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HomeMy WebLinkAbout0151 HARBOR POINT ROAD - Health 151 Harbor :point Road Barnstable A = 352 028 r I , I TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE 11: MINIMUM STANDARDS FOR HUMAN HABITATION Date (c> L Time: In Out t Owner Tenant.VAA- Address Address Compliance Remarks or Regulation# yeS p Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply ' 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities F - 10. Curtailment of Service 11. Space and Use PtPP�O , 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed j a0 ')U �5 U PART II 37. Placarding of Condemned Dwelling; -^ Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here TOWN OF BARNSTABLE LOCATION 1�� oorbw pol'i'l SEWAGE # VILLAGE 60Kil.9 b 1,(- ASSESSOR'S MAP & LOTS Sa--O 9Z7 `f331-1)c30 INSTALLER'S NAME & PHONE NO. fohrr� Y SEPTIC TANK CAPACITY 1560 LEACHING FACILITY:(type)3 size) NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER rej DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No Rear o S3 e C� No. / Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for Migool *pgtem COYC$trurtton Permit Application is hereby made for a Permit to Construct(/r Repair( )an On-site Sewage Disposal System at: Location Address or Lot No.�y Owner's Name,Address and Tel.No. /,-/ //4neio�e. fiomz /M CC-/`7/`7/9 Q!c/t /> �i��l{�(l+'1�` Z 'L4 J Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building No.of Persons- Showers( ) Cafeteria( ) Other Fixtures Design Flow ��-6 gallons per day. Calculated daily flow 23o gallons. Plan Date OcT /Z; /�� S� Number of sheets Z_ Revision Date Title -5/yZ- AL 4 , 23 Ar�; Al Description of Soil O a `/ s.Av-0"+t 460 - 1 t? =5.5 b 4ts/a-r-i y 33 a97`'i `-/3z. J� S`rL7' $,SV -i e-= Nature of Repairs or Alterations(Answer when applicable) Date last inspected: DEMO"9IGII M BUST WIMI VISE Agreement: INSTALLATt"AM CERTIFY W NG The undersigned agrees to ensure the construction and maintenance osew�age�disposal system in accordance with the provisions of Title 5 of the Environmental Code and Nnot to qaceltRe ystem in operation until a Certifi- cate of Compliance has been issued by this Bo eal . Signed y Date Application Approved by Application Disapproved for the following reasons Permit No. ' 17 7 Date Issued ——————————————————————————————————————— y No: w I lL r Fee lJ . THE COMMONWEALTH OF MASSACHUSETTS } PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS, j .2pprication for Mi5po.5ar *pgtem Conttruction Permit Application is hereby made for a Permit to Construct(/Or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. u /< Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Q U T31pe of Building: , Dwelling No.of Bedrooms .3 'Garbage Grinder( ) Other, Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow ` - gallons per day. Calculated daily flow 0 gallons. Plan Date`1:;'CT 14- /�� S` Number of sheets Revision Date Title Description of Soil ©. fj �� 5.+ '` Vie." a� = �3�� �' � � �. 33 JA1t.,a5e X,4,7 Syl�s I Nature of Repairs or Alterations(Answer when applicable) i at last inspected: Agreement: J 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 issued by this Bo ea Signed Z,1 Date Application Approved by 4 7 Application Disapproved for the following reasons 1 '7& 7 , w Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS DESIGNING ENGINEER MIJST SUPERVISE INSTALLATION AND CERTIFY IN WRITING "Certificate of Compliance THE SYSTEM WAS INSTALLED TO P , IN ACPORDANCE STRICT " THIS IS TO CER TFY>>that the On-site Sewage Disposal System installed( or repaired/replace ( °)on 0 for as has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No �► dated Use of this system is conditioned on compliance with the provisions set forth be ow: ZJ No. / 5 ' / / Fee--- ._�.. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MNSMHUl SU& MUST SUPERVISE INSTALLATION AND CERTIFY IN WRITING TH Y WAS INSTALLED IN STRICT--- 1igpo�ar,*pgtem Con.5tructtonC, Iy%TO PLAN. • Permission is hereby granted to ~ OU — to construct(Wool'repair( )an On-site Sewage System located t I E-5 I f b 4 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. All construction must be completed within two years of the date below. / _.._ Date: / �"~' /�� �? Approved b. 4" a rL/-}W /VoTZ- L-ZGY,477dNS (�iASN7S oN LOCATIONl?!�!STf/,6,1. SCALE . . ./ 30 . . . DATE �i��z /�79�; O va �SrisriNc G'airo� ; PLAN REFERENCE ,��7�!� ..l-�T. '�'•s�.. . a-IV.7V of Zaa ,bwN wAy paiNr _ 80, I I ( LdT �/ III tlie � I' I EZe'ZZB Sep.f / 7z t+ a � 3EY N " �• 1 G) I• Zb � a O. 26100 j \' ' iL U 8 3Z,oo Now- ry u c ivStiiT/Il7LE ''�Ar�x/.9t, .SN&-&T Z o� iZ .�f ,55 T �— EL..... .. .. .... /N 77lC 4C79cri .qfz .4WD S' TOP OF FOUNDATION To BER_&-isoVcn A)r�o °•' CONCRETE COVERS 2&Fe.4c.&M w.*7' o4e;o9w SA?vD• "7777,777,I► + 77dEGEAc�/��7vcN y�sr BECoa/S�7t,�cT2b BEFaIZE 7N1 ..+�o/3nay. ". 4"CAST IRON 9,r G,3S OR SCHEDULE 40 4' SCHEDULE 40 P.V.C. (ONLY) 9.� MIN . � P.V.C. PIPE MIN. ' PIPE-MIN. 36�� MAX. iii PITCH 1/4"PER,Fr PITCH 1/4"PER.FT � LEACHING TRENCH (,.�„REQUIRED) I 7 1/H'-I/Z'• WASHEDM STONE Ml n v'• INVEfjj �' n`L`1 n �Z'' '•' EL.. ✓c�Z. SEPTIC, TANK INVERT INVERT EL. �` E'� BOX ! 3/4 -II/2 WASHED STONE 3" +:A INVERT %Soo - - Et. Zzfjz ZS.3/ GAL.. INVERT INVERT C EL.............. FLOWDIFFUSOR„ INE'R�T EL�g6. � EL.�.`!s•.!.�.. .+' CRUSHED STONE (-3 ) REQ. 6" /S �} f � PROFI LE OF .3z .•e;;, GROUND WATER TABLE SOIL LOG SEWAGE DISPOSAL SYSTEM TYPICAL CROSS SECTION /��L NO SCALE LEACHING . TRENCH / T1,.,�. NO SCALE TEST HOLE I &2 TEST HOLE 3 i DESIGN DATA :K ELEV. /`�975'`1�Z3.7.� ELEV. .�Z:. . ... ,� • 3 9. hllti. WASHED 36 MAX. • "'� """ "' NUMBER OF BEDROOMS STONE 8110 SR>,ra)/lash! g rr �+a'''�'y �''9 . . .. . . . . . . . . TOTAL ESTIMATED FLOW . . .'�3®. . .. GALLONS/DAY _4" ML`Z.�i.O SAN Z2¢.Z t 44,-7 s,q�p BOTTOM LEACHING AREA .. 3P' d... SQ.FT./TRENC`d4:,,�� I!I 33" 3L" SIDE LEACHING AREA . . . . ���'.°.. . . SQ.FT./TRENCH/81¢ 34,E '/:i7.00 �t.�9,,r c,pa 3/4"-11/2°WASHED Sri pe=. "t a z/,00 si4;7J GARBAGE DISPOSAL .Nr?1!4�E..(50% AREA INCREASE) STONE !�o S,q„ip TOTAL LEACHING AREA . .. . . . . ... ... SQ.FT. *: Z '7Zy Nz.il.ir ��/,9,,, oy,�, fig•/7r „ PERCOLATION RATE . . . . .. /PER. INCH /L '� r SA>✓DySiLf� SAMoy_ LEACHING AREA PER PERCOLATION RATE .3G `. S0.FT.1C:nD. EL 7S IZpN SonrGLAy j': SI 8. TM It Z. �.�.7t Sojl - ClAy GROUND WATER TABLE i3l W,V,Aq Tf�°rj �2or� ,. -�Z•/s APPROVED .. . . . . . . . . . . . .. BOARD OF HEALTH i... ...WATER ENCOUNTERED DATE ... . . OF, ...!/ AGENT OR INSPECTOR 1N r'fti, s�V �QS•S+ s WITNESSED BY : . . . . . . -�T. .'s� . . . . . E0A9fl �t STETSO i / BOARD OF HEALTH ' ST�?3ani 2 x/A /�S. fI'28v2 /ivT 2a/ KE v 'Al y. ENGINEER . . . . . . 100 • CDGI/A2a 7-: .��� ,eI?LS. . . .�' ..y�A�c�i.D� M,9: � rst `�°�� . PETITIONER : �IvT7}/ SolGpGo.S/Gi_ s` �1 a;e0 ® gAL i r: Mle S: Draft Printed September 20, 1993 Appendix 4 Page 2 On-site Review Deep Hole Number................... Date:.-../�.I/.�Z9s Time:../..��:o.o Weather .............................................. Location (identify on site plan) ........1141�00... .N... .Ani!n:... CL.1�C�...........................................I........................... LandUse ......................................................... Slope (%) .................. Surface Stones ...............:.................................................................... Vegetation ,,.,,..,.., .............. ........................................ ......................................... :.............. Landform ,:.:.:..:.................:....:.......:...:........ ::..:. ....:. . ....................:..................... :.................................. Position on landscape (sketch on the back) ........................................................................................................................................ ................ Distances from: Open Water Body ................... feet Drainageway ...:............... feet Possible Wet Area ................... feet Property Line ................... feet Drinking Water Well :::::..:::::::..::., feet Other DEEP OBSERVATION MOLE LOG Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (Inches) (USDA) (Munsell) (Structure, Stones, Boulders, Consistenc %Gravel "-.S 8 �s►�,.✓� 14le¢ .19 7.2 r12o 2 Yfi l i o« cam. jParent Material (geologic) ................................................................................................................. Depth to Bedrock: ............................ Depth to Groundwater: Standing Water in the Hole: ................... Weeping from Pit Face: ............... Estimated Seasonal High Ground Water: .'.................