HomeMy WebLinkAbout0281 COMMERCE ROAD - Health,E281 Commerce Road
rnstable= 318- 011- 011
OWN OF BARNSTABLE
LOCATION SEWAGE# L490'
VILLAGE C3f�2,t/gTR(3 c c ASSESSOR'S MAP&PARCEL 3.16 //-o%
INSTALLER'S NAME"&PHONE NO.l 66, f3t1�j3�9,t� �h � So 3
SEPTIC TANK CAPACITYX
LEACHING FACILITY:(type) - 560 C(-1 61*0 (size) /3 X 9,5 x;L,° Fla-0
NO.OF BEDROOMS
OWNER l
t
PERMIT DATE: a�,Xi COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Welland 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
.3..00 feet of leaching facility) Feet
FURNISHED BY
2
5 sit
No.C600 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ZippliCatlon for Misposal *pstrm Construction.Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. a.0 C Owner's Name,Addr ss, d Tel.No.
Assessor's Map/Parcel 3 1 F- !/ /
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. rarr 3 p — C�
Ohs A_611 ts ce,30 SG-t¢�'
a31EA� Dom ,
Type of Building: S A �,✓d��``�
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder NO
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 1101L 3 Z. 3.30 gpd Design flow provided 357a, gpd
Plan Date 74 U aG ' Number of sheets Revision
Title i$�Size of of Septic Tank /4600 Type of S.A.S. (9 ' COO Cog`/d� G—��'
Description of Soil cS�Le Sod /otl
Nature of Repairs or Alterations(Answer when applicable) See SegAt /)e Sj--Y h
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 t place the system in operation until a Certificate of
Compliance has been issued by this Board of H a si
� Si ed � � "' Date � �
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. 11qD Date Issued
----------------------------------------------------------
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No. � _1_U9.
„ M Fee ".
THE COMMONWEALTH OF MASSACHUSETTS, Entered in comuter:
p —�—
PUBLIC HEALTH DIVISION - T k -N-,OF: BARNSTABLE, MASSACHUSETTS , Yes
application for 10ispo5al'*pBtem-(tons truction J)Prm't't -�
' Application for a Permit to Construct( )- Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
p Location Address or Lot No. " �. Owner's Name Address,and Tel.No.
Assessor's Map/Parcel
Installers Name,Address,and Tel.No. CGf-e,o t 6a;t r 7 Designer's Name,'Address,and Tel.No.
Type of Building:`",-"A /All
w,:x Dwelling No.of Bedrooms 'f Lot Size : sq.ft. Garbage Grinder O�
Other Type of Building No.'of Persons } ` Showers( ) Cafeteria( )
Other Fixtures d a
F. Design Flow(min.required) I'OX? Z. 33Q gpd Design flow prq Ided ,3 3k gpd
Plap• Date 4 h f O, )�0941 Number of sheets r` R Revision Date
Title
Size of Septic Tank Arw Type of S.A.S. " 5,00 C 9//G'
Description of Soil t',-f Sni
Nature of Repairs or Alterations(Answer when applicable) . Sep elm
Date last inspected:
Agreement'' r
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
A
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 H`ale �' C
Signed` _� r17 i Date
Application Approved by �--^�"y r Date
Application Disapproved by " vw Date
for the following reasons .
- r r
41
Permit No. o 1 Date Issued r / /'✓ '
--------------------- - - - - - - -- -- - -- -
4
b
THE COMMONWEALTH OF MASSACHUSETTS
F BARNSTABLE,MASSACHUSETTS
A CPftificate of Compliance
THIS IS TO CERtTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
.. Abandoned( )by
at 4 Lrl COMA 0-rC-*- �r-C�afiti i 7 f 0 5)1 bi-baAeen constructed in accordance / 1
with the provisions of Title 5 and the for Disposal System Construction Permit No j -a"C,I. '%ated
Installer rt1�1� 6,(,TJ-4,S C0ki� 11 Designerclor
#bedrooms Approved design flow, t--1 L7 gpd
The issuance of this permit shall not be construed as a guarantee that the system will function) designed.
Date Inspector
" /
- - _
No c ak) `" V�*' Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Nsposal *p"tem Construction j9Prmit
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 recognized his/her duty,to comply with
Title 5 and the following local provisions or special conditions.
j.
Provided:Construction must be completed within three years of the date of this permit.
Dates / /c Approved by�
.
`J'n -
Town of Barnstable
�•+ Regulatory Services
Thomas F. Geiler,Director
a BAENIMA 3M s
t,� Public Health Division
639. Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office:_508-8 2-4 44 _ .<<; :. ;,> Fax: .508-790-6304..
Date: Sewage Permit#a®� ® S Assessor's Map/Parcel 1��
Installer& Deshmer.Certification Form
1 1
Designer: Installer:
Address: ��� 7 /;3 Address: 3 `h f e rp ci k kd, �?a 6v,A 6-f
On a a D U r - S 6r& &-Cet�I was issued a permit to install a
(date) (installer)
septic system at 29� ,11,W)5 based on a design drawn by
(address)
��✓� � ���� �uL 74' _)A�l 2aZD
dated
/ (designer)
v I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Stripout (if required) was inspected and the soils
were found 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 Regulations. Plan revision or
certified as-built by designer to-follow:--Stripout-(if required)was 'inspected and the soils
were found satisfactory.9-1
OF
(Installer' ature �" HPW.ES
G�STC:
t: esi er's Si a e ; . Affix DesRINems"S'tam Here N ,
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
q:\office forrns\designercertification form.doc
SOIL TEST
TOP OF FOUNDATION 20' MIN!-VUV FROM CELLAR OR CPA�8t SPACE
IN- TEST �ANUARY 1 c
100.00 10 FT. MINIMUV 10 ;-T MINIMUM PRON' SLAB DA E OF SOIL
SOIL TEST DONE By �5�fs 17, TPT-19-242
ELE V. CLEAN SAND ke-&-
(ASSLMED, VATNESSED By
l,)NQRETE 7INSPEC190IN PORT
COVERS7 LOAM AND SEED
4" SCHEDULE 40 PVC PIPE
MIN. DITCH 1/8" PER. FT. 2" LAYER OP OBSERVATION HOU 1 ELEV- '4O�t3
1/2" PER ,0LATION RATE 4
AT j,JC_ES
WASHED STONE rA
9.00 1 — 1 1 1
crp-rH
m OR l:;lJFR FABRIC! :07HEP ? I
4` CAST IRON PIPEzal 42.57 MAX YENI iz TEY-ORE ;COLCR morr,
'1CYR3
90.32 WIN. NOT REWIRED 4 t
SL A,9 E�_Ev _44
(OR EOUAO MINIMUM lAp j,,OAMY SAND N
1/4" PER FT,
E
kL RS T E
1T.
6 ti f 24" t B OAMY SAND :"(;Yr-,6/4 iROOTS
24 32" 'C it"04MY SAND
FLOW UNE 0 - C.,
"ARSE S
:7
MIN. I'L,6 3 2 IC3 ISILT _OAM
I \'ELEV
Lf VEL 0 C7 0 1-5 cl CD C3 0 Co cl NO WA TER E%, CCkj,\,"FRED r,T
F) V,
E�,_Ev Af (�AS %j, - L
Do 89,22
BAFIlf EL`E ci 0 Cl 0 10) C3 0 'n
DISTRIBIJ71ON OBSERVATION HOLE 2
i EV, 0 Z71 0 0 L7 0 1:1 o 'o I-, n
T
Ar ii_0AMf SAND fvl YlRe/If PC 0 TIS
"EXISPINIG'
.1 TO BE WATER TESTED V 2 5GO GALLON GALLEtS 0s-!
47_N_ I pNmo
LP ID OQ TLE T c a6.82
_Llv T EXI RE c�'u 1
HORI
TH, TEE: Box
15 fit T_ 1 9 14 2*s
YORE 7-tAN CNE OUT-LET 'iTQNE iN AN OAMY SANQ 10YR6/4
6, ffET 24 INCHES 1000 GALLON
zk
-n ot� 2. 2
/2
4.. 7 FEET 29 INCHES T RE R!ACEC ON FIRM SASE) is x �w X 2' PENCH F Of V4, WEL:
1, FEET 34 INCH SEPTIC TANK .02 Zo, �_OA#kf SAND �5�
(Lv) 17
41 TO 1 1/2' CLEAN E SAND
iNDFX
DOUS',_E 'hASHED S-TONE SOIL ABSORP*ncv
l!qc-.1 n
FIR f E "D F FINES & '31 T
TEM (S
- SYS
"SG5 PR EtEV,?ROE WATP
SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER "ABLE I ELFV
NOT 'TO SICALF BOTT(* OF TEST ELEV_
DESIGN CALCULATIONS
A 5 BF "p 3
v
90-
Y'
Coll, ib',djTEST _2 A— EJR,)
TEST 1
r o)
k
V! p",
i-OT
-49, 72J 0
CO -\92.5 LE,
CIMIT, OF S"
RESEPA,
-Qki&p D I
64 NOTES:
-��'RiA�_`; '�KVL CONFORV F
A VD V
i',_E 5 A!,D 93.4
THE SJESijPFACE DiSPOSAL OF SEYYAG-:,.
S' �!AR
2 ALL !XVFQS -,,N ',J'41FS SHAL_ HE
el
*TliIN C 0i:
8 P.5 ALL CWPONENTS OF THE SAN�TARY Sri'EM. SHALL CA�31'K,E C.)fF
-TANDWG H-10 LOADING UNLESS THEY ARE UNDER OF, vwlT��4IN,
10 F"T. i7;F DRIVES OR PARKIN,-, ARFAS lv
4 1
H-20 A)AF):
�V
/S TIE MASONARY UNITS JSED T
r yam.
BRiNG -_�'�)VFERS C' G-%'A'-`,E.
_AF/ - IN PLACE,
99.: AN
EIL MOP; ED
X
5. NO F�' f"EWINATION HAS 2`:EN' MAD AS TO COMPLIANCE WTH
T104S. OWNER / APP41CAINT I'S TG
7,01WNG REGULA
""'RMINAT)ON FROM APPROPRIATE AU-H _fTy.
4Pt APPROXIMATE ONJ.Y, EXCAVAIION fONTRACITOR
yr, N A
-SAFE' A' 1-888-344-7233 A7 AST 72 HOURS
!o �.,OMMENCAIG WORK ON SOT,
PR 1�),R
67.2
C OR IS 'TO VERIFY GsRADES AND, EL.EVAT:0N`- AS L "S
b �CNTRACT KU
it''Y
SITE CONDI PP,11 OR T COMMENCANO WGRk ON -31 Ak
>e'99,4 -0 BE 8R0JCHT TO lH-
IS A,"'EN Tt ON O� DE5�
IMIVE 'ATEL.Y.
8, PARCEL IS IN F;LOIOD 7lNl;!,lz X A AE (M14)
A
9, _0T 1
SHOWNI ON ASSESSORS,
✓ �x` ``` `. j 10, ALL UNSUJA&E MATIPIAL f3f ',-'ROM ANO
Apn
FOR A AN-) 10:
REPLACED, WITH MATERI4L 4, fA R 5_25
82.7 \84,4 11, rHE LEIR 'S TO GIVE
(2 WORKiNG DAYS4 NOTICE FOR 'THf' FtNA_ IN' ✓NJVK_q
/>
12. EXI'STONG PIT IS TO' 13E �-N�, P-At
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V3EN T
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LEGEND:
C;13 P, Of- BOX 713
SF`t_�` ELEIvAT'ON 00�11�
SoLl"H DENNis, MASS.
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