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Home My WebLink About0267 GLENEAGLE DRIVE - Health (2) C TOWN OF BARNSTABLE . j LOCATION ;tc 7 SEWAGE# Via- 081 VILLAGE ASSESSOR'S MAP&PARCEL JCM INSTALLER'S NAME&PHONE NO. -SEPTIC TANK CAPACITY Fxis�nic LEACHING FACILITY:(type),S j) 14'20 (size) ��3)(2sY NO.OF BEDROOMS OWNER- Ic)v,c rc-A - PERMIT DATE: 22 COMPLIANCE DATE: cd a.)- a 2 Separation Distance Between the: ryp a bJ k r0C_0%)0 rC1T) 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 +� r �0.�>^�. :, • r i' 5 a � z '`lS7 -S ;5` 5 60 - No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpliLation for Disposal *pstrm Const union j3pr it AppLcation for a Permit to Construct( ) Repair( 4pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lotw . 2G7 or-5 F--y k 7e Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel yL �r� ��ycrcf Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. J?,A Type of Building: Dwelling No.of Bedrooms 3 Lot Size 15 sq.ft. Garbage Grinder Other Type of Building f e,,S ty'r cll No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �_ gpd Design flow provided gpd Plan Date 2/1114/12 — Number of sheets / Revision Date Title Size of Septic Tank Type of S.A.S. —�cic�yaljo-J C�ic,cc�jr1/s Description of Soil Nature of Repairs or Alterations(Answer when applicable) .�r+sf4�( 4� "y�;.,U ��AK a"O 2 �jro Gi tl�L�..,T ��1 C,..�.t�/S Gv i��j �f�f'f��v� tc'�j do?/ �D 1C✓ � v 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 Certificate of Compliance has been issued by this Board of Health. Signed f Date f 'Z`k- 13 Application Approved by Datej,(1"/aa Application Disapproved by Date for the following reasons • Permit No. Date Issued �i�j R9 .- Fee /t ' i ~ w THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y_ O" es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS `applitation for tspogal *pstem Construction 3permit Application for a Permit to Construct( ) Repair( pgrade( )�Abandon( ) ❑Complete System ❑Individual Components Location Address or)Lot Npp (w� �' �9�r' �i' * "Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 11,f/ Installer's Name,Address,and Tel..No. ¢` Designer's Name,Address,and T 1.No. sA /OvtN NC Soq'J_q00 1 pe of Building: k Dwelling No.of Bedrooms Lot Size 8: sq.ft. Garbage Grinder( ) Other Type of Building t( S�n k-7c1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures .a, Design Flow(min.required) gpd Design flow provided t/y gpd Plan Date / /��'t-' Number of sheets / Revision Date Title Size of Septic Tank . n'�F1.�. ;' Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 5, S f:Gll .r ""od �Z r M G,�'41if l v.K r�/� /d H�sf6�� dam✓ .o/� , Date last-inspected: �4<. Agreement: r The undersigned agrees,to ensure the construction and maintenance of the afore described on-site sewage disposal system in r accordance with the provisions of Title 5 of the Environmental Code and not to place the system inyoperation until a Certificate of Compliance has been issued by this Board of Health. Signed .�._ �" .� ` � Date 1 / Application Approved by ,t,;,t Yk,"I:.C.I.� 1.� � Date 4 ,I Application Disapproved by Date for the following reasons Permit No. �,�-a,,,�--��j�I Date Issued �/ � ,f THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance �, THIS IS TO CCERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )byK//, f l ,�&Mj,)N ,J r at 2 G 7 L21 crn/ie'y_Sr has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a_c"_ Y'4 dated _ 11, '�.,7.► InstallerA 7i b k",V r Designer i�G r//�/ /il�S(a�•/ #bedrooms �j Approved design flow '^`;J) gpd The issuance of this permit shall not be construed as'a guarantee that the system-will funct?on as designed. Date �T7 �ri' �r Inspecfgr -------'�^ �-- No. 1 A—) �'o �� Fee '�_ r THE COMMONWEALTH OF MASSACHUSETTS r PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS CP S Disposal *pstrm Construction Permit Permission is hereby granted to Construct( ) Repair(l Upgrade( ) Abandon( ) System located at`7 6 7 6 7V/ /�P,V�✓d///ice t , i . .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. t Provided:Construction must be completed within three years of the date of this permit. Date Approved by 4 _ f Town of Barnstable Regulatory Services WLThomas F.Geller,Director Public Health Division i6j�• Thomas McKean,Director 200 Main street, Hyannis,MA 02601 Office: 508-962-4644 Fax: 509-790-6304 Date: Sewage Permitti RC-Oa°D Assessor's Map/Parcel Syr Installer&Desta/ner Certification Form - Designer. Installer•. u 210-A Ttx Address: Address: '�D o,q(`y- - UQ ®'xC31 On a f C a)� u�staller)� was issued a permit to install a f septic system at 26-7 G,/a,e} C[ P sl l �� based on a design drawn by (address) s b - �� * data --2 Li � 6 , (designer) certify that the septic system referenced above was installed substantially according to t -the-design,which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strigout (if required) was inspectediand the soils were€ound satisfactory. I certify that the.septic system referenced above was installed with major`changes(i.e. greater than 10'lateral relocation of the SAS or any vertical relocation of any component Of the septic system).but in accordance with State&Local p.. '.tions. Plan revision or certified as-built by.designer to Now. Shut(if rP •zted and the soils were found satisfactory. • �ySH OF , DAVID y ` is Signature ...___. ... u � e i� 1 1 1) T e installation shaft comply with the State Environmental Code Title V and Town of ��- ASSESSORS MAP: TEST HOLE LOGS � lard of Health Regulations, PARCEL: �. �► 2) The septic system as proposed on this plan shall not be installed until a licensed.town . SOIL EVALUATOR: �" l installer receives approval and an installation permit from the applicable town. t 1 REFERENCE, . �GJ � '�--iv ' ; 1NITNESS. 3) Priarto installation,the installer shall verify the location of utilities,sewer inverts, � :, ....., r'"" sewer lines and existing septic components rior to installation. 1�� ^.� 8 Pt P P DATE: t g c , — 4) All gravity sewer piping is to be 4 inch schedule 40 PVC at 1/8"per foot. The ifirst 2 j - PERCOLATION RATE; feet out of the distribution box shall be level. All piping connections to be glued. L51ciw , C 5) This septic design plan is not to be utilized for property line determination or for'any T.H.#1 ELEV. 97,S T.H.#Z ELEV. . other purpose other than the proposed septic system installation. : w LOCATION MAP 6) All Title V components are to meet Title.V specifications. 7) Parking shall be prohibited over Title V components unless components are HI20 loaded. ' S The existing leaching or cesspools'shall be pumped and filled with material per Title V abandonment procedures. teaching and cesspoot(s)and contaminated sacs within Wet ' BENCHMARK: . '! / �a the proposed SAS shall be removed and replaced with clean sand per Title V CORNER OF BULKHEAD G specifications. ELEVATION = 100.61 t 1 (ASSUMED DATun.I) ' f, �, �l9 9) Septic components are to be 10'from a water service line.Sewer lines crossing a qL ?2 ? � water line shall be sleeved with an appropriately sized schedule 40 PVC with lends 2 r " grouted. The water service line or the septic line can be sleeved with the sleeve being 5 2 E , a distance of 10'on both sides of crossing the line. 21.5i 101 99,73 x 9 v NT - ---..,,..,, 0 10)If a garbage grinder exists in the structure,it is to be removed If the septic system is 9950 l not designed to accommodate a garbage grinder. EXISTING SEPTIC TANK ,--25—r� �' (LCtipTICV "AKF.N Ft'�'.7 ^cECORD �"'� i I 11)The installer is responsible for care of excavation around all utilities on the property AS—L'.;ILT PLANT ) - Tv l.r. Ta;�.; E 9: 3af o cr "--�, ; -. and protecting the structural' -�S.E. S-'� SEPTIC SYSTEM DESIGN CALCULATIONS p g a integrity of all structures during the installation(process i,. ,, ��r1- ..C. t�:,r fG� s._ i '-. rAril of the septic system. FLOW ESTIMATE: 12)This plan only represents that a septic system can be installed on the property C141 =. �� meeting Title V requirements. �1 TP- BEDROOMS AT GAL/DAY/BDRM ' GAL/DAY E G)TP-2 13)The property owner shall review design criteria to approve the total number of ` f SEPTIC TANK, bedrooms and design flow, installation of the septic system as proposed and ireceipt GAL/DAY jBDRM X 2 DAYS= GALLONS of payment r the design shall be deemed approval of the design criteria by kite r o ! r E,XI5TiN G , .,y 'ram ► t�'Y�,, a property owner or agent of: _ ; USE 1 GALLON SEPTIC TANK a --HOUSE (#267 f �, ram: 14}The validity of this plan shall expire with the expiration of the town installatia>in permit r •T.O.F,=101.94 � s� RBA R,,,�, ,AC> , ,.-� � - ,, _ __ ., , .-r �. (GARBAGE GRINDER IS PROHIBITED) issued for this plan or the validity of this plan shall expire on the expiration ofF the - -; N ti : Certificate of Compliance issued for the installation of theproposed s em on thi N - - P Y QU a SOILABSORPTION.SYSTEM:` s �, �"""'"')`=-- --— - - �i bo Plan. .. o to.,/ _ t� e"ti SIDEWALL AREA: / A'VID 9 f -7 ItASt� =T , LOT 25 1 e5 �„ BOTTOM AREA: APN 192--1 1 S SEPTIC SYSTEM SECTION 121.50 S 11'31'40" W�rl tl- BENCHMARKJL IL di! 1k ► 1rJ r� 1 - _, __ - --- -1 --- — -- - ,. �•~ «��'- TOP OF FOUN ATION r,I �tr GLENEAGLE DRIVE - DATUM ASSUMED + 6"STONE BASE , ,. H2O D-BOX * - Ll lCr� r s 6"STONE BASE OR COMPACTED BASE WATER TEST FOR LEVELNESS ✓ /�2 ' �� ' / a GALLONS t t` � : / } f,V,,..•t � ��`RQ (tJ,Z C �? + SEPTICTANK ,fig _ � r ,. SITE AND SEWAGE PLAN f . , �WellK, , r : E PREPARED: `� � { . f SCALE: � ��" � DATE: 1`lt�k �' �