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Home My WebLink About0005 SCHOOL STREET - Health 5 School Street Marstons Mills -- - _ - - - - - - - A = 031, 011 — ol0, t L } { No. UQ I` 26 7 Fee l au van THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ` Yes da 12d PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2 0(pprication for Oiopool *pgtem Con5tructiou Permit !� Application for a Permit to Construct(<)Repair( )Upgrade( )Abandon( ) XComplete System ❑Individual Components Location Address or Lot No. =01 5-s 41011' Owner's Name,Address and Tel.No. Assessor's Map/Parcel �'M /(S MA,_A el �Zj/ h�va! 031 01 i 0 s6X m m.m.,1/s Installer's Name,Address,and lel.No. Designer's Name,Address and Tel.No. Yk- 3 1957 LI 71- 7.27 2 Type of Building: Dwelling No.of Bedrooms 3 Lot Size P21 9_D sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons b Showers( ) Cafeteria( ) Other Fixtures Design Flow I 10 Aca 1/da4 I."n- gallons per day. Calculated daily flow 3 3y gallons. Plan Date q-1744111 '' Number of sheets I Revision Date Title ` /> • #ew � Size of Sep c Tank Type o . Description of Soil d'1p�� 04�1 1 kf4"' 5� ,4.��,,., �� /1 ,Al-"I S a a- .Sti.e, 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 Certifi- cate of Compliance has been issu by this B d of Hulth. Signed Date Application Approved by w, Date I Application Disapproved for the following reasons Permit --- ----------2� 7 Date Issued — g----------- THE COMMONWEALTH OF MASSACHUSETTS IOG BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed()C)Repaired ( )Upgraded( ) Abandoned( )by at _!9- Sc Gwo, SI'. e6i( Al '/If has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 20#/- 2 6 7 dated Installer Designer The issuanc of this permit shall not be construed as a guarantee that the cyst will nction a s ned. Date Inspector___ � 'W � � T TOWN OF BARNSTABLE LOCATION vn i" - SEWAGE # � I +VII,LAGEJ�`I 8��taa5 ��r jf s ASSESSOR'S MAP & LOT I ; INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 0, I LEACHING FACILITY: (type)o_caa 4,1, (size) NO,OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPftkNCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility N A Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) N A Feet Edge of Wetland.and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by •� �_aas '3 ' ou �o / No. 1 Fee �: / �ryr%+-. THE OMMONWEALTHF MASSACHUSETTS Entered in computer: Yes/ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS !2d 2nb " 2pphratton for Oigooal *p.5tem Congtructton Permit + !� Application for a Permit to Construct(x)Repair( )Upgrade( )Abandon( ) PComplete System El Individual Components 1� Location Address or Lot No. �SQd� S� Owner's Name,Address and Tel.No. Assessor's Map/Parcel 030 o� Installer's Name,Address,and el.No. Designer's Name,Address and Tel.No. MaPtk t 66,rcaws Ca�� 5i F,60., i- r-,7. yk- 30157 y71- 7272 Type of Building: Dwelling No.of Bedrooms 3 — Lot Size P21, 93_Z? sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons b Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 3y gallons. Plan Date 4-/7 41 ---Number of sheets / Revision Date Title st 4 1, C 6J.c� E! 0�o /YQ w�, S �a<_. t•cr+ a ... . Size of Sep c Tank Type of-S.A.S. Description of Soil j P 4C..4 �,-t� Sh-r./r./w,w ys,-%1, A S Nature of Repairs or Alterations(Answer when applicable) 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 Certifi- cate of Compliance has been issued by this B d of Health. Signed d Date Application Approved by Date 1 Arlo Application Disapproved for the following reasons Permit No. 2cy l - ?L -7 Date Issued 57 470 --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS /0 BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed()o Repaired( )Upgraded( ) Abandoned( )by at S- Sc knof 1 sh. Her N4 41,f has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ?Go/- 2 4 7 dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the syst will,f�nction a f dsi ned. Date 7�r1 Inspector 16 )A, --------------------------------------- No. .�bo 1 7 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS lwtzpogaf *pgtem Congtructton Permit Permission is hereby granted to Construct(>4 Repair( )Upgrade( )Abandon( ) System located at S/ Mti i►,<'�/,! 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 provisions or special conditions. Provided:Construction must be completed within three years of the date of this ermit. Date:. ( L U Approved by_ ��f No. `/ / / IT.HE COMMONWEALTH OF MASSACHUSETTS ,. FEE BOARD OF HEALTH A.)� IWICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct Repair Upgrade Abandon [-]Complete System Individual Components PP ) p ) pg ) b n ) ❑ P y ❑ P D�3 oZ 1 Y� UA,0 L00ion DOwnerT ame Map/Parcel# Address Lot#� � ephone# In is Name Designer ame 3® Add ess Address Telephone# Telephone# Type of Building: Lot Size 5D Sq.feet Dwelling—No.of Bedrooms 3 Garbage Grinder ( ) Other—Type of Building No.of persons J/ Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) �,7D5 gpd Calculated design flow 33® gpd Design flow provided3Ss gpd Plan: Date —n-ON Number of sheets Revision Date Title Descriptio of Soil(s) l —\bCo�)\$-�— d `fi�a �, D ��Z� YVIo GPI�ts� Soil Evaluator Form No. Name of Soil Evaluator — Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and fu r agrees not to lace the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed D ow— Inspffro—Ins FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 ------------------------------------------------------------------------ No.n �7 THE COMMONWEALTH OF MASSACHUSETTS FEEIV BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow - (gpd) Installer Designer: Inspector Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 ------------------------------------------------------------------------ No. THE COMZM616ARD H F MASSACHUSETTS FEE �_...� OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. Date Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARREN TM PUBLISHERS- BOSTON f a; No. f T E COMMONWEALTH OF MASSACHUSETTS ,' FEE, BOARD OFI-EALTH - - ..+ LICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT ` 'Application for a Permit to Construct Repair Upgrade Abandon Complete System Individual Components DPP 1 ) P � ) pg � ) � ) ❑ P Y ❑ P KaA hV)0no qc lion (� Owner'` ame MC4 if) t \ C/ 1 .. - 7 Map/Parcel# Address % Lot A J } ephone# i Ino is Name Designer' ame Add ess Address Telephone# Telephone# 'Type of Building: Lot Size, q 5D S q.feet Dwelling—No.of Bedrooms 3 Garbage Grinder ( ) Other—Type of Building _ No.of persons D Showers ( ), Cafeteria ( ) y� Other fixtures x i DesigniFlow(min.required) G 5 gpd Calculated design flow 33(D gpd Design flow provided-3Ss,gpd k �. Plan: Date -n-01 Number of sheets Revision Date , Title�, D Wry �.t l ' �• v1 Description of Soil(s)y" -\�C; '-\bct o_- ,�g"-�--� i U.. , )�++t. y=-��Z" 11�c cr1 A Soil Evaluator Form NO. Name of Soil Evaluator c- Date of Evaluation 4- DESCRIPTION OF REPAIRS OR ALTERATIONS " The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and furth' r agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. % atSigned i` r D / T t {� Us FORM t A;PPLICATION FOR DSCP' DEP APPROVED FORM 5/96 f No. V '_ ov THE COMMONWEALTH OF MASSACHUSETTS FEE . �/ BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5)-and the approved design plans/as-built . plans relating to application No. dated Approved Design Flow _ (gpd) Installer ; a' Designer: Inspector Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No. �' THE COMMONW LTH F MASSACHUSETTS FEELU ` -BOARD OF HEALTH r DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair—( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit NO. "' dated r Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. Date Board of Health s4. FORM 2 DSCP DEP APPROVED FORM 5/96 Y FORM 1255 (REV 5/96) H&W HOBBS&WARRENTnn PUBLISHERS BOSTON TOWN OF BARNSTABLE LOCATION �. o��i! _�- SEWAGE # 7 VILLAGE !'J @K-An45 41 t lf S ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE N0. �1+ i A,� sl E En 4g. SEPTIC TANK CAPACITY 0,, / LEACHING FACILITY: (typezT Gt (size) NO. OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: ` Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility N / Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) NA Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by '3 3- ql ' 3 � S ' y 7G GG �J 3 y y 1 {,If I anim-wim-4-uAWs . t 10 ' 7 . . .- ..I`t 71:T0;•IiYYlD1m � _ - _ • i •1 f I .. .. 12'.�Lle' �r-� ' �FAEAILY' I ! ;' ... .. .. - �+,/x7EayeopernK w'v.• • ?�� l ---'-�- -- -�J� .O - tad t:i3 U:Is T . - I . IVz ir x a ��- "VL SIICJ\TAfLI�` �i ' S r /NASTEQ 51JITE rr. �. 1 d�•, b PATE H•a t t ' r5O8-,42 10./LIDI : >* 1 i + 8.6191 00SHE rRacmr rwst RwMans o cool Alf b I , 10 1;p :A e�C. O - —..-PoR.L►l. t ' ri tr 10 s 14:O" ' 0 14:C1' 1 - ---- PIESTFL-QQV.PLAN k SYSTEM PROFILE r NOT TO SCALE i TOP FNDN FINISH GRADE FINISH GRADE OVER FINISH GRADE OVER EL. 71.5 EL. 70.7 SEPTIC TANK EL. 70.4 FINISH GRADE OVER DIST. BOX EL. 70.0 TRENCH EL. 69.8 RISERS TO 6" OF FINISH GRADE RISER'1'O 6" OF [L FINISH GRADE TRENCH SECTION j OUTLET PIPE LEVEL MIN. SLOPE 1% FOR 2 FT. MIN. (MIN. M 3' _ MIN. SLOPE 1% I 1% SLOPE BEYOND) TOAL LENGTH OF TRENCH = 25' O F6' 68.00 67.78 � — C.I. OR PVC TEES 67.53 =67_41 67.24 o o 0 0 0 - a 67.00 o ® o 0 0 0 0 w o a DISTRIBUTION BOX s' 4' Q PRECAST CONCRETE BSMT FL. 1,500 GALLON o MINIMUM INSIDE DIMENSION 12" 500 GALLON DRYWELLS EL. 64.0 PRECAST. CONCRETE a OUTLET INVERTS 2" BELOW INLET INVERT H-10 REINFORCED LOADING H-10 REINFORCED MININIIJM CONCRETE WALL THICKNESS 2" UN5U174\ ? Ir tiW E:ke L INSTAI'L ON 6" COMPACTED LEVEL BASE SEPTIC TANK NOTE: lr' MIN.36 MAX I INSTALL ON 6" COMPACTED LEVEL BASE ELEVATION OR LOWER TO 4" DIA. COVER DOUBLE1WASHED E-XCAVA'I E TO DESIGN \ REMOVE AT T,IMPERVIOUS MATERIAL BENEATH THE __ _ ___ PEASTONE LEACHINGi AREA. REPLACE EXCAVATED MATERIAL WITH CLEA 1, CLAY-FREE, SAND. 3/4" - 1- 1/2" \ o N a \ DOUBLE - WA SHED.^ C= o CRUSHED STONE 4' 5' -2" 4' GENERAz, NOTES f 13 -2 <f E 1. ALL ELEV,,,TIONS SHOWN ARE BASED ON ASSUMED TRENCH WIDTH STRJ- 2. ALL PIPES IN THE SYSTEM MUST BE CAST IRON OR OL E NUMBER OF TRENCHES — I Sal , 00�� .�D� SCHEDULT 40 PVC. SC 48 NUMBER OF DRYWELLS 2 N G u N 73 8' 3. HEAT.T H./.+- '^ ,'r;. n Tr -Rr:-TCT ANTI -,FNTC_;TN�F�Zw 1vTI?CT y 1_71 M O2F 0. S. BE NOTIFI .L WHEN CONSTRUCTION IS COMPLETE ! _._.. PRIOR TO 3ACKFILLIr1G. 0B'3._IZV A € PIT 4. ANY CHAI'GES IN THIS PLAN MUST BE APPROVED BY P#9942 THE BOAT D OF HEALTH AND CAPE &ISLANDS PERCOLATION RATE: ZMIN./rnT. ENGINEEI LNG. WITNESSED BY: G. Harrington DESIGN DATA 5. MATERIALr S AND INSTALLATION SHALL BE IN Barnstable BOARD OF HEALTH COMPLIA; CE WITH THE STATE SANITARY CODE DATE: Apri 17, Zb01 RULES AND :PIT #1 PIT #2 NUMBER OF BEDROOMS _3 S T�� (TITLE V;AND LOCAL APPLICABLE U REGULAR`ONS. 0' -A- 0 GARBAGE DISPOSAL _NO 6.-NORTH-A? T W IS FROM RECORD PLANS AND IS NOT LOAM DAILY FLOW _330 GAL. 1 OYR 2/2 TO-BE US .;) FOk SOLARMRP�S�____` 18" _B- 12" SEPTIC TANK REQUIRED _ 1,500 GAL. 7. WATER 51 PPLY:v TOWN WATER _ SANDY LOAM SEPTIC TANK PROVIDED _ 1,500 GAL. � viii,00 �~ti� �4' moo, 39' 8. FLOOD HT.ZARD ZONE: C (NON-HAZARD) 10YR s/a 42L LEACHING REQUIRED _330 GPD. h � i n ii �p°0 �� i ��" � FLOOD Pf,NEL 25000 0015C, REVISED: Aug. 19, 1985 48 -C- w TER sERvicE iG6 ��Sw 9. THIS PRO —CT DOES NOT INVOLVE ANY PHYSICAL SIDEWALL AREA— O �` 0 0 '� w GROUND DISTURBANCE OR VEGETATION REMOVAL 152 S.F. x,_0.74 G/S.F. __112 GPD #1 /40 ��04 ��5 INLAND OR COASTAL MEDIUM BOTTOM AREA=_329 —S.F. WITHIN 00 OF WETLANDS, ' 4 1$ y ti ti o SAND 329 S.F. X 0.74 G/S.F. -_243 GPD �l 2l' ti� �� ' BANKS O..FLOOD HAZARD ZONES. ►OYR 7/2 - 11 LEACHING PROVIDED = _355 GPD ' 1 .I6.; 6 ° / w iti LEGEND 132" NO GROUNDWATER 132" LOT 10 29,950 S.F 70 PROPOSED CONTOUR SINGLE FAMMILY RESIDENCE #2 70—- EXISTING CONTOUR , PROPOSED SEWAGE DISPOSAL SYSTEM nN ti, OBSERVATION PIT PREPARED FOR � ❑ DISTRIBUTION BOX MARGARET FITZG I BBON HOUSE 9232 (LOT 10) SCHOOL STREET o SEPTIC TANK BARNSTABLE, MASS. 15 08630 W 2 LEACHING TRENCH �X I ST I fJ S �4 ®l OF_\ PLAN NO.: 041701 SCALE: AS NOTED =ca-rcua IN ,�� r�s RESERVE, RESERVE AREA FILE NAME.: Fitzgibbons Septic DATE: APRIL 17,2001 E;Z0AVID r O PIPE INVERT ELEVATION Q � ��A; DISK NO.: DRAWN BY: E.L.Y. : Oe�l:�n�iL�S 1 �a� 70.00 26085 I Cape & Islands En ineenn PLOT PLAN Oil 10 232 rJ1 'qr �n,�R %� 800 Falmouth Road, Suite 301C �.U" �� SCALE: 1 30' - Mashpee, MA 02649 (508) 477-7272 137 BA — MJkP SEC PCL LOT HSE 69 __..-