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Home My WebLink About0155 MISTIC DRIVE - Health 155 MISTIC DRIVE,MARSTONS MILLS A= / 1 i i I I i. I i I OF BA7tNS LE ✓ LOCATION A , SEWAGE # i VILLAG ` ,�J ASSESSOR'S MAP & LOT 'O INSTALLER'S NAME&PHONE NO. �I SEPTIC TANK CAPACITY FACILITY: size LEACHING C NO.OF BEDROOMS BAR OWN ERG®��= 001d PERM IT DATE�� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 ` G %o TOWN OF BARI".TS BLE i..,�AiTON � g �S �L C ve SEWAGE # �4 (�G�' S VILLAGE . ASSESSOR'S MAP & LOT � pp I INSTALLER'S NAME&PHONE NO. LbV yel f—Y i24 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) !&O (size) '�Ply NO EDROOMS 7 LJII,D OR OWNER ,, PERMTTDATE: J 1 - J�- 'f 2 COMPLIANCE DATE: — Za- - 7 Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 p� within 300 feet of leaching facility) r ,J Feet Furnished by y 5 000 je s3 ) Et jS j TOWN OF BARNSTABLE _�> ��yj ✓ q (y\4/ L- `Ole SEWAGE # LOCATION �� q o VILLAGE AC-51on m.�y, . ASSESSOR'S MAP& LOT®721 �® INSTALLER'S NAME&PHONE NO. '�-)4 c, SEPTIC TANK CAPACITY 9 S oo R,.L LEACHING FACILITY: (type) Soo C'.".,G.L(4� (size) 13 yc Z< NO.OF BEDROOMS BUILDER OR OWNER � 5��•�-� j�� -�-5 PERMTTDATE: q" u, COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted,Groundwater Table and 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 � y o c4 -zq 33 r L L �Z 0 No. ^ Fee /�I'Aej THE OMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for 0i!5poga1 *pgtem Con5truction Permit Application for a Permit to Construct( V�Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ,# iS S Ail i tr!C )g t✓E Owner's Name,Address and Tel.No. tla — 05;L 3 111,10B-r lS M 1 LDS kv&Ep G_ lw ell Assessor's Map/Parcel '79 7 /is>v W,+7-9zFit:z0 Rif crsT?-R Vic.c-E° Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �D� l7 16 l l°9/-°() �' �0�5- g 7 7 S A 7 3,� �' TJ��(I �, �f1�C.f�,e. Y' ft$5d C Type of Building: _ Dwelling No.of Bedrooms —3 Lot Size.53i 5 30 sq. ft. Garbage Grinder(,Vo Other Type of Building4VO0D rX`3/pf No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 6 6 a gallons. Plan Date Number of sheets Revision Date Title �ql • _ Size of Septic Tank �5fla Type of S.A.S. �`J (a) SAD Description of Soil 115 jQF_X P1/I A-1 to' Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: t, The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisi s of TitletoftbeEnvironmental Code and not to place the system in operation until`aCertifi- cate of Compliance has bee is ed by Health. Q/ f ate Signe Application'Approved Date Application Disapproved for the following reasons Permit No. _6A2. Date Issued ! + t+►f { No. Fee r THE OMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS application for Mizponl by.5tem Construction Permit Application for a Permit to Construct( 1/IORepair( )Upgrade( )Abandon( ) El Complete System El Individual Components Location Address or Lot No. # J S S` M f S T fC D A 1 VIE ` Owner's Name,Address and Tel.No. O 5,Z 3 Assessor's Map/Parcel { 79 / 7 /�y .'t �T��Fir�� Q3?c,s? ✓1t,�-E Installer's Name,Address,and Tel.No. t7 XX 3 Q 5 Designer's Name,Address and Tel.No. 77 — B 7 3 5— JO 1; b 16 1 f9,&/0 F Cu Type-of Building: _ Dwelling No.of Bedrooms 3 Lot Size 5515 3G sq.ft. Garbage Grinder(410 Other Type of Building 4100D Fi ^5 No.of Persons Showers( ) Cafeteria( ) Other Fixtures a ' Design Flow 330 gallons per day. Calculated daily flow f:0 6 0 gallons. Plan Date J_/Lf" Number of sheets Revision Date ®_s° Title y I .7;u&4 Size of Septic Tank /5" Type of S.A.S. Description of Soil l95 PG R PLfi/.1 Nature of Repairs or Alterations(Answer when applicable) 4 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 provisi s of Title 5 oft a Environmental_Code and not to place the system in operation until a Certifi- cate of Compliance has bee is ed by i B Health. /... Signe c �/ ft 1 ate Application Approved Date Application Disapproved for the following reasons Permit No. Date Issued ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ' Certificate of Compliance THIS IS TO CERTIFY, that the On-siie Sewage Disposal System Constructed( V/ Repaired( )Upgraded( ) Abandoned( )by J0 E Z)16/t 1 NU h E C o at * /55 /N/S T f C- VR_ 1 V F_ /Y!A45 T'O,t/S N/C_LS has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated ��'� •1 Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date J`�- 7 q Inspector z ------------------------'-------------�—— No. U.- H' s� Fee A:/ �y� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 3=11i5pozar *p.5tem Construction Permit Permission is hereby granted to Construct( ✓)Repair( )Upgrade( )Abandon( ) System located at -A /5 5- /M i 5 T JC. 1-')4 1 v r- /r'J4R_ 1ST0.4/4- i f /Jos 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 it. Dater Approved b /i this it. l TEST HOLE LOG Sox I _ _ DATE: 06-09-94 P•-6Z+j __ SOIL EVALUATOR: J.McCAULEY /3 S. /7• ` WITNESS: ED BARRY I PERC RATE: <2 MIN./IN. 0� 55,0 a{ 9Oslo)) 54.9 12 54.0 It2" NO WATER ENCOUNTERED KOO �z o �\.� �� DESIGN DATA 64 �o / N ` DAILY FLOW: (3)BDRMS.z 110 GPD= 330 GPD • �. / o/ o — / SEPTIC TANK: 330 GPD z 200/o— 660 GPD USE. 1500 GALLON PRECAST SEPTIC TANK LEACHING FACILITY: 0.\j USE: (2)500 GAL.DRYWELLS w/4'OF STONE CAPACITY: SIDEWALL: 76 z 2 z 0.74= 112.5 I — BOTTOM: 13'z 25'z 0.74= 240.5 560' TOTAL: 353.0 GPD STY � P NOTEZ S: 1. ALL PIPE TO BE 4"DL1.SCH 40 PVC. 2. PIPE TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION BOX. 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6"OF FINISH GRADE. 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL. 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6"LAYER OF STONE 6. INSTALL GAS BAFFLE IN OUTLET TEL PLAYER OF 3/3'PL STONE OVER 3!4•-I llP WAMD STONE ALL AROUND TOP OF FOUND. .. @ EL. lo• 11• T� @- Fes-. 54-c>0 SEPTIC SYSTEM PROFILE SITE SEWAGE PLAN GENERAL NOTES FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR [[DATE: MISTIC DR,MARSTONS MILLS, MA. TO ANY EXCAVATION OR CONSTRUCTION. PLAN BOOK 203 PAGE 53 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH PREPARED FOR 310 CMR 15.00:TITLE V. BAYSIDE BUILDING CO. 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE DETERMINATION. JANUARY 13,1998 SCALE: 1"=40' 4. ALL DISTURBED AREAS TO LOAMED AND SEEDED. 5. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRED INSPECTIONS. ILAMAN DAREL cra C`� v N..326%C M W. �g q — (4 :FALMOUTHROAD :7;7754735 ER & ASSOCIATES °`�5s'° l4�0 164 CENTERVILLE, MA. 02632 FAX: (508)775-0754 APPROVED BY: