The URL can be used to link to this page

Home My WebLink About0049 MIDPINE RD - Health 49 MIDPINE ROAD, BARNSTABLE A=356-009 LOT107A n - , N � a v - ^ is s T _ x C r .• ,.. � � .. is Y , y , : No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for ni-4pozar *potent Construction Permit Application for a Permit to Construct( pair( )Upgrade( )Abandon( ) [Y'Complete System ❑Individual Components Location Address or Lot No.4OT /074 01/-OPIAlk RD Owner's Name,Address and Tel.No. t3d y5/0,e Assessor's Map/Parcel S( / * YO VAI- 61 f,�( '�' 7 Z/— l a yr/ Installer's Name,Address,and Tel.No. �a �( s Designer's Name,Address and Tel.No. -77 5- D7-3 S' _7o F a t6 1ANv wvu-C-4 Y .lac Type of Building: Dwelling No.of Bedrooms Lot Size 37• y37 sq.ft. Garbage Grinder�d�) Other Type of Building lyy t, /nE No.of Persons Showers( ) Cafeteria( ) Other Fixtures - Design Flow Y gallons per day. Calculated daily flow �� gallons. Plan Date 8`a7— �P' Number of sheets Revision Date Title t-o r f074 1n 160A19 Ie D C UM IM--01111, Size of Septic Tank / s Type of S.A.S. Description of Soil AS pe/2 PL140- 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 Sby 5 of the Environme 1 Code and not to place the system in operation unti a Certifi- cate of Compliance has bee ' sis of Deal Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued 140 a # �t� - �, O OF BARNSTABLE 'LOCATION ldo7A fb►,"� 7?.. rt` �.: SEWAGE# Y t `_ � VILLAGE �n ,P9L A SSESSOR'S MAP & LOT356,`60 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY t s 40 .' jr LEACHING FACII.ITY: (type)' f e�a�n� ` `�(size) NO.OF BEDROOMS �''.�s BUILDER OR OWNER ,_ ti. W Aj r y>a . .� uyuyrz, .s s PERMTTDATE: )-I COMPLIANCE DATE Separation Distance Between the: } µ Maximum Adjusted Groundwater Table`and Bottom.of Leaching Facility 4 Feet Private Water Supply Well and Leaching Facility,(If any wells exist on site or within 200 feet of leaching facilityj" § Feet Edge of Wetland and Leaching Facility(If any wetlands'-ei ist t ; within 300 feet of leaching:facility) ,k� Feet, + Furnished by oll TOWN OF BARNSTABLE I LOCATION Tb---� SEWAGE # � . I VILLAGE_ 11A� ASSESSORIS MAP&LOT3,5'6 •60 INSTALLER'S NAME&PHONE NO. .� '� ' io ae SEPTIC TANK CAPACITY :." LEACHING FACILITY: (type) 3 �NO.OF BEDROOMS. t=I BUILDER OR OWNER PERMITDATE: GI 2I-9 COMPLIANCE DATE: i .. 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 ,. IFurnished by ...... +'a c. r w n /r rp No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BAR.NSTAB,,LE, MASSACHUSETTS 01ppYtcatton for Mt-4pogar;:*pgtem' Congtructton Fermat Application for a Permit to Constrict( Repair( )Upgrade( )Abandon( ) [ Complete System El Individual Components A7/➢l�'/A/-' l� :s 13A Y bJ Location Address or Lot No.I-UT /D7f� Owner's Name,Address and Tel.No. C S/ e Assessor's Map/Parcel 771 /Q/,�/v/, Installer's Name,Address,and Tel.No. L/a Designer's Name,Address and Tel.No. 77 55-— O7 3 -1 0 - _D tG /19A10 4/9& /g r 4-5- c Type of Building: 3T �137 ? ' Dwelling No:Hof Bedrooms Lot Size sq.ft. Garbage Grinder(s✓Q) Other Type of Buildink'.V0 1 f/MME `No of Persons Showers( ) Cafeteria_,(:e.- ) Other Fixtures Design Flow U gallons per day. Calculated daily flow Fir gallons. Plan Date £f-2'— �l'� �4 Number of sheets Revision Date Title L0 r (07,4 /n /6rlA"E K D C 0Ai►«(9 t//i) Size of Septic Tank / Type o/f IS.A.S. Description of Soil AS pelq 101-4111- s 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 oLTide 5 of the Environme 1 Code and not to place the system in operation unti•a Certifi- cate of Compliance has beet,su by thi of I eat Signed / Date Application Approved by / Date Application Disapproved for the following reasons1 W71 Permit No. " Date Issued ------------------------ ------ --.------ ,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 006 D /C /11'lU at LU T 107/j 44/6 p//1/tz )FD C.6)/X 04 S 0(6 has constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance of thi ermit shall not be construed as a guarantee that the system vain ction as designed. Date - Inspector T ------------------ -- - No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE,. MASSACHUSETTS 'Wioogaf *p5tem Conmructton Perrot Permission is hereby granted to Construct( ✓ Repair( )Upgrade( )Abandon( ) System located at �07 /07 4 A4 t 7j P/N 61 E 9.6 C 61, M r9 9 U/`� Y 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 must be completed within three years of the date of this permit. Date: Approved by y TEST HOLE LOG DATE:- /o/Z-3 1� SOIL EVALUATO : A4b. 7- O WITNESS: ,;'.'- PERC RATE: -�Z.yi.✓/i.�/C/.� h a Lost••-/ ; C o.4it-( 7AV-1-1 45Z . _ lob S 8 � 2 �D• 96V JL� I7Y s',+...sa — { Go,4 R.5� f'i•vG .o Mr.Eo. '�� _ �� / -:-�/S LOT OoCS iy� Y✓�e �.cJ .57.E IRV i DESIGN DATA 9 2 �� DAILY FLOW: ( )BDRMS.x 110 GPD=�o GPD SEPTIC TANK: f/a GPD z 200%=g8o GPD USE:/.So GALLON PRECAST SEPTIC TANK LEACHING FACILITY: V USE: 00�r l�,ZyptJ�r•C.-s IN Z- CAPACITY: SIDEWALL: 4 °oo i (aDI• O TOTAL:- y 9' rgJ�ia �J AYi OF __ O PANIEL 4.y6 .....y v- y`' `,(G` _ _... ,. ._ - ,�; BRAMAN o y 7 T CIVIL � tz{N OF rMgf�4G v�'A .326e6 CO NOTES: o� o F ISTC� 1. ALL PIPE TO BE 4"DIA.SCH 40 PVC. u ) ^ASS {1 2. PIPE TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION RUM BOX. 579 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. V_. 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6"LAYER OF STONE. 6. INSTALL GAS BAFFLE IN OUTLET TEL 2'LAYER OF NS'PEASTONE OVER LP•1 1!2'WAMD STONE ALL AROUND 4d 7 TOP OF FOUND. n$ y7 ss o 1 ' , o Co.9� @ EL. -5-1.o lo• 14* c �r '��'a 4 —I JQv L '3 y7.7S 3<0 SEPTIC SYSTEM PROFILEqwAjo 5�•.�Z'�. .NED- �yyM L GENERAL NOTES SITE SEWAGE PLAN FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR TO ANY EXCAVATION OR CONSTRUCTION. 2, SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH PREPARED FOR 310 CMR IL 00:TITLE V• 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE 7 DETERMINATION. DATE: ?9v7• 27, SCALE: c �� 4. ALL DISTURBED AREAS TO LOAMED AND SEEDED. ` 5. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRED INSPECTIONS. ' 7p.` ��}�UE A....•s- /w,pEIZV'/l�uS �1�,'>�lI/.�C. .�o� =_r!9GU�r �/Zt�7CE w/GLE�i..1 S•vvt�t FT WELLER S-- ASSOCIATES FALMOUTH ROAD CENTERVILLE, MA. 02632EL: (508)775-0735 FAX: (508)775-0754