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HomeMy WebLinkAbout0000 YARMOUTH-BARN. TOWN LINE - Health (4) 0 YARMOUTH-BARN. TOWN LINE -AKA-,"29.Simpson Avenue", , Yarmouth Campground Assoc. Barnstable A= 347 - 001 _ '�"OWN OF BARNSTABLE LOCATIft 2'5 -S A O SEWAGE # VILLAGE vP✓�C"c` ASSESSOR'S MAP & LOT 3,11710 n INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) AIE® NO.OF BEDROOMS" BUILDER OR OWNER c;e. y1/`e_ 40ti PERMITDATE: COMPLIANCE DATE: YA26 , 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 l�ching facility) Feet Furnished by 6 /r` Wry\ o'er X 32 O 1\k OuS 1 '0%e42, OWN OF BARNSTABI,E LOCATft 2 S fl� r��,�^^� ''t A � SEWAGE # i VILLAGE ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY i LEACHING FACILITY: (type) VAILED NO.OF BEDROOMS 2 BUILDER OR OWNER sciev- � -�— .,[ PERMITDATE: - 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 le hing facility) Feet Furnished byA t I i i t. y, TC-AK 3 2 too u_ 14 OAS 1:: No. Fee S-o " t�x THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Woont *pgtem Congtruction Vermtt Application for a Permit to Construct( )()Repair( )Upgrade( )Abandon( ) 1Y Complete System ❑Individual Components Location Address or Lot No. 33 S 1 ivttp5a,.J A✓E' Owner's Name,Address and Tel.No. k WJWrEk OAC lb n,J e.(_(._ Assessor's Map/Parcel yhw j e� �5-1 /� fX§U.9 G 11w �q,¢�/ P s y 1 Z Installer's Name,Address,and Tel.No. ►79�_c 11 If y Designer's Name,Address and Tel.No. RRiA,J c,)4tssb-.jc, 1117 Taws ) k'Q"K 44 v.1csT Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder(vJ9 Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow Ito gallons per day. Calculated daily flow 330 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1500 GsT' Type of S.A.S. __Soo a.,►1T,..1csII s t3Y2Sx2 Description of Soil Nature of Repairs or Alterations(Answer when applicable) N ww 54_493c, s Gs r— 41; AV)( 2 AeF_ne t'en GA) A10, ,AL261 /3 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 Certifi- cate of Compliance has been issued by this Board o Healt Signed Date 6 Z/Z/31 Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued VIA OVT i TOWN OF BARNSTABLE LOCATION 33 SEWAGE #VILLAGE ASSESSOR'S MAP & LOT �°��"'0 1� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY - LEACHING FACILITY: (type) A,0 r (size)NO.OF BEDROOMS Z BUILDER OR OWNER PERMI'I'DATE: COMPLIANCE DATE: 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) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by Feet 5"1 A To — ! — 3Z !y L 3 " ZZ- t 3 — 39 - Y- 2 9.s 3 y y3 G rye; ..._�. . ,�Y.. /,, ;�--•ram; � .e,,,.,,�...,,....,..��,.- .. .,.. •:;v._,_, �,.F..w.,". �+sc.:• .: . . Y .,, _ _ , - v .. ,No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for Migaal *pgtem (Construction Permit Application for a Permit to Construct( )t)Repair( )Upgrade( )Abandon( ) CXComplete System O Individual Components Location Address or Lot No. 33 19 JE Owner's Name,Address and Tel.No. �Alzw�, eA,�� �,f o ids MR. HvvvtEk OAC 0o-J e(�, Assessor's Map/Parcelf►����lS C o�.J['A uRSWtI�, />I i�1 11,47 0 Installer's Name,Address,and Tel.No. '77$'-o 'I'I N Designer's Name,Address and Tel.No. �RiArJ G, l�1sSLt.✓� 917 Toa,J SRooll Type of Building: } Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ►nJ9 Other Type of Building RQs No. of Persons Showers( ) Cafeteria( ) Other Fixtures i Design Flow 110 gallons per day. Calculated daily flow 330 gallons. Plan Date Number of sheets Revision Date Title , Size of Septic Tank 1`moo GAT' 'Type of S.A.S. 1"�o S-vo r-AL ioKe�ojal.Les- 13XZSX2, Description of Soil Nature of Repairs or Alterations(Answer when applicable) N a.>J S_rxlc 5V-sM04 14'00 G67- , .0sT .6 oX 2. e Ec asT' ,-0 o CAL ✓A y L0,P l l,s- w 4(4 13'X Z S`x 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 Certifi- cate of Compliance has been issued by this Board of-Health Signed Date q 5 - _ Application Approved by Date -. . Application Disapproved for the following reasons 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(x )Repaired ( )Upgraded( ) Abandoned( )by R&l✓-1,.J c 'V i ss Uj G at 33 S)wl so„) AjE W-46— c ,iA cflioJ„1 n constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer �� -tC �- Designer The issuance of this e t sha qt be construed as"a guarantee that the sys i- `1.0tictio�n s desig"� d. Date t. /' ,t Ins ector �/-/ V No.--��^---------------------------Fee '— — g7/ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 'Wioogal *pztem (Comgtruction Permit Permission is hereby granted to Construct(x)Repair( )Upgrade( )Abandon( ) System located at 33 Sl w., hsgo,J d X r/ c 1 in'_ 1 EX 1__//Y 1 1JJL_� /V and as described in the above Application for Disposal System Construction Permit. The applicant recognize his/he duty to comply with Title 5 and the following local provisions or special conditions. Provided: Co struc on must a eted within three years of the date of this it. q / Date: Approved by l t PLAN OF LAND IN BARNSTABLE AND •YARMOUTH j5o3oA Nelson Bearse, Survpyors Richard Law February 1, ' 1967 W E .•� faiinsry: . 1/04n A.Scoff, Ar//Sur R. Phi//ips O 'scs Ng �'^'•• >o,. S73 08t0RF N85 n; Z¢8•75®r i93.e7 c n• 4 Z9/.02 ea �.47X9 "9.73 ev 1), t 3 CrAKI N � V I i`r • \ l Q C.B. \; o^j '0IA 1 • 0 11 �� �01 h � %h 1) \\ �l� 11 � ti h• O�n✓ 01 lei ti j 1 P� 1 I �� o °F it I it 43. cam M J'r� ®,77( .`;J/ \\y `MCA. c t�-^\\A P GROUNDS of Q9 / A k\° a to It 494 t i to Is ' ')1\1 I 'POND 1 J!I H k : / \I° A,' yoo ol rk 14 cQ .N 1 �/>>" ep2¢ °`Or 10 , y °� CAPJ ��y°-bCA a•_. 1W It) 0 0 ► A • �� �I�y � ' b� \play ry0 4 ° y \� (� N7Z=/Q zo w L 1�1 �e� 4 0/ C.9 • Q h oNo� �Ee. J d /Bcfric C y pti• Y Vineyor ' of � C°Pe " w 0 � 37201 pad `0 1a 40. ' N ,� gyp. �• ' aJ ' 40 Tiwn ea. °i I c-B, ��tG� G� \p Locus comprises ( Py `� /o,'s /-3 //7c/. 0 0( o` o \y Copy of part of plan 'PO k5 i M (p fi/cd in C•0 yo° °t �, 9 v N LAND REGISTRATION OFFICE °bl 4 \0 APR/L Z/,/9 6T r i C Scale of this plan zoo feet to an inch P 1 (° �� R.L.Woo dburyl Engineer for Court e4 O ri e O X i1.i s17�^?t= 1 i . M c Facer _ E - Imo. - R,5� t 1'OW' OF BARNSTAfSLL- p�, L ^ATIO _ _ .. •- SEWAGE.# VrILLAGE � ASSESSOR'S'MAP & LO INSTALLER'S NAME&PHONE NO.' NAL,4.J - SEPTIC TANK.CAPACITY /Soo G s? LEACHING FACILITY: (type) r:�Le w Di r&ase s (size) /Z. x 33Z x NO.OF BEDROOMS 2- BUILDER OR OWNER GE CALL1W 1A J C- AJAL ID PERMITDATE: /o — 2Z— o 4' COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet 'i Private Water Supply Well and Leaching Facility (Yang 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) �. /w Feet Furnished by _ C' Q i ' �To 3 J9 13' Z a' 3^ ya. y 0 To 3 2S' s y_ lz' S— Zoe G _ 3 0.. g� � ��� No. I D Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0(pprication for Oigogal *pgtem Construction Permit Application is hereby made for a Permit to Construct(k'j o)Repairk )an On-site Sewage Disposal System at: Location Address r Lot No ,n.aP! V&uOwns 's Dame,Address and Tel.No. ev z Ins ler's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7)PXfe--Aj Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder(410 Other Type of Building No.of Persons 62 Showers( )�;Gafeteria( ) Other Fixtures ��`` Design Flow 6I 7FK gallons per day. Calculated daily flow gallons. Plan Date M_Jk /I Number of sheets Revision Date Title >_S Description of Soil See Nature of Repairs or Alterations(AnsWe when applicable) �a4°®x9 its 1 S"�tI Date last inspected: Agreement: The undersigned agrees to ensXt the construction and maintenance of the afore described on-site sewage disposal system pi in accordance with the provisions itle 5 of t Environmental Code and not to place the system in operation until a Certifi2 cate of Compliance has been i y this B ar of Health. SignedZ. Date z3 Application Approved by AVJ Application Disapproved for the following reason Permit No. Date Issued —————————————————————————————————————--— � a'�^'-�,'.+9St ^� •yea.. Y f--... �� .. .� .. . ._..r. r.., ,,/..� .-, _, r _ ..•..--• m. _ .b�`ti.,r,.v. 2_ ..+'.v., r.. ."''•\ •• I • t - i - - .a No. �� THE COMMONWEALTH OF MASSACHUSETTS I F BA E MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN O RNSTABL s (oplication for Miqool *pgtem Congtruction Permit Application is hereby made for a Permit t,Construct( A-1 or�Repair- )an On-site Sewage Disposal System at: Location Address or Lot No. Owne 's Dame,Address and Tel.No. x' Zf/-/�2o 4�)uTsoA) F" Inst" leletr''stName,Address,and Tel No. Designer's Name,Address and Tel.No. Type of Building: + Dwelling No.of Bedrooms Garbage Grinder(4 Other Type of Building a Sid No. of Persons 6o Showers( ) Cafeteria( ) Other Fixtures •--i Design Flow .-CY gallons per day. Calculated daily flow f7 gallons. , Plan Date DU JF_ S Number of sheets Revision Date TitleS� r Description of Soil s(95_0fl4Is+)�,> Nature of Repairs or Alterations(Ans%ygr 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 provisionspf Title 5 of th Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been isNuedby this Boar of Health. " ,Signed � � m Dat�'� � 5 ` Application Approved by Application Disapproved for the following reason,( q f� Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION --BARNSTABLE, MASSACHUSETTS - C, ertificate of compliance THIS IS TO CE TIFY,that t e On-site Sewage Disposal System installed( )or repaired/re laced on by A 1tt✓ ,u► � for as has been constru ted in accordance ' with the provisions of Title 5 and the for Disposal System Construction Permit Nq7r dated Use of this system is conditioned on compliance with ttie provisions set forth below: No. / V Fee e THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION`-'BARNSTABLE, MASSACHUSETTS &.5pogaf 6pgte/)mc congtruction Permit h Permission is eby granted to P41 - ✓o 3Y! ! to construct rep ir�( �)/9 - 'te tw Syste to at J / 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. All construction ust be omt�leted within two years of the date below. o Date: � J Approved by / r No......... -- Fa$. ................... THE COMMONWEALTH 'OF MASSACHUSETTS BOARD OF HEALT ri, ....... .....OF..... � Appliration -fur Di,iputitti Workii Tomitrurtiott Puna t Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: r.......__ G � �. ......31 4 Location.Address � or No. ` .u---------------------------------------------------- qq 9..... cez�.c'.. ((� ��YY _ T 0 Hey-Svv / C /d- /'GlL_.__/.��' Owner Address `� Installer Address U Type of Building _ Size Lot............................Sq. feet —, Dwelling—No. of Bedrooms---------- -------------------------------Expansion Attic ( ) Garbage Grinder (A,0 a. Other—Type of Building ............................ No. of persons............................ Showers -( ) — Cafeteria a Other x)tres --------------- ------------ W Design Flow.....____ ____0........................gallons per person per day. Total daily flow-----------0-C1___�-----------------gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Width................ Diameter................ Depth.--------------- x Disposal Trench—No- -------------------• Width---------------..... Total Length.................... Total leaching area_---..-.-___...-----sq. ft. p Seepage Pit No---------/-___-___-- Diameter.................... Depth below inlet.................... Total leaching-area------------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) 0-4 Percolation Test Results Performed bY........................................................................... Date-_--------------------------------- aTest Pit No. 1................minutes per inch Depth of "lest Pit-------------------- Depth to ground water...----------.----__.--- �14 Test Pit No. 2................minutes per inch Depth of Test Pit-._-____..______._.. Depth to ground water_-__-..-______-.----___. P+ -------------------------------------------- -r..................... .............. d - O Description of Soil---------------- 4uAlk,.- � --- ----- �.. � U ----- ------------ -------61-$-�------------------------------------- U Nature of Repairs or Alterations—Answer when applicable.-.-_-_--------------------------------- ,4..t_ .._._._........_._.._._.._..__..... ------------------ -------------------------- -� Agreement ,fib/✓/Tht`/ rEF /u• ;rx'15 rlv- -e6sJ'Ad-0 Z The undersigned agrees to install the aforedescribed Individual Sewage Disposat'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 ' ued by the board of health. Signed-k. '�f ..- ' ..,� -------------------------------- Application �8 A roved B �� Date Date Application Disapproved for following reasons:--•------------•......................•-•------•--•-----------......_......._-------------- --••----•--- ------ -----•....----•-------------------------------------•------------------...----------•-----------•-•-•---........--••------------------•--•----------•---....---------------••-•--------------•-......... Date PermitNo......................................................... Issued........................................................ Date No........ - .... r , THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HIED TH _ Q .. ............... �..._. ......_. Appliration -fur M_gpuottl Workii Tonstrurtion Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: . -S'Arf_ „il..C:.-- -G Y/�-i c�✓f 4hh .......... u- --------�'----------•--�-`� ...................................... ...... Location-Address `or/Lot No. .................................................... _l e_i#e ll Sr�.r�_�.G2 Owner Address ---_---------_-----•---- -------------------------------- Installer Ad ress UType of Building --Size Lot............................Sq. feet Dwelling—No. of Bedrooms_________ ______________________________Expansion Attic ( ) Garbage Grinder (;)) per-, Other—Type of Building -____---- ---------------- No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -------------------------------- W Design Flow...._.____.,1___rJ.........................gallons per person per day. Total daily flow.......... ..t)_!�.__,.-----------------gallons. WSeptic Tank—Liquid capacity------------gallons 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 ( ) Dosing tank ( ) aPercolation Test Results Performed by-------- ------------------------------------------------- - Date--------------------------------------- ,� Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water...._.-_-.-_.___.-._.._. 44 Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water-----.----_----.----___. 9 --------,-/--------------------------------- = - ---- -------•---•----•-••---•-•••...----•-...----._.......•---•-.._..----- Description of Soil 6�-�_aia„ --A �,1�- . ...�G- ....----•----------------------------------- x . U ------------------------ ' ------------- --------------- ---------------- --------------------------- -------------------------------------------- ----------------------------------- U Nature of Repairs or. Alterations Alterations-Answer when applicable-------------------------------- --.----_- ;6 -------------`--.-------------------------------------------- .. r4'l __.___....._____....___.._.________ --- -- ------- ------------------------- l / ----------- Agreement: ----� r The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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�t-h-e board of health. / Signed 11T--�3 _..:---.--••- 7 Application Approved By---•---....:�_.'/-�--- =---- ------�0/ -------------------/- Date Date Application Disapproved for t7 e following reasons:................................................................................................................ ...........................................'--.....------------••---...----------------•---•-------------•---------------------------------------------------------------------------•------------------ Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS 'r BOARD O ,HEALTH .............O F........ . .. ............---................................ 0.rrtifirate of TomVliaurr v, THI$/I ..TO CERTI , That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by------- ----- -- - --------------------------------------------------------------------------- ---- ----------------------------------------------� In1aller bas been installed in accordance with the provisions of _article XI of The S" to Sanitary Code as escribed i>�e �- application for Disposal Works Construction Permit No `_ ._ � � dated 1... -------------�----_-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM W CTION SAT CTORY. DATE_ ------ - =..: -.....--••----•--- Inspector --THE COMMONWEALTH OF MASSAC US S 7G BOARD OF ALTH cl-d No.'-'......................... FEE'-----•-•---•----...... Disporla arkq �o urtion Vrrmit Permission is hereby granted--------- - �� ..... r' to Construc ) or Re a' Xn Individual Se age Disposal S m� %le a+-•- '` tl N^�r.: i' `: fl.._ : .................. -�` Street as shown on the application for Disposal Works Construction Per i `' --- -- �G . .---- -•---_- - " _ - ------. DATE-------------------------------------------------------------------------------- Board of Health FORM 1255 HOSES & WARREN. INC.. PUBLISHERS �Xis��vlct uot�S� _� hropoS�c� Add��-il�n l 1� �-0 yroposei Glenn Gannon �'i�n�sorn Avg yA'R`MOU`�k carv\p /�Vrourijs No . FRa.... ........................ THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTHY _-...... ... 3 ' .....OF..... .. .. .. .. - ` Appliration for Biovaoal Works C utuitrurtion Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at - ----- --•--•--------------------- ------• -------------------------- -------------- -------------- r Locati or o No. T- .............................. a s -- ------------------------------------------------------------- --•---•...d�----------- ---•----•-•-..........--•-_-••-•-- .........................Installer Address QType of Building Size Lot..........................:.Sq. feet U Dwelling—No. of Bedrooms--------- ________________________Expansion Attic ( �) Garbage Grinder ( ) Other—Type of Building -.__- .. .__ No. f persot -____ -_____ bowers (/ ) — Cafeteria ( ) a' Other fixtures ------ --.• ----- = .-------- ------ W Desi n Flow................... 11 ons er person per day. Total daily flow__________._ ✓�--- gg� P P P Y Y gallons. WSeptic Tank-Liquid capacity1 e 00-t s Length................ Width..____._........ Diameter_____.._._.__.. Depth_.-.._.__.-... x Disposal Trench— b_ ____________________ Width.... ?al Length.................... Total leaching area--------._._.-.-----sq. ft. Seepage Pit No______ ___________ Diameter 1 h below 'nlet__...___._____ _... Total leaching area-------.----------Sq. It. z Other Distribution box ( ) Dosing tank Percolation Test Results Performed bY----------- -=---------------------------------------------------....... Date-------------------------------------- a Test Pit No. 1----------------minutes per tgch Depth of Test Pit_------------------ Depth to ground water------------------------ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_-.--.-.-.----.--_-----. , --_- 0 Description of Soil------• -------•---- x W ----•-----------------------•--------------------------••-----------------••----------appI1ble.. •----------- ----------------- ------- . ....•------•---- VNature f P p�irs or Alterations—Answer when --- -------- ---- ` . ----- ------ -- •-------------- ----- Agreement: f-VL -�-� Cneo - 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 been issued by the b d health. Signed J - ----- -------- �r f PP PP Y Application Approved By • ate Application Disapproved for the following reasons:-------------------------- ..................... •-------•---------•----------------•-••--------•--------- .................•-•----••--•....------------•------•---------....-------••------•-•••....--•--•---------------••-•-•---••••----•---.....•-•---•-•---------------------..............._....-------_----. Permit No. Issued ."`............. �. Date - Date ---------------------------- THE COMMONWEALTH OF MASSACHUSETTS EOARD, F HEALTH/ fir ... OF....... .:.. :... , ppliraatioaa -fur 4:1-4 usaal ork� 4wilrurtion Vrrmft Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at a M . .cation• •------ -------------- --- r o 'o W y ,. �, ,y Installer " "' i A Address -- Q Type of Building ✓ Size Lot___________________________Sq. feet V Dwelling—No. of Bedrooms.________...__ ____________________Expansion Attic ( Garbage Grinder ( ) U Pam, Other—Type of Building _____________________!------ N o-o. persons_______--________-______`_ Showers ( ) — Cafeteria ' r _ _ s Other fixtures " W Destgt Flow............. _. __:_ga ons per person per day. Total daily flow........... Septic"Tani Liquid capacit __ -__ Ions Length................ Width................ Diameter................ Depth...-__.__._.... ' Disposal 'Seepage Pit No — o_ ____________________ Width............._._.__. tal Length-----------------_ Total leaching area--------------------sq. fI, Dis .sal Trench o____ _______________ Diamete/e'�'� th belo�y„inlet_._._________ Total leaching area.__...-__.______sq. It. Z• Other Distribution ox ( ) Dosing tank ( ;)�+..�( a a Percolation Test Results Performed by-------------------------------------------------------••---- ----------- Date------------------------------ ,� Tes'.t Pit No:. I_______________'minutes per inch Depth of Test Pit.................... Depth to ground water........._................ 44 Test Pit No. 2________________minutes per inch Depth of Test Pit---------........... Depth to ground water----------__________. - tx --•----•----------- ------------ O - --------------- Description of Soil ------------ ----- --- ----------------------------____.._-. ------ ----- '" t ' `U --••---------•---.-------------------------------------------------===------------------------ -------- --------------- W =.=='' ----•---------------- V Nature of Repairs or Alterations—Answer when.applicable--------------- -..........................................r: Agreement: 3 The undersigned agrees to install the aforedescribed Individual Sewage`" tsposa Syste+st'in accor ance with the provisions of Article XI 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. Si ned , art .Ifi -' _. .. tl,.n. . =. . ----- ��",•. Da Approved BY �'--'=�'-�` ---- -` -- Application Application Disapproved for the following reasons:................................................ ......................................................... --------------------•-----------------•---•--------------.--..-•------------•---•-•----_..-----------•------•----•---------•----•----•--••------ -----•-•-----------•-----------------•----------•--- Date PermitNo......................................................... Issued................................ Date r THE COMMONWEALTH OF MASSACHUSETTS , BOARD OF HEALT .r1r. 9O.-t.................OF...... 4t ................. ..................... Tntifiraa#r of fv...'umpiiaaurie . T I T That the-Individual Sewage Disposal System constructed ( ) or Repaired ( ) Installer at has been installed in`lapcordance with the provisions of - ice XI�fGThe St to Sanitary Code as scri in the application for Disposal'Works Construction Permit Nd _.._.._.._.!________________ dated`.__ "..... ._raai THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE V SYSTEM WILL FUNCTION SATISFACTORY. - tY DATE----=-------••----•-•--••-•--•--------•.-----------•---....-•------------------ Inspector................................................-........................;.......... THE COMMONWEALTH OF MASSACHUSETTS 5 ,m BOARDf OF,jqEALTH ,SJ \ OF # N -------- -- :r ... •.FEE ____,.... . rtioaa Prrmif - Permission is hereby grante -•- -- -t--- ------------------------ ----------- --------- --- to Cons uet '' ) or air ( an.-Indivtd .a ewage D>sposa stem at No.iA}j���� , L "�f.. ,. / reet as shown on the application for Disposal.Works Construction e' it No . ated.................. ._ ................ ---- ---- -----•- --------------- _ F soar ,of Health DATE. -- -t -S p - §,• ; - FORM 1255• HOBBS & WARREN,., INC_ PUBLISHERS li r' c If 06 11 y ! - t � . , .r `sore . Fast = � I Tarmouth Camp ground t.,qssociaiion, On.c. West arraoufh, JII,_R 02673 December.4, 2006 M/1V1 Robert E. Alberts 24 Evergreen Lane Middlebury VT 05753 RE: Renovation Dear Bob and Lois, At their October 14, 2006 meeting,the Board of Directors of the Yarmouth Camp Ground Association, Inc.,approved your plans-for renovation to your cottage.#32, located at 31 Simpson Avenue. This approval was contingent upon receiving letters from each of your abutters expressing no objections to the renovation and less any foundation work. Should foundation work be necessary,you must bring the plans back before the board for reconsideration. I have received all the necessary letters and therefore you may proceed with the plans as submitted with the exception of anything pertaining to foundation work. This work requires permits and it is the responsibility of you or your agent to obtain proper ones from the Town of Barnstable. Additionally, all codes and rules must be adhered to. Any debris resulting from the project is your.responsibility and must be removed from the grounds at your expense. You also must respect Standing Rule of the YCGA, Section 1, item 11, "no excavation or major construction or reconstruction shall be started between July 1 and Labor Day" and"all excavation shall be filled and foundations capped, and heavy construction equipment removed from the Camp Ground before July L" Upon receipt of your building permit,you are required to "present a photo copy of the permit to the clerk BEFORE beginning the project". I am enclosing three signed copies of your approved plans and'copies of this letter for you,your agent and the town. Established in 1863, as a place to conduct religious Camp JKeetings. gZeorganiied 1946, as a Cottage Community, cooperatively owned by the Cottage Owners. J r r Good luck with the project and thank you for your patience while I struggled with computer problems. Very truly yours, FOR THE DIRECTORS, (Mrs.) L. E. Barley, Cler LEB/db Enc. 3 cc: pers. corres. renov. i Message Page 1 of 1 Wadlington, Ellen From: Schlegel, Frank Sent: Thursday, July 29, 2010 2:36 PM To: Wadlington, Ellen Subject: RE: 0 Yarmouth Campground/Barnstable and/or Simpson-LaneI(Barnstable a/k/aHyannis) Hi Ellen, This is a conundrum wrapped in an enigma! When 911 took effect, I met with the Barnstable Fire Department. They told me that they hand over all 911 calls to the Yarmouth Fire Department for the campgrounds. I asked them where they got the legal authority to pass tax payers over to another town. They said there isn't any legal authority to do so! I also said it is a major legal problem for the police. I had an old address system that I tried to incorporate into the town's address system. I was immediately informed the Town of Yarmouth renamed all the streets and gave out new addresses! Since the driveways out there aren't streets, I questioned how they did that. They provided me with a map of the area. When I drove out there, the driveways/roads were in different locations than the maps and it didn't look anything like the map Yarmouth gave me. Since the cottages didn't have addresses on the buildings and there were no signs. I couldn't resolve this issue until I met with the Yarmouth officials. They never returned calls so I couldn't nail down what they did out there! The property is identified as Map 347,Parcel 001, It contains about 11 buildings. I have a good view of.what is there- I just can't get a straight answer As to what the addresses they are using. With my current workload, I will not be able to get this fixed till . next year. I am going in for surgery in Septembe.r.`and will be out for 2.1/2 months!I've been informed that while l'm out, my office may be relocated over to the highway buildings on Rte 28. 1 bet at that;time l won't. even be able to find anything in my office-for about another month! Sorry I,don't have anything:more'on., this but that area is,as top secret as the Pentagon files! Stay tuned! Thanx, Frank --'--Original Message----- From: Wadlington, Ellen Sent: Thursday, July 22, 2010,3:12 PM�: To: Schlegel, Frank Cc: HeathDeptMailbox ,4; Subject: 0 Yarmouth Campground/Barn`stable an Simpson l ane"(Barnstable a/k/aHyan'nis) Today we were trying to find 31 Simpson Lane (Yarmouth Campground)there was nothing'in the computer regarding Simpson Lane (although.BoH) has records that say there are septics at this street and we have cards for Barnstable village. Can you help us with this. We did after extensive searching find records for Yarmouth Campground and also it had 0 Yarmouth. u Need something,in computer for this. I also was calling Yarmouth about this. Egeli Wabotan 7/30/2010 i " SCI D E S I G lag LANDSCAPE ARCHITECTURE LAND SURVEYING CIVIL ENGINEERING ,, i BSS Design, Inc. 230 Main Street CAMPGROUND POND J Falmouth �' Massachusetts f 02540 508.540.8805 Fax 548.8313 -- --- SEE SITE PLAN ---- SHEET 2 OF 3 I rool 0 TOWN OF BARNSTABLE ® Q � o p,�E 0 Q � TOWN OF YA R M O U TH f�p�R q W�"`PSON � C o 0 w Q �w mo 0 r,RESH Uq PARM �' d OLEO CIRCLE CL LLJ POND ; © > Q LLj (n < L o YARMOUTH CAMPGROUND ASSOCIATION �- a 1 N 3 scale 1 200! date . JUNE 5, 1995 raven P�-N OF 4f4s G P H JEFFREY qC' EDWIN G checked GRAPHIC SCALE RY;",E 200 0 100 zoo 400 800 job number 95025 title ( IN FEET ) COVER SHEET 1 inch = 200 ft. SHEET 1 OF 3 x 105.0 "Irik ArN S x ,07.9 miff uk&17 • DESIGN 0103.0 LEGEND: �� 14" PIT PINE x 107.9 EXISTING SPOT GRADE 1. 'HOUSE No. 24 CENTRE STREET, YCGA LANDSCAPE ARCHITECTURE 2. BARNSTABLE B.O.H. P. No. P-8513 LAND SURVEYING W EXISTING WATER MAIN CIVIL ENGINEERING ®1o1.a C). 3 --- --- TOWN LINE 3. ZONING DISTICT: INDUSTRIAL 15" WHI OAK 6' BEECH TEST HOLE 4. REFERENCE: LC PLAN 35030A BSS Design. Inc. G EXISTING GAS MAIN 230 Main Street REMOVE 2�" 5. FLOOD ZONE: ZONE C Falmouth ® 102 PITCH P/NE I- THREE 4X8-D FLOWIFFUSORS S EXISTING SEWER PIPE Massachusetts f�-- 11 WJTH 3.5' OF WASHED STONE OHW EXISTING OVERHEAD WIRES 6. SPOT GRADE ELEVATIONS ARE BASED ON 02540 11 AN ASSIGNED BENCHMARK - NAIL IN 508.640.8805 r _ _ ALL AROUND CHAMBERS AND 99.0 PROPOSED SPOT GRADE Fax 548.8313 10" PITCH PINE I 6 STONE BED BENEATH UTILITY POLE, ELEVATION 102.40. 102:� 7. NO PROPERTY LINE EXISTS WITHIN 370' �{p OF THE PROPOSED SEPTIC SYSTEM. " .4 7 0 0 . 91 ,�.. 3 HOLE I EXISTING SHED I ,03- � t0�-a- - - - - - N(NOFMASs D-BOX JEFFREY 9P 0PA 0 Q .. PA RS ® a' SWEEP -- 103.o s'' L - I AC� O PE (TYR) ABANDON CESSPOOL i' ry 89 C13 < CL Q I r O AND FILL W/TY SAND i ,S - PROPOSED ADDITION I I /S EP _ O R.R. TIES / ' io2.s I I -► ►` ' W � Q 0101.4 101. :Z RFtMOVE 18p I �' P1 F[CH PINE 13" PITCH PINE - O " '000 CAL I ( � SEPAL I EXSITING HOUSE I CC REMOVE TANK �, O � � 9" PITCH PINE 4" OAK `6 TWO BEDROOM Z 10, I Z W 0 >Q Ua\ ( > > < 101.3 16.5' o w x 100. x 101.0 ULLY BED 7'9 -- -1 PARKING COURT I --I. I- w LJ Z SERVICE a U 0 20 " PITCH PINE 1o1.s r; I I VALVE Ld Q p � 101. < R >- 10" CED 1 -_ - ' >ZN o0.s I x 101.1 CEDAR RAIL FENCE f� �o. " 102. scale G G-k 102.2 1"=10' x 100.0 END PAVEMENT date x 100.1 DIRT ROAD 100.7 � w w - JUNE 5, 1995CEV � RE A EA E x101.3 w 10 OHW -_ dFcwn EDGE OF PAVEMENT Up OAW-�� GPH chooked �100 3 UP ` SU4�QORT CABLE GRAPHIC SCALE GUY job number 18" OAK �.--_ .4--- � 10 u s to 20 � 95025 title BENCHMARK: SITE PLAN NAIL IN UTILITY POLE { IN FEET ) ELEV. 102.40 1 inch = 10 ft. 2 OF 3 FIN. FLOOR TOP FOUND. 102.5f BSS •D E S I G N 101.5 101.5 102.0 minimum 27. slope 102f FINISH GRADE TO BRING COVERS WITHIN 12" OF FINISH GRADE FIRST 2' OF PIPE CONCRETE RISERS AS REQUIRED LANDSCAPE ARCHITECTURE LAND SURVEYING TO BE SET LEVEL 2.09; slope 4't CLEAN BACKFILL CIVIL ENGINEERING 2.OX slope slope varies 3.5' 4' 3.5' EISS Design, Inc. 99.01 LI UID LE L 8" 1.51 minimum 230 Main Street 10' t4' 98.52 1/2")Peastone Falmouth EXISTING 98.77 f cli. 's� ''A;;e: Massachusetts FOUNDATION •T 4� 98.12 97.95 °° � '4;��°��.ea®,'a).,�°' o o �'"®��.e�� 02540 ,a ° a o '° j° WASHED STONE, 508.540.8805 • °" SEE NOTE 3. Fax 548.8313 96.30 �ra. ? °8 e;�� a {,� °•�•° ': :°8e 'oe °tia,aa ELEV. 96.30 6" BED OF 97.80 CRUSHED FD 4x8-D STONE 'n THREE 4x8-D FLOWDIFFUSORS z I� 12' 11' 20' - _30" I, 9' PIPE TO FD 2 I WITH 3.5' OF WASHED STONE 12' PIPE TO FD 1 AND 3 ALL AROUND AND 6" BENEATH m Z O SEPTIC TANK DISTRIBUTION BOX LEACHING CHAMBER o o O W (10 1,500 GALLON AASHTO - H2O 3 HOLE AASHTO - H10 PRECAST FLOWDIFFUSORS - H2O Q a ~ p PRECAST SEPTIC TANK INSTALL SPEED LEVELERS ,q Q Z _0 ON ALL OUTLET PIPES, ~ W Z SEE NOTE 6. BELOW ADJUSTED HIGH GROUNDWATER ELEV. 85.7 rn 0 C5 H CL Q vai 3 Q � � SUBSURFACE SEWAGE DISPOSAL SYSTEM OBSERVATION HOLE & Z w U 0 NOT TO SCALE o (/) co PERCOLATION TEST DATA 00 ; o DESIGN CRITERIA o `� < Z PERCOLATION RATE < 2 min inch X 7) Q Q Z GENERAL NOTES / a o U o NUMBER OF BEDROOMS 3 brm TEST TAKEN AT 5' DEPTH IN TEST HOLE w o 0 DESIGN FLOW 110 gpd/brm 5 1. All system components shall be installed in accordance TAKEN BY: Jeffrey E. Ryther, P.E. w o LL1 TOTAL DAILY FLOW 330 gpd a z with the State Environmental Code Title V. Minimum ES > Q Requirements for the Subsurface Disposal of Sanitary WITNESSED BY: Edward F. Barry rn Q w � 0) Q U Sewage, and any local rules which may be applicable DATE: May 25, 1995 N N Q o _ 2. The Barnstable Board of Health must` be notified CALCULATIONS I I 3 I- ~ am w Z when the system is installed, and prior to backfilling z z �. � Q Ld Z 0 for inspection. o o 3. The stone around the leaching pit shall consist of washed SEPTIC TANK: SOIL LOG in N � Q stone ranging from 3/4 to 1-1/2 inches in size and be free w w z of iron, fines, and dust in place. The stone shall be covered DESIGN FOR USE WITHOUT GARBAGE GRINDER TEST HOLE � a' a N with at least a 2 inch layer of washed stone ranging from 330 gal/day`x 200% = 660 g EL 102.3 al/day A LOAMY SAND p scale 1/8 to 1/2 inch in size, and be free of iron, fines, and dust. 1,500 gal TANK MIN. REQUIRED EL 101.5 9" (0.75') NOT TO SCALE in place. B LOAMY SAND date 4. The grade above and adjacent to the leaching facility shall slope LEACHING AREA: EL 100.2 25" (21') JUNE 5, 1995 at least 27. to prevent accumulation of surface water. �NpFA�gs drawn , 5. Gravity��sewer pipe shall be 4" dia. schedule 40 PVC or equal SIDEWALL L x H x 0.74 gal/sf/day Cl nNE SAND ��'P�JEFFREY Sqc� ~ JER at 1/4 per foot (2%) slope minimum. = 84 x 1.50 x 0.74 gal/sf/day EDW',,�( checked 6. Speed levelers shall be installed on all outlet pipe ends inside = 93.24 gal/day EL 97.3 60" (5.0') IV! J the distribution box to ensure equal distribution throughout BOTTOM AREA = L x W x 0.74 gal/sf/day job number the leaching facility. = 11'x 31'x 0.74 gal/sf/day MEDIUM TO FSS� ,_.•� � 95025 C2 COARSE SAND = 252.34 gal/day w/ GRAVEL title TOTAL LEACHING CAPACITY = 345.58 gal/day SEPTIC SYSTEM EL 92.3 120" (10.0') DETAILS DRY 3OF3 t� � Ile, o ,ygss� cev � / G. �, Golvcle�'T' 1•..a DONALD AIONCEvi'Cz �, I IjIV o �o.204877 0 5' PISTE r4 sG-/ems r 1 j: V j\j Or ,LOGAT/DN DONAL� G A./4 SCA/ 'e' W. 'MONCEVi i .o No.20487 ,0 I STEM \�k, �,• ./ FSS/ONAI Eat D • r- '� a."5► 2a�1 � 5�� �.� ,�� SIG ' '�.� 'try, �' (b ,p0/VA,c.p W. /Vl oni0,EV/GZ , ,(III D �� Y .; I� o Gp`I''� ` y� Gi vi.t. .�•ni G iN.c.�/e f l s �}'� /� i 5� 5a o� f'owo s T W.�'s7- D,�Nr y/s 1Af} 40 T.--4- ,5:08) 39.4-0-92:9 ©� �70 N ./ i 77 -�/ .43 4 C 40 J �i GOGvs is P/4R.rl,45i. CIO/ i C, 1-1/yp CAR 0' /- A ✓4AC DoIVA MAI LI • �3`-s//�IPSOe�I r�Yz', Ij�R�VSTf1 B�.,E', M,¢ ��{T� : ����2 UPI-A- Ale,