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HomeMy WebLinkAbout2275 MAIN ST./RTE 6A(BARN.) - Health 2275 Main Slreel a Barnstable A = 237 - 033 _ y TOWN OF BARNSTABLE LOCATION 73-MAin '57- SEWAGE VILLAGEW A03/ ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. lEX MAiWAM SEPTIC TANK CAPACITY 15M G►44 LEACHING FACILITY: (type) (size) NO.OF BEDROOMS OWNER PAVIIW6 C.0 Hyl p`p PERMIT DATE: 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 <f4 ,4_> J-�iEilei2GJ4 �� � � � � � � i � � � '" N H^ - -� -C � � Ii ®- W` � �'" I, �. FEE 50 No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS pplication for Migo!gat Qap5tem CO1i teUCtion Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑ Complete System E Individual Components Location Address or Lot No. ✓L 1.7,j K1A'tit f Owner's Name,Address,and Tel.No. PA�uv�e>� Assessor's Map/Parcel 7 22-75-&-,W41, s'^ `P , "l6 rti. T Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7 7 t S Z6 Type of Building: q Dre, g No.of Bedrooms Lot Size / ��sq. ft. Garbage Grinder ( ) Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures T Design Flow(mein.required) �� gpd Design/flow provided � gpd Plan Date _DS M 6. /rL? Number of sheets ! Revision Date Title 4L3Xy ppyw" o0 tr Io U PIA u Size of Septic Tank Z 5ZO Type of S.A.S. Description of Soil fE-C A'(TA64" h AAJ Nature of Repairs or Alterations(Answer when applicable) _T�q j f 5Tep cl),4110 Aj S'g?'TL L`7 � j. K iD r ;i�%c— �.� I r n. Filc4 (car 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 Certificate of Compliance has been issued by this Boar Health. Sy d ICLDate (2) C>T ( 'G�r/t✓ Application Approved by Date�, Application Disapproved by: Date for the following reasons��, Permit No. L.L Date Issued o f i No. C� �! "s�J p"� Fee THE COMMONWE-. TH OF MASSACHUSETTS .Entered in computer: Yes PUBLIC HEALTH DIVISION'- TOWN OF- BARNSTABLE, MASSACHUSETTS Zpplication for Migpo!5aU*,v!5tem Con5truction Permit Application for a Permit to Construct O Repair( ) Upgrade( ) Abandon O ❑ Compete System ndividual Components Location Address or Lot No. 2,7 �141 N gT' Owner's Name,Address,and Tel.No. 6)Q,2Ns u-1�rA6►t= PjAQD+-PALvA4 C-c,4A1� Assessor'sM.api.Parcel ` 227j Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. G1�,42t F S /`16fZ2/4m A-4-M, e.Aw�0 3"(Ae�S -G l PUj it t ?Vt rv)A i Yv TEv./ VM".-nCXT1A M Type_of Building: DwelrlingDNo.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Type of Building No.of Persons Showers( ) Cafeteria Other Fixtures A/ Design Flow(min.requireed"-)�.�* �{� gpd Design flow provided 4/5—K gpd Plan Dater �jf k/t/ / Number of sheets Revision Date Title PAJPar" PlAiQ Size of Septic Tank / AA Type of S.A.S. Description of Soil 26-C AnTAe_V1 lP Q i 1 A I) ti Nature of Repairs or Alterations(Answer when applicable) r,64 5!E)0 1) /5W GhAll r,) v f�71. � `�r�l� -E--�..�r�K `T7) �w�i aG— (b,�,,/�c-1,►�.L. idler �rT�/ . JjDate last inspected: � 09 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'Jnot to place the system in operation until a Certificate of ,,_.(-Compliance has been issued by this Board of Health. nn Si ned V Date C;(- �.GU Application Approved b� \ .� Date 1W ���� Application Disapproved by: 1� Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ��GN►� D (Certificate of Compliance THIS IS TO CE FY,that the On-site Sewage Disposal System Constructed ( Repaired ( ) Upgraded ( ) Abandoned( )by ?11 t n I - at 21) ; P�AfN �`ri . \c�L AA RA,('TfA D i has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ejl9eP —Q dated /0 Nq Installer Designer A !,-A1kLAA—Q .5,L k #bedrooms Approved design flow 4C40 gpd The issuance olf this permit shall not be construed as a guarantee that the system i•la fu ction a�s designed. p Date 1 116111J7 Inspector No. 00 � Fee ! J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Wfi.5po!5al *T£teiti Co t"--Aructiuln Perm, it Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at c 7 5 rna in :V-. vU s g An b by 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 con��d``itivn . Provided: Construc .on mus be completed within t ree years of the dKe of this it. Date !6/�� Approve�by Town of Barnstable Regulatory Services Thomas F. Geiler,Director ELAMSresr e. 9�A Public Health Division 'Fob° Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 . Office:.508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 16al 16 Sewage Permit# -- 2 Assessor's Map\Parcel Z 4 Designer: Installer: Y( s Address: . Address: 1)i r 424 On fb la9 r140v2r6S M 6peA- was issued a permit to install a (date (installer) septic system at 2,15—M, 61 S'`, W!?AZ a(i'l n aced on a design drawn by / (address) (/V dated /BI2-7/6 . ( esi r) I certify that the septic system referenced above was installed substantiallyaccording to the design, g which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required) was inspected and the soils were found satisfactory. Aga of WIASLOW yG� (Installer's Signature) SPOFFORD .o #203a NAL1///,e.144 esigner's Signa (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTH, BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 03-09-06.doc -Z Z -7 S M.4i^1 L.eaa. " ( 'FArA I IQ I* " 9 1 I r 4A 5 0{l-) E i j A AAA LAND 618 ROute-28 Ste 3 W.Yarmouth.MA-02673 F 5Q&771.LAND _ w t ©. I o mc TM.c4 la'.v'cx yyii gEIC -RaQ✓S- 1 0 poY1—— I L ��.inlu':vlNt E:�cilii i Zc lV I �— - Pnrz leze z,o _ _Fws-f RDOR IA'�,j ' "tD�+f�.�'{[Jli`-'W'�/tlR1.EV.ht:ISNGW�IOwS.'W+SIfE - • L 4 - � — - Ale1v RInSE BHT I i I L.I II — J0s"If fXz72 PAu Eli. 4 s ''ceoo,.E'm5 a ua I I I I I 'i: I FRAME Wf 5/4-STbCK:EDRpFq _— JI I-. I v,.. I r i I ? I _ I - �xMnc_Iuc z3uEs_,Lu,gJera-o-40,% dy,11, l. I�:I { cl�Iwlsle5 II I I — I I I�1 ILI Z44Gq.B HQf VKO r(EIe�/A'6QN R14 TOWN OF BARNSTABLE LOTION / . �� SEWAGE # VILLAGE , ASSESSOR'S MAP & LOT132--111 iNSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) � (size) e24 NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: /" COMPLIANCE DATE: &�h '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 2 feet of leaching facility) Feet. Edge of Wetland andaching Facility(If any wetlands exist within 300 feet of leac ' g faci ' Feet Furnished by r`1 1 0 613 Ilr,on CA cp LL cz )7: � I � l ' � CJ TOWN OF BARNSTABLE e LOCA1110N 1 75 AJAIA/ SEWAGE # VILLAGE ASSESSOR'S MAP & LOTZ� . 44�,7 INSTALLER'S NAME & PHONE NO. Ua4y91gjc2 SEPTIC TANK CAPACITY L- I LEACHING FACILITY:(type) L- (size) �C NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER A Uz DATE PERMIT ISSUED: Oc,r DATE COMPLIANCE ISSUED: �GQs ,VARIANCE GRANTED: Yes No 1*4 f 7 7-5— �l lea e- A ® l S7-ry 7'ANDARID NOTES PROPOSED TOP OF to witbin 6 of Ra ise NEW FOUNDATION PA R 0 A TTIC S STEM' 1) THIS pLAAr J�,c, FOR 71H�E� RE I T 1, finish gradt.� install risers as neede-d ,5 EL '310 C ALL IN,,,,:zTALLAT�ON* PROCEDUR-E," A.Arf) 111ATERIALS SHALL CONFORM TO AfR 15 000, THE STATE ENPYRONMENTAL CODE 7; `h,.�rnstqble TO '�TBSURFACE DLS'POSAL REGULATIONS TITLE 5 AND THP ,WV OF GROUND SURFACE -fi.1L­------- "AS B , N Al"AlOE AS TO COA-fPL14 7CE OF A A A-L ------ ...... E PROPERTYINFORMATION WITH RECORDED DEEDS 3) A70 DETERMIN A TION fl- 17F A F 9B ZONING REG ULTA TIONS. Proposed B TO TFIV TM TER 4) THIS PROPERTY IS SERM`i..��:] 4,, t)- YOP EL 0 IF 2 "5 'F"X1ST11VG 5) THERE ARE NO KNOWAr WELLS i1i""""'A' 100' F T!, , PROPOSED SOLL ARSORPTION' S' TEA( 46, 75 2"MIY-3':MA.X f�,!!N 2' LAYER DOUBLE WASHED 1"12' STONE 6 A.L1, COVIVRS OF S-Y-S'TEM COA1.F1(1­E-A75' SHALL RE, ER,,?UCyHT P0 WITHM" 6` OF' FIMSHEP (�',K�ADE ::E6 .. . . . No STRUCTURES SHALL BE LOCATED DIRECYLY PROPOSED ME W IOMPONENIS SHAJ -'-� RLEMALN ACCESS)IRL. FOR INSPECTION 7, E 6 ALL SYSTEM C IN VER T EL 10 FEC T1 VE TMF PERFORMANCE ACCESS, IYSPECTION Ej7 14 UPON OR ABOVE THE COMPOM:NT Ak'7CESS LOCATION� OHICH WOULD INTERFERE ArITlY 4 SID—EWALL Z 4 6. INSTALL 19 V::: 4 Z GAS 45. FUMPPOG OR REPAIR. IA ER 7' EL E'xi-s'tin o- 6. 42 11ROPOSED 1 7ING 7 A SOIL ARSORFTION PAf' I :�"Q'NG AREA, 'A TE FLIF D Box \ I OR OTHER IMPERVIOUS ARFA SHALL BE LO( D ARO VE BAF V 1,7 3/4'- 1 1/2' DOOK E 8' NO DRIVEWAY �'K AIG 01? Me IN VER T EL T E7 \ , I 6,"R , -, - S T PROPOSED '8 L ea c h fl e WASHED ONE S Y,, T-EM, E,I'C EP 7' WHEN V`,��YTM(l HA5 REEff PRO VIDED 45 (Typioal,) E.YL.ting 20 ' x 3 42--J BEERS A MD D,`S TRIB `HALL BE FEACED ON To Rem,,li in 45. 27 with 3 14" T'e rf Sch 4 0 P V0 UTION BOXES' 15 A 6" STONE BASL` FO UMDA TION TO BE REPLA CED EHSTING STONE 6" STOXE BASE EA]STIA16 BO TTOM EL 9) SEPTIC TANKS, GMASE YRAP- -T �S #7TH NEW CONCRETE INVE141171 EL �Pjlo e.s 6, 0. C7 TO FM5'URE ST4.H11JTY ANO IAIVEWT -EL FO UNDA TION P-roposed Ne fr 10) OUTLET DISTRIBUTION IMES STAIALL REMAIN LEVEL FOR A AffAIJAR.TAf OF THE FIRST TWO FEET, OF THEIR LENGTH. 1, 000 Ga I Sep tic Tank d - ­ . SS T11EY ARE UNDER OR 97THIA1 10' SEE APPIVO VATI) SfY7k PL AN 11) ALI, SYSTEM COMPO-ATENT,"S' R-E CAPABLE OF WITI-ISTANDIM6 H-10 LOADING UNLE, 00"? S 0. 0,9 (Tvpioaj) - RA NG AREAS, IN IP711CH CASE 11 20 COMPONENT-5 SHALL BE 17SED OF DRIVEWAYS OR PARA-ING OK TU T1 'S' 01 D 0-6 #3248 DAITD J&TY P� 2006 8' 40� On e (0 4' )"wo 6) -39- - 40 BOTTOM OF .MST HOLE" J,3 12) ALL B[TILDIArG SETPEF, LINES' Sh,"LL RAEF AN IMVER DIAMETER OF 4" AND SHALL BL,' (-­AST-1RON OR SCHEDULE 40 PTIC EL ED 36" VWTE.SS 17EArT!ATG HAS EMAJ FROVIDET 38' Test P# .11312 13) THE DEPTH OF THE TOP OF Alid SYSTEM COMPOMENT-57 SHALL NOT EXCE ON, LX!-57YjVG GRADES SHALL RE RLEMBLISHED .14) IN THE AREAS 011" EXCA VA T1 UNLESS NOTEf) AS PROPOSED CMIOURS 0. 005 f. - OTABLY FROM -0 1 -T THE E%CA EA TION OF THE SOIL ABSORPTION S YSTEX THAT DIFFER N �1,5) IF SOITS ARE EAre, JA' FRED Dil. 5 AN 7HFr DEEP OESER,VA TIOM HOLE L(., CONTA CT A & Al LAND SER VICE: V TO WN ROH FEFORE PROCEEDIArC DE STRUCTION -16) CONTRACTOR TO 17ERIF17 LOCATIC'N OF ALL VN RGROUND UTILITIES. PRIOR TO COAr 0- Ji7) CHA-ArGES OR REVISIONS TO SEPT"(.' DESIGN REQUIRE NOTIFICATION -RO UTE e-� A Hwy. U To A & M LAND SERWCES AND TOPVt�' BOH FOR REP-7EW AND APPROVAL, OA 91 0 S 60010'37" E 18) CONTRACTOR SHALL NOTIFY TOWN7 AND DESIG-Ar EMOLKEER AT LEAST 1,0 INS 29. 74' 12,7�?,3' -0" E 25.00' 24 --- 48 HOURS -PRIOR 64-175 T 10,45',. Fnd. Fnd M.HB 19) MAGNETIC APE TO BEFLACEI) OVI'N, ALL, COMPONEXT25' ACCESS POLArT, 38,1 Top AfHB Fhd MHE TBM- EL, 617Z'�; Jra ter Line LOt ]A. q,&5 -- I obw Lihr-- -7 --y PRO PO XOTES: -GN 1Y -A 71A EXISTING -DESIGN' DA.TA DES1-­-­--­ 'on IFJb u tion �-­Prcv:)0Se(\1 Tlaroe] not within Zone II C I Number of Bedrooms: 4 L pKa t e r NLtlnber of Bedroonts: 13 Garbage Grinder: NO Garbage Grinder: ATO DTF1 Ex is ting ine Design Flow:. Design Flow: 440 Owne-t- of Record \11 -330 RM9 12275 (110 Gall/Bli/Day x Number of 13R) (110 Gal/BR/Day x Munber of BR) > Existing Septic Tank: .1,(?00 4.6) 1 Richai d & Pa uline Canniff 3 Bed Septic Tank: 1,000 (Minitnum = Design Flow x 200%) TO F E! 5 0 75 (Minimum = Design Flow x 200%) GaI Deed Reference NV. Ie Proposed Septic Tank: 1000 aching Area: J, 2-1981 Pg 25 Sidewall: (Minimum = Design Flow x 2007.) Rk. J Se e GaL. -J (2 Sidewalls x -----Ft x ----Ft) + 11312 Tes t P 0 0 Existing Leaching Area: TEM EL = ' P �j '2 Endwalls x x 149­0 1 -- -cp 3 k n Rim S--Ta.12k -4w­­ .1� )fo ' Bottom: -Exisang 4.6"oo Bottorn: 00' PI B-k 5 5 9 1 39 20'_r -----F0 3F x DTH 760 0,60 (P-1 ,1P 6 - t X Long"Yerm Acceptance RaLc v -Iss II C9 7 M111 Lo t 1A Rate (LTAR)�.x 0.60 M (44,7) "A Long Term Acceptance To , Rem a in Sandy Loarn Leaching Area Design Capacit,�, Leaching Area, Desigh CapaciLy� 456 GPD 456 GPD (Sidewall Area i.- Bottoni Area) x LT,�R, Area + Bottom Area) x UAR 61 -.1\ - ==� J' T .11312 456CIPI) Provided 330 GPD Required 126 Reserve 4,56 (;PD Provided -44-0 GPD Req,��;red ---- Reserve ,16.9) I Topose" V 237 33 LOT Pr op Sed 1�goo ASSESSORS ALAP Gal S--.- 7aink See (4')',4) -Zo 0 Tes t -113.1 NIF ed Ca r t well D77i Sh .5 p 237 Parcel 34 001 4Z, dde- -il J 0 1-2 Plan Exis t, D-.---Box Z13 7b Rein a in OF -nsta ble, MA ow WINSLOW A, -A' SPOFFORP EXIS a SPOFFORD a. Loca ted At TIM 11,7AC"Y1110(7, 1, C�YLITY /X "023040 0 ' X 38" Long Leach FYeld i,,rjth 2 n -)t e 0A A three 47 fin Sz, MAL Total A-rea 20 ' x 38 ' Ja _r,7-1 S a 1)le, -LIVA To Re-inic-4jp, Applicant ulin e C & unn.lff luc-13-117- '51 -ee, ,�IJWL 4�. 0,"1 B, a rnsv t a b le J114. NIP Cantv LE 0) 2009 !�10 ' DA T], SCA Ja n 7 Parcel 32 p, Railroa d r7, D �, I F 1 4-4----I---- 4--- I--- C-L-1 zill IE[il z M' LaIld Services z/ 616 Ma.in Street Unit 3 -4 02673 t-h. M- est m TM 0 q,� Route NIF -W 11-� Ohlson (508)., 771-5260 (508) 737-1777 pil. Map �?3 7 Parcel 1`314 002 GRAPHIC -SCALE tJ� L 6)cyus 40 80 20 10 Q) 1 EMM I Locus Alap IN FEET 1 inch ft. 22 75 Ro u t e 6A 1777 P, Barnstable, MA D ag. ,4� 5062�dwg ----------- ----------- --------------- -------