HomeMy WebLinkAbout0056 DEACON COURT - Health 56 Deacon Court
Barnstable
A 300 055
it
X,
TOWN OF BARNSTAB.LE
LOCATION Jr6. !A-igCo,7J Co-771- SEWAGE # 3:28
2k6 oZ'
VILLAGE �A���le '+ ASSE�$SOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.'3.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type)
NO.OF BEDROOMS
BUILDER OR OWNER 'R
PERlvITTDATE:. NS ( �% 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
GN• ,1 1 <
�- 3t,4'
4 -
4
No. Fee W
THE COMMONWEALTH OF MASSACHUSETTS
Entered in computer:
� PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Yes
01ppYication for Mitpoeai bpgtem Construction Permit
Application for a Permit to Construct(klRepair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's_Name,Address and el.No.
D H Cv,n vrT E
56
Assessor's Nl_ /Parcel �s'� - ?30,r a 1 7
Installer's Name,Address,and Tel.No. _v0_ Designer's Name,Address and Tel.No.
r, evmr►�g U.q ,S:ir✓� ,fin�•
'-XS-Mn;h`„G4,.e
Type of Building: w
Dwelling No.of Bedrooms Lott Size :J414/60 sq.ft. Garbage Grinder
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 4*c) gallons per day. Calculated daily flow gallons.
Plan Date w i', 16 , 1 q Number of sheets Revision Date t ADc& -,2oQ3
Title
Size of Septic Tank ,SZ-1 U Gar/ n Type of S.A.S. .SHOO /C
Description of Soil ;4J
Nature of Repairs or Alterations(Answer when applicable)
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
Application Approved by Date 7-/'Z-03
Application Disapprove or the following reasons
Permit No. 2003'-3 29 Date Issued 711? 0.3
No. 7�S , yam ; Fee W
THE COMMONW ALTH OF MASSACHUSETTS Entered in computer: Yes
+ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01pprication for Migogal 6petem Con.5tru<ction Permit
Application for a Permit to Construct(kll Repair( )Upgrade( )Abandon( ) 1❑Complete System ❑Individual Components
Location Address or Lot No. `� CL Owner's Name,Address and Tel.�Nvo.
Lc; /pt S3 s6 (,✓/'7^
Assessor's Ma /Parcel 3AR,))7� K/ %�C- ,t , 5 7
Installer's Name,Address,and Tel.No. o c Designer's"Name,Address and Tel.No.
rv�C I'lyaCC 7- 51�;9- CV✓Y1/�Jrllnl�// Jv ix�1nCi
0 `� ( a�►0 S7 r coif An t
Cis ir-�;(�C
Type of Building:
Dwelling No.of Bedrooms Loot Size �160 sq.ft. Garbage Grinder(�Q
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow �y O gallons per day. Calculated daily flow gallons.
Plan Date A r, /6 Number of sheets Revision Date tt q,-e& - :2 003
Title
Size of Septic Tank.4: / Type°:of SUA6?'. Soo -3
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
i r. �
Date last inspected:
t 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 d by this Board of He 1
Signed issu Date 3-1 /yos
Application Approved by Date 63
Application Disapprove for the following reasons
Permit No. Date Issued 7 I G 3
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(1,1 Repaired( )Upgraded( )
Abandoned(*.)-by S1XCdr-C 1�,ic lu.rT
at L ut 6 f 53 SDe A c a n l G-V C has been construct in .ccordance
with the-provisions of Title 5 and the for Disposal System Construction Permit No. 'Z"3--32 g dated 7 r 8 3
Installer Designer
r
The issuancep this permit shall not be construed as a guarantee that the system u ct'o� d st.n
Date I �3 0 3 Inspector A
------------------- — ———————— —
No. Za13- 32? Fee /OO
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS .
1=igpoga16pgtem Construction Permit
Permission is hereby granted to Construct(v)Repair( )Upgrade( )Abandon( )
System located at JUT 64 53 S7 e c t Co
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: Const ctio must be completed within three years of the date of this pe
Date:_ 0 3 Approved by
i
TOWN OF BARNSTAB.LE
app3-
LOCATION Jr6 �t�igco�tl ('p.-,% SEWAGE # 78
VILLAGE �A�'nJlle ASSESSOR'S MAP& LOTt: `�
INSTALLER'S NAME&PHONE N0.1'�, .I
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) size)
i NO.OF BEDROOMS
BUILDER OR OWNER 'R0 JQC-+ ' !' _
PERMITDATE: l` COMPLIANCE DATE: Z .3
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
Ip-
APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS
LOCATION ,OeGd����/ '°.T C c7Cs T N0
VILLAGE &,o ZR4-1X 2',oQ121- 4� _ DATE /a,).30 19`S
APPLICANT FEE `S
j ADDRESS Zf� TELEPHONE NO.G�.ii1/� L.�/1/� (Non-refundable)
II ENGINEER TELEPHONE NO.
DATE SCHEDULED /Z4/ 8`
(Applicant' s signature)
• •• • • • o • • • s m • • • • • o m o 0 o e e o • • • o o m • o 0 0 • • • • • • o • • • o • • • o • • • • o 0 0 0 • • • • • e • o • m • • • o • • o • • • • •
ASSESSOR'S MAP & LOT NO:
SOIL LOG
SUB-DIVISION NAME Z.-:, DATE -JT W a 98` TIME
EXPANSION AREA: YES NO _ L-7>Wi 9 72ly za% /4oZ46/ ENGINEER :1
TOWN WATER ,,,-PRIVATE WELL ARD OF HEALTH
AZ? s EXCAVATOR
SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and
percolation tests, _locate wetlands in proximity to test holes)
NOTES : w.. ..
0
/7S_oo
Zo8 e3
Si
C. i7 9 9,4 N
.t, .i • n S'u,QSofL
sq�o
war
G '
CL e19 Ao;
,d r/rim
PERCOLATION RATE: i`
TEST HOLE NO: l ELEVATION: TEST HOLE NO: ELEVATION: J
2 2 s`vas°/Z
3 3�'. 3
4 -
5 GG!a Peec5
n� _42
6 6 T�
8 n�ea _ 8 s ��/,
9 � 9
10 a.i10
iv
11 ° ;oc-/"a A�
12 12
13 p 13
/.SC
14 14
15 15
16 16 e
SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS
LEACHING TRENCHES
UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS:
NOTE: ENGINEE'RING -PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION
ORIGINAL: COMPLETED •IN ENTIRETY aY P. E. AND RETURNED TO BOARD OF HEALTH
COPY: RETAINED BY APPLICANT
N ,
I � r
I I I i I,r I
I -.....-.._. _.__.. . ....................._ _.__
RL
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9 ,
eaZ'e.
1 to
• 1 .f a x-v ar+-b$ I ? � � �'� .`B.Qt - - jS o' Ia'. - .. r_6'�'—' -I
II _I
-
1111 '
I g
tT
1dII t11 Iou
Iiz' - 9 Cp .. �Ag41•titN. 91.0, t'Zv I .l I
_
- — - - i _ t ti
f II
Mll
II
s 1 i, ' ' AZ
14lid 'fy
I
IN
All
I
,
I C
I'" I I .I.'I (�I� •1��C1U' `'CS .r ..,P�N �1 � � `{ '� ,. ._ P
I
:
i r
:
i I ,
:
81 4"
PD
n4
}5'AgLC E/.gr��,e
ro90 - TOP OF FOUNDATION
4/0Cv CONCRETE c COVERS
vr0 LoT 4��CAST IRON 9r - ,__ „ , „ , - ,
OR SCHEDULE 40 4"SCHEDULE 40 P.V.C. (ONLY) LEACHING TRENCH ( //)REQ.•
� q P.V.C. PIPE MIN. PIPE- M IN, W TD 9 MIN . 1�8 - I/2 WASHED STONE
. ��r 36" MAX.
rT Z_ 6 w j i r i PITCH I/4 PER.FT- PITCH 1/4•PER FT ' BE c��'�� "Q•3/.a¢
' 1 u
� � , s/exBE--7�T f y � � � '� ,
L:;L7%Q �0,�`�'/E::J;t? 4
Otis I ,o cL 3�.So••••- GAS BAFFLE-ti INVERT INV'rRl 24
Loc�S M/� SC/gLE /"- Zado ' Tf3i [C 1 + INVERT U Y- -� -�- „
,L7 �C� `C`J d O • C7 L C7
/�SSGsSo/1 S /`7 `'<,!� �,0 y, 1 , •'% EL-3o.98 6 'EEL-�°:7oT p�rl�,O;Q,;O ,' di. '
A l 4 SEPTIC TANK
�/ ` i ti b 3 I. 11 INVERT �o o - - p' - �7.�7
32 i'ul EL 3/: z 3.... �. . . . . . . . .. GAL.. INVERT.... gOX INVERTGal.
1 „-
�3a% •87 3o Precast 500 Ga l Leach 3/a -I /2
/7?. /G �' 6"CRUSHED STONE EL-.......-.. (3 ) REQ. Chamber WASHED STONE
I � I Y 1.1
PRO�1LE 0� &Z.157-78
'_ _ /" t zoo-1 ► •,,;,a,
Dis 1 ,
E Sow �= ✓ s� �► I i S E1YAG E DISPOSAL - ' GaouN� waT�� TAaLa
r 1 CT
TYPICAL CROSS SECTION
Lo7 xr 8 1 NO SCAL=_ LEACH 1 NG _TRENCH
Ni
LOT j ' 3 0 _ _
1 `�
ttt ( -
.v � DESIGN DATA
l�/92 26!N T '`TENhI� 2. �«Mv,�$ aGcoHcL J (_ 1+ �b ) d��4K.�Gy, T.�ZvSTZ�7�' 1 9 ,.,.41V. *H-
7L Deco•✓ o�„'- 7 a � ! ` stqQ i 1 +� b'a,� 803 . �- . _ N�,S ¢. . . . . . . . . . . . I' ���ED 36��MAX.
A° b' ( ` l 6Z4k, 7�1� 11 �A.e v.a'�.q gCE �`1�9• oZ L.$o - -_ �V 4� r 2,.
,"91eA sTi9,8L6; /�-1.� . �Z�3o I I 3¢' r P i �t %v F'`Ig f 1 i - f
/ V, ' 1 / TOTAL �S±iM.:,, _J ^LOW GALLONS/DAY : 8
_ / Q ' O ,�. I 4,
?3: � • • G' i?D I SC.• I./Tn�NCH�.3 B.GtS fi >�:> 24
a
! / ► 1 SIDE LEACHING .PEA / �
3� ky AO `}°� -' I1 f ; SO.r i./ TRENCH /7/
GARBAGE DISPOSAL .N��E. . .( s0 % AREA INCREASE)
411
I , - - - - - -:, Q I-,A` L c�itis ARE'A ,z o '
/979 z s9. (,8 1 ?E Ze T/IAA//'oCi,C NPER. IN
/ Tesr ,rbce5, „- -.t�•�E ''"- , /vE .4o'wlip ` \ /o' // �- r PERCOLATION RATE /`�i - ,
pie Apo Q ��i ) L_ CHING An_A PAR P_RCOLATION P,�.! '¢- �� SQ.F +
' I _ I 1 , AAAf. GROUND
F /8 -C
1 y BCA .D Or NEA"iH
/ lq-^/h Zr 7— I I h DATE . . . . . . . . . . . . ,
V "' 3q AxEA of c�oZg��o = 5-6 Zo -S�. /i- + I I 1 AGEN- iNSPES i0r�
or
I OR - '
3G. 4 -�
/r--- � / `'02 r DiS C 64"U = &-9 4/� "Q• 1 I �
34 X L � �� o -F"l°"' �`/l F 'y ,c« ToT/1G FJ/�Ei1 .. 4�0 f� 1 I I 1 . . . . . T . �'. `S . .
• // � . +�'- -' v r -- � `~' F.I i •. :-, .:. ,gyp
-• Y I Vel
PETITIONER ,PA C. t3Ej/ 7ZL ;//Q,2�
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