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HomeMy WebLinkAbout0251 OLDE HOMESTEAD DRIVE - Health 251 OLD HOMESTEAD, "\4 z MARSTONS MILLS -17 �i TOW�j BARNSTABLE LOCATION L 2) SWAGE # 84 17 VILLAGE a ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. �)QlS' a L L.., I SEPTIC TANK CAPACITY LEACHING FACILITY:(type) AO/�_ (size) NO. OF 1BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER_ 13U1LDER OR OWNER_ i DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No . x R La-7 I � I I .......... n THE COMMONWEALTH OF MASSACHUSETTS r' _ — EOARD OF HEALTH � �j 23 r TO.W.Al..-----.0F.......8�1G2NST1}8t-C........................ ppliration for Mipat nark CnDtn�$x r tits erbtit Applicatig� is brrade for a Permit.to Construct ( i/S or Repair ( ) an Individual Sewage Disposal V System at: /� L/� ..__ .•------------------------- --------------------------•-- Location-Add r ss or Lot No. ...... ...... . ..._.......-••----• --••-••-•---••-------._.........-•-...-•-- Owner Address Installer Address % 70 i Type of Building Size Lot_.____..._,�................Sq. feet U Dwelling—No. of Bedrooms...............3_........................Expansion Attic ( ) Garbage Grinder (Af Other—Type of Building No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -____----.•------•---------------- W Design Flow................. .................gallons per person per day. Total daily flow........... 3 3 Q.....................gallons. Gr Septic Tank—Liquid capacity-1.01Lgallons Length.!�� ... Width 4.-l.G.__. Diameter,_.-�.... Depth___S-.-.7-- Disposal Trench—No._._M/?....... Width......... ......... Total Length.................... Total leaching area_.__e-l�•.•...sq. ft. Seepage Pit No-----------f------ Diameter... .' /1 .._o Depth below inlet•.e's_.-..... Total leaching area..Z ;?-.....sq. ft. Z" Other Distribution box ( � Dosing tank ( ) Percolation Test Results Performed by.__.43 ifs.... ..................................... Date.... "_ 6.......... aTest Pit No. 1......Z....minutes per inch Depth of Test Pit.....ZZ_.____.. Depth to ground water..... __-_____.- Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .............---------- -----••-- --•-•...------••----•-•--••----•----....._.......---••••--••._.............•---•---•-•----••----••-.........--••---_-•-- Description of Soil............... ®=� .............T®®_/ 5,41 ai4 ••-- -- •-----------------------------------------------•-------------•-- ---Z /Li�!>/ems✓/ 5.q.c. W .vo �i-2Gvva w. z- .ycc v� 2'�1� ------------------------- ------------ ----------------- --- UNature of Repairs or Alterations-Answer when applicable______•____________________•--_--------_-.---•-____-__-__--.------____-__--__---_----------_--. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the ?rovisions of i i T s. ;of the to Sanitary Code—The undersigned further agrees not to place the system in er.ation til Certificate of Rance has been issued y the board of health. . ...................... . . . ----------•----•-------------•-•-----•-- ---• ApplicatiApprov ------------------•••=..a...-------•-------•-•----•- -•....... __ --•-- ` - v Date Application Disapproved for the following reasons----------------•-----------•---•-----------------------•-----------------------•--------------------------••--- --••---••-••--....----••--••---------•••••-•----•------------•-•-•---••-------------•-•-•••----•-------•--•••-•--------•--••••--••••--•-•---•-•-••----•--•--••-------•-••-•---------•--•--•-•--•--••-•-• Date �- _ �- Permit No.......- ---• Issued... I Date � P �_ •_•r r t,iL Fes$. ---s. ......... THE COMMONWEALTH OF MASSACHUSETTS r 3�1 BOARD OF HEALTH .............7_0. �...-_....OF...... /�Jds� i ....................................... Alipliration for Biopooa1 Vorkg Ton,itrnrtion ramit Application is hereby made for a Permit to Construct (t,) or Repair ( ) an Individual Sewage Disposal System at: Location-Add*ess or Lot No. 64 Owner Address .............................. -'rstaLer...•--•----•--------------•--------- Address PQ d __� Type of Building Size Lot_._.___ ___________......Sq. feet U Dwelling—No. of Bedrooms________________________________________Expansion Attic ( ) Garbage Grinder ( ) pa,,, Other—Type of No. of persons____________________________ Showers ( ) — Cafeteria ( ) 04 Other fixtures --------------- --------------- - W Design Flow................. .. per person per day. Total daily flow..........3_-3._'__.____.______ ........gallons. WSeptic Tank—Liquid capacity/AVq...gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----_--------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ►-1 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_-_-_--________________- (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_______--____________-_. •-••------•--•-------------•- --.-..----••-----•-----------..__..........._.._.........---...._..------•--••---•-•---.........-------•---------•------------ ODescription of Soil........................................................................................................................................................................ W ------------- -------------------------------------------------------•------••---------------•------------------------------------•-------------------------------------._._......--- UNature 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 T 1 j of the ate Sanitary Code— The undersigned further agrees not to place the system in peration ti Certificate of pliance has been issued by the board of health. _ Signed.-------- �.� --------------------------------------- ----. �De ! �� )Applica n Approves-$y_:_ := =+ --- •------- ---- ----------- ------/a F- Date Application Disapproved for the following reasons:-----•--------••-----------------------•-----------------------•----------------•-----......................... - Date •----------- ---------------------------------------------------- Permit No. . ..... V` Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............7.0. ) .......... ...'✓� % .> . .. OF.....:... :. . .............................................................. Trrtifirtttr of Tomplianrr TH4-S.I TO CERTIFY, That the Individual Sewage Disposal System constructed ' /) or Repaired ( } � Installer �` / J C i ' �` l t� at. dA 9 = ? ...__ - has been installed in accordance with the provisions of T!T114, j of The State Sanitary C de is,de cr-b in the application for Disposal Works Construction Permit No._ �___.__ ______� e __..._-1_v_ . �'��_ ___________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C S RS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. .DATE.----•--------------•-----------..._..................._.._-------------------_. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Dispooal . orko Tonstr ion amit Permission is hereby granted__._. ___�:�_....�. /_..C :�� to Construct (1/15, or Repair ( ) an Individual Sewage Disposal System t - •-•- Street,,,, as shown on the application for Disposal Works Construct>on Permit N©:__.__`::.__._��__ ate _____________i__b_,_�_�( G ..-� 19 Q Board of Health ......................... DATE.......... . _.� v �� ......(-. _...•----- ,. FORMI 1255 HOBBS & WARREN, INC., PUBLISHERS a SITE PLAN SHEET /OF 2 SCAL E: / = IYO ®?-qz PRoPo 5,E0_ . . N l 84 zQ Zo � • 1 � � ' � � D• �� zi S.E.P7�C._.T.i9�1_K.. �4 EK O COT _r1/ LOT Z OF o ydIWAM 1 5 1NARWICK H Nct 19771 t � , • •�'��61S1.ER�• FOR RE6/STEREO LAND SURVEYOR LoT 9Z e 6Z% ,ya yEST'.�i9� h.2, PLAN ,REF. 4yT of 1-1,4P 43 RaZ- / DATE OC-roG�iz 8, /�S/o BENCH MARK DATUM 4&5y5 ZfZ9 AX,51- WM. M. WARWICK 8 ASSOC., INC. DOMESTIC WATER SOURCE-__TDsvy 80X 80/ - NORTH FALMOUTH FLOOD ZONE. //o,A- NA /- - e-r41z1--> ��C04 MASS. 02556 - (6/7) 563 -2638 4 a LEACHING QAS/N SECTION NOT TO SCALE Shcc71 2 a f z "n.izs 6G•ZC.40 EARTH F/LL BRICK AND MORTAR COURSES AS RED TO BRING * ' " ._.,;�_ �.• COVER TO GRADE 4rr 8'FLOW LINE / , / +r•r.., INLET ,-• �_ _ __ _ �; 2'-/' 'TO/' WASHED PEAS TONE FREE OF IRONS, PIPE FINES AND DUST /N PLACE 1' T 5' 'j�3��_'• OPENING W/TH 4%8" 14 TO /%2 WASHED CRUSHED STONE. FREE OF S✓� % : , OUTER DIAMETER IRONS, FINES AND DUST /N PLACE AND /3/4"INS/DE • DIAMETER 1. CONCRETE TO BE 4000 PSI 28 DAYS ��� 1- • 2. REINFORCED WITH 61lx 611 NO. 6 GA. W.W.M. 4ellv__A_1 Piz E`76b2'AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS 410rr �--- ,3 ----6'D" 3 '--� 4. NUMBER OF PITS REQUIRED MIN. I NOTE: EXCAVATE TO ELEVATION >2rG' OR (NOT TO EXCEED 3ETIMES EFFECTIVE DEPTH; LOWER AS REQUIRED TO REMOVE ALL WATER TABLE - LOAM AND CLAY BENEATH PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN TYPICAL FROf/LE GRAVEL TO DESIGNED GRADE. •so /8"STD. LT. WGT. C.I.MH COVER 4"C./.PIPE 4"8/T.FIBER PIPE OUTLET LEVEL DWELLING FLOW LINE£► T/GNT JOINT TO FIRST JOINT 00 64,7c I 10 00 1 I C.I. TEE �Z,�Q 1 10 1 0 0 1 1 J 1 11 000 00 1 1 O STD. PRECAST CONC. $Z, 1 1 1 0 0 0 p 0 1 1 1 1 1 0/ST. BOX TO BE 7R I I I I i` _,GAL.SEPT/C TANK. INSTALLED ON LEVEL, 1 0 0 0 00 0 I .71 _6 STABLE BASE 1 1 0 0 0 00 p,' 11 SEPT/C TANK TO BE 1 if 0 0 0 00 1 1 I INSTALLED ON LEVEL,. : 1 it 100100 1 1 ' STABLE BASE. 11 1 0 0 0 00 1 1 1 1 ilia Olp01111 LEACHING BASIN i 1 1 A p 0 00 0 1 1 , BASE TO BE L EVEI , 1 1 1 8 0 O 1 1 1 , c L 76.0 SOIL AND PERC. DATA PE.RC:RATE Z MIN. /IN. 0„ TEST PIT NO. 4r TEST PIT N0. 2 ..TEST BY: 8Ct/cE /,,/4,e� , 7"aP/sr�gsolL. .'.WITNESSED. BY: TEST PIT GR. EL, `/•��' Eo�u.�-� s.�wa DATE: Ei.,�cacn.r-�.zE.a • DESIGN DATA GENERAL NOTE',S - BEDROOMS 3 NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. ' DISPOSAL SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD EST. TOTAL DAILY EFFL:._,3-?""5GPD. PRECAST REINFORCED CONCRETE UNITS. SEPTIC TANK /OO'd GAL. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE ,� TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL ' SIOEWALL.AREA?.GAL./SQ.FT. CODE, MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF BOTTOM AREA. ""' GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY 11 1977. .:..LEACHING REQUIRED 2,20 SQ.FT.• ANY CHANGES TO THIS PLAN MUST BE- APPROVED BY THE BOARD ACTUAL LEACHING AREA OF HEALTH. SQ;FT. . .AT -COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE lam BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES I/41 / FT UNLESS INDICATED OTHERWISE. "of s SEWAGE DISPOSAL SYST M �o A1AkhN .� A'IORAN h 4z n��� �/a .e 9F 123417�Q ,C.c�T i'�!c S�.�.�� D.e, ,'''..; ��0�. G•/$'tlrC`�.G�.�`��`, ��M�,2 STCic./_5 M�L�„s- .• ��''S5 ss/i7RA►.Et1 OC7. SCALE AS INDICATED DATE e, WM. M. WARWICK 9 ASSOC., INC. • BOX 801 - NORTH fAL MOUTH =- MASS. 02556 - l6/7/ 56,E -2638 #{ PROFESSIONAL EN61NEER TOW . BARNSTABLE LOCATIONa // FW VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. =l �)Q �'c a L L, SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �0/7 .. . (size) ig56 NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER 13UILDER OR OWNER I _ DATE PERMIT ISSUED: ,dar�[y `5"� /•G�'°, DATE COMPLIANCE ISSUED_ VARIANCE GRANTED: Yes No �T e YD J Y N z� Fee o. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: _ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Migool 6pgtem Congtruction Permit Application for a Permit to Construct(pair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /y$Q J/41 Oo,5r AW Owner's Name,Address and Tel.No. Assessor's Map/Parcel c ,�? I y8 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. s9�s-h a 2 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank / Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer whe applicable) _X;;r S'T/4`1 2 - s5-,90 yr 6` 0r u 4r �i -V ' ,SI eoe- �rrvti 2 `/ l .y Sr i 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 oard oj Healt . Signed Date Application Approved by 4 Date /Z Y0 Application Disapproved for the following reasons Permit No. -? Date Issued J 2 ti �=-•,- _ v 2 TOWN OF B?iRtVSTABLI✓; LOCATION � dS/ :; d,r.1 SEWEIGE# i�0 7S VILLAGE_ Cy ell r ASSESSORS MAP,& LOT �S 7 42.. - I INSTALLER'S NAME&PHONE NQ /y'l O,��i9 ,/osiA�i •�n�ti S . y4 l SEPTIC TANK CAPACITY 10002 .LEACHING FACILITY: (type) °1 SDO 60, /�rti�i /�l�S (size) NO. OF BEDROOMS 3 /+ BUILDER-OR OWNER. PERMITDATE -: '/ 2•_2 o0 COMPLIANCE DATE: /2-2,t—oo Separation Distance Between the: N Maximum'Adjusted Groundwater Table to the Bottom of Leaching Facility. Feet Private Wafer'Su 1 Well`and'Leachin Facility If ai wells east PP.Y B tY:( Y ::,on site'or within-200 feet of:leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist + E within 300 feet.of leaching Feet e Furnished by ., .. 1 x yy 4. t �-, e , No..ow J 4 ---mow, Fee ^ I THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for �Digpogar 6pgtem Congtruction permit Application for a Permit to Construct(4,),Irepair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. l,'I&f D7,l Po.5r Owner's Name,Address and Tel.No. Assessor's Map/Parcel AW�rrSrdhS Zr0`I 6���l�y y" / Installer's Name,Address,and Tel.No. G/77—U 3 y 1 Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank // Type of S.A.S. Description of Soil Sb�s�/lu Nature of Repairs or Alterations(Answer whe applicable) �r�STkr�� 2 - 1-0O1. Glii� �/ .Sl-o�z ,gI-dyGs 2 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)3oard oj Healt . Signed �^ v Date Application Approved by C Date /Z L o Application Disapproved for the following reasons Permit No. 7_4_?/U Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-si a Sewage Disposal System Constructed( 4+Repaired ( )Upgraded( ) Abandoned( )by o -e t4 vw at R D/ vi r has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.��u 7.S� dated Z` 46 ?4�. Installer��as��� DG �,w., Designer %//OJG1� The issuance of this pe 't sh 11 not be construed as a guarantee that the sys e P ill fu ct n; s designed/ Date I Z 7 2 '7it'i'� Inspector No. zevo / -------------D—;OG----------- Fee t�,�~ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE MASSACHUSETTS O 5pogal *pgtem Congtruction Permit Permission is hereby granted to Construct( 4-)-Re air( )Upgrade( ) bandon( ) System located at A, 3,3 P0.5 7- o ff 0 ral'T' 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 t ' e it. Date: Z�z�/�� Approved b V6i99 e NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SX:ETCH .kYD .APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, _1,s-e,0,1 hereby c--ru y that the application for disposal worts constmction permit signed by me dated 00 concerning the property located at /�j g �yl— � r-yi l meets all of the following critena: or 'ailed system is connec ed to a residential dwelling only. These are no commercial or business uses associated with the dwellins. l The soil is classified as CUSS I and the percolation rate is less than or equal to 5 minutes oe: inca. y�Tile:e are no we lands within 100 fer:of the orocosed septic s/ste:n �Tne:e are no private wells within 1:0 fee;of the proposed sepuc s;stem ('/There is no increase in flow and/or change in use proposed Thee are no variances requested or ne`ded_ i fie bloom of the proposed leacain;facility will not be located less than five tet, above the um adjured groundwater table elevation. (Adjust the zoundwate: table tuina the Frimmor me,hcd when applicable) @—S-a—S-'gill be located wich '_-50 fee;of any ve;etated wetlands, the bloom of the proposed lenc:un; Fac-Hiry will not be Iccated less than fourezn (14) fee; above the ma.,cimum adiused aroundwate:table e!zriauon, Please complete the following: A) Too of Ground Su.race =!(rvauon(twin;GIS intormauon) B) G.W. E'.evaaon " 0 -the :"L42(. High G.W. Adjus,meat D rC - `+Cr B ET VE—HN a,and B SIGN-ED : DA�L: (Si;etch proeosed plan of s✓stern on bac:c1. i D0 �x,5r o f R