Loading...
HomeMy WebLinkAbout0081 RIDGE ROAD - Health � - 2 , � - C2 X.Of:HA�'lf CERTIFICATE OF ANALYSIS Page: 1 Barnstable County Health Laboratory yrr�CF3L,5ti^`� Report Dated: 4/28/2006 Report Prepared For: Order No.: G0635187 Susan D. Malenfant 81 Ridge Rd. W Barnstable, MA 02668 Laboratory ID#: 0635187-01 Description: Water-Drinking Water Sample#: Sampling LocationJ81 Ridge Rd.West Barnstable,MA Collected: 4/25/2006 Collected by: E.Meehan Map 2t6 Parcel 056 Received: 4/26/2006 Test Parameters ITEM RESULT UNITS RL MCL Method# Tested GAB: Microbiology Total Coliform 0 CFU/100mL 0 0 MF 4/26/2006 Water sample meets the recommended..imits-for drinking water of all the above tested parameters. — -- .� Approved By• (L Director) < t a C RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 n S � � �y psi ✓ L 0 CATION t �" SEWAGE PERMIT NQ. VILLAGE INSTA LLER'` //S�" NAMEQn j ADDRESS wG/A,It t 5)� 41C B U I L D E R OR OWN ERe,,4X ,S DATE PERMIT ISSUED 7- 26 F -- DATE COMPLIANCE ISSUED �0- _g� *ell i L IJ� r FimB THE COMMONWEALTH OF MASSACHUSETTS* BOARD OF HEALTH----,,, I—C,7 ........_0F.....8..fi.J6.?,e - C..... ................................ Appliration for Ravasat Works Toustrurtion "amit V Application is here W made for a Permit to Construct or Repair an Individual Sewage Disposal System at: 1-0 F g 66 A ...............................EYTM.52f' ....... t.... ... ...... ................Locauo�Address Lot . . --- P Address. 14 ..........................0 .........-----•�-�.z?.Zk------------ ............ ................................................................ Installer Address Type of Building Size Lot../6,10.52....Sq. feet U Dwelling—No. of Bedrooms.........---------------------------------Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons_............_.__._......... Showers Cafeteria Other fi t ---per -p--e-r--s--o-n------e-r-,--d--a-y-------Total-----------daily---fl--o---w--------------------------------------------------------- W Design Flow..............�4 ......................gallons. 1:4 Septic Tank—Liquid capacityliPOO..gallons LengthY.5—_ Width.hj..,1 . Diameter................ Depth../_t_J._f2 Disposal Trench—No. Z............... Width.....c9� .......... Total Length......L,57._ Total leaching area_c9-._?0......sq. f t. Seepage Pit No_____________________ Diameter.._........_.__.._.. Depth below inlet.............._..... Total leaching area..................sq. ft. Z Other Distribution box. Dosing tank ,.;eA Its Percolation Test Results Performed by---1;Z .......;----------------------. Date..-. .F ....... Test Pit No. L.hj_S�.__minutes per inch. Depth of Test Pit..... Depth to ground water----A................ 44 Test Pit No. 2_4f.�S_.._minutesper inch Depth of Test Pit----1.1............ Depth to ground water.php_�------- P4 ...................................................................................................................................................."--------- U-" � L 7 ................................ 0 Description of Soil............... ---------�-A.OX�------ 17/� -------- W U ......................................................................................................................................................................................................... W :V. ................:....................................................................................................................................................................................... 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 'I TL U 5of the State Sanitary Code— The undersigned further agrees not to place the system in ' provisions operation u ert4icate o om ­nce has been issued by the board of health. ;P�Signed."��O_A...... ........... ..............:........ Ii ti Date A plication Approved By..'_� --- I ....... .. . . ........................................ .................................. .......................................................... :f Date asos: . .. Application Disapproved for the following ..................................................................................................................................................... .................................................... Date PermitNo......................................................... Issue(L....................................................... Date —---------------------------------- -- No..... f. sYmB THE COMMONWE?ALTH OF MASSACHUSETTS BOARD OF HEALTH .. oF.../. . .r4:.1 = ........................ 'ApplirFation for Disposal Workstoustrartion Frrmit Application is hereby made for a Permit to Construct ( } or Repair ( ) an Individual Sewage Disposal System at: , . :: .-- u •..S =--• r �f} '� _<.�9. � ---------- d------ C Location- dress or t No. W Owner �. 4. " Address .............................................••---... � Installer Address UType of Building Size.Lot..1A_,e_?.��..Sq. feet �-, Dwelling—No. of Bedrooms.......z2.............................Expansion'.'Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................. No. of persons--------_................... Showers ( ) — Cafeteria ( ) Other fixtures -------------------------------•-------••--•----•--•------------- W Design Flow............... ..............gallons per person per �_ay. Total daily flow--------Z3-•,,....................gallons. WSeptic Tank—Liquid capacit y16.10Q,gallons Lengty_cn.,).... Width..l __J_.. Diameter________________ Depth_-L�t.o... x Disposal Trench—No.......2.......... Width.... .........t Total Length..../s .... Total leaching area•,.?o_......sq. ft. Seepage Pit No..................... Diameter................_--- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tnnk ( ) a Percolation Test Results Performed by.___ :�.. ! �_fR ......;--------------------_-. Date.. ._ _ Test Pit No. 1----1_(,.�_minutes per inch Depth of Test Pit......1_�_�_______. Depth to ground water....,��................ 44 Test Pit No. 2...._r_.�__..niinutes per inch Depth of Test Pit----- Depth to ground water-__V4?kf 9____ R.4 .......... •- ••.: ------•-•-- ---•--_-•---•-•--------•--------------------•-•-------------....... ---•---- D Description of Soil----•---_--- l xaiv....4 4 ' Wl j.4 �_ x W t U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ...• -•-- ------••-•-•--•-•---••--•---------•i•-•----------••---------•••-•...-•---•-------••-•••--•---•---...-•--•-••. Agreement: greement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provision of l I A ITS 5 of he State Sanitary Code—The undersigned further agrees not to place the system in operelon t• cat C liance has been issued by the board of/)/iFalth. ---------- -•-•---•---•--•-----••••-- A lication Approved B Date F Date Application Disapproved for the following reaso s:.............................................................................................................. ..........................................................-•----•-••---------•---------•----------------•-------....-•------••--•-------------•--••••---------------------------••---•--•-----•-----•-- Date PermitNo.......................................................-- Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...''. ............................................................................... wrtifirtttp of TontpliFanrr THIS IS TO CE TIFY, That *e Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY------------------ - ----------• Installer atL� -------ie----•-•----- n-----------�A,Y' ±---------s,.. ',' •--------------•••-----•------------- has been installed in accordance with the provisions of T T F 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...... ............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UED AS A ARA EE T AT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................. .. 2. -^. «-=-----• Inspector THE ,COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH : .....<:,........OF.......... No. FEE... Disposal Works onstrndion Vamit Permission is,hereby granted....... ........... e,-----------------------•-------•-•-•---......----...---................---- to Construct ort epair ( an Individual Sewage Disposal System at No. , ......--- Street as shown on t e application for Disposal Works Construction Permit No..................... Dated.......................................... t5 .1__ ----------------- ............................................................ Board of Health DATE----- ` - . FORM 1255 A. M. SULKIN, INC,. BOSTON .. 362-4541 926 main street yarmouth mass. 02675 down cope engineering civil engineers& land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys site planning sewage system designs September 4, 1985 inspections Barnstable Board of Health Barnstable Town Hall South Street permits Hyannis, MM 02601 Gentlemen: On August 30, 1985, Down Cape Engineering inspected the installation-of the sewage system for Lot 8, Ridge Road in West Barnstable, and we certify that it complies with the intent of our site plan # 83-158 dated November 19,. 1983. Thank You for your. attention. Sincerely, Arne H. Ojala, P.E. , R.L.S. RDO/kmk Fee------ u----------- BOARD OF HEALTH TOWN OF BARNSTABLE Rpplication-ft-Vell Conotructionpermit Application is hereby made for a permit to C it ( )an individual Well at: - c --- W �44 ----------------------- - ------------------------------------------------------------------ Location — Address Assessors Map and Parcel Owner 1 Address 1 c----_-- -------------------------- ----ZX13-------9-` � �------�-n-t4'------1------------------- Installer — Driller Address Type of Building Dwelling �t(nA-6a - — -- Other - Type of Building ------------------- No. of Persons------tea------------------------------------------- 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. Signed — — - - ------------------ --------------- date g Application Approved By---- -�ct.�,, e ---------------— — -- �'L_ J date Application Disapproved for the following reasons:---------------------------------------------------------------------------------------------------------------- ------------------------------------------ ------------------------------------------------------ date Permit No. ------------------- --------------------------- Issued---------------------------------------------------------------------------------- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f Comprianee THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired><j by--- - — - ---------------- -- ___----------------, -------------------------------------------------------------- Installer — athas been installed in acc dance with the provisions of the Town of Barnstable Bo�a�rrd of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. a1l<- �'-- 9--Dated---------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--— - ----- -- --------------- ------- Inspector---------------------------------------------------------- -- -=------ BOARD OF HEALTH TOWN OF BARNSTABLE 01pprication-forlVerr Con5tructionVermit Application is hereby made for a permit to Construct_O,Alter-(.._),_.or-Repair ( )an individual Well at: ----- - -----p---�C�-�-, - 5��- -- ;^- '�� -------------------------------------------------------------------------------------------------- Ncation — Address t .Assessors Map and Parcel { ------- :— Owner ` � Address Installer — Driller "Address Type of Building Dwelling - --- _�_�) C ----------------- 1 Other - Type of'Building.---------------------- -- No. of Persons------- --------------=----------------------- Typeof Well-- ----------------------------------------------- Capacity------------------------------------------------------------------------- Purpose of Well-----2? 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 off Compliance has been issued by the Board of Health. Signed- �1Lr =��!v y• A�! -` -----------------\---- _12=- '`�-= ------- date Application Approved -��./ -- r date Application Disapproved for the following reasons:-------------------------------------------------------__--------------------------_----------__-_----- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- date PermitNo. --------------- Issued-------------------------------------------------------------------------------------- V— date BOARD OF HEALTH TOWN OF BARN`STABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired (<)' by----------------191 A4 =b o P'61-1------------------- ------------------------------------------------ -------------------------------------------------------------------------------- Installer .at J L�a,r� `---------------Pk----------1�17 �„ ����'�_------------------------- - --- - ---------=---------------------- has been installed in accordance with the provisions of the Town of Barnstable Board qof Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -�AZ � --�_ �__Dated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------------------------------------------------------------- Inspector------------------------------------------------------------------------------ BOARD OF HEALTH TOWN O-F , BARNSTABLE #a Very Congtruction3permit No. Fee--- = --=---- Permission is hereby granted------- '+!------------------------------------------------------------------------------- to Construct ( ), Alter ( ), or Repair ) an Individual Well at: No. ----------g--1 �'�v=��J���, ----�Z------- ��t--------�'�,� �����'f°---------------------------------------------------------------------- Street as shown on the application for a Well Construction Permit No---------------------- ------ -------------- ----------------- Dated-------------------------------------------------------------------------------- \\_ - ----------------------------------- ,� Gy �Board of Health DATE-------/ ------------------------------------------- rx + r ct r1 r x ' ,r i`1 C � • s + 4 c f ''v 5eN G w q , „-r e ft- f s • 8N ,� f rod n t dt .a a r,.3 ^r J _+''. f - !g„'J, `3,,. f �•�V.w h i �t • r+.,rra yt ° ra„Lnr' �pp rr F ire-: " �n � T"'4 T M M= •2',' ry,� i�� -... � '€ -5��,! / i' ,i. • • ^a. =f, � 4 * 3 .• : A t eZ�✓�• � � j�Y y.� 4 ,� .�T f+ Fit lr rY�1 t � ,tr• - / •�'t tj'' +.. # h - , ♦^ r ^� J. t kd°f.r y�.r' s G i t aw t ,y v4 s Sit' S `�• t rS �, h +•. 4 • L i �:; x •�3 1}q'� 5 a. ?4 'r _ d � ": ,tr i \ �, r` ti••,.y w!y y r { a '� .! j Riyj+ r ? n r` ,t '?jMvr x: "l,rt'�,y t rg h• t •�, 4,/yG. •S t��, ` sr 7 r a ' i o t� fir' �,y �'= x e, r Y _ Y � ,r :/ �� �1 d"E• 'a = •5s'� tg`� �` ` "'" �e n a r � � .}r ' 'S ,t r9 :5i ,� •a �. ,r t. ` f hyf' a^s }1 ag.- �• s r 7 JJ, N a. >" ; ••tR L r .V, .t ,, ✓ ., a y; ,R r+ i•. •r_ { -�r � r"'�' t a � - r f�. '_ Y C �` T t.. r y �, rlr r ',w k--,�.i t3 �'`• •,�` r. # r 7 'k�xa 4` V J^,�-� 3 t tA7; k '+r^;�� u+Y' '#ti,�f' a �' tad ¢:�,4` {• ra�$�' ,T1 Y G=g' ti�1 t i •,` � k=r Z s.!"ry5'�T +'��ys,�r�, -4 y '•'` y 4rw'a"i r, ,, r, v.t .t� '`. - � 7 # ti <y° _. F't yT. 'r b 7; . r•..r sr ;_'! r` ,� #rt Arrb l,'w !'r j -f., t t r •+ b .).'� R{ r.^� �' • ;^ ` ' A% x .: ♦^.t F + v it 5 "December 21" 1983 a r T ti $ r ba^, rr St.+r.�YCR f tl�4ti,,.tr� i,�S ° `'�y4 s ���. ••v,, Y�r tt °.•r r �'�,� 'a x�� - '�, -. 7 v r 5 a L ,is `,� ,ri t`�',� y ++ f^., •. r�.+� a ' &, ,• x ', ., r A. � Y t w+ � , �3 a �. , �i "'r r,A t � ~ ' � ♦- 4 '�-. 1 7 �(, d t r�1 �,Y i'` x ' '� y 3x : ,n y'� � t i r "� =r-t..'+.r • 7 • 6v t ! c 4 r r f':t !��'� a 4 # ��, u '+r` J4 t - 4, •, �• a- ` *L w PLOnr 4 A� : Z, ;•1,•., ro . t.. 4w �._ c>a, "� a . ' hi;'` SP' t•�..tA e' .r Mr♦ Wi111amTFGuest �y,t ', `y. `, " { , r �:, - -.� n f♦ � i�Y t4 T•t #.^ r f" w• r °0'1� =t r; rr,Apt_'.11H'Pirk4iee,&,Madison { • ,_ i._ � � .:`, }fir y �2t } _ •7 t: ,'� • !f'r a 7✓ - ,� ',Laurence',RArbor,y.Nei Jersey,, 08879 ".' a ".� } Sr " �"• ' � f �r .�' - ;',.., ri i. sVy - - 7'� ! .�: r a .�. ? 7-.�P 7 r 3. ,� 'i Xv •t 3^t t.. ; r, Z.#.� a 3" ,+ I Dear Mr Guest C�f ✓Y. 3 t �' . R# } Y•,r i. IJ a t3 +�• t _r-.i y 4 b X. f t R ' ,' l r !•..5 f f �,. t •�•' j,:';r ` Rx'' .r tit. � `' - . °;�n�. t i > ,. t"� S v': .r iq�=� � �y, r,tti w` ' •try, , ,` Y©u,are�igr'anted,:a variances to install t.a we114• I10�feet from Attie' proposedty � Yi,° • _ s epticCsystem,.on Lot''8, Balsau► Way, Exlest,'Barnstable,rMass. , in .lieu of t.t f t the requited 150' feet,,',with tbe., followingr;condi.tions; E i+J •�• r k, r Y; ✓- .�,:� x' * 4 `+ a f_. w " "R .a.s- � �.i 0 • r ; i., `� aF.+•��r :d rs+ `t� .1,: r '.. i•, -;•r.g"T/`�, All.othe requirements;of Title 5,-, of .the State. Enviio✓nutental'� Code, and the Tpwn'of Barnstable health Regulations must be "strict A: 1y.. adhered to• 4 v ;i4 - t 1 + y t Y ,( : _ y. r •..f ./t� r_•. r r ��'''� r " }v :� t'{ ''� r�+r G ,y Y - T. 1,� -s. y t �s �� .1 a r sr '+',Y �•7 !' !a '.••T i "r �' i d •t Y '•. } ': krx a ''r xf },.;� tl !`+ , q •"'+.:. -k (2)' ,The designing engineer must be on site and, supervise oonstructiona� r4 �+ 1 . -. Q x r. i.- n :y "• 4^.- # a`+s r,, -7,r•. r oaf the septzc;system and certify in wrieing;to the Boaid that { , ! ', '8" X i''=✓. ,:V t- ''" his design has ,been complied,With 3 t eu .5.; a i � ; ;, j YL � '�,`r:/a :, a`� i t r ''`� �. �:. 4 v c-..r-. t -C 4 t,r''t•..t, a .e 1 1t" ,• ♦ � k r i' •`" Pri,.'o• r �to'*'yt ha e`- u + a�'SI iS a5ged I'r} gy +. on�`tr., o`. P 3 i ne,$r'em it4; v 4g. t i. r ,s f c; r*: 1.. 1a'. +! r, the wellfmust Ibe` installed and' theywafer tested iai cte'riolbgically. ''' .•�� "X'1. •rt .4'rA+w �n - xar-• rry td ^„ t and cliemica'11y xThe water musts.me'et 'all of'OW,standards estab- 'A �d � Y l sheIt' 'y:!the Safe 'Drinking =Act of '1974. sx,s 7 }�.z. Y� a �` ••fig, •,r n 3.. T t !a. .,a• . .:' r ,.t .;' r t 7, 4 .+ +4 R _•.J'^ ..' .. r'�a ., !+« '1t.v�r rl w.� v a '� # ^4- x t t 't s ,2',•.,i .�` �r rThis,variance%expires':Jaiivar i,n1. Y 1 85`, •f x 7 4!-`u,�' s r i 7 t .� i':" r r -7 '% _ l _ � �� '�` `rvt f. ,�1 l u.,t i ryt - x�au �r'Sc v+gaf' t Ae.•. �7� o, rr` r x •.r rr ,•'. ri,' .r, r•{ 'r r y `•,t p Very`triilyr yours G f iC 7 +tt r r r.' r.. o f AtIrs 1 igk Tµ �'• °' nim=.v A .r. / _ .7, °' 4A "'ffr x'^. srX: nrr l -f t;-.,��s 4 �' ,i g�'}1A wi �`,- rt.: �'�� � f;�"7�{'S�r•'a" � S '',• f • �"a; eY.e *'r " '._ T�3, � < ��.� '" b$ xnt `�`�,y 4�� �`�,+tr ��l`t• �fi, ...,'� � „t y. �K 'j 4'` gp. .,' s Ix a r Rolf, if Childs; Chairman .t ' - ]] '� •aU � a +.-"S J a fp =... ,. +:± ' / !r r =`r. , 3•\ t'' � j� �' i Y .% t V d �- I r „ . F n t' � 4 rye Y 2 ' ,} • t r' �Yiy_, 4 t*}x +��'� �" 3 `.,. '� t�r�r lxg.trof�;� `�`. i� 'M� *� T�a�x. _ s .f s rg. � , , Ann .Ian tibaugh 3, t� ti a} , `7 , ., ,; s ; '' f v ° x a ar. i d'y t . t}, f a,t ^3t _ `-f.pi it a r.1h r ,•.:�,� it .?a' a + r� a; '"�•', f '1, .w ` "'+ ." 't' a t7♦ '� '8i r $C M. • •i' r t"° jt:': s: , v,r.Y t F , T r'• J" " a ; r t4'+"t• �, hf'3 re X r`�i ) ,y, .:. t r .f P 'd' r iyr.r °F /. '; .f' �. � •�' 7 it+t. -r •' ti 3 r i � s 1T t P s t 1 -fa s` tH jF Inge,'yM r,`• •'y 4 r ,aGy w. r rx qd T� '�� a Y} fi ���� ` +` �'. t, l.+ r.f : -{ > yw � .fr� r ,rw,-�6•ti r � � .� �f.�t'��.�•t.,x 3' f s"w � ^+ � ��i+ei, •^[ y .., ,t� rl..r `. BOARD 'OF' HEALTH,',a , } +`` ° •+,,.- '°', ­'TOWN:'OF"`BARNSTABLS tb ir',Y+�' �' art, , ff' ,r•�. r. .. i F 1` -. F.i r ti'.' t y.,s+.,71 - ,*t✓; i n-.F'_♦ t: ''�'`a :' ` 'a' t . a,t' y +r t� s, ,:z ,.,4 � 1r; � S •$ ';. 'err y, �.y: {f: �, h .7a � 1 a SCC 'Mr... Arne t0;A18 s `' +r y`i"'► -:R.i ,• ~.d`..sry }ya k,� ti •+f - .. 44y �• .r. y .� ! 'r •• +.� .w ;' P{ ¢Y -- 4 1 s a.r. jS t`',� t �y - y,� � ft`ar v l r `fs $I � r•r a 3- ''.+,...� >�F''" `` f '' � , . r� � t Z {``� .4�, .tk ia. f >' i•a r � tG` g°.�f `�k. �3'�' � a •fen iN ra c.,, v h fs s• t '71e4T F.'ty7y.P y J.-�� IrV V• y f � .;B '-1 � ,. • � x ,yt�[{�r. �r f=`,+`i S�"p +'`.♦ � 'C.. r r,. - t c je.a r 7G� '�rJ'w ? + •,'' e, 'k,R v +s } fiT _-'G�M1 y.a •' i v. {i ! r a y t t t.. •ri`a "•r i y rx ' �< j # • r '.r�; r* '� a , t r ;F i s r s tT t :, ;a ' :'% � �.� r •rf 4St ��:'� �' ,ywe• j4 '�" r� -.L '.7- Y i�. J� >�,•. :.r t r" �� � �^fay 'rt _�Y.A DATE /oZ-/. -�� ---_ - • FEE r y F7`,NfTo�` TOWN OF BARNSTABLE .\ , OFFICE OF eaa=�rrasL BOARD OF HEALTH • i639 367 MAIN STREET HYANNIS, MASS. 02601 VARIANCE REQUEST FORM All variance requests must be submitted five (5) days prior to the scheduled Board of Health meeting. NAME .OF APPLICANT WXLLu-ly,, T. (flvq5� TELEPHONE NO. 2O! ADDRESS OF APPLICANT 4P - �J# P/92y-y,C t/ /��O�S�� ZRu2fNGC 6,�ig6ok_ A Jb OE&7� NAME OF OWNER OF PROPERTY Wi L Lr1f rii/ T C7 v�Si LOCATION OF REQUEST Go S l�9L 5 �1 Gci� y ��S-C (3A2 t���,� L (A A—SS VARIANCE FROM REGULATION (List regulation) VARIANCE REQUESTED (Specific request) -tV AL(roL-) foot s bNey PDoc� W�LC -t-g LIPcc- -FtrU REASON FOR VARIANCE (May attach letter if more space needed) l-O - S( z f 0 CL,- C-c f j 0 VT L 0 IQ PLANS - Two copies of plan must be submitted clearly outlining variance requested. =r VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL mow ry CS�9� z�(CZIw`:£2rN� — w��iw S i Robert L. Childs, Chairman f Health�ePt. 'y�►2 Wt o v"F E1 M A- `6 J 222T6rm`bf�amstable D L�Q Ann Jane Eshbaugh H. F. Inge, M. D. 11 3 19$3 BOARD OF HEALTH TOWN OF BARNSTABLE SECTION - SEWAGE ' I C ` t L C) T( -SEPTIC TANK- - "D"'BOX - -LEACH TRENCH TOP^OF F�ON , r f O"� i "2„OF?/aTO 4z" 1 i WASHED STONE t T;€hte�Vr ^N.� Unc u5 ♦S Y, 44r1'tt:SZt�it f=► Csvr_t't t2F_� wrra j �, �/ p, _C.L-t�AN Co^R;E SA.rkL3 Cy 1 IN OUT M (/ a 1N• OUT- IN- Ql 67,2p 99 SEPTIC G 66 7 7 A .. gyp } (� N — 0"'4 .. 66. TANK � •0/ "T / �` ELEV. ELEV. ELEV. ELEV. 6 O�?/gr ". 46 66, 662\3 ELEV. ELEV. . WASHED STONEI.pz" "Nn 4 i TEST HOLE LOG#P 23,37ION ►� +Q, 1 TEST By R.FAIPB�►NK PC. J. JAC08Y,BOH 11 0 iFr� WITNESS ss;art? TEST DATE 9_20_I6° �_ _ BEDROOM HOUSE -DESIGN T.H. # 1 T.H. 2 TF 70.5 ELEV. — ELEV. 7/•o— 6& �cleSi n '} NO LA4M SvB SOIL L ¢S BSO/L P TE IVtIN fN. DISPOSER ISPOSER 69.6 2`�y 66 Z_4" FLOW RATE 330 (GAL./DAY) SEPTIC TANK 33a l/.$)= < /4 Q , `. .� (`ta'�c} .:.� t5 f �y ��4 j I CL ND TRi4 S r7 S7L7" CLEAN SAND REQ'D SEPTIC TANK SIZE /OOG?(MInI, - ? ! S/LT LEACH FACILITYto SIDE WALL (2 !S 2) - 60 (1!33 ) _ GlD. �F4 630 96" 60 96 BOTTOM f2)tf5 C)�(o.�7) 2 G/D. - 624 St -c Y �08„ 8A OF 51 TY CLAY - 59.0 /08• TOTAL 90�`x3-27D !32.9 R ANDS�Wr SILT ToTHt ?`3=39b'7 / i 95 OF -�. WATER , 4Dr�Us' 109.93 s70 II/C71f+�M `� LAY USE: 3 LEACHING TiE11/Cfs ES D20, Y WATER ENCOUNTERED r S69 NOTES: (UNLESS OTHERWISE NOTED) / i ` o �� ` � � .�� � �� Lo r��i^Y ,4� awt � —ti tJ�r�y�/ /� 11f � ,, M� 1. DATUM (MSL)+TAKEN FROM___R—YAlY&1'1..................QUADRANGLE MAP r''— L� 2. MUNICIPAL WATER-•--------— .�YI�Z--- ------------AVAILABLE tt OF S s LLitr 3. PIPE PITCH: 1/4"PER FOOT 3 ^ Lr' ARNE H. 4. DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO • alll -44 DISTANCE AS CERTIFIED a ARi�G 1 gJlkt:9! — r�'kp 5. MIN. GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. + H. � .ems CIVIL cn - � 6. PIPE JOINTS SHALL BE MADE WATER TIGHT QJAt A' " 7,CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. N0, 30a9 u *2f 348 I HEREBY IFY THAT THE BULL c, p STATE ENVIRONMENTAL COOS TITLE 5 SHOWN ON THIS PLAN ATE HE SITE PLA �. V/1ktiFiKCE -tO -Town VS�cL.A\w � c� \oo w��� T� tST .� LOCUS- GROUND OTB - R GROUND AS SHOWN HE AT IT CONFORM TOT tNG$Y LAW HE (jG�/€S7) »�SU REG.PROPESSt6NAL ENI3INEER TOWN PYLAIV ,1N CONSTRUC'TED. DATE ( / / �r-� � • .'R�c.C-L. �.A+a� SVRvE.,`i"t'JC,+, + REF: 47own cdpe �n !/lB� J �►' PREPARED FOR;'' t CIVIL ENGINEER'S x z LANDSURVEYORS --- — ----` LAND RE . SURVEYOR , ' 60RR,D OF HEALTH SCALE CONTOURS fPROi'OSED) r0-0-0-0- 3 _' MA P 17/Z�µ/N ` APPROVED DATE "7��'C.t St Lt! Yarmouth Orleans,M • . •• ' V. �. 1 E `Y' Q'i . t .OA ^� w N,.t i' • a F _ ' ... e " - . t..i,..._u.y! ,f m -.,,,,•s.+"r.._.�r .. —k...+Zr tpe.��..ra.H•.f..+.a . .. _ .. .. - a- ' 1_ . .,. _...a...r.a.... ...<. .ti . s' _,...:. i.c...S:::......xa .+L-_.,,.a,it}.d.3.. ln._.#w s.. .. ..'j ..+,u•"• .. .. - . _. .... 9 A _.. ...... .... ._. -.. ... .,.. -'r..... ... _.a..._. _. -,.... i...... .,.a J r SECTION � SEWAGE —SEPTIC TANK — — 'D"BOX — LEACH TOP OF FDN , (MSL)+t L ' „2"OF V$TO th" �. :, r e t�,i WASHED STONE IAHTf;�\�F_ r'•!-lCgt.Jl.tT,SFE:�P WlTN•- � � g � '/ 1 r< 7 - c•. + `. }} 1 N \o FT. fi R E PL.rc E w�Z N v : i 1-4 ID IN OUT. IN OUTS IN• y :S'�antl •99 14 SEPTIC ; f ' ��;!!��.�� - Q •�` x •.a } :. J /��j h ' ELEV. 66 TANK �67 .C// �? ELEV. ELEV. •� r r ', 664p 66 ELEV. �y¢ 11wQr `5` ` •' �# ' ELEV. -ELEV. vAr OF Yn' 14z' `� k •� �,s Q1s .r WASHED STONEive ' TEST HOLE tOG P ' �:. 2337 ,E {' `�' A b ..i t iyAt r TEST BY R.FAIRBAAW P.C. J. ✓ACOBY,BON— go o- 4 ' - WITNESS (A t� ye Z' .r j. N'k TEST DATE � s s Fr TE • DESIGN `� BEDROOM HOUSE Qt '�. RO?4$rt n s �,,. 2'� { i� y» H. is 1 T.H. .�• '� i t,a•,� A• 2 • S. r r'- i i 7/,0 yG ELEV. ELEV. TF' GQS 1 �} �, �R L04/y SVO SOX � S Y6011- 4<S N/�N. DISPOSER ISPOSE-R �0�c PERC RATE 1 ` r 66 24 FLOW RATE 330 (GAL/DAY ) �y t K ` j; ty Ir e CL /V SAND SEPTIC TANK 330 (/,$)z .�`;*�Tn�t/�'�1 Wk RA $ O CC A/ S 1 REQ'D SEPTIC TANK SIZE /OC>O�MIAI, r 4 ` ` ` TR 5 0 S/LT o ::..,,a• Y .�. a ,, .y,cra c �,kr''„ +t t• i LEACH FACILITY SIDE WALL 2 15 2 = 60 l/.83) - !nM-d G/D. 6 0 96 60 96" BOTTOM !2)�/.vr = +�t� (0.�7) _ 1_ __ G/D. 0.0 bl y-C Y 108" 590 AK or- 5l 7YOC Y TOTAL 9001(3^2700 132..$ t 6'r y` r. JCL A s) BAN :�r 5 0� slLr rp�-�t ,�3 s3tg7 Gcrraar; r "� ✓ `" Q• , ' SD E b `- d k 6aa LAY 132" 5� WATER IF USE: 3 LEACHING 7'RENCftES 1 *, " �+ 7 x ' X l 5 tLC �I,/" i ' - . ► s ! .,^ ,''.: ,`{ a a Yes WATER ENCOUNTERED GP H ---_^_JL C.( i •e .� t'wz rr t F NOTES: (UNLESS OTHERWISE NOTED) 1. DATUM (MSL)—TAKEN FROM_-_I-ZYA!1Y!!�45......._........QUAOBANGLE MAP O� �.` �'� OF ' LQ: 2.MUNICIPAL WATER............../� OT_---____-___~_•.._AVAILABLE y 3: PIPE PITCH: t!a"PER FOOT �� MAS,�y' AFthtE �1: �•��. "� �. t � �`„�, �V .yyt .•F l,, 4.MIN.DESIGN LOADING FOR ALL PRE CAST UNITS: AA$HO . 44 p� AR - % + DJALA «ri S. MIN. GROUNp COVER OVERALL SEWAGE FACILITIES: (1) FT. i r� --Q---DISTANCE AS CERTIFIED 4. PIPE JOINTS SHALL BE MADE WATER TIGHT �¢ G, cn NO.IVIIL�� 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. eeSS *z63� ,I HEREBY IFY THATTHE BOIL WC -SITE ��I STA'TEENVIRONMENTAL CODE TI'TLE.S v A W ,� l'L.11 .. ti `Cows( .A`<>,AW -o R ioo WLLL •T �FO�t$11rSt`� SHOWN ON THIS PLAN CAT HE ,v ^ - .� ��/r7 l G Q� F ti GROUND ASSH N H � .t� _ �I- s>R-r�3r�c I<. "R��.0��� i� � fGfS7�� A � ,ow E AT iT 4oGus;_ .. ...._ . .. '9 CONFORM TO T ING BY LA HE �r �j��+ / A,/ N� SU�V Jt TOWN �Ia/E.�i T)�rllrTi�IB/.G ✓Y/As 1 AEG. PROFESSIONAL ENGINEER r R4C�. LAv9 5�2V 'C�C�. :YY CONSTRUCTED. w, s`A I down cape an �= •A PREPAR'Eo Fbkt-w �' ` CIVIL .ENGINEERS :. F LAND SURVEYORS -— BOAR,O OF HEALTH REG. LAND SURVEYOR 7� CONTOURS (EXISTING) ----•-------- 1✓'X*�c�STb+ ! SCALE(PROPOSED) O-0-0-0— APPROVED DATE' _� I+ c�MA , Yarmouth&Orleans,"MA "/� 'DJZA W t-i DRTt: >, _ , N: � Al 83 ®�-,l' _�= . ..:,._-,... ,:_ ..-,�— �•r• .-_:..:. _ ..:. - '•_. _ .___ _ --1��. -.. l410 r !S t.., _ _ - _. �9 _ s•-— _t SECTION - SEWAGE NIX I- TRENCH -SEPTIC TANK - - "D"BOX - - LEACH TOP OF FON C 1 (MSL)* _"2„OF"OTO 112" Z L WASHED STONE Ql / 0 "Rf.anc�vl; ,�aay urau�•r;1�3LIs .>�, M..ti 7 l_ C<.;f>t,. 4,.,-�;:Cl�-.}r..'"E.`-k. �• ',.�.?Cr la— � � , IN- OUT _ j /t7t -G IN OUT- IN- .._ 6220 / SEPTIC ELEV. �36.99 TANK E167 ,D7 - ELEV. 64 Q� fir, /ou 5, •�*• ) 66,40 66.23 ELEV. ELEV. N()a L. WASHED STONE ASSVa2' co TEST HOSE LQG#P 23,.3? ¢ Mop. � ��-�' TEST BY � R.FA/RSA/Vh' PE: J. JACOSY,BOH— �;_ _�I L �~' \ t' WITNESS 0 _. . .• '�+et �.IJ ir'. TEST DATE DESIGN BEDROOM HOUSE - T.H. # 1 T.H. # 2 ` ,'t -', 7I.0— ELEV. _ ELEV. NO riG 7U.j LOAM SUP SOfL L '0 S BSO/L PERC. RATE 4•S MIN/IN. �`� Y� z -� © 1 �I 175 DISPOSER ISPOSER , �� ° 6q.p 24" 66 =—}-24' FLOW RATE .330 6ARRG�"- (GAL./DAY ) • 1 , CL �N S ND SEPTIC TANK 330 (15)= < /0 0 `\ /',i/ e;) CL ,+✓ SAND REO'D SEPTIC TANK SIZE IOOQcM/N,' — Q'� TRr4 ES O S/L TES © SILT I LEACH FACILITY \ 1 SIDE WALL 60 ( 1,83 ) _ �Q .c'— G/D. 63.Q 96" 60 96" BOTTOM (2)(15) _ 130 (o.77 ) 2_-5 — G/D- 5► C� 1' 9. OF5! 7yCLAY TOTAL 90OY3�271J0 - 132_.9 62.0 /0$ 5� 44 5 OF SILT 707191 .x3=3367 / �5© EN AND Gat czar 3 , 600 132" 57 WATER 7oTA r_ N/F LAY USE: 3 T/eEIvCHES VICTORM. ADAMS �� b /09 - �. '+ a LEACHING - -- - 2' EFF. �PTN x 2'&IL)F X /—T IL4A/(-�- YES WATER ENCOUNTERED - W k, ' NOTES: (UNLESS OTHERWISE NOTED) I. DATUM (MSL)+TAKEN FROM _-_rd_(_F7IYV ____________QUADRANGLE MAP -""'•"�"""�.,, � �. � -'�• � 2. MUNICIPAL WATER----------------IVOT_-'---_-------,___AVAILABLE /.th �3F R1q��, ��� LOT Q. 3. PIPE PITCH: 114"PER FOOT �ya4�� Q AR f{ �" L �{ 4. DESIGN LOADING FOR ALL PRE-CAST"UNITS: AASHO /O 44 ma`s � +Ta )JP.LA ��+t , 5. MIN. GROUND COVER OVERALL SEWAGE FACILITIES: (1) FT. — DISTANCE AS CERTIFIED AR)y k" 6.PIPE JOINTS SHALL BE MADE WATER TIGHT �� aJAl� t � 7. CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM. OF MASS. ,.-• No. 30792 I HEREBY irEF�IFY THAT THE BUI SITE E PLAN. STATE ENVIRONMENTAL CODE TITLE 5 026348 +® p /+ /,/ �/ 8, V"\PIF1TSC% -(-o -TOW N T3`�L few �o fi 106 W ELL `7 11 4N- G/51E SHOWN ON THIS PLAN T9�bQCATE HE L 07- 19106F SAD 4 ALS4/W yVi�/ LwA c� S r L A�a< <;{L>1 F e e ( #"GISIFA� ,¢ 'Gt ;F� GROUND AS SHOWN HE AT IT LOCUS: CONFORM TO T ING BY LAW TH, TOWN _ rtYES TJ 8Al�NS 7,9$[E' M.A.REG.PROFESSIONAL ENGINEER �� CONSTRUCTED. DATE LI%.k„� 1vcs:vt;'0r-- . . v.k�>=� �e. s ��a3 REF: PLAN800K /5/. F0�. 1,33 �w�/� r h 11i"/1�.1.4 �1 G' "S7" Of+6�i/ C�pQ eIIgI��eII'Ig PREPARED FOR:'_ CIVIL ENGINEERS BOARD OF HEALTH LAND SURVEYORS ———————————— REG. LAND SURVEYOR CONTOURS (EXISTING) 'SAQ"tJ?iT)A81.E x SCALE _ (PROPOSED)-O--O-O-O- APPROVED DATE MA Yarmouth&Orleans,MA Q vfAvr l-A . %. - DATE C.J3'��