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HomeMy WebLinkAbout0232 COUNTRY CLUB DRIVE - Health fk. 232 COUNTRY CLUB DRIVE BARNSTABLE A = 349 035 • Ct 41 ' r s : • d... r u 1 S ,r/�F e f'.t' n 5 " .: 1 " . � 'Sat' d� 11� . - h •, v r � .' �. c � - x t + i r . : '.a- a x•, •':.„. p�' '.0 ( �.t,,j'y0 - `. �'it. ^ ' ( }f i a i.t a . p s, 9 [3 .A`k h `.. � � ~' � ,6r r � ' �• u + ":1, ..v ,. F / � .< ., c n t 4 , vi a r .. i. s y'r a a r, , � , .'-r J' fr.- ar FC o l Y P t • :'. < ' � , it - c• � v - o T. :x y ` y , ! p e ' y r y ^ y r 1 a y .- 7 ,. a V• Z1' h ,:4.. .•.� d ;' ; : .. ,..�` +f , - � , - , ,, a , v n , ^ , L B � C �e , r p , •i ! , v „ t i` , , 1 t 4 , f Yr IS [ f c _ ,n h v- , r !+ rn E , e • 77 n1� V. �� •3 r, Fr ,� 'd' d` i •r, .,jl `! ,ry. 4 r� r a A� - .P .� a w n r � s 035 i I IT T -- f T I 1 f ctilb � i III' i ; I I' rr Fj � I �. _ � ' .+.-..w.,....+v+w.+• ^Or7er f�i� .�.-a-re�w�,�y....�.�.,'"+.vYw.*� -,r i yoAr- V v ;.. i T TOWN OF BARNSTABLE of -;VOCATION SEWAGE # C?5410 VII.LAGE ASSESSOR'S MAP & LOT D INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY i S uc1_Sep�i C t,,�-itk LEACHING FACILITY: (type) lemeya_1�p/4 (size) NO.OF BEDROOMS BUILDER OR OWNER Pm x. W uuslo 1 i PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: ti W.�.-r E e Ne vee Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 6, Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) 1 �� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) . All , Feet '' Furnished by 7�ucklw i-,O c . - -.,, c..,er J )\f�, °� i 3�� 3s' S�, � � _ � < < < TOWN OF BARNSTABLE OCATIO119 Country Club Drive SEWAGE # 95-810 VILLAGE C um m a G u i d . ' ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. C a s h ' s Trucking Inc . 3 6 2—3 2 21 SEPTIC TANK CAPACITY 1500 gal . Septic Tank LEACHING FACILITY: (type)2/10 0 0 g a 1 . Pits (size) s NO.OF BEDROOMS BUILDEROROWNER Freeman Winslow Jr. PERMIT DATE: "8/31/9 5 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility No Water F o fad Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) N/A Feet Edge of Wetland and Leaching Facility,(If any wetlands exist within 300 feet of leaching facility) N /A Feet Furnishedby Cash ' s Trucking Tnc- _ 1 L ds IV 0 3S 3S� S� 3� 3q7 o3� FEB THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Allpfiration for BiaVn3tti Wor1w Towitrttrtiun Frrutit Application is hereby made for a Permit to Construct (/-/-) or Repair ( ) an Individual Sewage Disposal S stem at 232 J- G�u3 ,�/� Ss�Tzs � 3a}o �. s .... --------•-•... ...... ...--•-------•-•-•--••-•-•-••........... .. Lo do -A dress ; or Lot t�,,R EM?i-�L..--j----� L�V 1. e1..!`-1%�T a- .G_ I TzL_ �E}.........................................Nt - 0 � O ner � Address �r�+ 1. ;;3 -�------------------------ -- ---------------------------•----•-------------.... = Installer _� Address Type of Building ,I Size Lot.. ;5...........Sq. feet ., Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures _______________________________ ___ 415...- Design Flow.........1.��___________________________gallons per p r day. Total daily flow----------------------- WSeptic Tank—Liquid capacitv_1.`��__�galIons Length-1----- Width_._'_.'<<.__ Diameter-_------------- Depth.._r�..�$" x Disposal Trench— .................... Width -._ Total Length.__-- -_(_ �. Total leachingarea_.. . sq. ft.o. � ���SeePage Pit No__________ __ _ _. _ _ e_ - -�i g __..__._.__.'.�sg ft. z Other Distribution box 0-,C) Dosing, tank ( ) / Percolation Test Results Performed b TZ!a.........................Tj Date____-��- /-O�' Test Pit No. 1__�i_ __.minutes per inch Depth of Test Pit_-_���___11--_--- Depth to ground water--l�4-N-E_.__-_.-- f=, Test Pit No. 2...Z v_._minutes per inch Dgth of t Pit--.-_I ! _____. Depth to ground water..._L`� .. r I� a l LLoC.r.TI.... -�-t'ST 4z .......•---•--�--`W3Z l£ST ++..L+�S.---... 38� D Description of Soil.._�E wit__ Ld6).�............. �L� o ��_ n ---- L --•-•-�..----�•........................ V .............C. 'I N�._...-5- Q l►v.. .. ....�^ � p.� .i ............... -------•----••-----•----•--•-•------------- ---••-•---------------------------------------- x DESTGNING-ENGINM V Nature of Repairs or Alterations—Answer when applicable-------------------1NSTXJAT*N- -- -•--•-•••--•--••-•----------•---••---•••-•--•---•-•--------•-•---•.....•-•---••••--••--...-••-•--•-•----•---••-•--•--•------Tlil: Agreement: ACCOM)AIRM 10Igo • 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 be���eni,sued y th boardA health. Signed ....C'i2L��/----I.. "':.................. Application 6_:T__0---------------- A A �� ------ --- '--------- —...... ..... - --- �----------- .. Approved BY f���1/1. .:: -- Application Disapproved for the following reasons• -----------------=------------------------------------------------------------- ----------------- --........__ -------------------- ---------Da[----- - Permit No. ..... . ------------ Issued ..........--..... ... ...................to ------------------------------------------------------- ----------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BAR NSTABL SIGNING ENGINEERMUSTD WRMNE STALLATION AND CEpi IFY G'��RmNG Cnelrt#ifirate of TIImpYi� MHEEppSYSTEM VAS MTALLED Gb THIS 1 C TIFY Tha elI d' 'duaI Swage Disposal Syster14' �ructe orrRRepaired ( ) b ... ---- ....... - _ y ........... Insc Iler..... CU) has been installed in accordance with the provisions of Tl'rLE of e S re PAAS ironmenta`I Code as described in the application for Disposal Works Construction Permit No. .... . ..... ..... ... dated .-------..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B ONS UE A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE---------------------------------------------------------------------------------------------------- Inspector ------------------------------------------------------------._.._..--------------------- . Fmc..... /00 ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD fPF HEALTH - TOWN OF BARNSTABLE Appliration for Uinpoml Wor1w Tunutrnr#inn rrrntit Application is hereby made for a Permit to Construct (/X) or Repair ( -)'an Individual Sewage Disposal System at: / Cif r3 _ ��� ,n—<Lsc- 3S 41 Loc ti° -i:\ dress I or Lot o E:M i- /�I t t Sl. 1� `�j I c�,nTz ca� Gt szL�E� rN `T��Z h Owner (� Address ----------�-•-••-------- --••--•-••••••-••-••------••••--•-•••--------•-•-•••••-----•-•••--......-••--•--- Installer Address _ U Type of Building I Size Lot__ ?��;`� _ .Sq. feet L_I Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) p-I Other fixtures -----------------------------------_ .......... d 1 &ccszt�-A,t4t� Desi n Flow.......... I P.....................•.• gallons-per .person p(r day. Total daily flow-------------�'--------------_--------gal 1 t _lons. WSeptic Tank—Liquid capacity:_�gallo ss )Length_(e---_ Width__` _- 1_ Diameter---------------- Depth_-- ---.` x Disposal Trench—No. ________...;.---.. Width--- Total`� �...._.__. Total Length__________________.Total leaching area.._____.........:--.sq. ft. Seepage Pit No.__-__-2...._._.. Di✓ameter.._..t!.- Depth below inlet.(_.�^bl�... Total leaching area!'t5_-_-`4_Usq. ft. Z Other Distribution box Dosing tank `-' 04 Percolation Test Results Performed by .nT ���...... L�_.._.. Date.._..{+.� ..... ►.7 •2 p , • inch,'E tf P ,,, ( vt-------------•-•---•• l�I,E t�� ICI II ,a Test Pit No. l......:........minutes per - Depth of Test Pit___-_��.......... Depth to ground water.._______.__ --- __._. Test Pit No. 2... minutes pen,inch Depth of Test Pit._._1"�!.._____. Depth to round water.__���.�_.�? -l41 � &T-,G-L-IT i�!-t I PST F-tt`1-1 tiA l i t�b`z t£ST �1 E S - 'a I ............... ..................... C Description of Soil._ Es `�tCr b�,S._..... /�«c� .t-1.. .................. -------------------- ------------ -- --- /-1.�1--------T�Ln►----- w --- -------------------------- -------------------------------------------------------------------------------------------------------------------------•-•---------------------------•••••-•...........••- U Nature of Repairs or Alterations—Answer when applicable--------------------------------------------------------------S7:......._...................... -•------------------------------•--••----------------------...----------------------•-----------•------------------------•-•----•-•-•--•••--..•----------------------------------------.....----••------ Agreement: 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 issued,by theboardof health. r/ Signed f /� - '� , .'' _................- - �..r,-- .... - 7 � j Application Approved BY I"�... //.r.ff ...... i� ...... ---------- Application Disapproved for the following reasonf( ----- ------ ----- -- .................. . ..........A--------------......: ............................ ................................ ...... .. ... .. ..................... .... . ....................................... ....... .... -- -- .......... Permit No. - '��� Issued ---------- ---- ----� .N.... >�e Dae _- __- _-____._-__-_-- /-___-_.---___ __--___ --_---_-___ -- __-__-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ` TOWN OF BARNSTABLE Cer#ifira e of Complianre THIS IS,-TO CERTIFY, Ina the Individual Sewa e Disposal System constructed ( ) or Repaired ( ) b C-A ---- ----tall at ....... , ---------------- .V...V---V.��31GIQ _�1 .......`-�1 .. I��. 1. .... ..... - has been installed in accordance with the provisions of TITLE 5 of e St to Environmental Code as described in the application for Disposal Works Construction Permit No. ... .... ._-..... dated _......_ _._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE ONSTRUE�AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------_....._...---------------..------.------------------------------- Inspector --------------------.._------------_------------- -----_------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � � TOWN OF BARNSTABLE /0.0No.....!................... FEE.---... -.-.-- Rupnnttl Works Toni#rttrtinn ;Irrntit Permission is hereby granted----- -E J(�-�ti/- C- "o=••----•---•-----••-•--•------•-••-----•- ......................................... to Construct ,( )gor Repair ( ) an Individual Sevtage,Disposal System ) ( I f� at No... = T 111-�/lf'e v.... /I/A -1 10 T411 I)01 A `1 ...................................... � Street � h - as shown on the application for Disposal Works Construction Permit No:� -!.__. '___ Dated.....:........................_.......:j. --------------••--••---•-.............................................................................. Board of Health DATE. =---'----�-(......'S-----•------•---------------------------- FORM 36508 HOBBS h WARREN.INC..PUBLISHERS vo vo• I . ��i r,.�xp�,,:,,,, I L�.�•IY4'•9 '- r�.�ox3"•5-..._....°.�I_-Iu x3'-S _- -__- - -- -! -- -- coljbr5 ahovc__\ I ur GIO_ i a I I0 Cc).�L.'?!l/h I�1� 'il UfU� {�.• YJ rO ar,Y! U�� zO-0 .f' 0- _- °r'-- - - - - -T - - - - (? `IOYG d�JVrC \ t I �-- • I P L,•0.61. 1 I - I ! i I 1�1 i -�' �„G�--�_ _. ,1 1 w-�r•Doh ra(1s��6•ram lz i --- �—r( •\ _ZX v f�(�7 ! ; •, ' � « � � � � —IXI2V«�1GJI 5�+p�b1'.5hC11nkn0 - _ �..� - - }• CaX Ce r7cTi� � ''1- ---ram.- l r-1" I I�. Zcj X+0 I701L I 41 4 a �o-�((V. )'L -co V'dTM )XCa�SM P ten®.• -� ,�� TT i .yam, . •� �� � zxto jol�� �` I • ,, ��' l �"�� ✓*�4«� �. � =iul •``' i�,:'�t i'..._---�I I� (oXlu O�'!Rv,v. O,G `: 'c° GtJ,�CSTR UG to ,� rb,�l w✓ yrad•r, � zoPohE37 zv'Xza' F'ooLJ-tvJZ;�_ IZ'X m,' Pul,4H. .Z3c� CvuNTizY C���lzi�,. �8,?�fZ3�5rAj3L�., t SECTION - SEWAGE + ._ _. ,..�`�•-.w.-... _.._.. _ ...._-_:_..,.........�. ...� - _w.,_ �,..� :....�,.__.-..,.. =: gars-.�.,...•- Y • r w ( i s.. .. .. - ` :'%tJ �I +.:9• �,.' _f "K'3,.T .,,^,y• l '��G60 '�IA � yj',&„.,.�a.^>. , ,� "N cR'*:• .`/ qQ 3 1 _ -SEPTIC TANK - � •- 'D"BOX - LEACH TOP OF FDN , — 1Q"1,5o M r..2..OFiieTOlh ry` (MSL) WASHED STONE o� �1�1� ,,I colE �(: 103.0 1�H \ k r• TNZ z;x . ZY 'Iel t t j4 IN O O OUT IN' OUT• IN'• "; ;. _ f ,�,:' y \ - j rtYJ� ,( ( (� w a SEPTIC - 1(/O TANK •IU• .1� q. q(� , } jc ,I i ,.I..�� I ,`;, +�.. �, x {. ELEV. f /� �, '3alOO. +', S EL ELEV. ELEV. 1EL V�• •- t�j � QJ.'C� i3. 0 4% / f� ��; �,t� I - �� �; �. �/ O•. I e l(1 .�,�� ;.,� �.--^• - ��rl ELEV. ELEV: WASHED STONE q , i \j ` t 101i OTE 1 %... 'Ptat ,O ,. � —LLB 1� �o ^W ct >s P _ t 1 ram:87 q TEST HOLE LOG fi> _ ' TEST BY ACC-OItil �t.i[aR�.. �l � FF0+2� t ' y 3 tl O WITNESS I BEDROOM HOUSE DESIGN F TEST DATE _` ¢' sb - ` We c is - Z T.H. # 2 �gt� I sEo�l I P T.H. �► i iti l ( T 4 S !Ila} loi•9 g ELEV. m>�y No -',, A F kwm .. t, - tt Tie { C-r PERC RATE Z r MINAN. DISPOSER DI�POSER , .: j 3b dt.� FLOW RATE 1(O (GAL,/DAY SEPTIC TANK_ C�qp t1:S1= tip REO'D SEPTIC TANK SIZE -- r , 1 LEACH FACILITYI`� FuJ€ I D;G I r h SF c, G/D. 3 SIDE WALL ( 1 / I �, 5w ra 5arto 78. E °�.'� G/D. BOTTOM 1 :` ( ,• 1 - , a TOTAL a. Z&T 0 �r = 57 gI , o 1 114 x 14•-lo PITS - �34,o �Tc•t" - I o`'!c1 USE: �W� f�ECAST LEACHING �' c {D eFFEc.Ti.lE OIo,M x to EFFEL71�16 �PT+•I a' "4 �} �-:.Sp i�' {.,(. � 4�� l i 1Q8 _ II I WATER ENCOUNTERED t, ��GATLN P�ASI DOTES: (UNLESS OTHERWISE NOTED) .; .�,. � � '.�- •slzl; -rd Ism �t�.i 1.DATUM(MSL)+TAKEN FROM__—_ NY/��L_____.__._QUADRANGLE MAP t'r { 2.MUNICIPAL WATER r_�---- + -------------AVAILABLEc :•tx�i. L 3.PIPE PITCH: 114"PER FOOT ` t�'Of �ap� a'•,. �. I i. 1 d � s�'7 N►r•r•� 4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO- -44 r �ti� `� °, ---{}—DISTANCE ASCERTIFIED 5.'MPN.GROUND COVER OVER ALLSEWAGE:FACILITIES:(1)'FT. E MADE WATER TIGHT y 6.PIPE JOINTS SHALL BE 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF'MASS. 'a ;� QjA(j �,+" .� _ . E 2F `' SITE, PLAN STATE ENVIRONMENTAL CODE TITLE S. ( , T't?ISp PO�LVC.dTt0" AgRvSES o(•lt`f la�.t.p (1 'lot-) �tM or toc(is 1-oT .5 GouNlfZy GL uB DR►VE 81:lCY TD { rtE• �"���c - ,.a� y -_ E _ I C RA2 .1S R o��� .aRaE� y� C.IJMMAQUI(� I,E)GI TS, SAR1�5TAE� r f1 t=D� � tU �. Y -� ' E t w« s iiEG. IN I {� REF: LAN BOOK Z?-1. P E- 1 '7 � � � �P.�ilis PREPARE '(iV : G �, .»> :CIVIL �ENG(NEER$ ' LAND SURVEYORS' — — — BOARDOF,HEALTH �, '. 4.REG. R' f / = / (EXISTING)------------- <: .�� � ���.-. SCALE �Q f-� _ CONTOURS �/ 5O G / (PROPOSED)—O--O��— APPROVED DATE ��, -� a9 -per , _ D TE t k • F s_