HomeMy WebLinkAbout0021 WREN LANE - Health 21 Wren Lane -�
Marstons Mills
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LOCATION SEWAGE # �D�
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY ��0� Azz
LEACHING FACILITY: (type)
SAa (size)
NO. OF BEDROOMS
BUILDER OR OWNE
7 424±4Q
PERMIT DATE: 0' COMPLIANCE DATE: a 0 2
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.2 V 02= Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Yes
Application for M!5pozal bpotem Con0truction Permit
Application for a Permit to Construct( )Repair( )Upgrade()(,)Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 21 WREN LANE Owner's Name,Address and Tel.No.
MARsTof✓s M►LLS, M ASS PAUL 3. FrVE2S0N
Assessor's Map/Parcel Z 1 Lt-J RAN LA N b
In 2.q P /2 Miorgliolvs ALLs MsS
Installer's Name)�jddre and Tel.No. Designer's Name,Address and Tel.No.✓�-0S--,/28-3 3 4 y
l c C � CI®. Sat' SU 1_L( V4A1 J5 6-1/VEGP-fIVC IIVC
'7 F;yr/G[.IZ RoAI�
®st5E tZVI LL6 s�
Type of Building:
Dwelling No.of Bedrooms Lot Size D•(o 41Ac. sq-4, Garbage Grinder
Other Type of Building P—S - No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 330 gallons per day. Calculated daily flow 3 I gallons.
Plan Date '4 UWE 12, 2002 Number of sheets _ Revision Date
Title PrO P0.5 6 D sG1�7FI c LIFC-rA Dt
Size of Septic Tank E X 1 ST, l O00 6:hLLO/VS Type of S.A.S. 12'X CAAi1.18E12
Description of Soil O t— S I .541l3 so i L C L/9 Y .S'- /3 I M E D S461D Q7/r7E
C�-rAVI f✓
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 Bo d of Health.
Signed Date o ®�-
Application Approved by 4614 *v, Date 611vo
Application Disapproved for the fo owing reasons
Permit No. :20 a a- 2 S'%' Date Issued 0
0 a —-�SJ _. Fee_ y
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �G
4 Yes
wt PUBLIC HEALTH.-DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Z(Pprtcatfon for Migoml *p5tem Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade OO Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. ZI WREN 1.AAI a Owner's Name,Address and Tel.No.
MARStot4 Mtt.t.s, A4 ps.s • PAUL 3, fW4aRs0ly
Assessor's Map/Parcel ., t W asav s_A N L-
M MArstoA,,s LLs 4537
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
" es
1 1' l'7 P,4r-Je-i X RoAA
/� •77 I 5 t 12V//L 1-6 4 41,014 s
Type of Building:
Dwelling No.of Bedrooms _ Lot Size D•4 N A►c_sq Garbage Grinder(&*,.-
Other Type of Building R.Iw 5 . No.of Persons , Showers( ) Cafeteria( )
Other Fixtures txt
r}
j Design Flow 3316 gallons per day. Calculated daily flow 3 gallons.
Plan Date ;;I UVE 11, 4�2 o;G7+2.- Number of sheets Revision Date
Title Pt'oFosEla 5)VP77G 41P6r'Aog
Size of Septic Tank El X&tT 1 Ooa G ALLrivSr Type of S.A.S. 12�x 'LS A..EAGH• CAAMBE 2
Description of Soil D- S ti'4,fBSol L Cl A y 5 - 13 M 6 D SAND .S"21ncf
�rEAyL L -
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 issue by`this Bo d of Health.
°Signed r Date 0�--
Application Approved by ` �1, Date /? U a
Applicationn,Disapproved for the fol owing reasons
Permit No. Don�t ,215_ Date Issued ti Z/1710-2
------------------------- ---------------
THE COMMONWEALTH OF MASSACHUSETTS
f
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERT Y,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded(�)
Abandoned( )b rm,CVXX +J %r
at 'z 1 ff A E !S7`17 S 0/L L I 00.45S has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Kermit No. %00.)-7T'5-dated .0
Installer Designer.5UL1_iA14,V 6/I1&1VEE _Wt_ IAle,
The issuance of this permit shall not be construed as a guarantee that the systejpwill fu ction as designed.
Date �' h 2 Inspector
{
----------------.-----------------------
No. �QU',2- as-s Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Migogal *pftem Con.5truction permit
Permission is hereby granted to Construct( )Repair( )Upgrade(,k)Abandon( )
System located at :Z. I U/2 E P J-4ty6 , /11 Ar_<rod/.s ./h ILLS
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 thi. ermit.
I1' Date: �� i l -7/t12 Approved by AA7t
WTI TOWN OF BARNSTABLE
LOCATION �� A SEWAGE # �`�'/f®ol
VILLAGE ASSESSOR'S MAP & LOT
INST4LER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY looms
LEACHING FACILITY: (type) �� (size) .1� X4-�
NO. OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: U' COMPLIANCE DATE: -7 ;
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 Feet
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility (If any wetlands exist Feet
within 300 feet of leaching facility)
Furnished by a
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
----TO:= ...........~ -oF............Ba.msta.blp----=--_-----------------------------------
a
Appliration for Disposal Varks Tonstrnrtinn omit
Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal
Syp%en at
v -................. 1.3.1.... -----------
or Lot No.
............... ..........-•-••-- - � �.:-• - 2"Iftr...�---- ---------------------Idr_en-...,4_...._..............---
/� Owner / Address
a .............. .......................ES....
(.-................................... •-----------------Ma.pat0s...N u.s........................................
Installer Address
UType of Building Size Lot....2:1.775_.........Sq. feet
�, Dwelling—No. of Bedrooms___..___.....................................Expansion Attic ) Garbage Grinder ( )
aOther—Type
of Building ....CapP.------.t•--- No, of persons___._2____________________ Showers (2 ) — Cafeteria ( )
P4Other fixtures -----------------------------------------------•...--------•-•--••-••--------••----•-•....-•••••-•--•-----------------••-•.._...-------._......:--•---
W Design Flow............................................gallons per person per day. Total daily flow..._.330________________._._..._._____gallons.
Septic Tank—Liquid*capacity110OGgallons Length---------------- Width................ Diameter---------------- Depth................
W Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation'Test Results Performed by----E1d.reClge...Eng.._CII.......................... Date...1Q/s3/_-a2.............
___-.
a Test Pit No. llesS...2minutes per inch Depth of Test Pit.•1_3 1___.______ Depth to ground water........................
(i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.41_..p_er.__min•
................................-..__._....•--•----••------- --------------•--._...........-••----...._......-•------•-------•-....--•--------•----....--•-
O Description of Soil-__Q 1_!_- .... ]7�]...Soil_-wl---clay.-�:--;��-.._..5-!_-�.31__me iuIiL__S_san.CLW/..................
x
W
-------------------------------------------------------------------------------------------------------------------------------------------------------------------•--•-••-------••••---•...--------•-
U Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------_.........................
-•----------------------------------•.---•--------•-------•------•------------------......--•-•--•-------------------------------------------•---------------------.._._..._•-••-•----.._..._......----
Agreement:
The undersigned agrees to install the aforedescribed Ind• • ual Sewage Disposal System in accordance 1 1
the provisions of iITLi� 5 of the State Sanitary Code— e u further n to place th
operation until a Certificate of Compliance has bee d b bo d health.
Igned-- • ... ...............................................
Application Approved e-. --•-----•--• ......_••----------••. Date
ApplicationDisa ong reasons--------------------------------------------------------•------------.-..•-------------...__.._..---•------•-•••-
•••••-------•--•----------•-------...-•-•---------•-•---•-•-----••••----••--•-•••--•-•••----•-----•-•-•••-----------•--•••------_...
Date
PermitNo.......................................................- Issued.......................................................
Date
Nol FES.. �...........
THE COMMONWEALTH OF MASSACHUSETTS o;
BOARD OF HEALTH
...------ ----------- ---------------•--..OF.......................................... .........
Appliratioat for Biinooal Works Toat,itrurtton runtit
Application is.hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Sym at
MO�
S
ddr s / or Lot No.
....... 1/�:;` - :..(..�.7 Z�C .I_.I. .....................................................••-••-••---•..................... - ..
W 6 Owner Address
---------------------- Y �% .........-----........----•-------...... .........................----------------.......-----•----------------.........------ . = ...
Installer °v, Address z
UType of Building A Size Lot..............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic (_..) Gafbage Grinder-(; ) ``
Other—T e of Building ............. No. of persons......_..................... Showers — Cafeteria
Pa Other fixtures ---------------------------------•--•-•--
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length..........,......... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
f? Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.-__--:__-______---____.
' ..........-•--------•------._....•..----•-••----•---------------•--••---•-----------•---•--••--•-••---......---•------------------•••-•...........--------•--
0 Description of Soil...........................................................................................................................................................................
W
UNature of Repairs or Alterations—Answer when applicable.................................................................................•.............
-------------•----------------------................
Agreement: ,
The undersigned agrees to install the aforedescribed Individual Sewage Disposa System in accordance i i.
the provisions of TITU 5 of the State Sanitary Code— he u further no to placd th m
operation until a Certificate of Compliance has been t b o d o iealth.
gned.... ........... ... .................................................
D t
Application Approved By.,_-_�(Lt---- - --------- ---------•--••------••------................:----•. ------..Av/. y
-•••• -•-
�` Date
Application Disap roved+f or'�the following reasons:..............................................................................-----------0 •-••-•......-••--•.
�,P '
----------------•--------��...----•--•---•--••-•--•-------•---•----•--------.......------------'-•----•--------------•--------•------"----------•--•-----•----•-•------•-" -----••-------
Date
PermitNo......................................................... Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEA TH
..?1.1 ...........................OF..... .. ........................................................
9rrtifi.ratr of TootpliFattrr
TH 4 IS Ck,IFY, T t the Individual Sewage Disposal System constructed (�or Repairedby.........`� f J...-----.
Installer
has been installed in accordance with the provisions of TI i�F j f The State Sanitary Code �syocor.i bed in theapplication for Disposal Works Construction Permit No..-CL_�_'_Pl D -'`
- ------------ dated---./__...._ -------------...
r THE ISSUA C L OF THIS CERTIFICATE SHALL NOT BE CONSTRU D A ARANTEE THAT THE
SYSTEM Vlllt F CTION SATISFACTORY.
DATE---l...Y...... ....................................•............. Inspector-•--- ---- ....................................................... ...........-
I -
THE COMMONWEALTH OF MASSACHUSETTS
BOARA OF H A H
...........
.............O F.-- --...........:...........--...................................------........
No.. 'FEE........................
Dhlvofi a, 0 ko T tra$rti t print-it
Permission's reby granted 1..... .................................................... ..............
to Construct!(' or Re i ( ndivldual Sewa P 'isp al System
�.. .....------_..at No.. °.................:..�.------------------------•-------•------------------------•-•---•-•-•-•--•-•••.........`:�
Street ti
as shown on the application for Disposal Works' Construction Permit No..................... Dated.___.......____....�N................
4
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= ti
-.•-••• Board of Health
DATE •r' � ............
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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4 S LEGEND
(VAcAtiT)
CERTIFIED PLOT PLAN
EXISTIN�0 SPOT ELEVATION Ox0 ,,.s ' ®� lL /�
EXISTIM�G CONTOUR --_ 0 ___ �� s° � k LU.Tl3l �/' I A,,/VZ7
FINISHED SPOT ELEVATION B- �, C_.�� Tyl7- -
FINISHED CONTOUR 0A. ;.1 IN
----- �- `
MORSE co
DOARD OIL' HEALTH No. 10
A ��G1sTE�� S A t , �, .ASS.
�FSSIOD!AL�aSCALE,
r ,
DATE AGENT SCALE, I �,=-3o DATES
t
IVLDREDGE ENGINEERING CQ IN gins Op �
_. CLIENT - - - I CERTIFY THAT THE PROPOSED
EGISTERE REGISTE,1410 JOB NO. 8'ZI BUILDING SHOWN ON THIS PLAN
CIVIL LAND CONFORMS TO THE ZONINQ LAWS
EtdOtNEER URVEY R DR.BY,ABM._.. OF ®Il21V7FRf( .E , SS.4ex
�rst�
712 MAIN STREET CH. ®Y���_ Io la e�, _HYANNIS, MASS. SHEET_l__ OF DATE - LAND SURVEYOR
20 FT. M//V. /VOTE /F E/TNER THE SEPT/C TANK OR
7'EACt//rvG P/T ARE MORE TNA,V /2"SE1O/N
/D fT- M/N :J,RAOE� f� 24'O/AM ETER CONCRETE COVER
_ Sl+►,gLL BE BROUGHT TO GRAOE. ��N EXT.PA
CDNCRL•TE 4 PYC P/ t,+ER V y CA S 7- /rPON C o YER SHALL !3E U S EO
M/N. P/TCH /F /N DR/VEJVA Y,.',. 87L E t.r . 101.5 GONERS - �6"RPSQ FT.
2 •J• M iN. CO/V C,QF TE
A =:4- G ADE CU ✓ER
r- C•L EA/V SA/V O
A.
UQU/D LEVEL "3.8+ . _ I�cita,•
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4 GAST� ��` .�..,, -'LAYER
• o o-
;dr MJAl.P/TUII GAL. • e 1 • • • • o • • p •eo GLF �B �B
1<7: SEPT/C TANfC �� D/ST, o t a • • • e • • e • • WASHED ST�iNE
BOX o • e • • • • • .�t •�
:-: of C�RCrt i sJZ ��T ' ♦ e � • •E.f'FECT/VL � • ; � 3�4,- � �2"
70 &E e rE � CLA l • t • • DEPTH • • • t o IVA5NFP STONE
LA' aQ- O 1 • • • ! • • • iop o
• • • t e • • • p PRECAST SEEPAGE
113 r; o ( I, . v. . ••v
/NYe/t T e4RVATIONS a ► • r • • • • • • e a o P/T OR EQU/1/
1")7- �?��c%;� �qa 6AL.IP>4/ s E'L= 9o.(.
INYE)TT AT QU/LD/NG 9 4'r FT. 6 FT D/AM.
INLET SEPT/C Ti4NK 5'2'•3 FT, 1'" f?. D/AIV. C SEE TABULATJON,
OUTLET SEPT/C TANK FT.
INLET D/SMAOUTION BOX 9-7.9 97. SECT/O/V OF GROUND AC4-rCR -rAjLE
OUTLETDISTR OJ1l - 9� FT. SEWAGE O/•SILO-S'At SV.57"rEM
INLET LgACN/NGINre F-/T 94.E FT TABULAT/D/V
LEACHING PIT '5 FT.
SCALE %s~ _ /= O" O/MENS/OA/ A
DES/GM. CiQ/TE14/A D/,ye/v5/O,V $ 4 FT'.
rVUMOER OF BEDROOMS 3 D/MENS/ON C FT./� N. i
(7ARCAGEo/SPOSAL. UNIT A!oa& SOIL LOG
TOTAL EITIMATED FLOW 33 o 0,44.1pAY SOIL TEST At/ SO/L--TES7-1*2 S0/1, TEST
NUMBER OF LEACgl VG P/73_ l �^ELEK 9�.� 1--ELFY, PATE OF SOIL TEST
SIDE LEACHING PER PIT /Sr! SQ /:T. ? RESULTS I•VIT/VESSED 8Y J X -)A 6)
®oTTOM LE�ICN/NG PER P/T 3 $Q, �T. 51,3 5; �c_ PERCO,4AT/ON RgTE / ���-5 MI/V,I/NCH
TOTAL LEACH/NG AREA2- SQ, FT. CLA y PE' le COL.4T/CN RArE 2 F,71-f I- MIN. /NCH
RESERVE GEACNI/V6 AREA SQ. FT. 2, v
OF
OF CP
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ORSE
p " No. 10951,o UEL DREDGE ENG/N.EER/NG CO /NG.
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7/2 M/�/N ST. , HY,9NN/S, /Vlc�SS.
Hp SU�� le
t•t }� ��r.L / ® NO GROUNt� YN,4T�R 1'�NCOUNTER60 DATE Q GM U/VO LVATER ATJOB NO. 8 2 I
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