HomeMy WebLinkAbout0155 SPUR LANE - Health 155 SPUR LANE, MIARSTONS MILLS
t
TOWN OF BARNSTABLE 'f
LOCATION SEWAGE # 99- 38
VILLAGE —ASSESSOR'S MAP & LOT,927-//3
INSTALLER'S NAME&PHONE NO. _4177 035��
SEPTIC TANK CAPACITY /000
LEACHING FACIL=: (type)
NO.OF BEDROOMS
BUILDER OR OWNER /Vriy-G'5'
PERMITDATE: I-2 q-q 9 COMPLIANCE DATE: 3O- t1q b
i
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 facili ) Feet
Furnished by ��2� %��
1
�pvrv' Lh.h�
No. Fees
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Rpprication for 3h6po0al *pztem Comaruction Vermit
Application for a Permit to Construct(--J-I�e_pair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. /$S /�i^ �s�s7 Owner's Name,Address and Tel.No.
Assessor's Map/Parcel !?�1rs os M:Ils 5er^v^X 41voe5
Installer's Name,
Address,and Tel.No. ['l��J'd 4� Designer's Name,Address and Tel.No.
✓05eV/l [/-G
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 gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil sti,
Nature of Repairs or Alterations(Answer when applicable) ;9�1t�7W!/ W 6411 J9,�,% Z,,'114�5
G_6 T- y, 57 o"/;
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 issued by this Board of Health.
Signed zax W � .y1 Date�-29 -9�f
Application Approved by Qp..ti. r �.,� Date�& -9-4'9'
Application Disapproved for the following reasons
Permit No. Date Issued
No. / Fee ;
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
es
'.PUBLIC HEALTH DIVISION,-TOWN OF BARNSTABLE, MASSACHUSETTS
Z[pprication for �BioposW 6petem Congtructiontpermit
Application for a Permit to Construct(repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components
Location Address or Lot No. /S.S-Sp yr e. ZAw-C Owner's Name,Address and Tel.No.
Assessor's Map/Parcel 2 //
Installer's Name,Address,and Tel.No. L/f�f— G7��/9' Designer's Name,Address and Tel.No.
✓oscp! �UUc C�.�rrv5 ✓ose"Wh 0.e 4?"VAV m3
/ L.�9sa� -G f`L1i /'1'li��.5•' � J/D sue!.^G
Type of Building: a
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type_ of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
,t Y: Plan Date 1 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) ,;r&!'Tw// ii�TeV 6.V1,, D to G///sIl
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the fore 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 thi§B�o�ard//of Health.
Signed�__ ._/Z ]e t�� Date 9-29-99'
Application roved b Date ^
PP PP Y -i u^
Application Disapproved for the following reasons
Permit Nb. T- & 25 a Date Issued
———————————————————————— —— =" ————————
THE COMMONWEALTH OF MASSACHUSETTS-
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed(, )Repaired( )Upgraded( )
Abandoned( )by ,fa s cwk (J._ ^- !�, 5
at /4;c_S&,p,e, L-Agsf-e— has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer Designer G'
The issuance of this permit shall not b 1 const, a atg grantee that the s 11 function as • gne f ! '
Date f/ Inspector
No. �7 (% Fee /)
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Mioozar *pztem Con6truction Permit
Permission is hereby granted to Construct(repair( )Upgrade( )Abandon( )
System located at /S'S' S.o�,,00y- Gt s.9 c
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 permit.
Date: 9, ' 7 Approved by 1�
I/6N9
NOTICE,; 'This Form Is To Be Used For the Repair Of Failed
-.-Septic Systems Only.
CERT_M!Q Q:ION OF SKETCH AND APPLICATION FORA DISPOSAL
WORKS C(IJ STRUCTION PE?I?MiT Cwrrt~tre�rrr DESIGNED PLANS)
I �� OV 1
(2�1�zz'�=o 5 hereby certify that the application for disposal wor -
construction 1.permit i. s geed by me dated_�— 2 q—q � concerning the
property locatol at /S.� �,di/ry L�.�c /�� !�/,// meets all of the
following criw-ia:
• The failed system is connected to a residential dwelling only. There are no comm rcial or business
uses associated with the dwelling.
!/The soil is cLissified as CLASS I and the percolation rate is less than or equal to S minutes per inch.
There are nti wetlands within 100 feet of the proposed septic system
d/T here are no private wells within 150 feet of the p tic
•L There is no increase in flow and/or change in use pro
r P�
• There are ns %mriances requested or needed.
• The bottom aft he proposed bathing facility will lg Lbe located less than five feet above the
maximum WIVISted groundwater table elevation. (Adjust the method whets applicable] groundwater table using the Friartptor
• If the S.A.S. a711 be located with 230 feet of
leaching facrJ: ry will be looted less than �getated w^etlauds, the bottom of the proposed
groundwater table elevation, ot�rteen(14)feet above the mLdmum adjusted
!Please complete the following:
A) Tole(It"Ground Surface Elm6oa
(using
GIS infarmacian)
DIFFEREI�i�BAN MAX,High G.W. AdJtutatent,
A and a
SIGNED ; 7 ��
Q.���Prropos"c"Plan of system on bea7 _--� DATE.
SJ/
d7
oQ�I �1�1^ls/'04 w
TOWN OF BARNSTABLE
LOCATION / �� �� /�i �r� �-G SEWAGE # g 9- 38
VILLAGE ASSESSOR'S MAP & LOT,-�27-
I
INSTALLER'S NAME&PHONE NO. 77=O 3
SEPTIC TANK CAPACITY /^O 0
I
LEACHING FACILITY: (type) .3 &mil a,'l �1=��size) Z 2 /3
i
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: 9-2 c-q q/ 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 leachin facili ) Feet
Furnished by
I
_. ..................,-_ - ._. .. _ _ �.
-.. ............
is
i
\sr Y
SD,
/
Y -
TOWN OF BARNSTABLE
LOCATION_���' �, S(�t)<` \,es, SEWAGE # LIT)
VILLAGE I`�at`Sly�,.� MAS ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. , �g�b 36a - 6'aA
SEPTIC TANK CAPACITY
II
LEACHING FACILITY:(type) 'Pcec_a<T Copccf-rp (size) GQe c AO
NO. OF BEDROOMS `� PRIVATE WELL OR PV8= �°°'°"W 3E R
BUILDER OR OWNERc;ame S
DATE PERMIT ISSUED:
1
DATE .COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
�1
r
r
�b� �ron '
L��
N6........ FEB.........................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR?�� H
A -----------------------OF. .........
Appliration for Disposal Works onstrurtion jkrmit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
S at
............................. .................................................................................................
L.;;i;.-Address or Lot No.
or R
y, ..................S..... 4, ........ ...... ---------- .................. .... ...... ........... ..............................................
----------- Address...........................................
Installer Z7, Address
Type of Building Size Lot.A?,P.ZP' .........Sq. feet
U �3Dwelling—No. of Bedrooms--
--------------------...................Expansion
--- ..........Expansion Attic Garbage Grinder (4/0)
N Other—Type of Building ... ............. No. of persons._.___......._.._._._..._... Showers —7 Cafeteria
a4Other fi t .........................................................................................I..................
Design Flow...............% ...............gallons per perso d
.. .... 'rs ay. Total 'dailyftw........31:n"4.......................gallons.
Septic Tank—Liquid capa'city/M. gallons Len�htjr/..... Width-Yfi�...... Diameter................ Depth..,,Z..........
Disposal Trench—No Width.....,.............. Total Length............_......_ Total leaching area_._..._.... sq ft.
�7�---------------
�KSeepage Pit No.. & Diameter.../k....... Depth elow inlet....../..... .. Total leaching area/L. ... ...sq. ft.
Z Other Distribution box_x----(,;7)) -60S
Dos t
. . ..........
f
1_4 Percolation Test Results Perforinded . --------------------------- Date. . ..... . .......................
* - * ............. ...........14 Test Pit No. 1................minutes P i Depth of Test Pit....__..._.._._..... Depth to ground water..-_-............._..-_.
�_4
44 Test Pit No. 2................minutes e Depth of Test Pit................___. Depth to ground water._..........--..........
.............................................................................................................................................................
0 Description of Soil..............................................................................................................................................................
W . ........
-
U .........................................................................................................................................................................................................
W
Z ........................................................................................................................................................................................................
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 TL I TiU 5 of the State Sanitary Code—The undersigned further agrees not to place the s stem in
operation until a Certificate of Compliance has ued b34he board of health.
Signe, ... oDate
I
.. ..... ... .........
iz! ;/..
Application Approved .. ,. .;?D
....................... . .... ......................................... ....... ...........
Date
Application Disapproved for the following reasons:................................................................................................................
...........................................................................................................................................................................................................
Date
Permit No.........2Ei�------------- Issued..................i;;;;...............................
----------- ---------
ii THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF• TH
----- --"----•---------------OF...��,2'€����+� :.... .._
pplir4l iou for Dispoottl urko ono�r�u#ion �Crxmi# li
Application is hereby made for a Permit to Construct ( 4Y or Repair ( ) an Individual Sewage Disposal
System . ..-_.�� .. .............................. - -------• ---- ....-----...-------- ---
Location-Address or Lot No.
•^ ...... ..................... ........•••••-•••--•-••••-••-•-•••••.........._........---••-•--•--....._................._-.........._._._^
W / ner ..� Address
1 J ;r::................. ..._.__._.....
01
Installer }� Address
dType f Building ? Size Lot_Y��!A112---------Sq. feet
Dwelling—No. of Bedrooms._. ___________________Expansion Attic ( � Garbage Grinder
Other—Type of Building ____ .k-__............. No. of persons............................ Showers ( ) — Cafeteria ( )
p' Other fixtur
W Design Flow_______________.�^ .....................gallons per perso er day- Total daily,-flow � It�...:..._.______:._____gallons.
WSeptic Tank—Liquid capacity/ -_gallons Length_ ®_�,✓____._.. Width_6V__:_.�____._ Diameter________________ Depth__;___
Disposal Trench—No._ Width.. .s ft.
x p _ `�-:-----------•• ---t...--•---•--- Total Length---•---------•-----. Total leaching area.-----•---- �,/ q•
Seepage Pit No._ i/. ._ Diameter___,✓y:...__ Depth elow inlet..__.........1`_f-......... Total leaching area. ___�r.1 sq. ft.
Z Other Distribution box (a!) Dos g,4
`" Percolation Test Results Performed ` r� . . ..................................................... Date__ _°'.._.:...__..
a
a Test Pit No. 1................minutes p i Depth of Test Pit.................... Depth to ground water........................
Gz., Test Pit No. 2.................minutes e Depth of Test Pit.................... Depth to ground water........................
P4 •••--•-••-•••-•----------•••--••--••.........--•..................................•-•--•--•-•---•-••.........................................................
ODescription of Soil........................................................................................................................................................................
x
w
VNature of Repairs 6f-4lterations—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 pla/thtem in
operation until a Certificate of.Compliance has e n i ued by e board of health.
Signe .--- . lam:-- _,/,l�
Application Approved By.. = '- ._a_/1./? `"`~-----:z,. "'
.'7 DI ate
Application Disapproved for the following reasons:-•---•----•-----•-•---•-•------------------------•--•------•-•••••-----•-•------------•----•--••--••••-•----
---•----•----------------------•-----••--••---•------••-•-•••••-••------•-----------...•-•---------••••••-------------•-----•-•••---••••----••-----------------------._...-•••---------------•-•••--••--
Date
Permit No.........w -'�------------Y�Z•77------• Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HE T
........................OF...... . ..1.:. ...................................
Trr#if iratr of Tomphanrr
TAWS ISKC70 ,RTI Y- -the Individual Sewage Disposal System constructed ( orRepairedb =
y_ f
r ` Installer
at.-• w .._...--•••'`•`-- /•-•------••-----•-••-•--•------------•----------------------------------•---•••-•_..._--._...__-----•-••-••••••-
ha� been installed in accordance with the provisions of T�IT,Ir.� 5 of The State Sanitary CodeTas des ribed in the
application for Disposal Works Construction Permit N ________< _rz 7______ dated-------- /.�2?1�rQ_:______________
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
der
c:
r THE COMMONWEALTH,OF MASSACHUSETTS ( .j
�; �..�•�•-� BOARD OFH=L /
I
I
..........................OF...f 3 �i .... �.�.
N66 FEE.L:1 __
'Dio o o � Pdion unfit
Permission is h ranted--- = � '.1 -
s
to ConstrG or/Repai an f divi al Sewage I posal System
CJ
at N
�:
--------•-- -
Street
as shown on the application for Disposal Works Construction Permit Now___ _ Dat d........ r .....
----------------------------�. ---------
•-----••-•-
Board of Health
DATE.......
(�_ 9
FORM 1255 A. M. .111 INC., BOSTON
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58'73. OF
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OHN
JACOB�
UPPERCAPE ENGINEERIN N�.y co`'
P.O. BOX 616 °^�cvf L N
E. SANDWICH, MA 0253
v- PIP
TOP OF FOUNDATION
CONCRETE COVER
° — - CONCRETE COVERS
;:.I t •�, ,,,, , fin,err rr r�r:r nnz77,,�7nm7,r,7,_ ELEV S2.0
A ° 4"CAST IRON 12 MAX.
OR SCHEDULE 40 12"f�fAX. ;
P.V.C..PIPE 4' SCHEDULE 40. PV.C.(ONLY)
i j' E — PIPE
- MIN.:' LEACH
{..;,. I PITCH I/4'PER.FT PITCH 1/4 PER.FT
o PIT _ PRECAS
�-=INVERT a LEACNIN
' o EL.�2O . ..: 1 N V E Rj INVERT a�; PIT OR
SEPTIC TANK F / DIST. S w EQUIV
�" ,•a INVERT ' BO1{,.l GAL. INVERT a .,
EL}SQ-.9. .. INVERT �w w .�• 3/4 .TO I I,
[LOY ��` \�9. WASHED
i w. STONE
l � PROF) LE. OF GROUND 1VATER TABLE
SEWAGE. DISPOSAL SYSTEM
NO SCALE
f.15017
SOIL LOG WITNESSED BY
,PATE .. S�' Y'8.6.. TIME. . . . . . . . . . : /I'J� �`��i�EE�1. BOARD OF HEALTH '
TEST HOLE I TEST HOLE 2 ENGINEER
L'EV.,S3•:d. . ELEV. .. .. . . . . . .
..
50.o a DESIGN DATA
NUMBER OF BEDROOMS
TOTAL .,ESTIMATED FLOW .L3�G ,
. GALLONS/UAY
SONI, I 00TTOM. LEAC.HI NG AREA .110 • • . SQ.FT. /PIT
SIDE LEACHING AREA SQ.FT./ PIT
GARBAGE DISPOSAL . ./llQ . . (50 /% AREA INCREASE)
iUl'!+L LEACHING AREA SQ.Fr
PERCOLATION . RAT(=.Ce -7-1'14'1 MIN/INCH
13
LEACHING AREA PER PERCOLATION RATE . . . . . . . SQ.FT.
.? .WATER ENCOUNTERED
NUMBER OF LEACHING PITS OitIE
APPROVED . . . . . . BOARD OF HEALTH
DATE . 707-.vc = 4
AGENT OR INSPECTOR BgCnR/�
•Ilik:.;
OAL Sqy/
/3!9��!�sT!4r3C UPNERCAPE ENGINEERING ACO I z y
. . . . . . . P.O. BOX 616
PETITIONER : E, SANDWICH, MA 02537
.ion !�/. .M.�/�/ SST 362-6281