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2400 MEETINGHOUSE WAY/RTE 149 - Health
2400 Route 149 W. Barnstable A = 155 045 _ r TOWN OF BARNSTABLE �f LOCATION o'1 D (2dytC- NY - SEWAGE # .100 YES! AX-07rn eole ©Y VILLAC;E Rcote IV9 W > V,-S-W"SESSOR'S MAP & LOT 1Sr-Y,7 INSTALLER'S NAME&PHONE NO. �e-�'� SEPTIC TANK CAPACITY oZA LEACHING FACILITY: (type��+ ,J 5 O 4Vv (size) /f X rd' NO.OF BEDROOMS BUILDER O gk l�p� PERMIT DATE: 9-3 I=Q Y COMPLIANCE DATE: t 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) Illvvv Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leachin sa Feet Furnished by i 1 ' .�— �. �� 1 �� �aC.� 11 � b ,�. 54 � � r � �l ia' ��� �,� t. DCA-TION SEWAGE PERM; TJ NO TILLAGE. NSTA LLEP'S RAISE A ADDRESS R UILDER QR OWNER DATE PERMIT ISSUED DDT E C0 M P L I A N C E ISSUED r` _f ~� � 1 I � � N®�S � �4No. F,'IV,1 �, r 1. Fee V D THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for �Biopog Y *pgtem Construction Permit Application for a Permit to Construct( . )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 2-400 Youte, l e wner's Name,Address and Tel.No. Assessor's Map/Parcel rl 1 65, Q Lts— Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms �° Lot Size 5(t sq.ft. Garbage Grinder(lQ Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 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) 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 is b this Board ofH lealth. Signed ' 0- Date "�y Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued V V No. '"� 'A ' °� ��`. Fee . Entered in computer: ..,` THE COMMONWEALTH OF MASSACHUSETTS yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTSr- 0[pprication for Mi *pztem Construction Permit Application for a Permit to Construct( )Repair( Upgrade( ) bandon( ) O Complete System El Individual Components. Z400 Location Address or Lot No. C e. / / wner's,N�me,Address and Tel.No. S �r Assessor's Map/Parcel rv- Li 5� r� Installer's N1��ne,qddress,an Tel.No. D signer's Name,Address and Tel.No. k \c-L•er ©VI)S 1pe of Building: Dwelling No.of Bedrooms '6 Lot Size_/10 1 SI, sq.ft. Garbage Grinder ` Other Type of Building ► No. of Persons Showers( ) Cafeteria( ) Other Fixtures + Design Flow 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 y 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 issues this Bo d o h. Signed ��� !�I Date ay Application Approved by (J6' ) V/ ©� Date Application Disapproved for the following reason Permit No. r Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CE TIFY, that the On-s' e Sewage Disposal System Constructed( )Repaired ( )� Upgraded( )R, t� C e Abandoned( )by ©V3 S'q* at ��.A.Ihaspbftflonstructedin accordance %with the provisions of Title 5 and the for Disposal System onstruction Permit No. ated Installer Designer The issuance of this ej� hal not be construed as a guarantee that the sys ift ction as de-igned Date 1 Q U Inspector �1/V• (/ ' !V �"�►— ----=----------- No. -------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 1i.5pogar *pgtem Construction Permit Permission is hereby granted to Constr ct( )Repair( ")Upgrade. )Abandon System located at 2'4 0 0 V!eT\k "Q SAC,- (,_Jr�y, W :k,v\, 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 ; u�st /®�c g mRlete within three years of the date of this ermi.' Date: Approved by 'w/ 1 TOWN OF BARN.STABLE LOCATION V06 (&45- 191 SEWAGE # UVY— VILLAGE RQUhe IV9 w . gsrr sAm"SESSOR'S MAP& LOT /Sr-1157 INSTALLER'S NAME&PHONE NO. �c�� SEPTIC TANK CAPACITY --T Ik n0-0 ~ LEACHING FAClL TY: (type�b� ' SO eh, -*AS (size) // X S7 NO. OF BEDROOMS ` BUILDER O gk le, - PERMIT DATE: COMPLIANCE DATE: i Z� Separation Distance Between the: jMaximum 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 leachin facili ) Feet Furnished by 1 1 � 1t t Town of Barnstable Regulatory Services Thomas F. Geiler,Director ' `" KAS&"B`E' ~ Public Health Division ED µ. 81 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: F 4 v Sewage Permit# qSt/Assessor's Map\Parcel Designer: (.b 0 u)r-- o Installer: Address: / lb'�4 Address: �,�/Z a r On / v was issued a permit to install a (date) (insta er) septic system ata� 0 ed,NA 0 u,.-L w based on a design drawn by (address) Gl, dated L 4S D (de gner) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes su ch as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. k'X��A OF�4,4JS 9 ARNE H oyGN nstaller's Signature) OJALCIVIIL co No. 30792 Q7 SS ON A L (Designer's ripatui (Affix De er's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU, Q:Health/Septic/Designer Certification Form 3-26-04.doc L A j TOP FNDN. AT EL. 59.1' SYSTEM PROFILE TEST HOLE LOGS NOT TO SCALE) WE 6A . , ACCESS COVER TO WITHIN 6" OF FIN. GRADE ( PROVIDE INSPECTION PORT WITHIN ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE A.H. OJALA, PE ENGINEER: /�56 MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 52.0' DAVID STANTON IRS WITNESS. •L 2" DOUBLE WASHED PEAS ONE 10 20 03 ooy NOVERTS TOUT * RUN PIPE LEVEL DATE: / / a OF DWELL 56 8 FOR FIRST 2' \ 3' MAX. PERC. RATE _ < 2 MIN/INCH PROPOSED 1500 (ONE LINE MAY GALLON SEPTIC cJ3 7rJ' 49.0' CLASS I SOILS P# Loud° ^"� Y' INTO THE 54.0' TANK (H- 10 ) GAS Focus OTHER) BAFFLE 48.67 �� 48.5' E3 p p p 0 0 0 ED C7 48.17 p p ED p p p ED C3 C7 ELEV. (5 8"!. SLOPE) �6" CRUSHED STONE OR MECHANICAL ao 2> 0 Q O 1 ED 0 E3 n O" Q 51.7' COMPACTION. (15.221 (21) MIN �$ 46.17 A P DEPTH OF FLOW = 4' (TEE SIZES: 6 % SLOPE) ( 1 7. SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE SL INLET DEPTH = 10" 12' 10YR 4/2 OUTLET DEPTH = 14" B LOCATION MAP NTS FOUNDATION 48' SEPTIC TANK 83' D' BOX 27' LEACHING SL FACILIT`/ 24 4 10YR 5/6 , *THE INSTALLER SHALL VERIFY THE ��i3r34 - ASSESSORS MAP 155 PARCEL 45 LOCATIONS OF ALL UTILITIES AND ALL / ' C1 BUILDING SEWER OUTLETS AND ELEVATIONS y 5A 5.47 PRIOR TO INSTALLING ANY PORTION OF �` + 54.8 LS SEPTIC SYSTEM 54 3 Erg �� �hh 46,' 2.5Y 6/4 47.8' + 55.4 g' / 40.7' PERC C2 55.3i + 55!4/ I FS 01 55.7 1�� I 2.5Y 7/4 -,,55.3 T 55. '1`55.6 5.9 51 9 55.1 132" 40.7' \ \ + 57.4 BENCH MARK - CORNER OF NGWE \ \ CONC. PAD ELEV. = 56.8 NOTES: \ \ + 57.5 SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) \ \ - 1. DATI!M IS APPROX. NCVD DESIGN FLOW: 6 BEDROOMS.;(1 10 GPD) = 660 GPD + 54.4 660 2. MUNICIPAL WATER IS NOT AVAILABLE + 56.3 \\+ 5 8 + 58. o USE A GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. \ \ 5.1 SEPTIC TANK: 660 GPD ( 2 ) = 1320 10 EXIST. DWELL. .+ 55. ��, 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- \ \ TF = 59.1 •3 USE A 1500 GALLON SEPTIC TANK 5. PIPE JOINTS TO BE MADE WATERTIGHT. f \ \ 546 6. CONSTRUCTION\ LEACHING: DETAILS TO BE IN ACCORDANCE WITH MASS. + 56.a 2(58 10.83) 2 (.74) 203 ENVIRONMENTAL CODE TITLE V. �s \ ++5 s7.0 55�7 6 � i 54.4 SIDES: + 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT 74 %w 57 57 + 5 ABOTTOM: 58 x 10.83 (.74) = 464 TO BE USED FOR ANY OTHER PURPOSE. \ \� - Ln h + 4.7 n> 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. \\ X4 55.7 + 51.6 TOTAL: 902 S.F. 667 GPD \ \ CONC.- WA 5 .57.2 USE (6) 500 GAL LEACHING CHAMBERS (ACME OR 9• COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT \ \ 4r 3.4 INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 0 �,, EQUAL) WITH 3' -STONE AT SIDES AND 3.5' AT ENDS FROM BOARD OF HEALTH. 6.9 57.2 48" OAK REA OF ,0 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC SYSTEM \ A i(56. DIRT & \ ,5 IVY AND + 53.'� 11. ANY UNSUITABLE MATERIAL FOUND MUST BE REMOVED FOR \ GRAVEL \ TREE + 53.8 LA 5' AROUND SAS AND REPLACED WITH CLEAN SAND \ DRIVE \58 4.6 51. 8.4 \ 7. 52.0 + 49.7 LEGEND+ 5 SEPTIC AS- BUILT /3 + 53.4 100.0 PROPOSED SPOT ELEVATION OF GARAGE 57.1 .8 52 5 h� 24" TREE 50.9 10 2400 MEETINGHOUSE WAY 100x0 EXISTING SPOT ELEVATION 5 .9 IN THE TOWN OF: + 49. 1 00 0 PROPOSED CONTOUR (WEST) BARN STABLE � 2 c 53.0 \ - 100 EXISTING CONTOUR PREPARED FOR: BAR BARA S K LAR EW LOT 1 \ 70,518t SQ. FT. 5 30 0 30 60 90 + 51.7 BOARD OF HEALTH \ + 5 APPROVED DATE MA SCALE: 1" = 30' DATE: MAY 25, 2004 REV SEPT 2004 off 508-362-4541 fox 508 362-9880 N + o down cape engineering, inc. `j ����"OF 1440s9 N o ti �.� A NE a� CIVIL ENGINEERS � H. LAND SURVEYORS 0.2 � 939 vain st. y arMouth ma 02675� -27203 ARNE H. ofs.s .L.S. DATE i I i