HomeMy WebLinkAbout0016 IRIS LANE - Health 16 IRIS LANE,BARNSTABLE
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TOWN OF BARNSTABLE
LOCATION SEWAGE #
VILLAGE r i l�15 D (� ASSESSOR'S MAP&LOT91k-0
INSTALLER'S NAME&PHONE NO. UA rww e Ai
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SEPTIC TANK CAPACITY sj
LEACHING FACILITY: (type) C k#IM JfA CG 0 Ca (size) 13
NO.OF BEDROOMS L r.
BUILDER OR OWNER
PERMITDATE: 2& COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 Z
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No. / �p Z FEE ��.
THE COMMONWEALTH OF MASSACHUSETTS
�a0 , MASSACHUSETTS
�yyfirativn for Pispia' salPor
stem (foustrurttuu Permit
Application is hereby made for a Permit to Construct( epair( )an On-site Sewage Disposal System at:
Location Address or Lot No. Owner' Name,Address and Tel.No. 4�0--- 00r(
Installer's Name,Address,an Tel.No. a Designer's Name,Address and Tel.No. _W1_6—T6-7
Type of Building: 00,
Dwelling No. of Bedrooms Garbage Grinder
Other Type of Building No. per Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow y y gallons per day. Calculated daily flow ajK2:!:K q.7s gallons. .
Plan Date Number of sheets Revision Date
Title
escription of Snil ez,9- -/
Amon 4r
Naturedf Repairs dr Alteradons(Answer wher?applfi`cable�
N,�✓T�� s _ .C-o 3- f-60 6 9 z-
Date last inspected:
Agreement: _
The undersigned agrees to ensure the construction and maintenance of the aforedescribed 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
Certificate of Compliance has been is ed AY this Bo rd of Health.
Signed }' Date G O `— "
Application Approved bygs��V�
Date �2 " 2- ?,—/q 7
Application Disapproved for the following reasons
Permit No. �R Z Date Issued Z 2 — Z
No. // FEE A
` THE COMMONWEALTH OF MASSACHUSETTS
- %"/��✓� MASSACHUSETTS
cNyyfirativn, for Pisposal *,otem-Tonstrurtion ermit
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. 00'r/
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Installer's Name,Address,and Tel.No. + Designer's Name,Address and Tel.No. ��
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'Type of Building: - e
Dwelling No..of Bedrooms �- Garbage Grinder(/I/O
Other Type of Building t No. per Persons ;Showers( ) Cafeteria( )
Other Fixtures 1
Design Flow y y i + gallons per day. Calculated daily flow " q,S°-T— gallons.
Plan Date Number of sheets Revision Date
Title ��
Description of Soil �/,�,,�e'�, /C>-3 26�n/�c =/SQL ,. s�.�a .5�.9��, /.� + 'p.�-� � �y"
�/l.Qwr'1 ' 2rs'•". 7O �C_� t"�nl/�.f� � �'d'""/�4 C_�1 LT��ely e✓\J' - r�
Nature,df Repairs dr Alterations(Answer wherl applicable)'
o0 6-A� � / �c�,�- .�Ox -3-ADO 6-ai- J
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Date last inspected: �0 , , t fJ(
Agreement: Jq 10(2 5 ,
The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site se-wage disposal
system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a
Certificate of Compliance has been is ed this Bo�dflth. ''')�,,..,
Signed Q Date L q �q"'" " y
Application Approved by �'�-�' Date �-
Application Disapproved for the following reasons
Permit No. " Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
�t �5 IoIQ MASSACHUSETTS ;
Cnertifi ate of (goznyliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System installed (Vl000r repaired/replaced (•' ) on
by Uy, 1,0 CA Ae% for 61 - /f/a�:C lyist
at JCZrX*," L &_oTT/a+H_ i
g(-�.�� ` has been constructed in
accordance with the_provisions of Title 5 and the for Disposal System Construction Permit No. 71- 9 Z- dated
Z Zq Use of this system is conditioned on compliance with the provisions set forth below:
The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. This
Certificate expirr;s,9 / Z - 7" 7- 003
DATE Vc` Inspect - ...
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q THE COMMONWEALTH OF MASSACHUSETTS -
No. / Z- /-30-^1 L17� � �p , MASSACHUSETTS FEE
,Visposal Sgstem Tonstrnction jermit
Permission is hereby granted to �
to construct(,-�®r repair( )an On-site Sewage System located at /G 1-1% 1 LA*1A S k-,0 -
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 three years of the date below.
DATE , -
Approved y
FORM 1255 Rev.3/95 A.M.SULKIN CO.-BOSTON,MA
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TOWN OF BARNSTABLE
LOCATION J 4 T- kl f 1 AN JZ- SEWAGE #
VILLAGE �����/YirVl ,O ASSESSOR'S MAP & LOT 3 K��ry
i INSTALLER'S NAME&PHONE NO.. 1 S n
O
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) C flilm sPti CG d 6.4 (size)
NO.OF BEDROOMS 1 r
BUILDER OR OWNER /'1 hh
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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.:
I. within 300 feet:of leaching facility): Feef
I Furnished by
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Town of Barnstable P# ?�r(z v
Department of Health,Safety,and Environmental Services
t % Public Health Division Date /79Y J,IR99
367 Main Street,Hyannis MA 02601
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Date Scheduled �'7t ; /3 /�Gf Time (J/ Fee Pd. /o D,Oo
Soil Suitability Assessment for Sewage Disposal
Performed By: O.J R, ��7L� �S CERT J��� Witnessed By: DO.✓.,//a /'7o,RA.✓t�i a9�� ad-H.
XX
LOCATION & GENERAL INFORMATION
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Location Address ,,�//wl _,q/S• qn/� Owner's Name Wi "CNi r7—
C�r�rt14 cZrvi 7 � 30 X 33G
Address IV4 4ZGS4
Assessor's Map/Parcel: Engineer's Name T.Cp.✓f'Z hl96L R-S
NEW CONSTRUCTION _REPAIR Telephone#�-1--eB) yd8—�36
Land Use Slopes(%) Surface Stones yES
Distances from: Open Water Body T.5—OD ft Possible Wet Area j.106 R Drinking Water Well ?! R
Drainage Way 7/p0 It Property Line A00 �: ft Other It
SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands in proximity to-holes)
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60 7•pxop, RECE�iU O
MAY 71999
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Parent material(geologic)efq;f4y✓>C/ /y)OlZo9l^le 0Z94rT Depth to Bedrock —To0 t t
Depth to Groundwater: Standing Water in.Hole: Weeping from Pit Pace /112ir✓C
Estimated Seasonal High Groundwater
D.F, E N . T,tQN OR SEASONAL GHMAT R`t'ARL
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# -, Reading Date:; Index Well level __ _ Adj.factor . Adj.Groundwater Level
PERCOLATION TEST Rate s{rj� T�►u� � a W"
Observation
Hole# / Z Time at 9"
,gS.rUME grLeM,^-,IlI✓
Depth of Pere to 97- / 2 //oRi2 Time at6" /O; 7
,dc<ow76" p
Start Pre-soak Time @ /p;o 7 Time(9"-6") /
End'.Pre-soak o ; ZZ 3�.�✓/"✓�f1E 2C
Rate Min./Inch ��� i�✓e�/
Site Suitability Assessment: Site Passed ✓: Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back j
Copy: Applicant
DEEP 0$SE1tVA t IO1�T HOLE LOG Hobe# _
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,° ravel
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ZS 9B C 'r.� rA /a yam' 7/-J
�B -GD F Gz �iGa M /oyn 1,/3 —
EEP;OBSERVATIONHOLE LOG Hole# /
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistent °°Gravel)
�d 9� � C3 F.✓� s�,,r� /o y1z 7/3 �t ro.✓4.r
.t9.443 /a yR (n/q
L o r'V/G'T R/s �An/f
DEEP OBSEIt�ATtON DOLE LdG Hole#
. ..
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
t t Consistent %Gravel
/a R
:k r- It 76 C �!� /a yeG/3 —
Z—10' C 4-19^/23 y/o R6/y
DEEP OBSERVATION HOLE LOG Hvle
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Con istenc %Gravel
Flood Insurance Rate Man: Z.S000/ Doos/C
Above 500 year flood boundary No_ Yes ✓
Within 500 year boundary No— Yes
Within 100 year flood boundary No_ Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system? 6S
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on W6✓igyq (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required training,expertise and experience described in 310 CMR 15.017.
Signaturg;:;� y Date 119 t 3,/%99
--- - Sl Tc- PLAN CUMMAQUID9 MA . FOR WILLI AM NARDONF
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CO/V,M(JAZZ '.'i I _ -- rs'G •0.G/ �? -R G 4 (^•�ONT
��CAY
QJT ✓.Lcx �/4 Ae_4
- DEEP OBSERVATION HOLE LOG
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Tom:T� o - 3' o CR619-1.G /o yq L/2 —
Ltd c1- / .3" '" ��.. y lr � /o YRz T ' 'arc ems:'
4 9" - �'' A ®y �►'I to)IR .172 — r"'�'?c Tcr; - ism,✓ FS' .�
y� 71 - c
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AY
/'7flT,t,_.Jrr4c.�.✓cgr-N iffy ��'.Hl./ �
i •✓irh' y�fr of 4w T.. �/, � 2 ' `ram �o.+f .4 o.�ir � c: - _
� „3-S`•* � rrZ�"TC1i✓SLS� ; TOP OF FOUNDATION
� �5, '� ; CONCRETE COVERS LE✓6L f�,c 2
I 11 i 4C jj Q `� iFRCir�o✓% /�'7f� C✓ipvu �<
I I /' .� J '/+- !I tl � Mq�x♦HL Tv 9 - �fl � : 4"CAST lfiON "9ir �rrr .,,,._. , ." " , , " . . .. `y/ ✓i .N Gs�/.}.�� c
as Z.cc✓69,S , OR SGHEDULE 40 ,
/�QO,• ,r�R/ ✓� 4"SCHEDULE 40 P.V.C. (ONLY) LEACHING TRENCH (/)REO.
PV.C. PIPE MIN. - -- 9. MIN .
' PIPE- MIN. 1/8's- 1;2�� WASHED STONE 36" MAX. T
r I Q PITCH 1/4�PER.FT.
^ ' / -� _ PITCH 1/4 �
(� ,EL 78-j� / ,� \� (_ ,, P..R.FT: L ('-�r�'.�•�-'s=-"' 5
Z4-r v', I JVEi2r .� �T». nY_� 0•i b.'�[ j �j Y T -- 4
INVERT L INVERT 24
SEPTIC TANK [)ISr. [=ice
9 /�/�
�.• INVEar EL.�t.,S7� QGX ELJ. •.! L7,',L�,CJ;[_-f.;p,'�1 r`J;p,j�t.'
' <;
; 2S"' EL...7�.. INVERT I /
./�.VH.- GAL.. INVERT --EG7�•c-
� - ---- EL.?.�.,3... , F'recust 500 Gal.Leach 3>4 -1/2"_..
6"CRUSHED STONE Giamber WASHED STONE
pCOP r✓ ,, e, ' '_ ter:- - a
GROUND WATER TABLE
°t1 SE W A G E DISPOSAL SYSTEM TYPICAL CROSS SECTION
SOIL L0O
7,C OATE,!!4V e4-,1,0'" TIM'c . .�4.%. P �'-? NO SCALE LEACtlNNG�L TRENCH
�GBG� i \� TEST HOLE 1 TEST HOLE 2 „ �i.✓/ss/ '- �q.�j �t, `'
ELEV. .770. . .. . . ELEV. 7la•o. . ... DESIGN D;1J 1l }-�-
/
1. 1-11 -11- .o. '9 4 NumBER OF BED'00his . .Q. 9 ,.I,IfN. P-SHED D 36 MAX.
LOT ' /7 j" "a.,,.y4,oa ••► �.. �o�/ni/.:4r✓a TOTAL ESTIMATED FLOW . . . . 99�. .. GALLONS/DAY _ �_, - - 8°
�(� i / ` I ( + ( I tiVr / / I d^ '� �,. L79•�' -40 r4 7J-5- BOTTOM L-E-ACHING AREA SQ.r T./iitENCN F. ''-L7:L��C�_�
24"
SIDE LEACHING AREA . . . �,�. . . .. - ., d• b;. �Q.FT./TRENCH
- s
GARBAGE DISPOSAL . . ./1/n. ..(5U% AREA INCREASE)
(�D-7/ �` ,,_ +.T,r)•Vo �'�a TOTAL LEACHING AREA . . D�/-S�!s'..: SQ.r T.
/ i Z %x4e✓a PERCOLAi ION RATE . . . . .- .:',; ��!�_" 1'ER. INCH /283
i
\ ----'✓ `J ` \ G? "'S'q'✓"' LEACHING AREA PER PERCOLATION PATE
/' -- ' / '— — - � -� /.3Z ELGf�,Q' �rrer� s�L,bac - .mac io9•G Y
!F-C Gy.G GROUND 'HATER T"2LE
APPROVED . . . . . . . . . . . . . .. BOAPO OF HALT}i -- -
.. r
.. . . -WATER ENCOUNTERED DATE . . . . . . . . . . . 3NOFMgsS
I `<'' AGENT O7 INSPECTOR STET
- � a,4.5„✓ _ WITNESSED� E/3Y :
G/� �- - - _ - - - -�Cr✓,!✓R. l4R.�!✓4?l F.7�ltc!! BOARD OF HEALiH AL
EN G I N E=R
s FREDS0 '
DRC PETITIONER
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