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Home My WebLink About0043 CHOPTEAGUE LANE - Health 43 CHOPTEAQUE LANE 028 - 069 Marstons Mill As 3_7-4e Z '--- � 9 75��a C/- Sewage Permit No. Location: t / Villager G - s v� Installer's Name & Address: q Builder's Name & Address: Date Permit Issued tLq LP Date Compliance Issued Z 4 j � � _. �. C i� �� S �z �� %� C / ,-. �°� �1 � � _.. V. 0C) No... Fmc.....5 ........ THE COMMONWEALTH OF MASSACHUSETTS O BOARD OF HEALTH �wi _rOWAI-.................OF....... Appliration for Dhipmal Warkg Tonstrurtion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: .......eAl.Vr... .................................................................................................. Location-Address or Lot No. q &.4P5.......... ..........................16P.. �*(Ijxivo ..1141 ....V....J r..,----* .................... Owner IV Address .......... ......... Installer Address Type of Building Size Lot.1to,'d.02----Sq. feet Dwelling—No. of Bedrooms..............3.........................Expansion Attic Garbage Grinder P4 Other—Type of Building ............................ No. of persons---_--------J6........... Showers Cafeteria Otherfixtures ..................................................................................................................................................... Design Flow......................S,5............gallons per person per day. Total daily flow.............3.3.0...................gallons P4 Septic Tank—Liquid capacity./dd.(2..gallons Length-e-/4.".. Width.#-" Diameter________________ Depth..4---Y.... Disposal Trench—No. .................... Width`..___............. Total Length......_............. Total leaching area............ ..sq. ft. Seepage Pit No.........Z......... Diameter.-a..... Depth below inlet......151.......... Total leaching area..a.,?P.....sq. f t. Z Other Distribution box (bj Dosing tank ( ) P-4 Percolation Test Results Performed by....b 0. C,9 P44.....CV-66 Date.......e_.? 1.4 '*"*--------------7------------- .............................. Test Pit No. 1.......9L....minutes per inch Depth of Test Pit-____- Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit..__............_... Depth to ground water........................ M ...............I..................................................................................................-:;........................................ 0 Description of Soil......46.qtW... 7-0 1/0 stv ........ ---------------------- .....C.v!q.LA.4 ..................................... .......se..V�>......... ............................................................. U ....... ... .. ......... ................ ...................................................................................................................................................................................... U Nature 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 TI I IL LE4 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation nti a Certi, of , impliance has been yqd by the board of ltlh Signed.....----(, D2 C- PHi Ap oved Y._ .4----------6---- ......a.4/4&----------------------- --------------- ---- ------- D e Application Disapproved for following reasons:................................................................................................................ . ................................................... Dat e Permit No.- 2 ..........331 Issued.................... ......ZY.............. .................................. ------ Date -------------------------------------------------------------- - ------------ V -------- ' . / ^ ' FEE THE oomMomvvsxLT* OF mASsAouuSsrrs ' U�� HEALTH ' �~~~. .. .�� ~" --�--' -'-OF--------- Appliration. for�� Disposal Works_ --'_. ----''-'--_-r-__~~ Pu-~--- Application iu hereby made for u Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at.: _-------_----.............................................................................. ____----------_-'__---'---_____--_----_-_-- Locatio Address or Lot No. ......................_.......................................................................... .........._____________________________________________ Owner �ar"o --`--`----------`-`---------------------`----`--- ----------------`--------------------`------`----' Inst"uer Aadr°s s I�e � Sizefeet Dwelling--No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) Other—Type of Building -------------' No cfPecuona------------ Showers ( ) -- Cafeteria ( \ Otherfixtures .-----_-_----------.--'_-----_____________.____________________________ Design Flow............................................gallons per person per day. Total daily flow.-----------..---------.g�allooa� SruticIauk--Liqoid ............guknm Length................ Width................ Diameter................ Depth................ Disposal Trench--No. .................... Width.................... Total .................... Total,leaching area....................sq. ft. Seepage fit No..------- Diaozetcr------- Depth below inlet.................... leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ) ` '- Percolation Test Results Performed by......................................................................... Date........................................ - Test Pit No. l.----.-nniuutesyeciooh Depth of Test pit---------' Depth to ground water...................... �T4 Test Pit No. 2................minutes per inch Depth of Test Pit.---------' Depth toground water........................ '- -----'----'-'—'------'---------------'---------'-----'---'----'---'---'---'--'. 0 Description o{ Soil......................................................................................._____ _.---.----.----...--------------_------'-'---'-----.._---_-------------'-'---'-----'-...----'--'--'---'----- Z -_'_--_--_-----'--------_-.---_-'-.--___-----.------_-.----__'_-_-_------'__'----'----. U Nature of or ��u�o —�m�� k� �� --�~'~ ~ ^^ -_-------_-...---.-.-_-----_.-.--.-_-------- __---------_-'__--_-__'-_-_---.-----'--'-'--------_------_',------.--_------.--------_-'---_ . Agreement: ' The undersigned agrees to install the uforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in --------' -. - ' ------- �r ' �� ~~*�^ ^ ^~,^~```~ p~� -----'�''�_��.-�.~�--' ^~ - _ � » e appucutunumopproveufo-r reasons:.............................................................................................................. -----------------'-- -�T'--------'----------'----------''----'---''-'--'----'-'--'''------- v. "ate '`- Permit -- � ....................................................... , o"e ' THE ooMMomvvsALrH or MxssxoHussrre BOARD OF OF HEALTH ..........................................OF........................................._..._ ..... � Tertmfirate ��f Toutpluattrr . THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) '-.....'-'-----'----'-----' ' Installer has been installed in accordance il t e ovisions of TITLE �of The State Sanitary Code as described in the THE ISSUANCE OF TkIIS CqTIFICATE SHALL NOT BE CONSTRUE S A GUARANTEE THAT THE DATE............................ ......7 G-A LANTEE I ~ / A Tuoowwomvv��sAcrn or mxssAo*usOF HEALTH ��°_1�� L --------------'��Fr--------------------.--------� ��o.-'��_.-��J- FoE'��.-'---- ` � Disposal Works T.Wnstrudion i - Permission" is hereby granted to.Construct or�Repair I di dual Sewage Dis'��posal System, ,- utI�n' -_-_----' ....................................... � . Street as shown on the application for Disposal Works Colstruction Permit NoV. Z11-1.1. Dated.......I r........... �f o"�« � �=u� ronm /255 x. m. yuLmw. /wc. 00a`ow - L` t OD 000ALA , A � ,1 MtIsmafPI T FLOOIS HUT ON w tm VIAL. I s HAN98N w CNOpTBAWN LN, MANOTARLQ,MA. MAL IBT PLOOR PLAN Sandmark D�etgn ' Wl�dbii}hMa. own ROOF ORMMMY map »x4 NeTuaNn� it OTORAM AW_ 1-401SIA10 PIRBT MOOR PLA 0aBTINO GWQnp PLOOR`' 6860NO PLR PLAN' I_ J M" NAMM rwm AMA N t, i! .} f .. unrwwr IWO04 N Y�J O ?O MA01 °mu li4tifb" \\ x m xn ,�1 y �-- No.- ---------------- Fee-----------� BOARD OF HEALTH TOWN OF BARNSTABLE 0.ppricatioufforlVell Con5tructionpermit Application 's hereby made for a pe It to Construct ( ), Alter Y\), or Repair ( )an individual Well at: - -_Tx -7/1--------------------- -------------------------------------------------------------------=------------------ Loc t — Address —— — —_ —— Assessors Map and Parcel --------------------------------------------- Owner. - Address --- ------ Installer — Driller Address Type of Building Dwelling----------h-O-�-L----------------------------------- Other - Type of Building --------------- No. of Persons----------------------------------------------- TypeJI of Well--- ----- --------------------------------------------------- ----------__-______--------- Capacity ofWell----------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Ce tificate of om nce has been issued by the Board of Health. / Signed-- -- - - -- -� -- — � 1--- ---------- ----------- date Application Approved By-- — ---------1- -- ------------- ---- __ _ __ 1_ date Application Disapproved for the.following reasons: —_—_----_----------- ----------------------- —----___--------- ----------------------------------------------------- ------ ----- --------------------------- date Permit No._—_ r` !_"'-- � jIx------------------ Issued---------------- 07— — --- ----- ate _ BOARD OF HEALTH TOWN OF BARNSTAB LE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual ell Constructed (K Altered ( ), or Repaired ( ) Installer at- — � —D - - f/,P——�----- ---i" � 6 J r19 has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ---"--------Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. t DATE -— —- — ------—--------------------------------------------- Inspector------------------------------------------— -- — - - — No.- Fee--- BOARD OF HEALTH TOWN OF BARNSTABLE 0(pprication fforVell Cootructionpermit Application is hereby made for a pe7it to Construct ( ), Alter K), or Repair ( )an individual Well at: Looccatio Address Assessors Map and Parcel — L =5 ---—-------------—------------ —----—---------—-----------------—-----—----—-------—------—---------------------------- Owner pm-n141 AddressQu- - . ------ pIt - S - ------- ----------------------- — —___ -------------------- Installer — Driller Address Type of Building Dwelling--- _ _>P---------------------------------- Other - Type of Building - No. of Persons---------------------------------------------- Type of Well-- - -- ---------------------------------------- Capacity - - - - - Purposeof Well-------------------------------------------------------------------- a Agreement: The undersigned agrees to install the aforedescril?,ed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to f place the well in operation until a Certificate of Compl nce has been issued by the Board of Health. Signed, -- /� date �. Application A B PP Approved Y- 'tom M date Application Disapproved for the following reasons:-------------------------------------_________________--______—__________ -----------------------------------------------____-----------------------_—__—__--------_—_—_____------------ date / r�� Permit No.- �-`-�--1-�--------^>-�-��- Issued------------------ - date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (1g Altered ( ), or Repaired ( ) by---n' �/ t- - -44 ---------------------------------------------------------- } Installer C' a `ram'-��! - =----------- _ _� (� �p at----- — --------— ----------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.AV-'1`''Dated_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------------------------------------------------------------------------ Inspector—- -- —- ----_-—- ----------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Yell Con5truction3permit No. ---------------------- Fee--'----=_----'?- Permission is hereby granted------V- -'---------��j�----- --t-�------�---- to Construct (O�, Alter ( _) or Repair (�an Individual Well att�:/f �/� No. - ��` ----__�`__ '� r = eC- —�=--—q_ t�JA !d'!,�i as shown on the application for a Well Construction Permit No.-------Xv---7V ---------------------------- Dated-------- ---------- —----------------------- �j Board of Health DATE - ✓ - --------! -. -- - - SYSTEM P6q IL CDT TO ,,(,ALE TOP FDN. tf FINISH SFR4.DE OVER F_1_ 9Z.�',� /FINISH GRADE f . �`� �, �. ,, r-INI�W GGAIDE OVER o FINISH r7PA F _'VER DI_rT. X �. '�-� 0 o SEPTI-' TANK 0. ,r✓ .EACH_'1IS PIT tea.o0 o ° o ° VA. LIES °o a O D Z a o a n a o • •° : \_.__ 3 H OF 1/H — 1 12 '' 2 hJPECA S T CONc. . OF °o °o ° n o v o e. o o o a u ° ° WASHEc� PF t r TC�AIF s-°a a ,JUTE E T PIPE LEVEL ''� 4 ,� BROICK 6 MOATARr' BEl Q F ° FOF 2 F T. MIN. 77' D as - a000a °o �O.Ou ° 00 e v I4 .( 1- :� ( ' '_'� � �'—�" o ` '° •� Gy p GCS A {�g j y 1 6 - C. I. JR AVC TEES c Lam_ _._J .'SCCL}� v , 0 BsMT. Fr N ° s1 GALL ON dISTPIB'jTION BOX IFL ° �l� TAi.L '' Vf-... A _F 3/4 TO 1 1/2 t �" ° il PPEG A S T ', �..0NCPE ,� WA SHFU _ _r- PPECOS T s n °a� °° 4 �'` H— l 0 REINFORCED cRusHFi CC'11CPETE ' o ]° S TONE O'Q o o � o. •' p^ d o ., :a b o o b.�..c _ p .p. 1 A o 1 H— 0 REI A'r t G ° C ' I GOO � , o O SEPTI TAN ( K � I FL. NO TF' F A VA T TO F E. 1 3 + OR � o o + a °, _ j L �h1FR TC RFMOVF ALL 1A1PF`'1VIJUS `"-' } ', • 6 -- BFNFA Trrt L. FACHI'. AgFA,. 4•'0 4 5 25 E �l� TFAIAL 3 5 • '74 RFPL A C!c_ F XCA VQ TFD W TFi-4I AL_ WITH _nvr -•• ---- -_. - 6 •—6 „ � /`f- � �l_FAN, GL A Y FREE Sk^.. 5 �tST CET r _ Fes►— i 2 G' EFFEL `VF I�AAA , FP ` O' y L - w PIT PI T GENE RA L NO TFS L LA �,�'rING_ _ INSTALL C LEVEL `qA-,F i 1 , Ate.L F1 FVA T.r,, S 5HOW1 ARF. iASED ON 4 55(J',,4.E:: c 2, AL L Yt PE` I a THE S YS'FM MUS T BE CA S T IRON ~ G �rHFDUL.= 40 PVC. ORSEP VA TION AI' T ~\ 3, rHF BOAP0 JF" HEAL TH MUST BE .'VOTIFIEO Y )VHFN �'C/VS TRH,.';TION IS COt4PL F7_ ' PRIOR --i -MY : �Q4� N GA: BA CKF_'L L. I Vv PE RCOL A T I LJ�t' RA 'F 4. A;v HANr�FS N HIS PLAsti' rT ELF AP,,'POVFD < Z MIN. IN. -T- THE B,-A[) Of HE A L. T H A NU L;'A C'` I_�L. A N'C` { �-- O p s 7 SUP VF YIN C• C . , I^JC. r- `—��_ A4ECA C J I �/A,Gf� ` _ r .1 ' :�. SEPTIC A�G..- w VA.GA:' S . MA *FujAL �k, � r �, v "� f AL T.'f A TA �» D �r �. C- 1 7 E�T A ?I J!V,' ^�" 'M N L,,-70%UM S �. A .<-lii,'�+� Faf t %G4 . "t ,.� .. 'r: - � L7Q _. �.l t EEL . 9 D. RBA Gf l D f 5t-105A 11 C h -� .L. A 4 � •• L.O .✓ � L 4 * n 7 '-7f: -It. i ;} 3 A r �r SAIL Y F JW N c '9rC 1 . rF t , i F'L Y " '* -91 TA A/A` F:j- -9 'O `f GA - 4.g S£��T I C TA NA' PPG V I D--L' 1 Q L EA I NG Rt-OL4 PE r; 5 ,ems !� F1 E KA — t x, SIClFWAL ARF.4..• v. Y, SArta BOTTOM AREA ,Z_t?_S F. S. F. X f'�S_ F . = GPO L FACHIN& PROVI4.,AFD = _ 2 0- GPO PROPOSED Ej' F VA T ION 14 4 ,� "7/' Ir4 „ • rXI S TINo' CON TOUR c I g-T VGL.E Fa M„s L , RES TDE, ICE AELL DBSFRVA'r , 11(IO PIT 4� a JIS TRI L w. It1N BOX PROPOSED SEWAGE USPOSA L SYSTEM' �o , IcA chI NC, PIT 1PIF-PA PFD FOP G GFTE4QUE LANE o o sE�'TIC TA -lK . — "RA-} 4-'F. SFfaVF PIT A l�-A L_ O T 17 C'HOP SEA OUE LANE BA PNS TA BL E (MA QS T. M rL L.. S) — AIA SS . PIPE INVERT L_F'%A TroN — ,. r � I ` A ^ TF- f & a J •,� '�1 v't' � fir'��rJ _ _. .4.-... • _.-.......ram-,. .. . X 1