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HomeMy WebLinkAbout0047 CAMMETT LANE - Health N.jarsf6r,s 'Mill. s , .• A = 099 — 025 I i I' e No. 2O12 ��O Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppliLation for Nspoial 6pstem Construction permit Application for a Permit to Construct(4) Repair( ) Upgrade( ) Abandon( ) X Complete System ❑Individual Components Location Address or Lot No. 7 C',91114 E 77 AMY Owner's Nam Address,and Tel.No.5pg•S41/- 712 p 9� P�9R /3 6%/.11b 4�,0A A PT. Asses or's Ma /Parcel /y)v �Ins I*' Desi ner's Name Address and Tel.No. .SIB 5�`3-/99)4- ��fv _ �I o���� �. o X/__E f3�So Ci AT�S Type of Building: Dwelling No.of Bedrooms 2- Lot Size 2 40,00 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 7 Z O gpd Design flow provided 33 O gpd Plan Date -,14 AJ, Z7. ZQ/Z. Number of sheets / Revision Date Title S/7_9ZS E/J'-q GLr- )Eini" "ASOAJ A yiS1 Size of Septic Tank �,j�0 G v Type of S.A.S. X.Y,,o Z' `Tie Cr/VG11 Description of Soil Q / Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and m intenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environment de and not to place the system in operation until a Certificate of Compliance has been issued by this>Bo e Si Date / Application Approved by EE Z Date Z�3� Za /Z Application Disapproved Date for the following reasons o.2® l Z — (7 Date Issued 2 3 7-e,i Z Y No. ZO I Z- JQ , Fee THE COMMONWEALTR OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN-O�F BARNSTABLE, MASSACHUSETTS Yes } Rpprication for BispoWaf-#Vstem Qtoustruction Permit Application for a Permit to Construct(* Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. ,7 C��M E 7 9 Owner's Na Address,and Tel.No. �p$•8 D/ - 7/Z Ass .or's Map/P rcel n7. // /rV_bh91VfpN-b f T X4A-5Ti M/4- 4- Ins llef' A`31s" T�1 p,J C Designer's Name,Addr ss and Tel.No. o /�.�SoCiA?'ES ✓r,,aall hl a 4 C /70 CLO V'E R<�Ei�-,j� Wy E,/=,gam rnQ vT,l S P Type of Building: Dwelling No.of Bedrooms 2— Lot Size 2�j lJOO sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Z.D gpd Design flow provided ] 33 D gpd Plan Date J19 Al' 27) 20 J 2-- Number of sheets Revision Date Title S/T�� Size of Septic Tank Type of S.A.S. 3�XG Z•' -T.e E/VC y Description of Soil Q /,o"J4/1/d y �_041)9 /o"70_ 7 P LD41 y ,5441,D Nature of Repairs or Alterations(Answer when applicable) f � Date last inspected: Agreement: The undersigned agrees to ensure the construction and m intenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Envir nment ode and not to place the system in operation until a Certificate of Compliance has been issued by this- o o / S' Date Application Approved by - Date Application Disapproved Date for the following reasons I Permit No. _ O 3 V Date Issued 2 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(?t ) Repaired( ) Upgraded( ) Abandoned( )by 11 tt at 4-4 CA wj t I E-f-� LJ AI has been constructed in accordance with the provisions of Titler5�n t e fqr Disposal System Construction Permit No.001 2-- n 30 dated 213 Zo/Z Installer 0� l ( Designer- #bedrooms �- Approved design flow _12 Z O gpd The issuance of this permit shA not be •onstrued as a guarantee that the syste. will functio a ned. Date `J�i �J Inspec or. i No.2y I Z- _ O 3 c) v Fee�Pi U °y THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS ]Disposal :Fppstem (Construction Permit Permission is herebyJJgrantedto Construct�k Repair( ) Upgrade( ) Abandon( ) System located at "t CA "(( � f , 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:C nstr ction must be completed within three years of the date of this permit. Date Z���Z,a i Z Approved by c ... ' A.D. I i rz Ole- ? o t On F8 r �— I K ar �?•tc aFr �hiu�!Wa �i� .%8,��kt4�d�;a 0 I I¢ i .q Ij bq.wixo xuM�eq� I RI iI fi- f _ r .. _.._....... -J A-- . ---- - --- v - -4 rI C q-mm.-7r �Y 77 -- ' � �i✓Q �Z=1Ll� (��'ICJ � .. .. _m.n.l.,�y.•..-..q.ynq..,in 'Rp.,(�,:�Ynk..'lAW^"T^^iW"tl'_.'^^^t�^!' .,... ...m�..._._,._. _ ...-... .. .. .. ...... .. .. .. _. � / Town of Barnstable > Regulatory Services Thomas F. Geiler,Director ,ARNW,BM : Public Health Division s`�� Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Date: 9/9 9 , .3 e) 2 40/3 Sewage Permit#Z412- 4 3° Assessor's Map/Parcel Al, Installer& Designer Certification Form ,elll eaNsre l/C 714W Designer: v'- Installer• Address: Address: Fi9L/yl�117Tfly AM- 02S3 � On 2—3--ZO/Z f lY e0wSTX vc T/on/was issued a permit to install a (date) (installer) septic system at �47 e4*1W77_ WXy based on a design drawn by (address) J doy�E 195_5-OC/i97�67- _ dated \;W11 , 27 ZD/Z (designer) _ZI 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. Stripout (if required) was inspected and the soils were found satisfactory. 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. Stripout(if required)was inspected and the soils were found satisfactory. 1N OF (I stal r s Si a e '' o�� JOHN P. cQ� DOYLE,Iit N No.33P583 (Desi s Signature) (Affix X ere) SUR�- =�: I ME-A T R D CERTIFICATE - - --- - -' HIM,II THIS FORM AND AS- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ........ .....................OF......... Appliratiou for Disposal Works Tonotrurtion Vamit Application is hereby made for a Permit to Construct or Repair X) an Individual Sewage Disposal System at: .......q..1....! .....kv.,.s............. ......................... .......................................... R Location-4ddress or Lot No. .. ..... ........... ............................... . .......:_ .............. Owner Address ....... --- ..... ........... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.._...... .............................Expansion Attic Garbage Grinder a Other—Type of Building ............................ No. of persons............................. Showers Cafeteria Otherfixtures .......................................................................... ---------------------------*--------- --------------------*-------Design Flow............................................gallons per person per day. Total daily flow............................................gallons. P4 Septic Tank—Liquid'capacity............gallons Length................ Width._.............. Diameter__._____-___---- Depth___..__._...._.. Disposal Trench—No..................... Width_................... Total Length.._................. Total leaching area....................sq. f t. 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----------------minutes per inch Depth of Test Pit..____._............ Depth to ground water-._-_-_______-_--_-_-._. f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.__...___._..__......... M ............................................................................................................................................................. 0 Description of Soil------------------. ...................................................................................................................... �4 -----------------------------------------*----------*--------------------------------------------------------------------------------------------------------------------------------------------------- . ... . ........ ... ..... ...... r when aRp i ca i X 0 tk ce us Nature of Repair or Alterations—Answer Answe1* ble------ .............................. . .. ..... U .) ..... too 0 ......................................................................P�.. ....% t...........................................L,..-,?................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T'12 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b=n issued by the board of health. Signed... ------ a------------------ --—---- •-507 Date Application Approved By................ .^.. C> ....................................... Date Application Disapproved for the following reasons:.............................................................................................................. ......................................................................................................................................................................................................... Date PermitNo........ ---7------------------- Issued....................................................... Date D9 9 jr THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. .--..........OF....................................... -----------....................... . Appliration for Di,4posal Works Toustrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal System att�: CJ 9,5 Location-:tTn ddress or Lot No. �y ................................ ................. ....... ._._.. .---.._... 'Q .r'.`..�. ......].-:�.Y.°. .rr'•--�- �. tia.-AVa.,.{...`_.�.... �!' .................. i Owner \ { t Address ............ .-- .........DZ:1.: 1.0 rv'>ct Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) i1:14_1 Other—Type of Building No. of persons............................ Showers Cafeteria 04 Other fixtures ...................................................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:.4 Septic Tank—Liquid capacity............gallons Length--------------_ Width................ Diameter---------------- Depth................ Disposal Trench—NTo_____________________ 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................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-.---______-_-_--__-_-_- 9 .........•-.......................................................................................... DDescription of Soil------------------ '' •-•--•----------------------••-•--•------------------•-•------•••---••-•-----••••-----••------••-•----••--•--•---•------ x U -•••-•----•-••••-••----••••----••••-•--•-••••--••••....••-----•---••-•------------••-........--•---•--•-•-••••...--•--••-•-••-----•---•-----•-----•-•---•--•-••--••---••--••-•-••••............•-----••. x -------------------------------------------------------------------------------•----•••-•----••--•- -------------------------------- -----I -------- - - U Nature of Repairs or Alterations—Answer when plicab --- -_-0 4 ----��s S 'oa S- _ _ --_- ....'�.w S-�.. .1 ►a1 C ... o a s� `�X ' -- --. .00.0......�= $� =-------------------•--5...�..:_ ......a-. -----------•----•--.---- - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTIE 4 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has en issued by the board of health. ** Signed------ "".......- . a J �................... ...................... ......... Date Application Approved By.............. --- Date Application Disapproved for the following reasons:................................................................................................................ ---------------------------•-----•--------------------------...............---------------•--...•....-•---•----•----•-•-----•••-•-•---•--•-••---•--••------••-••-•-•-•--•-----------•--•----•-•••._...._ Date Permit No....... .aa...::...eita 4�----------------•---- Issued•....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................................................................................... Trrtifiratr of Tontpfiattre THI S TO C RTIFY, That the Individual Sewage Disposal System constructed ) or Repaired i< ) 0. r-t �r.. N-Ale>�"r't �J( -, - bY - ------------•--.................-•---..........................-----...------------•--------.....--------•---........------............----------..........---------••-•------------ Installer . ----•- has been installed in accordance with the provisions of TiTIE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.... .... dated.................. ............................ THE IISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS jj BOARD OF H ALTH 1... .......................OF..................... .........._............__..... .. ....................... a O U� No......................... FEE........................ �i V?al Works Ton trMtion frmit Permission is hereby granted.._.._.`r_�_ "".. `......................................................� `'', ,r'=--------•---•--.......-•••--••--..............••--•• to �Constructt(r( or Repair',) an�II1 dividual1Sewage Disposal System at No.........�.7._ . fi•...�..., a»,-+.� \ - — ✓ i N. - Y— 1 �, ._.._ _•..................................... ........•-__.._............._.._..........______..._......_..`.............................__...._..__...._......._._......... Street as shown on the application for Disposal Works Construction Permit N 7:_la _�._ Dated.......................................... Board of Health DATE................ ` .............................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS -a. TOWN OF B.ARNSTABLE LOCATION \-N SEWAGE # E7 VILLAGE a�$TC� ��I�S• ASSESSOR'S MAP & L01fa INSTALLER'S NAME & PHONE NOat-(6 �c�r:��S. Z'I r 3 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �c�c-fin `� (size) S d©O NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER .BUILDER OR OWNER �,0*31,k� .DATE PERMIT ISSUED: g q — o- � DATE .COMPLIANCE ISSUED: 9- VARIANCE GRANTED: Yes No [ I i I ° I `y . . r� TOP FD�/�/dAT/o�/ ��. �!•o EWi9GE SYSTEM PROF/�E " �S PVC /NS/0EGTIo/./ PORT PVC VENT Ta ! / F / /, /640E7-0 ATM/O SPHEC'E p TI''/ ��.,SS•3 O' lf'-Z E�. 53.9 S4N.4Y ,-oq y -54 4 A 9„ 7,s yR 9, 7• sYR f'/N/s q G,c'//D6 Mln/, OF 2 L DAMP L OAMY C'oVER -o W1TH/r/ 6" AIIV, 6A , coVEiz To WiTHiti/ 3�"/vIAX K'iSER OF rlNlSNc't> GRADE. /NsTAL /NG E? 799. 9 M/nl 75 YR G�y� 7. 5 R o/5� 3zo"MAx _ 2�' c6VER of 33 Ec.Sz.S 25% y E�, s/.8 ► Y r, SCH,5�0 VC Z FEET L CVEL //V /-! /NV. _ QU/.� LEVEL. yc 5C V-P PVC TEE SCH, *0 PVC _ -rr. ... ., A. 55'30 5� yo 1o"MIN 1�'' /w V• /NVS.3./8 /NV 33./0 „� sCN. '�a PVC PERFORA�h `!�/PE AT S-' -DOS ,,._ i a 2• EGF. D EPTN G U O Sc a i-,--'.«•.rb /� /�z .lJOv�G.,E- lvr/I9 s/I E1) SToNc-' /yE.DICl/�J Al D . MPI!'nEC, - GONC, b/-sT Bb' b✓iDE X 62'Z g1V6 E4cl-//Il6 //C11- EL C cSIMANR.Sd E 6A5 W/ 6" SUMP AA/A /2 - .79 BA C S/tNa ! /WA/ER 1xEgsd,�E /DYR �/3 WAT�RT/&HT oN o9 G-El��� STi9BG.E �ASE. /r'ERFD/LlTIO.Vs Si/�I1_L. 8L� 3�Sn"%"I1/ANdE7E�. G, $9 ' k' P,poP- o0 6 L_ 2t Gi4ST 60NC. SEPT/c T NK SoiGS i4,BSoPPT/o/�/ -'ys7. M ,3.9 EL.41+4,9 EL.. *3.,9 i5 , A P wl-rH INI-ETlOVTLE7- -TEES caM5TRvC•TE,z� f'ER BOTTaM TES7 ? /26 6RDV" tJA7'-ER /VO7-/xEn/CoU�tl7ERED . 3/40 CNIR /S-2 27 ,SET O/,/ 1-EV6L S'TABG E BASE. II PROX- GR4UA/- WATER ?P-3 0 . Ti"' EL•55.9 0 - EL--SS 8 SANd G-DAM SANDY LD.4" SCWi9�E SYSTEM DES/�N CAG GUL�9T/ONS= A /KQ°Ts A w/RDoTs 8., /DyR `/� 9.S Y�2 /. �kS/6 AI 0 A/G Y F�dW FO 2 8�laiPD4M.La/IEG 41 N6 L/M/T L O AM y L �L1E To BE/NG LOC 4 71- b WITN1A! A2DrV E II. B S/f•V v SANA 2. TAw,< sizE �B h'av�es ,V 22o GPI = �o �,� L o.�s, /DYh 6 7 SY,e llSE ISOD 64GL9,%1 SE/'TlC 7A4/16c, � 3. ��¢G//,P�,D A�BSORPT/on/ .,9>P,6�1 la;oR L3 BE,o,244A/ M/N, d Si6^/ ,93D D> 73ot 61s:F, = h� G S.F. iPEgt//rz�1>. c dyRSE �oARsE f L/Sc A J'M11,D E A' G'Z'Go�/�5'X 2 ,11 EEf' L EACH/n/6 /R'6A/ 'N SANd Sg Nd 2 S W/Tf/ `f M Ocl6'LE PVWS, 5� --d >ON�. /oYR �/ll C 7.5YR M -S. q,6SORA71-AAl 4R-'q i°Rov/.5iOn/ j .045WCII MARK = 8077-OM 3 X 6 2 = /8% Sf A/<, AA/L A/o- '5/ Z GO SF GA/MIM E T 7" WA Y To TAz. A/2E;-A - /96 -/- 2 6 D = 5� 8En/cH MARK I, A,,k',AIW& NO. 3' G, DEs/GN IS �A' USE w/T/�/ /�U GARBinG� GR/N.DEi?, �;, outvllWATE�'. ItJOT ENCD tJNT RELY TE57- .DA>E : 12- 2Y .0-#XAA5r4,BL E 6•D, h'% = DAV/I) 574AI72:Alj X7,5_ F/N. GRADE M/N. SLOPE 4i 2°T �t/A 4/474.0 = ./Dh'N 1>o yL E i°y s Y•"o PVG PERFD.Q.tTL�G ,099C. ,D/s7-e- PIPS A. �"MSC 2" G PVrrR OF ��/2 G. ,ew- 6 < 2 /�1/N• A .P /w C ry -- /2S. OG' - _- - - - - - -- - - L, Ton/6 SD/Gs T�.>iTc/�AL cG�gss . O Il ., s �E l I E v Nr 3 � so y,� i , , ,• 3I��'I 2",pOtl,BLE WASHED ts•TOA/E 2' Ff', A EPTN OAP p �Ei9CN/NG TREMCf . ;4 O G d (J 1 , - d T /Va. h� '70 t G6AI4!5 A" n/OTE-s tl C,9A4Al 3677 ,, /, /�L L Cd.�/STR[/C ?/4N METh�OAS ANd MAT�R//!L S .ShHi9GL COAlF4�M TD T/TG E l dt/Ay 1: 1 oq E a>9>Pz> of f/�A H EGU�AT/oN S. `�oG t!S o 1/E f/N D 8�9�(ws TANG B G T Z\ y C 1`, \ O 2. ACt �/D/NTS S/YAGG 8E W,47ER726//7: ST. p tjTE 2$ .5-7-OA15 s'/V L.L- 8� Fiq 6,E OF d vsT i9 ivd Fi^lE s. O L) TP'3 'f, GdNTiQACTO/� .s/i'i9L L C'ait/TAGT D/G-s.9FE SYSTEitils TD Y Xl eY' UT/L /T/ES LOCH T�o,A!S. F� v, V1 S. 4clAIA L L O c l T/ON ©F 77/,' S.i/..5. V�,Alr 6-1141-L z&F .d E725,T,H/ivE.A Y/V THE FiEG.d, .0. 6• .1�/STie/BG�T/O; BD.r /Nl.ET 7FE Sh��9LL. EX7'Eitl.6 �O OAIE /.VCHABoVE OUTLET �GEVAT/ON LDCUs /l4.qP 2(c s 7. - 'OL- /,D 4oA17©!/iE'S AAE fiE'oloto-s :. \ ♦ �' `, , , S/TE .9A/IO SEWA G 4!5 PGA N ` 3G ' f ors/ m /5� PROf'O v PROP• 2 BE.zI �RoaM �I \ -MR,46 Cr .D W�L L /A/G � u O � , -, s O u N TOP FD NOATio�/ 7 ,5t /I S E SS R5 14A 9 9 T/�iPC E L /3 + t Y,7` C�4MMET7' WAY J :�ol�r� � BARNS Ti9>f3[ �� /1/If1. P. V,i Q 6� n / ,/t�OYLE,iII .,. SC/'IL� : � '��d V//4/�(//7Ry 27 ZQ/Z No.38589 No. 1140 � Sa ,BE/✓C.l /199Xlt 6z Toy° GONG. BND. f 31� �Z / Z ✓. DoYL E ASsoc/AYES 308- 543 /99y� BEwcy MAiPk: /2S.OfJ 7aV PA- c,s, ' �Z � s6 s-� s2 /7o cLOV�RFiE:L .D GV..�y EAST F�9 G /Vjd �L 6,�4% 7 i � I I I I I i i