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Home My WebLink About0081 INDIAN SPRING ROAD - Health 81 Indian Spring Road W. Barnstable A = 133 045 r � 1 No.-------------------- Fee----- --------------- BOARD OF HEALTH TOWN OF BARNSTABLE Application,forWell CongtructionPermit 31 plication is hereby made for a permj� tq�Construct ( ), Alter ( ), or Repa' ( )an ind'v al Well at: ILocation — As Assessors Map andFarcel — —— Owner Address -/e qrs ��i / -------------- Installer — Driller Address Type of Building Dwelling � � � Other - Type of Building------------------------------ No. of Persons--------------------------__—___________ Type of Well- -- -- ----------------------- -- - Capacity--------------------- - - - - --— Purpose of Well---- 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. Signe-kl� G !'�" - � n date — Application Approved By ' w - - -- V(A�/� ____________ --- date Application Disapproved for the following rea s:----------------------------------------_____-___--------___----__________________ ------------------ -- ----------------------------------------------------------------------------------------------------- date PermitNo. - ----- -- - --------------- Issued------------------------------------------------ ------------------- _ date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Irldividual Veil Constructed ( ), Altered ( ), or Repaired ( ) by- - '`_ jar---------------------------------------------------------- li(el------------------------------------------------------------------- Installer -- " -= �"- ----------- has been installed in accordance with the provisions o the Town of Barnstable Board of Health Private Well Protection 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--------------------------------------------------------------------------- �� D� - Fee---- --------------- i BOARD OF HEALTH TOWN OF BARNSTABLE Application-*r lVeYC �tCon0ruct ion permit #?i J A plication is hereby made for a perm' t99��Construct ( ), Alter ( ), or Rep ( )an individual Well at: Location — Address Assessors Map and—arceI Owner Address -AT ->��[�.------------- Ad a-- 61,C 1 /o n-.s installer Driller Address Type of Building Dwelling — -- - --------------- Other - Type of Building ---- ------------------- No. of Persons---------------------------------- -� Type of Well Capacity------------------- Purpose -----------------------------I � �'' of Well---- - 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 t to place the well in operation until a Certificate .of Compliance has been issued by the Board of Heat Sign 3 � v O date � - Application Approved By --�- - - V21 ; ;: - - - U 1 � date Application Disapproved for the following rea s:---- - - - - {i±-- - --------------- - -- - - ---------------------------Y(2� -------------- : 'I( date VI A6K) F t s , Permit No. - �—--- - --------� ' i E� ------- - I Ossued---- - - - - - — -- f ! � date " BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual e11 Constructed ( ), Altered ( ), or Repaired ( ) bY----------t, - - 1 _`/ _ - ------- - G�� ''! - - Installer at------- -- � = - -------------------------------------- - - -------------- has been installed in accordance with the provisions o tf he Town of Barnstable Board of Health Private Well Protection 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. i DATE-------------------------------------------------------- - -- Inspector---------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE ell Con5truct ion Permit Y J Fee-----,---------- Permission is herebyranted---- � �� - %- �`-�-� 1►�o� g — , - - , - -- -- - to Construct ' ) Alter ( ) repairr( an Ind dVkli ff S � � .� } as shown ,on1 Vta plication fora e� onstruction Permit No. - ' ` �r -------------------- Dated ----------------------- �-D ------------------------ -------------— , - T--- --- 1 / ) oard of Mealth DATE—2- Irr -- -- — J� ov" TOWN OF BARNSTABLE LOCATION ,��, D ids SEWAGE # p �R VILLAGE 4t� U ASSESSOR'S MAP St LOT INSTALLER'S NAME & PHONE NO. ,�/je-)VS FIELD 9�5`ZO/ 1) SEPTIC TANK CAPACITY /�C)6 LEACHING FACILITY:(type) � �i 7rs (size) 6>r 6 x Z NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER F(tt)fgg215,0 DATE PERMIT ISSUED:� y DATE COMPLIANCE ISSUED: 2 � �'�5 Lot,,' VARIANCE GRANTED: Yes No G �� i ,z � Z44No......................._ 9 `T Ul ? F� _..... NWEAL.TH F MAS_ S BOARD OF HEALTH dY -.............0F......... �.�... i-......................................................, . cCEt p C� .OT ,fi r tiun for Diupuuttl Morks Tonstrurtiun jlrrmit' Applicati is hereby made for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal ..y.L-n.T_#7... FjL1MP }�lt_c. �� ---�ti1r7►A.a .sILS ,.................... ........ � ��►►••'L'''o))cation-Address //�(/ or t .......... .:sue...... ......... .................. •L"`•:.-_ T __•-. w �� Ow e 1 Address J a ........._.. Installer 1 '----•--••......... ......... ......................................•--... ...---..................................... Address Type of Building Size Lot_�ekJ%-�...-..7,...Sq. feet °.. Dwelling—No. of Bedrooms.........�.............................Expansion Attic ( ) Garbage Grinder (y `4 Other—Type e of Building ... No.. of persons............................ Showers // M YP g .........:......•-----••- P ( ) — Cafeteria ( ) p Other fixtures W Design Flow....... " ...........................gallons per person per day. Total dail flow.......... ...._d.. ............gallons. WSeptic Tank—Liquid capacity/.�J�nballons LengthY.0'6.... Width:.r-�-•,'. " Diameter........._ Depth.. x Disposal Trench—No..................... Width..-I............... Total Length.................... Total leaching area....................sq. ft. 3 . Seepage Pit No..O-.F_.7GV0 Diameter...167......... Depth below inlet.......45 ........ Total leaching area..,:";.2�.. .<.?q. ft. _z Other Distribution box �kl Dosing tank ( ) ` Percolation Test Results ' Performed by...V,i.F !► -114 ?f4i ............. Date................. Test Piet No. 1....<.._........mmutes per inch Depth of Test Pit.......... .. Depth to ground water._,,,.... w Test Pit No. 2........ ...minutes per inch Depth of Test_- < p p 'Pit.......r!............ Depth to ground water... .............. Description of Soil...:l. ..--...........16�1..d................�,�-N! .`......�...�...,1....17.._....................................l= .N1E ... ...... .. ........................................ ._ _._............................................................... ..._...T.........,.......... .............._ ........ rtw TV._2..._._.....� aF �/ 5w� �/�o c�agu... r>,-Tv; Sy4�b }:...x ..-••.............•--------.--- •--•--••---•..........---•• •• -•-•- • •.I.------•----- r ---- ,.....,-----------............--•--•.... m .,U Nat f Repair�s/or' Alterations—Answer when applicable...._..... .:.! _. c .......��`fir.............. . ... ......1LeV-1••' tL ..il. . -]... �.......................J.elf:-...,.--...-..... :.f., A Bement: � G�T° �° I N i° S� ,C- S�g�� ,� ,a,s-rfri�i�� Iv r .;: >� -The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with L' the provisions of:ITL; 5 of the State Sanitary Code—The unde signed further agrees not to place the system in operation until a Certificate of Compliance has be s d b t e b lth. Sign ...................... ... '�te,/...... Da .. ... ... .. Application Approved By.............................. ... ... ........ ........................................ Date rApplication Disapproved for the following r asons:.............:.................................................................................................. ....................................................................................................................................................................................................... _ +. Date >`' Permit No........................................................ Issued....................................................... Date f? No........... :..:....z `� ` W � s` '' l ;l Fsa.....' '......_... - r� r rr THE COMMONWEALTH•OF MASSACHUSETTS . - - . --BOARD OP' HEALTH Appliratiun for Disposal Works Tonstrurtion rerOt Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual.Sewage Disposal System at: Location-Address or Lot No - ......- ................................ .. ow er, Address .. InstalleCI Address Type of Building Size Lot.=.�''�....7....eq. feet ., Dwelling—No. of Bedrooms........ .............................Expansion Attic ( ) Garbage Grinder Other—Type e of Building ............... No.. of ersons........_.................... Showers / E4 YP g ............. P ( ) — Cafeteria ( ) a' Other fixtures W Design Flow.......)/(2...........................gallons per person per day. Total daily flow..........4 4-57)................gallons. W Septic Tank—Liquid capacityJ�20ggallons Length 2'6/1. Width: ',� �� Diameter......'..... Depth.. x Disposal Trench—No..................... Width.................... Total Length....................Total leaching area....................sq. ft. 3 Seepage Pit No. -_-T(,t1Ca Diameter...� ...._..... Depth below inlet.....'% f....... Total leaching area 'r" � q. ft. Z Other Distribution box (k`) Dosing tank `"' Percolation Test Results ' Performed b �, �A 1 Date........................................ .a Test Pit No. 1..- ��c....minutes per inch Depth of Test Pit.......!............ Depth to ground water.. .............. f= Test Pit No. 2..::i5: --__...minutes per inch Depth of Test Pit......1.G .f.... Depth to ground water....`..d.1:-. .. . Yid7-WIJO Description of Soil... � . ... ... �....� ..Y...�. .. _ .. .. F/n/4--- k-1t.:1, V ---------------------••------.----.------........._,....................; ......._._._.. W 7 { - 2 � CJF Ca�t,t�! S/5 , // C1, Mil%? /�!�; sync/G ..• •---••....• •-----...-• :................ O, GL , UNature of Repairs or Alterations Answer when applicable �2�Q .�� r l 1t;� � ` 1 A�V►-`>� IUST�4zft rib Lb;?7 1 t=` 1(V w fz r; i r t}-;,.........................................................L 7i . A) ........ ..... Agreement �i(l rY\ �►'JtZC �� i N The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of::ITALE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ed by the boa(rrd of+ealth. +/ Signed ................. .... �T:.`. �-..'. �..................... ....�!. Application Approved B - :... !... �j .. ..............Date ,-?Aru Q/ti V�7 � ,i-l!A� ••----,... .................. I Date Application Disapproved for the following'reasons:..........................................................................:..................................... J Date PermitNo..............•..............I............................ Issued.........-----........................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r 1 , l ( � .................. ......VAJ............. ........................................................ Tntifirate of Toutplianrr THIS IS T CERTIFY,That the-Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.............i..... ......G u ......::......%D - , .� :- ..... f. ... ........................................... ...... .. .... NTInstalleri_,r + •.at.............. ............... ................................ ..••••= -......................................... ' ' . . has been installed in accordance with the provisions of TITI.Fa 5 of The State Sanitary Code as described to the application for Disposal Works Construction Permit No._...:-'�:""-....... ?�'... dated......... �1 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM rWILL9 FUNCTION-SATISFACTORY. DATE.......... �.t + , ?? C''........................................ Inspector...... . ........................................................... THE COMMONWEALTH OF MASSACHUSETTS -ftvSlcQllh-I�t�`1 Ry� CCri% t s l N a r► {ro� BOARD OF HEALTHi �� OF............................. .......................................... No...��. Z.......UFn... ............ Disposal Works Totnstrttrtion lirrutit Permission is,hereby granted...... v( (auk-1, ..................................................................................... .. to Construct O or Repair ( ) an Individual Sewage Disposal System {} ' at No.......................................1Qn L a>4 .............. r� c�►. y wv� F/r { 1`-d r Street as shown on the application for Disposal Works Construction Permit No.....--�i��1.... Dated........ .......`.'................... .....................................a..... . . .................. /� ( 9lloard of Health f • DATE.......................................•--......-f---S;•---•--..........._ r7 :s 362-4541 926 main street { yarmouth mass. 02675 down cope en'eineering civil engineers& land surveyors structural design Arne H.0ja1a P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys site planning October 15, 1986 sewage system designs Board of Health inspections Town of Barnstable South Street Hyannis, MA permits Gentlemen: On October 10, 1986 Down Cape Engineering inspected the septic system on Lot 7 Indian Spring Road, W. Barnstable. The installation complies with Mass. Environmental Code Title V and the Barnstable Health Regulations. No part of the system lies closer than 162' to the cranberry bog. The system was installed according to the approved site plan #82-098A-7 (Down Cape Engineering) dated 1/20/86 rev. 3/3/86, except that the system has been moved approximately 50' Northeast so that the leaching pits were installed within 30' of the test hole. Also, the septic tank and distribution box were installed approximately 3' higher than the site plan. Neither of ihese alterations should affect the functioning of the system. The septic system also conforms to the approved "Master Plan" for well and septic locations within the subdivision. See attached sketch plan. Very truly yours, Arne H. Ojala, P.E., R.L.S. Inspected by Carol Young and Craig Field AHO/amp �, t 31/1014 tJEG�IPTi ; 'ELEVAC+r��a Ta +a ou'rLST you ousE �.: 30. 08 O -3D_ ,_. I NL!67 To S F rV--T Z O o,tneT mcm s S.03 / t ;. oriET l=2otit'fl'aoX ; . �` Ler To..LP �'--IT1-ET 4=eb1-(p pro a ` INIt.E-C To LC' 2 4 ELEYATiokj 15al o S = 8.5 EuEvxr c;> ` M r c Ysc - MasT ` 33.to lac.t 0 Pc1a � I -P l � o y .� c, o c7• - VT � o � r 0' v� f�,• ,c � o p • cc o p0 _ 126•p-O �Z $ F O �Q ARMS H. �7 , lL�t�lD.tl �j�ll �04.b U .OJAIA ' ;,0722 SCALE: lu ,oI OCToP cL toy tqe 1Oh,vu ✓. APPLICATION FOR PERCOLATION TEST AND OBSSiR ION PITS '> �P�. � r �- No.�r �6 ,OCA#QN A DATE 1ILLAq E . o�/ F, Ss�i�G FEE ,PPLj(6T' ,t (,Non-refundable; �ODRE�"S.��.'' TELEPHONE NO. :NGINEE /�LL..G.fn�- �-�c �' `�G+• ► r L^ - TELEPHONE NO. 77t1-bos8�. SATE SCHEDULED Applicant's signature ASSESSOR'S�b�A 6 LOT NO: /3 / 3'.. .. . . .S OIL•LOG• • •• • • . . .. . . . ... . .... ... .. . .. . . . . . 3UB-DIVISION NAME_ G G i0t 378oS1 d DATE TIME ENGINEER . :XPANSION•AREA: YES NO ,OWN"Y ATFr R PRIVATE WELL ✓ r+ BOARD OF HEAL TE _. EXCAVATOR 3KETCH:. (Stre.et name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) 3.1.1 • '+ 12 ,jJ,I A N SDr-f.•ty qo• N L4q ?ERCOL7�r :. .RATE: P-t. , �' ELEVATION. ELEVATION: TEST HOLE NO: TEST HOL�;:N0. 2 :' .�.., 3 3 4 4 ��.� -.,. 6J 7 , 7 9 9 to 10 I. 11 12 12 13 13 14 . n/Q�� 14 15 15 16 16 3UITAB�,E"FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS LEACHING TRENCHES 1NSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: TOTE. ENGIN EdRING PLANS MU5T ,SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ; )RIGINAL: ' COMPLETED N ENT RET P AN ETURNED TO BOARD OF HEALTH _.... nvMhTNF.n BY APPLICANT SECTION - SEWAGE -SEPTIC TANK - - "D"BOX - ,ZLEACH TOP OF FDN I _ Y/ham! �• :. .. - `v O.. (MSL)�►,. "2"OF 11 STOONE 601, , . C4F1MLEY tF IN• OUT• IN OUT• IN• IZ 1 o G ' t �L4 65°I2SEPT C1 TANK 2 'L7 �t�O I -7 \, yam`. . I ELEV. ELEV. ELEV. - - - t ELEV. / 70 �� 1 Z -7� 24 t�o ELEV. ELEV. �! f•• : E �1lL T // I OF44 (J,� 'WASHED STONE -r++ TEST HOLE LOG �'� TEST BY �' /-'�I F--�b1�Lr/ J i 4". p WITNESS 2 TEST DATE 11 �3 BEDROOM HOUSE "��G DESIGN �32 Z T.H. +° 2 // 3 0 �o�I�', I / ✓ f —It ELE' .2�!5 ELEV.3Z,J NO ,� �, -� Iu - �{ 4 5 r'( M L DISPOSER DISPOSER J � 2.00 PERC RATE 2 MIN/IN. ' 110 (GAL./DAY) I T� �(0 2�1,s . FLOW RATE u SEPTIC TANK .A-4 o REO'D SEPTIC TANK SIZE I bO0 `To kIE?11�}�b 107 LEACH FACILITY WALL I Iyrr� I`J� �4 Ny 6 BOTTOM �In�Z)�Tl= 7Y, (ISO ) = 7�. 5 GJD 10 ' TOTAL 149195 " 12.5 USE: TY�Id LEACHING WATER ENCOUNTERED ?6 1 I O O0 E�� NOTES: (UNLESS OTHERWISE NOTED) I 1 t I r� �� _ 3D� 1.DATUM(MSU i TAKEN FR M QUADRANGLE MAP �� Z^��_.,."1 -' •.�)Y7� 1 I�,) 2.MUNICIPAL WATER �►VAILABLE I 3.PIPE PITCH:)°•'PER FOOT F��^I� ®6 4•DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO'• -44 S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) T. ' 6.PIPE JOINTS SHALL BE MADE WATERTIGHT ® ARNE H, �, ! 7•CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. OJALA STATE ENVIRONMENTAL CODE TITLES -"' ! SITE` PLAN 8. -ry.� a� e.`J F oz' p-re� � won�iC <�.�� ..�a = �`� C � T �J�J�� LOCUS: ' T r-ior vda= u � �aZ �zoz�� . -�Tar•vc *1N OF f�q LOI Ii� ISNII� I(rL �l7 1�1; T ✓a-�1.1� -gU� R $ ENGINEEiQ .. '�� ARMS _ / .. OJH.ALA REF: �C%f , ��' `I �T ��I lI dobVn cape edgineeMir R2�14 � PREPARED FOR: �V'�b�� S CIVIL ENGINEERS q $ MY, �,� z 11 BOARD OF HEALTH LAND SURVEYORS REG.LA141, EYOR _ I >h�iiJ!83.° SCALE 1i= __ 7 CONTOURS (EXISTING)-(pROPOSED)-•0-0--0-0'-' APPROVED DATE_ _"r�� _ MA ♦ DA E