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HomeMy WebLinkAbout0026 WHEELER ROAD - Health 26 WHEELER MARSTONS MILLS A = 104 011 AsBuilt Page 1 of 1 '',, JJ TOWN 7*ARNSTABLE LOCATION J4 Wh2e-10' SEWAGE # 99 s VILLAGE M H"r'3`10n� 11 ' �� I ASSESSOR'SAPI M &LOT INSTALLER'S NAME&PHONE NO. CAS 1 t- C.AyoSs�► .1 R L�J�CAva-h SEPTIC TANK CAPACITY HI c 0 0 0 9 q-\\� `� _ �� LEACNG FAciLrrY: (type) ,S00 6, r � t:I e lS (size) 6VO �4/ . No.OF BEDROOMS II BUILDER OR OWNER 7</4,4r J Pn d "bebr-n. A e PERMITDATE: I I ' pl! COMPLIANCE DATE: f�© 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 Wedand and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by t-ls.,se Rd; �9 � J/ . Q r C 3� 30'-? Lq 3 / C6V 47,3,. SS3 Id r p �Ssf9T J�6 0 � J 9 3_2'7'• http://issgl2/intranet/propdata/prebuilt.aspx?mappar=104011&seq=1 4/10/2012 z ~V �'° V i /TOWN BARNSTABLE < i?j LOCATION 4 �,r2�1 eon SEWAGE VILLAGE M ASSESSOR'S MAP & LOT 16 INSTALLER'S NAME&PHONE NO. CA r cA y osg J a �-;k-Caywk^n SEPTIC TANK CAPACITY e�®DO — 1/3T LEACHING FACIL=: (type) S&Q P-i �r�wetl5 (size) 6Vo NO.OF BEDROOMS BUILDER OR OWNER �Ghftr br-n- rreirnf PERMTTDATE`. 22, COMPLIANCE DATE: f � 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 r � Adcy�,q is i a t 6d, t 10 i n 9 t1t t 3 ✓4 'P S b 2z3�2,�„ t ! i � �15C — No- � r ., . Fee ,,W� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes Z UBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for igpogal *pgtem Construction Perron VAaA pplication for a Permit to Construct )Repair( )Upgrade( )Abandon( ) complete System ❑Individual Components Location Address or Lot No. 2l� �p,/ Owner's Name,Address and Tel.No. C 1►' O K16h rvp!' O r✓n t yC UawAssessor's Map/Parcel e47� YA 110 GbYkl Installer's Name,Address,and Al.No. y Designer's Name,Address and Tel.No. VY�� 6�111/,le, K`AvoC on Type of Building: �Gi2 Dwelling No.of Bedrooms'—` Lot Size i' O% AG>'sq.ft. Garbage Grinder.44`-� Other Type of Building U� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow _- W gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 7i®O�g Type of S.A.S. r/3X'{ Description of Soil US�/ 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 E viro tal Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by t s oard _ Signed. �—' Date 3 /� � Application Approved by — — Date Application Disapproved for the following reasons Permit No. Date Issued Fee THE COMMONWEALTH OF MASSACHUSETTS Entergd in computer: Vv� !' Yes Z UBLIC HEALTH DIVISION -'TOWN OF BAhNSTABLEs-MASSACHUSETTS v M. 01pplication for igogar• &pfstem Congtruction Permit pplication for a Permit to Construct )Repair( )Upgrade( )Abandon( ) %? Complete System ❑Individual'Components Location Address or Lot No. 'A t Epp v, � Owner's Name,Address and Tel.No. Y v v q.T/Kam' O I KIChp ycl �t Y✓�i rp Assessor's Map/Parcel p. ,qZ� wl GZ Installer's Name,Address,and fel.No. Designer's Name,Address and Tel.No. Type of Building: #� Dwelling No.of Bedrooms; f Lot Size,' ;J &f-�q. ft. Garbage Grindew< o -es \ Other Type of Building `: 1 1 No..ofiP,ersons Showers( ) Cafeteria( ) Other Fixtures F V 1 ` Design Flow �TS� gallons per day. Calculated daily flow gallons. Plan' Date Number of sheets Revision Date Title (, Size of Septic Tank Z OOU E` Type of S.A.S. /3XK Z X-L - �' Spa CLI u.w• .. t•; q•.'`.+c:l 1. r,.. Description of Soil 4 , Nature of1kepairs or Alterations(Answer when applicable) r Date last inspected: l ; 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 viro tal Code and not to place the system in operation until a Certifi- cate of Compliance has been is y t.'s Boar o _ Signed, , �-' Date /S oQ Application Approved by 1-1 - { Date gL Z �' 9 Application Disapproved for the following reasons - - t Permit No. — Date Issued-------------------------------------- s _ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERZ,, that t�e Qn-site S wa Dis,posal System Copstruc�ed( /�)Repaired( )Upgraded( ) Abandoned( )by ( ' TtT/ 7r,� Y t at L c�f .� 2 ( L✓'Upwl �'l oP /I/t/Y! has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 7 dated 2 Z G—9 Installer Designer The issuance of this permit s 1 t be co strued as a guarantee that the to will funcf n,a, �s desig edr. R A' Date �, Inspector n/y 1 "fir L / ------/ --------------------------------- No. / Feei~� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS mf 6pool 6 otent Construction Permit Permission is hereby granted to Construct( Re air( )Up ra ( )Abandon( ) System located at Z d f Z 6 '44.,47 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. a Provided:Construction ust be ompleted within three years of the date of Date: Approved by 1 f I — PROJECT l O� I SUN E Ih or t2A P1- 1 Lau tZ pro 1 i 2y3zr { G.Qi sa .c r,tckt r•J t �* n - �$46 \\ P ma i �r poctc�} L t Asa SY c r • � I � i no, um— - v� Lo ov z 14 3Z F a urlY-1l., y . rj L.: ji uP .e�{ �1 �It 2C i Ze -� 3 dry -- - Central C Dki, A ' -- 14W 6 - � u I i Lo ov 28�. 234G L*r� 28�16 2846 U, n n r r. ' N =r) Z c Central { rz e 1S�,cZy'> �' 27Clrner.l f � III .DoLJ+J� SCALE 5'v-2 (Null, O i DATE Z�yZ 2Yyz 2Yy2 ZTYZ E� DESIGN CHECK PRAWN JOB NO. APPLICATION FOR PERCULAI'ION TEST AND OBSERVATION PITS LOCATION /a ?`" „� �l��� � !`� NO j_ VILLAGE DATE_ APPLICANT V_7 FEE /.de ADDRESS TELEPHONE NO. (Non-refundable ENGINEER !. TELEPHONE NO. �,�" s���� DATE SCHEDULED .L -. (Applicant' s signature) ASSESSOR'S biAP 6 LOT NO: lo �� SOIL LOG a SUB-DIVISION NAME DATE_ TIME fD GAS EXPANSION AREA YES NO -FNGT_NEER TOWN WATER J PRIVATE WELL BOARD OF HEALTH /J'o•-7� l� EXCAVATOR SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity. to test holes ) NOTES: 40 . Lv PERCOLATION RATE: TEST HOLE NO: ' ELEVATION: TEST HOLE NO: ELEVATION: 2 J r.1: � � �o Yz �l4 s.�.. L ►o Y 2 -►�4 4 4 5 5 mf-, 6 he O 6 c� j o­�f e l9- z i s %ya 10 10 11 11 / 12 12 tH OF 13 13 14 - .14 0 / 15 15 ci y N9.30192 16 . 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITSaAIA� E ' LEACHING TRENCH -9 UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS:, NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT '',. ...._..._�................. ... ..-.,-.r�.�_...w.._....ws�.w.w.r•w...r..rrnx..�..Aar+.•.rva.:,..r+a-n+w. •� _ •v.•.ua�...M1...�....e r...a. :........_..,u ..._... _ ws.,... ....-. ,nv. .. _ _... .a _. ... r.,... NO T D S A L ILL TOP FNDN. y FIN.473H G);1,4 Dc= FINISH GF,'A DE O V,i;R EL . FINISH GRADE FINISH GRADE OVER r -' '•o'`o'e'1 OVER TRSNCI-IE.�> ° SEPTIC TANK D1 ST. 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'0N BOX v EL INS TA L L ON L EVEL BA SE "50 0 GA L L ON DP YPIEL L S PPECA S T 'CONCPE TE ob H-- /0 PEINFOPCED 4. !ls.7°o•A o vcie�,•oA"Go°4.•O.b.•.Q o s�(`•p.'4pPri;op�,o•nq D?.Cb�G: SEP TIC TA NK ¢� ...,......_...,__...�.._-w...._.� - Ti` i��1 •�n..A'r'�,� b�.fPo�l,„n F,o �,,,",r�'L.•l�,i�t� `�--.•.• WHEEL ER RO _. _AD INSTALL ON LEVEL BASE NOT : ,�XCA VA TE TO LLEV. �-,;,�f., CIF;° .14 _ _ O};'�R TO REMOVE ALL IMPER V.Z OL'.`a A@2520. 00 �1 �'2" h1TN. �• A"150.56 lL"A i ERIA L BE NEX rH T}-IE L EA CH.ING Ail-;�"A 4~ Dz,�,�;R. f cn d i- , .4 CE ;EXCA VI- TE•D MATERIAL Yl Try;' — ---- -`'" OF 1/.�3 1/2 11 _ v:._. 1 , L L A ! Ft r i...L c✓A ND '"'� ° �'' ,�`'�- '� ,. f =10 WA SHED PEA 5 TONE 1 I ,.,r/ •(,r 1 ..t!/'=^i .'i.�ri�I-Ye.,t1 I" 1. t _` Q / .4 . r`t r' L. G��.. Yl`� ! �.ar}!'Jr] �a�'-e'4/f-i�'' / };�E A..:'r"� (1 iJl,/ ^�'L� 1�-- ;Ay/; lPf._aC�.� '- i'17L.. v r I�� I 2. AL' ,�'.tPE.� a �� �t :�� / /�� ,�l1J,a r ;3r._ � /� � cF;Cl/1! Nr:Jr;r3cr; OF DpYWfILLS 4 GR SCHEDULE µr J � ` i A)iI J. /�Ia= DOAPD a ,r[, ' ..�,wi.. /r/'i/ ,� ,_P f rS> _. r�X i rt r , / i .. T , il`/E(Y ^f�f�/.:r!lri�.•`( 1.t:✓�1� ..� �. a..+,.l;`'r, fi t'CeiL si '� aJ!''�r 1 TO BACKF,fLL.1N1 / l I Y I t /G E i L l Y f� r ' d p p f P^ 7 yAPPROVED CC A' , 4. AN/ CHANGES .tried' Tr .a:.. T'._�N !";l.J.a T P✓� � B V THE BOAPD OF .r)EA L T,'-/ AAID CAPE � �i'L�L ANDS ivI TI'J,L S �% �3 r:' I i SURVEYING CO., .�1,1C. ED 4 aARFI Y I = S. HA TERIAL5 AND .I,Y,57ALLA: TION SHALL Ui� �N � �� - �� - ^. x�,4Pi'�S:jA��1'LE� RC. lt�' ,�i'LAL T�I " e COMPL IANcE �Ix TH TI-Ic� r A T�. s e N.I TAF r DATE �. �,� � .. F 0 CODE — TITLE V - AND LOCAL APPLIC11,8LE DATE.- �U7, ��, 1r?��a 7, RULES AND REG^ULA TIONS 40.00 in �i. NORTH ARROY 13 FROM PECORD PLANS AND � . . n N�UMBElt�y OF- Ir�'E Df` ODIES 4 a , IS NOT TO BE USED FOR SOLAR PURPOSES �'f'r i GA PDA SE DISPOSAL Na o 26.00 ?.oo PROPOSED g 7. FLOOD HAZARD ZONE C (NON—HAZARD) � _ _-- __� /2" DA IL Y FL ON 440 GAL . 4 BEDROOM hvusE 8. 1�A TER SUPPLY TOhrN ;�A TER '''` ` { SEP T.IC TANK PEG 'D. 1500 GAL . c FULL BASEMENT '� R1 — GARAGE m I , / _ ---� ,1 h SEPT.I'C TANK PF�GVIDED 2000 GAL . r i ^ L E A Cf fI NG RECJIJIFIED 440 GPD. Z 35 �.00 I Q DEc,< Foo (' �i S I'DE,>/ALL AREfS a. 220 S.F. i % ' 220 S. F. X 0. 74 9;;S.F. 1 E2 GPD. a I BOTTOM AREA — 55'3 S. F. L EGE�i° ! 553 ,,. F. h'0. 7F_ 409 GPD G} 672 L EA Cl-,°ING' PRD VIDED — GPD -� GARAGE ry 571 "`• l/ C-Fes, PROPOSED i"-'L EVA TION � _DADA ' d E.AI,�TJ; CONTOUR OBSER VA TION PIT �.. D.TSTf�'IE.�UT. ON BOX LOT 3 SPCSAL 5Y5 TEM 1. 83 ACRES C� -_-- P Jnl�L. / '�hrAl III r� I �•� ' I 1 f.�. t,�1� �:d �e`a_-r�lr�'"�' �".��d`i.'`.d'?��.h �d../ G �_-.—_.e ) 1 /'/per ) (J/'�JJ /) •]j fp��+(� j•} �' / 1 V P.t�F�, "N Vz"}I>q L L V,� 1"3"Ot",' w.,,.— _, .� . —. .. .�.r ., ,...... 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