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Home My WebLink About0079 STURGIS LANE - Health 79 STURGIS LANE, BARNSTABLE A=278-040 7 I YF , ti r i . 77 s fc` � I 5�°o �l s <:S LO •-w ,�^ `T `� TOWN OF BARNSTABLE f LOCATION S7-ul?G-/.S hIV SEWAGE # VI ,LAGE 3 ASSESSOR'S MAP& LOT2�> _v 6` INSTALLER'S NAME&PHONE NO. C� l/�D 4 j C� SEPTIC TANK CAPACITY. LEACHING FACII.ITY: (ty -7-S �� - S NO.OF BEDROOMS 3 y BUILDER OR OWNE !9/410r ' PERMITDATE: COMPLIANCE DATE: �U Separation Distance Between the: �D 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 Leachin ity(If any wet exist within 300 feet facility) Feet Furnished by `� nG�,wk a10 37 .s �m Per 6 �� Ir 57VNe p � ) _ es Veti i I i TOWN/OF BARNSTABLE �Q �- LOCATION /'t�r/S f�/!J SEWAGE # CJ VILLAGE 3 C� ASSESSOR'S�MAP & LOT 78-U y'a INSTALLER'S NAME&PHONE NO. 1,vo� 4 4l CSC SEPTIC TANK CAPACITY 16eAe LEACHING FACILITY: (types �;J'S ��6L'.(�/��ze)6 -30 IK s NO. OF BEDROOMS 3 ' BUILDER OR OWN EQ- I PERMTTDATE: I 3� COMPLIANCE DATE: �U i 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) k ,4 Feet Edge of Wetland and Leachin ty(If any wet exist within 300 feet facility) A;1,4 Feet Furnished by `� — - _ . l l _ a (0 i a ac�� an�pl1�n i t 01C . LE ti� �� _ni g No. ti7" t Fee THE COMMONWEALTH OF MASSACHUSE Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pprication for 3Di-qpogar *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System 0 Individual Components Location Address or Lot No. !' l �Y;c f��-7Gf tS° �� /O�wner's Name,Addr ess and Tel.No. Assessor's Map/Parcel IA a?(a 12, �/�� V �t l��Uev Ins ler's Name,Address,and Tel.No. ^] Designer's Name,Address and Tel.No. c/ ��(O c 5*&JVO J Type of Building: Dwelling No.of Bedrooms- Lot Size /0 6kl"sq.ft. Garbage Grinder( ) Other Type of Building I S 10/ty No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Natiree of Repairs or Alterations(Answer when applicable) 60 6Z/C ,e, n 7-le-Ce , t (2 AL e0- 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 Titlefi of the Environmen de and not to place the system in operation until a Certifi- cate of Compliance has been issu s Board of �� Signed Date l . C1 Application Approved by Date Application Disapproved for the following reasons - Permit No. "' Date Issued Fee G1 ,1� THE COMMONWEALTH OF MASSACHUSE co�&6 Yes PUBLIC HEALTH DIVISION - TOWN OF BARN �TABt �IIIA'SSACfflUSE.TTS1.....,._._..._. ZippYication for Migpogat *pgtem Conwuctt�ou�Permit $i plicat�n for a Permit to Construct( )Repair( )Upgrade( )Abandon� ) ❑Complete system ❑Individual Components I Location Ad r s o ):1 t 0. 9 S js �� Owner's Name,Address and Tel.No 33 / Assessor's MapTarcel fl U l I311 UC (J 4 = 9. i... ; Installer's Name,Address,and Tel.No. �`. .. oVJ;T l Designer's Name,Address and Teel. o, "` pe of Building: ,, ►Dwelling F';T_—yrP'e-of_j�uilding No of Bedrooms c Lot Size" � 3 sq.ft. Garbage Grinder( ) �,.d'O,..,�t�her ?� No.of P rsons Showers( ) Cafeteria( ) Otlfer Fixtur s -- r, 41esiow , gallon►.,p�er�day T alculated daily{flow gallons. Date , Number ohee>`s ' "1 Revision Date 1 `1`Title ► Size of Sep is Ta-k A 'A Type of S.A.S. Description of S it Natujre of Repairs or Alterations(Answer when applicable) 04) (,--d-a-d Me Date last inspected: '` 's 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 Environment de and not to place the system in operation until a:Certifi- cate of Compliance has been issu96 Boazd of 1 1 3d < Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. "' Date Issued THE COMMONWEALTH OF MASS G'HU � TTS BARNSTABLE, MASSACHUSE (Certificate of (Complian THIS IS TO TIFY, that the Op-site Sewage T,t)isp sal yst. Cpj trusted( )Repaired( )Upgraded( ) Abandoned( )by Ri a( C G at 4 has been constructed in accordance with the provisio f IFe 5 and=1 System Constructio ermit No. = ", dated InstallerC Designer The issuance o this pe 't shall not be construed as a guarantee that the system will function�as designed. Date ?G Inspector \YY7 3 4 {� f -------— No. i/r .,�'-.'�� ------------------Fee � W THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpogal *pgtem Con!6tructiou Permit Permission is hereby granted to Construct( )Repair( )Upgr de( )Abandon�r/) System located at s eM b (Jl! a 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: Con traction must be completed within three years of the date of this p �t. G & Date: r! G Approved by o /�% r 10/9/97 NOTICE: This Form Is To Be UsedFor the Repair Of Failed Septic Systems Only. t CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) 17 , hereby certify that the application for disposal works permit ermit signed by me dated 3O' ` y concerning the property located at 2z ,S 4151 CA�Av Uu C G eets all of the following criteria: • There are no wetlands located within 100 feet of the proposed leaching facili • There are no private wells within 150 feet of the proposed septic syste • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • If the proposed leaching facility will be located within 250 feet of any wetlands, the bottom of the proposed leaching facility will=be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation (according to the Engineering Division G.I.S. map) B) Observed Groundwater Table Elevation(according to Health Division well map) _J SIGNED DATE: 2 "d ` LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER Attach a sketch plan of the proposed s stem. Also if the licensed installer osesses a certified plot plan, � P P P Y P this plan should be submitted]. z q:health foldcr.ccn �s e �e r p o S� s ZIP e�-- f �\U -7e --- LOCUTION ' '{/ .,,e / SEWaC,E, PERMIT MO. 60�lST�LLER•5 IJ�NIE � ADDRESS. --. BUILDER 5 Q &"F- t ADDREyS.S DATE PER 1T 1 — M SSUED � �L �� — — DATE COMPLIW-ICE ISSUED : -� � c.:, :^ .� �,=. �- ..� ' � � � � rya` ,r...j R �� - .�� 5 .�.m., .� � � ', 1 �k i I �J 1 .. , -' �. " C!�' �.� No.------w ..••• F�s.� ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ................. . TOWN-----OF.BARNSTABLE................................................... ..... Apphrtttion -fur ihspo'iitt1 1011rbi TiattfUurtiott Vane t Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Sturgis Lane 5 ........---•----------------•------------.............-•----•------------------------------------- ••---------------------------•---------------...•••---•------•-•---------------•--------------•-. Location-Address or Lot No. Bruce E. & Janet C. Yakola .. Wequaquet ve-..,.-.. .Qnte_villlp MA... Owner Address Installer Address d Type of Building Size Lot....54.'.31.Q------Sq. feet U Dwelling No. of Bedrooms_.__ -----Expansion Attic Garbage Grinder n aOther—Type of Building ---------------------------- No. Of persons---------------------------- Showers ( ) — Cafeteria ( ) aOther fixtures ------------------------------------------------------d ---------------------- W Design Flow.___.__ �................. ...........gallons per person per day. Total daily flow_....._____._.....:`......__��.__.._..gallons. WSeptic Tank—Liquid capacitvl_1_2_5_(kallons Length................ Width................ Diameter------.......... Depth---------------- x Disposal Trench—No. .................... Width-------------------- Total Length-------------------- Total leaching area..............------sq. ft. Seepage Pit --_-__ Diameter.................... Depth below inle�j_____ _......... Total leaching area_...._--...._..._.sq. ft. Z Other Distribution'box O Dosing tank ( ) �1^ �/ G y'Q�7G aPercolation Test Results Performed by-- ------- ............................................................. Date--.-.-.---•----------------------------- ,� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water....---..__-__---.__...- G%, Test Pit No. 2................minutes per inch Depth of Test Pit.-------------------- Depth to ground water------------------------ Hof it �` �.'�.:.2 O Descri ti 1 i a ^ . .................................... ----------- Q ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- V Nature of Repairs or Alterations—Answer when applicable-------------------------------------------...............---_-_.------__.-_---___.-.-------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ .. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' s d by the board o �=::V_ ign ------.----•-. ' D to Application Approved BY �-F - ---- a�2aLr 'L: 1,�...=_y'7 .. • � Date Application Disapproved for the following reasons:................................................................................................................ -------------------------------------------------------------•---•----------------------------•---------------•-••-•------------ ---•-•-----•-----...----........-----------..._.--------•-------------- Date -t PermitNo......................................................... Issued...................... ................................. Date - - -- -- -------------------------------------- ----------------- --------- 0�741 / int o THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN- oFBARNSTABLE ... ............... Appliratiuu -fear Ditiposal Workii Tutulrurtion Vrrutit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal Systemtat: .aturZis -Lane 5 --------------------------------------------••---•----------•- ---•---•------------------------•••-•----•-------._...------•-------•---- Location-Address or Lot No. Bruce _E. &--Janet_.C-,_.Yako 1 a._..._..--••------_--- b.__W:eua_ ta e ___Av e._:--. en t�r�r i_1�.�9:__MA.. Owner Address Installer Address 0 1 0 Q Type of Building I' Size Lot---5__.s_________--------Sq. feet U Dwelling—No. of Bedrooms-------4-------------------------_--------Expansion Attic ( ) Garbage Grinder (0o) per, Other—Type of Building ............................ No. of persons---------------------------- Showers I; ) — Cafeteria ( ) Q' Other fixtures ---------- ------------------- - d ................ . W Design Flow--------59_____________________________gallons per person per day. Total daily flow---------------------------- -�-----...gallons. WSeptic Tank—Liquid capracity___1-2- 9allons Length---------------- Width_.............. Diameter---............. Depth- ------------- x Disposal Trench—No_____________________ width-------------------- Total Length------------------- Total leaching area--------------------sq. ft. Seepage Pit No..... _______ Diameter____________________ Depth below inlet_ .____ .__.__.__._ Total leaching area__-_-__-__-_______sq. ft. z Other Distribution box (`X) Dosing tank ( ) 06, 74 ' Percolation Test Results Performed by---'__................................................................... Date--------------- --------..__'--------- ,� Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water_ --_--_-_--__-__-.-. rxq Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water__-_-_ ---___-____--.- ------------------- ------------------ x -------------------- escripto tl----------- 41,D ( ---- - _ .---- — W x ------------------------------------------------------------------------------ ---------------------------------------- U Nature of Repairs or Alterations—Answer when applicable.--______________.................................................................-------------- -------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- ----------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beenis d by the board of igne - ----- -- -------- tzz D�xe Application Approved By----- r — 17l°-, Date Application Disapproved for the following reasons------------------------------ -------•---- ----------------------------•---------------------------------•----- --•---•--•--•---------------••-••-•-•------------------------•-----------••--••••---••--•--------------•-•----•---------•----------------------=-----------•--------------•-_.-...-------------•-------- Date PermitNo......................................................... Issued.............................................. -------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH %rrtifirate of (U'uutpliatta THIS TO CE " 11 Y What the Individual Sewage Disposal System constructed ( Zr Repaired ( ) at by-•--• ----- - - ....... has been installed in accordance with the provisions of Ar i XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-___ I..70------------------- dated THE ISSUANCE OF THIS CERTIRCATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------------�"� 2 7� PC 12:?,f ------ Inspector----------------- -------...----:-------•••------------••------ fy THE COMMONWEALTH OF MASSACHUSETTS Yk BOARD O HEALTH - ............ .... ... . .. .. .......O F...... . .... d-rJ k� FEE.'•"Id---..._.._.. ?lTnistrurtion rrmit Permission i ereb ranted_---- G� :- -7 y g Lam' ----�---------- - -------------------- to Constrtr Repair ) n Individual S ag ' isosal System atNo._6�:1' `� ---------------------------------------------------- .......................... Street as shown on the application for Disposal Works Construction Perm No.-______.__ Dated____."_`l�'_7_ __••--_--__-__ DATE___ ___ __ .!r___ - ___________________________________ Board of Health Q4_ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS V// w, A � M1�. 'T-';. 4 ,J 8p' 'a /VCR .� ter E.Jt ✓,�1 �e^./✓ WT �lLL ALE K s,--rw,FzzT•ABo% LppmaD PLOT PLAAI \30 � r > s'6 r 5CAL E• ..J L;tA Tom L,07- 6 CE T/F Y 7-IWA 7- 7'yE EX/:ST- ' " /NG FOUn/aA r/ON LOC-a T/ON /_5 Q r ' EDWA D 45 SfaO�YN,q�v1D_�Q�;a�CO.v /. � e'A THE SUILZ?/�1fG SE. '49AC. Arai 3 r OF T.4/E TOWA.1 OF : 1vS 3u,�VoQ — • , C,i'G'OGt/ELL 3•T�YGO� Co.�� t tL �1 . `>?c1c.kClR bPN Pn� -.XIo � I I WAR Action Dale/Nev felon Number T t ;+ Wf GEOFFREY KOPER ARCHITECT P.C.Box 766 Barnstable.MA'026W L__TI Phone(FA%:(508)375,1027 CHASSON 7777�7 RESIDENCE 79 Sturgis Lane Barnstable,Massachusetts SECOND FLOOR PLAN` 6 1.,