HomeMy WebLinkAbout0100 DEACON COURT - Health 100 DEACON COURT, BARNSTABLE
A= 300.060
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.. ti• w TOWN OF BARNST,,ABLE
I:kATION i b O C 1- a SEWAGE 4 D60-f 46
VIL AGEAarnS4-abI Q� ASSESSOR'S MAP & LOT 300 `i060
INSTALLER'S NAME&PHONE NO. + IIc11
.y ^i333'48g9
SEPTIC TANK CAPACITY I S I f6X 06ilhn s
LEACHING FACILITY: (typ�J)JP CC (size)
NO. OF BEDROOMS 1 I
BUILDER OR OWNER � I l
PERMITDATE:q ' I 0 COMPLIANCE DATE: 1
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
c L
6 k i
1,
5 - 142.'
. 3 �. s �• � " 14q '
Fee
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
2pplication for Misspooar bpotem Construction Permit j
Application for a Permit to Construck IVY��(�Jpgrade( )Abandon( ) El Complete System ❑Individual Components
Location Address or Lot No. S-Y p Cc vnCw X; , Owner's Name,Address and Tel No.
Assessor's Map/Parcel 3
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
t—�uTO
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 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank cz Type of"S�.A.S.
Description of Soil, C) j - L 5 C �L9`7 C�►�Gc( — �1 '� C��'¢V- .S--6,
Nature of Repairs or Alterations(Answer when applicable) �-Jfi AT.
5,, S-r ij ', k.T o--> t)-u LLj l Ge u ` S jj?,&e g Q wz,>JqL1.
S"t(t D RC /41 V1Ccet7t ti� _
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 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued y lth.
Signed Date (J�
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued
i
TOWN OF BARNSTABLE
LOCATION C Q De-a C_n n CT SEWAGE # 000-5
VILLAGER)p-rn!E2, I Q ASSESSOR'S MAP & LOT 300 -060
I
INSTALLER'S NAME&PHONE NO. ' 1 r f- oo
SEPTIC TANK CAPACITY I I s $° 9 33,489 9
LEACHING FACILITY: (tyi4llLcg-�& .IrS nn��
(size) (�
7'Jr% r%C D V TIO M J6 A 0
i� - a.v. va a•a-,uawva�a.� ��
BUILDER OR OWNER r Ial
PERMITDATE:`_1 ' ); ' O(� COMPLIANCE DATE:
/ f
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
,5J71 z
i
1ZIr -
Let �
--
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS
Zipplication for Mi!6paaf bpgtem Construction Permit
Application for a Permit to Construct( Rep r G.-)Upgrade( )Abandon( ❑Complete System ❑Individual Components
Location Address or Lot No. J� S �(�n[U (( t , Owner's Name,Address and Te.No.
Assessor's Map/Parcel 3 oa / J fd
3� f
Installer's,N(ame,�j ddress,and Tel.No. Designer's Name,Address and Tel.No.
PLAC5T)14 dW} va4 Y
:S 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 gallons.
Plan Date Number of sheets Revision Date
,. , Title
Size of Septic Tank Type of S.A.S.
f , Description of Soil
r Nature of Repairs or Alterations(Answer when applicable) T-t �— �� �k5i 7i n� �t q� �, PIT.
��• S k i u> lm(k l l o/k (-e A C-L. (., ..a tq w Ll S -tv.j e (i
S'� r`, n c� �T �� lncccrlc�
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 jb '
of the Environmental Code and not to place the system in operation until a Certifl-'
cate of Compliance has been issuealth.
Signed Date
Application Approved by Date
Application DisapprovQrfor the following reasons
Permit No Date Issued
--------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
I
Certificate of (Compliance '
THIS IS TO T 'Y, that Ony9jte Se a, ell iisposal Systern Constructed( )Repaired( )Upgraded( )
Abano
pned/( )by �� X; ���i .�%
at ! --�i�-� _ �. �ii - h
as
n constructed in accordance
with the provisions of Title 5 and the for Disposal System Constructfo Permit No I
nstaller Designer Q
The issuance of this p sh I of be construed as a guarantee that the a 11 /unction s si�gne
Date 1 f� 1 Inspector Vim%'
' --------------------------- --
N Fee i�
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
'"i6po.5al *p.5te �tCon0truction Permit
Permission is hereby ra o Construct( )Rep 'r rade( Aband
System located atJJ
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:Cons ctio m st be completed within three years of the date of this pefit
i' ,
Date: Approved by
A
1/6/99
NOTICE: This Form Is To Be Used For the Repair Of Failed
Septic Systems Only.
CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
WORKS CONSTRUCTION PERMIT (WITHO><JT DESIGNED PLANS�
I, K 6b-td Ac,,Lug&4 , hereby certify that the application for disposal works
construction permit signed by me dated "1 12 J , concerning the
property located at (LsJ C cow e-ij 4-1— meets all of the
following criteria:
• This failed system is connected to a residential dwelling only. There are no commercial or business
uses associated with the dwelling.
• The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch.
• There are no wetlands within 100 feet of the proposed septic system
• There are no private wells within 150 feet of the proposed septic system
• There is no increase in flow and/or change in use proposed
• There are no variances requested or needed.
• The bottom of the proposed leaching facility will not be located less than five feet above the maximum
adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when
applicable]
• If the S.A.S. will be located with 250 feet of any vegetated wetlands,the bottom of the proposed
leaching facility will not be located less than fourteen (14)feet above the maximum adjusted
groundwater table elevation,
Please complete the following: q,
A) Top of Ground Surface Elevation(using GIS information) p��
B) G.W.Elevation +the MAX. High G.W. Adjustment. (,T = <-& 0
DIFFERENCE BETWEE A and B
SIGNED : DATE:
[Please Sketch proposed plan of system on back].
I ..
NOTICE
Based upon the above information, a repair permit will be issued for bedrooms maximum. No
additional bedrooms are authorized in the future without engineered septic system plans.
q:health folder:cert
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SIMPRIN DOYLL dt A,SSocu't ZS
42 CANNY LAWL
EAST FALMOU H. MA 02835
(5081-05442534
FAx-. (608)-5402534
May 2,2000
William,Riley
Rycon Construction V
Barnstabb.MA.
'RE-,Msrshall-Luz 5$ aeon Conn,Barnstable-Map 300-Parcel 60
Dear Mr.May,
The permit issued by the Barnstable Health Department on 12-21-81 for sewage permit#81-364
show that one leaching structure is located to the front of the existing dwelling at#38 Deacon Court. i
have checked the design capacity based on your 6x6 foot precast leaching structure with 2 feet of stone
all around.The calculations below show the existing leaching stracttrm having adequate flow for a four
bedroom design when applying the design flow criterier in affect at the time of your system installation.
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DOYLE N.
Na 37559
f(gY1(1�P� Sincerely,
"t0 Of,at„- Stepheqi I Payle PI.S
6
wILLIAM
L)EBERMAN eA
No. 23971 WilliArn Lieh PE
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EXISTING7BUILDING �� A7
EXISTING L114E OF
BALCONY
�+ EXISTING
BUILDING
z-la
NEW LINE OF
BALCONY
LAO :T-b
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owT
7
PORCH
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�50LARIUM " ' O u �or
i - p LIVING ROOM
ADDITION 4 O
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20'-0' 'b'-b 16'-d - 20'-0'' -
FIRST FLOOR PLAN DOOR SCHEDULE SECOND FLOOR PLAN �
SCALE- 1/A' P-0' KEY CTYJ
1 D e ENTR m /MDD SCALE. 1/A' 1'-b
CNTR WN4
9 FRENCH
A FIXED
6 I IN
6 I 666 BI-FLD
7 06E d-FLD
e 0 F.c, EXT
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L-0 C A T-1om J/a® SEVAGE PE RCa1 T q0•
Ste/ —3(o .r
V>)`LLAGE
ICl .ILER.' : ," q;AL7E a AD0QES.S
0UILDER. OR 1Ot,7C3ER
DATE PERL71T I'SS-, ED
DAT.-E C 0 m p L I A N C E 'Al,SUED
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
- .............................. ...........OF.......... _________
W itt for
so Application is hereby made znr a r�cou� ru �oosouo ()\) or Repair �
( ffnMlt"q&�mmn�� '
System ��_/— COMMISSION-
-�c-�----___'__-__------_'---�--__--__'__-.
DwellingNo
OVA, Address
----------------
Installer Address
Type of Building Size Lot...7-_-:.2_,.01R'SZ_.Sq. feet
- -- _ _-_---_ Expansion Attic ` ' Garbage Grinder
Other—Type of Building ............................ No. nf persons............................ Showers ( ) -- Cafeteria ( )
Otherfixtures ------------------------------------------------------------------------------------------------------------------------------------------------------
Design Flow...............�16L..................gallons per person per day. Total daily 8mv.---.. ...................gallons.
Septic Tank—Liquid capucit}w/0-40--gaDooa Length---------------- Width---------------- Diameter---------------- Depth...............
Trcuc�--I�u --- \��16_-'.�'_-- Iotu �coQ�b.----'- Total ur�� ____og {�
Disposal ...-----' _- �_.. _- '--_--" --' .
� �� �
S��x�� Pit I�o--.----- D�o�t�r-..-..--' Depth brfmv ��ot--~.....---' Total urea.'2_->0....sq. ft.
�� Other D�t�bu600box ( ) Dosing (� tuo� )
~~ Percolation Test �onito Performed by--.. ' ........ ....... Date--'^�- /�----'
Test Pit No. l-. -.mioutcuperi,ch Depth of Test Pit.-_/L,�--' Depth to ground water.`�j~X..........
Test Pit No. 2.....4.L=-.oioutesycz inch Depth of Test Pit----Z^/........ Depth to ground wuter---_'----_
'- --.---_--_-.---'-_.-_--____--- -____-
0 Description of �n
---`---''---' ---`---'---'-`-`--------------
.__---------_--_-_-----'-__.-----_--.--.----.--'.---__'_''-'----_-_-.____'-
U Nature of Repairs or Alterations--Answer whenapplicable-----------------------------------------_--'__---_-.-____-_-
| --------'------- -------------'---'---'---'---'-'---------. �
Agreement:�
The undersigned agrees to install the uforedescribed Individual Sewage Disposal System in accordance with
the provisions ofZ[�I� 5 of the State Sanitary C� �c— I6�oodcro� od further agrees not to place the system in
operation until u Certificate of Compliance has been issued b 6 board ofhealth.
w '
-^^-'--------'�~------' ---------- ----- r--`---
ate
/�nn�a600 Dv-.--'__~�=���_+���--- ----------- -- ------'
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Application Disapproved fort6o reasons:................................................................................................................
'
--,-.__--__----__- �
� ate
Permit
Date
'
MEMO
NO....`' J 63 FEB �d
... � r
......................................
THE COMMONWEALTH OF MASSACHUSETTS
1:
BOARD OF HEALTH
........... ..........................OF...........................---...........-----------....---.....----•-....................
Applira#iun for Biupuiial World Tonfitrnrtiun ramit
Application is hereby made for a Permit to Construct ()Kj or Repair ( } an Individual Sewage Disposal
System at
Z�r
......................................................G / ?�i•�� � .....-----•------------------------ -----------------------------•---•-----------•---
Locat Ass. fi fff
tNo
1 , r
--- -----__. Y.. ....v , s �....t. -
O e Address
W
Installer Address
QType of Building Size Lot._.1:2 Q52__?�_._Sq. feet .
U Dwelling—No. of Bedrooms_________________________ Expansion Attic ( ) Garbage Grinder ( )
............... No. of ersons......................_..___ Showers — Cafeteria pa., Other—Type of Building ............. p ( ) ( )
a' Other fixtures ______________________________ _ _
W Design Flow...............//0..................gallons per person per day. Total daily flow.........-330...................gallons.
WSeptic Tank—Liquid capacityl41.)P.gallons : Length................ Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width_....___;_--------:- Total Length.................... Total leaching area....................sq. ft.
/_-
Seepage Pit No...../------------ Diameter.._. O.... ... Depth below inlet......1._�...... Total leaching area.... ....sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
/�05 ��.G-iti�46-12
Percolation Test Results Performed by................. ......... ............................................ Date......_ .."�o.-�®............
Wa Test Pit No. I....e.):_-_minutes per inch Depth of Test Pit.... ........... Depth to ground water----- /A---___--.
f� Test Pit No. 2.....0 L....minutes per inch Depth of Test Pit------ z.....__.. Depth to ground water........................
-------------------------------------------•--•....----
0-30'Z 9eY 30 -66 - . - 5O Description of Soil-------------------------------------------•----------------•----------•------7==.......6 / -------•-••----•.......................................
x •
W
UNature of Repairs or Alterations—Answer when applicable................................................................................................
•-••-------•---------•• --•--•-•••-•••••---•-•...•-•-----••--------•-•----•--•-•..................••----'------------------------...----...------------------------------------------........_..---•----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'ITL" 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
P
operation until a Certificate of Compliance has been issued b the board of health. a
P
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Si ned----- ---•-- t_
-- l.t-- �- ------ri
Application Approved BY------------------------------- -------- ��--------------------------
Date
Application Disapproved for the following reasons:------•---- ----------------------------------------------------------------•--•---------------------...._..-•--
....--•••...•••-•--••---------------------------------------------••-------•--•-•-----•-•------••-•-...--••---•--------••---------------'--•-------•--•-•--------•--------------------------------------
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
h� ...............................................OF...... ...................
Trr#if iratr of ToutpliFatta
THIS I� C� Tha the I divldual Sewage Disposal System constructed ( ) or Repaired ( )
by------------- ' ............ ................•. --••---••------------•---...---------------•-------•---------------------•-•------•-------•---•-----.
C� i1 st er 4
has been installed in accordance with the provisions of TIT�'�' � 5 f he State SanitaryCode as described in the
application for Disposal Works Construction Permit No.___._ ----G __..__...___ d-
ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
i
DATE.....................••-•---•----...._.._... =' ...I)'� �� Inspector �_>�_�::.
4="
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
'.'..................0 F� -�Zr,.!!"............................................ �
3�
�iu�ouatl rku �. �. �.n �raati#
PermisstWishereby granted.............................................................................................................................................
to Con�trV. ( ) epair (� ) an�Inc] ldual Sew Dispos �ystem
•---••--•--•-----....-
Street
as shown on the application for Disposal Works Construction Permit No..................... Dated..........................................
/ a — �2 /— a// o rd of Health
DATE............... ---------------- ---•----------......------•----•--------•-•----
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
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i ARrN r-��--t BACKF ;LL
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WASHED
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i 1 5 TONE Q( o n o 0 5 TONE bD►'- i
1 \ a o O O PtEtAST PIT LiNER RemoaclMs
3y I I O O A o ozzCowC PIT Top 144 Sots • I
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N l.rvQt, FIRfT LIN4TN vSCLsI S I7. �yy'Y'U1,/� I
/I •, - A j
peoPos�pCdju)v
n SECTION A-A ►
i 7,7.,
U sSTRI ON_B � ..• ,�
NOTE, A-LL SYSTEM COMPONENTS SHALL BE COAST D
NO SCALE INSTALLED iN ACCORDANCE WITH T iTL-E S7 OF THE Sr a
,4 I �( 5 Pq c� � Is* C euc- PIPEI
�IVI RoMCt�1TA.t.. CODE ( 19'77) ANU ANY APPLICABLE LOClL PULES,
DATA
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Pt P_C-0 I.-.T- 1 0 t,.1 1���-�. 2�� f>J� I ti c+-� Tif ..� , TEST M Al?,
�. L L A15-wo ( Fo"mo �3 RE Hr B � PC)
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-sza ^� f Top ar ! 33c� x I1iSoQ/a _ 4`�jy ac���1 r � � �a �� S;-p;- ►C-�"" �
7R EQUAL Z' 4�I_ - ' ` "b YfCI �+Gt�1i✓LZ i P_0IU DECi ^. 'T� � � 77
1• MANHOLE
I 4%1 P►f 5rECL Mesh L.�. ->
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a�
----- --_ - --- — __ -� —_
No SeAtf I S4L:_ w,,lGE DISPOSAL SYSTEM
NO 1"E ALL CONCRETE STQUCTUQ ES T4 6E } -'" cy�1 Oep _ � ,_! -_'=L �. !._.t_.
�o roNDCp C`ONceE1 F �oo„__ LTER
f _...__ _._ . __
OR EQUAL r
- - �'�+ SMiTH. JR. n1 F�.v �?o� 1Z5 �R.►�ST>�-��
1000 GALLON 15128
f C pnt C k E T E TO SE: 4000 P I T� JgU- -- V yi`R������
HO S E N(5 ASSOC. -1 NC. RAYN HAM
P,0 SCALE
SCALE . AS NJIED DATE :J rJ/,l_