HomeMy WebLinkAbout0097 WALNUT STREET (M.MILLS) - Health 97 Walnut Street
Marstons Mills
A = 149 005
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TOWN OF BARNSTABLE
LOCATION 7 f/���n�f" S SEWAGE # o?o®a y y5
VILLAGE /��r s f o�+ /f ASSESSOR'S MAP & LOT/'Qd
i �"
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) 201 ell-144-5 (size) 131 z5 Y-Z
NO.OF BEDROOMS 3
BUILDER OR OWNER
PERMITDATE: /O' 3 - ✓a COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 fegof leaching facility) Feet
Furnished by
31
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q TOWN OF BARNSTABLE �,
1 AT10N ! ���i74-fi S r SEWAGE # �00 a
4GE /�,qr17R^S / ,/�f ASSESSOR'S MAP & LOT `0D
1.L�
INSTALLER'S NAME&PHONE NO. I7'J 47.7d'
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) - S—ofl� ��4�6�6 5 (size)
NO. OF BEDROOMS
BUILDER OR OWNER fl
PERMITDATE: /O' 3 ' ✓a COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
3 ay' 3y
31
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• No. lw 5 '' r Fee ��—
' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ZippYicatiou for �Dizpoar *p5tem Cottgtruction Permit
Application for a Permit to Construct( )Repair(\/)Upgrade( )Abandon( ) D Complete System O Individual Components
Location Address or Lot No. GAP ��� — Owner's Name,Address and Tel. o.
Assessor's Map/Parcel
i4G1 e�� a 5
Inst�ler's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
STEPHEN J. DOYLZ A AUN
bsx 331 �ars7u�s <!�s y/�} pay y� 42 Canterbury Lan@
9595 East Falmouth, MA 99§0
Type of B ing: "
Telephone: 508 540=2§5
Dwellin No.of Bedrooms Lot Size Z.\ sq.ft. Garbage Grinder( )
er Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow ''�� gallons per day. Calculatdd daily flow `S gallons.
Plan Date AaA f. —LA . 7n6ti Number of sheets I Revision Date
Title AZ 4r 5►.1,5;M M i ra mk o_ "T"t.AA.A ji�br 911 \i A 1.
Size of Septic Tank CEx:sN- 1 p ors tom:nAu_& Type of S.A.S. s_AA i_;Lrs_te_pR
Description of Soil
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 iss by this Board of Health.
e
Signed Date
Application Approved by \ -),J• - Date a
Application Disapproved for the following reasons
Permit No. 2002-yys Date Issued U U
. .
No. ,..... .� •',1 .4` %� Fee /.
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: I/- Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS
ZippYication for Miopoal *potem Conmruct ou'Dermit
Application for a Permit to Construct( )Repair(V)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Addt ss or Lot No. C�_J, ` at.WUT gam► Owner's Name,Address and TeL
/"//.s�,` /��/u
.. Assessor's Map/Parcel 1 .v✓. 7-
470
Installer's Name,Address,and Tel.No. Designer's NamGT 1d 9L IDOYLE & ASSOC.A
a J Afo c,� s71',,7r.0'"� i 42 Canterbury Lane`-.
'. box 33y ILlarsTv� S -'!ems ,0,9 .East Falmouth, MA 02536
w�-u (SDI FiaB- 9sy5 >To - -
Type of B ing
Dwellin No.of Bedrooms 3 Lot Size Z%j ! sq.ft, ,Garbage Grinder( )
er Type of Building No.of Persons Showers( a ) Cafeteria( )
Other Fixtures `
Design Flow 33l' gallons per day. Calculated daily flow' 3 Ac 3 gallons.
.
Plan Date l,► - ?Z . 7noZ Number of sheets A -'( Revision Date 7
Title ta.*.A
Size of Septic Tank rr'xa sT l o(>0 C- ". 4 Type of S.A.S. c�lw�.+�r��►,�-
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
_P
a
I Date lasfinspected-
' 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 iss�`ee jd by this Board of Health.
} Signed l� e— Date
Application Approved by Date /e o
Application Disapproved for the following reasons
Permit No. 00)-gyS- Date Issued 46
T�/? U2
'
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CER Y, that theOn-site�Sgwage Disposal System Constructed( )Repaired( )Upgraded( )
Abandoned( )by
/ at c 7 r-1 n has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. .26X0 "VyS dated lohlP.2
Installer Designer �-. r ii(F. A ,
The issuance of this pe 1 it sh�ralpl.not bed'nstrued as a guarantee that the yste n/ ��funct/io�n as d sign�drMON.
PIE
1 V�1
Date �:* �-( `� Inspector / A -� (/�i( �—J
..
No. , �OJ -7 1/7
Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
liopoar *pMem Construction Permit
II j Permission is hereby grantedto Construct( )Repair(/A Upgrade'( )Abandon( )
System located at 97 Inia f n�
,
\ i
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
1 comply with Title 5 and the following local provisions or special conditions. i
Provided:Construction must be completed within three years of the date of this permit
` u3 /y� PS
Date: / A roved b
PP y
OI TOWN OF BARNSTABLE
LOC TION w4 tom` S ' , SEWAGE #
oaVILLAGE ,�"u�+ o-1t�.P� ASSESSOR'S MAP LOT
to
INSTALLER'S NAME & PHONE NO. t-tr? 'f
EPTIC TANK CAPACITY ' .
LEACHING FACILITY:(type) Ps �' (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
Qn�
OR OWNERS '
DATE PERMIT ISSUED: a 1
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No L--- -'
1 `J
M1
a ,
FEE...../... ..
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
...._'IUnI.......................OF....... ....................................
Appliratiou for Disposal Works Tnntitrnrtinn rrmi#
Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal
System at:
Let #8 Vlalnit Street,Barnstable 8
................--.............................................................................. --•-•.....------•---•----------------..........---•---------•----------------------------------•--
C.B. L j! jjWress L§No t
......................_.......................................................................... ..........-_-......................................................................................
Owner BarT1lSl: ses
a ---------------------� a.,�x Yam.....14 - ...... :............ �_.. -
Instalier Address
QType of Building Size Lot............................r� Sq. feet
Dwelling—No. of Bedrooms..............3
......................._----Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures __________________________________
Design Flow............................................gallons per person per day. Total daily flow__..........330-..............._.._...._gallons.
WSeptic Tank—Liquid*Td capacity._l _gallons Length.__ �6��.____ Width__.4�1..... Diameter... Depth_._-J.........
x Disposal Trench—No. .................... Width....__......._...... Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No_____________________ Diameter.....6...._._...._ Depth below inlet....... Total leaching area..... ft.
z Other Distribution box (X ) Dosing tank ( )
'-' Percolation Test Results Performed b Ibyle � _ c3�! ..... Date.......A9911.1986
,.� Test Pit No. 1................minutes per inch Depth of Test Pit..........
.......... Depth to ground water_-___--_-____---__.
Test Pit No. 2.........2....minutes per inch Depth of Test Pit-----J2'......... Depth to ground water..... .............
a •--------------------------------------------------------------•---••---•----------•--------•--------------------------••--------------
-----------
--......
-
O Description of Soil..... - " ' & s�> ? �.,3�" — " M i.Lm_sated._Fria-h.S 'dye7.Arid_ 1a5,96"._-_168---------------
x Clean fide sard
U --------•••---•-•---...---•----------------••-••--•-•-•----------------------------•...........---------•--•-•--•---•---•-•••--•----•---•-----•--•-----...•-••----•••••••--•-••-.............-----------
---���-°----12 _'Ibp soi1,12"_--72"_------2"._156"..4`'edl ..MDd.With.1gMV8L&.aJJD1ea--------•-----------------------------------
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 iITI TLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of ompljpace has been issued by the board "
77 �.
�%�
Signed------:L- 1�....C�..__--- ----•--. --------------� --••----.... ......
......Date
....
....
_....
Application Approved By•••••�c.r•,�•• . ....... --•-- - -----------------------•-•------- --••--•-----...�-
Date
Application Disapproved for the following reasons----------------------------------•--•------------------•------------------------•---------...-•--------.....----
--------••---•-•-----------------------------•--...----•-----.....•••--••-•-•---------•---...--------
------------------- ------------------------------------------------------------------------
'' Date
PermitNo.----- .................... IssuecL.......................................................
Date
/ Y
S t Y
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
......................... .....-OF.................. ------...........
Apptiraiion for Elhgpaa al Worka Tons ratrtion jbrmit
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
System at:
I&- is 8
................--.............................................................................. .................................................................................................
C.B. ,�._ liji C%l ddress
�._C._...4..��G1••L_i•:L_7_.._....-•................................... ..........-......^-•--•-----•-....................... .....
OwnerftTs d ess
14
_ Installer Address
Type of Building Size Lot.... ......................Sq. feet
Dwelling—No. of Bedrooms____________3_____________________________Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons................_----------- Showers — Cafeteria
..---••-.---••--•-•-••-•••----••--•---•-----••-••--•-•----••-•...----------•-•-•----••-•-........_------
WDesign �".. gl p p P r day. Total d�ail flow----._,___ ___________________________ lons.
Other fixtures .............................................
W' Septic Tank—Liqu d capac>ty. _.galloo ss Length 8: _.____ Width__4. _.._ Diameter_""'________ Depth__ ___..
Disposal Trench—No.
.................... Widt ____________________ Total Length......... Total leaching area....................sq. ft--
Seepage Pit No______ ____________ Diameter....--.----------- Depth below inlet..... ............ Total,leaching area__ ........sq. ft.
Z Other Distribution box k ) Dosing tank
`-' Percolation Test Result Performed by--------- Date___._ !� _____________
.j .:
, "` Test Pit No. 1________________mmutes per inch Depth of Test Pit __ig____________ Depth to ground water___'_"____________-_
(i, Test Pit No. 2........2_.....minutes per inch Depth of Test Pit....M_.......... Depth to ground water_--a qom..............
Description of Soil.... Mmd_i1 -a:CCINSM �•-------------
U C�set1 -19......----•------------- -•--- .......
....
----�-Q- -ft- 1A"----72" Wit: "' ". M. _r t_ L.&
U fit., ,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 TTF, u 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
" operation until a Certificate of-Comp�ice has been issued by the board-4healith./�~
Signed......... /�'.� .... :... ........_
Date
r� Application Approved By....... �•-••---------
Date
Application Disapproved for the following reasons______________________________________________
T.
�.
--------------------•------•--------..._...-----.....-------•------------------------•-----•-----•-•----------•--------••--.---•••----•-•=•---•-•--=--•---•---------•--•-•-••-•--------•---•-••_-•-•
Date
Permit No.......2.2..--•••�6s•-••••............•. Issued........:..:......
---•---------------------------
Date
THE COMMONWEALTH OF MASSACHUSETTS
�.! BOARD OF HEALTH ;
/•• Gam ^-�..............OF......t.} . t..0....................................
(9rdifiratr of wilutpliFanrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( )
by------------------------j=SZ_,jjt:rc•vi........
.................- er...................................................................................-
„- Installer p �
at..--•--•---•--.... e I------`.-a-------��. �: ?.l{ � �� �' 4 1 �,= ••...-�''71 ��A---------------------------------------
has been installed in accordance with the provisions of TiTiE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No....9_7_...V..6._a_________ dated......................._.....•_ ..........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE........................ r)-o-- -•-------•-------•---- Inspector................. ..............................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
fit_--
((,�•--�� /
1..C' r�? .........OF........ . :Y+ : s1..................................... ��-
No... FEE.... ..............
�i��o��a1 ork� �un��ratr�ion rrnttt
Permission is hereby granted :: .{_,=` 1- .:� ----------------•-•-------------------------._......._.......-•-•--.................
to Construct " or Repair ( ) an Individual Sewage Di posal Syst /d'
at No........... � .......3-......... ..._r- 1--......--------t1'l._��.� Y(_.__..Y�--------/
�/............................................
Street �.
as shown on the application4or Disposal Works Construction Permit N(9.. Z. Dated------------------------------................
•--------------••-•-----•••-•-•- -•--- ..=. .. _
Board of Health
DATE................ !' 7--------••••-•----•...............
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
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R.L�P t^E SO
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�' I'I' >LA I ,ET OILS F_ ��pY t l'�pLE ,S
- TTyry����QYl+
TER R PL�I�" .,
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IN:.ALL DIREt"7'ONS E
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General t�o hon of F SD ABS F.BTION SYSTEM _ h
G ral nstruc Notes Q I.� 0
P
O RLA DISTRICT F�
1- _
0
s
YE Y D
W
.AD 0
L' I1IRF .
U �lTEXIA AS o,S G P VTO •h'EQ Y FR
iVAfiLPAhL t�"t:I1hlIV'
0
t
. o+
Ll4R 6
AN GRA1tTU
C •� .A.1VD REI.A CE WITH CLL' _ ;
S f
310 .d�IR 2 0
1
ASSESSORS DATA
t d e Town
a d h P..Title an the To 0 w an materials all conform to D.E. le e Q
1. All the workmanship tna s s o
P _
y OUS
.L'LE
� D TTER � �
O ORGANIC ,�fA �
ati h subsurface t fsewage. SAND FREE R � �fAP 149 `PARCEL 5
1 and on r the u u ee disposal o
rules s for s bs Barnstable
�l �
S S CES.
I
UB TAN
CITS OD `ZO LO NOT LY FLOOD HAZARD 11TE
,
A
> 1 within 6 h de i
cress over tank tees shall be accessible niches of finis :-.1 one a port
At east 2. ,
68.3
Po $m x,
t within' 2 inches of finish de.
t rema
ining access ' its brought o 1 with
�' Po
01
,A
K
i f withstandingin �saru a e oH IO Load en of the m hall ca
3 All components n is s be
P g
It
4
h P
mote Lea
ch b Re
more
an
d R
k
P
r thin v or parking. H 20 loading hall used
. o
under o within 10 feet f do es s be o unless they are d f o u s
Gallon '
� 811$ G P� S Existing 0 L'�i 1 t_ e}r 6 zls
Conta
minated
a ted so
g
Ck
and C
f chives or m unless noted. a t to Remai
n
0 feet o es parking Precast T 1 within 1 Pre s or SZ under
Pa g
_1 Proposed
d D ox
location of all i utilities Pr
P
v site ufiUtl r ha verify eS r t0 excavator/contractor s ll the o an xcavato o �
� Thee ,
fY Pn
excavatio
n.
r•
.3 8 68
x �e• ff GIs 150 N
4 VC laid at 0.02
0
21j,8 8�
4-t Schedule 0Pslo ,hall n h S hed l
5: _ - Se
wer
r 1 s be c
Pe
pipes
53
n t e shall n
i
6
nits used to bring covers o be.mortared � lace.
b. ` mason u i 6
� S 8 P
t
1
2
0
Q� of r
7. Fin
ish de shall hav
e a minimum slope o feet foot.
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Se S
l 6 ,
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Test D t e. Aug
ust ,
T nch
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