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HomeMy WebLinkAbout0137 SANDY VALLEY ROAD - Health CA �an aoL� lol- lo� Aga L A T 1?5AW � A G E PE RMIT NO. VILLAGE INST ER'S NA .E i ADDRESS .�9 e iy d U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED'z; ,/y�� 4c 3 zZ Z i i S3 NO-SA-../_40: FE$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ...................... ...... ...... ........O F............................................ Applirattun for Disposal Works Tontitrurttun nutit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: ot # 39 Sandy Valley Rd. , Marstons Mills , 1,4A ...........................................................••--•---•••......---...•-•..... ..........--•-•._...._.........••••-•......--•......--••--......••--.......---••-•...........••... Capricorn Rea ' yi{rust 765 Falmouth Roa�t,N°Hyannis ....---•.............._.---........----...........................---------••-•-•••-----•-....... ..._......-•--------.....--•--••.....--------.._._...........-----••-••--...........-•-•--•....... Steve I,eb21 Owner Address w Installer Address d Type of Building Size Lot...........................Sq. feet U Dwelling—No. of Bedrooms ms..�.......................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _. _rAY1Cl'�.............. No. of persons............................ Showers (2 ) — Cafeteria ( ) Q' Other fixtures ............................ Design Flow........5.5...............................gallons per person per day. Total daily flow........330...........................gallons. WSeptic Tank—Liquid capacity?000-•gallons Lengt .....��_..... Width'...... Diameter................ Depth...$11.. x Disposal Trench—No. .................... Width.................. Total Length......-_�._....... Total leaching area....................sq. ft. Seepage Pit N4................... Diameter............... Depth below inlet....b............. Total leaching area... 66.......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `-' Percolation Test Results Performed by...Eldredge Engineering 11-25-81 .................... Date...... --_.. ---•--.....--- aTest Pit No. 1.2.0...._..minutes per inch Depth of Test Pit. ....... Depth to ground watef.I.Q e...e??_COunter— Gc, Test Pit No. ��A.........minutes per inch Depth of Test PiM/A............ Depth to ground water., .A............... Ci a •------------------------------------------------------------------------------------------------------------------------------------------------------•---- O Description of Soil_._._.._. �....-.. .�._....._..lOam---- topsoil x 2' - 10 . Tvtedium .yellow__.. . - - -- ._.... - - - - v �..... - . ..... W 10 - 12 med. white sand;/traces of grave 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 iITLi- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance h been issued by th board of 1 lth. �X1 res . 2 8 Application Approved By.. .... -•....................•---.......--•--•---•-----•........ !� Date Application Disapproved for a owing reasons:---•--...------•-•..........................•---------.......--------------.....------......................---- ---------------------------------••---------•----.......--------.........--._---- Date PermitNo......................................................... Issued....................................................... Date No..�( FEE.....?.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 'Town Barnstabl e .............. ........................OF...................................... Appliration for Uiipoaal Warkii Tontrnrtion an it Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: L) # 39 Sandy ,alley Rd. , Marstons Mills IriA .............................................•---•-••---•----••-•-•---....---...........----••---- -..........•••-----•---•------••---....--------•-•-•-...........--•-------•---._.................. Capricorn Rbb °�j�'dSust 765 Falmouth R8r ;°1;yannis ------------------..... -•----...........r.-----•----........ ........ --•-••-•--•...................----.----........--••--.............. . .... ... w Steve L e b el Owner Address Installer Address d Type of Building Size Lot............................Sq. feet 0­4Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ranch.............. No. of persons............................ Showers (2 ) — Cafeteria ( ) dOthe fixtures --------------------------------------••----------•---•-------•--•-•---••--•-----•••-•-•••-•-----••••--•-•----------••••....._........--•-...__------ Design Flow........35.............................gallons per person p r day. Tot I dail flow.........�. ...__.________.._____...... allons. W Septic Tank—Liquid'capacity 000-gallons Length ��..____ Width 1 �I-__ Diameter................ DepthS...$_.._.._. x Disposal Trench—No. .................... Widt _i___.._.._.__._.___ Total Length.._..._ �------ Total leaching area...... _ . sq. ft. Seepage Pit NoZ__________________ Diameter..........__..... Depth below inlet........_......... Total leaching area z6 ._..._sq. ft. Z Other Distribution box ( ) Dosin a IcLr4dAe Engineering 11-25-81 a Percolation Test Results 0 Performed by....................... Date... -.................................. Test Pit No. 1____'._._..___minutesperinch Depth of _Test'Pit..12_�______._.. Depth to ground watepone encounter— ed GL, Test Pit No. ...............minutes per inch Depth of Test Pit11/_..p'.._________. Depth to ground water. /..ti.............. -•-••-------•--.--. , ...--•-••------------•.........................•----...------•--•-----...........-•-•- O 0 loam & t 1Description of Soil-----•... --------- --•--- 0 .O?:•------•--• _ ..................................... x :viediumeow sd 1 an 12r w� sana �braces .........--•--- .------.....• ••-••-•••-•-•--------------•-••-•...-------- of raved now rat 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 issued by the board of health. Si Prey , 9/22/83 .........-•---------•--•--•_-•--•----••-•-•--•----••---........Application Approved By.0 .... . Date Application Disapproved fort f o wing reasons:-------•----------------------------------------------••------•-----------------•-•--..........•---............_ i .................................................... _..-•--••----•--•-----•-••-._.......-•••-...----------------.......•-••--------•-••-------...-••-••---•---•-----•-----••---•--• -•---.......----- Date PermitNo......................................................... Issued-........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........Toivn..................OF......Barnstable .... ................................................... Trrtifiratr of Toutpliatta THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ) or Repaired ( ) Steve Lebel at - ------------------------------------------ ---------------------------------------------------------------.------------------------------- by.. --• Valley Install Lot / 39, Sandy alley Rd. ,. , narstons Mills : I[,.,,A•-----•---••••----------------------•-------------------------------------------------- ------------------------------------------------------------------------•-- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as'des , ed in the application for Disposal Works Construction Permit No.__ _f r . ........... dated.... �.... _/.W.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU D AS A GUARANTEE THAT THE SYSTEM c1lYI�CLNCTION SATISFACTORY. 4 DATE.... �� ........................................................ Inspector... ... ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH J:n Barnstable ?� / Z.v ..........................................OF......................................... FEE ............. Disposal Warkii Tono#rnrtion rrmit Permission is hereby granted Steve Lebel ............................................................................................................................Construct : , ) or Repair _( )_al individual Sewa Disposal System at No.....Jot , 3.9, aancty .v_al ey r,ci...............arstons Mills i�1A .......------ ----- ---------•. -.....---- Street as shown on the application for Disposal Works Construction Permit Ng,.--,................ Dated_._. _... /--------------------•----- Board of Health DATE................................................................................ FORM 1255 A. M. SULKIN. INC., BOSTON / "*- J :-aG G y�^ram 4, •.{ '' i '{f 3 3 �. I -- 49 - ..�. :.er-,r. ....,,eat q�+ ,�,ar�n.. awe' y'n�-'r`' A 4�` ! � � • - .. .I _ 1l. } t 1 f�' ! q' JV 4iy i'fir M t ,r xt, s Y'� t :} t �r" t�X f 3 T�e+l Fj•.Tv�O R'��';h�y f - 4 �3> jR��levOUC45 Fie A7'P�*�✓ .I t ' �^ -• Q�8 r �0����,a%�� "�+�},*ua '�;. '"ti �. �T � DATEA;„OcG:>��/ 78 t$y ': e d •�jY Y�# �;: ' wy': 'ON;t r (Vg � ,.��'* kt��.n � irk ���'y4•Jt� ;'.� ?�,��Si: `• � (f/ . l S�s°•t,F c y�Ta••a 2.;..,.� `.O 0 F4. F • ✓ O ALBE T F DRSE r ,+✓° °�` ' b 0: "� � ,� No.10951 p 'rf,r�y„a 'i yST NAL { M VIO x ti ° ! w { ` CERTIFIED PLOW PLAN EXISTING.. SPOT ELEVATION Oxfl EXISTING--CON?OUR --~ 0 `'' $` Q � �os� T3 ��, ,� v T 3 ,�nIDy VA f �. / �?, .FINISHED: SPOT ELEVATION ���r �: �l�Bi�uCEr� `�., �A � � o i��s ���� t. S, FINISHED: it APPROVED I BOARD , OF: HEALTM1 49- A & rs f Z. 'v S i I3 SCALE DATE AGENT j - 3 v -DATE �!�3 LDR�'�G� ENGtIV�EftlNG CD.hlN, _ _ �kl�fz �� r CLit T;; I• CERTIFY THAT THE PROPOSED EG..ISTERE REGISTERED J08 Or= , �� BUILDING SHOWN ON THIS PLAN CIVIL` ;.LAND;,}«� z� '=; CONFOIRMS`. TO THE ZONING .LAWS ENGINEER SURVE R ;��; ON'4HY: �F` BARNSTAB f MA 712 MAI N/STRELT' } CN,`�T, HYANNA$ MASS:: ' hit -F 5M; ET .OFv' : A E REG. LAND SURVEYOR - .=p I� I'•II� .'107e AOr£YTNLR ;"-AV .SF PT/C TA IV OR n�, ?_gi�C.N/iVG p/T IO �M A.rl'E .MORF THE:•/ /2 3EL01S/P7: /A/. :SR/FOlsr�A ?4'O/al/NETF•P CaNCA'ET� CCivEsa •� /i 4'/"vC P/Pt SJIAGt gF 9.000G/,I T TG GgA OF .�.v EXT a { .H/A/. AIfTCII fyEAY,Y CA ST./RD/y CSCZ ,. CO/W'C• �,'_- �•'•.•> r T, ; "S: - =c,'r _ -r '.� `. A., 1 t "MELT/YG.,�s i i i /�•— %•?. .- I lit ;_ - w - • t• DtPTt� •t . W.43JsED STi1XE. / . �" :? '•[� - •/�f .yr-�.`t`.'"'' �+�7' Pp.' Y. "`, • �i/ • ..•.-_:.� �.-I.J ! , S • IA • a • ...a• •s PRE44ST•,SEEA�1Gf t ,/Atd!`1:J17� 6�Y•4�TQi141 4 x� • •pa •`s • '• `� i A/7CR IV_ +'C": "`�,•# 'm5s"'�,,.a�:''' y •! F.,•+Y,,:4 s., s - w� u p s, .a• i :. ! *� •FL 63 0 tM T. .,. -��� :�-•� �� �=_�.�.�- �.�.��- �. l�� .�T..''�i.G4J�! ��.�.4... SEA�I�LAT OL :��'���'�.�.... 's•I..n•,. ;�, ;sY. - - �.• ��.�s:d�i3"s�� S tLy '9? ,� ,."�uw._.r..:.:_ ':4•r,- °e vt= s j{y( -.�..r�= a".3J�3�� ,;cam• ��►` ..o*' � cy .rt,� _.<w�.=���"S.'�� � ,i�.�� "•ex'_ - _ a J�is 1.�,�,,,."'�+t:'.x.�.'� S �; .�.,rc.*�i�� '�'-� - j®r�p 37 4 491. > P` •` i'r -,3,,,.. •: 1�' . r_-n t.. N.:" a -:1# F L Y--s3„ a 4•'�., :'A tsg". •. ....... - -..: H . '.' f � - { T�',.i;_' "•'- `3 'r`-'t ' g '•' v. .$ w y- c'a I $ r� yyam� ,a.�•?� � -� <'�� �-�,�� x 1s*` �• 4 ,s...+r.�-- N, .�+..�.�.- -.r`r�''^�< ' ,s' '�.'c: y >.-.• ._._•..<.,,�.:, ..i'K �3e•t..+. �' _ Is.a •F• r ..s:; i.c.•• r .. ..;e .r+X, S�':..' e. u�� �<+ "�t:s;"+�i.�dY':��„1ie �r�.•.1"L;y '� �:.F.'i R .' -^l• J- _S 'xi- �i�iµ.nyt•�xsFF.h'. .'r4ti:.•e-.l J.n.. ^e.l �l.•. Sn - '{'n' DESfCiAf IA �$..�+...5�.r. ?-y s'- -^ % _ ••d.v , e+�`-+iE`,>t' .x.,h. ',«,:r• .r. v: _� !'�-�i s, .» :,. 0 - fy't�dAG.EOQ.SPD.S�It U14IIT M.>�� - � '° ���.-�� x-.�.a.-•Ex <d••r �r _ vi - SO/� LOG' Mom. xT Z07At.ESl!/�RTEO FLGMi 3.3. S:.+L�IQ�Y SO/C TEST ri1 SO1L 7.TSTO2 'M&MBF,p QF LCAGrtN6r p/TS / 1"AsLEY 7!'.C I. S DEL.rAtHlly� AERPir S ,}1a /�T. at�►Y_"""'' a•!TE OF-'JOIt Je7T7OMgG'XING PS1!PIT Sp, /:T tj 7' RFS(ILTS hllTNl•SSED dI� •.�1 -ecala:�.; ',; S,O PT A. � - —RCOxA77V/v.RATS /. L S$ TOTAL LEACH//1�G .AREA 'L�`1 � IJhJINtMf �ESE4VEtEACItiUN6ARE^ 2121 SQ. FT. AW.tCo1.,4770MR.ATB 2 7-6-A-AlM,,,v. IAICN 2,0 � 2 5D iL TEsT ram'y .. i`? Y' S: ��i r Ji✓1 - `��. �•--_•�.n, P�;tj D F ARE ti� M RSE No.10951�o �-�, EL DREDGE cNG/N.EF.7/XG CO I.YC. N 90 FG/STEQ ��� r r_ 7/2 MA/N ST- /yYA.t/NiS. .e./ASS, �y�i Su'��`��` �FrS�OhAL V*O N0 424ov vo 4,VATr'.T ENCOc%vTfeF o LL 1ENT.: r/,f/+W c,.o ARTS 3� No. (/C/�Z I t I /� �1 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y Nplication for Disposal *pstrm Construction 3errnit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No.137 SOLNA, Vail i 9d• Owner's Name,Address,and Tel.No. (p/7- 7 2 -6 7,33 . Assessor's Map/Parcel /�,�'� r !!yy i me-r�e- UI i1(An V ' 137 1 40v% r I15 Installer's Name,Address,and Tel.No. 54'07-B8?7 Designer's Name,Address,and Tel.No. bacr la,mfto-Tnet.Lk 3 W k 14it�AxTk S,j4r,!!W v7iAM. ozGGy Type of Building: Dwelling No.of Bedrooms IV Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures p Design Flow(min.required) ! gpd Design flow provided MIA-A- gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature o'f Repairs or Alterations P� l��terations(Answ((+e��r when applicable) �.na+041 A Ae O A- Y, I�i'� 91W GAG r Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance e fore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmen Co and n o e the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date ZZ Application Disapproved by Date for the following reasons Permit No. ? �i I Date Issued r (LE c '6 Fee 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Ye/ ftplicatlon for Misposal *pstem (Construction Permit Application for a Permit to Construct( ) Repair(A Upgrade( ) Abandon( ) ❑Complete System DoIndividual Components Location Address or Lot No.t 3 7 S&r4 VA 11i i Owners Name Address,and Tel.No. 417. 7 21-.573,3I r� ma riE! vir�Il n Assessor's Map/Parcel l�'1 dt'1 0 V 137 S".Aw l al iew g4. +b Installer's Name,Address,and Tel.No. 508 1/77-88)7 Designer's Name,Address,and Tel.No. o Q,cT !3�vufto-Tel et, Type of Building: ; `ft Dwelling No.of Bedrooms 1`j1 A 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 ] gpd Plan Date `t .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) '1111 A t't eW b- Y, W M, is t je' and Covex -1"U L1+ lt'hn b" U'r V a Date last inspected: Agreement: r`f The undersigned agrees to ensure the construction and maintenance ofthe afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and nnot'to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. r .; Signed r��} r r r Date # Application Approved by / f r Date w,,,,,,Applicatio Disapproved by Date for the following reasons a Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(K) Upgraded( ) Abandoned(__)byCDDC(elf E!f1 Pt L at 137 5c,(Ju Va-11 g1 PJ., has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Ro6cr 3-oyf ity."xn Designer � t #bedrooms Approved desig .fl. w n ! " gpd r The issuance of this permit shall not be construed as a guarantee that the system will function 1as�designed. Date � � Inspector 1`��// tn;, v2 ---------- -------------------------- N u�Z I - N --- ---- o. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS } 6 Du tK- mispoSal *Pstem Construction Permit .,Permission is hereby.granted to Construct( ) Repair(yQ Upgrade( ) Abandon( ) 1 ,System located at �, rr VOL-Ik1 { 6' N( 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. Provided:Construction must be completed within three years of the date of this permit. ` r fi Date y 1 `'� ��,� Approved by ~�