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HomeMy WebLinkAbout0031 PEONY LANE - Health 31 Peony Lane 042-027 Marstons Mills TOW OF BARNSTABLE Lc'^.�N �dl / � '� ; ° `' SEWAGE # VILLAGE -kS ESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY ,5`,10 LEACHING FACILITY:(type) hi 1- (size) /,000 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER =2�j4-_­3 *t Z, sr DATE PERMIT ISSUED: &_ G .- 9 2 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No Z3> 7/07 7 � TOWN OF BARNSTABLE LO' CA i-o Le`f `Lf fory LIL. SEWAGE VILLAGE a(t 4 ./ _ ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY oOCr LEACHING FACILITY:(type) (size) 00c NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER )L_j j ./h DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No C ✓� 33 I - i No...A./_.... ..��... 5............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............. ...............OF....... ...................................................... �, Appliration for Mipug al Workii Tnnitrnrtinn ramit App cation is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: ... •• -• --•- L ..G....._.. - - Location-Address or Lot No. •....................._.. 4410.'1Br1.. s_.5t111J►art------..................-•-•-^- G O// �lXl....... --••-•------•--•--•....._......._..............--- Owner Address a .....--..ele? ..<1716.1)4?��:................... ... Wr ff&... <A........................................................... Installer Address d Type of Building Size Lot___, ......Sq. feet U - �, Dwelling—No. of Bedrooms...._Thf:C,i;.......................Expansion Attic ) Garbage Grinder k4lo) `k Other—Type of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ....................... W Design Flow...................................�65_gallons per person per day. Total daily flow................................. :��__0..gallons. R; Septic Tank—Liquid capacity. .gallons Length•l .- ��.._._ WidthAizl _.. Diameter................ Depth..5.-a..�" Disposal Trench—No. .................... Width.................... Total Length...................... Total leaching area....................sq. ft. 3 Seepage Pit No._._,0xta--------- Diameter......LO........ Depth below inlet....C.Q....._..... Total leaching area.- q _..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......).�.Asa s.c�6.i.................`._.......__........ Date........ a � �••-•--__---_-__-- Test Pit No. I......7�.....minutes per inch Depth of Test Pit...../Z_........ Depth to ground water........... ...._.. fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wa �WD �z- � .c a _ . 0 Description of Soil---��2.� 1. _.r_SSJ_9P£poi.L........................................................... •---•-•----------- ----MeH. M---gG 6 U �.-.1 z tcluran s��r�c�• -- --•------------------------•-----......._.._...__.....--•--......--•-•-...........------•---•--•--------------•--•-•------....-----••..........._••-•---•-•-•_.... .... -••-•�tb:302I6 U Nature of Repairs or Alterations—Answer when applicable.............................................................. --••-•--•------------------------••--•----••----•-•-••------••---•---•--•---------._...._.....--------...------------------------------------------......••...••••.. Agreement: N The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in ccor ance with ""M the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of hea th. g //=0— Si ned ............... ... ..... Date Application Approved BY _ .... Q- 'rE�U�f4E�..1�.-� Dare Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------------------------------- ------- ------------------ -............-.............--------------------------------------------------------- Dace PermitNo. .".......... ..cl..:-.. ._, ---------------- Issued .---...---------------------------------------..._----------------- Date 1.`4_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF /HEALTH '::pf.,vr...............OF........r t'P.�d.!��i?:7;:SffC Appliraation for DiopooFal Works Tuniarurtion rrmi# Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: -.r : Location-Address or Lot No. COCrjiL. Owner Address Installer Address Q Type of Building __ Size Lot..../.4.is?A------Sq. feet V Dwelling—No. of Bedrooms...... . h T•:�C......__ .Expansion Attic (4) Garbage Grinder ;,) U `4 Other—T e of Building ............................ No. of persons............................ Showers — Cafeteria 0.1 Other fixtures ---------•-----•---------•-•--------,•---_.... W Design Flow................................... *_-gallons per person per day. Total daily flow...............................s?� gallons. WSeptic Tank—Liquid capacity.�L'1~�G'2.gallons Length_Z�Q,t...._. Width.A :.'J.fa.... Diameter-: x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.....-'.ram-------- Diameter------!St........ Depth below inlet....1....._._.... Total leaching area.._......-.........sq. ft. z ( ) Y ---s.. ( ) - .... Date °;�x e d --------•------- Other Distribution box Dosing tank Percolation Test Results Performed b ._._ 3..:....�`.:_-. °.e.... al Test Pit No. 1------,,rl__c-----minutes per inch Depth of Test Pit-----2........ Depth to ground water........ . fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.. .......................... of- .... = STEPHE.NODescription of Soil..... k.'J .................................................. -- ALLYN WU ----•-•---••--•------------------ `iKtAS...--------...--•----------•---------------•--------•------••-----•----------- ._..WItSON ---•----••••••--•-------•--------•-------•-••-•----•--••••-•--------•---•--••-•---...-•----------------•--•-•------------------•...--••-•------•--••-------•-----••--•-•.•••. ... iVo:3E}2ib V Nature of Repairs or Alterations—Answer when applicable.........................................:............................ ��®rST Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acco ance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of hea th. R /,/ Z-e . Signed .. - :'- `--- ------------------------------- --------------------------------------- Date ApplicationApproved By ...............` .... ..� . �..-.... ---------------------------------------------------------- ... DateA Application Disapproved for the following reasons- - -------- -- ----------------------------- ------- -- ------- --------------------- ---------------------------- ------- ........................................ .............. ..-----.-...- / Dale PermitNo. cJ..- l.� -------------- Issued ........................................................ a ------ Date THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH .............................................. OF ...... ........................... ........ QLIV rtifiratr of (1omplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( � ) or Repaired ( ) by--------- '° '' - "`-----Cam. ,s- mac' In.s[aler i >-svY..... 'V � .S has been installed in accordance with the provisions of TITLE 5 o he State Environmental Code as described in the application for Disposal Works Construction Permit No. ------...-...../c..'.c.&20....... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------- --- --- -- --- ----------------------------------------- -- -- - Inspector .-------------.........---- ---------•.-- .----................. -- .. ........ THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ........OF......... .............. No....... = J FEE........................ Dispooa orkn Tons„#ru n rrmit _ Permission is reby granted. ,. �. �` '::.---•••••`'•-- ........................' ! ..........................�rJ y'•�', to Construct (�or Repair ) a' Individual Sewage Disposal Syst r at No.--P' ...•.. -- r9N _.....--s��'�._'y 's j37.....cv.� �r...... ,j .......................... Street as shown on the application for Disposal Works Construction Permit No._Y91--/-A ). Dated.......................................... ...................................................................................................... Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS + _ 49�•to 330 .Pam•. _ s� - 3� X /�� � �9��,I''P�. � z-j� ®,�. CCT°/yam;\• USA /Dne L F17--0 /78. s,Fgly, j Tbns� �4yICZO�/ = 330 6.P� - ,�-ram /n/. 2 Al vim.� � ", : \� •_ [ UF PVC+'• �:,rs� ' '_ � �\'�; � - j .. . _._--- ..---•� -�-ii �- $c� .STEPHEN G (o A ALLYN " ZlUiER N• ��. ` �;.., - ;/�. I_ i s WILSON y a FDO.24048 �� f'r • .•.; _ f ,Q No.30216,Q �'� �fcisti OS qy �-MC.--4;::[aV-8.0.E To w/r%,AfAl /Z" F.G. /DM _��" oisr, l.�..ct�a N�� �� .�L.) s �•' /.ti✓. r3�/„o /.V✓. .' dvdSrl�p /it/K /low.. 57t+'✓E '° F3 z B3,y A7 :4N p 4LL .. r ?, I'�C" Z�-.-- LOG.�T/Oif/ M�STbi✓S M/C•.Ll : . .Vo w.4r� 7 / Tf/.4T T.S�E F�clA1a.4�Sf�oc�sW.V �4+�/�- yyc-� /,6, r AN,o.s'F'TI�r�LY .e�4V/�EM�Nr.S of 7;V To��,v of/�A2✓S�BGE A-va /.S iS/OT �2E6lSrZc.�c-lJ,G4.V0.SU,et/Eyp�s '��'�'�.•. T//ls,a�..c�v /s .t/oT-r3.4s� -v'y�yr�sveYcY-4 v.0 7 ' ,To EST.dOG/S.y.CoT-G/NF� USEp ♦. t IJ A.,t ' 49 /70 ��S�S.�L P/r---U��i) Iaoo �4.L.L.�/t �Il � /�/•o, _ �_ - __- / p 17ES 2.5 b'Zc zo /a,yo 1 F>OrT2►-1 4e,5A� 7a '1 ;_>A•rE /•n/. Z •ae 1 p, rs + • . i RICH STEPHEN A. 1 { I 8 ALLYN rn (" aAXTEA �: -� i. WILSON F40.24048 !a�'...1 i .�No.30216� s Ctst£a GIST -I.JA�rsj-�>tlra. -Z - (i /N.5T4[.L RG.G !Zi F2s / s �To wi resin/ /Z" F 6-. .r 8�F.� •l ij Ta�.�s��^ __... _.... 7-T- TG�7� 7 e 1'� //l/V I I Vol BoX L GA« , �3a r'3 SE'PrrG �3,f3 '•' 1v,41�D ; /tit/ s4 ti/p •, s�� �33,2 e3 y G'•E,2rZFXZO 'dot 72f CaL lz. 73,0 .dtcsiFE.�.E.cic� /lo 1v.4roz / �•E.eriiC'Y Tf/.4T THE F� .aS.yaw,v _ /q.4^/eaoe_ yc r3 16, ANC 4e e 7;V4 �2.E6/.ST�.ec=lJ.Lf1No,Sljel��c�,�5� ToWiV OF�,gR.✓S�L3�.E .QNI� /S iVOT G,zsr�,G Y/GGc o- I ,4,�.C/ee,t�r oA/ 4 - sh��.v yE,2Eav s.�vv�o moo,- vsEo • To EST,�OG/Sy .Cow-,vy� SEP-13-2004 09 :59 AM DOWN CAPE ENGINEERING 508 362 9880 P. 02 SEEP-08-28®0 10:03 AM DOWN CAPE ENGINEERING 5Ww 352 9580 P. 02 Town of Barnstable Regulatory Services Thomas F. Geller,Director Public Health Division Thomes McKean,Director 200 Main Street.Hyaaois.MA 02e01 Qdiw; IN-051.4644 Fax. 30-790-401 Itwtdk& Desiamer C &dfication Form Date:9�� Sewage Permit# 004—._W...Asseesor-s Mapftrce � •2 Des*w: A Wtaller; Address: N ®S1" Address: 'y� ,_�� r.4... On M I a Rwna wars issued a permit to IaW a (due) er septic system at C s,^ based on a design drawn by ad ss) dated Lam. LA QO0� es er) I eea*that the septic system referenced above was Installed substantially accordiAl to On design, which snay include ndnor approved changes such as lateral relocation of the distribution box and/or septic tank. I cc t* that the septic system referenced above was installed with nupr changes (i.e. greater than 10' lackil relocation of ft SAS or any vertical relocation of any component of the septic m) but in accordance with State &Local Reg&tlons. Plan revision or ctatil9ed as-built by designer to follow, ti OF M4S, c ARNE H 7.... OJALA a CIVIL H No. 30792 SSGONA eslgner s ignature >x s temp Her: p,Ftts"SIMLIDNIgmr Cardltadon Porn►3•26.0449c JUN. 1.2004 3:26AM BARNSTABLE BOARD OF HEALTH NO= P.5/5 Notice: 'ibis Form Is To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION ION FORM I, Aiema c..A ,hercby certify that the engineered plan signed by me dated ra o conoeming the property located at 'z✓1 � -tc-f t-�t E M. a-t:w5 mute ai of the /following criteria: J• This failed system is connected to a residential dwelling only. 74cre are no commercial or business uses associated with the dwelling. �• The soil is olmified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct deep test holes and percolation tests at tine site without a health agent present. I• There is no inm=e in flow aadlor change 3n use proposed Je There are no variances requested or needed. I J• The bottom of the proposed leaching facility will_be located no less than five that above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Pr=' ptor method when applicable] Puma complete the IOUO W&: A) Top of Cimund Surface Elevation(using CIS infnrmacdM) B) G.W.Elevation 4-?) +adjustment for high G.W. DYFFMUNCE BETW'MW A and B 3 Z SIGNED; : DATE: i NOTICE Bss®d upon the above infirm dim a repair permit will be issued for bedrooms maxim=. No additional bedrooms are authorized in the future without engineered septic system per• q:b ft IbWw paw np YOU WISH TO OPEN A BUSINESS? For Your Information,; Business certificates (cost 9*1 .00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission tb operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: (,off�z 1 Fill in please: APPLICANT'S YOUR NAME/S: L NrJ MvLKeteJ-PE12R� BUSINESS U YOUR HOME ADDRESS: EON NIARSTD►JS MILLS M b'Jlntt$ i fi I i '7� l- /��('Mo- `8'0 TELEPHONE # Home Telephone Number �O�- Li Iot L_45pS i E.zN oP- sz74 028 5$- GG2M NAME OF CORPORATION: NAME OF NEW BUSINESS M ISS LY NN t SQof-I F15u I► & TYPE OF BUSINESS CNAIR'� IRSN IN EJ IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS / MAP/PARCEL NUMBER [Assessing) : °li , r When starting a new business there are several things you must do in order to be in compliance with the.rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM ISSIO ER'S OFFICE This individ al h e n for d f a y p r it requirements that pertain to this type of businessMUST COMPLY WITH HOME OCCUPATION Au hor-ized gat e** RULES AND REGULATIONS. FAILURE TO MMENT COMPLY MAY RESULT IN FINES. 2.. BOARD OF HE LTH This individual has heen i rn o the permit requirements that pertain to this type of business. ha r Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: No. Fee �✓ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: F Ye PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEs MASSACliUSETTS •,_s (� ftplitation for )Bigool bpztern Con!trurtion Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System O Individual Components Locati�d���^9 0N�'S �� P La v— Owner's N�e,AdJ2�d Tel Assessor' ap azcel G 17 . Installer's Name,Address,and Tel.No Designer's Name,Address and Tel.No. � � 9-- -45 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 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 47i S Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) od OWe 6 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 s f Health. Signe ' Date Application Approved by (a . Date / `9 Application Disapproved for the following reasons Permit No. 7fJV Date Issued ——————————————————————————————————————— No. r 4 Fee v� .•s Y THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ .r.` �. *,,,,r„ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE;MASSACHUSETTS Zippfication for Oigpo5ar *pgtem Construction Vermit �F'� 9��yk by L y,,,/0. Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) []Complete System ❑Individual Components Location Address r Lot No. (C r'�C.... Owner's Name,Add e s and Tel fy)11t rI N/t�) JQI Assessor's Map/Parcel G)�.t .. /0 7 . �1 Installer's Name,Address,and Tel No_ 1 Designer's Name,Add r ss and Tel No. 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 gallons per day. Calculated daily flow . gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1`� Type of S.A.S. Description of Soil a 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 issu i _,,y l is-Board-of Health. Signed - -Date •Application Approved by Date Application Disapproved for the following reasons Permit No. V Date Issued - 0 L THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CF;KTIF that the,Qn-site Sew ge Disposal System Constructed( ) Repaired ( )Upgradedro3 ( ) AbandQX ( �by at ,Y �P M UfJ of t j has been constructed •n accordance with the provisions of'Title 5 and the for Disposal System Construction PermoNo, USN~°��� dated v /S U Installer Designer The issuanceIf,this `e t shall not be construed as a guarantee that the sy will'f n,tion as*,ed. Date �� Inspector ' i r No. -------------------------.--Fee �--• THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 10h5poar *pgtem Construction Permit Permission is hereby rante to Construct( )Repair(V))Upgrade( )Abandon( ) System located at �� 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: Constructio must be completed within three years of the date of t t �ejJI U r �1„/' Date:_/� Approved by J No. l Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: VY PUBLIC HEALTH DIVISION -TOWN OF BAR NSTABLE., MA§SACHUSETTS Yication form ozaY p item Cottgtruction era �� q V / Application for a Permit to Construct( )Repair( _<Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 3 �©ivy . G.�.✓r ��:°�r E2 �- j 2�. Assessor's Map/Parcel installer's e,Address,and Tel. Designer's Name,Address and Tel.No. ,✓sue D(�wi✓ C9�t 6 Type of B ing: welling No.of Bedrooms _ 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 A s T i o o-/ Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: � Q f M�� �Otn G�'� q;re,� The undersigned agrees to ensure the constru io d maintenance of e afore described/on-site se age disposal system in accordance with the provisions of Title 5 of the nvi din Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo azd of Hpulth. _ Signed% Date S Application Approved by Date ... 11,_6 yet Application Disapproved for the following S61 Permit No Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS h�sti Certificate of �tCompli THIS IS TO TY that t e -site Sewage Disposal S Constructed ( ) Repaired (/�pgraded( ) Abandoned( )by eh to-�- at /e J.rt/ G�ti} �2 ✓`�� ha onstruc d i ac ordance with the provisions of Title 5 and the for Dispos ystem Const n Permit N . dated Installer G% Ca A,- Designe z i✓ The issuance of this permi not be construed as a guarantee that the syste ill function as designed. Date Inspector L� ' Q No. .�` ,t ^""" Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1 PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLE., MASS AC�IiUSETTS K9, lei Application for Miopool *p.5tem Construction Permit Application for a Permit to Construct( )Repair( -�Upgrade( )Abandon( �) ❑Complete System ❑Individual Components Location•Address or Lot No. �J� Owner's Name,Address and Tel.No. 3 / i'e 67/1/1 Grp.,/ //f',.9 7 � r`,�o rrj . .� Assessor's Map/Parcel�� �� f S Installer's Name,Address,and Tel. o� Designer's Name,Address and Tel.No. /19 f��i/ n/S 7 J�i Gl//✓ �A f ', -5— 7 �3 � � 5'v 3 G Type o"uilffin g: ,-`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 SoilIeEF_ _ /_ Nature of Repairs or Alterations('Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the constru ,ion nd maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the nvironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of alth. Signed / <"' Date 5 / Application Approved by l�°rl�li'�� / %y �� 1 Date M Application Disapproved for the following reasons 41 Permit No. v Date Issued U —————————————------------------- THE COMMONWEALTH OF MASSACHUSETTS A BARNSTABLE, MASSACHUSETTS C9 - C� h h ���Certificate of Compliance THIS IS TO CERTIFY, that the On=site Sewage Disposal System Constructed ( ) Repaired ( Upgraded( ) Abandoned b at 3/ Z ✓�� G-3'z'! ha construct d iP accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. -'/1�! dated (0 5 U� Installer A�l� �J poi T Designers The issuance of this permit shal nl of be construed as a guarantee that the systemwill function as designed. Date Inspector _ . No. Fee oi THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS lwigpogal *pgtem Construction 'Permit Permission is hereby granted to Construct( )Repair(UUpgrade( )Abandon( ) System located at 31 /'�- ' >, l i?"'-6 �r,. � �r�Z li,,�G Fir�' ,•z_J-' 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:Construct n,/must be cdmplet d within three years of the date of this p finit. Date:_._ /___'/ L � Approved by } TOP FNDN. AT EL. 88.14' SYSTEM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN 6" OF FINISH GRADE LISA LYONS, RS ACCESS .COVER (WATERTIGHT,) TO ENGINEER: MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 80 0, WITNESS: NONE •y 2" DOUBLE WASHED PEASTONE DATE: 6! 4/04 ELEV. 79.25' RUN PIPE LEVEL �f 1YRST '2' MAX.MAX. PERC. RATE _ < 2 MIN/INCH wAKEBY ROAD EXISTING 1000 GALLON SEPTIC 77 $�f* 77.73rF' ' CLASS I SOILS $ � R SLAB AT EL. 80.9' TANK (H- 10 ) GAS a7�7.O' (RE-USES BAFFLE 77.17' . o000 -.- C1 � C1'0 "O O 0 C] C7 - 0 76.90' (� Q [] C] a [� [] C] (^) C> 4' AROUND i 6" CRUSHED STONE OR MECHANICAL .I1�I-© 0 � FI � C1 � ELEV. COMPACTION. (15.221 [21) oo `b 2' 0 0 C� 0 74.90 Q $OQ DEPTH OF FLOW 4 ( 2+ % SLOPE) ( 1 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE L A TEE SIZES: LS LOCUS INLET DEPTH = 10" 6" 1OYR 2/2 OUTLET DEPTH = 14" LOCATION MAP NITS B LEACHING LS ASSESSORS MAP 42 PARCEL 27 FOUNDATION-"' EXIST. SEPTIC TANK 26' D' BOX 12' FACILITY 5.4' *THE INSTALLER SHALL VERIFY THE 1OYR 5/6 LOCATIONS OF ALL UTILITIES AND ALL 18" 78.5' BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM C 6 9.5' PERC M/CS 2.5Y 6/3 8 N 1"1 68, 125" 69.5' 8 NGWE s 0 1.9 OD NOTES: + 8 .5 $4.2 - i . Ui�'I iNi IJ H 5 X$5 2 86.4 SEPTIC f�LSi N: (GARBAGE uISi�OStrc Ib NOT Ai ('iWr i) NGVD (80. t G 'Cu TREE d>� cp + 84,6 hcn DESIGN FLOW: _3 BEDROOMS ( 110 GPD) = 330 GPD 6 / 2. MUNICIPAL WATER IS EXISTING 8 >T +�86.6 USE A 330 GPD DESIGN FLOW � 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 6R 80.2 ?� $ ° xi *It SEPTIC TANK: 330 GPD ( 2 ) = 660 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 r + .5 .3 1 5. PIPE JOINTS TO BE MADE WATERTIGHT. Z APPROX. r / O USE A 1II.Q.0_ GALLON SEPTIC TANK (RE-USE EXISTING) N w LP r WATERLINE LOC. & 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. + .0 emu+ O PATIO $0•9 W �- �„� # 86.6 LEACHING: ENVIRONMENTAL CODE TITLE V. o ��_� N. SIDES: 2(25 + 12.83) 2 (.74) _ 11 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT 3 3 t ` TO BE USED FOR ANY OTHER PURPOSE. �80.9 'so / \86.7 BOTTOM: 25 x 12.83 (.74) = 23'7 4.4 q 80.9 1 EXIST. DWELL. G 886.8 " 8. PIPE FOR SEPTIC SYSTEM TO SCH, 40-4" PVC. % $6.7 TOTAL: 472 S.F, GPD N � � DECK a��.:=� o ._ 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT $4.6 moo, USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED cA EXIST. ST (RE-USE) �l7 FROM BOARD OF HEALTH. 2.0 86.E EQUAL) WITH 4' STONE ALL AROUND 10. PUMP & REMOVE FAILED LEACH PIT , .6.2 1 PAVED 87.0 REMOVE ALL CONTAMINATED SOILS WITHIN 5 OF NEW SAS FLAG STONE ` DRIVE // 86.6 AND REPLACE WITH CLEAN MED. SAND / 86.2 STEPS 0 �7.6 / -�/ FISH POND .4 , 08.7 -E G E N TITLE 5 SITE PLAN X87 87.7 100.0 PROPOSED SPOT ELEVATION OF 86.4 7,�> x \\ 87.7 `J 1 PEONY LANE BENCH MARK - TOP OF 100x0 EXISTING SPOT ELEVATION FLAG STONE FISH POND 86.1 IN THE TOWN OF: ELEV. = 86.2 SHED 87 11001 PROPOSED CONTOUR ( MARSTIONS MILLS) BARN STABLE LOT 14 1,00 EXISTING CONTOUR PREPARED FOR: HEATHER ROGERS 15,864.t..S.Q. FT � 85.8 G</+ 20 0 20 40 60 BOARD OF HEALTH MA APPROVED DATE SCALE: 1 " = 0' DATE: JUNE 8, 2004 -M 85 5 off 508-362-4541 fox 508 362-9880 � OF �ZN Irl�`t1 � OF down cape engineering, inc, �o�� ARNE.M. cy ARINE o OJALA H. CIVIL ENGINEERS CIVIL N No,28348� No. 3 7a2 LAND SURVEYORS 939 ruin st. y arrnouth, rya 02675 04-- 1 56 H. OJALA, P.E„ P.L.S. DA E