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HomeMy WebLinkAbout0141 TROTTERS LANE - Health 141`'TROTTERS MARSTON$ MILLS A = 032 015 i 1� I I TOWN OF BARNST LE LOCATION LAWE SEWAGE # VIL LAGE. Miq��fa�5 ASSESSOR'S MAP & I OT n L� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ��l (size) /(�OVC� NO.OF BEDROOMS BUILDER OR OWNE PERMIT DATE: QO 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 } ,` ➢1 , G u S T 15 TOWN OF BARNSTAPLEAA5 , LOCATION SEWAGE # n� ASSESSOR'S MAP & OT n VELLAGE M 1 f a i l INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING.FACILITY: (type) 1.�U��� j� ( (size) NO.OF BEDROOMS BUILDER OR OWNS PERMIT DATE: n © 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. 1 on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist Feet within 300.feet of leaching facility) Furnished:by n � JI No........�................ ,S Fss..3 ................. 1 : THE COMMONWEALTH,OF MASSACHUSETTS ,_,,�.,BOARD HEALTH Applira#ion for UiipnoFal lVorkii Tatuarnrtion Frrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: Location-Address - or Lot No. ...../for a.__Noms......................•-•--------•--...........---- .......................... W a W , r Owner Address Installer Address Type of Building Size Lot____ �_--------Sq. feet U Dwelling—No. of Bedrooms.........____...............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type.of Building No. of ersons____________________________ Showers a g ---------------••----------- P ---(---->--- Cafeteria ( ) Other'fixtures ---- --------••-••-•- --------- Design Flow-------- ..... ...........gallons per person per day. Total daily flow........... ................_....gallons. WSeptic Tank—Liquid*capacity_/&V..gallons Length................. Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width____.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No.......... .......... Diameter_._.0___....... Depth below inlet__-----�..._.__ Total leaching area...Z 6_l .....sq. ft. Z Other Distribution box ( �) Dosing tankY) /, ° , Percolation Test Results Performed by............. ._ 3—? 7 _----- Date_ -.-'- 3 •-•--------•-••-••----- Test Pit No. 1................minutes per inch Dep Test Pit.................... Depth to ground water........................ fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 �•--•-------•--------------------------�--�------•-�-•-----......_..----.....------•--•-•-•---..........•-••...---••---•-....•--•-....._._.....�...-•••••-•--•--- txj xt - t_;-- ° - /� ' /C r- �_ ___ G � rO Description of Soil..__.' GLA0,it ° w dr ----------------------- -- s ---------•---- 40 � ---------------- ---•-•---------•••--------------------•--•---- --•_._ :. ......................... -.....................-k- -- ---- ................ 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 TITIE 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 the board of health. /© � ,ned-•- -----•-• --•--•--••�-G�,�?�.. ............ .....•---•-•--------•-•- --••-z' D tie �--•-- Application Approved By... :_____ __.�:... . . _ .. .. ----- ••. --.— -- Date D 1 -_----- at Application Disapproved for the following reasons---------------••-•--------------------------•-••----•--------•--------------•----------..__.....----......_._... 5 Date PermitNo......................................................... Issued...-j----•---•-z-------------.......-- ---------- Date r , No..............`. ....... Fin$. �............... THE COMMONWEALTH OF MASSACHUSETTS M BOARD O f HEALTH ...---...... ? /.)..........OF..........�6 ./.'......................................................... Appliration for Diopoottl Works Tonoirnrtion Permit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: n 1 i t J ....... • ••.... / I Location-Address or Lot No. .._.! Gc�I �'OY11P !'�ri� �n�f� Yl c�c )at/fhw,c� r ..^ ...............•••----•-•..............._.............. ............._.............._..•-•--•............................................................ Owner c r Address u1IdC S Jervif ... ......-- ........... Installer Address d Type of Building Size Lot_..Z U U? '.__......Sq. feet Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) pa Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ---..•--•---•-•-•-••-•--••--•-••••--••--•-•--- W Design Flow........ ....:�...........gallons per person per day. Total daily flow.......... 56.....................gallons. 9 Septic Tank—Liquid capacity..02Q..gallons Length................ Width................ Diameter................ Depth................ W Disposal Trench—No. .................... Width.................... Total Length............:....... Total leaching area....................sq. ft. x l ® � (� 1 =� .... Seepage Pit No..................... Diameter....�..__.......... Depth below inlet_.._..._..:.._._._ Total leaching area....:. sq. ft. Other Distribution box ( /) Dosing tank Percolation Test Results Performed by.............. ............. Date. .:.. 3' 7 7 aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------•-•---------------------.-.............. -........... ..... .=..------------------ ------ ••------- •----•--------- CcGseO Description of Soil...... La vbsoi ° / ' ............•-••---------•••-•----••---•------•- ----•-•- w E.L -- � �-D .... - ---- ••-•---------------•........................................................ I EP ------` . .. . ...................••- 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 TITt S 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beyeJn�issued by the board of health. %K C%tom.... ........ 1 <Z Signed---•---•-�•�...................:l?_..:� .....7. D Application Approved BY-- .1,-.....`�/.,_'�`.,1._! !1.. ..... C _ • , Date Application Disapproved for the following reasons:-------•-----------------------------------------•-------.........----------•--•-------------•........•----•--•- .............................................. .....------------------...................--••-------••----••-•-•-•-••--••--------...---•---••-••---------------•--•-----•-----......--•---•-••----•••--- Date PermitNo........................................................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD Ow HEALTH ............. ?::Ll A........OF.............1!. �.��LJl2.............................................. i (9rdifirate of Tomplitanrr THIS)IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by =•-•-. .(-�'l!l:!U7`•'...1......... :.............t--•...-----Install--- ......- .... ...------.......................................----^---- . er at........ ------ =/_ .•/ .: I-- / -( ' /= '--•-------•---------------•----. --......----•------•-------------------- has been installed in accordance with the provisions of TslTI�",j 5 of The State Sanitary Code as describe in the application for Disposal Works Construction Permit No.h_�-'"....... ......... dated------- -_3.........� ............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................................•----•------.........••-••-............_.. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS -� BOARD OF HEALTH / -/ 4,� OF........ .��!�G:xi...........•••••-••-•••......--••••••••....... -� No� FEE........ ......... Disposal rko Totio#rnr#ion amit Permissioneby granted---- -•---------------•--------•- .............................................................. to Constr tt ) or Repair ) at> Individ al Shwa t is gsal System 1 . Street as shown on the application for Disposal Works Construction Permit N .-_-___-• ____-• Dated.. G PP P --------•-----•------.--- �� Board of Heal yh� DATE......................... _r_1 - '... ........................• I FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS /i136 " �ZI (�3 `y o /o"-< CST � r v� j o v E .� o , 74' 03 �— S 360 O T 772!lf�`S LA A/E f 1 f t IROBER11 yGr+ �y» P, N a P No.2216?�O R �FSS10N ;L LEGEND CERTIFIED PLAT EXISTING SPOT ELEVATION . 010 — EXISTING CONTOUR 0 Lo T /4t 'T1en?-r-='ks FINISHED . SPOT ELEVATION ;0 01 `' - FINISHED CONTOUR - p II'1.A2 �T gAfS ' APPROVED, BOARD OF HEALTH �� 9AiIk) SSTA�3 ���,.�s� > �. DATE , AGENT -' SCALE ' / — DATE t 2 c L DREDGE ENGINEERING CO ING' J ' :.. _ . CLIENT . _. . _ . I .CERTIFY 1 HAT, 'THE' P OPOSEO EGISTERE[� REGISTERED) JOB NO. 8D0 /Z. BUILDING SHOWN ON THI$ 'P.f� AN ;.'• CIVIL LAND CONFORMS TO THE ZONING: :L6'1S;. :.' IENGIN ER SURVEYORSDR A /— OF BARNS E; E , �t -33 NC MANS 7!2 MAIN >T CH. BY aF Z SO. .YARMOI.TN, MASS. HYANNIS, M $HEE7__�._ OF _..__ DATE EG. LAND SURVtE.YQF . EfyC AV//VG P/T ARE MORE THA,-`✓ /2II SELON/ — 'r/�•'i0E 24 "rD/AMET,ER CON C.4FFTE CO�YER /D FT. M/N. SHALL 6►E BROUGHT TO aO?AOE. (�-4/✓ ,EX7'1E'A E r�oVC P/PE CONCRETE HEAVY CAST/?O/Y Co�/ER Sf�ALL L3E US -d M/N. P/TCN IF//V ,OR/✓EyVA)e EL c✓. I 0 3. O CO vERS , _ IB _ 2 f M/IV. CO/VCR�TE _ GR,4oE � CC.) ✓ER CL EAN .SAND 77 rl L/Q[//U LEVEL L d 4" CASTL. imp oI lop, - 2+Lf1Y�/2 /B IRON P/PE o C.IF /�49 J ' �0a 0 o � � GAL. ° o i • •�• • • • • / / p ' WA5HFD 57bNE SEPTIC TANK f D 1ST, o ti , , •I . • •. 00 o LL q BOX 11 � 8 • . • . • e a.'. �+ o v v 1 1 •EFFECT/✓E ' ` ; c 3/4., o ° � 1 1 • DEPTH • • ' y � o W.45NE0 STONE 4 1 / $1 • • . • • 1 1 w{�— o PRECAS T SEEPAG E o ao 1 • dip o •• • . 1.� D PIP o o c t� 1 ■` • • • • • 1 1 e o PI7 OR EQU/V. /Niie/CT EL E�A-rl o v S EL,, 9 Z ,C� - __._ �C.._._. - °` INVERT AT BUILD/NG l U 0,U FT G F_7- 014M. r` —� C SEE T�ULATION� INLET SEPTIC TANK 99, S FT +_ _[O_ FT. /Al+'!. _ OUTLET SEPTIC T.aNK 99.3 FT- GROuNU rtl,ATER TABLE ' �= //Vi(,ET D/57RIA5417I40N BOX 9 9 'd FT. SECT/a/V OF ' OUTLETD/STR/BUT/UN BOX R'� FT. /NLcT LEACH/NG /�iT 98.0 Fr. SENl.4GE O/SPOSAL SYSTEM TABUL AT/D/V LEACH//VG PIT � SCALE %4 ' _ / - O" UIMENS/ON AFT. DES/GN CRITERIA D1Mz1V510A1 /^f NUMBER OF BEDROOMS •3 D/HENS/ON C_�—FT. M GAR6AGE0/SPOSAL UNIT SO/L LOG SOIL TEST TOTAL EST/M.aTEO FLOAv_- 3 GAL./OAY. SOIL TEST !d�/ SO/L 7e=5T�8i2 / 1VUM8ER OF •c�AcHw6 ,-ITS_ / f^ELEK /0O0 �`-EL�Y _ ,DATE OF SO//- TEST S/DE LERGH/NG PEK P/T _/ 88—SQ, FT. 4 RESULTS PV17`NESSEp BY /�' 6 C!N/K S BUTTUM LE,ACN/NG PEK P/T Z�—S4. F7� PG`RCOLAT/ON RATE #/ L-�5S M/N�/NCH TOTAL LEACH/NG .4�QEA 2� b SQ, FT. G ,, Z PERCOLA7-10/V RATE 1�2 T'`f MIN;//NCH_ Sv/3 so /4- �.O . RESERI�E LEACNlNG AREA_ o y `L.a-1v E IV)I}-1Z 5 TO IVS L S. 1cl A EL DREDGE ENGINEER/N4 GQ,1NG. s�►�o y ri .22 -2 / y. . 7c�i/ L 7/2 !►JA//Y ST 33 ND.MAIN—s- � ' ®-"NO G/�O(JN/7'YYr4T-.LaR' ENCDCJNTERED" . /NYA.wN/S ,MASS, _• SO YARMO//TK�•MASs b�. - • --- _ .� ,�aR' R A 7- .f ,> - •:ND,'=-,� SHIS.ET_,ZYOP''•y=�_ i .tip -T. - .i'. t •r 4 •-"+, YF b'�1' T 7'' / ' ~ 1. 1•i __ 1.. , Y.. ,r r.... �•� +.- .iu..:?'t r ...0 >' •: ` . - r. i-5 _-:.••.,-` +c �' - .3, 1u.tea ..- .L,.b:'i ...� �o - .r.. .� No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for Miopool bpgtem Conotruction Permit Application for a Permit to Construct( )Repair( ✓f Upgrade( )Abandon( ) El Complete System El Individual Components LocationAddress o`Lot QCr� p 0 —O�`J Oa `�}`(1 r_,LVam����an� q!� R � Assessor's Map/Parcel Installer's Ne Address,.andZql.No. Designer's Name,Address and Tel.No. 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 Nature of Repairs or Alterations(Answer when applicable) L; vs 2), S z 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 provision e 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss ed b ealth. Signe Dateq ODC� Application Approved by Date Application Disapproved or the following reason Permit No. 706Lr Date Issued _ ...�._ aoo ',� ��"� � �� �.y r�.k•.,�Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: - Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Ztpprication for Migo ,al 6potem Construction Permit Application for a Permit to Construct( ' )Repair(.grade( )Abandon( ) O Complete System ❑Individual Components Locatio 4(dress oC Lo ©N� 5 l � � _ C� 5,,Namg.Qr�s) 'NQ� Assessor's Map/Parcel Installer's a Address,and T 1.No. Designer's Name,Address and Tel.No. � t�;�c�-•t 9. - �e�� . lm 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 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. r Description of Soil Nature'of Repairs or Alterations(A swe hhen applicable) ( ;z - Date last inspected: Agreement: y The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisio le 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has bejen ed ealth. Signe aE Dateq 1i_ Application Approved by 1 �r , � Date Application Disapproved for the following reaso Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CpRiTFY,th n-site Sewage Dis osal System Constructed( )Repaired( `l pgraded( ) Abandoned( by Q\)(, at 14 - q has constructed in accordance with the p -Ripns of Tide-5-an the for Disposal System Construction Permit N . dated tr _ Installer Designer The issuance of this pe •t sshkll�nQt be'constriaed as a guarantee that the syste(" )wil J,n�c i as des�.ne4 /1� Date I �✓ I /n ' Inspector J � 1 0 - �r,�,�rV" 0 -� No. / Fee v 0 -- ———————————————— ———————— //// THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS l Mi0po0ar 6potem Con0truction Permit Permission is hereby anted to Construct Re air UQgr de( )Abandon( ) System located at 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:C str4tion ttst be completed within three years of the date Date: Approved by 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) 'Z—� \ «c�c\-P eby certify that the application for disposal works construction permit signed by me dated Z o 0 , concerning the property located at ��-�S �� - meets all of the following criteria: • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are no wetlands within 100 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] • If the S.A.S.will be located with 250 feet of any vegetated wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: '^��"j A) Top of Ground Surface Elevation(using GIS information) l y ►�� B) G.W.Elevation ,55 +the MAX.High G.W.Adjustment. _ DIFFE E BETWEEN A and B SIGNED DATE: �ZS [Please Ske oposed plan of system on back]. NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:health folder:cert L0CAT � All ----- SEWAGE PERMIT NO. VILLAGE I N S T ILER'S NA E i ADDRESS e DER OR OWNER DATE PERMIT ISSUED ♦r DATE COMPLIANCE ISSUED C • � I �3 �76