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HomeMy WebLinkAbout0025 BARNHILL ROAD - Health 25 Barnhill Road W. Barnstable A = 108 016 , 0 0/1 No. (// Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipprication for Digo.Zal by.5tem Construction Permit Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. j Owner's aNr e Address and Tel.No. Assessor's Map/Patrce (_/1 if Mao `3 Installer's Name,Addre p,anj Tel No�� � Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder( ) Other 'Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow c5 3 0 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title D2y7p�h'o of Soil 6-[ -at a / / a u C' '" Uetos Scek Nature of Repairs or Alterations(Answer when applicable) *4 /e— l efc- 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 Title5 of the Environm al-- de and not to place the system in operation until a C fi- cate of Compliance has been issu d s Board of Signed Date < Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance oe IS IS TO CER ,that the On-site Sewage Di s s S' m i talled( )or repaired/replaced(�' )on z/ by D S Installer%S yfj?t .fi /0 at pt pQu [ o has been constructed in accordance with the provisions o ide 5 and the for Disposal System Construc ' Permit No. dated Date Inspectp THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT HE SYS- TEM WILL FUNCTION SATISFACTORY. No. Fee r - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS' Application for Oigogar *potent Construction Permit Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. ,�J ,�Qit.0 !/ Owner's N e,Address and Tel.No Assessor's Map/Patrcelot" 13&. — /�15 ./—/Ck 0 ew v 3 IC Installer's Name,Addresys,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures f Design Flow —3 3 0 gallons per day. Calculated daily flow 3 3 0 _ gallon Plan Date Number of sheets Revision Date Title Descr ption,of Soil 6,14 C 1Q ()` - C±,g Q u e l ��r�(J S se-ok E - Nature of Repairs or Alterations(Answer when applicable)A:� /GCl ��G G /fie//�• Date last inspected: / r 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 Titlej of the Environme tal_Code and not to place the system in operation unti a C fi- cate of Compliance has been issued s Board of e Signed Date Application Approved by Date Application Disapproved for the following reasons l- Permit No. ' - '� Date Issued { ————————————————-�,_-- ——————————————————— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance��9� THIS IS TO CERTIFY.that the On-site Sewage Disposal System installed or repaired/replaced on by Installer1 at /V , . t( has been constructed in accordance with the provisions of—Title 5 and the for Disposal System Cons ' Permit No. dated Date Inspectp THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THATZHE SYS- TEM WILL FUNCTION SATISFACTORY. ————————————————————————————-----———————— No. s Fee / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS �Digpooal *pgtem 'Construction Permit Permission is hereby gr Xtedtoto construct( )repair an On-site Sewa a System loca ed at o.# sweet and as described in the above Application for Disposal System Construction Permit. 61 No. Date The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special.conditions. All construction must be completed within three years of the date below. Date: Approved by Board of Health r t CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) I 5 (/Uo hereby certify that the application for disposal works construction permit signed by me dated O` / concerning the property located at 1 meets all of the following criteria: i • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. i SIGNED: DATE: . - V LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABT E NUMBER. _ [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. h �. �411 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Appl ration for Eliiposiil Workii Tanstrurtion ramit Application is hereby made for a Permit to Construct (X) or Repair ( } an Individual Sewage Disposal S stem at .....!.✓.�.8 ...............................4����...................•..........----------- Location-Address or Lot No. Owner Addre ..... ss Installer Address dType of Building Size Lot..!�.W�....Sq. feet U Dwelling—No. of Bedrooms.............. .........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria aOther fixtures --------------------------------------------•----------------------------------------------------.-.--.-.---.-----.---.-------------------•----------- W Design Flow..............437...................gallons per person per day. Total daily flow........��a........................gallons. WSeptic Tank—Liquid capacity:� gallons Length-R 16.... Width.'...- Diameter................ De th--S� '.'-- x Disposal Trench—No. ...../............ Width..�l®. ._ Total Length... � `T. 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- WA9 -4f%!f-' ... Date_. _. 1 t aj Test Pit No. 1 A.A tminutes per inch Depth of Test Pit... Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit--- Depth to ground water........._.............. a --------------------•----•--------•...-••...-------•----...........•---------------------------•.....--------•-----••••.................--•---......._..._.-. Description of Soil.•-�°s=_ rs WooQGOA � St✓l3-Se�iC,------- l -P --------?tN_-../��".../ ..tr............A-..v.....-----%...z"....i -----....L'....}' 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�IT1:;�. 5 of the State Sanitary Code—The undersigned further s n����t place e syst 42 operation until a Certificate of Compliance has been issued by the b of health.( G,L2�%t/ll G t3 Sign ----•----•--•----------------------- --------- -----=-- . .......... ti =------ -------------- to ApplicationApproved B ----•- --=----------------------.................. ............. --•-•- --- Z.. ---e'er{--•.---..----• Date Application Disap ve or he following reasons---------------------------------------------•------ .......................................................... .............................. .. ..... .................••-••-......................-•--------••---...-------------•-----------•-------•----•---..................------....... ---........--Dam PermitNo......................................................... Issued_....................................................... Date vj- No......---.`_....�.. Fps.. .. ...._......_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...----....�. ^!i!V,nl. OF.... °T; •�V:, " Appliration for Uiiposal Works Tontrurtion Prrutit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: L.L .trlV ..._ ....... s......... .Z .....f? 7 ! . ...............................`�...................................................... Location-Address or Lot No _........ -A.................................................... ...-•••-----•••-----------------------------Address Installer Address UType of Building Size Lot..` _:944....Sq. feet Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) �4 Other—T e of Building No. of persons............................ Showers a YP g ---------------------------- P ( ) — Cafeteria ( ) Otherfixtures ------ ----------------------------------------------------••••-•••--•-•••--•--••--------•------••----•••----•••-....... -•••-- W Design Flow................;.5.3 ..................gallons per person per day. Total daily rflow........^ '.�E?................__......garlons WSeptic Tank—Liquid capacity. 9gallons Length.-O.' Width.15�. .... Diameter................ Degth__�rr_?-__. x Disposal Trench—No......./............ Width_..ld. _i .. 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.AA&Yt M4i .G �'6U.41'_97-1X'„Date.......... _ 4 �.: Test Pit No. 1!4.45_r minutes per inch Depth of Test Pit___. ' ____. Depth to ground water_._-................. fT4 Test Pit No. 2................minutes per inch Depth of Test Pit...f4Z0..`... Depth to ground water......................... M -----•---•-•-•-•---- ••• .................. .......•--.....•---._.... O Description of Soil....."" -48"'---WPke> 4 6✓L Dt L._._.. sa $.° +l �f: / 1. ► U 'I(✓19 C!�c.......... �~"'f. i�t-_ �r j•••.. IA..-•""".!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 witl�,_ the provisions of i:L— 5 of the State Sanitary Code— The undersigned further agrees not to'place the system / �,.�i (�✓ESL operation until a Certificate of Compliance has been issued by the board of health. Z V- f .t�.e...:.... ....Signed..................................... ei................................................... �; ;APPlication APProved B - --• Da Application Disapproved•f or,the following reasons-----------------------------•--•-••_..✓.----• ----------••----------------------------------------_---•-- .....................•......................................................................................•••..._........•-----.................................•.....------._..__ •••.....•---•- Date PermitNo......-----•---•-•--••-•--•-•----------------------_.... Issued_....................................................... Daze THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ............OF..... - %3' ° 4 `.............................. Trrtifirate of Tontphattre THIS IS TO CERTIFY, That the divi�/M,'Qrk lSwage Disposal ystem constructed ( K) or Repaired ( ) by........- T ,._._ . : ...... •-•--••-•-•-•-•-•-•••----------•............................•----- Installer t 5 i,4 ,r has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.5%.)._=t!.�v?................... date-__,------.- -_rf�%_f_...._....._.__.______ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE l?.- 5.j8°` ......... Inspector........................."--'��---.:4-A-6................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No......................... FEE.'..: .... Dtojro al parks Tvnwtrttrt rrutit f - Permission is hereby granted.. {. ] •......................................................... to Construct (a() or Repair ( ) an Individual Sewage Disposal System at No.L'':'E•••_5�/ ja�l i. ! �'......__.. . �l?A'_,r:�_n.�_l. .................. Street /� as shown on the application for Disposal Works Construction Permit Nd._;!_.'J13..... Dated�!r 1.................. ........d ri ............ Board of Healt r' _ DATE '. ...............•••.........-•-•-•••__--•--• �` FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS t L0C-ATION :Z� SEWAC'E PERMIT NO. ,94p-,4,� RA a��J-�4 1%1-AC,-17) VILLAGE ASSE' 1 �8 PARCEL n�. D f INSTA LLER'S NAME i ADDRESS & l lla,e 5 4Fs4 /ZS ' SUxi w� �;/3 //0 k ✓04 RoGlf xs., /7�xfiLis , S S' 3 U I LDEIII OR OWNER DATE PERMIT ISSUED � 2- DATE COMPLIANCE ISSUED f%✓/ � " r _ r S P,,7 rcl Y - Tv sr /fit a%2J*: STI:c'E"T 1981. Mr: Craig Ro Short M1 C. 'R.•. Short; Inc. Box 157 M� East Dennis, Ma. 0264 , �. Re Lot 542 Barnhil ' Road, Wont Barnstable' 1 Dear Mr. Shorty you ,are granted a 'conditional variance t4 insta .l a •sept leaching facility 120 feet from existing wel-Is in lieu o� -the required 150 ,feet at Lot 54, Barnhill Road, West Barnstable. The variance is 'conditional upon our'ap rovgl of septic systempans that meet all of the ,prov sion. contained in r r: Title 5, of the State. Environment : ,Code, and the Town of 4 Barnstable Health Regulations,#, Prior to the Issuance of an occupancy permit or certificate !'a that m3 P Hance, the designing engineer must certify n writinq. ,. gn has been strictly adhered,to.- This variance"+empires August 1 1982 veryntruly youes 4 �, 17f-ert L. ds airman 9 ; Ann 7 e hbaugh. _ k . •mow•-w+ , Ing , M,► .B: ry S Bay. OV - TOWN OF BARNSTABLE - JM/IC m ` 1 e✓ INC. CoRmSHORTBox 757, East Dennis, Massachusetts 02641 (617) 385-2831 July 2, 1981 Town of Barnstable Board of Health 367 Main Street Hyannis, MA 02601 RE: Lot 54 Barnhill Road, Trailview Subdivision Board of Health; On the enclosed "Site Plan" we have shown all existing wells and sewage systems we found, or plotted them fron existing Plot Plans in the Board of Health Files. In my opinion on Lot 53 it is doubtful that the leaching area was placed as proposed, but rather in a clearing closer to our clients proposed well. Therefore on behalf .of our client, Brad Haven, I respectively request a variance from the 150 foot requirement to 120 feet + between our proposed well and the probable l`ocation of an existing leach pit on an adjoining lot. Sincerely, Craig R. Short, P.E. President CRS: pls ENGINEERING • DESIGNING • BUILDING 4.z.� •• -_.'T - t i �G U S D GAOA KEucF_4 8.LZ E5 :. ?ZEST t-foL � �c�-s kr,nvr��rr�^ gy - I r 72-57 /ln46 � &PK44MC 4- �COZcryS,�,brr�' T+vC. I SST !!oL� / 1 \ . 87.7o az' BS. ¢o f t i # S-a-so,y- -sva-M .sub �. '. H-__ ,�N` ��ffiNl `A4>? ri IItITw /.c -- - 40. DO r � ' Llez Rx.Ti ' 1 Vq e f a.,;c 46 i b4 ? 1' / ^ ; � � y. P¢p�esan t CICrq.iv. 4rz wrzc `fJcrv, S=76 �Sa° 92,7? 7/9/8/ o . Ace•*- No W A^�IZ t>✓Co N 7t'><C C?J No V IAA V-x a►7V Coa.+rr"'rL'+C L+ �t l • A 1��,iPwf x.H/ Y•� G..Gg77 v, 1 t 40,voc ' A-r .5 AAo XVnl LOT s.12 pG'P.- w• Ae- ► � 1 b,o t`� L cs oti rde s�cr�l .)1.A 7? Iti = V 1 J � S�PT'i G �YsTEM CoNS-rR�.}G-noN j � �k.t �'"• �` • ` � 'ALL CONFORM Tb THE MAS&• ' $' vI RQNM�NTAL GOP6 YIhE Y ' � v 15ED 7- I-77 THE -fb�Vr1 j ' 90AiZv OF PeAL31-4 REcau►.A?toP4s Ih - �g� it "' Lo7- �,3 3 SEP'fSG'fANIC, OIST{ZI f3cJTior.1 00)l LaT" � ,,s . ,,a C - ,, r AN�D LEACH INU ?I T TO f3f OF w�ru. 'may., , a o c. - _ oo ► M ' . RE.It�FOf�C.I✓t� GohlC-BETE s�� .. y � ,�n�1, Go E 5 NGT►-t 30010 P5► .,v N 0 &TG4�� �� 20000 Psi pRr-je-WAY r4or To PEE Loc rant a•,, sue"` -- -'I 1 P ;t` j AA ov»R 5yslrem UslLE� {-}- 20 �L a- .sue►«,,,, d6V fl15yl 44N ►.IOAV0447 LIDO Au.. Pr PF-e� TO ft WATE arvC4 WIT O ,az ,- ► ,�, , gVe-lT � p3s 00 -am SSE e ^fEE 5 . C,p►�T �� oR pIZ>:-CAST �� � so - P eA L TN Aar APP90� AL- v 0 r L •,�s, DE ►GaN CaMPI�TATt �IUJV���.R of {3EV aQonl'e5: 3 W ='v L EA C." I tJ GG RATS ! = r �4_',1�.�,� La PVovIIneD LE^4w CA ob4ITy WER 1,40 &%-M"17 "fb FI N l l" cleA►m AAW. 2'/0 Fo&lr ctr F1N1SH GFk4 s OvSK LEACH AREA � /oI 4 - 2 OF KA 6TONLfc FbR �� / -h � (1O'MIN) I ;wlp ►. Co It �� IM?J&KVl&J S CVVV4L �-�P'A stir. �, PRE�NT �F��lrs5 FRoM } ' /� • p r+►Iw. I 2L� 1►JF11,'T�tA11► CA NE F c s , SHORT 1 No 27483 �f'r —f- ow W1J• I/1N'tr. Till E v' vdA s N E 0 ,� BSao /coo i 84' I/ �' A `' STONE :,` TG I �iLLOt� 4' 1 Tel- r-N Ai.L- •` 5'o j Gt 83 �-7 ` A. pV C. ��., : � ( � P►RoU�►p , I �G ' K is a.� 4 a*1 t j >=40,,,,- �� N INEE ING j e�,QG �O D,vcvSd?S p r� C.R. DESIGNING BUILDING ���= -- �<<-• I. L-, /t/,9.�<� - N4 G/�►►RBAR3E G RIt�UDF,R y' °° F�..>�,.oo - - O�M'W, v _ --- 2 ` _ -,, > ,� �^,F ,/ INC. sc�iE: / �" 4+, eEo BY DR,►ww BY Lw- �• 4' — SHORT DENNIS, MASS 4.3 \ � �� � one 74 Nc �. ;ie! DRAW114G NUMBER C-�E[. 7�•7 xlraEDREPCW ISAB•15E I �.OV&7 \ f AZOV 7-OP of �OVNrJ so•«' __ �^J StDF wAL� .?:t _ - - - a. .'4•� __ __ Q.?7.3 _ _ _ vl/ �� .... I ,q. WQt.t. SAA.hew. 'PLeT 1 z IZ 9 ivl.Z S�• '�- —F 1 — \ PoR•iz� o� flc�\G rj/ r/" 0' • 1 5EPrl G 5V5T EM CON 5TR UG?►aN gk tz' ALL CONFORM Tb THE MAS6• R ONM EN TA L. CO DE T{TLE Y EV 15ED 7- 1-77 J; THE TbH/N i 90A5W of NEA LTA-+ JZ542 .l I.AT►014 5 1 M u' r'Y 5EP71G-TANK7 1)151-iZ1 BJT,O" ©O;l Lo7 AN O LEACH I N!a PIT TO 13E O tr w'' h, - `tea o -- -- �h �' ��� P•T EtE1 tJ Fof�C.�� Got GRC�E. 'rt �� s 2 , �N • GoNc,RG�'E ENCATH 3oQc7P5t + "'� l0&4- H 10 oRr-Ie*Ay NOT, -ro eE 1754Pt CA N LOADI► 4a USE D AL,L n P� To Oe WAT59TG HT � � s a"'row 10 �V Vrl �9A \ 5am✓ I L 'f'EE 5 . C,p►�f �42Gh1 aL PK'�-CST H EA LTN AL-jw4T A FKOVA - DES iG-s�1ca6 NTA-t 1 O N 5 � J Lo 7- � RSQ 'o. LE►GN. C.APAcITY _ 1 - moQifOuNowrlCw J1�I1► �� F,XTEND TO f�NtS�•1 GR�►vE MIs1. 2'/0 W1•��1" QprC FOOT of F PJisw GRAM LEACH AREA � T 1 2!! OF P*A s-roNE F� -�'' D�STR�Bvtior� b1� PLO. COM�/l Box 1 M PGFt V 100 S ��� A&W „� �>r ! PR E\,/eN T Irl"6h FtZOM P�a}1 IAIN. �J 2�V�rt I►,1FILT�ATIIJU NE. ! C�.S IRo1J �'�M�N� ,� N. I GN T ' = I2'Nv+,1. .,, . . ,. , _ 11 _ ,��"• 4 j I opt W.44.40?N t, � FGb7, ya�1��rv� V.N11N 7 " CAGN i'°gToNr&O S/ 7"� l�� A A/ INERT GALLON 4�Nu� It�tvll;Rr � PIT + , ALLY s�G{ ;yw�K ' 4,! CA C _ �` � P,Qo�Iw ENGINEERING C. R. DESIC�N►NG BUILDING �- __- ,/ 11 •�A /i O I N v SCALE / APPROVED BY DRAWN BY E2 7G _ay�TEM PE:A , L �-- - — - -- DENNIS, MASS 385 . 2831 DATE. Z ; y8� DRAWING NUMBER 'WTELEDtMPOtT ISA&15E