HomeMy WebLinkAbout0179 WINDING COVE ROAD - Health E179 WINDING COVE ,n MARSTONS MILLS
A = 057 052
TOWN OF BARNSTABLE
LOCATION C��,� SEWAGE # 'Jt3a0
VILLAGE ti°'1rb&SToW M SSESSOR'S MAP & LOT
j INSTALLER'S NAME&PHONE NO. Lo
SEPTIC TANK CAPACITY Dyc>
+ -- LEACHING FACILITY: (type)�2 0 61tc. Cjfd4o+�i;��2s
(size) S3 X i`X J'
j NO. OF BEDROOMS
BUILDER OWNER' .
PERMITDATE: O COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
I Private Water Supply Well and LeachingFacility ty (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
j within 306 feet of leaching facility)
Feet
Furnished by
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�)Sf'ON ;�C) -ry Q _j
TOWN OF BARNSTABLE
LOCATION 7 LU l n d i 1 c Cd d C SEWAGE # Q000 ' 660
co
VILLAGE JN4&- � //USAnSSESfSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.OT0� -A 10
SEPTIC TANK CAPACITY /000 64t- Ale. 1
LEACHING FACILITY: (type) /mod° 6/tc, Q/41�160o-S (size)
NO.OF BEDROOMS S
BUILDER OWNER n u "
PERMTTDATE: 0 COMPLIANCE DATE: QV
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
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No. �Lnoo ^ t�f�l _ q Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Zipprication for Oigozal *pztem Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. �79 f.� 4�6,0_ pad Owner's Name,Address and Tel.No.
IS 151,41- -*0"1 /3,f-A — S.c�7t
Assessor's Map/Parcel
5'dfr- 7710
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
J-oti 4.9 '1,2 j y�
/'o OPK* 3b9
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size o S y sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 330 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) ;'rf;y �d�'egc/. T�•�l r �✓�� .?- 5�0�4/.
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 issuedby this Board of Health.
Signed Date
Application Approved by Date ! A i .Co
Application Disapproved for the ollowtng reasons
Permit No. :QW-2— 0 0 Date Issued
No- Fee
e computer:
in com �[
THE COMMONWEALTH OF MASSACHUSETTS Entered p
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS
ZIpplication for l gpo I*,pant-LCongtruction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
' Location Address or Lot No. /79 W^4. Owner's Name,Address and Tel.No.
S4r1 M 10 f`i - S,-7 e
Assessor's Map/Parcel
OS7 -0 7/0
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Sohn A� /fo ya8— �f yS'
P.o I&K 33
/L1sr5to�f 1e1,/1*A azo-,Yk
- Type of Building:
Dwelling No.of Bedrooms 3 .Lot Size -P sq. ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 330 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) EY. rt •y /ooy�.�/. =►�./-t N��. .�- �o9?q/,
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 issue this Board of Health.
Signed Date
Application Approved by Date
Application Disapproved for the ollowtng reasons
Permit No. 'D.-Q2 4,6 Date Issued
—————————————————————————————————————--
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( )
Abandoned( )by ctiXmf
at has been constructed in accordance
with the provisions of Title 5 and the Disposal System Construction Permit No. erx,- B(moo dated
Installer Designer r
The issuance of this permit shall lnot 'e construed as a guarantee that the sy em '11 funon as desi nei! f e K-5-
7Date n .1 /, Inspector � �� .��,
---------------------------------------
No. �O — 0&0 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
wigpogai *pgtem Congtruction Permit
Permission is hereby granted to Construct( )Repair(,V)Upgrade( )Abandon( )
System located at 7 51 UJ m,k�j ('.-:,s-e 0-.P /4 ,A¢
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 this permit.
Date: I - �� Approved by ,
'7
p 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)
I, JT A' Ag j1'V , hereby certify that the application for disposal works
construction permit signed by me dated /- 3/- O Z , concerning the
property located at / 7`1 !�/'��✓ y ve �� 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:
A) Top of Ground Surface Elevation(using GIS information) p
B) G.W.Elevation +the MAX.High G.W.Adjustment.
DIFFERENCE BETWEEN A and B 3 3
SIGNED : DATE: /- 3/—0 0
[Please Sket roposed 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
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07` 6 132
UDCQTION : SEW&C;E PERMIT I.JO.
NEE 44- l27 ���H�ca��Ad — — — — - — —
VILLhGE
IWSTQLLER S IJ&MF- � ADDRESS
- - �4
- y � �/ - - - - - - -
/Sa- lyu�h ud-�51- U/,
BUILDER 5 Q &MF- �- A//DORE SS
Dt.*►TE PERMIT ISSUED
D ATE COMPLI &MCE ISSUED : - - -
r
/000 P
�wn rsia�r
ous{
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_................ .......-OF.............................................----------------.........................
Appliration -fur 43itipwial Worko Tomilrixrtinn Vanfit
Application is hereby made for a Permit to Construct or Repair ( } an Individual Sewage Disposal
System at:
&V /../!J 'l— 1 -.............................................. -----. ...... //. / -- - - -
Location-Address or Lot No.
-`!' ��r f` .. 1?.Y� L-.... a ._ ..../7AfTow11/��5 oZ���,. -
Owner _� Address, --
WJ o�f_ ✓........ 4-----------------•--..........-------•----. �--4✓/��/tOG� ......... 1.� .1.llP..................
Installer Address
d Type of Building Size Lot... ..-41/------Sq. feet
U Dwelling—No. of Bedrooms-----r .................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ---------------------------- No. of persons------- ----------------- Showers ( j ) — Cafeteria ( )
G4 Other fixtures ...... -----------------------------------------------
Desi n Flow.........................®.0.... allons per person per day. Total daily flow.........>3.v_L�............
W g g� P P P Y y ..---------gallons.
WSeptic Tank—Liquid capacity142-0n.gallons Length.- -X. --- Width................ Diameter..---.---------- Depth----------------
x Disposal Trench—No..................... Width-------------------- Total Length-------------------- Total leaching area--------------------sq. ft.
Seepage Pit No../d------------- Diameter.................... Depth below inlet------ Total leaching area------4Z�---sq. ft.
z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed bY........................................... .............................. Date.....----------------------------------
,� Test Pit No. I......... per inch Depth of Test Pit....... --. Depth to ground
Gz, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water.........__.------------
••-••--------------------------------------------------------•-•--•-------
O Description of Soil---------'0.4.° ...-..12,.`/----`�'' � `�o� l-----/�--�-------�IF?��e�,� �.�,,......� � �!�'
x - �-
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 Article XI 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.
Signed.. i ............... ----• -------- --------------------------• ---- - -�-L7
1C Date
Application Approved BY----------- A---'............................................. ----------------------
Date
Application Disapproved for the following reasons---------------------------------------------------------------------------------- ..............................
.........................................................................................................................................................................................................
Date
PermitNo........13.2,................................. Issued........................................................
Date -
No....... ....... F>m .....n,LL
THE COMMONWEALTH OF MASSACHUSETTS ---^�-
EOARD OF HEALTH
... ..... .........OF.............................................................. ..........
Appliration -for Uiipoottl 10orkii Tonitrurtion Vrrntit
Application is hereby made for a Permit to Construct ( , or Repair (. ) an Individual Sewage Disposal
System at:
Location.Address or Lot No.
!-= L .......................... .... .r�G_r'F'f�j....../i�?.F?._ ..../�/.t?I/_v.✓1_ i`7i/� Z� U,
Owner Address
Installer Address
UType of Building Size Lot...�Z_:3j---4.� ------Sq. feet
Dwelling—No. of Bedrooms------T&4Xa.�=-----------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons..-___�--___-_-____-___- Showers Cafeteria ( )
Q' Other fixtures ----------------------------------
W Design Flow....................... 3 OO gallons per person per day. Total daily flow__...._..3............................__. tllons.
g --• ••-•-•-•-•-- ga P P P Y a Yg
WSeptic Tank—Liquid capacitv4�.Q°_gallons Length_ a' .__ Width................ Diameter__.-..........._ Depth......._....._.
x Disposal Trench—NF- -------------------- Width-------------------- Total Length------------ ...... Total leaching area....................sq. ft.
Seepage Pit No./�.............. Diameter-------------------- Depth below inlet_____----------- Total leaching area.-__-77o---sq. ft.
Z Other Distribution box N) Dosing tank ( )
aPercolation Test Results Performed bY----------- ------------------------------------------------------------- Date------------------- .....--------------
Test Pit No. 1-------_____....minutes per inch Depth of "hest Pit------//--____-- Depth to ground water....e!!�V A'--
(14 Test Pit No. 2----------------minutes per inch Depth of Test Pit._--_----..._--___-- Depth to ground water------------------------
G ✓t)•,-� �
Description of Soil - --- --------------------------------------------•-------------- -•--- :i< ------. ..... //1
U -...-T 'a ' ' �J r
W
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 Article XI 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.
Signed.....�.4! -------- 1 ------- --- --------- • -------//
.i . � Date
Application Approved BY ----------- -------------
Date
Application Disapproved for the following reasons------------------- ----•------------ .........................------------•-•--•---••---
.................. ------------------------------------............---------...............---------- ----- ......
Date
Permit No. 137 .
.. .....----•-----.................. Issued---------------------------- .........................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.............OF.............._. sty/<./:.._fT�>h.e.. �...............................
Qrrtifiratr of f911mplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
Y ✓ r--.✓/si r z< .............................................----..............._.........................
Installer
at------ =...... .......... ,--- l ---- '•/---
n
--------•----• -----------
has been installed in accordaceith the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No._._.__-____� : ................. dated................_________-------_------_........
THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM W FUNCTION SATISFACTORY.
^w
DATE--- -- ------------ _--------------_--- Inspector-C. .-- .........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.................. i.��:./........OF.._...............1�`gA,s �..�•��'.�l�.._:........... / ((/
No..-- f - FEE----------- -=
�i��o�ttl ork.� �on�trnrtion �rrmit
Permission is hereby granted_------_________________ ........_../=f?r.T
to Construct ( )for Repair ( ) an Individual Sewage Disposal System
at No _ - L
Street
e
as shown on the application for Disposal Works Construction Permit No-----_.............__Dated---------------- _.. r...............
---•-----• ---------------•---•-•---------- -------------•------------- ..........-........_
Board of Health
DATE - -----------------_--------------------
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
t._�.a_.
_L2 PEA"'OnE—.. -OA Y d P �.. 1„- LOD.r•f!
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4 C. I. DI ST 1f�; � � ', � MCd+vm
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I000 1000— CAS,..
GAL, I ;° { PRECAST 0R { •�. jrr Qr+G}��' ���w,.p• @,yF} �-k�'+s
I SEPTIC I 5 p C` 9••� 1 BLOCT Cv i idrYf i' ;V I��S�F4 } C
TANK I I+'Jr • SEEPAGE FIT
Na _e8 .:.
!M1' • 7 .1� I + � <3 ( -. a•Vf? •a..f, r. .� 'k7 M1"` � -
,CI�--- 20' MINIMUM
� T1 � b /• •tl C ✓ m Gl ♦ O o � � p ! Q � �.a'F r r�''� ,fEy � YF'.
FOUNDATION }° a o J.
2 •rJ`o•1 ��2 WASHED STONE :o e u• °• � 'q`
�_'°o°° —•o a , •J ,o °_�� SCALE #}'
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f� RC. RATR : Les�►i1�an Z�/i+;t �� °; 4 ,
ELEVATION SKETCH - I O --- :- -•--- --�-- -,,-� ram:,
SCALE- I = 4'
TEST �Y - ttlltt;Y2U!1 # c�~.
ar.srCA TOWN ;NSPECTCrR.'
a•';t',l qF BACK►iOE OPERATOR .,—.�o ►z ` „ `� 3
TEST MAL)f O
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APPROVED 13Y' BOARD OF KEALT!i
DATE
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ELEVATION SCHEDUL.£ PROPOSED�! 91" '.c�;l �y y ••
I INV AT F0UND AT,0r1
SEC AGE �JTg?�m }c"Z:0ti �.
N
2. {NV. INTO SEPTIC 'TANK - 93'Od t
3. + NV. OLT Oi- SEPTIC TANK = 92.183 RJ>(2NsTAFS�� , /�tSS
4 INV INTO DISTRIBUTION BOX = g2 '33 SCALE' I"= -40 PIA21�l719 7Co
S INV. OUT OF DISTRIEM ION BOX = -92-r /6 - . C—
6 INV INTO SEEPAGE F! f CAPE COD SCREE Y { J'ArS•;;�F4F:l S
ROUTE 132
Z BOTTOM OF PIT • p� HYANNIS IaA S x
• , A :F�vlllivl+ Basr'C✓t sltt{VCY :�'+SU.,�'Ahrt;, t•1.?. � _ ''��
8. BOTTOM OF STONE 'LAY E R 7 6- it s`
Nara PC I2tt �Tl:a S p N t iQ PL�fC ?'L Z A1�A/57'fi�3L.E • _^ _. _ - - - - -
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