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Home My WebLink About0140 FLUME AVENUE - Health L 5�iff a t�l� e A ye I s MIS a NO. `�-�c1�2:� Fee--- _z ------- BOARD OF HEALTH TOWN OF BARNSTABLE Application, iorlVell Cootructionpermit 'Application is hereby made for a permit to Construct (. ), Alter ( ), or Repair ( )an individual Well at: Location - Address Assessors Map and Parcel �Owner - �,�j� Address Installer - Driller Address Type of B —--- — —------ Dwelling�- Other - Type -,of Building-------------- No. of Persons------------------.---_ Type of Well �14!V�e/16�1 Capacity-------------- Purpose of Well--- 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 Certificate of Compliance has been issued by the Board of.Health. Signed— d�— c ate Application Approved By - ------- U -- date Application Disapproved for the following reasons: ---------------- ---------------- W �t)V a. 1� ----- ---—— —__—_ date Permit No. — Issued --a -- ------- ate BOARD OF HEALTH TOWN OF BARNSTABLE Certificate (of Compliance THIS IS TO CERTIFY That the Individual Well Constructed V), Altered ( ), or Repaired ( ) In�staller j has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection 01 Regulation as described in the application for Well Construction Permit No.V'-2-(L02_-Ai --Dated— U ----- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------ - Inspector--------- ------ —----- No._� �?_ 1 Fee--- `J� ------ BOARD OF HEALTH i TOWN OF BARNSTABLE Application rVell Construction Application is hereby made for a permit to Construct (�), Alter ( ), or Repair (r��)an indivldual,.Well at:,, y Location — Address. Assessors Map and Parcel Owner _ Address Installer — Driller Address Type of Build"- Dwelling Other ,-:TYPe of Builfing--=, --- -- , f No.of`Persons''-.—-- - —! _--- S. . ._ Type of Well CapacitY_-- — — --——--- -- _ Purpose of Well-- -- ---- - Agreement: The undersigned agrees to install the afo edescnbed 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 Certificate .of.Compliance'has been issued by the.Board of Health. Signed !f UW+ dateApplication Appoved By � -------- ----� --- ---- � 3 date a Application Disapproved for the following reasons: date "/ Permit No. W atJa.� _` la Issued—�� —d----------____—_.-- ------------ date .... ..:.;. - ". � -^ . �-rat. . .. i. f`. ....1`y_ .• ��. . � .- - '_ .l .. ., s - - - -. .- 1y BOARD OF HEALTH j TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY That the Individual Well Constructed (/), Altered ( ), or Repaired ( ) bY---��-�� • Installer has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection 1 Regulation as described in the application for Well Construction Permit Dated ------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE—--- -- ——= Inspector-- ------ ----------- a BOARD OF HEALTH TOWN OF BARNSTABLE Veil Construction Permit .ri - — No. --- —� Fee --. �- Permission is hereby'granted _ ----• to Construct (./), Alte (, ), or.Repair-( ''')''an Individual Well at: { Street as shown on the application for a Well Construction Permit No.- Dated ---_--_ y -� - ----__ - - - -- - - ------ -------- P: Board of Health DATE L-I f Apr 05 02 09: 43a John 5084209947• p.i2 I G., I TOWN OF BARNSTABLB Q 1$( q j LOCATION(_ / SEWAGE VILLAGE ASSESSOR'S MAP INSTALLER`S NAME&PHONE N0. ; SEPTIC TANIC CAPACITY LEACFIING FACQ.ITy; (type)[ �� i NO,.OF BEDROOMS (size)1 BUILDER OR OWNER PERMITDATE: COMPLIANCE DA Separation Distance Between the: TE. Maximum Adjusted Groundwater Table to the Bottom ofLeaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells east on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Few Within 300 feet of leaching facility) Fumisl ed by Feet I ' 2 9 r � I TOWN OF BARNSTABLE LOCATION I � L ufrg SEWAGE # l VILLAGE 1)915 5,70 6 —ASSESSOR'S MAP &40 INSTALLER'S NAME&PHONE NO. /J6_ 6) `i7 SEPTIC TANK CAPACITY LEACHING FACILITY: (type)/�3) �20 C.dAl A;0� (size) NO.OF BEDROOMS BUILDER OR OWNER PERMUDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ` CJh I 9$C� t4 TOWN OF BARNSTABLE OP LOCATIONI-® ,LL UM F_ SEWAGE # qS VILLAGE I'l�r��v�, �/l�_ASSESSOR'S MAP INSTALLER'S NAME&PHONE NO. 9::�2 SEPTIC TANK CAPACITY S Z90 LEACHING FACILITY: (type)(, � tJ i�f3 uh S (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: 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 LT a 3 y 3 ° 33 ° � 6% i No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 2pplication for Mi-4pool 6p$te.m Comaruction Permit Application for a Permit to Construct()O Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components catio dddyyes�s or Lo / _ �,VM ff A-VE A /0 r(� Owner's Name,Address and Tel.No. r`� yo A/1R12STn1JS /YIItALS — �94, SIDE 53Utc t)11V h ��- A sessor's Map/Parcel PO q S C e✓kn�'Z1/i LLB AAA &l 771-10 Installer's Name,Address,and Tel.No. 7�- - 75 D�� Designer's Name,Address and Tel.No. I!0� b/Co /19A10 0IZ�N . J Type of Building: Dwelling No.of Bedrooms Lot Size 2L3. 311 sq.ft. Garbage Grinder(Alp Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow FCP� Z � gallons. Plan Date Q E Number of sheets Revision Date Title L07' H f LUIMi r'al/_ � Size of Septic Tank l_�_4Z Type of S.A.S. Description of Soil /9-6 PFX 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 Certifi- cate of Compliance has been iss a by Piz Boaro o alth. Signe l� - Date A, Application Approved by Date Y Application Disapproved or the following reason Permit No. Date Issued ��--- - - - r � NO. Fee Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: (/1jv R PUBLIC HEALTH DIVISION -TOWN OF BARNSTAB�LES MASSACHUSETTS Yes . � Yication' for-`�i� Yogar � �terrY,�Congtruction �ertnit� Application for a Permit to Construct OO Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Wcation dd ss or Lo N LUkAff / VS7 Owner's Name,Address and Tel.No. m6 MA►2 Tt ►JS /O 1 t.l.S $a sIDI✓ �vrc.b►idv Gn - 1AssessorsMap/Parcel , Po1QA qS CeOBT .✓/L-L n�AP !nl -171-10 - Installer's Name,Address,and Tel.No. ��a - 3 U�� Designer's Name,Address and Tel No. D —W- l "Z Type of Building: Dwelling No.of Bedrooms ` _ Lot Size a 3 3� sq.ft. Garbage Grinder(Airy Other Type of Building D013 i+XAM/c- .No. of Persons Showers( ) 'Cafeteria( ) Other Fixtures -q y 11 ~"""" 7 (f,�r ' gallons. Design Flow gallons per day. Calculated daily flow g Plan.,Date �" 4 Number of sheets f r( Revision Date `•-• Title . LO?` 6 -4)Mt IqVk: Size of Septic Tank aa / 5 + jype of S.A.S. \ ` Description of Soil 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 Certifi- cate of Compliance has been iss e y th' Board o Health. Signe Date Application Approved by Date Application Disapproved' or 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 \7D /D(61AN0 at L U T LU Of 19 fVE N1, A-�(LC.S h constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer / Designer The issuance of this permit,shall not be construed as a guarantee that the syst will function as designed Y /I r Date /�f l (7l �;r i`I Inspector ----S��TTS-------------------------- No. L /Fee �.-.. %J�fi` '/ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migogar 6potem Con6truction Permit Permission is hereby granted to Construct( /i}FRepair( )Upgrade( )Abandon( ) System located at L0 T f'I—U 011 A' d V E /h• M l LL 5 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 of this permit. Date: Approved by e+ J '1,01vjj 01 11111'IISIe'IUII: r if � CP a d � Department of Ileaith,Safely,and fnvironmentai Services Une c >LbfIC 11C,11111 MVISI011 - t 367 Main St ct, lynnr MA6 Q f ruatrrtreaurr U' f 0 0 �0 MAaa. o _ �l' _ Time Fee r,` Date Scheduled �Eu rnK+ Sv it SuitabilityAssessinent for Sewage Dish � (� 4—�f"�� Witnessed By: Performed By: Ill IM LOCA'I`jOIY �i GrN1;RAL 11Vt+()RN A,`(IUIV' Owncr'stJame Indian Lakes Dev. r r. location Address Lot 6 Flume Ave AddressP.O. Box 95 MA?.r_TrWs vtn )tAyS Centerville, Ma. 0263 Engineer's Name Assessor'sMnp/Parcel: Map 61 P c 1 10 (Part) Baxter & Nye Inc. NEW CONSTRUCTION X REPAIR Telephone N 428-9131 O e Stones —S 2 ,IT) I kA/ Slopes(o ) Surfac Land Use rs f?CJ R Possible We(Area 6O0 ft Drinking Water Well �bd R Disinnces from: Open Water Body_,__p_—_..__ Drainage Way 4 GO —ft Property Line 'j0 n Other R SKETCH: (Street name,dimensions of lot,exnct locations of test holes&perc tests,locate wetlands In proximity to holes) N �P PA a 6�, �L 20.09 1�0� 26.. ti+ + r . LOT 6 w o �� 23,332 sq.ft. SPA co lN86 3 T25"w ��W�S� pll� Depth to I)edrock Parent material(geologic) --- weeping from Pit I'nce I)cpth to Groundwater: Standing Water in I We: — Estimated Seasonal Iugh Groundwater _ ------ . . . .. .. ... . ... . hlcil+od Uscd: _-it ohs.hole:-- In, 1)rpth to soil mottles: i+t Ucpth Observed slnnrling in ---)rr (itnondwa(cr Adjusimenl____ ____ ._!B- Dcptir to weeping firm sick drubs.hole: ---__—. ____— lude.r Well N_.--._-- Reading Da(e:--__ hidcx Well I%vcl _—__—_ Arlj.r!ctor--- Adj.Groundwater L,cec -- l Observation 0 t� 'I inw at 9" — — I101c N — Ucpth or Pere e,«.i I'.•-.••nk'1'Inra(1E t�IJJ`1 .� "-- 'Ylrne(9"•C') L•nd rre-soak It.atcMinAnch 1tt IfJ_ ►N 'Lty�S— ---- —_ —__.-- Site Suitability Assessment: Site Possed ✓ Site 1'n1led: Additional'resting Ncedcd(YIN).—_-- .. Original: public health Division Observation Mote Dnta To Ue Completed on llttclt j Copy: Applicant i UECP OBSERVATION II.OLC LOG Hole # _ � +SoifColar Soil other Depth from Soil Ilorizon Soil'I'cxtu�e Surface(in.) (USDA) ��(Munsell) Mottling (Structure,Stones,(loulderes. a moil ��tl + �' LOAav S4( 10 CP- � B JLQ 6 f D �D 1.0 ��1Atl (90' 12v' C Co kZs§ S,A t1 lu fz�lG o to DEEP.OBSERVATION HOLE LOW : ` Hole# Depth from Soil Ilorizon Soil texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. 5 .� k, IJEEP OBSERVATION HOLE LOG Bole other Depth from Soil I lorizon Soil Texture Soil Color Soil (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. Surface(In.) t - DEEP OBSERVATION HOLE LOG Soil Color soil iolc# other Depth from Soil Ilorizon S(USD xture A) (Munsell) Mottling (Structure,Stones,Doulderes. Surface(in.) (USDA) i Flood insurance Rate Man: Above 500 year flood boundary No— Yes Within 500 year boundary No✓ Yes Within 100 year flood boundary No v Yes Depth ot1�`aturally Occurring Pervious Mfliffid Does at least four feet of naturally occurring pervio s material exist in all areas observed throughout the area proposed for the soil absorption system? --� If not,what is the depth of naturally occurring pervious material? �grtiIIcation � M I certify that on l (date)I have passed the soil evaluator examination approved by the Department of Envir nmental Protection and that the above analysis was perform d by e consisten with the required training, expertise and experience described in 310 CMR 15.017. G, ra } 4 TOTAL UNITS 1 STARTER,1 END, & 2 INTERMEDIATES. 1. THIS PARCEL IS NOT LOCATED IN THE FLOOD PLAIN. 330S 1 j TYP. 3301 370E 2. THERE ARE NO WETLANDS LOCATED WITHIN 100' OF THIS LOCUS. 4.4",.5' s.zs6.zs4.a e / 3. REMOVE UNSUITABLE SOILS BENEATH PROPOSED SYSTEM, BACKFILL 1-1.5• WASHED STONE WITH CLEAN GRANULAR MATERIAL FILL TO BE GRADED AS FOLLOWS: NOT MORE THAN 15% RETAINED ON No. 4 SIEVE, NOT MORE THAN 907. RETAINED N ON No. 50 SIEVE, OF FRACTION PASSING No. 4, 10% OR LESS TO PASS No- ' 100 SIEVE AND 5% OR LESS TO PASS No. 200 SIEVE, SOIL TO BE APPROVED oo'r� i BY ENGINEER FOR COMPLIANCE PRIOR TO PLACING ON SITE. 35. 4. LOCATION OF UTILITIES NOT SHOWN ON THIS PLAN, AT LEAST 72 HOURS PLAN OF TZACB CHAOS PRIOR TO ANY EXCAVATION FOR THIS PROJECT CONTRACTOR SHALL MAKE NO SCALE THE REQUIRED NOTIFICATION TO DIG SAFE (1-888-344-7233) AND APPROPRIATE WATER DISTRICT TO DETERMINE UTILITY LOCATIONS. o 0 � GP J \. ED GRADE - �� O FINISH 61'1 ,\'�' f — Q55 36"MAX.- 12"MIN. / / COMPACTED FILE SINGLE FAMILY— 4 BEDROOMS 2,1 / O 0 NO GARBAGE GRINDER PEAsroNE _--- vF f ;00 SER�CE DAILY' FLOW — 110 X 4 — 440 G.P.D. 3os" O MON IT Dal. •:o DOUBLE . r 1JZi Q 2 f SEPTIC TANK 440 X 200% = 880 I WASHED STONE " # OFF 1 t C� USE 1500 GAL. SEPTIC TANK _N SECTION .110 -w , 1NOR OR EQUWAU CO NO SCALE �� Q � LD a f ALL PIPES TO BE SCHEDULE 40 PVC PERFORATED. T � 6 WITH CAPPED ENDS . ft. USE 1 — 4" DISTRIBUTION LINE IN 4 RECHARGER UNITS 1 CERTIFY THAT THE PROPOSED FOUNDATION Z3,332 s I 'X 35' WASHED STON N TRENCH AS SHOW COMPLIES WITH THE TOWN OF BARNSTABLE SIDELINE f � ��` 180.01' N A 12 LEACHING AREA REQUIRED AND SETBACK REQUIREMENTS AND IS NOT LOCATED 440 G-P.D./.74 = 595 S.F. t N86°37'25"W WITHIN THE FL D PI_A � 2(35 + 12) X 2 = 188 S.F. SIDEWALL AREA DATE: R.L.S. �/�I�t ry (12 X 35) = 420 S.F. BOTTOM AREA W THIS PLAN IS NOT BASED ON AN INSTRUMENT SURVEY AND Fla 608 S.F. TOTAL PROVIDED THE OFFSETS SHOULD NOT BE USED TO DETERMINE �OT LINE_. PERCOLATION RATE 1"IN 2'OR LESS 8/14/98 SCALE; 1"T 40' SOIL CLASS 1 TEST HOLEOF M CERTIFIED PLOT PLAN P�'(N qS BAXTER & NYE INC, y LOCATION O� LOT 6 FLUME AVENUE STEPHEN Cy -9208 COVERS LOCATED TO WITHIN z AL c1> F.F. ELEV. = 64.0 6" OF F.G. PIT MI ELEV. = 62.0' PIT2ELEV. = 63.0' v y MARSTONS MILLS F.G.=62'f 0 HUMUS 0 HUMUS .30216 F.G. 62't -2" —2" G II/ F.G.�62't 9 Q� AUG.17,1998 LE C Es GAMY SAND Efi LOAMY SAND o,�F FG/STEa��c``' a B LOAMY SAND B LOAMY SAND S'S C1G INV. _ 1500 GAL '. 2' � � IQ F PLAN 60.0 INV. = sEP11c TANK 4"DIAMETER T ~�scHEou LEACHING CHAMBERS I -3 -3. AL 59.8 INV. = Dlsr. 1E40 P.V.C. i HERRING RUN AT INDIAN LAKES 9.6 INV. =59.4 Box -4' PERK TEST :-;';-4' PERK TEST _ INV. =59;2 INV- -59.0 SUBDIVISION #762 10.00' �•^".^'_`6" STONE BASE �. rl;lF .. ASSESSORS MAP 61, PARCEL MIN. _�_ Ct COARSEC1 COARSE )Zt BOTTOM ELEV. EL =57.0 SAND SAND BAXTER & NYE INC. 1OYR.6/6 10YR.6/6 PL LAND SURVEYORS, CIVIL ENGINEERS RAX-5' [W' 5' OSTERVILLE,MASS. C2 C2 COARSE COARSE SAND SAND' 10YR.7/6 10YR.7/6 **^��, NO SCALE ' -10' NO WATER NO WATER AP—MC ANT.' �L. = 52.0' ELEV. = 52.0' BAYSIDE BUILDING CO. INC. a� 'g 218/ #97012TYP