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HomeMy WebLinkAbout0072 MINTON LANE - Health - 72 MINION LANE, W. BARNSTABLE A=174-028 P No. 4210 1/3 BLU a � � ESSELTE 10n/a O ® 0 0 —'TOWN OF BARNSTABLE V C, L1" S,�N.L-O'TI XI SEWAGE # --71 VILLAGE ASSESSOR'S MAP &LOT tZV-0 A INSTALLER'S NAME&PHONE NO. Linn syr 7-7/ q t zX SEPTIC.TANK CAPACITY i b 0 O LEACHING FACILITY: (type) Q iTS CZ� (size)l.65b NO.OF BEDROOMS BUILDER<DWNER-1 -2— PERMPTDATE: ! Qy COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 Y 1� + A(7 b\ Add( No. �' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for Mizpool *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. W TU Q t,r_N�, Owner's Name,Address and Tel.No. Assessor's Map/Parcel t 7 Off% Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Bc�CC�1 0 eo 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 gallons per day. Calculated daily flow gallons. 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) A102 C-A)E I—n4M G,'A1_L n n) L4 irJ if Atat)njp jo' 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 Certifi- cate of Compliance.has been issu d by this Board of Health. Signed Date QQ:t 9, 19U Application Approved by Date lo , 9'm- �C Application Disapproved for the f owing easons Permit No. — Date Issued i TOWN OF BARNSTABLE 96 -97 LOCATION IrGT �I (�Z1 w��� 10.r * -- SEWAGE # VILLAGE \ .•�- =cz- ASSESSOR'S MAP &LOT l Zy-Q ` c V- 7� l INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY C D LEACHING FACILITY: (type) Q t'TS 2 ) (size) ��� NO.OF BEDROOMS BUILDER 0 PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Feet is Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by i i I i 1 ' V i 5 17 No. Fee5722 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ PUBLIC HEALTH'DIVISION' TOWN OF BARNSTABLES MASSACHUSETTS Yes ZIpplication for nigaar *p,5tem Con!5truction Permit Application for a Permit to Construct( )'Repair( )Upgrade( )Abandon( ) O Complete System El Individual Components Location Addressor Lot No. (V\\W TU rJ LAN Owner's Name,Address and Tel.No. cAk A.i�� i Assessor,s Map/Parcel. f )0 .r S P. Installer's Name;Address,and TeONo. Designer's Name,Address and Tel.No. M etLet, 0-0*) sr e0 . Yr MCA- Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers yp g ( Cafeteria( ) Other Fixtures i Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil ! t ,i I Nature of Repairs or Alterations(Answer when applicable) ,A .l�, T�� rAj-I a j,) /�S,csn� / L 1 Date last inspected: I Agreement: i 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 Certifi- cate of Compliance has been issued by this Board of Health. Signed Date Ck-,� 9 199� Application Approved b T PP PP Y Date ¢� _ �w Application Disapproved for the f owing easons j r Permit No. Date Issued - ——— —————————————— ----------------- THE COMMONWEALTH OF MASSACHUSETTS ' BARNSTABLE, MASSACHUSETTS ` Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( ) Repaired(� )Upgraded( ) Abandoned( )by We:Uyt (►J S= / at 2A 4,i nJ7b n) z_. t, .A� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. /` dated Installer 1A\0 )4_gz fco ]-o— Designer The issuance of this permit shall not be construed as a guarantee that the system w' function as designed. Date ZL _ 4/ 7 19 Inspector No. 1,r � l� --------------------Fee 1 f THE COMMONWEALTH OF MASSACHUSETTS i PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS lwigpo$ar *pztem C I1$tructton Permit Permission is hereby granted to Construct( )Repair pgrade( ),Abandon( ) System located at ?9 AZ Al:0,J { and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to i I 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 permit. Date:_�42 / Approved by • nl 2 & ,?7 Z S,I=1 ` LL) 1 IA I � 49 Q � , ' t o O \ �� ��" J \ 1 F2i S Iva OF A1,4 SD P�� ✓�4TE Ww� f CERTIFIED PLOT PLAN i ?�/ ROFf'Ri LOT" 2 / MiNTa .. rsrrucE �F/V7ET�V_//_ Z._E' w rn �r ELDREU ' . o MORSE ~ �� " 1N 1 �SL�?'� �FPSIONA1.Ea0� J .1:-A _ , Z, SCALES "_ go ' DATE q .DREDGE ENGINEERING GO. IN CL@EN'i'�N�R{�cn. I CERTIFY THAT THE PROPOSED EGISTERE REGISTERE® 83 1-0 JOB NO. ,� 9 BUILDING SHOWN ON THIS PLAN � CIVIL LAND CONFORMS TO THE ZONING LAWS E N G I N E E R Iid R Y D R.8 Y _.,!_._�_�'I -- OF PARNSTASLE MASS. 712 MAIN STREET CH :BY.�` . MYANNI3, MA3;Sr ��. -- SHEET:" 'AF 2' TDAf E REG. 'LAND SURVEYOR 1 ,�OfZ'f ION 7z-� SEWAGE PERMIT NO. 1 m ik4� g la 7 VILLAGE INSTA LLER'S NAME & ADDRESS R UILDER OR OWNER .� DATE PERMIT ISSUED C O DATE COMPLIANCE ISSUED r ,. .. . S� � �� zy Z� -� R (.b� Z-l O �- �,��� •�No..............�.. Fxs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH lv....oF.................R,4.R,,AV..__ C l ............. Appliration for Biipnsal Workii Tomitr trtion Prrutif Application is hereby made for a Permit to Construct ;-IV or Repair ( ) an Individual Sewage Disposal Sy tern at ---••-•. ------------------- ........ Location-Ad ess oreo. ---------------------------•-- --�'rd� •. .�1l. 1 - 1�l ..........Acky-------Z.o......... --.............----•- Owner / Address a ............................... . ,11!L ......._/ ..s.G._0�/.. ............................................... Installer Address Type of Building Size Lot_.4!4�-_9:.Z:..Sq. feet Dwelling—No. of Bedrooms. U ................. Expansion Attic 7 Garbage Grinder Yam' Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ............. W Design Flow....................1 ..........._gallons per person per day. Total daily flow............... .............gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ W Disposal Trench—No..:.................. Width.................... Total Length.................... Total leaching area--------------------sq. ft. x Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank ( ) Percolation Test Resu1 s Performed by............................. --•-••. ••-•- J.-O ...-7 �------------- Date----- Test Pit No. 1.._ � xlinutes per inch Depth of Test Pit..._..__.__ De ground water_.___ (i Test Pit No. 2__....�.minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •--•-••--•-•---------------•------• 1 --- . o = o g... s Description of Soil -- ................................ �.. W •--------------------•-----•-------•-----•--•---•-•-----------------------•--•. ... / �/` .•------------------------ --------- UNature of Repairs or Alterations—Answer w n appli�age--. .___-_______J�-i.f! ...�__- --_---� ___. . 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 a s not to place the system in operation until a Certificate of Compliance has been issue he board of ea th. Signed................ _ ----..........._.. --•--------. ......................... ... ate ApplicationApproved By-•-•-•--•-••-•-••-•--••--•-•-•-•.................•--•-----•--•---•-••----•-•---•----........••--- ..........-............................. Date Application Disapproved for the following reasons-------------------------------------------------------------------------------------......................... --••-•--••-•--------••--------------------•--------•----..........--------•-------•---•--•---•-.._.....-- y_ Date PermitNo.-.-. ................................................ Issued....................................................... Date No. .-..._.......7 FEs..........................._ THE COMMONWEALTH OF MASSACHUSETTS _. BOARD OF HEALTH .....OF................ �, ...:.._._.................._ ppliratiun for Disposal Works Tonstrurtion Prrutit :yam r Application is hereby made for a Permit to Construct�(, or Repair ( ) an Individual Sewage Disposal System at: ................. - ............. ...----- ... ...... --------_----__---- Location-Ad ess or Lpg No, ............... --- �.e°Z�/��c ��r.. � ��trt' `�---- ...�� ..>�--•................. .-r • -•---- -•--••. -y w. - Owner I/ Address i� •}^'..... •s:.!�.tt......:... ....................••-•••-•--•--•---•-•-•- h a �, , -- ...---._.....-•- ---•.. Installer Address Type of Building Size Lot. _.. U yp g �. Y.7�:_._Sq. feet DwellingNo. of Bedrooms................. ...._.._.__._.._._Ex Expansion Attic Showers Gala e Grinder ( ) a Other—Type of Building ............................ No. of persons..........___.._._ ( ) ' Cafeteria - p g Y QI Other fixtures:................................ W 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. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by........................... V.te i...C�r Date....... r r Test Pit No. 1-_t :_5.5.minutes per inch Depth of Test Pit___.__I..�v.... Depth to ground water..... Test Pit No. 2...... .minutes per inch Depth of Test Pit..... ....�._... Depth to ground water__/-���� � Description of Soil.............................................�.1 --•-�-•--.----•=---G-�.�..-•�-------=..- 5 4a-- .'" x -----------------------------------f..&- -�= = = U ! W ------------------------------------------------------------ - ---� � s----------------- -- - ------- --- ------- U Nature of Repairs or Alterations—Answer w en applica e....^............... ...�`.fn:!e-__ � ` ..___.$ _ ; .--••------•••"--•-•-•-.....""-•"••-"--•-••-----••--• 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 a j• snot to place the system in operation until a Certificate of Compliance has been iss�d�by}the board of health. b / Signed .._�;-r ------.--- Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons----------------------•-•----------•----•------•------•----•--•--------------•-"---------------------....._-•-- ..--••-•-•••---•-"-••--•------•------------•-•-••--••".....--•---•------•--••-----------------------•-•--••--•--••---•-•••----•"••"•"••••-•----"-••---•---•.....-"••--""-•----"--•--"""-"-"•-••-----•--- Date Permit No.... ........... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......OF.............. jJ//�J� !.."�.:.................---.. M1 `. 1 ,�•� wrtifiraW of fl amplianrr THIS IS TO CERTIFY, That the Individual Sewage Dispos ystem constructed or Repaired ( ) byt " �r ` - --------------------- ----- ----------------------------------- - -•_ Install { at. ------------ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction'Permit No......................................... dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................................................... •------- Inspector............4,ll— ._........................................................... THE COMMONWEALTH OF MASSACHUSETTS k . BOARD OF HEALTH ,/ � :�'''....o F........ .%:d ,�G �- .................... %C� - .........., Y +.,......... No.... FEE........ ............ Disposal Work ons#rudion rnmit Permission is,hereby granted fir"- °= ' 1 ,- L ••---••---- to Construct or Repair ( ) an Individual Sewage,Disposal System atNo........ .................................................. ......... - • `�� /l,l :_r,(� z....... ,.-.Ar._� ,! �.r•' :•- Street p7 7�7 y"'7 le as shown on the application for Disposal Works Construction Permit No.':.................. Dated..._....._, ................... Board of Health DATE................................................... FORM 1255 A. M. SULKIN, INC., BOSTON 0 .16 �9 (,- , ) l5o F'><"t�N7•AfrG. . f43 S�T13cas 145 -� i� Al V W n� TV4a J . a , 8Y CERTIFIED PLOT PLAN �d�li4 Peas, (t1 OFM qss LOT 2 I M i,V 7-0 n/ ft i►/E ROEtERT EIlul gRED rnoesE I N # No-109551�0 66 _r \ ND SV r SS/ONA1.6a t �— i SCALE, / Sw DATE, 6//� - LDREDGE ENGINEERING C0.LIN _ L C9.@EN'i': .a I.'CERTIFY THAT THE PROPOSED MISTERE REGI,STER.ED JA ;N® 83�2 ,°. BUILDING SHOWN ON THIS " P L-AN . CONFORMS.. TO THE ZONING LAWS Ehd01NEER R Y OF ARNSTABLE + MASS. # 712 M Ai N S.TF2Ep,1,rt y Ca®Y�'„Tz,f3 H:Y A PJ N 1 ,3 , M A S$r��, F ,<� «, 2 /... y ' `"> s SHEET......OF. ...._. DA E. . RE(3. '' LAND SURVEYO17 r . , •.aj .t �n a ` ' r'4� ,. �, r r .y 3 .. Al I!r< ©R ' Z40 P7. t�tid• L.EACII�/VG PiT..4R�'. A9®1!� ?` s�9JS/;92" FLOI' : . !O I p!/rV �lgAAP&j A a�>s4/k9�ET.�R C®�Gae ?'� K' JP°�.�' SHALL ®JF J9040fAd NT .T® �•/ .4®�.�'iiJV I(T/�i� # GONCR�7E q-Pvc P/PE J-/�--.4Vy CAST IRON COVE-JT -Tyi$GL'd�.E /•f/N. R/TGN /F/N DRl V.&=WA Y COYeRs A, FT MOF MIA,.P/TOr1l — /--- GA4L. • . 0 1 • . • o . ® • a � jyAS'H DIET. SjffPT/C rA)VX 0 • O • . • e • 1 • a BOX • ! e o o •• • •i • • o ® • v • 314 ,f2~ WNE O C 1 1 • • e o e• i • v e t _ • a 2.?� . x ?S= S�5 .•�� • 6 e o 0 . o •• • ® s F'RECA s T SE.E-AaZ' . //3 x /. /?._ /�3 • .m. 1 a • o o' e •• • i ee o ®/T OR (//..i✓ . P/T c-", �T�—�7 8 ��L/D.4 y / �. • • • e ® o • • ® m a . 4�rY�7' A-r aal"/ate Fr. 3 /Z F�: oi�ri�. C� � ��loAo I�LEF WPr/C Y.4/VK. 40V7LAr7'S&PP/C 7 A- lVIC /3 q..3 FT-3 9 -- - /IOIe{ T Ai�T�/��PoDN X_/ :y�T. -TE'C7^/ON 4 F CaR®u/!/o JW 7ER' T. 8O E ': O�ITLFT®BSTR/.�i '/ON1X l 3 �fSf .$TRIM a5'EA GE Yf�'P0aa _xr /A(LkT LEACRI142 P/T l 38'oj..-p; �i���L�+1-�!® LEACH1,11/6 P/T ®IMEM. 3 R'T. Y t �' SGA�E : %s s / -D ®1MAWS/ON . �-�r-f'r- �:; Ma//�f�ER ors��OO�S 3 D/M�`A/S00/1l G�_FT.M,rn/ N0 SO/Le L-0G TOTAL AV '3 o G,44. DS'A SOIL TETS 01 SOIL TES7-02 VUA48EjP OF d,EACRINZ P/TS l / FtEY. l3-7.9 �L� Y* , pal TE OF S®I L TLEST S/3 /� S/l3E Lg�4eHlMG ®EFL r � z l P/7- S¢ 3 E r c ®OTTOM L�G'K/NG PER P/T l 3 so. ,eT. L D �✓� AWRCOLAT/ON AArW'O/ /y!/K/lNCt� �v 5 v!� �> c.� 77.0/V RATR A2 T 2�� TOTi�L LZACN/NG AR,-- A _SQ. FT. �_' i .RESERVE ZE.4CNIAr6 AREAS 3?t 54. F T. l z ' Lo 7 Z-/ A411V7-077 /�►!VE N OF Ar V//L L� RSE ti� /.r J ) mod.®JRED64E EN&INMWsNG eac. ELvRFDG ho.10951 O o p c►vr �Q 7tZ MAIN Sr, HY-ANIVl9, MASS. rL . /Z?, 9 0-51 �° GrSTE G'L !�' �FSc/pNA NO arTOUNO L� ® yti4TgR !J6tCOU/VTfR TT GRFEri/�/zrE� — C� GR O U/vo W-4-rER A r �L J p�'Nb S 3 z o SHOT ZOO -L