HomeMy WebLinkAbout0347 SANTUIT-NEWTOWN ROAD - Health r C347-Santuit-Newtown R®ad
j Marstons Mills
A — 030 029 .
L br OF BARNSTABLE
LOCATT.ON 7 SEWAGE #
VILLAE 24, ASSESSOR'S M P & LOT QJ ' 0j
INSTALLER'S NAME PHONE NO.
'.-^EPTIC TANK CAPACITY
ACHING FACILITY:(type) (size)
O. OF BEDROOMS PRIVATE WE "'OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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TOWN OF BARNSTABLE
LOCATION a!' I U ,/f, WAGE 6B2
VILLA- is Wit/0 ,�� ASSESSOR'S MAP & LOT —0-27
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type . lS��i�C' 06f�7249 (size) 3 0 /�-
NO.OF BEDROOMS /
,BUILDER OR OWNER
j �
"`pERMITDATE:�S-- `O�`O�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 leaching facility) Feet
Furnished by
9
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer.
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01ppYication for Migonl *p5tem Con!Aruction Permit
Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) )(complete System El Individual Components
Location Address or Lot No.3�t7 Owner's Name,Address and Tel.No.
Assessor's Map/Parcel D 3 d oR
Installer's Name,Address,and Tel.No Designer's Name,Address and Tel.No.
�ov3��e/d f�n1�y Y fegv&ic.e. fvC L7�c �N�r
b'ok�F9� i-,-ej1a1,q/e? /,�f oZl Y o PqJ� fA>7 �� Zi 1-7
Type of Building:
Dwelling No.of Bedrooms '� Lot Size sq.ft. Garbage Grinder( )
Other 'Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 7� gallons per day. Calculated daily flow / gallons.
Plan Date ,/� —/4 Number of sheets Revision Date 12ay
Title
Size of Septic Tank �S10,4&10� Type of S.A.S. .3 3�a 2E rye k'
Description of Soil,
Nature of Repairs or Alterations(Answer when applicable) /1 ea14—C,e.
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 Environme tal Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by Boar
Signed Date f�d 2-6
Application Approved by Date
Application Disapproved for the Mllowinireasons
Permit No. Q-011L1-00, Date Issued �� y
----------------------------------------
o,! ,� t.l`U� Fee
F THE COMMONWEALTH OrMASSACHUSETTS',_ Entered in computer:
* Yes `
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEs MASSACHUSETTS
ZppYication for Migoial &i tem Construction Permit
Application for a Permit to Construct( )Repair Upgrade( )Abandon( ) ,Complete System ❑Individual Components
Location Address or Lot No.3y' Owner's Name,Address and Tel.No.
-,�, ,�s�
Assessor's Map/Parcel 63 o
Installer's Name,Address,and Tel No J Designer's Name,Address and Tel.No.
Souit'ie ld fAn.�i�,� S���ic e �irG DQc eN&t,
Type of Building:
Dwelling' No,_of Bedrooms ' Lot Size sq:ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures-7 7`//,,��
Design Flow gallons per day. Calculated daily flow �T / gallons.
Plan Date Vcl '46 -0.1 Number of sheets f Revision Date 170rV E„ `
Title
Size of Septic Tank (�,0ltlo.7 Type of S.A.S. 3 Sao /�✓ we AT
Description of Soil,
Nature of Repairs or Alterations(Answer when applicable) /f Cep 114-C 2 ��• /� ,XJd�s
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 Titlee 5 ofof the Environm tal Code and not to place the system in operation until a Certifi-
j cate of Compliance has been issued by t?h-i BoarA f
l
Signed Date �"���"�'
Application Approved by Date l'05---U
Application Disapproved for the llowing reasons
Permit No. Uu�"�U J Date Issued 1- .5''y Y
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CE TIFY,that he On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( )
Aband ned( ) Y iq�1 i v(� ce z v
at N7 3A/7 74�/'7�" /V P OVI'Dws1 Rd has been constructed in accordance
with the provi§eons of Title 5 an the for Disposal System Construction Permit No. ad a q-013 dated ►-S V
Installer �C7y�5�/� /c� Designer Ve
The issuance of this 'rrnit shall not be construed as a guarantee that the sy em ill unction as designed
Date I :Z. D Inspector
---------------------------------------
No. D 0 ` i)o3 Fee r
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS
Mi5po5at *pgtem Construction Permit
Permission is hereby granted to C sthip )Repair )Upg_rade( )Abandon( )
System located at /Q �t!�7 N n X ca-
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 provisio i ns or special conditions.
Provided:Construction must be completed within three years of the date ofth7-7
t.Date: -.50q Approved by j
TOWN OF BARNSTABLE _6�,3
WAGE
LOCATION
ASSESSOR'S MAP & LOT
VILLAGE
INSTALLERS NAME& ONE NO.
SEPTIC TANK CAPACITY N. (size)
G FACILITY: (hype
LEACHIN ,
No.OF BEDROOMS -
BUILDER OR OWNER DATE: �
COMPLIAN
PER AITDATE:
Feet
Separation Distance Between fie' Facility
Maximum Adjusted Groundwater Table to the Bottom ofLeaching ells exist Feet
1 Well and Leaching Facility (if y
I private Water Supply facility). Feet
on site or within 200 feet of Facility (If any wetlands exist
Edge'of Wetland and Leachin facility)
within,300 feet of leaching
Furnished by
I
i
i
All �
ASSESSORS MAP: -, OcO
TEST HOLE LOGS
PARCEL;- O Z 9
22 ,
FLOOD ZONE: SOIL EVALUATOR : �J� ryhl� �+�V NOTES
REFERENCE: ~� WITNESS :
DATE:
W�
K� SSE Qn
Li2iyoPERCOLATION RATE: ) P Y '.�. 1 The shall comply with Title V and Town of Barnstable Board of
Health71 10
Regulations.
' TH- ! TH-2 2) The installer shall verify the location of utilities, sewer inverts and septic
components prior to installation.
3) All septic piping to be 4 inch Sch 40 PVC at 1/8"per foot.
4) This plan is not to be utilized for property line determination nor any other
\ purpose other than the proposed system installation.
6) All septic components must meet Title V specifications.
�` � ) Parking shall not be constructed over H10 septic components.
LOCATION MAP &T5, bq LjIVT 7) The roe is boon
M ... /'� / 1 property rtY bounded b ro e y p p rty'corners and property lines as depicted.
bn Zy 8) The property owner shall review design considerations to approve of total number
/��C' ' of bedrooms to be considered for des' Receipt of a�K�/ / p payment for the plan and
—— M (�GNlfj� installation based on the plan shall be deemed approval of the number of
'11�1 bedrooms.
� �E82 U*,,'L i3 ../477C� ,� /n �{ Y�� 9) The existingcesspools,shall
\ Proved be pumped and backfilled per Title V Abandonment
. 2
- Procedures.
10)Proposed leaching is to be within 36 inches of grade or provide venting or cut
grade as permitted b the Board of Healt
h.
th.
Cl` 11)System components to be 10 feet from water line.
f V SEPTIC SYSTEM DESIGN 12)Existing plumbing to be re-routed to location shown on plan.
FLOW EST I MATE
ILBEDROOMS AT VO GAL/DAY/BEDROOM - GAL/DAY
v � SEPT i C' TANK
GAL/DAY x DAYS -
7 2 AY GAL
USE , GALLON SEPTIC TANK
Y C k16—
ABSORPTION--
-
SO I L SYSTEM
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5 S �95r � 5 �•���,
VC�.,__Zq 406,;_jj C_F- _ _ �5 ,
` S 1 DE AREA k 3 /, I K �
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BOTTOM AREA: Z / p — 71 8_A
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w IC SYSTEM SECTION ( I+.S j
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GAL - d
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SEPTIC TANK; 7Ii1fGt
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1 MASON � � S I TE AND SEWAGE PLAN
LOCAT I ON 'S� c� TT/y�L''G�J7�LU�I �D
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PREPARED FOR :
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SCALE: / = 0
W � DAV I D e . .:MASON RS DATE: /Z /o d3
�--- ' DBC ENV I RONMEN� AL DESIGNS
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EAST SANDWICH . MA
DATE HEALTH AGENT
r ( 508 ) 833- 2177