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Home My WebLink About0420 ROUTE 149 - Health 420 Route 149 Marstons Mills A = 079 028 t r l I If G w � t2-4- l � �J <4 e-� t>Af we-4-u, Cb ` e C'A 1(/- ors «err ,rc€x 2 I co �. 0 h . -7k;>L �eC4 �� TOWN OF BARNSTABLE �, ✓� " '.►CATIONoZP SEWAGE II.LAGE !�� 25��i✓S ,��r ASSESSOR'S MAP & LOT 7�—C �j INSTALLER'S NAME&PHONE NO. �cH �v si S'a 7 SEPTIC TANK CAPACITY Er /S r LEACHING FACILITY: �- NO. OFBEDROOMS 3 BUILDER OR OWNER PERMITDATE: o O COMPLIANCE DATE: q 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 - 1 — s z3 r - G 3lp o,s 13 ,39e's a )3 t No. �o`t V 45 Fee R' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: x PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipprication for Zigooat bpotem Construction Permit Application for a Permit to Construct(, )Repair( )Upgrade( �andon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �A�ry d olS Owner's Name,Address and Tel.No. Assessor'sMap/Parcel deH Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms -3 Lot Size sq.ft. Garbage Grinder( ) Other TI pe of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 d gallons per day. Calculated daily flow S`v? S 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 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 no place the system in operation until a Certifi- cate of Compliance has�n�ed and of Health. Si Date Application Approved b Date Application Disapproved for the following reasons Permit No. a��`E "'� S Date Issued 3 d !J __, . _ __ No.. DDT `►_5 Fee Entered in computer:THE COMMONWEALTH OF MASSACHUSETTS �. Yes F' PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEs MASSACHUSETTS Z(pprication for Miopoof *pztem Cori,5truction rmit Application for a Permit to Construct( . )Repair( )Upgrade( Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �q 1'7 6✓S Owner's Name,Address and Tel.No. Assessor's Map/ParcelIq p h Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. S 3 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 3 3 o gallons per day. Calculated daily flow .3 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil, _ 1 s9 y 0 Nature of Repairs or Alterations(Answer when applicable) /llyv G. r � >�m� 2) 5'0,0 <--Ifo 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_Coinpliance has been issued by this-Board of Health. Si ned r r - U _ Date Application Approved by c� Date Application Disapproved for the following reasons Permit No. ��L� "�`'� 5 Date Issued 3 d G 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 4 l T- at 7' / y S / / /r17 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. l G n 0 h q Q dated ( h oby Installer Designer 1-)A d2 AZ t The issuance of s permit shall not be construed as a guarantee that the system will Function cdesigned. Date o�� Inspector 1 . . No. rJCC �� ——————T-———-------------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS Mizpozal &p,.5tem Congtruction Permit Permission is hereby granted to Construct(1_1 Repair( )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:Construction must bef completed within three years of the date of f t�lu pe u� ' Date: / 6 �f Approved by TOWN OF BARNSTABLE r r dD4-'- a - LOCATION �� ?� 'r SEWAGE #a VILLAGE 4 " 2STa"/S"" Jil�r ASSESSOR'S MAP & LOT. D71— INSTALLER'S NAME&PHONE NO. ,' Relf Z ti SEPTIC TANK CAPACITY Ex C'6-1a LEACHING FACILITY: NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: 0 0 V COMPLIANCE DATE: L Separation Distance Betwexn fie: Maximum Adjusted Groundwateep..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 i i -,3 PG s av -9, $ ION S E 1 Gl PERMIT No. LO CAT � yc? 0 ff4LLAGE INSTAL ER'S E i ADDRESS .S N BUILDER OR o NEa OA E PERMIT ISSUED DATE COMPLIANCE ISSUED ,� i `� i �h• �c3s ! �I � � i �� \. � �'t� y� � ,� �+ � 'I f�� ,.. , _, � ; FRx.._�...�_..... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........ ................................OF...........-.................-...:.._..-.----...-._......_•--•------.....-_..-._.._._..._. Applira#ion for Dispoii al Works Tomitrar tiun Vanfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal systemat:IT) `_ t 4. ocation•Address or Lot No. ..............••--------..._......_ '— -- •... -- ---- er �.� It 1 ddress Installer Address U Type of Building _ Size Lot...........................S q. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers — Cafeteria a' Other fixtures ................................. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter________________ Depth................ 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water..................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil.... ..............•-----------------------------------•• ---------------- - ----•--- --•-- - -- -- - -- •••••• •-- -----•-------- •- V .............................................................-•----------------------•---••--••-••---------------------- UNature of Repairs --r ,Alterations— swer when appli le- ___ ----�1-----!_� l"_ ......__ ./�._____ _____________________ W �. --0(�✓��`3"�"`"'F ""' F/�� ,� MGG ----------------------------------------------------------------------------•----_______----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 1- �: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' sued by the ear health. Signed. ......-•-- ---= y----- >6 ....... z-3Date � Application Approved By....................... ...... Date Application Disapproved for the following reasons----------------•------•---------------------•----------...--•---•---------------------------------•--........._ ....---•-••-----------------------•----------------------•-•..._..--••--.....-••--------•-------......-----------------------•---•--------•--•------•--•------•---•••-•-----••-----------•--•--------•-- Date PermitNo......................................................... Issued...................................................... Date Fss.. ..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH •........... ............................OF.......................................--------.......................................... Apphration for %Vaual Works Tontrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sys at ....................................... ..-......In_ .. �f`�..-�� .. ............. cation-Address or Lot No. s ..... .... ....... .......... ..ner �k�n� dyes W -------•---•---•--•...•--.--------- :11.::2. ............ .... — — Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria G•1 Other fixtures ----------•-••• ............•= ••••. •. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. a Septic Tank—Liquid'capacity..........•.gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1-4 Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..................... 04 O Description of Soil.._.... x W ••••-•--••••----------------•----•-•--•--•-••--••. -• ---------- --- ---- --- ....................... U Nature of Repairs r lterations— nswer when appli ble._:f........:. ..........................` �.... Agreement The undersigned agrees to install the aforedescribed 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 until a Certificate of Compliance has4bbeen 's ued b th"oar ealth. f Signed. _.... p Date A lication Approved B *" - ........................................, PP :PP Y '- =� Date Application Disapproved for the following reasons:.................................................. ........................................................... -••-••••••-•--•••••.......-••••••-•-••-••....•••.....•--••••..................•-•-•-•••-•-••-•••••••••---•-••-••••••--•••-••-----•••------•---••••••-•--•------•-••••---•-••--••••-••••••-•••••.......-- Date PermitNo......................................................... Issued....................•---.._...................-••--•---- Date t y THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... ...........OF.........w.,:.J a ................................ w1unr#if iratr of Tont;i iattrr THIS IS T C RTIFY,,Tha. he Individual Sewage Disposal System constructed ( ) or Repaired i' at.....4—.ls Lt�..... .......0............elf �i�..._... t..�......r" ......................................................... has been installed in accordance with the provisions of T�.. 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit Na -�..f - 19.............. dated----------...................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFAC�ORY. DATE............................................. •)-L= -�-'i- ... Inspector.......... .. .............................................. THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH '" / No.................................. FEE. ............... lRiopoal orko n lion rrntit g Permission is herebyrant d ' .------..� -------- --------------------------------------•---------•--......................... to Construct ( ) or Repair ( } an In •vidual Sewage Disposal System at No............... _L^` _. _... �, .....t °-------- '.- ...... ....-----•------------------------------- Street as shown on the application for Disposal Works Construction Permit No..................... Dated,•......................................... •-------••------------------------ Boa�f ealth DATE---... - /��,+'--------------•••-•...... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS mystic � :2 TEST HOLE LOGS NOTES: 1 a doff Lake ^+. r�ox V •o OFM SUBSTANTIAL COMPLIANCE WITH : N A 1 THE INSTALLATION MUST BE IN wES`°E LOT 2� �� SS9c SOIL EVALUATOR : {u��I�PT �-5 ) THIS PLAN, 1995 MASSACHUSETTS TITLE V & TOWN OF �O ddte kp6E `Au \� srcrnel \o= DARE E W I TNESS ►jo-F J Qutl�'.7 qW A .j,{'f BOARD OF HEALTH REGULATIONS. t W�Tws `*w t s �l,Uv��l�E. NOrJ /4R.1� Pp Msj n ` /��___ DATE : % t..c;�, ! E Pond Ifambitn p un� yfl. r � _ 1 Mlt � F �NC,c P V- 10�3 l No.`1140 i,\ PERCOLATION RATE : C L "� ITN 2) THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES, cd � �(,;�(� f- o t SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO ^ KM `RD Q Pond V �-�j V INSTALLATION. Tl� Hor ciU 3) THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION n Trwn b� RD / l MDR/ ONLY AND SHALL NOT BE USED FOR PROPERTY LINE In n RIVER 5 ti ,W —! �2, 22 DETERMINATION. Nfry 4f ri a -� J h��1 S 4 ALL PIPING TO BE 4" SCHEDULE 40 @ 1/8 "I FOOT. UNLESS V ; �. NEn MARST / L{2" aw, SPECIFIED OTHERWISE) .p Pa GMMRT a ILL -7 p'l a D, v 5) THE DAGESIGN DIO OTHIS SAL,SYSTEM DOES NOT ALLOW FOR THE USE OI=A GARB\ 2•SY�� 6) SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) I y MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON 432 �( �U ABASE OF 6"OF CRUSHED STONE. OP pkotoo5ro b hl' t � ) --- — ,, \ `� \ � nl w�rr L,1-r�/,�S �v�1,✓ ��U, � r j�f�.u I°a 5 C G ��f�.� � r N� - �''� �� o) f J t �-r.l LL� f 4.'-c .L�. j 7 Tl..C-. V u a- r'c„, _j,; it \ \ \ i3�+-I f'��r��_a ��•> lZe�v►R-Eft. SEPTIC SYSTEM DESIGN \ (m \ FLOW ESTIMATE 3 BEDROOMS AT 1/0 GAL/DAY/BEDROOM - 556 GAL/DAY i SEP i 1 C TANK - I: ?/)GAL/DAY x 2 DAYS - 66-0 GAL \ \ USE ALLON SEPTIC TANK-/ I ( I \ 1\ t oou\ \ \ I f \ l SOIL ABSORPTION SYSTEM 5 ) SUU l 4 G L.:UN P S V) 4 ,f �Tvrvc-. ov A-L,( ,\ �._ � / SIDE AREA: ��2 ,� ( „) � Zx /! 9.0 0� � BOTTOM AREA: x I / / S, � ( I 272.15' A=23.5T / 7(0.A N -- Tit-8d N x ASEPTIC SYSTEM SECTION O - 39.87 N Taii To- SITE AND SEWAGE PLAN ,/ \ ,/ i I I LOCATION : 20 c.�i�- 1 �7G� 72 7� , ,, ,;* �'Zw�� C�"Go,c M>h2S`TUNS M1[,0� jH of ,y 1�, o Iv I4 �6 ,� � � 7o. qs, n 1 S� fa ' � ''-3B Dable U gas 64 PREPARED FOR : �. VEN yi-rr,� �' �0,25 U , A /� / Il�i� ��/�/J � E m lD,� e �� r' fond — — R , 6 r MBA _ . . � G S y D-BOX 93 „- �uF aP� GAL �,� SCALE : I QO DARREN M. MEYER, R.S. `�-vn suRv � SEPTIC TANK �r_ 43 VINE STREET DATE : 2tu o SU jZU c v� DUXBURY, MA 02332 j (781) 585-0293 - �3��7U�-t I _