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HomeMy WebLinkAbout1440 HYANNIS-BARNSTABLE ROAD - Health 1440-Hyannis,Rarnsiable Barnstable A= 298-026 ° I a • �.. a �� e u R R a v r, n k , 9 .. •. a .. �, - a. �. e ° a c a OF BARNSTABLE .LOCATION SEWAGE #dQQQ -!�Vj VILi-AGE ASSESSOR'S MAP & LOT �''04 INSTALLER'S NAME & PHONE NO. V6f0,el'Ajj)A ;EPTIC TANK CAPACITY ' QO HID LEACHING FACILITY:(type) S (size) 7 X Jt' NO. OF BEDROOMS ' _PRIVATE WELL O PUBLIC WATER bG°� BUILDER OR OWNER StItokza A } DATE PERMIT ISSUED: ( / DATE COMPLIANCE ISSUED: a, ht, 613 VARIANCE GRANTED: Yes No r i DR�'�ecva y , zq ab. € s4• 3s 35 , DO L6 c h q4 'rbdS t'I-LW S411DOU I ��1 b No. C1Ur�J' 7 \1�D �j��t �i G'V "" Fee V 1A H OF MASSACHUSETTS Entered in computer: THE COMMONWEALTH Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYicatio'nfor Migoal bps�tem Construction Permit Application for a Permit to Construct Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �� /� Own s Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Addres ,and Tel No. Designer's Name,Address and Tel.No. 13 soalCt Type of Building: Dwelling No.of Bedrooms Lot Size ` o'cq.ft. Garbage Grinder(.- Other Type of Building (fit 00 a No.of Persons Showers(�,) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 330 /06LY gallons. Y ' Plan Date Number of sheets ! Revision Date 1 Title .I Size of Septic Tank_ .I-00 aad Type of S.A.S. Description of Soil S!m_/t wfcl Nature of Repairs or Alterations(Answer w en applicable) VeW S Y_S)4iyl /,©© 62& 7 n�c : a sue / =�c�ssdls 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 Environmen a and not to place the system in operation until a Certifi- cate of Compliance has been issued s Board Sign v Date lelmLo Application Approved by Date Application Disapproved for 61e foll ing reasons Permit No. 0 — Date Issued 2. No. �Cr�i+'"�t. I'� �!Q , i�! '�✓ J i 1�7 Fee' ? THE COMMONWEALTH OF MASSACHUSETTS Entered in computg Yes 'PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS `H pprfcation for Mioognl *raem Con!truct olfpermit ' Application for a Permit to Construct X Repair( )Upgrade( )Abandon( ) ❑Complete System Individual Components - Location Address or Lot No. A 1167 �/t A �� V Own is Name,Address and Tel.No. . k, Assessors Igap/Pazcel , .�(? C/ _ f,. C3 b F Installer'ssName,Addres ,and TeL.N.o 11A) Designer's Name,Address and Tel.No. S� ' R Type of Building: le 7 i Dwelling No.of Be rooms ------� '"rLot,Size Aq.ft. Garbage Grinder( O Other Type of Building V4V d No)of Persons Showers(a,) Cafeteria( ) Other Fixturesi Design Flow 7 /, 3 gallons per day. Calculated daily flow 330 0111 gallons. Plan''Date 169/3/ 10 Number of sheets Revision Date Title Size of Septic Tank / 1'"OD C a f Type of S.A.S. o1V �� CeK F,c(f 'N, T/ Description of Soil Su�!tti/CN Nature of Repairs or Alterations(Answer w en applicable) V(0 LP> S YS) iw 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 EnvironmentaLGode and not to place the system in operation until a Certifi- cate of Compliance has'been issued b s'Board pLI-feart-h.&__ 4.1 { Signed Date Application Approved by n (' � Date Application Disapproved for a fo119Ling reasons Permit No. 0 ii0�� Date Issued I 2 r THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( )by- _ _ o ni+ 1Jn- .,r.f6, ._ 1 at k,7 6 rg uu ( L has been constructed in accordance with the provisions of Title/5 and the for Disposal System Construction Permit No.30u 3 -,J 7) dated I 1 3 /u Z Installer Designer l The issuance Hof this permit shall not be construed as a guarantee that the s sterN 'il f nction a deli ned Date 1 a u Inspector A -, To "No. ---------- ------------Fee � j THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Miopogal 6pgtem-Co'ngtruction Permit Permission is hereby grant b to Co.struct( ) e air( )Upgrade ,Abando ), System located at ' �� �Ci i "77�pxnjAlo� a � "J e% 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: Construction m st je co `-fAed within three years-of the date of thisPt. Date:_ '� Approved by TOWN OF BARNSTABLE LOCATION SEWAGE #r�DOa - �� VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PI NE NO. SEPTIC TANK CAPACITY D=_� �0 LEACHING FACILITY:(type) S)4 S (size) 17 NO. OF BEDROOMS _PRIVATE WELL O PUBLIC WATER /. IL- BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: b 3 i No VARIANCE GRANTED: Yes � zq ab• � � �y N s �CNS 3/gig S'I"DI�C 8k 15904 Pa179 0101398 11 z 43a DEED RESTRICTION ' r n .. WHEREAS,Lot 0 Of I `i, 41, (owner's r Me) � (addr is the owner of located at 1t.rVA L b k (addres MA (hereinafter referred to as- ) and.being shown on a plan entitled "Subdivision of Land in &r&qjq6t4 MA, Property AOL( et al, duly recorded in Barnstable County Registry of Deeds in Plan Book , Page a WHEREAS,jL)tjj PjA &As the owner of said lot has agreed with the Town of: (owner's na e) Barnstable Board of Health toua restriction as to the number of bedrooms which can be included at this property as a.pre-condition to obtaining a building permit for this property; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to authorizing the issuance of a building permit for the construction of a single family home on this lot is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, NOW, THEREFORE, does hereby place the following restriction on (owner's na QtcSt his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. �do'J may have constructed upon this property a house.containing no (addre more than_ (3) bedrooms. ' 2. !E agrees that this shall be permanent deed restriction (owner's nam affecting qJI&Zg#14 ted on &,trumT. MA, and being shown on the plan recorded in Plan Book al 3 , Paged . For title ofJ&0_tj 'gthe following deed: Book 1 D! S r, Page �_Ag . (owner's nam Executed as a,,sealed instrument this rt lr.. . day of. (date) deedr r Zt� U� l j J`°�''/�/JJ 71 dSl e Town of Barnstable P Department of Regulatory Services BARNSrAeaa. Date �3 U2 MAS& Public Health Division, � 200 Main Street,Hyannis MA 02601 Date Scheduled l �� Time Tee Pd. Soil Suitabilit Assessment for Sewage Disposal Performed By: O� q� `S, Witnessed By: 0°I vy S tee ✓1 ]�'�CTd iV lit .: W sN Milli ' Owner's Name Location Address Address �atnf�•f'7l e Engineer's Name Assessor's Map/Parcel: NEW CONSTRUCTION REPAIR Telephone# Land Use Slopes(%) Surface Stones Distances from: _ Open Water Body ft Possible Wet Area ft Drinking Water Well ft�— Drainage Way ft Property Line fit Other It SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pere tes(s,locate wetlands in proximity to holes) i .�.. . • III h/iGK�D13A/1✓� Depth to Bedrock 300 Parent material(geologic) ANs� �DE•�i 7- - , Wee in from Pit Face �o PirL- Depth to Gmcuc.dwafa:: Standing Water in Hole: !V D�rL-' p g Estimated Seasonal High Groundwater Method Used: in. Depth to soil mottles: in. Depth Observed standing in obs.hole: in. Groundwater Adjustment It.Depth to weeping from side"of obs.hole: Ad factor Adj.Groundwater Level Index Well# Reading-Date: Index Well level_ J Observation Time at 9" ' Hole it t Time at 6" Depth of Pero 20 Time(9'6') — Start Pre-soak Time Q End Pre-soak ZL b� CAD �in/J Rate MinAnch+ Site Failed:• Additional Testing Needed(YIN Site Suitability Assessment: Site Passed•_�. — Original: Public Health Division Observation Hole Data To Be Completed on Back Q:HEALTH.iWP/PBRCFOR?a n ttr ! . ... ..... Soil ,- Other Soil Soil Texture Soil Color Depth from (USDA) (Munsell) Mottling Structure,Stones,Boulders. Surface(in.) Horizon Consistenc %Gravel 45 RI s µla 4' r Soil 1 Other Depth from Soil Horizon Soil Texture Soil Color Mottling Structure,Stones,Boulders. (USDA) (Munsell) Surface(in.) Consistenc %Gravel r •t f l fi rl+ is ' 01111,11011 dr 1f IUr Soil Color Soil Other Horizon Soil Texture Soil Hori Depth from (Munsell) Mottling Structure,Stones,Boulders. (USDA) Surface(in.) Consistenc %Gravel ---------------- w+! l Soil Other Depth from Soil Horizon Soil Texture Soil Color Mottling Structure,Stones,Boulders. (USDA) (Munsell) Surface(in.) Consistenc %Gravel Flood Insurance Rate Map: . Above 500 year flood boundary No Yes Within 5o0 year boundary No Yes Within 100 year flood boundary No yes De th of Naturall Occurrin Pervious Material at least four feet of naturally occurring pervi us material exist ill all areas observed Does throughout the area proposed for the soil absorption system? .� If not,what is the depth of naturally occurring pervious material? Certi[catton date 1 have passed the soil evaluator examination approved by the . I certify that oil // / p erformed b me consistent with Y Department of Environmental Protection an nd t described abovethibed in 310 aCMR 15.017. the required tra g ex ise Date ?�./„s 2Oo Signatdr '— O:I1T:Al.:THM/PflRCFORM r , . b - 3' oo� a Y 6 1 • _ � too- to o• , . 4. ' 1 - 1I ) i J I MOP - -- ..... —t . f11 O 4vd• ...._. oil ! �'I- � I --_?d.A`' rswv s...• I-XtfM'1°O of rsOV(F 10u44 -- a O&TE' . •� )- 50.8.436.E _. — - N 1 a 1 'J Q.q_ C3usf�l. a es �. Ji ' .copyciobt®'+ • + "n .QE'TAs-D4lo iQ Ail Rights _ .. RCserved Kss!a•CwTum rncttY ri 0 F41E2E" OEM- FI f a? ' 1 , •a; 71 i IF " . i � �'• a o,. .. t 4.0 ■ II b'.D Q - is strict! rohl Dlt r i Other use Y P !their customers Oni .Any .. s or the use a Y ., -- ns-and la nuts:by D.C.D.are 1- z:•Ls1 47., . . �.ram •_. • , ,i ,� - _ t+. - 1� -. a" z •� 4T `w'. �'" 'i- :. �`v�•� �CCP••�N�Sf.il-�E__ �B.P ?i�: y ,. ... - '1` R W.as w/.4oubE. $aS.tZ. 6E;wt :sas'F_:G.l.=-,yVJS&-{R,4"'Ot - , - I I � OEFI C.E P i ro SECTLOU Q:A I to `r I .I ;� �• � :Z s l0.Y1DttE • S:C' � IONIC • -- s. ;{ I WALLS CC-unc D W � • � J: j I _- tciY^r.tvccr_-_., .._ ~ w� i 1' I � � ;�� F _ 0. `QI w 10 45 an..Bt;a•M� n , j� �.. ��. - r� � ,o i �:r'`� mot- .�-,�.,.,.....-_ .•� � 7 ���' �e er E t r§ T a•TNK.CONC.Sf. > N rxt 74LiRR e• ^.S ca w.lt �' PITCN �• � � �j�,, , t 1, ,' • e FI GST �LUO� PLSYI:T......_ layouts Dy o.C.o.are for tlu•use o!thei r�usxamns�+4Y bbChl�use is ati4�grra!+I `i•• ' - - • o. + ! � Z. �- �' TOP OF FOUNDATION CONCRETE COVERS • ' ::' e m � 1,8.s �. 4'�CAST IRON 9r _,,,_. . , , , „ , rr,'�'rn�'=.._ , , �,N Ge�t� •I io.3,i OR SCHEDULE 40 4" SCHEDULE 40 P.V.C. (ONLY) g"MIN LEACHING TRENGH 36" MAX. • •y �;' PITCH 1/4"PErR.FT .. 1/9 - 1/2 WASHED STONE rc• P.V.C. PIPE MIN. PIPE- MIN. PITCH 1 4 P�.FT. � L7-L7• C]�Q L L7 'LJ. 2:: ® ~ o • INVERT GAS BAFFLE-tea Q ' �! � '�'iQ,' 4,!Cj E 'er( 4 EL .!oo:49.... I N yER 6' O E I gV zCT _ _ - 24 . 4 ., ,ca'=cam' o.� t�,.o;'cl, t:`_i�, b �;- ` i \.. SEPTIC TANK J' INVERT EL. EL.9..... CI,!d ,cj;cSt;l� ,' d U I='p \ :j,• /Soo GAL. INVERT EL�`r: !g.... `L yp`�3 DIST, INVERT Precast 500 Gal. Leach 3/4"-11/2"--/ l BOX ELQq:o6 ( Z ) REQ. WASHED STONE 0 6� CRUSHED STONE �J Chamber a le PROF I LE Or- _M• , �' - GROUND WATER TABLE »., r SEWAGE DISPOSAL SYS TYPICAL CRoS3 SECTION SOIL LOG LEACHING TRENCH NO scat- _ p JaT- Sir:/j O.Z. . T;'rt� .!�"oo flr9 !tin - ».. 5 ~^ r TEST H 0�__ 1 / � _S I H 0 i Z -- 1L �` DESIGN DATAEL r 9 ".A!y wlS�ED 36"M< K ~_ , GcS 4 //i Spy Lop�7 /oy2 SZ r;V>a�cP C' BESPOOh1S 3. v :_ _ / / LoAr y sAttb .2 G -- �- .. B TOTAL ESTIMaT ` � Z -4 �J FLOW 33e GALLON S/DAY � e .,+x.wr rtsas p Q ' O VNS' Y11M.V MCA ... 594 BOTTOM LEACHING AREA 3Zo,7s SOFT./in�NCH��37, 3[ � � � � ------ ------ 21 37 6z Z, I SIDE LEACHING AREA . . . �5�.3�.. . . 3Q."T./ T?E-INIC . GaReAGE DISPOSAL . ( 5�0 o,o AREA INCR= JCL BSc ) TOTAL LEACHING AREA .477_- . . : SQ..FT. L( ,5, „ Rs�c ,— AT— 1v!33 �/,4..1 nvO AfAl ^F.m l •',/ 77. 3 �r4a/I� r I f'Alec G ez.57, ro L=ACHING AREA PER PERCOL.-i ON F ::-_ 34�_ . SQ.F T./C,RD-_ /u" - GRC'UND W;TER (/ A?pP.OV�J r0a?J �� N=AL'. - - - /�/o -- . --R- fi'��cR +COU �n_O DATE _ c� Y - . . . . . . . . . . . . AGENT OR fN�P�:TOR WITNESSED BY ' • '� - CIS ooArRO Or TEAL;N oT / E- Wt41C 2.5. . . EN G 1 N E ER ,1 . . P=i IT10NER WCY /Q4fAt_7 T�ST I D ve Sz t G { h f �\ y tN i h 0 � � N 1 eon V /f TANK v � dr ( ; } 0 j 3 l.� Z 541" /r / / F�s,a ;:. 1 ��� ( PL/aN �,i=� L / ,t Zorip I , /—p/Z I r►�Nf t 1 (f /--� 7 7- 3 7-Z, 7) ' i Ana" ,A MfI. a z L37 c '/ T2C, G�� 'A i \\ �F4 0 1 P114 . E9)mf r I G V/9 7"1a.�.i dn�Z s> aN /)��%iMea'z �/�77�A-J Y E.