Width._.._-..... Diameter................ Depth.___ x Disposal Trench—No. ............:....... Width__J_...__._.__.___-_ Total Length___.._._..__._7..._ Total leaching area/11011 ft. ut Seepage Pit No.....Y------------ Diameter... .__......... Depth below inlet............... Total leaching area.G.� ./....sq. ft. Z Other Distribution box (�) Dosing tanpk ~' Percolation Test Results Performed by.____.. .i... ......../:�__ k.................. Date........, d� 7�_... W -- ,4 Test Pit No. 1...OF--------minutes per inch Depth of Test it.................... Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ a .... -----------------•-- -- / -----------••- O Description of Soil................ ' v�� 3� -----• ... ---.. ...... -- -- - - --- ---- x W UNature of Repairs or Alterations—Answer when applicable............................................................................................... ----------------------------•----------------------••-••••-•---•••--••--••-••-•••-•••----•-•-•------••--•-----•-•••--•--•-••--•--•••-•-•••••-•-•-•-•---•-•••-----•-•--•-•••-•-•-•-•--••••--••--•••.---•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of THIM 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance hibeissued b oard of health. Signe .�_®. 'Date Application Approved BY ......--- .... •--•-----•••......---••-•-•---...--•-- = ^7r�.....------ Date Application Disapproved for the following reasons: -----------------------•----------•---- ...................................... ..............•----..........> :------•-••-----•-----.•...--------•----------•---........-------••---•-•--•-••--•-•-••-••••--•-------••••----•-••--••..................-••-•-•. -•-•••----------- t Date .ice...... . Perin No;.-'.___1.a:L_..--••------••-----••-••-•--•----•-.. Issued_ • ram,,.° ._ Date `� No...... /i---- F�s..'...........`.....� THE COMMONWEALTH OF MASSACH!USFAS BOARD OF HEA -TH Ajilifiraa#ilan for Disposal Marko Tungtrurtinn rrmW., ,,. :v�. Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at - lowl .Locati dd-dresr .... ! e-d- '?.r .. �� �, a/" �•- Via. --- f......_.... ... ..... r + rf/I..................................... ►-a I� Owner �g +' ess cn Installer Address r � m7.." U 91 Type of Building Size Lot___________________________Sq. fee �., 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 day. Total daily. flow.;_.......'j° .........:.................g llops. d81�_ allons Len th ....:.�__-._. Width__. ____.. Diameter Depth W Septic Tank—Liquid"capacity g g p :.-_-- x Disposal Trench—No. r........... Wid -.,,........._...... Total Length........ t._ Total leaching area ft. r Seepage Pit No...._./------------ Diameter--- Depth below inlet_...__ ...... Total leaching area. ../�::_sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by....... �__:.__; '�L'Vit /"tDate �✓ f? � ••----•-----;t.---------•----... ----...- - ,� Test Pit No. L-_ .......minutes per inch Depth of Test .................... Depth to ground water......::............._.. Test Pit No. 2.:..............minutes per inch Depth of Test Pit.................... Depth to ground water........................ Description of Soil.............. t4.r:.... �� `'' . ' V ------------ •------ ------------------ ••----.------------------------------------------------------------------------------------------W VNature: of Repairs or Alterations—Answer when applicable............................................................................................... -•----------------------------------------------------------------------•-----------•-••--•----------------....----------------------------------------------------------------•••---•--•-•-------...._. 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 be n issued byt di board of health. Application Approved By......... ate' Date Application Disapproved for the following-reasons----------------------------••--•----•--•----•-----------------•---------------------------------.....--••-.-_... ........ ... .... ...•-•••----•.....---•-••---•-••-•-•-•-----•-•-•---••----•-•--•••---••••••-•-•---•--------•-----••--....-•-----•------•---...-------•------••--••------- Date Permit No........ "__`� �.._...... - Issued_.... ..- --_- -` •----------- Date R Ada .pP _ THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH �. .............. ........0F....... j�/ ................................................... ;r..r Trrtifirab of Tl mplianrr THIS S TO CU�971FY, That the Individual Sewage Disposal System constructed ( <or Repaired ( ) by..�,. . " ..... ... ----------------------------- --- --------- •-----•----.."} .......i � ------------------------------------------ Installer f) has been installed in accordance with the provisions 5 of The State Sanitary Code as described in the application for,Di, Construction Permit No.. _ _ ;_,�.'1....._..__. dated___,._ "' .--. -_'.. ...... . THE ISSUANCE OF THIS CERTIFICATE SHALL OT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISEA RY. ...--•-•-•----- Inspector....---••------•---- DATE......•--•-•....-•-•--���-•-:= == THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' 7 Dispnott nrkii (1-111ntrnr#ilatt rrntit Permission is hereby ranted,..... ...r........ to Constru or Repair r ) an Individu Sevcra a isposal System at Street • `� as shown on the application for Disposal;Works Construc ion Per 't No.................... Dated.._�f:.._� - � j ------------••-----•-•---•-••-•----.--- - DATE-------=-- -•----------•-----------•-•-•-----•-•---•--••--••--••--•.....--••--•. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS .... 7�3:IA � 3iZ�y��'ha lJ✓L�1fDk �.. ..I ;?s','9a+t..l '.".,;'�. � •�� �, - �� m ctro , h I P�E.DFzdarn .`r. - — — I � 41 : r - �e 7IN h. mm. a � i\—zx�df�f{_ ..... 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SCALE 1" 2000't t<z AS y'c• � °ty J yj � m: S MAP 45 PARCEL 15 LOCUS IS WITHIN FEMA FLOOD ZONE X r, O � DATUM: NAVD '88 Scale:1 30' PROP. AD G zs fook �6 . " SLAB = 7ea' _ �� // ZONING SUMMARY 0 oae TOF 77.0 I // 0 15 30 45 60 75 FEET � 4oe � // ZONING DISTRICT: RF DISTRICT � •�res� (®� MIN. LOT SIZE 43,560 S.F.• SHRUBS OR GUARD MIN. LOT_FRONTAGE 150' IF WALKWAY WITHIN MIN FRONT SETBACK 30' 2' OF WALL MIN. Sim SETBACK 15' .... Q MIN REAR SETBACK 15 e NOTES MAX. BUILDING HEIGHT 30' ell HouSITE IS LOCATED // 1. DATUM IS. AN VD88 SOURCE .TOP OF WALL , � PROTECTION OVERLAY IDISTRECTE ELEV 70-76 VARIES, STEP 6" LOAM AND. SEED OR // 2. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO SITE IS LOCATED :WITHIN THE DOWN AS .. BE USED .FOR LOT LINE STAKING OR ANY OTHER GROUNDWATER PROTECTION DISTRICT REQUIRED 3 PINE BARK MULCH // PURPOSE.: ,REFERENCES L ONDON BOULDER 3. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING _ / DIGSAFE 1=888 344 7233 AND VERIFYING THE CAP BOULDER ........::.::•::;:;�;:;;:;•;::: ..... �II_III—II1=1�-1II_I ( .. _.. _ ) DEED BOOK 24926::PAGE 187 _ _ —111=III—III-IT—III-111=111�11=1f1 III- // LOCATION-0F ALL UNDERGROUND & OVERHEAD UTILITIES PLAN BOOK 461 PAGE 99 :...................... 48'x18"x38" — I= I_I I r —I I—III—III—f l Cl l�l l�l 1 1 I LI-f (OR CAP.BLOCK IILIII III=III=111—III III=III=i i OM WORK. 4o"Xs"x34") _ PRIOR TO COMMENCEMENT OF _ . TING SEPTIC :LOCATION PER TlE CARD ON FILE 4. EXIS ..', WITH TOWN. 00 GUTTERS AND DOWNSPOUTS TO DE DIRECTED TO RYWELLS OR ROOF DRIP LINES TO STONE TRENCHES. LONDON BOULDER j 5 FULL BOLDER PLOT PLAN 48"x18"x42" CLEAN.GRANULAR BACKFILL OF GROUND VARIES �o*fin !15 p�yb) » Fp��NOFMgs 65 BOG ROAD ,• 860t' oN ° o`er DA IEL A tiG 1' WIDTH FREE DRAINING Otii iFlfO O,lALA MARSTONS MILLS BURY DEPTH GRANULAR BACKFILL CIVIL en 6' MINIMUM 1Dl.NVG oS No. 46502 iv? off 508-362-4541 �� PREPARED FOR fax 508-362- 9880 bssbLV N11Si�Cl ���PFG E �Oa� dowricape.com © FSS ig wivr° /oN T DAVID MAKI 42" J. CRUSHED STONE LEVELING PAD � .• MEDIUM COARSE GRAVEL BASE we cope engineering,Inc. civil engineers 0 RETAINING WALL CROSS SECTION land surveyors 2-1-- °1 CTOBER 11, 2018 REV.: NOVEMBER 20; 2018 NOT TO SCALE 939 Main Street :( Rte 6A) REV.: NOVEMBER 27, 2018 5—26'7 yAR"OUTHPORT MA 026�s DATE DANIEL A. OJALA, P.L.S. REV.: FEBRUARY 1, 2019 n ` �o iV,S T/ 1/C ?'/ ©.rti/ �J/ - - e I �. . /C • 2), d t W O 0 Z� ze'q �9 ft Over /,�- N. p ' A ol rio ,�/� J. �a w ';,l /4Q " `'Cc jG in» `o 77. `� tir3•� 1� �� VE `-)/VAS_/,)/'.$/3 �? 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