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HomeMy WebLinkAbout0080 HOLWAY DRIVE - Health 80 LOT #20 HOLWAY DR. W. BARN. A=136-035 0 TOWN OF BARNSTABLE LOCATION //0 1�W cry �i^. SEWAGE # �� VILLAGE y� v ,S'T a_ l ASSESSOR'S MAP & LOT /3 41 INSTALLER'S NAME & PHONE NO. C Le I Socx5tlejCY I SEPTIC TANK CAPACITYou LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER i l ®w/Y DATE PERMIT ISSUED: l Z DATE COMPLIANCE ISSUED: e® VARIANCE GRANTED: Yes No .. ;' t .� V . . JJ _ . . � o r � �` �p �(©�� �� " �� �! �J THE COMMONWEALTH OF MASSACHUSETTS t � BOAR® OF HEALTH ' TOWN OF BARNSTABLE Appliration for Di ipaiial Works Towitrnrtinn runtit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System atpl ���y :\t dress...... id a-z---Z..........942-u-sc. En r Lot No. ---- ..... _ i2l -------------------------------- --------4�r ...................................................... i •� o„-�� •-, c J,� nddr�5, WP.t J..------ `!' .. i L -----------------------•--- .................... _.. J� Installer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------- ----- No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures &t .-gailons , W Design Flow............................. per person per day. Total daily flow..............._.._.............._..........gallons. 1:4 Septic Tank—Liquid capacitons Length................ Width................ Diameter..._............ Depth................Disposal Trench--No. .......... h...._.........,-.__- Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter....................- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gs Test Pit No. 2................minutes per inch Depth of Test Pit--.--___--.--__----- Depth to ground water........................ -----------------------------------------------------------•-------•----------..._....._......-•--•-......................................................... 0 Description of Soil........................................................................................................................................................................ x W ......................... ------..._......----•-•--------------------------------------.......-----------•-------------•---------------•------------------------•--------•-------..................---- ---- ----------- - ------ --------- ------- UNature of Repairs or Alterations—Answer when applicable._. _. . __/ _.___�� .��^% .. .1 �--�f- �_.. AgK. { C�......_ , ement. �p ® The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environ al Code—The undersigned further agrees not to place the system in operation until a Certificate of Compl' c as been is d by the b and of health. Signed .......G.....Z.../.. ............................... `.a... ....... ...... .... Dace Application Approved By D ............................... � . ........ :.... ,e Application Disapproved for the following reasons: .. -- .... ........................ ............................ .........- ..---................._. ........................... � ............. ........................ ...... ..... ...............................................I.......... . . .............................. Dare Permit No. � .............. . 5 .............. Issued ...... -3- ...................... Fa$30.....aA... 1 THE COMMONWEALTH OF MASSACF4USETTS t V v BOARD OF "HEALTH TOWN OF BARNSTABLE Appliration for Diripinial Works Tomitrurtion Permit � Application is hereby made for a Permit to Construct ( ) or Repair (Al, an Individual Sewage Disposal System at: ff 9-0.03 d anon-A�dress r Lot No. 0 €1 f ca.�;,, .0-------------------------------- ----------------------�'1-�ar...----------.....----------------.................... ' rr (1'ener � p Address Installer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ---------------------------- No. of persons____________________________ Showers ( ) — Cafeteria ( ) a' Other fixtures .. . ._____ Design Flow.............................. .n .gallons per person per day. Total daily flow............................... WW L �.'' . Septic Tank—Liquid capacit _� _. ajons Length________________ Width_..._.....______ Diameter---------------- Depth................ x Disposal Trench=N_o._....A�_.i._� �Lcl h.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage,Pit No...`................ Diameter._...._._.....fa..._. Deptli below inl'et.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank°('f) Percolation Test Results Performed by---------- ----------------------------- .................................. Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..............`_........ ! fx, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water............. �+ -------------------------------------••-------._...............-----_.............................................................. 0 Description of S.oil-------••-------------------------------------------------••---------------•-•------.....-----------------------.....--------------------•-------.......-----..._...._.. x U .....-----•----•---------•------------------------------------------------•---------------------------------------------•------------------•----------------------•--------------- ................ W --•-------------------------------------------------------------------------------- ----------------- !'� U Nature of Repairs or Alterations—Answer when applicable.__ __ 1.z _.___w0- - .-. 4 A�gtement: �:° .....�.A _.. '` �--------------------------------------------------------f � The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environment�al Code—The undersigned further agrees not to place the system in operation until a Certificate of Complian/ce'has been iss d by the b -ard of health. Si ned g /......- - -p....L.. .... .............. ,--... ..:......... /d f Dace Application Approved By,-!.. ..-. x+��� � '......`/----- - �./............�... ............ ...... ����5...'...�r.. ..... Application Disapproved for the following reasons: . .... ......... ....................... ....................................... ......................................... ..... ........................................................ .. ....................... ...... . ............... . ........--.................... Permit No. .... ... —....:............... ......... v Dre f � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 TOWN OF BARNSTABLE Certificate of Compliatt e r THIS IS TO-_C RTIFY, Th`athe Individual Sewage Disposal System constructed ( ) or Repaired b � Q.....1...�...v_vs hl..�--L.�2- y ......................... ... .............................................................. .................................... ,`. Incr.Jlrr at ..------...._�1�.._..... .C9.t..C�.. ..(A�/... ✓z.�.... lY .(. 6�1.t A�.�..L�. .. has been installed in accordance with the provisions of TITLE S of The State Environmental Code as described i the application for Disposal Works Construction Permit No. .�I� -"_., .i�-_. dated ,��rf._-_07 - Q� a THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE , `SYSTEM WILL FUNCTION SATISFACTORY. DATE � ....-.._....................._._.......... . ...�-_� `� Inspector ....._'-:....... -... � ...................... . .. .. I � f � r� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r. TOWN OF BARNSTABLE 3 No.. .._.. / FEE..... .. .... �i��,a�tt1_ nrk� �n . ��r�tr#ilon �rrmit Permission is hereby granted............. ............. E U to Construct ( ) or Repair (�) an Individual Sewage Disposal System at No..................... ... : �` r U et �--�• C3 as shown on the application for Disposal Yorks Construction Permit L I , ''? _. Dated__��. -�/.T 3_. f (f ........... ` -----....-- - ' 9r 3' .• ------------- / �t� Board of�ficalth DATE.... --------. ..(-�•------- -- FORM 36508 HOBBS&WARREN,INC..PUBLISHERS - 'R'T'�I I„ATIO ENGINEER MUST SUPERVISX THE COMMONWEALTH OF MASSACHU.S TTS N AND CERTIFY BOARD OF HEALTH "�1 � G WAS INSTALLED IN STRIC' N ��-Ii✓Ar......OF...... sTi9 GGs................................. C Tatifiratr of Tootpfiattrr THIS IS CERTIFY, at the Individual Sewage Disposal System constructed (L4 or Repaired ( } by-------------------- .................. --------------------------------.........................---•---•---........... ----------------------------------- _ In W.............................. t........................ has been installed in accordance with the�iprovins of TI"-�—j The State Sanitary Code s des " e in the application for Disposal Works Construction Permit No----�..!.� y................ dated--------2 ._._G_��.�_.____.__.. THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUE® AS A GUA ANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------�_ ' �' ................................ Inspector-- d lug Massachusetts Water Resources Commission/Division of Water Resources WATER WELL COMPLETION REPORT m ^WE LO ION Addres City/Town bo In i G.S.Quadrangle Map Grid Location Owner Address5-0 4 7 C. WELL USE C SOLIDATED WELL Dom Public ❑ Industrial❑ Type of Water-b ring Rock Other Water-bearing Zone METHOD DRILLED 1) From To Rotary(type) �a6 (� 2) From To Other 3) From 4) From To ASING Depth to Bedrock Lengt ' 13 eter Type UNCONSOLIDATED WELL STATIC WATER'L� E . Water-bearing Materials Feet betow land surfac Sand: fine❑ .metlw Coarse❑ Date measured Gravel: fine❑ medium_❑ _coarse❑ Screen: s GRAVEL PA WELL Slot length 7 frorr✓�td� Yes ❑ Split Screen(or 2nd screen) 11101,ATER QUALITY TESTS MADE Slot Chemica Biological ❑ Depth To Bedroek PUMP TEST 0 Drawdown feetafte pumping days,Vhoursat 1:05 GPM. How measured Recovery feet after hours. LOG of FORMATIONS COMMENTS: (On well or water) Materials From To 0 D LL y Firm U&T", " a Addre ` City y @l/l/Lt Re ' tration No. per dr s Signature ease pantni'my i TOWN OF BARNSTABLE LOCATIONAO4t� ���• 'U°��EWAGE # Z—f3 r VILLAGE 6Uc T5�/��✓S—t4� ASSESSOR S MAP & LOT INSTALLER'S NAME & PHONE NO. \SEPTIC TANK CAPACITY �S oO r0 RLtd'"'� c` LEACHING FACILITY:(type) � (size) QkO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER �� �" DATE PERMIT ISSUED: R3 7 DATE .COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ;. (9PtPAD ------------- � l i� �O EDWARD E. K ELLEY - REG. LAND SURVEYOR CUMMAQUID, MASS. 02657 TEL . (617) 3 62-226 6 September 29 , 1987 Town of Barnstable Board of Health 367 Main Street Hy-annis,Mass. 02601 Ref: 87-88 Lot 20 Holway Drive West Barnstable The sewage system was installed in accordance with the To wn of Barnstable Health regulations and the leach pit is in the exact location and grade as shown on the approved plans. We were on site during the installation.-- � \ e °49 a t)f. RD EDWA n Ho.52I Cr egl. nita Reg. o ' s° 'o ! �GISTSA Land No!/...?.- i. ._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tv.w^:` .............OF.....u�GtY�nis-T/�I�GE................................... Appliration for Dispaiial 10orkii Tonotrurtion Frrmit Application is hereby made for a Permit to Construct (a( ) or Repair ( ) an Individual Sewage Disposal System at: Ple/ve- iAlCs7- LoT Location-Address or Lot No. -'............. I�k//C N .............................................. Owner Address W Instal i er Address Q Type of Building Size Lot_15'4_Z'0---•---•Sq. feet U Dwelling—No. of Bedrooms.............F............................Expansion Attic ( ) Garbage Grinder ( ) P4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures .-----...--••----•--•--••--..... - W Design Flow........................................---..gallons per person per day. Total daily flow.._........���___-_........-•-......gallons. - Gr Septic Tank—Liquid capacity/:r-,---gallons Lengthv_6.......... Width.`�_G Diameter________________ Depths ..... W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No-----------/------- Diameter...../5?.-------- Depth below inlet....G............. Total leaching area.Z`s '=_...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by.`T 1 443Z4....._.............................s`G'G z��� Dated __.Z ........... -t........_......___. Test Pit No. L.i�...Z-____minutes per inch Depth of Test Pit--- !' _:'__. Depth to ground water______:"""'____--___-_. Li, Test Pit No. 2._4..z:__._niinutes per inch Depth of Test Pit--- Depth to ground water..__.'".............. P4 -•••-••--••--•-•...........................................•---------....._.........---•---•------•-'---------.....-•--'•-•--•---•'•••....._............--•- D Description of Soil....... f' 1oA--7... -y"a o/�- /S7 -4 ��'S 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 T.ITLE ;of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is d by the rd of health. Signed--------- •.. ...... ............ ........................................ A lication Approved B --- ...-'-•-••- •'------•'•------• ----Z n `9.� - PP PP Y--•••••••-• �� at ----{....... Application Disapproved for the following a ns:............................................................................................---••.-----......._ ---------•-----------------------•-••---.....---•-••--------•------------•------•••-•--•-----------...----•-•-----------'-•-•-•-•-----•-••-••---------•••--•-•--••-•-•••----••••----•••-•••-•••-----•'_. Date PermitNo................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH rjk�Ai........OF..... 1r A..s7...9E3GG: ................................... C9rdifiratr of Tontpliatta THIS IS, TO CERTIFY, hat the Individual Sewage Disposal System constructed or Repaired ( } -c I at.. ............................ •................... ... Z a G tJ has been installed in accordance tiththe rove ' ns of TT",yThe State Sanitar Cie s des m the application for Disposal Works Construction Permit No._�_.___'.. ....................... d.tedy..._____.___ �_ _..__..__.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUA ANTES TIiAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE �...-... ? ...7.....- .. Inspector....... ---------------- `'^^^' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T.....�✓n/..............OF........�/�'!�'�ST6......EGG...-•---...---••-.............. ` N i�T ......................... FEE ............ Disposal rk� ion union rrntit Permission is hereby granted . ..!......----'-•.•• 10. .... -•--•••--•-••-•--•-•........•••-•----•••........................... to Construct (�') or Repair ) an Individual Sewage Disposal st at No.•..� =..._......:z��C.>.....�.. 1%'Aks .......�.a........b Z Street �`' as shown on the application for Disposal Construction Permit No. _._.... __.,�_`._ Dated__________________(� --�--- -_._._. rd of ealth -DATE........... `...�C-�--------------- .FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r L r 4rSESSOPS P"QP No: 1,56 No....?...... ... _ F�s....7.�.r..�... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH T w'` . oF...... s�-�q-t3G� ------------------------------ Appliration for Uispooal Workii Tonotxn.rtion Prrinit Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: • ' -�2ivEr L3/GsT �/�'�vs ?3G� �T� - n-Address .. M�, Lot No. Owner Address ............ �........�? ----------------------------------------- ---------•---•------• ••--•-•_..... --•-•-•-•._.......-•---- In t ler Address Type of Building Size Lot.___5�c/..z--..._._.Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ------------------------- ------ - W Design Flow................ -'T....................gallons per person per day. Total daily flow.............. 3a_.....__..._.___.._..gallons. G: Septic Tank—Liquid capacity.!sv..gallons Length.4KK ...... Width__ Diameter________________ Depth_s---- W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No------------l...... Diameter.._...,5........ Depth.below inlet..... Total leaching area..�!_..sq. ft. z Other Distribution box ( ) Dosing tank ( ) _ _ '-' Percolation Test Results Performed b G� �?......�_: _.. Date.��-�_.:..Z.. ------------------ Test Pit No. 1--- ___ _.__minutes per inch Depth of Test Pit----Z•�¢...... Depth to ground water.___..--..._._------ ►-, _z 4q Test Pit No. 2...L....-•:..minutes per inch Depth of Test Pit.... Depth to ground water_____ _____________ W ••-•-•••--------------------------•--•----••••-----•---••----•---•-•••••......---•----••-----•••......................................................... Description of Soil........®•-_¢ -........................................................."��''�'` e. . fie"---------'��---=---.SZ_....------ --/��`------------------- ►Ui 'S.�i`%a----WtT../...:SoMCr...6-�?�L......................................................••..._. 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 ii' l:a. p of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is b the o rd of health. Signed,_.—... •---••-•••• _... --------------------------- '� -------_----------- Dall Application Approved B pi_:...........�_: Z__ _ _. ------ Aate Application Disapproved for the following reasons________________________________________________________________________________________ ..---•----•---•-----•---...............................................................................................................................................................---------------. Date PermitNo......................................................... Issued....................................................... Date r)F("rn.,s. JIM Tod♦ TOWN OF BARNSTABLE 6 +R �! OFFICE OF i DAE)!7'IDLL #Aft BOARD OF HEALTH moo t639 �0 YI1V 367 MAIN STREET HYANNIS, MASS. 02601 Sewage Permit # Applicant �r3 � R 11Pen Proposed Insta - zaPhen 7« The plan for the on-site .sewage disposal system at L_C& a'c' 4o1c_k74 has been approved with the condition that the design engineer must be on-site and supervise installation as well as certify in writing that the system was installed in strict accordance to the approved plan. cc Approved By Date C6Py c tU,ry DtW Q wWe?-rV c_on ryrnA,�sr� �1 TOP OF FOUNDATION —p.-....-. CONCRETE COVER CONCRETE COVERS 4 • � 4' CAST ON�ir mm�smr 12"MAX ' OR SCHEDULE 48 4"SCHEDULE 40 PVC (ONLY) P.V.C. PIPE PIPE - MIN. LEACH PITCH 1/4"PER, PITCH 1/4"PER.FT PIT PRECAST LEACHING o,e E L. NVR7 INVERT INVERT : . + ! PIT OR �:; SEPTIC TANK 3z g DIST. W EOUIV. + a INVERT EL.. . . BOX El.'° GAL. INVERT INVER ' • v� 1; :60 3/4"TO IV EL � ' � EL:':=.•.�i, T EL '': " WASHED w ;: STONE WD IA. DIA. P✓jar>:,rjl �6 . `max \� ��•�`\�` .. , J- 1 0, �_ III._ —r_ _ ' PROF 1 LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE � � Imo»• ,�C' G' b�` ~ � WITNESSED BY : kiJA/ch/E 3T�i� ty�7. ai8 ya .� ��s' SOIL LOG X �• ?' /y85 DATE 1. .--�- � _y:. TIME ' 7;:� f r ��7r7+�� t pnr':��/ FE�.. BOARD OF HEALTH ' �, 1� �`` �� � �•. pawn., �� 7t-S--r 1.164,C TEST HOLE I TEST HOLE 2 •G?�!/,/ E; lCe-lr.L� . ENGINEER t � ``''�'•. � � � e "� EZ.�V. _ .34.08 ELEV. 77777 1ELEV. \ t L , T- 6�4 -.sa1� DESIGN DATA ' 4v�. 2. 3L.av NUMBER OF BEDROOMS '�� . . . . . TOTAL ESTIMATED FLOW GALLONS/DAY �pmr- BZ 3ra a BOTTOM LEACHING AREA SQ.FT. /PIT fG'.f? . SIDE LEACHING AREA :r` �. f . . . SO.FT,/ PIT - rr-'/A -<_ r 3, � �\ '. +"' rt/ HeN7• GARBAGE DISPOSAL �!c'.nr' 50% AREA INCREASE) SA- TOTAL LEACHING AREA . ` �, SO.FT ' PERCOLATION RATED.5�' . ' + '^' MIN/INCH LEACHING AREA PER PERCOLATION RATE . . . . . SO.FT WATER ENCOUNTERED / \`K NUMBER OF LEACHING PITS f -99 1 t9ets ✓ �'i �'ArcN P/l"r" E It w. \ T%Jsf fL •7 r6� i I \ °, APPROVED . . . . BOARD OF HEALTH DATE . . . . . . . . . . . . . . . . -- ' AGENT OR INSPECTOR i 1 � �'s.,, ���r4 "'�'/ '� NCO �( \ �' /f•• ! � „`�+^ �� � - + �40 a _ �' y J PETITIONER sk � ��� /-•mot/.y J y..y,.��P ` 9�, p. (,,, �q,� p ,�y / „, � / „v , ��'?�"'«� f+r 4.G:• 6r�.P F"�."." r'4'>. �/'4..dE�"6✓ V� �%�p7'�"J� •.„•'iG..:'.:tef l'.;...{" Mf 4�L...� f , a Woe. I V < rn ,.pep", C CF.V-11-PIA 3 � rn �D /—•ate /,-