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HomeMy WebLinkAbout0455 WHISTLEBERRY DRIVE - Health L/ TOWN OF BARNSTABLE LOCATION b,:a�EWAGE # ,VILLAGE ASSESSOR'S MAP & LOT n INSTALLER'S NAME & PHONE NO. RAA ,CA -4/efZ V2F- ce SEPTIC TANK CAPACITY `/ GO `f LEACHING FACILITY:(type) f- (size) � U l NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER or / / BUILDER OR OWNER e�/� DATE PERMIT ISSUED: - `6 ! DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No A 1% �` G Fmc....I �^ THE COMMONWEALTH OF MASSACHUSETTS F BOARD OF HEALTH 1.0J .........OF...... Appliration for Disposal Works Tonstrurtinn Prrutit Application is hereby made for a Permit to Construct ( i/) or Repair ( ) an Individual Sewage Disposal System at: _ . .. f- --------1J �r�.�.� 1�� a . .. ......... Location-Address or Lot No. ...... .C?................................ ..........-•..................................................................................... 1 Ow r �. ................................Address Installer Address UType of Building 2 Size Lo ,tA.�_2.._..Sq. feet Dwelling 3 No. of Bedrooms.............. .................__......Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons..... Showers ( ) — Cafeteria ( ) Otherfi tyres -----•----------•---------- ------•--------------------•••---•------•••-••--••--•---------------........----------••----------•.............--------- W Design Flow...........:__`-�........................gallons per person per day. Total dai�y flow------ _ d........................g�llons. WSeptic Tank—Liquid capacity�j_ allons Lengtha__�..... Width.. .-_ ..'Diameter________________ Depth5_-1__... x Disposal Trench—No. .................... W Ac --•-..___----_------ Total Length.................... Total leaching area............ ft. � 'Seepage Pit No....... ______ Diameter:-_.__...__ `' p ._._.. Total leaching area-----------------sq. ft. _....._ � !�_..... Depth below inlet..��._./.N z`{ z Other Distribution box ( ) Dosl_ng tank ( ) Percolation Test Result Performed by.4to .�__ _. _ �.R.__�.-. � ....... Dat ,.) a t� 95 ._.. a ....._minutes per inch Depth of Test Pi = �rv -' ` Depth to ground water:= - fl Test Pit No. 1---- �P---••---- (i Test P.it No. 2.......7 ---.minutes per inch Depth of Test Pita � �",3__.. Depth to ground water-------- ....____ --•---.....--•-------•---- : -------- Description of Soi .... 4 .... t •L• j----- Q � 4 cA _ (� cx., .............z `_-. �Cn`...... 1.e vim._ �xC .------........ UW ----------------------- ------------- l��r ..le.tn..........................------------------------...........................................-...................... 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 iITL% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue y the board of health. Signed.......R -----•-- ........•....... -----•----------------- !' - Date Application Approved By---- v ....../�" �-^- - :..... Date Application Disapproved for the following reasons:...............•--------------------------------------------------........--•-------------••-•••----•••......... ....................................................................................................................................................................................................... Date PermitNo....... -- ...1.6..&--•---------------• Issued_....................................................... Date 1 �I Tom' No........... ........ Fig. ..,/�..,.--z ....^ } THE COMMONWEALTH OF MASSACHUSETTS BOARD, OF HEALTH ............._:. , pphration for Biipuiittl WorkiiC�u�tu r r iur� pruti Application is hereby made for a Permit to Construct (��) or Repair ( ) an Individual Sewage Disposal `System at: ;,'Jt l �� i ,�, l `ter , lie y , ....;.....------•-•.............................................. ........................ n'�........................... •---------------....---- I 'Location-Address 1 or Lot No. ...I..._ ly_t_4(I✓:........:....{ ..p .........� .............. .................. .................................. ........... ............................................... ff� ( Owner Address ................................................. ________.___..____.__._ __ ............ r InstallerAddress Type of Building i Size Lot. ��;_ ..............Sq. feet a Dwelling=No. of Bedrooms__________________j__.__._._.__._.___.._.._Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _____________________r._._. No. of persons__- ------------------- Showers- ( ) - Cafeteria ( ) dOther fixtures ............................--------- -----------------------•----- ............................................................. Design g P P q, P y Y .....gallons. � tic Tank—Liquid c pacity_'.'./''gallo ss 11 Lei gtlon 'per da Width 1G daily O,Diameter C.f.._.___.__ Dept h`=�........... (a W Disposal Trench—No. .................... Width___.__!_..._._...... Total Length__________________ Total leaching area....................sq. ft. Seepage Pit No..................... Diameter..`.._!__?- ---_ Depth below inlet:?-___.._.______ Total leaching area. _ .....sq. tt. z Other Distribution box ( f) Dosingtank ( . ) _ Percolation Test Results Performed by. ?a� fir_HS 1_._�1 '���_,� .....`..�_....1_�_______. Date•'�_t__:.,�� i`_�. _�._.. (� , Test Pit No. 1-----.......minutes per inch be'pth of Test Pit_ .`-�..._ Depth to ground wate ------­---------------- Test . f=, Pit No. 2....... -.....minutes per inch ;Depth of Test Pita_1%...... Depth to ground water...__---6../.:._-._... --------- ............................................................. _.:._------------------------------------------------------------ Descriptionof Soil-------------------------=----•---...-------...------------------•---------------=-'--------------------------•�_-__.�C_L(- .�c----1------..._.--------- - x — �G t. ( ,Irf.t ` %'11` 1_G�<�._�I�i:G�.,-1L_ 'I.lt(�`� V ..................... ...... -••--•...ul.................. ---•---__,-••„ _ ------•-•-------•- - U. o CLAnswe�Nature,, f Repairs or Alterations when applicable______________:-_--___-.------_..--_--..--_._-___-_-._-____-.--_-___-.____.______________.. x ..._..•-••--••••-------•------ 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 place the system in operation until a Certificate of Compliance has been issue by the board of health. Signed.....AR_JN._----•--------- _ -------------------------- -------------------------------- 1 Date Application Approved By------- --------- `� 3 - E f -------------------------------- - Date Application Disapproved for the following reasons-.....................................................•__---_----------•-------•--------------------------------- -------------------------------------------------------•-•--------•--------------------------------------....---..---•---_-...••-•---------------------.._-------------------------•------------•-------- C _ 16 Date PermitNo.............------•------•----------------------------- Issued-----------•-----.•.-.----------------:__............. ' Date THE COMMONWEALTH OF MASSACHUSETTS �_... BOARD OF HEALTH,, /1 ............................... .........OF.............................................................. Trrtifiratr of Tompliam THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed— ) or Repaired ( ) --------------- ••------•--------------- m- m r has been installed in accordance with the provisions of �!� _ •'' j o The State Sanitary Code as described in the application for Disposal Works Construction Permit No.-_..9�...166----------- dated________________________ ______________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. j DATE..........................- ..- �--�---•----•. S ._,. ....._..--- Inspector-------•------------- -----r-- ----------------------------...------...----.._.. i i - t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Y ��r ................ ........................ ................................._._......----------- ---------...................... iu����l Turku �ua���riun rruti# � . Permissipp,is hereby granted..............................................------------------ -----------------------------------------' ............................... to Constr R it !� .) an I v'.ual Sewage r os< System at No.. ' Street 166 as shown on the application for Disposal Works Construction Permit 6.- ------- Dated.......................................... - �r 6 DATE Boarrl of Health -------•------•--._. . FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - l ._ -- �ASSESSORS MAP NO• �� l No/ PARCEL ND• Fee— BOARD OF HEALTH TOWN OF BARNSTABLE 0pprication-*rVell Cootructionj3ermit Application is hereby madgfqx,a ermit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: 5� � —q ---------- ------------------------------—----- Location — Address Assessors Map and Parcel A VA 0­2c 11__— �'►!� 7 _---- -- -E------------------ Owner Address Installer — Driller rn Vl Address (/�P/oocp Type of Building "' b Dwelling - - ---------- -- --- --- Other - Type of Building-=---------------------------- No. of Persons-------—----------------____ —_ Type of Well fi L lA� / — �`' � �G'Capt -7 ----- -------y------1--- Purpose of Well--- F�iC1 —--------------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of.The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until Certificate of Compliance has been issued by the Board of Health. Signed _ �__L ' } - d td e — Application Approved By- date Application Disapproved for the following reasons: _- - — -- --- - --- — --- ____---------------------------------------------------------------------- ----- ----- J -,,date G/v im --— Issued-- -f�'''_�;z — aj Permit No.--- - ______ date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (_1<, tered ( ), or Repaired ( ) ------------------------------ --- -- — --- Installer —at SS--W t-�I S j LG - fi_2_IK` — = ---1►1f4- 17� — L L -- ------ ---has been installed in accordance with the provisions of the Town of Barnstable B and of Health Private Well Protection g Regulation as described in the application for Well Construction Permit No&/I � �ated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE-THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE —----------_—_-------- Inspector---- ---- ---_—_--- ----— No./�------�-----`--� U � Fee------------y- ----am-- BOARD OF HEALTH TOWN OF , BARNSTABLE Application for Welt Cootruction Permit Application is hereby mLV ade fox a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: ---------------------------------- Location — Address Assessors Map and Parcel ------ ------------ ---------------------- - ------------- Owner Address Installer — Driller m l& acid Address '1 1/0 _ coo Type of Building JJ of 7 Dwelling---- ----------------------------------------------- Other - Type of Building---------------------------------- No. of Persons---------------------------------------------------------- p("VType of Well T/cam - _ Capacity � --------------- Purpose of Well------2 L 4_ATY0A-)------------------- Q Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to +. place the well in operation until 'A Certificate of Compliance has been issued by the Board of Health. f Signed-- -- - -- = ------------------ - - date Application Approved By -- - - -- - - `— date Application Disapproved for the following reasons:---------------------------------------------------------------------------------------- -------------------------------------------------------------- /�� -------- date Permit Permit No. -------- Issued----------- - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( )� , Altered ( ), or Repaired ( ) by t m o►.���- `.`� = -L--Q 2! / _C--------------------------- ------------------------------------------------------------------------------ Installer a t-- -� — w l-F-1 S�L h__l`�--- ---U2 --D_ -— - 14_ S 17�iU — 1,L 5 --------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable B and of Health Private Well Protection p� - - qq� Regulation as described in the application for Well Construction Permit N ated`------�----------r-� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----—------ — --—------------------------------------------ Inspector------------------------------------- ---------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Well Con5truct ion Permit _ - -� --- No. ---------------------- Fee----------- Permissionis hereby granted----------------------------------------------------------------------------------------------------------------------------------------------- to Construct ( ), Alter ( ), or Repair ( ) an Individual Well at: No. � Sw�o -C) -w t�I-L- C)__ 1Z IL 4-1146 ZIUL -SR0 �u3ZuL R— ©1 l.�zI M-S Street as sho n the a lication fora Welell- Construction Permit �''.. ®_ --- - ---- Dated ---�~-/�—`�---------ram --------------------- ���-7 _ Board of Health DATE - - -� - --— - No. Fee-----W---- BOARD OF HEALTH TOWN OF BARNSTABLE Application-*r Vell Congtructionpermit Application is hereby made for a permit to Construct Alter ( ), or Repair ( )an individual Well at: Location — Addrfss T Assessors Map and Parcel ------------- Owne Address -------------------------------- Installer Driller Address A4 G S`,�—zx. Type of Building ~'CC Dwelling------------------------------------------------------------ Other Type of Building----------------------------- No. of Persons--------------------------------— --- Type of Well--y--:-- —---- - ----—-- - Capacity---- - -- ——- — - ——— — Purpose of -- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Signed -- -- - ------- - $ 5------ — Application Approved By date -- - ------ ----—- —/ --`'f� - � date Application Disapproved for the following reasons:------------------------------------------------------------ ------------------------- -- ------- --------------- -------- - --- ---- date Permit No. --------- -- ---- Issued--- -- --- -— — ----- --- - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f (Compliance THIS IS TO CERTnIF,( ,That the Individual Well Constructed ( �, Altered ( ), or Repaired ( ) by------------—�.�i�J_S�!1 i!.,e �_c.W e�- ,Q���ll_r_'-- ------------------------ --- -------- ------ - �f'I Installer - ---------------------------------- at------ - -�iS!6s/i —---------------------------------------------— -- - - - - -has been installed in accordance with the rovisions of the Town of Barnstable Board of Health Private Well Protecti n Regulation as described in the application for Well Construction Permit No.'-,? -Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- - - --——-- —-- ----- Inspector----------------------------------------—— - ------------ 0 -2 No. p �/C� hS .30 Fee-----t------------ BOARD OF HEALTH TOWN OF BARNSTABLE. App [ication �oreCCe Con5tructionertttit , t Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )arf individual Well at ^. Location — AddrElss f Assessors Map and Parcel Owner Address _ r Installer Dnller Address ^+GS .Type of Building �'4 Dwelling Other - Type of Building ------ No. of Persons-----=--------------------------------------- Type of Well- --------------------- -- Capacity-----------------=- --- - ---— — '; Purpose of Well-_[l!`- w•. v__-"- f - - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The I Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place.the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Signed - -- -- `'�l'-� 5-------- -------------------- - -- - date Application Approved By—v � , date Application Disapproved for the following reasons:---------------=-----------------------------=---------- ------- -----------—-- ------- - --- ----------------------------------------------------------------------------- date PermitNo. ---=------- ----- --------- Issued--------------------- ------— --- — --- - date .. BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Coi4fiahce THIS IS TO CERTIFY(�That the Ind* id al Well Constructed ( �, Altered (� ), or Repaired ( ) bY--------------------- —J_ al..c !_/ -�= e�� i�_1-1- ----------------------------------------------------------------- Installer C at=---- — —s /� /— has been installed in accordance with the ovisions of the Town of Barnstable Board of Health Private Well Pr tecti n It Regulation as described in the application for Well Construction Permit No. 9.S-3 � Dated-- -- -- --5 'i THE ISSUANCE OF THIS.CERTIFICATE SHALL NOT BE CONSTRUED AS GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------—-- --- --__ Inspector- - - ----------------------------------------------------------- I; BOARD OF HEALTH TOWN .OF BARNSTABLE VrIt Congtruct ion Permit No. _ Fee --- /_ . s 4 � Permission is hereby granted A =-�"`'�``` --------==------- -------- --- I', to Construct ( �), Alter ( ), or Repair ( ) an Individual Well at: N o. - ��� = --+�_�, s A /� - ------------------------------- -----:Street-- — — - — — -— — — — — --- as shown on the application for a Well Construction Permit No. - - .. z -. -----=--___- - Dated----- / -- - ----------------- �j Board of Health DATE--— - �� `--- -- a I i ..�•.....�....�..,,..,�..�.�-...,..».�.�.�,.-..,�.,>,.�»,�.tea-...,..�.<,..,...m�,.�„•-.�..,f.K:�....,n.,.�:�,<„�.,��.x ;.,,..,-..�.,...., �.� ,�.�.�.�•„�.•a,�..,�,.,.=,d�.,.�a��-.•�...,�,,.,..,.,M,,.,�..�.,.,....�,..,..�,n,,.,...�-..,.�,.�,.�...��,..��,.._�...,..w..�.;.w.,...-..�..�,: . ;`°. E ' PROFILE - -- NOT TO SCALE h TOP FON. FINISH GRADE! FINISH GRADE OVER EL . v�, :a_• �: FINISH GRADE OVER /,��, Q FINISH GRADE OVER °" DIST. BOX SEPTIC TANK LEACHING PIT S2" MAX. \ �i/ / , / \\ 7 \ !l77 177777T7 '.,0'.°:0 p' p.':C a •'..e. •,.p•..a:•,� .�,:o...:o:.d• e.;• :s• O.' a.'r: '•p —3 OF 1/B" 1/2"` 12MAX PRECAST CONC. OR , o••,•a_:• • _ ,a .♦ ; ASHED PEA$TONE .pi._.o.-'•��..•'�': e' BRICK & MORTAR 311 , OUTLET PIPE LEVEL TO 12" BEL OX GRADE p•..a•'.a: 'C' O:a; p °• FOR 2 FT T. MIN., •�•: O.• .a.•w..e•. .at:o. n•.,e o ,•p o Y1, 4 ° : .O• D •,p„'.6. 2c3 :,p ;o. � :e ta.s,••n,.,e :•o:'p;.0:'.0;'°:0:0: f! ti• :.�• 'a oo:•o'Q: o•,:. o:0 6.: :o "'✓d...n,3 ��f s�� ...r• :o.•e•o':►. :?; •° •p, o'o.'•n.� C. I. OR PVC TEES o . p , 4• (••o••• a; d e.: k 1000GALLON i BSMT• FLR. • a o DO'S TRIBUTION BOX EL r f9,0 3/4 TO 1-1/2 a' PRECA S T CONCRETE INSTALL ON LEVEL BASE Q 3 ' PRECA S T WASHED ( 'o,.•o..•.o•. o. ,�'._ l O REINFORCED_ o CRUSHED CONCRETESTONE °•a;?' •Abao-'o'••o o.::o':o o•,o.Q_ p•,•Q• :a:'p:•p'•e:.::.e•::d. 'o.� ebo':o: 'b o•, SEPTIC TAN�C d D e INSTALL ON LEVEL BASE NO EXCAVATE TO ELEV. �� t •��� � � • _ . 9 OR e�o••o•• •'•°•Q.ci; 'e' a ���•O'•b�, a0:°' � 7. LONER TO REMOVE ALL IMPERVIOUS 9 - MATERIAL BENEATH Tf:'E LEACat�ING AREA 3 .-0 „ 3 •-0 ,� 6„—0 „ REPL A CE EXCA VA TED MA TERIA,L hlI H �r a C'L EA X, CLAY FREE SAND 12 —0 ; EFFECTI VE DIAMETER P.T. F GENERAL NOTE, k L EA CHING P.T T 1. ALL EL EVA TIONS SHOWN ARE BA SED ON ED KEL L EY TOPO INSTAL L ON L EVEL BASE r CAST IRON 2. ALL PIPES IN THE SYSTEM MUST BE ORSER V T1C ! PI T OR SCHEDULE .�& xpVe. , _ . ® _ . v 3..., THE 'BOARD"OF,�"-A L TiYIMUS r.05` NOTIFIED t WHEN CONSTRUCTION .IS COMPLETE PRIOR BAXTER & NYE P-4378 ! s PER COL A TION RA TE.• a � TO BA CKFIL L ING 0 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED 2 MIN./IN. \ Y THE BOARD OF HEALTH AND CAPE & ISLANDS WI TNESSED BY•• ► Q SURVEYING CO. INC. J. CONLON Lo-r --! 9 1 � 5. MA TERIALS AND _INSTALLATION SHALL BE IN � BARNS. 6►RD. OF HEAL TH „' ,,� COMPLIANCE WITH THE. STA TE SA NI TARP Oct 15 1985 (-., CODE — TITLE V AND LOCAL APPLICABLE DA TE.• / RULES AN7 REGULA TIQ. IS14 �2 3 A 6. NORTH ARROW IS FRQt'ff RECORD PLANS AND 0 " NUMBER (7F BEDRL7OlfPS ! ° IS NOT 7'0, BE USED F(Y'R SOLAR PURPOSES GARBAGE DISPOSAL NO / o TOPSOIL & 330 GAL q _ 7. FL DOD HAZARD ZONE C SUBSOIL DATE Y FL ON 1Nq c r 8. WA TER SUPPL Y TOWN WA TER 24 " SEP TIC TANK R�G7 'D. 1000 GAL . � Q a sr _► 1000 �r.s SEPTIC TANK PROVIDED GAL . / 330 GPD. LEA CHING REGd UIRED z.�• _-__— � CLEAN ' SAND SIDEfg'ALL AREA 135 S. F. 0 135 S. F.X 2. 5 G/S.F. �- 337 GpD i BOTTOM AREA 113 S.F. J4 �oo GALLON / 3 L EGEND -- 113 S. F. X 1_ . 0 G/S.F. �, 113 GPD /PRECAST CONCRETE G G r.y n / � r �r s c ,o 490 � SEPTIC TANK" �tO LEACHING PRO VIDEO �' fsPD ' u 2 / PROPOSED EL EVA TION 120 " NO GROUNDWATER ,/ �, ExsTING CON TOUR SINGLE FA MIL Y RESIDENCE G OBSERVA TION PI T / PRECAST CONCRETE 0 ..DISTRIBUTION BOX LEACHING PIT ^f�.r �` PROPOSED SE A GE DISPO S�A L +�.' YS TEM ^� iG t • cP ti ®4 LEACHING, PITS 1 4 PREPARED FOR � • THOMA S DA MEL IO SEPTIC T,a�iK L O T 49 !�IHIS TL EBERR Y DPI VE ,RP RESERVE °F "'9ssa MA PS TON MIL L S BA RNS. MA SS. VID PIPE INVERT ELEVA TION �251085 DA Tom' � A, /� , i � CAPE & ISLANDS SURVEYING, INC. PLOT PLAN \� , Fcr� � � ' SCALE AS NOTED 59 .E SCALE: 1 AI C)`' P. <J. OiY '3,3�fi — TEA TIcr�E T, �c s5• a r c ��: r ! PL A N NO. 5' /8 8 5 • MAP' SEC PCL, �.O T �{SE � �.��-r ,,.._t., . •+» wnx .. 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