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Home My WebLink About0013 TROTTERS LANE - Health 13 Trotters Lane ivlarston' Mills A= 047 -- 134 t' i i I �i i TOWN OF BARNSTABLE � O T'ION 13 SEWAGE # VtL-AGE //'/,0k9/VMS IV IX ASSESSOR'S MAP& L6Ty�7_ /-Ty INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /000 LEACHING FACILITY: (type) 4,fa I03V /oPss (size) 412,r Y 6' X 2 r NO.OF BEDROOMS 3 y BUILDER OR OWNER PERMITDATE: �`' � �??lJ / COMPLIANCE DATE:�_�2 _U� 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 le ng facility) ��o Feet Furnished by �� s�_ i4�� t ` �. No. r / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: A/ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZippYication for 30fgpooal *pftem Construction Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot✓o.Ye/J�hs L�n 1h•�^^' I S Owner's LName,Address and Tel.NJ o. SV$ Y2 S fib YR Assessor's Map/Parcel 49'V7 ,r,/,.5� /�y � Installer's Name,Address,and Tel.No. Designer's Name,Address an4 Tel.No. JO�h fa I1� �Uh h f�G I 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 "3 D 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 D�y Nature of Repairs or Alterations(Answer when applicallle) f h s G l�i f?`�r''� i s �� Iv�•1 e�t 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 oard o He lt-h..� Signed Date Date Application Approved by ,< �, c Date Application Disapproved for the following reasons Permit No. Date Issued No.,Ra a r . /A, � . Fee7-7 x' g THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ae Yes I^ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for Migozaf bpgtem Construction Permit x .,4*"-Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �— Owner's Name, 's Name,Address and Tel.No. SU,} �vo�rs Iir u/ /�a l�o �(. ' Assessor's Map/Parcel e)y7 —/�y 0 7L lr /3 �Cij�f/vy t fY��I/s u Installer's Name,Address,and Tel.No. Designer's Name,Address anq Tel.No. �. Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 O 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 sA•+�y f Nature of Repairs or Alterations(Answer when a lica le) G h 1, � 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 th s oard of H l_th Signed �/" L� !�L�— Date 7 Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued `�loolow� ——————————— ---———————————————— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTI Y, that th OnMe Sewage Disposal System Constructed( )Repaired(�Upgraded( ) Abandoned( )b v�'�' G' at /�✓ �ry <�' ah.P has been constructed in accordance with the provisions offide 5 and the for Disposal System Construction Permit No'�-.4V dated ts' -F Installer Designer The issuance of this f permit shall not be construed as a guarantee that the syst will function as desig eel.. Date 1 a Z/D Z Inspector < <..�, �N n� — —[/—f ----- — — —————————---————————— . Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS ig oar *proem Construction Permit Permission is hereby granted to ( )Repair �)Upgrade( ) bandon( ) System located at /3 /No �r, ap , 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 t��t. Date: _Approve � / U6i99 & NOTICE: This Form Is To Be Used For the - Re pair Of Failed Septic Systems Only. - 0,117— i3`l CERTIFICATION OF SKETCH .AND APPLICATION FORA DISPOSAL WORKS CONSTRUCTION PERMIT (7V=0UT DESIGYED-•PLANS) hereby ce:-afy that the application for disposal works construction permit sinned by me dated — 'L 7—0/ contemns the properry located at /�✓ �� 6s Lu• e /J//,M meets all of the followina criteria: or The failed syrem is tonne.-ed to a residential dwelling orily. There_are no commercial or business uses associated with the dwe!line. er The soil is classined as CLASS I and the percoladon rare is less than or eoual to minutes per inch. There are no wetlands within 100 fe`t of the proposed septic s,,sern Q'_There are no private wets within 1-40 feet of the oroposed septic srsern .e- There is no incense in flow and/or change in use proposed There are no variant= requesed or needed h' i ne bottom of the proposed leaching famlity•vill not be located less than five [eet above the ma amum adjusted groundwater table e!evadon. (Adjusz•the groundwater table Mina the rrunptor method when applicable] t,l !f the S.A.S. will be located with_�0 fe`t of anv vegetated wetlands. the bottom of the proposed leait:'ung facility will not be located!ess than foureea(1,,) fee;above the maximum adiused groundwater table e!evadori, Please complete the following: A) Too of Ground Borate 3:eiation(ulna GIS information) - 11 B) G.W. Elevation qY_ b_the NL� (. FLi,h G.W. Adjuszmeat DIFFERENCE BE Ti-WEEN ?.and 3 SiGvED : DAT'c: 6` 27—D� (Sicete`t proposed plan of s.s e n on backj. 1 �r L f 1 '�A I ° �- TOWN OF BARNSTABLE �( . LOCATION 1 �'�ltP�°� 1/0 SEWAGE VILLAGE MAkSIO,05 IYII&C ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. J�C, A/4o ' SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �,�h 4,114,61 /Om.f (size) 412,016' Y a' NO.OF BEDROOMS yt BUILDER OR OWNER /lak�� Aa As PERMITDATE: L�97-2422 s 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 jy�d Feet within 300 feet of leaching facility) Furnished by ' ' gle'a 96 ®p No.........�s. .. �� 3'� Fns..a, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r�Du�t I Appliration for Disposal Works Tonstrurtuan Prrutit Application is hereby made for a Permit to Construct (y�) or Repair ( ) an Individual Sewage Disposal System at .... Q. _._._._. ........ .. ......................... ----...:/":-� 1. ------- --- --•--•-- -------------- W t n ner ress � r , ././ �/....... . c h, i-1D'v---�r..G._ .-• io ---- . t -- .. ]�� ...... `. Ow ddress � ..... � ............................ __J a . . nsa Address _ ......... Type of Building 3 Size Lot.. �._..3..�....Sq. feet Dwelling—No. of Bedrooms............... Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building tQ&)..... No. of persons....................... Showers Cafeteria ( ) dOther fixtures -----•------------------------------•---•-------------....-------- W Design Flow............ . ..................gallons per person per day. Total daily flow...........M.........................gallons. WSeptic Tank—Liquid ca.pacity%a®9....gallons Length....... Width....--?`�-_....... Diameter.....hr._....... Depth.....5. ..... x Disposal Trench—No._-_.-_---•-------- Width-------------------- Total Length............... g ,� �..... Total leaching area....................sq. ft. Seepage Pit No..._._�..____._.. Diameter......... ... p...... De th below inlet6 ........ Total leaching area.. _. .._ sq. ft. � Z Other Distribution box (X) IDosing tank ) Percolation Test Results Performed by...._.._4�_F....�lhh-.�.._.. Date.......... '% _� ...._.. a7.....-•---•-•-•-•-•••--- . Test Pit No. I...;t ___minutes per inch Depth of Test Pit....�_........... Depth to ground �`� r1rq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.1--•---_--.-----------. a -•-•------••----------------•-•---••••---.....---•-•--•...-----------------•---•-----------.....---.........------....---.........-•-----•-•----•••--•--•-- ODescription of Soil .................... ----------•-------------------------------•-------... ------'................................. W UNature 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 THTIE 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 th boa d of health. Signed..... .../..:8ie ......................... ... Date ApplicationApproved By....... .....6....•-•----•..............•---...---•--•----••-----••--........--------- Date Application Disapproved for the following reasons:--•------------------------------------------------ ............................................................ ..............................................................--------.....-----•------•--•--•----------••---•-•----.........------••. --------•-----------------------•------------------------------ v Date Permit No....... ...-�•---•-------•---..................... Issued..`...... ./.. 7�•---.......-•--•--- Date I —Now �� No ' i ......... Fsa...............................� u:+TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH' 4, ....................OF*.......... S•-...!�a�!-. ..... ...-----.._.._...._.._....._.._ ' Appliration for R.4pos al Works Towitrar Lion, Famit ta•�, }y. Application is hereby made for a Permit to Construct ( or Repair ( 4 an +Individual Sewage Disposal System at _ .. -- Lo ation- ress or Lot No WOwne�y r� it��f!!'� .............. ( _....*��ddress ice' . $4 1:4-- Installer Address Type of Building Size Lot_____ _________:+______..Sq. feet �., Dwelling—No. of Bedrooms.__.. Expansion Attic ( ) Garbage Grinder ( Other—Type ) e yp of Buildin g ��:6�.. ��!t�No. of persons._.____..___�________.__. Showers ( �) — Cafeteria ( ) Otherfix,Lures .. .................................................... W Design Flow___..___.____ Q__________________gallons per person per day. Total daily flow..__._.____Ila_,_r_.__.____.__......gallons. WSeptic Tank—Liquid capacityQR)...gallons Length:__.:_.6 ... Width..... Diameter-----4`....... Depth____«S'_..._. x Disposal Trench—No..................... Width.................... Total Length....................,Total leaching area....................sq. ft. Seepage Pit No......_:......... Diameter.....,...1�+_:...... Depth below inlet........4_._-_.___. Total leaching area___.?4�4'....sq. ft. Z Other Distribution box ( Dosing tank ) . '"' Percolation Test Results Performed by . ..___ Date._._.._.__ .. __ •. a Test Pit No. 1__-2.t0___minutes per inch Depth of Test Pit____________________ Depth to ground water... Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water...................... , O Description of Soil- ---- --• ?� .................... - :. V ------------------------ -------_.... .............••-••----••-.....:.......................................... Wt �'�;...-p 1 p.:,.. 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 TIT`" y g g p y 5 of the State Sanitary Code— The undersigned further reel not to lace the system in operation until a Certificate of Compliance has been issued by the boapd of health. Signed ------ ---------- �'._. Date Application Approved By..............f•---•C -------..._-••-..-==--`-`-=-•-... --- Date Application Disapproved for the following reasons:................................................................................................................ t; •........................................ �---------....__.._.....--•--•------•-------.......------------------------------------------------------------•--------------•----•------••------- 4 � Date Permit No._..._'.'............................................ Issued.--•-•--- ---�f-'---- .._..---•--.. u------ (. Date 4P _. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........1............................OF........... ..r `..`..:.:.............._............._.._......_........ .. (9rdifiratr of TrranpliFanrr L THIS IS TO CERTIFY, That the Individual Sewa e D o al� stem constrt cte or Repaired ( ) b _.... _ a--f P--e-(-. ---------------------------- a ller has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction,Permit No....... _% ______________________ da.ted__ . �/....... f THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. - ,� DATE.............. :. Inspector: - `[HE COMMOryVNEj'LTH OF MASSACRUSETTS' 4 BOARD,,, OF HEALTH t ._...__...:. `..._.._... FEE..........:. Disposal orkli Tnn#r n r tt Permission is hereby granted........ xP-- '' t to Construct (*' ) or Repair ( ) an Individual.. age Dispos System at No / / a Street // as shown on the application for Disposal Works Construction Per o _ _____..... ated...........:................:... ....... t a. • ", /�� f '-• -•- r Health cJ� ------_.. Boa"d DATE•-•- --•------------------- -s''.___'_......----------...--•---- - ' 14 k?FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - '� -; - r ,- - + Al36 - 36 - 2.:1E7 Pt LoT M , , 0 M S6P7rc 2 : a� \ ^) `L7 O( 31 WELL Tip TT r BERT ' . P. m r o BUNIKIS ry No.22162 O rs, 9oF G/STE Fss"ONM- LEGEND CERTIFIED PLOT ,PLAN EXISTING SPOT ELEVATION t010 EX1STING�' CONTOUR "— .. .... 0 - _ a L.o-T z. l %p07-7-tf2'S L.�gNE . a FINISHED SPOT ELEVATION I0 FINISHED CONTOUR ,----..._._ p -. . M q l2STw �s All.LL`S_ :.:. ....� I N ' APPROVED : BOARD OF HEALTH D,ATE " AGENT SCALE : _� 40 ' DATE 1012-3 7� £CORED E ENGINEERING { - CO. INC 7,E,vKc, i� CLIENT ...... I CERTIFY THAT THE PROPOSED EGIS -ERED� - REGISTT EDI JOB N0. 7?,-o 90 BUILDING- SHOWN ON THIS PLAN CIV�IL LANF CONFORMS, TO THE ZONING, LAWS ENGINEER SURVEYORS DR. BY — OF BAR t�ST STABLE , ASS': +� a 3� chC�!'MAIN ST. . ?I2 ,vIQ��,N ST. CH. BY P ' , SO YARMOG-TH - MASS. HYANNI ,'� MASS. DATE ' REG. LAND SURVEYOR': i { SHEET_ Of.__. _ ;.. Lam,` ciT ' E TAnIKRM//V. %107' N r� ,LEACA411VG .o/T :MORE''7714�9,,V /2..5E40J4V ra"RAO�� /� 24j.4�/AIv1 EYES CCNCiPA r C COfYE.P ,:r = Ss"iPliC PIPE •Sl,IAL.L BE /9u0416A1'r TO 'GR.�i L7E,.('A/✓ EX7'RA1 CONCRETE h'E.4Yy CAST /RO/1N C®VER S/�+ALL QE USE.0 o oO• coPERS N 1F/ ,CUR VE/ Jw.4 Y e:. p PE.p FT � 2 f MiN. f�- CO/VC.e�TE ° /_ 4RAOE CJVER CLEAAl .SAND j LI<RUID LEVEL I 4" CAST av uc.z.. _. p SLAYER IRON P/PE O Q / -I o.j M/N. P/TCN GAL. o D a Clo / • •fi. ,.. . . 1 i o n C1F �B - �B %4 PEPC FT. SA PT/C TANK a� D/ST, p�h I • •' • .= e, e • 1 1 m n nA WASHED S7?�NE BOX o .••. � v v C 1 • oEFFECT./VE `. .-�. - 3/Q;ri_ � f2`�� .. v n i • o 0ZPTP! • • • 1 • o r . ;�',p:•. i�.i:.• _:< :. .. .ti.. .,�. WASHED STDiYE e o y v a 1 • • • o • o • I o b' p 6 p — P/?ECA5 T SEEPAG E !NI/eRT ELE1�A77oNS o ► • • • • • . • 1 1 ' e o P/7 OR EQL/IV INVERT AT BU/LD/MG 9 7.O FT. 6 FT D/AM. INLET SEPT/C T.4/VK ''6.S FT. D/A ..f C SEEW-WVLATION> OUTLET SEPTIC TANK �•�FT." /I1/LE7-D/STR/t3UT/ON BOX 9 6'c' FT. SECT/ON O.� GROuNo lvX17---R.TABLE OUTLETD/STR/B/JT/UN 60X 9 S"/ F7 SEWAGE AViSPO4SA L .SX..STEM /"LET LEACH/Iva pY7- g4.9 Fr. = 7igBULAT/ON LEACH//VG P/7- - DES/GN CR/T /� L�/MENS/OA/ A 6 FT. NUMBER OF BEDR00/y,g _ 3 _ D/MENS/ON C 4 F7'^��'�• G,4RdAGE0/5P05AL UNIT SO/L LOG TaTAL =aThVlATED F1-0AIV 3 3 y GA4.140AY DSO/L 77E5T 44-1 SO/L TEST*2 .�O/L TEST NUMBER OF LEgcr//NG p/rs_ I fELEi! `l 0i0 �^-ELFY•_ ,DATE aF SOIL TEST S/OE L.EACH/NG PER P/-r FT. O ' RESULTS JOvJTNESSED BY - _un// r<[ s 907-TOM LZACH/NG PEER 01/T? $Q. /CT. 0 3 f'L`RCOZAWOJv RATE / 2 � �-(�C� LosF M �- � M/Ni//NGN TOTAL LEACH/NG AREA SQ. FT. Sv/3 so��- - ' _ RCOL4T/oN RATE2 M/N.�INCN= RESERVE LEACH/NG A,QEA— SQ. FT. 5'r D 2 L E R08ERT; o P. w MTZ 5 TO Als o BUNIKIS ti _ I p No.22162 p �o Fc/sTE�`w 7/2 IMA/N ST 33 ND. MA//V..S ss'ONA1 E!� NO lrROUND_.lNi4Tt=f� �/VCDU/VTL�RL�O " HYANN/3y MAsS SO. YA/?MOu.TH�A-1 5•5, ✓OB NQ. 7 0 SHEET 2-0F r .. LO CAT 10 SEWAGE PERMIT NO. VI L',LAG E � .�a�� I N S T A LLER'S NAME �i ADDRESS "Joe C67 BUILDER OR OWNER DATE PERMIT ISSUEDO DATE COMPLIANCE ISSUEDT�e�'��— z p3 \ � . �2 #