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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 �s / �� -- - -tl� ���� v 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 AV674i� jig '1✓.,✓1 � r • (32- 5 S �95r � 5 �•���, VC�.,__Zq 406,;_jj C_F- _ _ �5 , ` S 1 DE AREA k 3 /, I K � 7— BOTTOM AREA: Z / p — 71 8_A : ' , , rca�es+µ "skv tuas � �✓ ?, _+a , ,raw s I3 7 ., _ i w IC SYSTEM SECTION ( I+.S j C AA �l �. �1. '. O O �i � GAL - d max, I fit' v t qP SEPTIC TANK; 7Ii1fGt r � I n _ d 4 •� e02 l Nol.� Ob �A1IlD '§ 1 MASON � � S I TE AND SEWAGE PLAN LOCAT I ON 'S� c� TT/y�L''G�J7�LU�I �D N1�9 ,o , PREPARED FOR : 00 ' D o o ',►�"9, �i� v.elra l; cw tyd, r� ° Af �i4 SCALE: / = 0 W � DAV I D e . .:MASON RS DATE: /Z /o d3 �--- ' DBC ENV I RONMEN� AL DESIGNS s EAST SANDWICH . MA DATE HEALTH AGENT r ( 508 ) 833- 2177