HomeMy WebLinkAbout0030 SANDY VALLEY ROAD - Health 30 SANDY VALLEY ROAD
MARSTONS MILLS
/ A = 101 -090 /
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TOWN OF BARNSTABLE
LOCATION 0 SQN�\-/ JWAGE# Q
VILLAGE ASSESSOR'S MAP&P1A,{RCEL.
INSTALLER'S NAME&PHONE NO. GJ
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS �,(�UL- 69G
OWNER,
PERMIT DATE: L I , ` COMPLIANCE DATE:
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 Teaching facility) Feet
FURNISHED BY
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No. o- `47 Fee —7�,00
01 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
01ppYitation for Zisposai 6pstem Construction permit '=
.� ( ) P r�S Upgrade( ) ( ) P Y P
Application for a Permit to Construct Repair U rade Abandon ❑Complete System ndividual Components
Location Address or Lot No 30 , Owner's Name,Address,and Tel.No.
v Assessor's Map/ParcelZcto nS H. 0,()
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
In-Is—
Type of Building:
Dwelling No.of Bedrooms La Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided Aill, gpd
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 not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date
Application Approved by Date 0- Y
Application Disapproved by Date
for the following reasons
Permit No. /),® Date Issued Z
------------------------------------------------------------------------------------------------------
' 1
No. 8/- ,e1� 'f V y. Fee
THE COMMONWEALTH OF,"MASSACHUSETTS Entered in computerLn
PUBLIC.HEALTH DIVISION - TOWN OF BAR14STABLE,'MASSACHUSETTS Yes
01ppliLatibn for Disposal Opstem Construction Permit
Application for a Permit to Construct( ) Repair�0J Upgrade( ) Abandon( ) +❑Complete System ividual Componen� �-
a Location Address or Lot No.^1c) SoeNa��A` g ti,\ Owner's Name,Address,and Tel.No. a
Assessor's Map/Parcel, \vV r � 9; `
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Ur
Type of Building:
f Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 1p( gpd Design flow provided A& gpd
' l
Plan Date I 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) ,, � ��cT
.tom --
Date last inspected: t:
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 Certificate of
Compliance has been/issued by this Board of Health.
Signed Date
Application Approved by e ( Date /
v +�
Application Disapproved by Date /
for the following reasons
Permit No.' 2p 7- I 3 1 Date Issued 2
�-
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
at as been constructed in accordance
, with the provisions of Title 5 ana the for Disposal System Constri Aki.Wo. dated ✓t/1 (14/
Installer \_'�r �\� � r- Designer /
l� /y
bedrooms V �A_ Approved design flow gpd
The issuance of this permit shall nopbe construed as a guarantee that the system will function des .
f• —,It/ _Date � Inspector
-----------------------------------------------------
�. -
_ Fee _
_ 10 THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal *pstrm Construction Permit
Permission is hereby granted to Construct( ) Repair(�)'r Upgrade( ) Abandon( )
System located at l _ , m
_ v \-
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
r
Provided:Construction must be completed within three years of the date of this permit. /� C
Date h L//I,J Approved b ' ;!n t 3
I' r rr y
r
NFRS...... ..............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town... ......._...........OF....Barnstable
O t ...................
Appliration for Uiopooal Works Tonotrnrtion rumit
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
System at:
I,Ot 28, S ndy Valle�r Rd: ZMJCDIXX X Marstons Mills Mass .
• . -- ............................................ •••...._�..
Capricorn R ' yd rust 765 Falmouth Road;° H annis
........... ......_......---••........... ............................................... ......------...........------..........•-• --•-•-..y--.......ls.....................
W Steve Lebel Owner Address
...... ......... .....--
Installer Address
Type of Building Size Lot:...........................Sq. feet
Dwelling—No. of Bedrooms...3......................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type e of Building ranch No. of persons....................:....... Showers 2 —
a yP ng --------•---------------••-• P ( ) Cafeteria ( )
04 Other fixtures ---------------------------- -
W Design Flow.........3r5.............................gallons per person per day. Total daily flow.........33.Q..........................gallons.
. r ��
WSeptic Tank—Liquid capac>ty.1000gallons Length�__.6........ WidtA'10.... Diameter................ Depth.5....8.......
Disposal Trench—No. .................... Widt ..__............._. Total Length.................... Total leaching area.................. ft.
Seepage Pit No.1..:............... Diameter.................... Depth below inlet.....6....._..... Total leaching area...266......sq. ft.
Z Other Distribution box ( ) Dosingtank ( )
`" Percolation Test Results Performed by...Eldredge .. .. rlrig Date....l-1'2.?7 81.._.....
raj Test Pit No. 1._2TT9.0.. minutes per inch Depth of Test Pit.. 12 .... Depth to ground waterX1PX1P_...Je1:t0.0urite —
Test Pit No. 2N/.A.__.._._minutes per inch Depth of Test Pit.V/ ........... Depth to ground water_! /A............. e
04 -------------------------------•---•---------------................---------.....--•--••---••••••-• •••......_......-------------•....._-------•-•-.._._..----
O 'Description of Soil..........0' _ 2'•;• •loam..&...topsoil
----•-----------------------•----•----•----
x 2 10 T�iedium yellow sand
v = ;
10 - i2 med. white sand traces of ravel no water at 12'
--- ----------------------------------------------------------------- ----------------------------------------- --------------------------•----.----......----�......---------------•••••--.....
U 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been isle by the board o ealth.
Signed .. ... ..----Pres ---. ���-3� .... ....
Date
ApplicationApproved By.................-•-----•-----•--...--•------•-------------•---••---.....
Date
Application Disapproved for the following reasons---------------------•-••---•-•---....•........--------.....---•----------...----•---....._...--•---------.....
---------------------•-------•--....•----•---------••----•--••-------------••-•-•---•-.........•--....................---•---------------------------------------•-----------------------------•-•••-----
Date
Permit No....................................................... Issued_......................................
........... ..:
Date
y 7�
No:�.............._....... FEs.............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
`1011M Bari-Istabl e
-------OF.............:.............
Applirtttion for Disposal Works Tonstrnrtion rrmi#
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
System at: x Marston Mill MaS
.......Lot � 2 8�, wanly �ralley Rd. ���.�xi���xx s, s,
..................... .. .. ---...............-••..._._........... ..•.••••--•--------•--............_..__._-• -•••----•-•._.....................____....S
Loc io •Ad ess r or Lnt No. .
Ca ricorn Realio rust :�5 Falmouth Road ;,�anTIiS
Owner "Address
w Steve Lebel
Installer Address
Type oBuilding Size Lot.- q feet
No. of Bedrooms...3......................................Expansion Attic ( ) ` Garbage Grinder (
Dwelling
)
p, Other—Type of Building X D.r_ arr.............. No. of persons............................ Showers (2 ) — Cafeteria ( )
a' Other fixtures ..................................
w Design Flow........55..............................gallons per person
W ap er day. Total daily flow...........3Q...........................5WIons.
Septic Tank—Liquid caPacity ,®00-gallons Lengtli` t ...... Width i __ .. 8°
- t c , Q" Diameter---------------- Depth` _._.__ ---..
x Disposal Trench—No. .................... Width................... Total Length.................... Total leaching area--------------------sq. ft.
1.................. Diameter.....6!.......... Depth below inlet.....2............ Total leaching area...266......s . ft.
Seepage Pit No p a q
Z Other Distribution box ( ) Dosing tank ( )
E ,,n ins r. . , 11 2 81
Percolation Test Results Performed by..._...........................:....:...................•_-=............ Date..__--1. ...�� .____.___...........
,a Test Pit No. 1.E�y.x ......minutes per inch Depth of Test Pit..I. ............ Depth to ground waterjl9�?Q...enCOunter—
p p ' Depth to ground water.-_........ e Cd1
(z, Test Pit No. 2:. �3�........minutes per inch Depth of Test Pit.(:_s_____________ � •-•--.------.-
04 •-----•--•-•-------------------••---•-•---•--•-•.....-----------•-•.......----------•....._......_......._.............._...__...........-••-.._.....--..-•--
D Description of Soil.......... ..........................
""
x ts' 1iedim..J!ellc�w aa
U -•-----------•---------•.--•-••--.................................................. ••...................................7._...------••......---•-•........
w - 1a® - 12' mede white sand/I;races� ;_.'' F:�r'::'d:��l, no - v'er a 12'
-----•-----------------•------•......----------.......................................................... .....................--................
V 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 TITL is 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. Prey. 9/1-3/83
Signed...................................................................................... ................................
Date
ApplicationApproved By-------------------------------••••...........-----------•......_..................--•---------.. ........................................
Date
Application Disapproved for the following reasons:-----•-----•--------------------•----------------------------•--------------.....-----------•--......_•--•...._.
-"------------------••-------•--...--•-•-•------------------••-----------.....---------.........------..........--•------"------------•----------•----------------------...----------•.......----•.......
Date
PermitNo......................................................... Issued".......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-� z ,,
Trrtif iratr of T-ampliartrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( . ) or Repaired ( )
by-------------------------------------------------- ...Lebel.......... ----•---........._........_. � X...Itiars oris""I iI2s Mass
28 Sandy Valley Rd• Installer ,
at. :: ....-•---•---•-------------------•---------•-""-•--•-----------------------------------•-•--------•--•---•-..............-. ..--•-•••••-•-•-------•••-----.......---------------
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No......................................... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FOCTION SATISFACTORY.
DATE..... -• �� ........ •• -----
..-- .....-----•••...................................... Inspector THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
ll,
......I:.� Timd
No......................... FEE........................
Disposal Works Tono#rurxion rrmit
Permission is hereby granted................. ;le.VE.......
..._..:._..____...._.__. .
- -----•"------•----------------•--------................--.-"...-------
to Construct (: ) o2Te Aih&y),/a�nlI id Sewage Disposal Sy q x XXXXXX MarStOriS Mills Mass.,
atNo......:.............••---••--------••........._....._........--•-•----•-----•-•............_•..--••---- -------'---•- ...1=!A.................................................
Street
as shown on the application for Disposal Works Construction Permit No..................... Dated..........................................
Dom-A//,-_�-----------------------------•---------------------
-- Board of Health
FORM 1255 A. M. SULKIN, INC., BOSTON -
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50V'1T
/Gz TrmLrACE
,30' �n.rr sE�3aC�
15'S,oE f&K s�,,OAK
°cT-4rAucr4rW Crq�a„
*V�tt+nr - �tNok 44 CERTIFIED PLOT PLAN
RDBERT: Ole- .33Y, PC. 9-
o�� y '. GN
i P ;p BRUCE �'=+ MAS 72-ls M h--
BERG ' v ELDRED IN
No. 366 /
Qc�GtS T E��Oi���/ F K Q` ► �1 A �� • � w 1 A W � �
�!ONAL��'\C� ND SU��
SCALE# ��'moo` DATE ,
[.DREDGE ENGINEERING CO. IN CLIENT Ncv I CERTIFY THAT THE PROPOSED
EGISTERE REGISTERED JOB N0. S ; 5"Ka BUILDING SHOWN ON THIS PLAN
OR.BY+
CIVIL LAND CONFORMS TO THE ZONING LAWS
. �.::..
ENGINEER R Y OF BARNSTABLE MASS-
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712 MAIN STREET CH. BY'
M YA N N 131 MASS. : : SHEET:! OF. D TE REO. LAND SURVEYOR
24 FT. M/N. n N07E /.F E/TNER TslE SEPTIC TANK OR
_EAcw1vG PIT ARE IJORE 7-14A..A/ /2'0BELOI
rJRAOEj 424'O/AM ETER CO/y�RET� COf�ER
SNALL BE BROC/GNT TO 4MA0E.6.-v
/bl CGNGRETE 4�PYC P/Pr VY CA ST IRON Co/iER L L !3E USEO
M/A/. P/TCN /F/IV OR/VEl4/A y
COYE/CS �B oFR FT
2 MAN. CONCRE TE
A ::a H- cf ,�oE COVER C LEA N .SAN D
BACX/=/L[.
•�• - LQ[!/D LEVEL -_" "•: , �- . . J'
2 LAYER
IRON P 0 o �•'�-�
='0 MIN.P/TCN 000 GAL. ' • • . • • •• • e r�o
%v PeR>:T. SEPTIC TANK o/sT, o RYA 5HF0 57ONE
?�= •r • •EFFECT/✓L ` . rr 3�4 - / /2�
:.;` • r •.•• DEPTH ' • • • r . WASXEDAt v
STOiYE
• • o PRECAST SEEPAGE '
!Ni/BI!? CLEY.4T/D/1Is 7B:S+� 7-0t 8. • • • • • • • • o P/T OR Ep[//v
INVERT AT 44J/LD/N6 FT SY`I G P� G iT. O/AM. .
INLET :S6PTic T.4m.< 8. FT. .. L o FT. O/i4M• Ic+(SEE TAB[/L.4T)OiV�
id
Ot/TLET SEPTIC Ti0/VK 97,� FT. _
/NL.ET O/STR/8//T/ON BOX 6.O FT. GRO[!NO fTER Ti1aLE
O/ITLETDISTR/Bt/T/ON BQX 9S,$ JF7.
SECT/ON OF
INLET LEACH/NG IoI T gS,o FT, SMVAGE OISAO�SA L SY.S`T�M
TAQIJLATIDN.
LEAC/ IMCr PIT 2 S ITT
SCALE : %s" _:/=D" D/MANS/ON- A
DESIGN CRITERIA O/�,Flvs/a�i g�-FT,
N!/INSER OF BEDROOMS. 3 D/ME11/S/ON C` FT.
GARQAGE D/SPOSAI-UNIT 12"ff SOIL LOG
TOTAL ES•T/MA7460 FLAK/ 33_GAL.1DAV SOl L TEST df/ SOIL M'ST02: s�s'L .TEST
XUMBER OF[EACX/NG PITS L_ J-.LEY. ,RATE OF SOIL .TEST g 3
S/DE L--ACHIMG 5q Wr RESULTS 1V/TIVESSEO dY_.)��= 2.rs I rTfl�+.o
BOTTOM 4Z4CK/NG PER P/T �g r SQ. & �/ O�Z' �Am PERCOLAT/OW RATE At/
5 u�3So
TOTAL LEACH/N6 AREA '142 _SQ. ITT. — PONC01.WrION RATE 02 M/N.//,VCH
RESERVE44EACNI/V6AREA 14:2 SQ. FT.
4r,F �qp ��,F�`? °F s` t, `L��z' /V+c� LG 7� Z8, Pcq► / Book 335! P6,
ROBERT r. �g PHI 1 �..ac ��� MA257aNS Mitc.S
g BRUCE �� � WEIN
ELDREDG
EL DREDGE eNcrI NEPRJNG Co. hYC.
e:i 712 MA/A/ ST. HYANNiS, Mfis9 .
/STE�yp� �'r'S/OhG�� CZ. f:2.E+
NO so ►_8 ,VO 6RO1/,V 7 YVi4TCR E,VC0UN7EREO CL/ENT: C0 V,9T.E= 9 /3 $3
Q GROU/VO WATER AT ELE(/, - .106
L O C S E A G E PERMIT NO.
VILI
� INSTA' 1LL R'S NA E &////�) r'DRESS
i
,,I UILDER OR OWN R
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUEDi� _ �"r �
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