HomeMy WebLinkAbout0078 WATER VIEW CIRCLE - Health 78 Waterview Circle
Barnstable
A= 254—027
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No. o "' � Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: SLR
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE MASSACHUSETTS Yes
apphration for Disposal .pstrm Construction 3permit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System individual Components
Location Address or Lot No. -1 $ Owner's Name,Address,and Tel.No. A ° -n
�� -7-& UJ Uues�crr�
Assessor'sMap/Parcel � S �fd`� &`A
Installer's Name,Address,and Tel.No. 0'.&00qPkX Designer's Name,Address,and Tel.No.
lio,/�oq It �4�00,to 36 L(a&t
Type of Building: .
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) ra
h
• V
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 Board of Health.
• Signed C)A'tXW Date '
Application Approved by ` Date
Application Disapproved by Date
for the following reasons
Permit No. �, Date Issued
t f�
No. oZ!' Jr Fee J �
THE COMMONWEALTH OF.MASSACHUSETTS .Entered in computer: S�
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01pplication for -Misposal 6pstrm Construction Permit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System individual Components
�` U` T
Location Address or Lot No. -1 Owner's Name,Address,and Tel.No.
� -1$ Ulf aXAN-`°F�r'' b,
Assessor's Map/Parcel '�°r�a''�-d�`7 e'so<z.'s -11 G 9- y$6�"+ •`
Installer's Name,Address,and Tel.No. ,('�` Designer's Name,Address,and Tel.No.
a 1 ►0� 1 u 4 ww"(&,M a, 5o� 3 oy 4c�It a
Type of Building:
Dwelling No.of Bedrooms '.Lot Size sq.ft. Garbage Grinder
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided"' gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
1 .
r
(�
i
* .Nature of Repairs or Alterations(Answer when applicable) ��t,/f•rp, W- r9 ,t1Z46P a ",trMAPUY. 0-l 1
_ J 7
*,. 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 Board
" of�Health. E
Signed t- rst 0 47miaARAANI., Date
Application Approved by ` ,._ -- _. r Date /C O/ • /�•
Application Disapproved by Date
for the following reasons
Permit Noa,.,. ). Vl �' J Date Issued
----------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
/ (Certificate of Compliance /
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(' ) Repaired(v) Upgraded( )
Abandoned( ")by Ryt . 1 ,`„ CA 11Ar,
at % i t 9' (?_1 r-Qo has been constructed in accordance f
iwith the provisions of Title 5 and the for Disposal System Construction Permit No,1!-_P/-J 53 dated ��
Installer 0. d`r�c c�!sti /VIC, Designer
#bedroom j Approved design flow gpd
The issuance of this permit shall not be construed as a guarantee that the system willfunction s designed.
Date Inspector
---- ------ - -- - - -- - -- -- - -- - - --
No i /n1 _ - -
Fee f�THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction i3ermit
Permission is hereby W granted'to Construct( ) Repair(✓) Upgrade( ) Abandon( )
System"located 'i at 1 01TQ A Al tAA,—
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must be cco`mpIdted within three years of the date of this permit. --__
Date /� fi (! Approved by\--,,-
akrtK Town of Barnstable Office: 508-862-4644
Fax: 508-790-6304
o Regulatory Services Department r
. , A8 Public Health Division
BMt
q MASS. Thomas A.McKean,CHO
n �`` 200 Main Street, Hyannis, MA 02601
Payment Receipt
jSeptic (Disp.Constr. Permit) Payment received: $75.00 (Cash) on 9/30/2021 Permit number: 2021-353
Owner: JOSEPH L &MARJORIE C TRS SUPPLE
IAddress: 78 WATER VIEW CIRCLE, Barnstable
jNote: D-Box
No..�l. "•�• F .......
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
...----.....70 .............OF......J!!5. 'T/7�1,6..--------..............................
Apparatiou for Dig .aii al Works Cnnnstrur#inn jJamit
Application is hereby made for a Permit to Construct ( or Re air ( ) n Individu Sewage Disposal
System at:
- ------------------------- - - -- -
ocation-A ress ' or t Nam,
---•----
Owner r .........................•------Address
Installer Address
d Type of Building Size Lot.... .....Sq. feet
U Dwelling—No.,of Bedrooms-----A............. _.__.Expansion Attic ( ) Garbage Grinder ( )
�+
Other—T e of Building No. of persons-------__________•---__-___- Showers — Cafeteria
Q' Other fixtures ...-------------•-------•------••-------•-------•-------------
W Design Flow...� _ ,� �.........gallons per person per day. Total dais flow..__33.0............................gallons.
WSeptic Tank—Liquid capacity/Sk-o-gallons Length Width.jr..R� Diameter________________ Depth__5.--7._`.
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No._._AW ..... Diameter----IP__.__.___. Depth below inlet..... _.......... Total leaching area...24�..sq. ft.
Z Other Distribution box ()() Dosing tank ( _
'_4 Percolation Test Results Performed b 49 Y. l'.L� � . ......................... Date____, :74�'YA.......-_
Test Pit No. I.K... _-__minutes per inch Depth of Test Pit.__ 9_... Depth to ground water_��T.jdWCe
(i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.-._-______-___--__.____
•------------------------------- -------- ------------------------------------------••-......._..........•-•••-._..........-•-----•••--------•-•---------.
O Description of Soil............ :.d ',._.Tf�� � ..Z4.............
------------ -- --------------------------------------------------------------------
.........../�"°-�-1 '' Oct Sri®rid °Ta
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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issuedby the board of health.
Signed......__A��o--x,?�� ............................ ................................
Date
Application Approved By...........
Date
Application Disapproved for the following reasons__________________________________________________________________________.......................................
.....................•----....------------------------------......------------•-•------......------•-----•----------------------------------•---•-----------•-----------------------------•-•--...._.._
Date
Permit NoJr .................... Issued......1�-_- 0_r ----------
Date
THE COMMONWEALTH OF MASSACHUSETTS
P _755 5 BOARD OF HEALTH
. .l r::.:..... OF......41'A../ :..................................•--•---••---
. pphrFation for Uhipaii al Works Tonstrnr#ion Frrutit
Application is hereby made for a Permit to Construct (:% ) or Repair ( ) an Individual Sewage Disposal
System at:
............................................................. -.. ._...... --- --- --------- ---------------
1� ocatio n A dess G '
4,
lee. E
.-.� J S .. ............. - --•- ---------- •------- ---
....
Owner Address
W
Installer Address .
ti
Type of Building Size Lot_._``'_,.:::' _`_: __._Sq. feet
aDwelling—No. of Bedrooms.......Z..................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No, of persons............................ Showers ( ) — Cafeteria ( )
d Other fixtures -------------------------------------------------------•--
W Design Flow..& .........gallons per person per day. Total daily flow..._ %3.0......_
Y Y P Ions.
WSeptic Tank—Liquid ca.pacityA- °.-gallons Length.f! `�`.-_._ Width.-.. _'. Diameter---------------- De th.. .
x Disposal Trench—No.r................... Width..........:......... Total Length.........._..r..... Total leaching area....................sq. ft.
Seepage Pit No....jf;?0:_.-_.. Diameter....,G:�_--........ Depth below inlet.....��-..._........ Total leaching area... ft.
Z Other Distribution box ("') Dosing tank ( ) _
'-' Percolation Test Results Performed by,....4��. --- ....................................... fir.... ..
W r ••.... Date....
+ii,a.
Test Pit No. 1-° _.. ._..minutes per inch Depth of Test Pit....f:t':`....... Depth to ground water-°-`_'.'-------r_----
GZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Soil j` . --•-•• -ODescription of -----•• -............................................................ . -------------------------------
... ......... ...... ... ....... -
. ......... ......... ...........................................••--...___......W
........................................................................................................................................................................................................
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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed.,..�:�.J� <.�_d. .
�'°''''`� Date
Application Approved By.--- . --
Date
Application Disapproved for the following reasons: ....................................................... .....................................
--•--••---------------•-------------....------------•----•----------------••--------------•---------..--------------......-•.-_-.---------------------------------------•-----------------•------------
Date
Permit No-----��__�....?2....�.7 � � c
--• �----•--•------...... Issued.._.._..�-;,,,>�_..°:.1..._�3....--------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF.......Y�>.v-t,1 1� (
%rrtifiratr of Tomplitanrr
THIS I TO CERTIFY, That the Individual Sewage Disposal System constructed (� or Repaired ( )
by................. s �` .......--------.................._----••.
jnstall,
at---.......� G -- -- . - -•--•-••-••--------•-•-----•-•......----•---•--•--
has been installed in accordance with the provisions of TITJ.F, 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No......
3-_. S� t..... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® GUARANTEE THAT THE
SYSTEM WILL FUNCTION ATIS CTORY.
DATE..............................� } �� ... Inspector............
THE COMMONWEALTH OF MASSACHUSETTS
f BOARD OF HEALTH
.r . 4�c, .......oF........... � .
.................................. ..........
........... FEE...
�io�o,��a ork� �on��rion �ernti�
Permissionis hereby granted........-�Iy-�--- --.....--------•---....-----•---------------------------------------------------------------------------
to Construct or Repair ( ) an Individual Seuiage Disposal S stem
at No. .. ��
Street �n
as shown on the application for Disposal Works Construction Permit No.Z 3_—'5'3C) Dated..........................................
Lt ........ .. ------
DATE. 1 "_ L1.J.._ _____._ Board of Health
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
SOIL L0F,
I E�,72. j N 0. I - 0 N 0 1
SITE PLAN
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TOP OF fOUNDATION EL. :
I sran� 9
IN
MIN. 2% FINISHED GRAD
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aveC�i�Ec�lvc •!4TH/i✓ /1"OF FE IN 11 70.73 I M l l /�5 ---EL
MIN. COVER
wVIAIIN IZ",41N.6.c, ---
_i_ 2 COVER 1/8 3/8 WASHED STONE
3 I I
6=k17 IN It 97 -- —
:c 1 E �� ° , G.�Gr/NvlvA .�
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— 3/4 1 1/2 WASHED STONE ! :s SLfi.g 0/ 8 W / 6 "• SUMP • , • --- —
4 • LIQUID LEVEL 0 ao • ° , °, —
v J / • • ° • • • . I f 1
6 E F F °°• .
H P I R C IEST RESULTS
,-,� t� r T� rr • CT • . 0 E P T •
PRECAST SEPTIC TANK WITH • , ° .°• • • PRECAST LEACHING PITS I1EI1C RAID : ZM/NFrc2/NCfJ
CAST IN PLACE INLET AN D EL. — _-__ SIZE: —
�¢ so - •• • °• °° N0.:°,vE =,%� X 6 �E.�T,y w/z'�T�N` WITNESSED 0Y ��rz• �c E'A.e�v
OUTLET T 'S PEA TITLE V
BOARD OF HEALTH
S I T E : /soo GAL : 0 N S -v.�.E D I A -- ST NE DATE : 3— 8 - 96 — !
- OF STONE
LONG x `--a-- W I D E x �_ C i P I - Me�eria�us _ �o 'DIA ALL AROUND =s
Ii.9C,�✓�T- LOT
�o l - - • _ pis, zj,
PROFILE OF PROPOSED SEWAGE SYSTEM (` - - - --
SYSTEM DESIGNED BY THE TOWN OF REGULATIONS AND 'R
EL, � - EC. 77.3 - - - - --
STATE TITLE V FOR SUBSURFACE DISPOSAL OF SEWAGE . SCALE 1/4~- 1 ' 0 " A�PAOX• ���-+'✓��'Tc�- -- - --
N . I .
I 1 . ALL PIPES SHALL BE SCHEDULE 4,0 P.V.C . SEWER PIPE v LorNo. 30 - - _4
2. All PIPES SHALL BE SLOPED 1/4 PER FOOT EXCEPT FOR r
THE FIRST Z FEET OUT OF THE 0 / 0 WHICH SHALL BE IEVEI
3. DESIGN FLOW BEDROOMS AT 110 GALDAY PER BR -2 GAL / DAY
SEPTIC TANK SIZE J30 X = 4/' 6Al -
�J`-�U O��T 8Z ��
USE GAL . W/� GARBAGE DISPOSAL �, clEk" = a2.
on/E a' 0i.9i� �� 5
LEACHINGSYSTEM : N T
USE _ - - - _ _ - - -- - --- - -- _ - - _ -.
�E�cN P/T �t/�2'OF`✓�'�NEo STL�NE A.eov�0- ��I� �'
EFFECTIVE AREA : SIDE
BOTTOM 27-If
TOTAL FLOW 47/ --- ----- - -- - `
TOTAL REQ 'D FLOW 33o X /c / 330 «20 OARRAGE DISPOSAL
R E S E A V E FLOW 3wo v Z/ GAL / DAY IN RESERYE ____ --- = �6,59 - - - - - - _ _ _ _ - - - --- --- - ---
N7/'GAL-,'oi��� - ' -�--_, zi/•�, , ,
-X- - - -EOG Vrl✓�MENT - - - - = - At-
PLANS10
: �� A•yoro.� ¢¢O /'s�GE Z8 �Z �, � _ _ __,, h�
1 I
254- Z 7
WA 7_&:/� V/Ew C'/JCLE-
APPROVED BY : _
BOARD OF HEALTH
To��
naTE . SITE AND SEWAGE PLAN
I PROPERTY OWNER : /viC,�L/a.�s !3U/[1� Co J
FOR .
` i _ df/EST l3rJN3 TAd ��/ �or" n /I�/G%l/L AS .D//✓�- �O,
EDROOM SINGLE FAMILY OWE LI. ING
W4 30 7 G295_
' 'Dc• t L 0 T
. : 1 . 0 A I E 9,9
DOYtE ENGINEERING ASSOCIATES, INCORPORATED
Uj ` q'?,� Box 595- 530 Thomas B. lenders Road W. Falmouth, MA 02574
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