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HomeMy WebLinkAbout0215 SADDLER LANE - Health J 5 Saddler Lane West Barnstable A = 152 - 049 r o 0 b V1 L y TOWN OF BARNSTABLE D-bCy, LOCATION AK Snca1 evl L-iv SEWAGE# VILLAGE V15& lza(� ASSESSOR'S MAP&PARCEL ZD- -�g rf INSTALLER'S NAME&PHONE NO:Z,:h k 2.cc k�r4 a n1C SEPTIC TANK CAPACITY C)q6 "AK LEACHING FACILITY:(type) C KS I-<n,i p;'r (size) NO:OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: k4 3A; 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 1J �' �C�.:aty 1W /� ©N' v U 46 y l I 3W 33 (d,�Q� G Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: L PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes / 01pplication for Misposal 6pstrm Construction i3rrmit Application for a Permit to Construct( ) Repair(✓Upgrade( ) Abandon( ) ❑Complete System �,diidal Components Location Address or Lot /Srs�q � W17 Owner's Name,Address,and Tel.No. As$e�sor s Map/Pkrcb1 D/t01d. ( r,A of o �1 Installer's Name,Address, Tel.No. signer's Aame,Address,and Tel.No. D:1� s�� N� so�3 N(�0rt 715 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided j gpd 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) -Qe , \,t-C D j Mw C)A Date last inspected: Agreement: _ O� o`� 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 Certificate of Compliance has been issued by this Bo ealth. Sign _ Date 71M If., h Application Approved by Date SQ Application Disapproved by Date for the following reasons Permit No, G Date Issued Z r. « f . No. ^� r / Fee ° THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .Yes � PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4plication for Nsposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(tUpgrade�( ) Abandon( ) ❑Complete System .[]'Individual Components Location Address or Lot No/ W V- Owne`'s Name,Address,and Tel.No. Assessor's Map h,Ctel f (,,AA( 1 c �,it Insialler's.Name,Address,an-Tel.No: ° Designer's ame,Address,and Tel.No. lhl 7bkOIYZ Nc SO& 400--T) tr Type of Building: { Dwelling. No.of Bedrooms ly Lot Size sq.ft. Garbage Grinder( ) Other Type of Building Nod of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min:required) K) ItY gpd Design flow provided A/ gpd ti , Plan Date Number of sheets Revision Date r 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: D 1 V�\t 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 Certificate of Compliance has been issued by this�d_o Health. " / Signed_ Date 7 /o, Application Approved by Date � ! Application Disapproved by ++ Date . for the following reasons 1 - I J �L. Permit No. / _ Date Issued THE COMMONWEALTH OF MASSACHUSETTS ©� BARNSTABLE,MASSACHUSETTS �" Certificate of Compliance r THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( (a Upgraded( ) r Abandoned( )by / S SCa DA(I yo a/ `, \Ivl c I S n�1 lul���e fC �tJ a- ►x-._ GC90-% AA 1��_ has been constructed iaccordance� ± / l with the provisions of Title 5 and the for Disposal System Construction Permit Ng /"Oqsdated Installer Designer v #bedrooms /T Approved design flow t gpd The issuance of this permit shall not be construed as a guarantee that the system wall fun'et rf as designed. Date �� � Inspector �. / ' ,.J� t, if �Y� l --------'---•----------------------'j-�V No --- Fee-----.---^-�----•-- -._. . _ . �� �v / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposar .pstem Construction Permit ` Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located 5 eoc_ e-✓ PJ Cal S n r.. A.),' and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 p" ermit. ' Date / 1- Approved by ASSESSORS-MAP NO: LOCATION SEWAGE PERMIT NO. PARCEL NO.• VILLAGE IHS7ALLE :t'S NAME A ADDRESS 3 U I D I R OIL OWN ER D A 7 E PERMIT ISSUED DAT E CUPAPLIANC ; ISSUED � ` /� � ` � `�U b �� / � �� � � 2� O 7 3s _ _- £� 36 ` � �dr� �, No.._. 5.�. .� Fns.......��?. — THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ----T0.4.1.1 - -------------OF............C3.A9N..S7 JF A_E>2 Appliratiun for Diupu,s al Works Tunitrurtiun Frrutit Application is hereby made for a Permit to Construct (t/jor Repair ( ) an Individual Sewage Disposal System at: „fits!" .................................. Location.Address o t No. S--••...•---••................. . . ,t1 �Y /tl./`i/ - -------•------•------•-••••.....----•----- wner Address ----••••• -------- �-�4 ................................................ .................. --`.�---�----------------•--------•-•...----.._............------..... Installer Address Type of Building Size Lot...1_4,210.5.....Sq. feet U Dwelling No. of Bedrooms......._... .....Ex Expansion Attic�-• g— ------•--••----------- p ( ) Garbage Grinder aOther Other—Type of Building ............................ No. of persons......---.--............---- Showers ( ) — Cafeteria fixtures za••------------•-------------------------------------------••----------------•--••--•--..._........---_------ W Design Flow.............1_1110...................... per��er day. Total daily flow.......Z 0_........_.........._....gallons. f� Septic Tank—Liquid capacity1000..gallons Length... ".L.... Width.A'0.... Diameter.---- -----• Depth..`?, 4'� . W x Disposal Trench—No..................... Width•_____ `.--..... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........i------------ Diameter........8._...... Depth below inlet......(D_.......... Total leaching area2_Q1:.]...sq. ft. Z Other Distribution box (✓f Dosing tank ( ) Percolation Test Results Performed by.....P6.WA.J� RI;:.._1ZROrN.F,E21Al(Date........3_-._�_8_-sS ....... W �2 ,.a Test Pit No. 1................minutes per inch Depth of Test Pit.... Depth to ground water..-.N.0A14 TE: R 44 Test Pit No. 2---- z....minutes per inch Depth of Test Pit.....1. _ ...... Depth to ground water..../ 0.k�A-1.F_P. -------------------------------------------------•-•••--••-•••--•___-•-• -•........._..;;-••••-•--••;......_ :•-...._..---�------...�--•---�-N O Description of Soil......T11:4.1_..�...:U .-. q .._TQ. U_ �41�- 4 ' 1 4--.....F_ .j n!. .M...►. 6 V !?4N. p Y�/�...Q_C_�.fS1_LlN.i4�• �T[?h1_ 5... ...1�.1L1.. h' 1 N LA►� 4.............•_........--•--•---•---- w -_T_til:*2...... a"- 1 -'= CJ.gM.�_7 2`=..��a9"... Z1 Rt>1--1"j E n=S.A �� ��....9 _ UNature of Repairs or Alterations—Answer when applicable..................................................................... -------------------------------- ------------------------ •••...... •..................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Indiv- tial Sewage Disposal System in accordance with the provisions of TITi U 5 of the State Sanitar. Cody The ylpder ed further agrees not to place the system in opera n until.a Certificate of Compliance has ee is�s d t' bo of health. Signed...••____ •. •......... - ...................................... p ' Date Application Approved By................. ............ •--•• •. -----•--•-•--•••--•--•- -•---- Date Application Disapproved for the f o o ing reasons----------------------••----...---•-•-------------------••-----•----------------•----------------•••--....._._._ ....-----•..................................•---••••--•---------------•---...----•--••--------.....------'•-------------.....----•-----••--------...-•---------•-•••••----•-------..- ................ Date PermitNo......................................................... Issued_----•- --------•---------•-- .._.....-•--------••------- Date j AYYY--------- - - - -- -- ---- ------ - .�y_ ----------------- -------------=----- - - - No......................... t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ZTo WN...................OF......... ................................. Appliration for Dispagal Works Tonstrurtion Frrmit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: �aS.N.s:MBLF........................................... Location-Address or Lot No. ........................................ ............................................. ............................ Owner Address .................................................................................................. . ................................................................................................... Installer Address Type of Building Size Lot---14,2 ...... ....Q`r?.....Sq. feet Dwelling—No. of Bedrooms..........:3............................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Other fixtures ........................................ --------------------------­-------------**"*"*'*'"**........*...... ---------- • Design Flow...........11.0....:...................gallons per��ger day. Total daily flow........Z.10 Liquid capacityA6.0_.gallons I ........................gallcn. Septic Tank Length_ Width...4'W". Diameter..."""..... Depth..., Disposal Trench—No. .................... Width....14...... Total Length..................... Total leaching area...................sq. ft. Seepage Pit No........I........... Diameter........8........ Depth below inlet......4a......... Total leaching area.Z.O.L.I.sq. ft. Z Other Distribution box ( 4 Dosing tank 1-4 Percolation Test Results Performed by....... (Bate......... ...... Test Pit No. I....G -....minutes per inch Depth of Test Pit...... ...... Depth to ground water..._N0..V4e!.T E: Test Pit No. 2.... ...minutes per inch Depth of Test Pit..... Depth to ground water.....NO..k`!!E R ..................................................................................................................................................... 0 Description of Soil.......T-A I..a .................................... 11..ALL.S....Q.-F...YZ �4 $A!�.D.•........... 21 . _0 U Nature of Repairs or Alterations—Answer when applicable..............................I F ................................................................. ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Systemin accordance with the provisions of T I TLE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operati t t until a Certificate of Compliance has been issued by the board of health. C4�• 1 Signed.......................................17......................................... ............Date............. --0 - Application Approved By.............. ?......... ............. ........1Q. Date Application Disapproved for the.follo '-ng reasons: ........................................................................................................--- ...................................................................................................................................................................................................... Date PermitNo.................................................... Issued-........................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............I.............................OF..................................................................................... TIfffifirate of Toutpliana THIS IS TO CE*L1FY[,,That the Individual Sewage Disposal System constructed or Repaired by.................................... - .1 11 ... .... ........................................................................................................................................ JInstaller at..................................... ..... .Ca....... ........k has been installed in accordance with the provisions of T 1 4 pf The State Sanitary Code as described in the application for Disposal Works Construction Permit No..... ..... ......... 'g dated............. ...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUyXqTIOhI SATISFACTORY. F-2 DATE.......................y..... "-.&..................................... , Inspector....- ` •----•----------.....•....--•---.....---•--••................... C N 6 t N MM P, rA V THE COMMONWEALTH OF MASSACHUSETTS -JNS pit_j —_OiL (1,1 ,Or Salt- BOARD OF HEALTH co to Z,-r 10 N 7" %a 9 X'r r'j Q" ....................................................................................... '7 No... OF F...... 19hipood Works Tonstrudivit Permit Permissionis hereby granted................................................."..................."------- ...................................................--- to Construct or Repair an Individual Sewage Disposal System atNo.......................I...............I.......................I Street as shown on the application for Disposal Works Construction Permit No...c.g.--- ............. ............................. .. ........................... 4Z: B'oard of Health DATE... ..................................................... FORM 1255 A. M. SULKIN, INC., BOSTON 362-4541 926 main street yarmouth mass. 02675 down cape 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 May 9, 1986. sewage system designs Barr stable Town Hall inspections Board of Health South Street Hyannis, MA 02601 permits Gen-clemen: Please be advised that-Down Cape Engineering ins pected ected the septic system installation for Lebel - Sollow Realty property located on Saddler Lane, Hunter Hill, Centerville. We hereby certify that the installation complies wit h the intent of our site plan #85-215-18/32 dated October 8, 1985. Sincerely p. Arne H. Ojala AHO/amp Inspected by: Michael McDonough 5/2/86 . , -an t, �r.a- k a .x :... �. ,.. . ... .,m. , .. ., t� :.v <Yv: .f• !C )^n, .).•:i,,. ..� ., ., . Y . «', ..rx f ♦.. .3. .n., 5 r .w ...3 - _. , . 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':.�.. .. •. ,:..a.d.. �P S. K �..ry, ua g,......7._. ..vl ..yy. .�.,«:: r. 3'. k.: My„a- .� d4.t � 3 'kw: t xs - 1 � L x. t r I t Z -SEPTIC TANK- -"D t BOX- • ="LEACH " �'LT r: TOP OF FDN , .. (MS.)* "2"OF i/8TO W s WASHED STONE' n '8 4 . .' - .. ,. '.� :..:. �_ , .. r ..., �.�:� .ram.<:: •.o.o„m_s .. • �.i 1� JUT (N• OUT• twY�nay., ! IN P v• SEPTIC. ;4?va*•Y,,: 1. 02:?O _ a I , l IAA •:s. t - , .: k ...:,::�. ,r y �' .. ..,.' 1 i� f... Mt'$Y"..., , , -.mr Ti,ST.• �f. 'I. t:,. .. �.. .TANK .. ,.:. ;.., — ELEV. , _.. ELEV. . ELEV., :ELEV. ,ELEV. e : �1�✓"lo n,l 1r F i4 O llh" ,, t, ;WASHED STONE . k TF TEST HOLE LOG P A2go E(,Eva. 87'�i �Ey/ -o TEST BY �bhltil G,AP�� �t�r cl,co 0IAI� / WITNESS ?yam' "�1 3r TEST DATE 3 / DESIGN -3 BEDROOM HOUSE �� I S. T.H: 4 1 T.H. +� 2 �I -W ELEV.01411� ELEV.'Olt�o — LoT'-.l I/3I G y: 2��1 TD 5tiL 501E �211RATE* L2 MIN/IN. DISPOSER DISPOSERS �� IOOkh PERC 1 FLOW RATE '330 (GAL✓OAY) O 72 p,p �o . SEPTIC TANK vA= 5 QaSt �aU �611 . F 02 REQ'D SEPTIC TANKS LZE o�® LEACH FACI LI ' l 1j CIS g 1.1D SIDE WALL D�rG� I 1�J (Z151 � G/D. ` � , t7TAL,: El+ l I�' 7� BOTTOM ]L' = 3 :I r0). G/D. TOTAL 2p� a ,�E� ' �/a USE: bt-� LEACHING WATER ENCOUNTERED' ' NOTES: (UNLESS OTHERWISE NOTED) P F- 7-o 1.DATUM(MSL):TAKEN FR M 6k`0 p��GIT QUADRANGLE MAP 2.'MUNICIPALWATER. ----AVAILABLE, . OF 3.PIPE PITCH:4Y"PER FOOT Jl„1/9 -� oa 4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO- T11 11�� ARNE H. 5-MIN.GROUND COVER OVERALL SEWAGE FACILITIES:(1)FT. o OJALA } 3�1 --71 51 6.PIPE JOINTS SHALL-BE MADE WATERTIGHT ca ^+ r �S � --71 5 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. CIVIL rn SITE PLAN L/�1 STATE ENVIRONMENTAL CODE TITLE 5 0• 0792 I 1 7,51 AN �C cam.��� a.�o �.w���� ��O< iST i��N-0F��Ar„ LOCUS: ('�T 3�L �J,a►00L E� L•1� �—larl,.�V �' %tP v9�+ G{, lsl.1. ll+5L11"f�� IA.I.. -(k1EE.t ( ur �71�0 —_--_ ARNE ++�� REG.PROFE 1 L E INEER H g55REF: +�v gi,go 6� i��fi✓IOY!✓p i+lyD KEpj,�l/ WrITI- cg ' OJALA r M ep t 1S M .11t� Go�I��� h ip io JYown ca*0e eft fleerin� 348 J ,may PREPARED FOR: �.Rdt�}-I-b Ir�a�c!TTI1�G'� .Q�.�E-/1 • _ CIVIL ENGINEERS .,.fPOARO OF HEALTH LAND SURVEYORS — �N St, , { R E R. SCALE G. CONTOURS (EXISTING)-•••..._••••. APPROVED DATE Y g A �; DATE (PROPOSED)-*--O-0-O- 5 �