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Home My WebLink About0164 PINE STREET - Health l 164 Pine Street r" W. Barnstable A 153 023 No. 4210 1/3 BLIP a n,, - �ON 10%� r. TOWN OF BARNSTABLE Lk S / 5 RATION 1 SEWAGE #0200� P1 1, /'---- VILLAGE ��S� 13.9Gz.✓rr� �� ASSESSOR'S MAP& LOT 153- INSTALLER'S NAME&PHONE N0.�� ✓s% So 7s i 3 Z � SEPTIC TANK CAPACITY 5 O� G�/tea�✓S i� LEACHING FACILITY: (type s b aCil.� titer Q s (size) ' D X i o JC J NO. OF BEDROOMS - � BUILDER OR OWNER .� 4, ase PERMITDATE: /6 v� 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 i I / e G fNo. rr/�� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: -•� Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ` 2pplication for Migaaf *pgtem Congtruction Permit Application for a Permit to Construct�epair( )Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address 5r Lot No. � .A� /� Owner's Name,Address and Tel.No. Assessor's Map/Parcel 15.3 .--7 LT Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. /L-l-H L'p e✓S % �� O GG�i✓ CH�Pf 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 3 3 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil ;25- Nature of Repairs or Alterations(Answer when applicable) /1//� �✓ /J ,c3&>oC 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 issued by—Ns Bo f Health... gne Date Application Approv y Date � 0 3 Application Disapproved for the following reasons Permit No. C� —�o/ Date Issued ,5 h& O Fee d / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: v Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS-- -�.r` 21pprication for Big;paal *p,5tem Con!5truction Permit - Application for a Permit to Construct Repair( )Upgrade( )Abandon( ) El Complete System O Individual Components Location Address qr Lot No. � / Owner's Name,Address and Tel.No. /6 y f'i r S�T r -P,4 A .✓�E 2 S o,E/ Assesso%r's Map/Parcel 1-5-3 3 XZ3a S Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 1�0 Gf�i✓ �APF Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures DesignFlow 3 d —gallons per day. Calculated Bail flow 3 3 gallons. g P Y Y g. Plan Date Number of sheets Revision Date , Title Size of Septic Tank � > Type of S.A.S. . f Description of Soil, Nature of Repairs or Alterations(Answer when applicable) S`O o S? 3 ,7 Sc=a3- nf�• � J ,�3 v x 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 issued b this Board of Health. igne�d -' Date Application Approv4 Date �_ o 3 Application Disapproved or the following reasons Permit No. � =�o Date Issued 1 (o 0 --------------------------------------------- ' 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 �L h' C.i .r at / 6 / i S T G�/ .�,eaG�rr/ has been constructed i do, ordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 0 dated �^ I Installer Designer The issuance of this permit shall not be construed as a guarantee that the syste will fu ction as des' ed. Date I Inspector I j No. rr)-CEO 1 CO �g Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Migool bpgtem Cott!6truction Permit Permission is hereby granted to Construct(---)--Repair( )Upgrade( )Abandon( ) System located at 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. Provided:Construction must be completed within three years of the date of:th]ispM* Date: /U Approved p b—� y • , TOWN OF BARNSTABLE �L N LOCATION 1.6 ^/L S % SEWAGE #Qo0.3 6/F j VILLAGE ��i-Sr �i''�"�sr`� ASSESSOR'S MAP &LOT-153_0;23 INSTALLER'S NAME&PHONE NO.19��• SEPTIC TANK CAPACITY----,, 5 4U. G.q/��✓S •' LEACHING FACILITY: (type � s`e a Cjfa .5 t 2 S (size)3 D X a X o2 J NO. OF BEDROOMS 3 t - i BUILDER OR OWNER .D�� sa%✓ PERMITDATE: �a /6 COMPLIANCE DATE: I 1ky— 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 i I I 1 s,. G /9 D 1,Zg1 G 41,7 L' bCklI SEWAGE PERMIT NO. VILLAGE IN TA LER'S NAME i ADDRESS �) BUILDER OR OWNER DATE PERMIT ISSUED 13 c DA_T E COMPLIANCE ISSUED r ch j G phi �p-1 ,52 No ............... Fmc .... ...5...00..... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -............._..... _....Tama...OF........Barnstable.....................-..........................------ Appliratiou for Di ipmi al Vorkfi Tontitriartion Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( a) an Individual Sewage Disposal System at: Ping. .... 26faS.-----------•. ............................................................ .. ► ... .: Location-Address or Lot No. David F. And o ................................... Pi ne._Sta.,...Writ__BaxxistableT -----0266Z........... Owner Address W A. &_B__Cesspool-_Service................................................ 128.. ishaps_.Terrace,----:Hyannis,---NSA-----:02b01- Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.........:................................Expansion Attic ( ) Garbage Grinder ( ) .....__.____ Showers — pa Other—Type of Building ............................ No. of persons._..__.._.... ( ) Cafeteria ( ) a' 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. i................minutes per inch Depth of Test Pit.................... Depth to ground water........................ LT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •-•---...-•-----•..............•---•----....._...-•----•----------------••----------.................-------------•---......---•-----•----------•---•--.---- O Description of Soil........Sand................................................ V -------------•-•--••--------•--------•---------•----•-•--------•---------------•--••-----------•--•-----------------•--••---•••------------•-------------------•-•--------...........-----•------------ -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable____installation.-of--a_-1,,,000---g��,],off_. -�3 St, stone acked leach pit (overflow). ) ........................•-------------------------------............................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTIE, 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 oard of health. ' Signed._!!....I.Z•-•---= �-.. t..r1�2��81...-....... / D t Application Approved By-----4— -' .--, /!�.� y --------------•-------•-•------- -----------51-am.----------- Date Application Disapproved for the following reasons-------------•-----------------------------------------------------------------•------------------•---•-•---.... •---------------- ------ •............... •----------------------------- ------- ------- •-------------------------------------------------------------------------------- --------- / Date Permit No81-...•--------------•--............-•---•-••---..... Issued-5/29(81 Date 5. No81—Z7�.... FEB...... ... .QQ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................... T.OWII....OF.......P,arnstal:........................................................ Appliration for Dhipaiial Viirkfi Towtrurttun thrutit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: Pine..St -•• . a...MA....0.2668.............. .................................................................................................. Location-Address or Lot No. David..F. Anderson •.............................•-..-•-... kin.P.--st a WRS. ...� ins atable,--=M&-----02668.....--•--- ......... ...• -------••---•---•-........ Owner Address a A & B Cesspool Service 1M.B lk ops..Texx�ca.....;Eya.nnia,...YA.....02601.. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms________ _________________________________Expansion Attic ( ) Garbage Grinder ( ) ............. Showers — Cafeteria p.l Other—Type of Building ____________________________ No. of persons_......._.._4 ( ) ( ) Q' 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.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water_--__-_-___-_-_--_--.--. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ---------------------------•-•-••-•---•----•-•-•-•--•-•••------............-••-•••---•...••----•............-•••-•-•-•--•-••-•--••••.............-•--•.-•--- D Description of Soil........ Sand.................................................................................................-..................................................... W U ....................................................................................................................................................................................................... -----------------------------------•-----------•-•----......--•----••-----------...••-••-•-•--••--•------•-••-•-----.......----------•-•---•••-------------------------••••----••-••-•--•---•------..... UNature of Repairs or Alterations—Answ r when applicable....installation Of.a.1,,000._ga11..On.- ge-CaBt, stone packed__leach pit �overflow . . . ---••••-• -••-•-••-••---••••••••---•••-•--•----•----••...-•-•-----••---•••-•-------•----------•-••-----•-•-----•.................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTTL. y g g p y 5 of the State Sanitary Code— The undersigned further ices not to place the system in operation until a Certificate of Compliance has been issued by the .oa d of health. ' � l - � J. 5/29/81 Signed_" __ - ----------•-----•--•---• C ` Application Approved By....... !X.... 4 5/29 Date Application Disapproved for the following reasons:................................................................................................................ •--•-----------------------------•----------------•------ ------------------------......--•-••----------------••••-•••-•••--••---•••---.._...-•-••-----------------------•--------------•••---••--•----- 5� 9/ Date PermitNo l.....................•----•-----------....----------.. Issued.----2--•-81-----------------------....._....---... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................... .o.wn..........OF......Barnstable.................................................... QTrrtifiratr ,af ToutpliFanrr T I TO C R�TIFY Tha the Ins' idual Sewn e Dis sal S-stem ons t or Repaired X sspoo Service, tlzt3 I3i`s ops Terce, yann' s, N� u(� ( ) P' ( ) by.................................................................................................................................................................................................... Pine St., West Barnstable - Ravidl' t*"Anderson at........................................................----•-•-••----•----------------- --------------------------•-------•----•----=--------------------•-------.............._.............. has been installed in accordance with the provisions of Tl;;IZ 5 of The.State Sanitary5C�,cle/�S described in the application for Disposal Works Construction Permit No... ......... .2_73._._............. dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....---•------•......�'1 / ............................ Inspector_... ......................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable OF...........'.................................................... ................. FEE.......$...5-.00... Disposal 10orks Tomitrnrtion rrrmit A & B Cesspool Service, 128 Bishops Terrace, Hyannis, i;A 02601 Permission is hereby granted------------------------------------------------•----•---......------•----•••-••----•---•------•---------••-•---•--........................ to Construct ( ) or Repair ( X) an Individual Sew e Disposal System at No................................................................................................................................................................................................ St., West Barnstable, t{A"'99& - David F. A - -- ---------------••-- ----Anderson Street as shown on the application for Disposal Works Construction Permit No... 1.. gated............. 129I81_.........:.... M B d of H" h DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS SYSTEM PROFILE TEST HOLE LOGS TOP FNDN. AT EL. 73.5' ACCESS COVER TO WITHIN 6" OF FIN. GRADE NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE ENGINEER: LISA LYONS, R$ /6-9.0' MINIMUM .75' OF COVER OVER PRECAST I R Y . WITHIN 6 OF FIN. GRADE 2% SLOPE REQU RED OVER SYSTEM TEM 69 0 SAM WHITE, RS WITNESS: CHURCH sr. 2" DOUBLE WASHED PEA5TONE DATE: 11/3/03 RUN PIPE FOR FIRST 2EVEL °/Y \ < 2 MIN INCH \69.5 t / :• 3 MAX. PERC. RATE _ (EXIST) PROPOSED 1500r E y�LOCUS GALLON SEPTIC 6.75' /- 66.0' CLASS I SOILS P# 10612 67.0' TANK (H- 10 ) GAS 65.26' c7CJCOC7 O OME,1a BAFFLE 65.43 jP65-17' [.� O 171 C7 Cl 171 171 E7 1`71 PNE ST. r MIN ( 2 % SLOPE) 6" CRUSHED STONE OR MECHANICAL g 2 m 0 m m A I D hI C3 C7 4 ELEV., COMPACTION. (15.221 [21) `moo $ - IlI3ai� 0 a0C7o 0 63.17 0 68.5 DEPTH of FLOW _ 4 ( 1.5 % SLOPE) ( 1 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE RTE 6 0 TEE SIZES: INLET DEPTH = 10" 29' OUTLET DEPTH _ 14" A LOCATION MAP NTS LS 11' LEA\0HING ASSESSORS MAP 153 PARCEL 23 FOUNDATION 38' SEPTIC TANK 91 D' BOX FACILITY 5.67' 9 10YR 3/3 8 *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL LS BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF 33„ 10YR 5/6 65.75 00 SEPTIC SYSTEM rn 57.5' of C PERC FS -�` 2.5Y 6/4 132" 57.5' 73. \ t NO GROUNDWATER ENCOUNTERED . NOTES: y -: ,r: r PP ,Y �:Ir\Ire / 7°. ur�iv.Ji IS n.. RC J.-$EPTIC DESIGN: (GAPBA.GE DISPOSER IS )_ - _ ` -+r -AUNICIPAL W ATER DESIGN FLOW: _3 BEDROOMS ( 110 GPD) = 330 GPD 2. 1 IS 3. MINIMUM PIPE PITCH TO BE 1 8" PER FOOT. LOT 6 USE A 330 GPD DESIGN FLOW / 3.5 ACRESf 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 SEPTIC TANK: 330 GPD ( 2 ) _ _660 5. PIPE 'JOINTS TO BE MADE WATERTIGHT. USER 1500 GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. ' LEACHING: ENVIRONMENTAL CODE TITLE V. E NG• 4' SEPTIC SYSTEM ONLY AND S NOT = 117.9 7. THIS PLAN IS FOR PROPOSED SE C S STE L i SIDES: 2(30 + 9.83) 2 (.74) TO BE USED FOR ANY OTHER PURPOSE. 4 _ 218.2 PIP FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. .7 E 0 S C S S 30 x 9.83 // 8. E EXISTING l ) WELL BOTTOM: t50.00' 454 336.1 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT 70,29 TA F. GPD TO L. S INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 70.67 ELEC METER USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR FROM BOARD OF HEALTH. T ND AND 2.5' AT SIDES 10. PUMP & REMOVE OR FILL W CLEAN SAND EXISTING SEPTIC SYSTEM EQUAL) WITH 2.25 STONE A ENDS ( / ) DECK I v r ) n� ou DRIVEWAY 4;ABOVE CssS' 66. y 66.24 D=73. UTILITY E C E N TITLE 5 SI TE PLAN F=73.50', Q POLE i \ 74.72 TV ANTENA PAVED �`vo\c� 100.0 PROPOSED SPOT ELEVATION OF DRI o, ' 164 PINE STREET .,�'6�95.72 SSPOOLI� � 70.38 100x0 EXISTING SPOT ELEVATION_ 9 IN THE TOWN OF: 89, x + 9,0` 0.89 100 PROPOSED CONTOUR ( WEST) B A R N S TA B L E Lax4,65,01 AP + 8, 1 +70,27 +f,5,9�3 EZ5 23 CES L 1 ., 4 WELL > 150' i '^tv65.58 THtS LOT 100 EXISTING CONTOUR PREPARED FOR: DAVID ANDERSON 5.78 6 .71 10 +69.1 +71.3 BENCHMARK NAIL IN OBL W PINE &7, a ELEv=72.1 40 0 40 80 120 CE SPOOL +67.90 +7 23 BOARD OF HEALTH S 21 MA SCALE: 1" = 40' DATE: NOVEMBER 6, 2003 D.0 0 � - -APPROVED DATE �67 1 TH Lal - O +6 O h0 + off 5108-362-4541 fax 508 362-9880 .83 VACANT 9.70 I vt�OFMS , inc. �� engineering,eerie down cape ARN� of P b°� ` � O H. � 1N MA �ti ALA ARNE H. GJ, CIVIL ENGINEERS Na, 634B o , VACANT LAND SURVEYORS wIL ` 0-3 939 main st. armouth, ma 02675 A L.S. DATE Y A 0 sio ac �\ 03-319