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HomeMy WebLinkAbout0067 CHESAPEAKE BAY AVENUE - Health 67 Chesapeake Bay Lane _ A=098 —004—002' — - Mars tons Mills Q�O OF BARNSTABLE LOCATION SEWAGE# VILLAGE SSESSOR'S MAr PARCEL?, INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /j�O LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER PERMIT DATE: I /COMPLIANCE DATE: �l ` 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 ` / 2 A3-�5 -ay-yy ov +� - `'l Fee No. ! �"' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: P IC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes plication for Misposal *pstrm Construction Permit App icat on for a Verm' to Construct( Re it( ) rade( ) Abandon( ) 91complete System ❑Individual Components n�99p ry Lot No. Owner's Name,Address,and Tel.No. t�ss'essor s /Parcel J�j�� - Installer's ame,Address,and Tel.Np — s�� esigner's Name,Address,and Tel.N . � Om . V 11V P� 2 on es Fe2R2>e2A.¢ssae j�/ Warms ' Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage/Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures bA 12 F �4 z9— Design Flow(min.required) 7 gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. n Description of Soil S® � il4,A�G,-�,. G cr/ L�c�e 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 Boajd_pf Health. Signed6 ORWAIDate -- Application Approved by Date — f Application Disapproved by Date for the following reasons Permit No. 9LQ l ��� Date Issued I— �6 4 i No. r ` ` ,' Fee THE COMMONWEALTH OF MASSACHUSETTS -Entered in computer: Yes b P IC HEALTH DIVISION - TOWN OF BARNSTABLE,,MASSACHUSETTS ( � plitation for MistlosAY *pstrm Construction Permit u/e. Ap scat on of r a P•ermr to Construct( Re jq6 ai`( ) U rade( ) Abandon( ) Complete System ❑Individual Components CAQ &� Lot 0. -Owner's Name,Address,and Tel.No. A�'ss�es?;ors1G1 /Parcel rMh IN ( r I 4�,t_, Installer's Name,Address,and Tel.N —L^� -S`�� 1 1.gner's Name,Address,and Tel.N�. We ' / IL �r • bj Q� 2� �UhT/Ac�S�' Fe.2Re%2.A,¢.SSG�'. / (�er Type of Building: /9 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ' c. Z n Design Flow(min.required) �j'j gpd Design flow provided — �j gpd Plan Date Number of sheets Revision Date t Title Size of Septic Tank Type of S.A.S. Description of Soil 6 Nature of Repairs or Alterations(Answer when applicable) 5 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 pf Health. *-- Signed Date Application Approved by Date Application Disapproved by Date for the following reasons ?r Permit No. 90 � � _<I/9 Date Issued 1— 9-6 — 4,• 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 1 6"- at (Cf— QQ k7l9el Z" has been constructed in accordance with the provisions of Title and the for Dispo 1 System Construction Permit No4;L011-0/7 dated Installer Designer -jr_ )+C-, 1 #bedrooms `""` Approved design flow gpd The issuance of this permit shall no Pe construed as a guarantee that the system w 11 func ' de 'gned. Date Inspector --------------------------------------------------------------------------------------------------------------------------------------- No. — 0 Fee -V THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction 3permit Permission is hereby granted to Construct( ) Repair( ) Upgrade(__ _ Abandon( - System located at e7 C j6A zp ry 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 must be completed within three years of the date of this permi Date Approved by 1,"4 Town of Barnstable �tHGE r Regulatory Services ti o,. Thomas F. Geiler,Director MASS. Public Health Division AIF1 39. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644/ Fax: 508-790-6304 Dater��t/ Sewage Perini 11 0 7 Assessor's Map/Parcel a0/ ©�/ Installer& Designer Certification Form Designer: r9:1Z a s r4A A5sce-eirt.5 Installer: Address: t ea¢ �Ert C®�oio Address: On / ` � wd a permit to install a (date (installer) septic system at Ur 4 c:ku pewky 04y 'Acx ve based on a design drawn by (address) rEaavc 1 Assoc.• dated kdY, Z®o.1 (designer) 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. 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 i pected and the soils were found sat,fact_ �H 0f 444, MICHAEL J. ny / BORSELLI rn (Installer's Signaturef 9 No.5I054 A9p�Q IQ Q FFSS/ONAL ( ner's Signature) (Affix Desig amp Here) I PLEA E RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice formsWesignercertification form.doc Rug 25 11 03:OOp Richard Ferreira FERREIRA A,%OCIATES August 25,2011 Mr. Matthew Dedecko M.A.D Developement Re: Lot 4 Chesapeake Bay Avenue SEPTIC SYSTEMMSPECTION Barnstable Board of Health On August 24,2011,I inspected the septic system that was installed on Lot 4 Chesapeake Bay Avenue in Marstons Mills for the owner,Matthew Dedecko.The system was installed as per TITLE V requirements,and also with the regulations of the Town of Barnstable Board of Health_'Me septic tank had the gas baffle,and the covers exposed.The d-box was open,and fitted with the flow equalizers.The leaching trench was in good material,and at the proper elevation. Therefore,in my opinion,the septic system meets the requirements of the State sanitary code,TITLE V,and your local rules and regulations. Thank you for your consideration. 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I. _ ;, ! li , ii '� :1 'i i is ' � 1i ► , 1= _ 11 ' I _ � � , �i ! � �; � '� {i . ; �� i � 1 1 I! �� i' 'I 1� j� ; I I (I i + ! � ! ` j 1j �� � - II � ! i'� �� b 101, it '! � ' II .I -ij � � I , i ,; ,! ; ,t � � � I I , �) � j �' i �� I, � 11 ' h ' 1 if ir A !i , ,i =�. I � 1 I -� ,j �l i - C4 it lui � � 11.:-. , � i ;: - ;i ; , , t , _ ii l i; U 1 •,� i1 _:I__�. �' ) •:i �I ?� I !� + I � � — - � .;` � i� - ; li- I' 1 � 1 01 Tj it CO �jl &JO J1 ___7,._ _1_—+� '-I: , :��� i. -__. ''7K.AT.H L`v..: .O G7 G G.L'6 -. COW; SCALE:1/4. BY DATE-. smvtsm Tri AM IN 14-'- 14 o SYSTEM PROF/LE �Q NOTES: NOT TO SCALE 1. ELEVAT/ONSBASEO ONM.S.L F/N1SHGRADE 2. FLOODZ0NE V(N0NWAZ4RD) A92' F/N/SHGRAOE � 3. TOK�/Vl'YATERONS/TE 60/, 01IERTANA' F/N/SHGRAOE �0 28 622' f OVER 7RENCHES ROUTE e TOPFND. �,`O/� 4= SCH40PtiC TEES LOCUS Y9�CRO9O�Q �QQ`J,`�lj i t 56t 30 57.90' �• - f 57.00' =0 0 F 0 0 Sp 'LOT COVERAGE' 15MGAL. 5724' =0 F UTH �� BSM?FLIP :' �• - EQUALIZERS (LOT 4-44,863 S.F.) C, RE/NFO�.'CED O �, �� `: CONCRETE GAS DIST. BOX �Oq�'2 PROPOSED HOUSE- 1517 S.F. -3.4% Y"� ;- L"f !I�>or n�Z BAFFLE TOBEINSTALLEDONA PRECASTLC»OCHAMBERS• �-- PROPOSED GARAGE-520 S.F. - 1.2% .�3-j '" - ~- `'�°• LEVEL STABLEBASE N TRENCH LENGTH 0 PROPOSED DEACK-312 S.F.-0.7% SEPTIC TANK 55.0, �2-4., L OCA TION MAP TOTAL PROPOSED COVERAGE-5.3% MBEINSMLLED DNA 5'M/N.HEIGHT LEVEL STAMEBASE ABOVEAD✓LISTED GROUND WATER 6� LOT 7 SOIL AND PERCOLATIONDATA N35°28'31-E PERC" RATE <5 M/N//N 248.80 N36°10'08"E jTAKENBY R/CHARDFERRE/RA P ia9 91.79 �Y/TNESSEDBY DAVESTANTON - 1 BARNSTABLEBOARD OFHEAL/-N *0 4 42.7' \ DATE .1ANUARYS4afl 2002 LOT 4 erne TESTP/TELEV- VAR/ES 44,863 S.F. 7ESTHOLEf ELEV 60.9 TESTHOLE2 ELEV 90.2 0 o� B" O/A - SANDYLOAM XOYR" O/A - SANDYLOAM >OYR.3G B" w ° ``c B B .$i4NDYLOAM 10Y,'R5/6 SANDYLOAM >OYR516 e 0 157.4' W rn -' "� d box / % X. 36" rn O O \ Cn U� \ Coh ti h o r0 to 136' 'y �� 0 �. O� -j C' MAID 25YS16 C1\ _ \ _ ^ CIO 2.5Yf✓6 j MED MS",O COBBLES J5 MED/UMSAND-COBBLES >0 lb GRAVEL y4,0-, !� — t %GRAVEL y T2" #2 00 &I" 0 � �j ��� ` . C2 983' 80.2' c'- V� �60. 02 SAND 25Yf✓4 / SAND 25YL✓4 CLEANMEDU/MSAN,0 #t CLEANMEDU/MSAND ZP. >20" 29X \ NO GROUNAMA7ER /32" SEA PINE � 1ss.8s (40.00 WIDE) � DESIGNDATA S31°59'04"W I (�' LANE BENCHMARK i1/O. OFBEDROOMS y • 56 S6' catch basin s�&�� DISPOSAL NO tOT3 elB1•59•40 EST. TOTAL DA/L YEFFL!/ENT._A GALS. SEPTIC TANK 1500 GAL. NOTE DONOTRUNIIEAVYEQUIPMENTOt1ERSYSTEM GENERAL NOTES NUMBER OF TRENCHES I M S.F. SIDELYALL AREA 74 GAL S/SF 17 GALS" . CCORDANCE GAL GAL S/SF 2� �,�g S.F. BOTTO/G�AREA :74t _�1 S. � ALL SYSTEMCOrG1PONENTSSRALL REINSTALLED/N LEACHING CHA/GIBERS SECTION 3 �- AI�Y/THT/TLE50FTHESTATESAN/TARYCODE NU�fi1BER OF CHA�GIBERS � ��'� S.F. TOTAL AREA "r, ` `,�` `� GALS. DATED MARCH>995ANDANYL OCAL RIJLESAPPL/CABLE NOT TO SCALE _ — 2. ANYCHANGEIN TH/SPLANMIJSTBEAPPROVEO BYTHEBOARD OFIIEAL THANOFERREIRAASSOC. 3. WHENCONSTRVCT/ON/S COMPLETED, PRIOR TOBACKF/LLING ssrsre � .urn!r-s�a-riz- •` NOT/FYFERRE✓RAASSOC/ATESFORINSPECT/ON LEGEND s:vsrWsra 4 FMO ELE!!MIISTBECHECKED WIENCOMPLETED /�rrav/ 5. THESEELEV MIISTNOTBECHANGED WITi5/OUT THEBOARD OF11EAL7HAPPROVAL `t —' EXIST. GRO&MOFLEV. 6BOARD OFHEAL THINSPECT/ONREOD WHENEXCAVATED 4•�ua FINISH GROUND ELEY. MT 0 � 2' B` P/PE/NVERTELEV ------------ _ aony 5830' ��h� Or �4ss _ „�, _ - _ - TESTP/TLOCAT/ON o� SEVI/A GE DISPOSAL SYSTEM PL A N �A,W,,WS7V)W - GEORGE •��wo� • O O p SEPTIC TANK o SCR PREPARED FOR 4'-O" o D/s7R/BUnONBOx M. A. D. DEVEL OPMEN T CORP. 4"SCH40PVC LOT 4 SE IN LANE - AREA PLAN R,CHARD , a s 11 k BA RNS TA BL E — MASS. PROPER7YLINES FERREIRA / [ ' SCALE >'= 30' � �o sz�a J I ----- SETBACKD/STANCE r '" D.• SAP DAM MAY 9, 2005 FERRE/RA ASSOC/A TES s�'9�G,ST DRAW• MVB SCALE 1" — 30' 161A MORCESTER COURT { c aNaL►Ac�o MAP SEC PCL LOT HSE MECKED.• GS DWG NAME CADD FALMOUTH — MASS. 02540