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HomeMy WebLinkAbout0376 FLINT STREET - Health 376 FLINT ST. -MARSTONS MILLS qq '14e TOWN OF BARNSTABLE V e� -R le(3r,ATION '! 11;4 �' :t SEWAGE # I ASSESSOR'S MAP & LOT IO INSTALLER'SNAME&PHONE NO. A-1 9 (2i44cv SEPTIC TANKyyCAPACITY ��;�•n t LEACHING FACILITY: (ty. pe .5� ($�'� a,Jr,1224-4ei (size) NO.OF BEDROOMS 3 w_ BUILDER OR OWNER Z '9 :�'�l>S Te-0 PERMITDATE:1 -COMPLIANCE.,DATE: SeparationDistance Between the: + Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If-any wells exist ion site or within 200 feet of leaching facility) Feet r Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furcushed `- �, + � _ k _ h�� x. i _ � .. �5 Y., 4 _ . 4�p �- .. . _ a. ,, � O .I VV !L j ,� J � .'�� r. � � i �� '� "�` TOWN OF BARNSTABLE • SEWAGE # I:ocATIONJ /%�v°� rS : 10 , VILLAGE�4X-S--/&/7 5 /",7///S /ASSESSOR'S MAP & LOT �-.ZQ I INSTALLER'S NAME&PHONE NO. a-� F00 SEPTIC TANK CAPACITY �, n LEACHING FACILITY: (type .suc 4,4L (size)J'/ X/I X oZ NO. OF BEDROOMS BUILDER OR OWNER Z 9 r^/3e/>S. Ter, PERMITDATE: 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 No. a— Fee 15-6 THE COM&NWE'iLTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYicotion for Digpool *pgtem Congtruction Vermit Application for a Permit to Construct( )Repair( )Upgrade( Abandon( ) El Complete System P<ndividual Components Location Address or Lot No. 3-7( F1'Af St .. Owner's Name,Address and Tel.No. Assessor's Map/Parcel /G l _ /a ON Installer's Name,AddressAn&TIbNCAN`O Designer's Name,Address and Tel.No. 350 Main Street W. Yarmouth MA 02673 Type of Building: Dwelling, No.of Bedrooms_�� Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3 d gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank IDOa Ec;s�i., Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) a A I. eccG 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 Certifi- cate of Compliance has been issued by this Boar Ifrh. Signed Date 7-dQ '99 Application Approved by Date ~- 2 Application Disapproved for the following reasons Permit No. q 245' Date Issued — Z' No. ` Z ; Fee Sd t THE COM &TH OF MASSACHUSETTS Entered in computer: __s// Yes PUBLIC HEALTH DIVISION -TOWN OP BARNSTABLE., MASSACHUSETTS �! Application for';Di9;po.5al *p.5tem ton5truction Permit Application for a Permit to Construct( )Repair( )Upgrade Abandon( ) ❑Complete System Kindividual Components Location Address or Lot No. I' n (' St Owner's Name,Address and Tel.No. Assessor's Map/Parcel \ `'t/ / r a a ��e ` t ' Installer's Name,Address,arAT&IS. CAN CO Designer's;Name,Address and Tel.No. ^. °t 350 Main Strdt.l �.. %Yarmouth, MA 0 6':z e of Building: :g Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( Fixtures Design-Flow 3 3 D gallons per day. Calculated daily flow gallons. Plan f Date Number of sheets Revision Date Title h `--. `Size.d'Septic Tank /OOU F,<;S pe of S.A.S. �. Des-cription of Soil Nature of�Repairs or Alterations(Answe'rlhen applicable) � n 5 l�� � � - S D U A A OkAM�ie�S 3 S ie,ct L' x'.,ri;n G t-) A.JI< 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 Certifi- cate of Compliance has been issued by this Bo d f Ij�alth. - Signed-- � Date Application Approved by I. Date — Application Disapproved for the following reasons Permit No. Z 6 Date Issued 7 Z Z` 77 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ` (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired (Upgraded(6 ) Abandoned( )by e"Y or o at 3�6 /- l i 4 f- C4% /T 6 f S Ag" been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.'-1 " dated Installer , Designer a ,4 ) The issuance of this permit Ball nottrbe cc strued as a guarantee that the systm�awill function z desig�ie`rd;. Date �l � � 1tM/ Inspector :J':'�'f�� '�i�t��rrl 1 V ­No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS /0(— 12 Z--- Migogar 6peaem (Construction Permit Permission is hereby granted to Construct( )Re air("''Upgrade( )Abandon( ) System located at �f and as described in the above Application for Disposal System Construction Permit. The applicant recognizes 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 �ofthhii 7 Date: Approved b G�'•�. 1/6/99 i NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) hereby certify that the application for disposal works construction permit signed by me dated 7-020-'Fcy concerning the property located at }�j,.i��� fyI, j; meets all of the following criteria: The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. /The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are no wetlands within 100 feet of the proposed septic system • There are no private wells within 150/ p feet of the proposed septic system There is no increase in flow and/or change in use proposed i / There are no variances requested or needed. �• The bottom of the proposed leaching facility will not be located less than ifive feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] / • If the S.A.S.will be located with 250 feet of any vegetated wetlands, the bottom-of-the'proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W. Elevation y 9 +the MAX. High G.W. Adjustment. 41 _ .3 DIFFERENCE BETWEEN A and B _l SIGNED : J / DATE: 7 O-9� [Sketch proposed plan of system on back]. q:health folder:cent �� ...._ . � �� � � - '� U _--� , � �, , '`{ } '�' `� SCR'S,MAP NO. Zc12— PARCEL iLZ � cAT10N '6 SEWAGEPERMIT NO. VILLAGE I N S T A L ER S NAME i ADDRESS ml ad d U 1 L D E R OR OWNER 4 DATE PERMIT ISSUED DATE COMPLIANCE ISSUED q �� No... __a�..�-0 Fps.... ��....... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...............................T ........ ...OF.................-BARNSTABLE Appliration for Miposal Workii Tonstrurtinn amit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: Lot 6 Flint Street — Marstons Mills ......... __... .............................................•----------•............... ........._......----•---•...••----•-•-----•••••---.................---•-------•--...........•--•-• Location-Address or Lot No. John C. Mc aeon PQ14..Qf�.c�.. Q ..5 ...-..��mtui].1��..11A._. Owner Address a .....Robert Our Co.,..Inc.----••-•-----•-------•........................ .....Gxp-at,.-Vest,ern..Road..-.......Harwich.................. Installer Address QType of Building Size Lot...56i.000..........Sq. feet V Dwelling—No. of Bedrooms........Three........................Expansion Attic ( ) Garbage Grinder iN/4 aOther—Type of Building ...........NIA......... No. of persons........ /A_____________ Showers V/� — Cafeteria (Nl� Otherfixtures .................N1A.............................................................................................................................. W Design Flow_______________ _____.`......_........____.gallons per person per day. Total daily flow._._...................330.............gallons. WSeptic Tank—Liquid capacity 1000_gallons Length..... Width..4 .10' "- Diameter---N/A..... Depth.5-''$°--._. x Disposal Trench—No......N�.A-...... Width.......NIA..... Total Length....... /A...... Total leaching area......NZA.......sq. ft. Seepage Pit No..................... Diameter.._..._.!Z'_..... Depth below inlet.................... Total leaching area....264......sq. ft. Z Other Distribution box (xx) Dosing tank VIA,. Percolation Test Results Performed by...._..__ /Eldredge/Conlon______. Date_.....�AR _11/27,86 Test Pit No. 1..<._.2......minutes per inch Depth of Test Pit......66�..._... Depth to ground water.___NONE rX, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --•------------ -----------------------------•-------••---------...............------........_......................................................... o Description of Soil........K0' - 3.' ) Loam and subsoil, (3' - 11' ) Medium sand ... . ----•---- ------- ----------------- --- -- - ---- --------------- -•------ W U -----------------------••-----......_...------------•---------------------•--•--•-•------------------•------------•---.......-•----------------....----------.....---------------•••............--•••-•. W x -------------------------------•--•--------------•--------------•---------------- ••-•---------------------------•---------------------•---•----------------•------------•-•----...---------•--•---- U Nature of Repairs or Alterations—Answer when applicable.........NIA-------- --------------------------------........-...-....................--- -------------------------------------------------------------------•---........----...-•-------------------------•------•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation unti er ificat Complian has been issued by the board of health. 1C Application Approved By..........................------. Date Application Disapproved for the following yeas s-------------•------------------------------------------•---•-------------------•------------=------------••-••-. ----------------------------------....................................................................................................................................................................... Date PermitNo......................................................... Issued-....................................................... Date --------------------/------------------- — No...................... F:ss.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... N...............OF.................BARNSTABLE...._......------......_..................-- Appliration for Uiipnsal Works Tomitrnrtion Prrmit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Lot 6 Flint Street - Marstons Mills ................_................................................................................ ........._....•---••............._..----•••----•••--••-•-_..._.....-------•-••.......•--......-•-- John C. Mc Keon Location-Address or Lot No. _.- .-BOX..a45..-.Centeryillex...MA..__ Owner Address W Robert Our Co., Inc. ..... bt...Har�airh.--•-••-•---.--.--- Installer Address Q Type of Building Size Lot..56A00...........Sq. feet U Dwelling No. of Bedrooms ee........................Ex Expansion Attic� g— p ( ) Garbage Grinder / p, Other—Type of Building ..........NSA...___.... No. of persons.......N/A............. Showers� — Cafeteria /A) / aOther fixtures ................N/A.............................................................................................................................. W Design Flow............ ..55.................gallons per person per day. Total daily flow...........•._......._.330..............gallons. WSeptic Tank—Liquid capac>ty._1000__._._....gallons Length._.$�0"_._ Width.4'a.Q.".. Diameter..N/A_____. Depth_ 1_$."...... x Disposal Trench—No...__N/A_....... Width...... /A...... Total Length......N/A....... Total.leaching area.._.N/_A........sq. ft. 3 Seepage Pit No.__--_1............ Diameter......1z........ Depth below inlet.................... Total leaching area...M.......sq. ft. Z Other Distribution box OCX) Dosing tank. '-' Percolation Test Results Performed by........ lar9e/ S?nl4n........ Date........................ 1/27/86 Test Pit No. 1. __2.......minutes per inch Depth of Test Pit...... Depth to ground water-__N...NE__.....__. 14 Test Pit No. 2................minutes per inch Depth of Test Pit.....................Depth to ground water........................ ..............................•--- D Description of.Soil........0..-."__3�.�--Loam and subsoil., (3' - 11' )_ Medium sand .... ---------------................................ U -----------------------------------•--•-•-----------....--••--••--••......----- ........ ......... •---•-•-- =-_---. -------•-------•---•-••••----•---•----------•---...----•••-••....._ W VNature of Repairs or Alterations—Answer when applicable......... /A................................................................................ -•------•-----•------------•--•----•-----------•--•-------•----------------------------••-------••-- --••--•-----••--...------•------------••••--•----------•-•-•....---•._....•---•........--•_.•-- Agreement: The undersigned agrees to install the aforedescrbed' 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 tint'. Ce tifica f Complia has been issued by the board of health. A lication Approved B Date Application Disapproved for the following reas s:----•-----••--------------•-------•-......------------...-----•-----•-----------•--....---...•----._.........••. --------------------------------------------•-----••-------------•-----•--------........------..•...----..__...----------------------------------•-----------------------------------------------•---•--- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............Town BArnstable ... . OF......................... %Trdifiratr of Tuntplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed *X ) or Repaired ( ) by-------------------_41 Robert Our Co., Inc. ..--•---------------------------------------------------------------------------•-•-----.............---•----------------•------.............-•----•-•-----------•-- n 1 ar at............................Lot 6 Flint Street MarstonI..st ills has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as/des in the application for Disposal Works Construction Permit No...... ?6_�., _ ._______.__ dated_...._-__V�iq"�Z ......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUNTEE THXT THE SYSTEM WILL �UNCTI�j�1CTORY. DATE.................. ............. inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH g6............... � `Z'Owrl................OF..................................................................................... Barnstable + No. � � F E........................ Permission is hereby granted Robert Our..Co., Inc. ........................ ....... . ....... to:Construct�X ) or Re it (, ll a Individual Se =a e Dig o al System ftf Lot Flint treet Mars�o�is Mf11s atNo.-••-•---•--•-------•--•••-•-•---•-----•-•------•------------- Street as shown on.the application for Disposal Works Construction Permit NoR6`_)26..___ Dated-__._.Q_ 1__- --••-_---•--•-- ' ......................................... . ....... ------•--------•---•. /(, �� o Health O DATE.............. -................................................... 1 •� FORM 1255 A. M. SULKIN, INC., BOSTON k 43, w Ja .i . �, +. p.�/.-�^�„�`;"r •.�: s _yam .s3 1 `N�,•, ?J°r• PIT. G ` ' 08 aR��r .dry \ 3 a 7mill "Y r � ; `l 1�..GP( 6'�ty n•� Y `M I�:1 "w;../ ' s O� �0\° ` ��. ' LEGEND EXISTING SPOT ELEVATION Ox0 �cN_ oF'�, CERTIFIED . PLOT PLAN EXISTING - CONTOUR --- 0 — � L o -r G L //if T S Ti4,E. . FINISHED SPOT ELEVATION " - PNkIlP yr FINISHED CONTOUR 0 ;wEi.rNeERc, A' R•s Tnnls �t t cL5 APPROVED BOARD OFLL HEALTH^ A�o,�F�sYE��A�`� I MS/ONAL ENG�P .r�'�!�a 9 A DATE AGENT i� , '''�1e�i� SCALEt `` gyp'" DATES ' LDREDGE ENGINEERING CO. /N -- _ CLIENT o,Y_ I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB N0. 8 BUILDIN'(i SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS v ` DR.BY=:. 'Y[!' ENGINEER URVEYOR OF .BAR,NSTAB E MA 712 MA] N STREET CH. BY= k HYANNI.S, 'MA3S,. 23' _... ,. S'HEET�L OF: ATE ' REG. LAND SURVEYOR !VOTE /F E/TNLER Ts•/E S�PT/C TANAC OR jt ; _E�4CrI//vO P/T ARE MORE 7—HA/V /a"SELOIv !O F7 M/N. 24'O/AME7,Ce CONCRETE COVER T ! SIVALL B.E B,?DU9S.VT TO GRAD .�i•+N EXTR.'q i I CANCRG°TE i 4 PVC P/PE lL+E,q v y C^ S T/RO/Y C O�/ER SHr4 L L 13 E U S ELF M/N. P/TCN -67 5- COVERS ► ! ;r=/iv ,OR/✓EyvA y •• s Y8 PE.Q FT. ` t jwii_ CO/V C.RL-7 ! A CC)VEft CL EA OV SANG J t. L/QUID LEVEL ff p.V.f. P/f'E OU b GAL '_ , o , • . . .. . .r • ep o4 QF /8 - 1 /+9/Al.P/TG/�C 'p/ST. WA SHFO STONC A m —r. T/C TANK' , . , • •. �• • • a /4 P� ,• SEP eox o ° o • � B • • I • • 1 .p90 N 1t. e r �p ! 1 EFFECT/VE / r v 314 - �2 - • o r • • DEPTi/ • • • f • o WAS/!ED STORE e • r, ({ " PRECAST SEEPAGE E %S�/ d?, �7`�" s e f ! • • • ! ' s o P/7 OR EQu/V, . !JVlV2tT7 ZrLEYAT/OHS - /13 • ., ez ss•� /NYERT'AT,8tJlLOlNG �,d 5 T 49Q_ �° 6 FT Vi,4 r A8u JO lNL ET SEPTIC TANK 4 4, O FT. � t� /Z 7 O/AM... C(SEE T LAT NI .40 V T.L ET SEPTI C 7A)V A< 4-3-7 FT.. , - G3 a. . , � wt '.' GRDuNo NATElz TABLE /VLFT D/STR/f3Uj/ON 8Ox F7. . SECT/ON.0F �'OUTLETDISTRI,�(!T/UNIX 41..3.3 FT . !/NLET.LEACHIAta !-�!7- F3:o FT_ " SE1�f/AGE ,D/S/�05AL SYSTE/+! 7' 5I11-AT140IV l•r LEACH//Va P PIT piMEN,SlON �l `3 FT f4:. = /• SCALE F'T.. OE$16A/ CRITERIA - D/M.ENS/o A, 8 NUh1BER OF BEDROOMS c3 C its•,.✓ IMENS/ON:. —FT.D GARBAGE DISPOSAL UNIT No>✓E SOIL LOG „. : . SOIL TEST T07AL EST/M�4TEp FLov,.' 334.G.4c j0.4Y SQIL- ,TEST pit'/. ' SOIL TEST#2' h NCJMdER G1F :,:E-4CHTN4 P/T.•j._ O �FLEK �o� v `-ELFY, ,DATE Or- SOIL TEST 7��� LEACH/NG PER P/T L$/ s4f FT. RESULTS It//TNESSEP BY/�B� i✓GO -9oTTOM L64CN/NG PER P/T I!3 $Q: ,CT O•-j��oAM AeV COLA? RATE#I 4S I NCH TOTRL L.E,4CM//YG AREA .244- SQ. FT .J�fSse.t PERCOLA7"!ON RATE J3�2 MlN. lNCN RESERl1E c:cs;C'g1A'&AREA 2G� _ FT. ' �` s MA,9` ..!//A4 0,IA,✓O p'7" #6 ii✓T.S�''•P�� Ro PNIL WEL( 6ER G L. 5� " , A•�i✓S>A6 Lr� cam. G _. t C. No 366 EL 0fi,E,06E ENGI NEER/NG N r Prl ' '7l2. MAIN ST.,. . f[YANN/S, MriSs_ AL NOL/.E//T: C D,4TE' FZ�ZQ� 1 E E CD u TE ._ t 86 �1 No GROUND yY.4T R /v �.i✓I .�� - r GROUND J_-VA .Q AT ELE�! ✓OB ND: 8S14B SHEET2 t _