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HomeMy WebLinkAbout0005 SUNDELIN WAY - Health 5 SUNDELIN WAY,, 1 A=216-069 V ,7� o i �; o S 46°1 7,06".E. 95�5 91 76' SuELI1V 0, 40 RIG1�Gr. WAY174 o cri r, o O WELL r-. O z NOTE: THE PROPOSED POOL FENCE HEn MUST HAVE A'SELF CLOSING [ : AND SELF]LATCHING GATE 50 in PARCEL ID 216.069 NIF ERIC K&RACHAEL O BANCROFI? PROPOSEIT �L SEPTIC LOT 1 J'p�s1 18'x 36' AREA 351177.5±SQ.Fr. POOL 0.8±-ACRES �4 222,23` N 53016'26" W PLOT PLAN TEE EXISTING DWELLING SHOWN ON TI3IS PLAN WAS LOCATED BY AN INSTRUMENT SURVEY ON'04J02/2015 AND EXISTS ON THE GROUNDAS SHOWN. - SHOWINGA PROPOSED POOL of A14- y # 5 SUNDELIN WAY RICHARD WEST BARNSTABLE. -IA 0000. y SCALE P'= 40' APRIL 28,2015 "°• 35031 CANAL LAND SURVEYING &PERMITTING INC. 306 OLD PLYMOUTH ROAD, SAGAlVIORE BEACH, (508)-888=5955 canalsuiyey@yerizon net PROFESS, LAND SURVEYOR. PROJECT NUMBER 15-009 TOWN OF BARNSTABLE LOCATION _ rt de lr d1 (A/a SEWAGE # 0 y r' VILLAGE ('`, CA r^Sil— ASSESSOR'S MAP & LOT O(� INSTALLER`S NAME&PHONE NO. W A SEPTIC TANK CAPACITI'LEACHING FACILITY: (type) 7 -c) .GA-i C6vvxL,.. (size) X t 3 x 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 4 iL � 4, 1361 Y 60 000V -� U Fee------`�`-- - --------- No.------------------- BOARD OF HEALTH / TOWN OF BARNSTABLE Applicat ion-*r Melt Conotruct ion Permit Application is hereby made for a permit to Construct (14' Alter ( ), or Repair ( )an individual Well at: J__$u N D E�!nY ���(-- �• 6�N SSA"3�LE -----------�1�---------��9- ---- Location — Address Assessors Map and Parcel - ----5------ ------- ----- -�-0� 4_h1S�--S�---�=---Q A�P—�f-ft 6 LE (� Owner Address - - -l- ------------------------------ -- �'- = - - ------- ---- ------- Installer — Driller Address Type of Building Dwelling Other - Type of Building--------------------- No. of Persons----------------------------- -- i� Type of Well ------- -- --------- Capacity---— - --——- —- —--— Purpose of Well---�n^..c i<Ac ",'� -_------- 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 Certifi to .of Compliance has been issued by the Board of Health. Signed - ----—--- — date AApproved — - ------ S �Application A roved B C PP PP Yf �—�--------•----- date Application Disapproved for the following reasons: ----------------- -------- --- ----------- — - ---- ----------------------- date Permit No. --- -- Issued---------------------------------- date ------------------------ BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( °'j Altered ( ), or Repaired ( ) Ca-,--- by--- -- -- ff w,,.� ----— —— --— — -- —— Installer at has been installed in accordance with the provisions of 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------------ - -3 U Fee--------------------- No--------------------- BOARD O"F- HEALTH, TOWN OF . BARN.STABLE z(PP1i(at ron,� flVrCC Cootrurt ion Permit o�, Application is hereby made for a.permit to Construct (�), Alter ( ); or Repair.(' )an individual-Well at: _SwniDEC1N �WAYs;= -- -- � -- g-- ------- Location .Address i As stirs Map,and Parcel Io ses � flog r 4- C )3c+rvcr2a� - a_4A -S - P�A1zNSff1°BLE,— - f± ----/- ---Owner -- ---. Address k 9I� � (U l/ �° � 'X `I-r'-° /VAf, �/ca /Mo o7Gt/j — - _— —-----------— — — — --— - — -- i Installer Driller Address Type of Building Dwelling -C,it46Le -FAMIL� Other Type of Building No. of Persons----,--"---____-_—_—_�___- Type of Well ___=-- ( =---- - - Capacity--- ----------- --- - -- - - ---— Purpose of Well--- .'z!_ --- —— f Agreement: The undersigned agrees to install the afo,redescrbed 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 Application Approved BYaws /�----- 1 o date Application Disapproved'for the following reasons:--=---=------------------- ---____ —_— ___—^ ---— — -- - — --------------------- --- -- -------- date Permit No. - Issued----- -- ----- -- -- date �iwl��1+�'!,n!i�lili+ili118'►iRi9iNRi�B!�!i!ieQ6Ra! ! lb�nlw?r9ileT6fi�iRb}{.T�!89L1p8lL4p73�A!i4i!aJiN4iRi06Tb@aCi48!b!8?a2alSli9?MilMi!w45ii!iTili�iti4N_G4FliYiOiRu+lT.i?'a �..i BOARD-OF HEALTH :TOWN . OF BARNSTABLE Certifitate®f Compliance � THIS IS TO CERTIFY, That the Individual Well Constructed ( If Altered ( ), or Repaired ( .) Q —�---r —--— ------- —— ---- — -- — -- -- d. by ---- Installer at- - — ------=- -- -- - has been installed in accordance with the provisions of 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. l . DATE— -- - - Inspector---------- --- —- - >at+:smi+iab��sd!a!ascrsec!a�wea�i�,s_saaedsseiasla!a.s>aeini4a!a±bsa+ses9iea!,ass=ass�weaa+aeala!i!ieulsoaeyravae. yQ�!!;a:s�!aea+al.±�e!r!ser!atsscev!i�ww.»ga',rv►^i?ses=.� k BOARD OF HEALTH ' TOWN OF BARNSTABLE Ivell. Con5truct ion Permit E No� 20V --3 - Fee- z/s Permission is hereby granted +d A Sc u-­�, r to Construct ( Alter ( ); or c,Repair ( ) an Individual Well at: No. ------ ---�-- ----_ Street' as shown on the application for a Well Construction Permit No.- -- Dated---t— i l Board of Health DATE--�-3 --- VII;LAGE �1.r�r S - ASSES OR'S M.acP & LOT l t�s tcci INSTALLER'S NAME:&PHONE'NO 1 j a -SEPTIC TANK CAPACITX r ..LEACHING FACILITY..(type. , T� 13 NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE 3 v� COMPLIANCE DATE: Separation Distance;Between the ;r Y �• Maximum Aa is d•Groundwater Table to th% Bottom of Leaching Facility Feet Private Water Supply Well Leactung FactLty (If any wells exist on site ovwith gfain:200 feet of leachin ca ty) Feet Edge.of Wetland and Leaching Facility (If any wetlands east within 3W feet.of leaching facility) Feet s Furnished b t t a t :. f 0, . - r } f 1 ` ;p , u a ksBuilt Page 1 of 1 y1 TOWN OF BARNSTABLE L0CATIONN"/ S j,, A Ai,Z LoA SEWAGE # 90- 17 VILLAGE WEs7^ 1&,9,e.Js7-Aklg, ASSESSOR'S MAP & LOT INSTALLER'S NAME 6i PHONE NO. C 'kt";JG SEPTIC TANK CAPACITY ],rnn G5T - LEACHING FACILITY:(tppe)_[? JEC-4ST _ (sue) X /a L.•P. NO,OF BEDROOMS PRIVATE WELL OR PUBLIC WATER L E-L—L BUILDER OR OWNER DATE PERMIT ISSUED: 2:x o DATE CO?.iPLIANCE ISSUED- DATE GRANTED: Yes_ No U v1a r~v�n 9r'v 0 o w,grER r�\ _ BECK O - Ew} �X taIL 'J ApECAS 3 1 � l � \• b Y g i"i1sf73 i ►ttp://issgl2/intranet/propdata/prebuilt.aspx?mappar=216068&seq=l 3/10/2014 No. `J �. t , Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppfication for 33igpoml 6pgtem Construction Permit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 5—S1A./LdGf'jLn � Owner's Name,Address and Tel.No. Assessor's Map/Parcel W' Aarn 5 bl� l 4 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: 3�/�� Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow ­3j o gallons per day. Calculated daily flow 3 C) gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank �'�C'7 Type of S.A.S. Z —5 / )5 Description of Soil C - SJq:_S x 251 x i 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 o tle 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i oar t `ye b t ' Bo f He . Signed . Date Application Approved by Date C Application Disapproved for the following reasons ov Permit No. t� Date Issued 6 la g ?AT/ �— 9.��,�ysw� �" .. Y ..., -- _f _ ,.� q.,,,, _. ..jai»R•__sya..,._<_ _;i_;�..�_�� _ - '# Fee Q� . _ . YAE COMMONVIrEALTH OF MASSACHUSETTS - Entered in computer: YeS tY/ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 'S Zipprication for Mi5po5ar *pgtem Con.5truction Permit Application for a Permit to Construct( /Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 5 SAAd CI;;LA a) Owner's Name,Address and Tel.No. (5D8)3w-ev�O 2 Assessor's Map/Parcel W' 60,-"S ru bIP til F&O 0K to �1 2 oG Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 3'c— tic,110 Type of Building: Dwelling No.of Bedrooms Lot Size 3sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 3 3 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /or Z) Type of S.A.S. Z -SUS C"%— 4-' J/ Description of Soil, 4ej-0 7 6 S�� X x Nature of Repafrs 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 o tle 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss a b Board/of Healt . Signed C Date Application Approved by, i Date C Z 7<.V. Application Disapproved for the following reasons Permit No. Z y-,,Z 1 Date Issued (a To W WC --------------------------------------- f THE COMMONWEALTH OF MASSACHUSETTS o H - �/I 01 C BARNSTABLE, Mkgs' ACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( Repaired( )Upgraded( ) Abandoned( )by at _ S"-k ('.1 x, W a —has been constru/e.in accordance with the pro Isiolns itle 5 e�for isppsal System Construction Permit No. 'Z? dated 6 n Installer' Designer The issu c of this permit s all not be construed as a guarantee that the\syst�em will function as designed. Date ! `I 10 , Inspector '_ _ --------------------------------------- No. Fee A 0 f THE COMMONWEALTH OF MASSACHUSETTS ---/6 _0 0 PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migool tem Con5tructton hermit Permission is hereby ante to Con ct( Repair( )Upgrade( )Abandon( ) System located at e+ 1n/ FFy 16/2 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. i Provided:Construction us a compl ed within three years of the date of t Date: Approved by 1 ENVIROTECHLABORA TORTES,INC. MA CERT.NO:M--tITA 063° { 449 Rte.130 Sandwich, MA 02963 908(888-6460) 1-800 339-6460 FAX(S08)888-6446 CLIENT: DA Scannell LOCATION: 860 Oak St ADDRESS: Eric Bancroft W Barnstable MA COLLECTED BY. DA Scannell SAMPLE DATE: 6/8/2000 SAMPLE TIME: 12:00 WATER SAMPLE TYPE: New Well DATE RECEIVED: 6/8/2000 LAB I.D. #. 0006195 WELL SPECS.: 94' RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Date Analyzed Limits Coliform bacteria /100ml 0 0 9222 B 6/8/2000 pH pH units 6.5-8.5 6.12 4500 H+ 6/8/2000 Conductance umhos/cm 500 133 120A 6/8/2000 Nitrate-N mg/L 10.0 0.959 300.0 6/8/2000 Nitrite-N mg/L 1.00 < 0.003 300.0 6/8/2000 Sodium mg/L 28.0 17.7 260.7 6/13/2000 Iron mg/L 0.3 0.129 200.7 6/13/2000 Manganese mg/L 0.05 0.005 200.7 6/13/2000 Volatile Organics See Report. *Bromodichloromethane ug/L 0.6 EPA 524.2 6/15/00 *Dibromochloromethane ug/L 0.7 EPA 524.2 6/15/00 *Chloroform ug/L 1.1 EPA 524.2 6/15/00 *Total Triha/omethanes can not exceed 100 2.4 COMMENTS: pH is below recommended limit and may have corrosive characteristics. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. Jf <=less than Date�v/� >=greater than R60ald J. tf!ector TNTC=too numerous to count Laboratory Page 2 of 3 R.I. Analytical Laboratories, Inc. CERTIFICATE OF ANALYSIS ; Envirotech Laboratories, Inc. Date Received: 6/09/00 Approved by: Work Order# 0006-06703 R.I. Analytical Sample#: 001 SAMPLE DESCRIPTION: 0006195 860 OAK ST W. BARNSTABLE 06/08/00 @1200 SAMPLE DET. ANALYZED PARAMETER RESULTS LIMIT UNITS METHOD DATE/TIME ANALYST Volatile Organic Compounds Bromodichloromethane 0.6 0.5 ug/l EPA 524.2 6/15/00 15:46 MT Bromoform <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT Dibromochloromethane 0.7 0.5 ug/I EPA 524.2 6/15/00 15:46 MT Chloroform 1.1 0.5 ug/l EPA 524.2 6/15/00 15:46 MT 1,2-Dibromoethane(EDB) <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT Benzene <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT Carbon Tetrachloride <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT 1,2-Dichloroethane <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT Trichloroethene <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT 1,4-Dichlorobenzene <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT 1,1-Dichloroethane <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT 1,1.,1-Trichloroethane <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT Vinyl Chloride <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT Bromobenzene <0.5 0.5 ug/I EPA 524.2 6/15/00. 15:46 MT Bromomethane <2 2 ug/I EPA 524.2 6/15/00 15:46 MT Chlorobenzene <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT Chloroethane <2 2 ug/l EPA 524.2 6/15/00 15:46 MT Chloromethane <2 2 ug/I EPA 524.2 6/15/00 15:46 MT 2-Chlorotoluene <0.5 0.5 ug/1 EPA 524.2 6/15/00 15:46 MT 4 Chlorctoluene <0. 0.5 ug/I EPA 524.2 6/15/00 15:46 MT Dibromomethane <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT 1,3-Dichlorobenzene <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT 1,2-Dichlorobenzene <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT trans-1,2-Dichloroethene <0.5 0.5 ug/1 EPA 524.2 6/15/00 15:46 MT cis-1,2-Dichloroethene <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT Methylene Chloride <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT 1,I-Dichloroethene <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT 1,1-Dichloropropene <0.5 0.5 ug/l EPA 524.2 6115/00 15:46 MT 1,2-Dichloropropane <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT 1,3-Dichloropropane <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT 1.3-Dichloropropene <0.5 0.5 ug/1 EPA 524.2 6/15/00 15:46 MT 2,2-Dichloropropane <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT Ethylbenzene <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT Styrene <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT 1,1,2-Trichloroethane <0.5 0.5 ug/1 EPA 524.2 6/15/00 15:46 MT 1,1,1,2-Tetrachloroethane <0.5 0.5 ug/1 EPA 524.2 6/15/00 15:46 MT 1,1,2,2-Tetrachloroethane <0.5 0.5 u-/l EPA 524.2 6/15/00 15:46 MT Tetrachloroethene <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT Page 3 of 3 R.I. Analytical Laboratories, Inc. CERTIFICATE OF ANALYSIS / Envirotech Laboratories, Inc. / Date Received: 6/09!00 Approved by� Work Order# 0006-06703 R.I. Analy ' al Sample#: 001 0006195 860 OAK ST W. BARNSTABLE 06/08/00 @1200 SAMPLE DET. ANALYZED PARAMETER RESULTS LIMIT UNITS METHOD DATE/TIME ANALYST 1,"c,3-'iriciliorupropane GO.S C.5 ag/. EPA 524.2 6115/00 15:46 MT Toluene <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT Xylenes <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT 1,2-Dibromo-3-Chloropropane <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT Bromochloromethane <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT n-Burylbenzene <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT Dichlorodifluoromethane <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT Trichlorofluoromethane <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT Hexachlorobutadiene <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT Isopropylbenzene <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT p-Isopropy[toluene <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT Naphthalene <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT n-Propylbenzene <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT sec-Butylbenzene <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT tert-Burylbenzene <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT 1,2,3-Trichlorobenzene <0.5 0.5 ug/I EPA 524.2 6/15/00 15:46 MT 1,2,4-Trichlorobenzene <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT 1,2,4-Trimethylbenzene <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT 1,3,5-Trimethylbenzene <0.5 0.5 ug/l EPA 524.2 6/15/00 15:46 MT Methyl Tertiary Butyl Ether <I 1 ug/l EPA 524.2 6/15/00 15:46 MT - n-Hexane <10 10 ug/l EPA 524.2 6/15/00 15:46 MT SI!RRnreTEc RANGE EPA 524.2 6/15/00 15:46 MT 4-Brotnofluorobenzene 92 80-120% EPA 524.2 6/15/00 15:46 MT 1,2-Dichlorobenzene-d4 93 80-120% EPA 524.2 6/15/00 15:46 MT THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH o r �J ��. _........1 .......... .... OF..:...... -r ---_L Appliration for Disposal Works Tons#rur#tun Frrmit Applicati is hereby made for a Permit to Construct ( ) or Repair ( V�an Individual Sewage Disposal System at: ., ...�,4y.....,��.. s r�,��e�. oration-Address or Lot No. _-�'.c��?�.ls fi-•--C..:... �'c a.l=-.T........................... SU AJ_r� �.;�,1._ ....c.�......(b ST,r� .�. Ow er Addr s a - �t , .....C....-16� 0 �i;,Lc.----•-•-•--------------------•-- - .....cpw�... l.q& �.. . . 1�,.�......?14 rsUU- pq Installer Address t 6 Type of Building Size Lot................ q. feet U Dwelling No. of Bedrooms....•.......................................Ex Expansion Attic� ng— p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures ......................... -------------------------------------.-----------------------------------------------•------------•-•••••••--- WW Design Flow............................................gallons per person per day. Total daily flow............................................gallons. li W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0.4 Percolation Test Results Performed by.......:................................ .............. .................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fjr Test Pit No. 2................minutes per inch ; Depth of Test Pit.................... Depth to ground water........................ a .................••--••••••------••••-•--•-••----••-.............._..--------------•------------•-------•---......•-••---•-•••------..............-----•..... ODescription of Soil.............................................................................................................................. Z V ---------•------------------------------------•--•--.............-•----------...----------................----•-•............--••- - ---.. W r U Nature of Repairs or Alterations—Answer wh n applicable_..._.�.ovt?......6e4L.,...� �. ....�,0.7-....�✓�,�.._.F��7 ....................."��----�f.�.....---°�.�. '. . 1� /.5. e.e......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TLI'AU 5 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 1 alth. Signed " C= 6 - ................. - Application Approved ------ - . . ... ..........................................•--....------•. 3-. ..... Date Application Disapproved for the following reasons:......................:......................•-------...-•---•..........._............... ._........ ..............................•-•-••••••--•--•-• ......--......-----.....-•-----------•-------------•..-•--------------•------•-••------•-•-•.....--- --•••-........---•-•-•D�•----••-•-•--- Permit No..- ......................................... Issued_---....••. Z Z=� .-�-._.......... Date No._............ _..._.. THE COMMONWEALTH OF MASSACHUSETTS�dll L BOARD OF HEALTH` ' .......T9.0-- --..............OF.---.....�.A -- �'`P Appliration for Dispnsttl Works Tonstm inn jerutit Application is hereby made for a Permit to Construct-( ) or Repair ( �an Individual Sewage Disposal system:at: y (� (Loocaati_o-n1_Ad�ddress�+ 1 � or Lot No. n 1_...„_.-E•y=T M C C`r, ..6: .......................... iJ,l�!?�S x^ _Ie;�tA✓ - [��.......('1 �„t✓�T� �-;1�, � Ownet n Address a -----8�e,a.�..l----C �t�Lc sl �a !� 9''7 "Co��.sa �,�?Q1�-•!�?(I= �:.a �A Ae±:�,-s24 Installer Address Type of Building Size Lot___`................. Sq. feet l ►, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e' of Building Ma Other—Type' g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QOther fixtures ..._.....---•----•-•---•--------------------•---•---._.....----------•----••--•-------------------•--._.............----•-••-•-•-•••-•--........._____ WW 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. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) -- -.a PercolationTest PiT st NoRi salts Perfor-•----minutesme�r inch •De Depth of Test Pi -•---•------..................... Date-----:----...------_-•--•--_--__------- p p t ..... Depth to ground water________________________ Gr4 Test-Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ----•-------------------------------------------•......--------••-........................----•------..... ............................................ -0 Description of Soil......................•-•--•----•..........------•-••---•---....-•••--......._..--- ---------........ ........................................ ......................•--.....----•-......-__.........-- ..._......_..---------••-•--•--........._._._...._..._________. - --•------ i. x ........---•----...----•--------•--•-•-------....•-••---•-•------....--•------...•--•-------------••--•---------•-•-----•------------ U Nature of Repairs or Alterations—Answer wh n applicable....../.one____.h , j .Lea i .�. 2 n F......!. 9�tE' "4 Q n `��7• 't ��`��1�`"� ,9`T /C,' _. ,� ... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT:.1 5 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 h"althn r Signed- ---•--6 4__�4sQ��_.�? C_).!1-'� --1r Z z— q.0`_---- • / ate Application Approved By---...---•--•----•- -�7� ! ... :..-••--..: ==----.• /�� ---_� / r Date Application Disapproved for the following reasons:.............................................._............................._................................ __ ..................................-----...._..---....------..._...--------•------•-----•--•-•--------•-••.._..-•--•-.................__....------------•--=2 Z --..Da ............ ...._ Issued...... Permit No._------ .._.. // I Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......row ...OF.....�..Ati3O.57.-,4 ,'........................................... (9rrtt f'iratr of Tam hanrr TH1- IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (� (Installer at-•--_- ! 1 � ' �n-�7... �.. ......---- has been installed in accordance with the provisions of TI_ Y of The State S nitar Code as described in the T application for Disposal Works Construction Permit No_____________�._7._1__t'?__._.. dated•..._.-...t�.?s�._l��_.__..__.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...........! 1.-/,V ••-•• -•--- ....-•----- Inspector" -......�•^�' � ........ /k�J_L . (!1:... --__-,_—_———------_� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH —! '7 ......To..1,,j.A.�................OF...._kA.-1?r.).�.tAAJ.r......................._............... ��...C No.... ..... FEmr. ........ Disposal Marks TonstrWian f rrutit Permission is hereby granted..........�.a1 8:0 �Z ....... to Construct ( ) or Repair (-t) an Individual Sewage Disposal System . at No.............. .:.q .......Lu.pq........A*ZS1.-.... C�� / �o 0A-e �� ... Street- ..___C..................................:... ............. Strcet as shown on the application for Disposal Works Construction Permit No.M__(-.7..._ D'ated.:_. ............................... % _.C...-------------- DATE -- - / < / r Board of Health 1 ------------------------------------ h — 'ram I 7..• .. '�^� — --�..1• .. � .. - ..r+. — ._ +r, 4 - , I2 a - P • !( EEK G StPeD cE�t�� I 5 rt r tat i - p ._e Y. --------------------- 4.1 j I .. I o 1 Y f .01 1 = A } - -EFL, _ ,.�. ! -�... ESt 'S �`• �� L - - ) f (S37 iii 'VI 10 4( Int i _ tie _,. f� ...e�• '� - ,tea. I GENERAL NOTES.' Tor o� ' v•.��hsrto�..� moo ; ivs eu-r2�-r rE £ p" ' 7Z S/�Tl_ Tt . T PIT DATA J. THIS PLAN JS F04 THE DESIGN AND %�'.'VFRT ELEVA TIDNS.• �=�"• 00• T.P. -1 �� T.P. -2 q 8.50 CONSTRUCTIONV GF THE SENAGE DISPOSAL GRND. ELF''. - GRND.G. Y. ELEV. G. Y, ELEV. FACIL I TY 014L Y. ;✓.%E7?T A T BULL DING 2. ALL CONSTRUCTION METHODS, MATERIALS AND INVERT IN AT SEPTIC TAh;Y AAINTENANCE FOR THE SEPTIC SYSTEM. SHALL ,p g a•0 ACCESS COVERS MUST BE MI THIN 6 ' OF FINISH GRADE. I CONrC?4M�TO MASS. D.E.0.E. TITLE 5 AND LOCAL INVERT OUT AT SEPTIC TAME _ C13 _ o y C��.�r 6�zl� . BOARD O, HEAL TH REGUL A TIONS. I! p r IN AT DIST. BOX q). - INDICATES C13•30 O vEi� S.A. PERC. TEST INVERT OUT A T DIST. BCX -7 D 9 -r 0 L. q .00 3. ALL SEPTIC SYSTEM COMPONENTS SUBJECT TO I • '` MIN. 2 1 OF VEHIC/_E LOADING (I.E. l/vDER DRJVEh'A YS, ETC.I INVERT Ih' �I T S.f�,S, -. J/B`-!/2 DIA. SHALL BE DESIGNE27 TO h'I THSTAMJ H-20 L QADING. �z ) SQ hASHFD STONE INDICATES FOTTOM OF S.A. S. - O LIOUIO i �. ALL SEVER PIPE SHALL BE SCHEDULE --0 G?4 C95ERVED GRG"J�DA`ATLr9 M o. OBSERVED APPROVED EQUAL. GROU,NOhA TEA 1DJUSTEV GqJUdJNATF'A JO ' �' DIST. N /4'-J 112' DIA. �7 nrfn• t jrvoo Sal BOX WA h'ASHED STONE 5. BEFORE STARTING CONSTRUCTION CALL DIG SAFE - O = J-600-322-.1844 FOR LOCATION OF SEPTIC MW �c�,r� INDICATES UNDERGR000 UTILITIES. t r aI TEST PIT 6 ,f C MIT. 6. DATU.Y IS A5SuN1tiV cotiR,, _ C1°wfu m A'ATL79 rtsf D40X r0 S.A.S. 7. NO DETERN.M4 TION H-4S BEEN MADE AS TO COWL LANCE 1"`' r �' L HITH DEED RESTRICTIONS OR ZONING REGULATIONS. IT SHALL REMAIN THE OA'NER'S RESPONSIBILITY TO ' _IT L 037XIN ALL REQUIRED PERMITS, SPECIAL PERMITS ,•Y.; a ► • _ DATE' 17-13166 VARIANCES, ETC. FOR THIS PROJECT. .; - � •RCOLA�I ON RATE: 19,T3f't . .t ; ---- ----- TEST BY. a.�_C ��'N ; �' ST HOLE, NO: I ELEVATION: TEST HOLE NO: �Z- E E. IT SHALL RE�!AIN THE Of✓NER'S RESPONSIBILITY LEVATION: TO HA VE 1NE PROPOSED D!✓EZ L INr FOL/NDA TION w ••" :J c " 1 '-"•'" k; S� v ��Co DESIGNED TO ACCOUVT FOR THE EXISTING GRADE `' a - '';p >� 2 s�,�,i��! I 1 Loa ►- 'T'"� FC jPY: }-t AND SOIL CON "'°s d•�- ' DITIC4S �'T THE LOCATIO,ti' Cr-C� T/�;� ,a ` . . F.,'a. , 2 I/,. )�S C l. it}► PROPOSED 3 51 L. 1 3 F^�'' F;ll TF "5 3 „r• '�l r 5 _-� ..�-•,��,. � o-l 7 DESIGN CRITERIA.' EXIST. ® DESIGN FL OH' 1+'EL L g BEDA00Y D1t'.�LL IA'^ f !10 GAL/D.!Y PER. BEDROOM, ,,�•4' off` CHARD 10 RI e* X . EXISR. EQUAL S 33 D GAL S. F-P DA Y. YELL T z 2 , � � 11 �•s � FAINoR "� uo G�F-Z A G� 12 13 PTIC TINY RFOUIn£V i ✓o `. �r13 ,- 13G10D X t20,r r 660 GIL. 14 - I I4 s 14 • ,�. 15 S,-PT IC TANF! P(�OVIDEZ' l OIL, �. 15 p , 16 16 Q tC, ' •S' l iL`i> SI7F OF LEACHING FACILITY REGUIRED ?, v `. �` - C.rSIGA' P RC. RA TE S NIMJTES/ItIG'N — ---_ — _ ' • , ' . . , � , � . � _ _ 'ZO 4 G,4LL0,VS PER Y '��.40� • '��,�__ �•lO<c;`.�, T"1dd SIZE OF LEACHL� FACILITY PpovrDED. P .r E500 GRL. C•.I'�G) CO3,sGR. TAG v �j�� \� 'S9�c ` •�S` SIDE7✓ALL ) S.F. X 0 1'L p ` y ,` ( �'• ♦ ♦ `` `` 325 �.F. X Q• l� , 4�1 0 GPD \,` ` ` pc� \ co TO r A L S S.F. 5 Z W 1 � .�— GPD czl_0 ♦ ' ' �/ p L D .�17 . .. o, v - - -7/F. 100. 0 S 1 oL CQ T,41•t / O ♦ r N0. OA TE /fir VISi O,V Or Q EXISTING `" (0 0•0,I czp�o , S . SEPTIC O o 0 .9x °� A SYSTEM 'Tay. ` -S'r�•1 tih�• C, co VK off' . J �50�R �� �; ✓ ;� G`�Z.�-`�� r4 !�b R��L,�,C� LU �T?� `T) . S• •5• PLAN SHOWING THE DESIGN OF A PROPOSED L EGEND , 0 -50 = EXISTING CONTOUR SUBSURFACE SEPTIC DISPOSAL SYSTEM c� i EXISTING LOT .l, DAK STREET, BARNSTASLE, MA of rs� ;' k'EL L ' �� o f '�f�°s° •` F��� Ss !PAUL — — 50 — — = PROPOSED CONTOUR SCALE 1 " = 30 ' MARCH 28, 2000 ti;o R°AUP J�� � R. m / ^ 50XOlEXISTING SPOT GRADE CANAL LAND SURVEYING �EwtCz ,,, . z RYLL _;� M�Cr''' �fl y_ �0.32448 / 306 OLD PL MOUTH ROAD SAGAM0�9E BEACH, MA ' ,�v Noc4vl� v � �v PROJECT NU,Y,6ER 88- 043 G RSV 94;;17 ISED APRIL 24, 2000 0 �• 2-7 OD "t Z 7 -o O '1 i "er?,: I ?%)9rA-t.•!. aA-S BAf t-� 'j7Co SCTL TEST PIT DATA GENERAL NOTES.' Tbr o� �f�u�Dltn')a►--+ iv ev-tL -t- �'� !. THIS PLAN IS FOP THE DESIGN AND I/vVi�i?T ELEI�A TIDNS.' 0© G D.1 EL F'i. 00 T.P. - GAND. ELEV. CONSTRUCTION OF THE SEWAGE DISPOSAL G. W. ELEV. G. W. ELEV. FACILITY ONL Y. PIVEAT A T BUILDING 2. ALL CONSTRUCTION METHODS, MA TEAIAL S AND INVERT IN A T SEPTIC TANK MAINTENANCE FOR THE SEPTIC SYSTEM SHALL �.0 ,d CCES'S COVERS hIUST BE h'I THIN 6 " OF FINISH GRADE. CONFORM TO MASS. D.E.G.E. TITLE 5 AND !_OCAL INVERT OUT AT SEPTIC TANK •0 b INDICA TES BOARD OF HEAL TH AEGULA TIONS. INVERT IN A T DIST. BOX 01 q,3.50 1 PERC. TEST INVERT OUT AT DIST. BOX 10 L q r✓- A40 3. ALL SEPTIC SYSTEM COMPONENTS SUBJECT TO _ - � 1 O -- P'r' 9 I,'1 D MIN. 2' of VEHIC/_E L OADING (I.E. UNDER DRI VEWA YS, ETC.J INVERT IN A T S. .�. SHALL BE DESIGNED TO WITHSTAND H-20 LOADING. - - 3•2 • *`r i7 fi ..P1 ) a r"Q 1/6 -1/2 DIA. BOTTOM OF S.A.S. d WASHED STONE INDICATES 4. ALL SEWER PIPE SHALL BE SCHEDULE ,10 OR C35EAVED GP0t,UI�A'ATE74 a L1DUlU � ' ` �• OBSERVED �. DEPTfL GROUNDWA TER APPROVED EQUAL. ADJUSTEV Gf OUNDWATER f 0 aBOXrST� N 4W /WASHED/STODrA. 5. BEFORE STARTING CONSTRUCTION CALL DIG SAFE m �"'� Arvoc e`�L• 1-600-322-4644 FOR LOCATION OF i SEPTIC TANK _t 0 �9, INDICA TES UNDERGROUND UTILITIES. }a- )O TEST PIT 6. CATUY IS A5 13Mti A S zlvnu ' #m MA TEA TEST X fio PROF.'S.A.S. 7. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE ` SbVV LEVEzAM WITH DEED RESTRICTIONS OR ZONING REGULATIONS. "' T I T SHALL REMAIN THE OWNERS RESPONSIBILITY TO .„ OBTAIN ALL REQUIRED PERMITS, SPECIAL PFAM,ITS, �%; w°_ . :G . _ DATE. �Z• 3 VARIANCES, ETC. FOR THIS PROJECT. ; n, j; -, - ` ,RCOLAT ION RATE:, y M� 1J AL �•. , , c. ST: HOLE: NO 1 ELEVATION TEST HOLE NO. 2 ELEVATION: TEST BY.• �i� CAPS SIRS) tAS�FZ1�-tC� B. IT SHALL REMAIN THE OWNERS RESPONSIBILITY �' TO HA VE THE PROPOSED DWEL L ING FOUNDA TION �' - �' 1 L e,et Vt �-- DESIGNED TO ACCOUNT FOR THE EXISTING GRADF "�� *� sybs WITNESSED f3Y. 1 . CO)�LOu f. 2 SubSbC� i. AND SOIL CONDITIONS AT THE LOCATION Off' TJ�F'PROPOSED DYELLING. PERG. AA TF < 3 NIh'./ IN. )�t G LEA*�•.� �O �:' r�� `,,' 3 S+. I 4 Sn., 4 10 7 DESIGN CAI TEAIA: $ `mow°i 8 EXIST v, • {>• �ti DESIGN LOh.' WELL __.. _ , . ° F '♦ '� ' ' `'" � �'�°� 9 ������ �•s��j � ',°s�,� � 3 BEDROOM Dh;2LIh'G Le 110 GAL/DAY PEA BEDROGY 10 ��.�i"`� 10 .� o` RICHARD Cn ` ` 7 R. EOUAL S GALS. PL"A DA Y. � , ` ,♦�, '. `♦♦ EXIST. 11.. 3a�.�'; 11 "S FAIRBANK �Sp G�rR1SAC�C. GR.1►->t Dh WE 12 N LL � No.20204 SEPTIC TANK REQUIRED.' `, ♦ � ,4- �` , �r 1 .— 1 � ., .oF�s c►s� 3 O GPD ,Y z:aox 6G0 G,eL. 14Kv � 1S 15 �',_rPTIC TANK' PPOVIDED.' r 1rJ� GAL. � � ♦ � ., .�Q w f,Lp"k, 1` ♦ ♦ tea+, 1 16 ( 'S=G T 9'�` Out"t> SIZE OF LEACHING FACILITY REQUIRED �. G:utAnlrS_ /Lrlru GALLONS PER DAY SIZE OF LEACHING FACILITY PROVIDED.• Q -7-W_>r- goo GIRL, G�-1P�G1�� CC�1..sGR. T�•♦ ♦� .ram �r W/16f ,; SIOEWLL , 5 S.F. X GPD �,. .` Y"y-'` `♦ b- x POTTOY s.F. ,1'O•`� w 2 0 GPD .� -� p �`. �T'`. TOTALS S.F. 5'L GPD 44 41 L O o o • Z t �'• \0��- , BD F. 6.. oc 4. � EL 100 � . 0UMED 0 Q 989 a 2S� AFVISIONS.• , co .... 4 f.. p ♦ F NO. DATE RI-VISIO.v EXISTING , Ra Fa © �. . S SEPTIC �,o SYSTEM ,�- 'u' `�' o`C'�-° rc VR o� • c`,c� .a ;.. `� .00 �. �, /� G -T) Lp. • �► 'S• Q, ti0 PLA NOTVING THE DESIGN OF A PROPOSED � LEGEND FACE SEPTIC DI 0 ----50-~---•- � EXISTING CONTOUR DISPOSAL SYSTEM � EXISTING LOT .2', OAK STREET, BARNSTABLE, MA Pam. , ' WELL RRLL ' s ---- 50 — --- PROPOSED �'ONTOUR LE I " = 30 ' MARCH 28, 2000 �; ``� ��� o I -'7a' w- T7►l�:IT'lalls i= 'F u !?f�'�' Ra��F s No.32448 o 50X00 EXISTING SPOT GRADE 3p6 OLD CANAL LAND SURVEriw PL MOUTH ROAD SA,GA BEACH, AAA a o , c SOIL �V�cL.�) `Tk71v A Y" ' PROLIECT NUMBED 88-043 . c 5 �l LL �b�.. REVISED APRIL 24, 2000 9�bCl7 17� '� O CC51s5�Ftl.�G�C')O + y• 2-7 QO mot- Z7-oD _ i I