HomeMy WebLinkAbout0047 RUSSELLS PATH - Health 47 Russells Path, Marstons Mills _
A= 027-093 Lot 81
i
TOWN OF BARNSTABLE
LOCATION g 6[ VSS-171-LS 04TGI� SEWAGE #
vl.: ��cccc M O z ?
VILLAZ E_j''�.�S�o�/S Ati I1.C' A1S. FaR
INSTALLER'S NAME & PHONE NO. 78 LINDEN ST.
-7�v 0
SEPTIC TANK CAPACITY
Dr
LEACHING FACILITY:(type) -(T �' D (size)
NO. OF BEDROOMS PRIVATE WELL�)RUBLIC WATER
BUILDER OR OWNER^9 � V SAC4� 0lA1
•DATE PERMIT ISSUED:
:DATE COMPLIANCE ISSUED:
j VARIANCE GRANTED: Yes No i/
Nk
�! 136
CL oil-
C� ^
No. Z 0 `y Fee ��
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
0(ppYication for Mizpooal *potent Cott!truction Permit
46-r 9- (
Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at:
Location Address or Lot No. j."� V S S e��s' A-�'%i{ Owner's Name,Ad ss and Tel.N��
Assessor's Map/Parcel d4 t�L`7_ r✓S$ �-S Pr�
Inst�llet ejd& s� Tgl�R6s �q �"p Designer's Name,Address and Tel.No.
,! 78 LINDEN ST.
,
MA W02-4c0t,
Type of Building:
Dwelling No.of Bedrooms Garbage Grinder
Other Type of Building y Z__ No.of Persons Showers( 2,�r Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Description of Soil
Nature of Rep ' or Alter (An wer when applicable) �S aG ' '-n u v Lx,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 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 PY t ' oard of He th.
Signed Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. % " L Date Issued `��
tom' i�9� r " •" � ..
No. ..' Fee �40
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
2pprication for 3iopool *potent Construction permit
�01, 01 ( ` f
Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at:
Location Address or Lot No. Owner's Name,Addssand Tel.Nq-,
u S S e D w 05R }
Assessor's Map/Parcel /' i5 S G L G S d� T�fie
U U �/.., 4 4'4 �/75 c T-0., s nit f j A414'
Installer's Name,Address,and Tel.No. i/9 -7 Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Garbage Grinder( ✓y
Other Type of Building fz/o� G No.of Persons L Showers Cafeteria( )
i Other Fixtures
o-
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Description of Soil 5.4/v/0 !::z
Nature of Repairs or A--l-t�era 'ohs(Answer when applicable) S f /°u
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system Jp
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 issuedrytl�s)Board of Health.
Signed Date
Application Approved by Date /.1 —�;F ��_
Application Disapproved for the following reasons
Permit No. 94 � Date Issued
---------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Complianie
THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced(r/)on
by j •C R tq /C A4 ;?o S Installer
at 1v14R .?i A f=4i %�r�.y E� '7/�u«F_�1_ T�I M•A�1 j Zhr has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Constructio " ermit No d ted
Date Inspector
_ I
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE T44AT THE SYS-
TEM WILL FUNCTION SATISFACTORY.
• . . ---------------------------------
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTSli
Migozar *pgtem Construction permit
Permission is hereby granted to I L.- ! Fz-:)'
to construct( )repair(t.,�an On,-ate Sewage System located at No.# RIc V`.S�1-6 Yj I" 'c
Street
and as described in the above Application for Disposal System Construction Permit.
No. Date "
The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. i
All construction must be completed within three years of the date below.
Date: Approved b -- I
-Board of Health /
r i
I
I
1 Y•r' � Il 1.
`�1 O y
O
l
SITE PLA_N___
CO13
T IONR/�j� ��P SEWAGE PERMIT NO.
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VILL-ACE m 0s 7-,*A(f / "//j �d Sj C1/t I"n
p J)t
INSTA LLER'S NAME i ADDRESS
8 U I L D E R OR OWNER
00 cyi, Ae Q4-0oyc
DATE PERMIT ISSUED
p DATE COMPLIANCE ISSUED �� �/
.,
I�o�s e
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No.. ........_.. FRs...s ...............
} THE COMMONWEALTH OF MASSACHUSETTS
d'Er-J
BOARD OF HEALTH `
..................OF........D
Appliration for DispAiial Worka TouBtrnrtinn runfit
Application is hereby made for a Permit to Construct ()() or Repair ( ) an Individual Sewage Disposal
System at:
IR
.... _ ----------------------------•------------ ----.....-•-••-•----••-------•-- ........................................
Location Address or Lot No.
- ..
Owner Address
.G......._��............................... .�`�e C�CLCe.GNS...............................° X51:r�.-F!K4..L...............
Installer Address S
Type of Building Size Lot...Z_Z e!r -_�._._ q. feet
Dwelling—No. of Bedrooms....... -----�-_--•---------------Expansion Attic ( ) Garbage Grinder (Aib)
a Other—T e of Building No. of persons............................ Showers — Cafeteria
Otherfixtures -----•--------------------------------------•-•-pM-----••-----•-••--••---.......--- .............................................................
Design Flow...............LID....................gallons perf( per day. Total daily flow-------- ......3.30---------gallons.
WSeptic Tank—Liquid capacity__L.PP.gallons Length Width__¢`-.(P"._ Diameter________________ Depth....
x Disposal Trench—No. .................... Width.................... Total Length.....................Total leaching area....................sq. ft.
Seepage Pit No..........1--------- Diameter------l.42!...... Depth below inlet..._...C�.......... Total leaching area...2_(cr7....sq. ft.
Z Other Distribution box ('� ) Dosing tank ( )
Percolation Test Results Performed by.._RTO.'k N-E-14%L............................. Date... ...........
Test Pit No. 1...4.Z___minutes per inch Depth of Test Pit.....1 -______ Depth to ground water------------------------
(1 Test Pit No. 2...L Z...minutes per inch Depth of Test Pit..... Depth to ground water........................
9 ---•••••----•-••••--••-•-•••------------------•---•-•--------•••----------•-........--------•-...----...--••-----------------------------••------------------
ODescription of Soil...............P-" ------.4PMA--. .................................................................................
V ....................�-'(�' N.M�D(ul�•��� 1N•1�-_..AtWD-S......................................................
UW ----------------------------------------------------•-•--•----••---..� _cOARs ..s1►2 _... lu gA�rtr1--...__...----•-----•-•-----•-••-•------------...------.....
Nature 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 TIT Z- 5 of the State Sanitary Code— The undPd
d further es not to place the system in
operation until a Certificate of Compliance has i sued byvjbf heal h.
gned_ -- ---•-•------------------------------------•------•-- /7�
Application Approved -------------••-----/ Date
Application Disapproved f r th ollowing reasons: -----------
.....................•-•--------------------•--•---•----•----___....•-----------......--•--•-••---------. --------------•---
Date
PermitNo......................................................... Issued.......................................................
Date
Massachusetts Water Resources Commission/Division of Water Resources
WATER WELL COMPLETION REPORT
WELL LOCATI t f Pr
Address `� 4 ss "6w,
City/Town X 01—S 5 A, !/S
G.S.Quadrangle Map
Grid Location ®,
Owner & q 1-
Address, ® t3aX 1 7Z- � 4,d 0
LL USE >W.
NSOLIDATED WELL
Domestic Public ❑ Industrial❑
r bearing Rock
Other es /,METHOD DRILLED ToRotary(type) � ^Cable ❑ ToOther ToCASING rock
Length Z Diameter
Type 4 r L UNCONSOLIDATED WELL
STATIC WATER LE EL Water-bearing Materials
Feet below land surface I&I Sand: fine❑ medium �=,rseo
Date measured �- Gravel: fine❑ medium❑ coarse❑
een: I ll1LS�!e 'B> J i
GRAVEL PACK WELL f� length from
Yes ❑ No
Split Screen o screen
WATER QUALITY TESTS MADE Sloth le m to
Chemical ❑ Biological De Bedrock
PUMP TEST
Drawdown feet after s hours at GPM.
How red Recovery feet a to hours.
LOG of FORMATIONS .. COMMENTS: (On well�oJvater)
Materials From To !� iy e f/ P/ °
DRILLER
Firm r,7 keA- P- e-
Address /'J 0 130 X F—K °
Cityl(od,.a P P
Registration No..
Aerator s Signature
Please print firm
y
10M-8/81.164843
No.....L........:........ FEE...S .w .............
—^ THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
7 NAI...................o F.....:+3 �. r�.+ !:. ..............................................
Alipfiratiun for DhiposFaf Works Cfun,itratr#iun rrMI'd
Application is hereby made for a Permit to Construct or Repair ( ) an Individual SSewage Disposal
System at:
i�U'>S� l-.L� F 47+1
.................._......... ...-• -............_........... .--... ............------...........-•---•---------•-•----...------•------------•-----------------••-••--
Location-Address or Lot No.
L^U� .V ri1O�G �ii `�� LA �L /.'` iti�a .._G..... /t, LC
•...................._...........-- ... ............................................. --...................---.......... ti ..... .. .. ...........
Owner Address
a 8.,t (Z E/C4�l13% Vi e-Ci 111J.:......
r
Installer Address
Type of Building "` ` Size Lot...G Z.,...`a.....Sq. feet
Dwelling— of fAe o l at nsion Attic ( ) Garbage Grinder (PO)
-1 r� � w
�° _Other—T bf l 'g :t _...__._.__. . N persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ` ----- --- >iL?caNi --------------- ---------------------------------------------------------------------------
W Design Flow..............J_.�._o......_ ........gallons per:�sen per day. Total daily flow........_.....3 30._...._..gallons.
WSeptic Tank—Liquid capacityl000..galfons Length_g.0.t`..... Width.`+'.1P'... Diameter________________ Depth...
x Disposal Trench—No. .................... Width-................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No........... Diameter.._... 2-------- Depth below inlet......k............ Total leaching area..Z..�,.7.....sq. ft.
- -
Other Distribution box (� ) Dosin tank ( ) _ ,,,...•
Z {�.TG`• t.�A�N.,.=NC__:....... Date 3� ��!...
Percolation Test Results Performed by....... ... ...
a 4Q „
Z 1
...............minutes per Inch Depth i of Test Pit.... Depth to ground water__________________..___.
Test Pit No. 1. p p p
f= Test Pit No. 2._."-z-....minutes per inch Depth of Test Pit---- Depth to ground
a�i .
water________________________
----•-•-----•------------------------------------•-•-•••-•--•--•-•c.......--•--•-•-•---•----•--•-..-•---....--•--.------•-•---•--------•---•-••---•-•-..-•
ODescriptionof Soil-•-------•----0-+ 1 _ T-t uacL_-----------------------------•---------------------------------------------------
- t N: ._�' -_ _ i i
4.b..-44 C.L. . _... �IV.M.I_..5f�\ lkVtilltl4eH?J2)J
J ..... ........ .......... ..--- ........ ... . . ....-•••.
W -------•---------------•-------------------------_-----------------`t--._..4?..u3_...._SA r7l\_.......�1_>.......G..NV t=....-•-----•--•••-•-••-•...•---••---•-•------•--------•--------
VNature 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 TITTIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health. ! - f
igned_._.. �- --•`.. ..:..,:G`._:-{....-•---•--•----------------•- ... r! ,............
- -`
D
Application Approved X
------ --------------------•---------------------------••-----------•-•--...._.....---•-- -'�....+++��'�--� ---�-!-'• -........
Date
Application Disapproved or t following reasons------------------------------------------------------------------------------------------------ .....
..-•--•....................•-•------•-------•------•-----•-•-----•--•------•----•----..........__....----••----•---•------------•-••-----••-----•--••••-•••----•-•----•--•----••------------•---•-------
Date
PermitNo......................................................... Issued-.........................................................
r Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF....................... .......*.........
Trdifirair of T- lrr
• S S TO CERTIFY, That the Indivi ual Sewage Disposal System constructed ( or Repaired ( )
by •-- -•--•-....-•---••. -••...................................••---•--••-•-•-...._..•-----••---•----•--••--........_..•.
...... •• =
Installer
...
at------ �. -- •-•---------••--------- -•---•-----•------•--•-••-•••----•---•-••----•-------•---•---•-•------•--:•--.....--•------------
has been installed in accordance with the provisions of TILE 5 O The State Sanitary Code as described in the
application for Disposal Works Construction Permit No. ....y....�:� ___________________ dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT`BE CONSTRUED S A GUARANTEE THAT THE
SYSTEM WIL F NCTION SATISFACTORY.
DATE. Inspector..... _...... ------_-•---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF......................•--•----••---....-----•---------------•----••-..........---.--
No...................__-• FEE...................••...
Ravol1 ku (9un iva �erani
Permission is hereby granted................... 1 ...............
to Construct air an I `i r3ual w s System
Stre
as shown on the application for Disposal Works Construction Permit ................. Dated............................................
.. ....... -•----•-•••--•------•--••••----------•-------•••-•----•-----•................�
Board of health y
(�f 4 ..
DATE -
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS -
TOP OF FOUND - - - ----- — ---- - --- -
20 FT MIN.
EL. _ �.= 10 FT MIN.
CONCRETE
{ COVERS 4" SCH. 40 PVC `CLEAN SAND
' -- PIPE - MIN. PITCH CONCRETE
� ,hI' / - -/-// - - - I/8 PER FT. COVER
T 2" LAYER OF
4 CAST IRON 12 MAX
PIPE - MIN. PITCH I/8 �- I/2� WASHED
~ STONE
I/4 PER FT
I FLOW LINE z
•�`_ _ !.- � EL = - 10'
MIN. j EL = N
\ I/ EL = y a
I I EL = E _
i -- — — ------ D I S T EL-
LOCATION MAP - ---- BOX
3/4''- 1 1/2 uj a , o
WASHED STONE '�7 u o a`b o 0
e �
L G G
PRECAST LEACHING °°V° EL.=
_. GAL. � , - -
I -- — BASIN OR EQUIV.
SEPTIC
TANK
GROUND WATER TABLE EL. _
PROFILE OF -
--__ _ SEWAGE DISPOSAL SYSTEM
016 - NO' TO SCALE
DESIGN CALCULATIONS 3
1 NUMBER OF BEDROOMS SOIL TEST
_. ----
GARBAGE DISPnSAL UNIT DATE OF SOIL TEST
WITNESSED BY
- , - TOTAL E'>TiMATED FLOW _ r�� PERCOLATION RAT E`'`_MIN /INCH
o ( _ GAI /BR./DAY x �._._ BR ) _� _ GAL . �Y
REQUIRED sEPTIc TANK CAPACITY _ 1�" GAL OBSERVATION HOLE I OBSERVATION HOLE 2
I ACTUAL SIZE OF SEPTIC TANK ____ .-_-_—GAL ELEVATION = - r-tLr TIQN
LEACHING AREA REQUIREMENTS
S ICEWALL AREA GAL I S.F.
BOT T Om AREA _ GAL./S.F.
LEACHING CAPACITY ( BOTTOM 4- SIDE WALL) . - GAL
N �
r
RESERVE LEACHING CAPACITY -- —,;AL
_ a + _
... -A
NOTES
-- ' \�\ I ALL WORKMANSHIP AND MATERIALS SHALL CONFORM
{ _ l
I 1 `�31- __ 3 TO D E Q E TITLE 5 AND THE TOWN OF
d; ro
��, - RULES A'�D REGULATIONS FOR SUBSURFACE DISPOSAL
j OF SANITARY SE WAGE
2.COMPLIANCE WITH ZONING REGULATIONS SHALL BE
DETERMINED BY BUILDING INSPECTOR OR BUILDING BUILDING SETBACK REGULATIONS PER BUILDING
COMMISSIONER INSPECTOR OR BUILDING COMMISSIONER
MIN FRONT SETBACK
3 EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY
--
ryr �t�� MIN REAR SETBACK
THE SAME, - - -- _
M.N. SIDE SETBACK
APPROVED BOARD OF HEALTH
h
I ,
2=l7t DATE AGENT`
PROJECT LOCATION
APPLI CANT
i
SCALE DR BY DATE
LEGEND _ ,3-��--
�� EXISTING SPOT ELEVATIONS OOxO JOB NO APPD. BY REV.:
I
EXISTING CONT OUR - -- - - - 00 - - - - -
FINAL SPOT ELEVATIONS 00.0 .�.t a R. J. O'HEARN INC. DRAWING
FINAL CONTOUR 00 r 'a 1
PLAN
A' SOIL TEST LOCATION RE6. LAND SURVEYORS- RE-G. SAN/TAR/ANS NO.
L
SITE f AN _ �/ 1348 ROUTE /34 - P. O. BOX /263
I SCALE / EAST DENNIS , MASS. OF