HomeMy WebLinkAbout0137 SANDY VALLEY ROAD - Health CA
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L A T 1?5AW
� A G E PE RMIT NO.
VILLAGE
INST ER'S NA .E i ADDRESS
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iy d U I L D E R OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED'z; ,/y��
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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
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CERTIFIED PLOW PLAN
EXISTING.. SPOT ELEVATION Oxfl
EXISTING--CON?OUR --~ 0 `'' $` Q � �os� T3 ��, ,� v T 3 ,�nIDy VA f �. / �?,
.FINISHED: SPOT ELEVATION ���r �: �l�Bi�uCEr� `�., �A � � o i��s ���� t. S,
FINISHED: it
APPROVED I BOARD , OF: HEALTM1 49- A &
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SCALE
DATE AGENT j - 3 v -DATE �!�3
LDR�'�G� ENGtIV�EftlNG CD.hlN, _ _ �kl�fz
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CLit T;; I• CERTIFY THAT THE PROPOSED
EG..ISTERE REGISTERED J08 Or= , �� BUILDING SHOWN ON THIS PLAN
CIVIL` ;.LAND;,}«� z� '=; CONFOIRMS`. TO THE ZONING .LAWS
ENGINEER SURVE R ;��; ON'4HY: �F` BARNSTAB f MA
712 MAI N/STRELT' } CN,`�T,
HYANNA$ MASS::
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LL 1ENT.: r/,f/+W c,.o ARTS
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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 ~�