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HomeMy WebLinkAbout0091 POINT HILL ROAD - Health 91 Point mill Read Lot 4 TOWN OF BARNSTABLE s�p LOCATION /L Z SEWAGE # `� VI)_,LAGE �✓. .�.�� ASSESSOR'S MAP &LOT:i INSTALLER'S NAME&-PHONE NO., SEPTIC TANK CAPACITY\ LEACHING FACILITY: (type) 1 (size) NO.OF BEDROOMS BUILDER OR OWNER �ov�'' PERMITDATE: i - W;.. COMPLIANCE DATE: �.o 'i Separation Distance Between the: ! Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any weUs 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 � A 4c- C t D A2 Oz P © S<!g 1Y40 Hh TOWN OF BARNSTABLE 1,6cmiw �f .® SEWAGE 0 ®©f/ VILLAGE ASSESSORS MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACIL=: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: -_f-?" COMPLIANCE'DATE: 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 ,C N , No. 06 WSJ —(�ftl1 a u�R,1'4 76 17� 1 Fee THE JCOMMONWEALTTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIPPYfcation for 33iopooar *p5tem Construction Permit Application for a Permit to Construct( , )Repair( )Upgrade( !/jAbandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /`�/ iRD��.T�/!� A96 Owner's Name,Address and Tel.No. Assessor's Map/Parcel��,< +/9 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. o>�, Type of Building: Dwelling No.of Bedrooms -� Lot Size sq.ft. Garbage Grinder( ) Other Type of Building �'E`` • No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design.Flow '3 sr-® gallons per day. Calculated daily flow gallons. Plan Date 110:/_aL -j- Number of sheets Revision Date Title Size of Septic Tank c '�J'J`��';� -o`o o c�64A e. 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 issue y thisBoard of Health. Signed Date !— Application Approved by Date Application Disapproved for the following reasons Permit No. ':Z UO q— .�_.5 ff Date Issued ��7- U ---------------- -- ------------- - -- -- -- f F No. n A� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for �Digpooal 6pgtem Con!5truction Permit Application for a Permit to Construct( j Repair( )Upgrade(kf Abandon( ) r0 Complete System ❑Individual Components Location Address or Lot No. AQ4 Owner's Name,Address and Tel.No. li(j.Q(�N• ���f. Assessor's Map/ParceV,,,,?,!<' /9 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. V'ir� 1 C24os'�J� ��(`'ip tQ/jl�4J'or/ /PJ' Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures a Design Flow 3�� gallons per day.'Calculated daily flow 3'�� gallons. Plan Date Number of sheets ' Revision Date Title Size of Septic Tank !3 A1. 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 issue/by this Board of Health. Signed` G Date '�" 7-0,�ej Application Approved by 4 _ ellDate I _U C� Application Disapproved for the following reasons Permit No. /?o U k Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired ( )Upgraded( !/� Abandoned( )by 7'ih /_ gt.,iP.,P ice" at R/ ,�,Z, iZ/__4 4•'a /wo. cf-1d01- • has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated f- 7-r, Installer mz W �! i»c�`y�- Designer i 04.I The issuance of this p''ermit shall not be construed as a guarantee that the system will function as de"igned. Date 11 s 1 I ; Inspector V �lru ---------------------------------------- No. Fee /au THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS 'Oi!5pooY *P9;tem construction permit Permission is hereby granted to Construct( )Repair( )Upgrade( lrAbandon( ) System located at 91 ¢ooi revTC/i L! /T _ ��S[�' �,,y. ur. t'.�• r 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 this ermit. Date: ► I / CC Approved by In Iz . Town of Barnstable R,egubdorY SO-vices Thou F Geier,ITire W I Pab4e ROM 1)ivWON "� 'i`gonaas 1VIeKea�r'AT M Main Stred,11punis,MA 02601 Fax: Sob-790-004 Office: 5084624W _In tall r esiE aCerb ficatlon Forte Dste� V �� yt�� fZ Installer:Des, er. AY Address: Address: a s' cT�^ Lce"�ez,,.u� was issued apermit to ill"a on � (installer) W ?W based one design drawn by selitie s v1Tj . (NUS ow dated �.lj 7 above was installed substantially according to wbwh�ma y min�°� as lateral relocation of the box=d/arseptiuf- installed with major (ie. _ I certify tbat the sep� o� veztical won of any aono��t geaobcr I�' lam bMC with Side Bt Focal R °ns' Pln wision or of 61e septic ) to foDvw. ~: cecti5ed as-bndt by ( [IMsgaer"S`. Trleare) S As- MY AR>g BY Q:HmWtWSgfi*VWf� cern6cagon Form R. A. Bousfield Backhoe Service } 17 Burbank Street Sandwich, Massachusetts 02563 Name . �c r�1 Lx J 2i,Dae,S Sewer. Permit No. a© Sr Location: 9t 0W9 iono Rl J C- " tau.)1 Builder's Name and Address Ri' 1, 12 i aC s Qi2 i I j Date Permit Issued: 9 75d Date Compliance Issued: �_i -7 61 / c� . S� 7 f THE COMMONWEALTH OF MASSACHUSETTS BOARD Of HEALTH .-.OF............ .... ...................................................................... Appliratiun -fur UWVouttl Works Tonutrurtiun -Vrradt Application is hereby-made for a Permit to Construct (//) or. Repair ( ) an Individual Sewage Disposal System at: Location. dd / or Lot No. --------• -•--------------•--- / _G ............... .................................................. a 0(/ Owner ` .� dress X Z119--------------------------------------------------- --•-------...... .11D /G h 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 ( ) dOther xtures ------------------------------------------------------------------------------------------------ ---------------------------------------------------- W Design Flow..........6_ ..........._-,,,--gallons per person per day. Total daily _flow....._ ®® Mons. P4 Septic Tank`Liquid capacity 7gallons Length---------------- Width................ Diameter-------.-------- Depth................ xDisposal Trench—No. .................... Width----------- Total Length-------------------- Total leaching area....................sq. ft. Seepage Pit No------ Diameter/�!'"-5.!_Depth below inlet.................... Total leacliiug area-----_. __-._-___-sq; ft. Z Other Distribution box ( ) Dosing tank ( ) • d�f5 �, �� yG`� a Percolation Test Results Performed by------ -----•--------------------•--•-----•-•-------------•-•----••-•--- Date------------------------------------.... Test Pit No. 1------- .minutes per inch Depth of "Pest Pit.................... Depth to ground water--------.---..-.-_.-__-- fl, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water---------------------- GiL - ----------------- it Description of Soil.------ -- ` -` _._.._---- _. . �✓ _. 7 .�_ . =-`----- .l ...... --- V 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 Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of :Compliance has b n issued by the b rd of health. ��� • ned ------------- =-'-`-- -- ----------•--------------------- ............--- --���A ------------------------------------- / Date---------------- Application Approved BY / =�lc- Date Application Disapproved for the following reasons:---•---••------•---•.............•-----•-----------.....-•-•------------......------.......-------...._••--•••- --------------•-------------•............------..........._..---------------------------....-----•-------•---------------- Date PermitNo......................................................... Issued-----------------------------.......................... Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IA � 111 m / IL DATA No.�3 r ©.. .... .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD Of HEALTH ......OF........... ... ................ ............----------............----- Appliratiun -fur Uispuuttl Works Tomitrurtilin Prrmit Application is hereby made for a Permit to Construct (//) or Repair ( ) an Individual Sewage Disposal System at 0!�-/.............................W.14 -� Address ..........................................e T f..................... �!--....._.. or Lot No. Location- r Owner Address •---------•----------••...............•-•........... ......••.. .....--•--•--....._......................-•-••-•---- Installer % Address d Type of Building,, _ Size Lot............................Sq. feet Dwelling��No. of Bedrooms..........................................Expansion Attic ( ) Garbage Grinder ( ) pa., Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) aI Other fixtures ................ ............ . . d 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 ( ) -,46A Ak ,� ty&.5, 4. //, 7t rA aPercolation Test Results Performed bY........................................................................... Date---------------------------------------- ,a Test Pit No. 1......73--__minutes per inch Depth of "Pest Pit.................... Depth to ground water........................ �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water._._._-__-____.____..-.- R'+ -t --------------- --- ---------- s�'.... / -------------- O Description of Soil- -----�a ` `.... D u�2r �/ C�.tvLici:1•- .0 I'.• it .�, J /; ,� U .._..--•----•---•---------- -- /f �J—e sA•,.e (�1! r si �. F/� _ �— q.#�s- . .:,�------j�/ W ------------- - ------7 - �----- --�,--- - /---�-----r „. - �- / (-.,,. - --------- 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. l igned �✓rr./ /,f✓�% fir__ - ...-------- Date Application Approved By. " ../�t�-! " ��-----�...I�------- Date Application Disapproved for the following reasons:......... .............................................................. ........................•-------------------------------.--•- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........p/.,.; /?............OF........6 ................................................. QIrrtifiratr of (tumpliaurr S S TO CE TIIF , That the Individual Sewage Disposal System constructed � Repaired ( ) Y �) � `/� Installe ._.W _�f'l! ----- s+N ............................... has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No&-0.__KI J................... dated_. S......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT TIME SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................................... Inspector----------------------------------------------------------------................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 69/u )-d .....I......OF.. -- s 140......................... FEE... %repo l�r 5 Tun n ti it Vrrn it Permission ' hereby anted-- ----- -_ to Con uct ) or pat ( ) an Ind' idu Sewage ispos SyAt stet as shown on the application for Disposal Works ConstructionAre N� S_____'_ __. Dated___ - //- 7.�_____.•_. •---�• .!� -----------------------•--7� _ Board of Health DATE...•---•-------•---------.....----CCC-���///--.._._..---------------------------- / FORM 1255 HOBBS & WARREN. INC., PUBLISHERS i � tit N f1�US4 n/� coN.�t�T1/i�6- MA O'A6/4 z7 i N 30-06-92 o-3 I W . f PRoP NEW 3� /-`S L 9 7 i Po� wr i-� � �� ----- --- _: _ _ - -- - - i i ALAN W. JONES & ASSOCIATES CONSULTING ENGINEERS Carleton Drive East Sandwich, Mass. 02537 Telephone 888-3154 TEST PIT AND PERCOLATION TEST 21 May 1975 To: Traditional Realty Trust Personnel Present: Angus Laird Spring Hill Road Charles Merriam East Sandwich, Klass. Alan W. Jones Re : Lot #4 Test Location: 100' into lot from Point Hill Road Point Hill Road Wost Barnstable, Mass. layout 0'0" Ground surface 0'6" Loam Compact, fine, brown sand and brown clay 4'011 Firm, fine, white sand 6'6" Firm, fine, brown sand; '6" trace clay Average Percolation Rate: 1" drop in less than 2 min. 910" Firm, fine, white sand k0 'V� 11'61 dos\ ALA u^f �\ No water encountered o U N 251 O /ST- sslONAL 6 Water levels indicated, if any, are those observed when test pit was excavated and do not necessarily represent permanent ground water levels. ASSESSORS MAP: -413(, TEST HOLE, LOGS PARCEL: -4 /9I IDOTES: FLOOD ZONE: /W— L SOIL EVALUATOR: aL�� W JDWC.,,j A1�6✓ i��-.r WITNESS: REFERENCE• -# 2114 '('i Z9 DATE: N� 21 i 1) The installation shall comply with Title V and Town of Barnstable Board of PERCOLAT I O RATE: N K4, ► Health Regulations. V 2) The installeushall verify the location of utilities, sewer inverts and septic components prior to installation. TH- 1 TH-2 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8"per foot. IpAejrAD _ �X L0L1 n47 4) This plan is not to be utilized for property line determination nor any other E�0� C7r-j ! 7cS, co"Vga-9W purpose other than the proposed system installation. 5) All septic components must meet Title V specifications. 6) Parking shall not be constructed over H10 septic components. 7 The property is bounded by property corners and property lines as depicted. LOCATION MAP ���• �� �Ftw><,5�!15f,,� . - p 1� ' �. 8) The property owner shall review design considerations to approve of total ,A1WaW4 w S number of bedrooms to be considered for design. Receipt of payment for the plan and installation based on the plan shall be deemed approval of the OP'' number of bedrooms. 9 Thee existing leaching system shall be pumped and backfilled per Title V Abandonment Procedures. ,Jb "3�� 10)System components to be 10 feet from water line. 11)Septic tank to be a minimum of 1000 gallons. If tank is less than 1000 gal., +c1���2N� c3o/C. fir"' ?L•�i�_ __ nL then replace with 1500GST. q 12)Excavate 5 feet around the proposed leaching system and below to approx. SEPTIC SYSTEM DESIGN elevation 93.5 and fill with clean washed sand per Title V specs. 13)An existing underground storage tank is to be removed per regulatory requirements and is not under the legal authority of this design. FLOW ESTIMATE 14)Consistency of soil is to be verified at time of system installation. 15)Proposed design is conceptual and verification of well locations is required. ?� BEDROOMS AT 110 GAL/DAY/BEDROOM -33b GAL/DAY System is to be installed 150' from all wells. SEPTIC IFANK r 13�0 GAL/DAY x 2 DAYS - (d,00 GAL USE 1000 GALLON SEPTIC TANK LE,X,ttTIWCT 71AA, e-) •t/ AB!. RPTION. SYSTEM �. LZ . � 5� —?Q `4 UJE1.. ` W tr�I'y t rz s� M O �- aE.AREA,: �t2x u,� /dy;SZ ,�U ,fr 1'3 S I' tz - = BOTTOM AREA: _ -- SEPTC; SYSTEM SECTION ►�r�, l r 1 -� /-Y/30-l3-7.45C ! I r - I BS� wit. ►,.mac 1 ,g gyp, _ 0 �MNof 3 7d�G u-•t�MGs� ✓ ' r�53a�� 97,830 ►47- I41U, r20W fJ' °►&aS /41 i l l �( 1 -BOX t�Z6 ('� /�0 GAL uL Tiffil SEPT I C T K .. t 3 u i °�" w�►S ��" I (,fir biZ t.1 —Z`I x 13' -Tt� RX-6 9.Al�. 98 S SITE AND SEWAGE PLAN LOCATION : hoi�TT t/rc..�, oq A11E6T t3*W.-54 OLE MAI PREPARED FOR : 6CPT%.. )%j A9 A SCALE• / = 'SO DAV 1 D B . MA S O NiRS DATE: DBC ENVIRONMENTAL DESIGNS EAST SANDWICH . MA DATE HEALTH AGENT (SOS} 833- Z 177 W Z