HomeMy WebLinkAbout0027 OLD FALMOUTH ROAD - Health FF
27 OLD FALMOUTH ROAD
MARSTONS MIL
A= 079 - 017
TOWN OF BARNSTABLE a
LOCATION A#-,G?-//� T-'�/ir,�� �r'nl � SEWAGE
ASSESSOR'S MAP & LOT_: /
INSTALLER'S NAME & PHONE NO. / , QUer—G� V3;R'Cad
SEPTIC TANK CAPACITY /a-0-6 4
LEACHING FACILITY:(type) (sie)
NO. OF BEDROOMS PRIVATE WELL OR/ PUBLIC WATER
BUILDER OR OWNER /QdG'/V��Aale
DATE PERMIT ISSUED: 4-1 " 5 ` Ff-1-7
DATE .COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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TOWN OF BARNSTABLE
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LOCATION � �(`�pU �{� SEWAGE #
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VILLAGE s ``lt iil ASSESSOR'S M-AP & LOTO;79�-41/7
INSTALLER'S NAME & PHONE NO. p I�RJ✓`U` "7��-S��r� d
I
SEPTIC TANK CAPACITY C J/�f<J7�I G 1Sa0 (fGL
LEACHING FACILITY:(type) New sE /nf is L (size) o s` 4 S
NO. OF BEDROOMS j PRIVATE WELL O UBLIC WATER V46
BUILDER OR OWNER CQ ` I /1 l/ 5
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: 45
VARIANCE GRANTED: Yes No
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Application is hereby made for a Permit to Construct (/) or Repair an Individual Sewage Disposal
Syjtem at:
Installer Address
Other Distribution box Dosing tank
� ~~ Pit � ��
' inchD t of Test ��'---���--' r to groundinch Depth of Test Pit.....I_A;�....... Depth to
Test � wutor--.... .........
«� ...............................................
------------'-------~~--==---'-'--=-'-'--'-----T--'---'--'T-��������' �
U Nature of Repairs or Alterations—Answer when applicable..,"..--...........�_=.T ..WAS..jN T
-----------------------------------------------------r------'-`=^====pr'.'*+^="'=^^"^-----------------
Agreement: �
The undersigned agrees to install the u6oredemzibed Individual Sewage Disposal System io accordance with �
the isi ofIlIU 5of the State Sanitary Code The nd i J r agrees not to place the system in
operation until a Cepificate of Compliance has been iss by oar
- - -�°-�. ----------'v -' --'
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/�*"��u"^/ '`ey^vv�u ' -----����-���--------'--'~��c----' --_'- .........'`�',�-'�c.....
�....... �
` Application Disapproved for the following reasons:..............................................................................................................
Permit -
o"�
�cr�
| n"te
No �� _ FEs.......... .........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
(_,t1 ..............OF............
•4... .....
Appliration for Disposal Works Tontrttrtion thrntit
Application is hereby made for a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal
System at:
• Locat on-AddressLot No
---- 1=`�'N___-- x�r!�..... ...._.. �^..�... D 1�k,Y .................... �r-........--• ...............................
h owner �'
j Address
a :...........:.'_.......... •.. •.................................................
..... Installer Address
VType of Building Size Lot_-.._....�..............Sq. eet'
Dwelling—No. of Bedrooms.....__.sa...............................Expansion Attic (•._) Garbage Grinder ()
Other—T e of Building No. of persons............................ Showers
a YP g ............................ ---•- ( ) — Cafeteria ( •)
dOther fixtures ............................................ ......-•-•--._.......•••-----••---------=----------•-•-------•---...... ....
Design Flow................ gallons per person per day. Total daily flow..........:%� ........................gallons.
Septic Tank—Liquid capacity.!.�'? gallons Length...... ....... Width...;......... Diameter.....--...... Depth................
Disposal Trench—No........==....... Width....::=.......... Total Length.......--=.......Total leaching area....=:=:.........sq. ft.
Seepage Pit No.......... Diameter.........!.--'�... Depth below inlet.......t ........ Total leaching area..7:.L.� .sq. ft.
*, Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by..._!. ..1��./._ ...*�:L-�: ? f !�
.................... Date-•-.--`=... ------•-•---........_..
Test Pit No. I....i<L?.minutes per inch Depth of Test Pit..... �....... Depth to ground water.......................
GL, Test Pit No. 2.... :-.2--minutes per inch Depth of Test Pit.......Z..-2<-,.... Depth to ground water..... -_: ......... '9
9 .....-•--•--------------------------------------------•......----...........------....
Description of Soil. -------__-- L c �'- hr 7' ..r
V ---------- --------------------- .7.�.L_'...I__... ....3�__. ... ................... �1'! C ram..._�_.`� :1 r'.....:......
1 ,
s
U�1 .......................................................................................................................................................................................................
Nature of.Repairs or Alterations—Answer when applicable..............................................•............._._...._....._..............._.._..
----------------------------•--••--------..........---......---...•.......---------........------•----------...----------•--•-•--•--•----•-----......--------....................-••---•--------...-•••-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Cer •ficate of Compliance has been issued by th o ealth.
S. ems...-•---- . ... ....................................... /1.7
at
Application Approved By--.......- � .. -5..`...t.1.Yt�... ----••---• -- ----------- / -7------
................. ate
Application Disapproved for the following reasons:..............................................................................................................
-
......................................................................................................._..-•---------------------...-----•-•-------------------•--•-------------------------•----------
Date
Permit No... .
Date
THE COMMONWEALTH OF MASSACHUSETTS
--�" BOARD OFF HEALTH
�
..... ................................OF.................�.: !! ., ...............................
Trrtif iratr of Tontpliattrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by. :. - --- ----------•------- --• --------------•-----•------------------•------------•-------------------------------------------------
........----•---
���77 -7 Q ^Installer �n
at................I--r�..' <r~=�• F 5 r c'•(•r''�' ........
----�.....-----..---► ` rn�1
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as lescribed in the
application for Disposal Works Construction Permit No.__..?`�.5.` .-..Z.s?_9__--__- dated........
V-I -7
------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARAE THAT THE K Ir
SYSTEM WILL FUNCTION SATISFACTORY. 4
DATE.................... ._ __ _r. ... ............................ Inspector.......
ns ector....... _
THE COMMONWEALTH OF MASSACHUSETTS �
BOARD F' HEALTH
�-.--...' � Govt��c� -moo Tv�,N wn`'c�✓�
Q............OF................................ ... ..................... ��a�
No.. ..................... FEE..........-..::.......
Disposal\ Works Tontrttrtion rrntit
Permissionis hereby granted........... ........ v-2-•-•-••----•-• ------•---------------•--•••--•........•-•---......----•----•••----•••-
to Constru-- ( ) (r Repair ( ) an Individual Sev,age Disposals stem M
at No.----...fir..��•'-.r _. l T1 QJG1�,--�i !?C I S_� ...._ ±_�_!^--c... . f.....---•---1 1. .I.'._'1�
•-........................
�— Street
as shown on the application for Disposal Works Construction Permit -_- Date ......
_._'L�g/ ........
Board of Health
DATE................................................................................
,FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
P�a.THET0�4 TOWN OF BARNSTABLE
OFFICE OF
BAsaaT.sras BOARD OF HEALTH
MAlI
367 MAIN STREET
HYANNIS, MASS. 02601
Sewage Permit #
Applicant :` L-n ma5 lm��
Proposed Installer: C2 olc4 D L-'r-
The plan for the on-site sewage disposal system at
(� a M w L-LkS
has been approved with the condition that the design engineer must be on-site
and supervise installation as well as certify in writing that the system was
installed in strict accordance to the approved plan.
Approved By Da e
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LEGEND I I
EXISTING SPOT ELEVATION O OF
PROPOSED SPOT ELEVATION Of 02� P A U L 9�,yG �tN
EXISTING CONTOUR -=-0- -- A.
PROPOSED CONTOUR 0 L,E V Y ROSINa �
NOTE: THE LOCATION OF ANY UNDERGROUND A pNo.10050�0 wI x
SEWERAGE,WELLS, OR OTHER UTILITIES SHOWN ON �O �G/STEM
THIS PLAN IS APPROXIMATE ONLY AS DETERMINED
S/ONAL FC!$TER
FROM RECORDS AND/OR VERBAL INFORMATION.
THE CONTRACTOR IS RESPONSIBLE FOR THE ' �� �"
VERIFICATION OF THE EXISTING LOCATIONS IN
THE.FIELD.
E I TER NGINEER RE I T R D LAND RV R
REDGE ASSOCIATES INC: ,640"5";;"g
LEVY 81 ELD CLIENT PROPOSE® PLOT PLAN
ENGINEERS— LANDSCAPE ARCHITECTS JOB NO..,120'7 )94R66L . /7 7t F.3 E-
PLANNERS LAND SURVEYORS DR. BY: IN F;4L"-Ou7 t
- x
_ 889 WEST MAIN STREET CHKD.BY= 39V578 L �
1-6 r _ $7
CENTERVILLE, MA. 263 SHEET OF SCALE ' DATE ,.
xY �N 20 FT. MIN..
/il07E /F E/Ti'rER THESEP7 TAAI� OR
ARE MORE 77H/gN /Z"BELO*4V
"/•�! r 4"v�,g GRADES 4 24•,P/AM ET.ER CONC&,AFT, COMER
ScSrEout�.tp SMALL e,E.�9Rt3C/GyT T0. 6!{.4 0E.�AN,EXTRA.
Pvc P/PE ttEAYy C/�ST IRON: CO!/ER 5i/AL:L !3E USEO
d� (� M'OF /FIN OR/VA=- W4Y
_ CoE`?s �g
/TGN
- R FT -
;,, - 2 RAN. C�NG'RE'TE'
f r a AOE CO IlER CL EA Al .SAND
_ BACXF/LL
L/QU1D LEVEL
SLAYER
ULS
/►�tAt:PITL/1 000
kwc: L- G14L.. o `• • • e a •• • > �,• WASHED S72�NE
a t "D/ST. • • . . • • • • • s < <
�_ 'P��vr. SEA/C _ Tf3N/C pGX. � ' • t s • s ►• � .�1 •
' s ae ► •� DEf�TN' • • • e
• yyA3//EO .STO�f(E
,. t: v • • e • • e•• 1 i000
a i5/x2.S=377,5gP-0 � `•.• • • • s • • •• • op P - .pRECASTSEEPAGE
/1310 PZ • • • • e ••• � p . P
x/•O fin`.• • • • .. • • . ► o e `p `.. P/7 OR ZVZ11V
IM;e'eAff- f4EVA*r1ANSI, f p/TC*PlgPy 90. hP.Q a � F�. 90, &
l/Vl/EJ�T AT Bld/LDING ��• w_aFT. 6 F7: D/AM.
11NAL57 Asr-p '/C r4lVK 2-D FT.
!Z FT. D/A1�9. C SEE TABULATION}
Ot"4ZT SEPTIC 7ANK •� F. T.
fhtAFT DISTR/DU7/DIV BOX 9 01097 4F GROuNo jvf1TER TABLE
0 - 1sTRi®�rriaAreoX 0� FT .•.,. S�yV�tG� O/S.P05Al SYS�'EM
f`V4,6T.1-EACRIIYG I01/T 6 d FT 7A8411.IAT/®IN v
' LEACH!/V!s P/T o/ME/vs/oa A
JCALE Y4 q ! "D
• 101FSISM CRITERIA Ot�l.Elvs/aN B FT.
` NUl•9BER OF BEDRooMS' 3 DIMENSION G FT
GA� �Eo/s�osAL UNIr. SOIL LOG SD/aC. TEST
T®TAL EBTIMAED FLarV, ?0 G.4L.�OA�' SOIL TEST A/ SOIL TEST
MU418ER QF LOACHMr, PITS /_ ELEY, ELdCY, gg' DATE OF SOIL TEST Zl Z1987
SIl3EdL"ACHIN6 PEIt P/T L L—SYJ PT. -._2�Zi a<_3• RESULTS AV17-WESSED BY�Ait/CS�
OOTTOM LFx9CN/NG PER P/T. SQ: FT ioP S.u$So�� ToP ��� I PerRCOLATION /LATE / Z- M/N�/NCX
PJFRC T/O R.4 E 2 M NGH
QLi4 N T 1 !
TOTAG LEACH/%YG •aREA SQ, fT. � M
RESERY� EAC/I/NG AREA 2 sip. FT. 2'/a ' /o ' ----
3t 1
III OF
�o F A U L ti� 'PgRGEL 7-,6la� wrgeCC
o A' Nm+ C
c E v Y LEVY & ELDREDGE ASSOCIATES. INC.
o "p No- 05 Q
'tL g4 ^E L $(0, 889 WEST MAIN STREET CENTERVILLE,MASSACHUSETTS 026321
Fss� AL NOG/gOUNP LVe4TER ENCOIINTEREO C14 r /3 Ti4S D.tTE Z ZS
GRou"Z> yd14T-1=11F AT —=Z- .
i Jo6 NO: 2 SHEET .OF
No.. .��.�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Allp iration for Di-wiputial World Tomitrurtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( Vl an Individual Sewage Disposal
System at:
Location-Address or Lot No.
...... Z7---------------
wner dd2 s
a c - -------jJ s-c,- e .--- -•oft--- cON`. ----- � .................
P Installer Address
VType of Building ' F Size Lot............................Sq. feet
t Dwelling—No. of Bedrooms.__....`:'f................._-_---__.__._Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Other fixtures ............................... ..
W Design Flow-------------------------------- __________gallons per person per day. Total daily flow--------------------------------------------gallons.
WSeptic Tank—Liquid capacity_I _Lrallons - Length________________ Width---------------- Diameter---------- ..... Depth................
x Disposal Trench—No. .................... Width-------------------- Total Length..................... Total leaching area_...................sq. ft.
Seepage'Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
a Test Pit No. 1----------------minutes per inch Depth of Test Pit_----------------- Depth to ground water........................
LT. Test Pit No. 2................minutes per inch Depth of Test Pit--.-----_---_-__..-- Depth to ground water-..-_-_-___-____--_____.
04 .....------•................•--•-•-•---------------•-------•---•....•-----......---•--........•-----........................................................
0 Description of Soil........................................................................................................................................................................
x
U
W --------------------------------------------------------------------------------------------------------- ---------- � ...------.
y
U Nature`of Repairs or Alter ions—Ans r whe pl' b ._,-(N-�----__._- ... ._ ���\_� ...... <<� ..
A reement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been is ed t e oar of health. fq CC
Signed -- ��
.� 7 / !tJ
............................
Application Approved B ......-.:. '� 7filf ---.J- L
Dace +
Application Disapproved for the following reasons: ..................... .................7
................... ................................. ........................
------------------------------------------------------------------
- - ------ ------- ---
Permit No. - m` ��°°
-------------- ------� ---- -------- Issued .-------------l... .---
Dare
o )C 0I
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Allp iration for UinVuutti Wnrkri Cnnnitrnrtiun 1hrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( Van Individual Sewage Disposal
System at:
--:cam..---a-�--.v� .................................................... c 1`� M =
------- -------- -------------- ------------------•.
Location-Address or Lot No.
------------------------------------- ---••------•--•--•-----• -----•.......-•-•----......------------....-----•---
wner dd2's
a -......� tom. ..`.c.�e C,� _ D__-1 cA�� .A( 7 ��.�r�! (.5.............
-'
Installer Address
PQ V Type of Building � ( Size Lot............................Sq. feet
►., Dwelling—No. of Bedrooms-------- --------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—type
of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( )
dOther fixtures ......................................................................................................................................................
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity., OzalIons Length_.............. Width---------------- Diameter---------------- Depth................
x Disposal Trench—No- -------------------- Width.................... Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No----_--------------- Diameter-------------------- Depth below inlet.................... Total leaching artsa..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by-------------------------------------------------------------------------- Date------------------...--------------.....
,a Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water--.--._.-._-_-__----._-.
44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
P4 ..-_....--•-----------------••----.....-------•------------•-•-•--•---•-•---•---•---•--•-•--.....---.........................................................
0 Description of Soil........................................................................................................................................................................
V ---------•---•-•----•--•-•------•--•-•-----------------------------------•---------•----...--•------••---------•--------•----------------------•-----••••-•-----------------•-----------•---------
UW •-•-•---------------------------------------------------•---------------•---•-- �-
Natures of R-epairs or Alter tions—Ans ewer whe1pl's�b e._ ._:f'��- ��._...l_.__
. '\....CCU _(.. -- cC...\,N-S-------U'------ $-._WG .._.... Ca .......
A reement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been is ed�ihe-hoard of health.
��1 9
Signed ......................................... ------ .........-------------------- ---
Application Approved Bf........f�''2......... ............ �7 - ...............t'
......................
Dare
Application Disapproved for the following rearonr: _------_----------------------
....................................
-..Permit No. �6-r/ .. Issued .............. ........ ..��...............
Date
------------ ------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
G rtiftrate of Compliance
THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed or Repaired )
g P Y ( ) P (
by ........� ---V_!`�^�`' ---------------------------_
at ......s .7....Old ..._HG. "..14
I,..... j � --- .._.... -- �._.... -! ----
has been installed in accordance with the provisions of TITI_ 5 of .die State Environmental Code as described in
the application for Disposal Works Construction Permit No. ` : 7�"" dated ._`""". .. --�°.._.'�,.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE-----, ''' ' - 'C �"... ------------------ Inspect r r'--------
-----------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
C TOWN OF BARNSTABLE
No............... FEE.. .�`Jl
��iu�uuttl Turku �unutr�rtiun �rrntit
Permission is hereby granted `�CA �'r^.r`' .-----•---•---•----.
to Construct ) or Repair ( Wan Individual Sewage Disp sal System
at No.------. 7------.. 14)-•---...-�.-Va(l ---Q M M---------------- --------------
StreeR-^'�
as shown on the application for Disposal Works Construction Permit o � �Dated
_____.✓!_°"��_�_"�
f ................ Board of Health
DATE.......---�-•--/------ - -- .----- - -
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS -