HomeMy WebLinkAbout0232 COUNTRY CLUB DRIVE - Health fk.
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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 .
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< < < 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
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SECTION -
SEWAGE +
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_ -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 .
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IN O O OUT IN' OUT• IN'• "; ;. _ f ,�,:' y \ -
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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
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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
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