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Home My WebLink About0442 MARSTONS LANE - Health 442 Marstons Lane, Barnstable A= 348-022 e e o n o o u �� r , c a 3 v ;p 0 z z- No. 7—S Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Ofpplicatton for 33iqool *pgtem Cong4rurtton Vertu 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. YYA Vat4Zrw 4411X_ O l ) loaw(10"7n MC/ ?AaW,, be,vxi 0z6 aF Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 13 Garbage Grinder(A10) Other Type of Buildings &.Gyxe__ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow -3 3 0 gallons per day. Calculated daily flow gallons. Plan Date /q1 Number of sheets Revision Date Title /} Description of Soil �-Cn4_, Nature of Repairs or Alterations(Answer when applicable) 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 Environment Code and not to place the system in operation until a Certifi- cate of Compliance has been iss B d of Vealth Si Date Z7 Application Approved by Application Disapproved for the following reasons Permit No. Date Issued i .�. ♦E n`_-"..-,,, .— La... ... e-.. - ..-. ��*. �.,>. .x a a. R1. a,•,+',.,R .J .. ." ..arJ�' ..:11 ca No. Fee — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for Mi5po$al *pgtem CCowaruction 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. Installer's Name,Address,and Tel.No., Designer's Name,Address and Tel.No. p 3 6 Z Type of Building: .Dwelling No.'of Bedrooms Garbage Grinder Other }Type of BuildingAb-ad Fyt4yV_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow '3.3 D gallons per day. Calculated daily flow . jl3 3 gallons. l Plan Date 1 Z ! ��1, Number of sheets Reae`ilion Date Title e r . l , Description of Soilae4Rat (M� Nature of Repairs or Alterations(Answer when applicable) Date last inspected:- ! Agreement: 1 1 The undersigned agrees to ensure the construction and maintenance of the afore described on sewage disposal system in accordance with the provisions of Title 5 of the Environment Code and not to place the system in operation until a Certifi- cate of Compliance has been iss ' B d of Vealfh j Si Date Application Approved by Application Disapproved for the following reasons Permit No. Date Issued T — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE,-MASSACHUSETTS Certificate of Compliance - THIS IS TO CERTIFY,that the On-site ewa a/D^isposa]System installed or rrepya-i�red/re(�laced(. )on !1 -:/tic w IG.? ,� LJ /✓*14;yC Y/11,�' b - -�,t. _!r)s r ia�y for as h obe6a-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 belo : Fee =THE COMMONWEALTH OF MASSACHUSETTS ,. . PUBLIC HEALTH DIVISION BARNSTABLE. MASSACHUSETTS Migaal *pztem Con.5tructiow permit Permission is he eby granted to �—Z7— TS• q v i to construct(71 repair( )an On-site Sewage System located at and as described in the above Application for Disposal System Construction Permit.The applicant recogn'zes his/her duty to comply with Title 5 and the'fo lowing local provisions or special conditions. All constructio us b lete within two years of the date below. Q 1•" Date: Approved by 61 �' r � t G TOWN OF BARNSTABLE � y 8` LOCATION M/;-2S/-VAS SEWAGE # / 6 VILLAGE ASSE OR'S MAP INSTALLER'S NAME&PHONE NO.!tloir SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 2 T (size) / `JK 2 r NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: 7 ] COMPLIANCE DATE: — g - 7 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 OJ, e 5,S�G o 2 q3 2 20 7 , 3 Z� s3 /,S t✓ ` TOWN OF BA.RNSTABLE �yC$ LOCATION 1 a / /A�S�It,S SEWAGE # -/ b —Co 7, VILLAGE. U M jC4�� R'S MAP J LO�1 U 1 17 ASSE O /O -, INSTALLER'S NAME&PHONE NO. � 0 �f�✓U�aJ a SEPTIC TANK CAPACITY /.�� LEACHING FACILrrY: (type) 2 — Pf 7— (size) NO.OF BEDROOMS �I BUILDER OR OWNER 19)1,5j DE PERMTTDATE: ,7, ct 7 COMPLIANCE DATE: 9' 7 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 6DEd-�a 321 2® q3 Z 1 ,90 7 . 1 , 3 2/ 1 �- _` TEST ROLE'LOG' j DATE: t*e-. 19, M4, { TEST BY: WELLER&ASSOCIATES WITNESS:P a bJ c s.t✓. PERCH TE: � Z �1u.J jiS / 98.0 o4E " Io5 Mt►JIHJy{ .it ,.Y, ' 1 /i\ �, ►.oa`�`'"� tW& s / 1eYiL s 3 r 104 h Px�A1AY ser�D $= too D 1� 4, Q ' e :� 1 1 r ��tl . 100 DESIGN DATA DAILY FLOW: (3)BDRMS:g 110-.GPD'=-'330GPD SEPTIC TANK- 33c GPD a 200%=4GcApC? _ — USE: 1600 GALLON PRECAST SEPTIC TANK. / LEACHING FACILITY: USE:(')S x&S x Z 5oc 4AL,,VIDJ 1OL S y t of D L'1�1+� W/4'� �� \ CAPACITY: SIDEWALL: 7`x ZA .7 �Z.s Io8 t3 x .7¢4? .5 E BOTTOM: TOTAL: 2ro 431(o67 cor O� 1..cxJS NOTES: r I. ALL PIPE TO BE 4"DIA,SCH 40 PVC. 2. PIPE TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION BOX. 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6"OF FINISH GRADE. 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL 2"LAYER OF 3/V'PEASTONE OVER 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED 3/4"-11/2"WASHED STONE ALL ON A 6"LAYER OF STONE" AROUND `. hors t to s�jK.�(AaK- T T+� TOP OF FOUND. Tip Err• k�•So, l o�,tie IOOLSb / ♦ ��' . Ido,7S loo.z3 0d('(ar� c El., l°c• b �cD,C70 SEPTIC SYSTEM PROFILE SITE SEWAGE PLAN GENERAL NOTES 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION IN FUR- OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR �clT to HAV-S Tames lAt� c�,1Mrt� l►D� Mot• TO ANY EXCAVATION OR CONSTRUCTION. � �1 Oor�L 34-1 'jAc,� 73 2• SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH r"'''— 1 310 CMR 15.00:'TITLE V. T' ? PREPARED FOR . - 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE DETERMINATION. YSI � 11 I GO. �a`10 OF 1 tir M a.: �`�' DANIEL E. CyG DATE: VEGY-41� tl)I''I°f� SCALE: I"--� t� � � BRAMAN N I �y p GVII., W� N ii N0.32666C y: 01S7E��`�� '10 zoo WELLER & ASSOCIATES .. FEA11'714MMN ST. P.4. BOX 119 YARMOUTHPORT,MA. 02675 -� .E TEL: (508) 362-8131 APPROVED BY: `$ t