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Home My WebLink About0359 CAP'N LIJAH'S ROAD - Health 359 Capt. Lijahs Rd Centervile A= 193 - 103 Zan -we UPC 92534 ' �r NO.. ` ... FEB - ®-r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration,for Bijapwial Wnrk,i Tnnitrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair (X an Individual Sewage Disposal System at: L/�j/.....7L'S N Ll . .............. - ��qq ocation-Address or Lot No. /� CamC J C!/ ! C. �'C$"S / 6 /t G W Q1/Gl Owner „ AAddress J" 7 (� Csv � .. . . Installer Address d Type of Building Size Lo U ............._Sq. feet Dwelling—No. of Bedrooms................. --------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures .. ........ W Design Flow.........................__.__gallons per person per day. Total daily flow_.-----------------: -�Q_..___........._gallons. WSeptic Tank—Liquid capacity-ATO_.gallons Length---------------- Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length--------.____`...... Total leaching area....................sq. ft. ' Seepage Pit No--------=0------ Diameter---;,,/8------- Depth below inlet..... .......... Total leaching area..................sq. ft. Z Other Distribution box ( ) /' Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water......................... Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water....._.................. a ----------------------- ---------•-•------•------------.............---•---•-•----------......_.............----•----------•-•--------.....--•-•-•----.------ 0 Description of Soil........................................................................................................................................................................ x U ..........-•-•--•--•--•-•-------•----------••---•-•••-•-•-•-•----•••-•••---•--•--•-••----------------------------•-------•--••------•-----••--•-•••••-----•-----------•-•••-•------------•--••-•-•-••••-- w x ------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------ ------------------------- U Nature of Repairs or Alterations—Answer when applicable---------eAPO-------- "-------. .U 0 -• cc---------------- ........... Agreement-. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha been iss ed b 1 th oard of health. Signed ------------ . ............... -------------- r Dace Application Approved BY - - �...... ----- ---------.......... .../- .- ,�— Dace Application Disapproved for the following reasons: .................... ................................-- --- -- . . ............. .......................................................... .............................. ..... ...................................... ... . . . .................... ...................... .................. ,yam Permit No. � .-../0--------------- ---------- Issued ------------------------ . ..... Da.e .... TT Dace 103 No..� FBI?..............�............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for DiuVu!3tti Workii Tomitrnrtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: ----- �. ��1� �V J L.« on Locati -Address or Lot No. ...... •-------------•--•-----••--• .... �� Owner Address a 15 c t , �,�. S j iA 1 c 5 ----•--------------------- ............................ ••-•••--•-•----•--•--------•--------..._..... ------••--••-------------•-•••-•--•-._._.......... Installer Address U Type of Building Size LottUtG --..Sq.(fe j 1, Dwelling—No. of Bedrooms__________________ ____________________Expansion Attic ( ) Garba e Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) Cafeteria dOther fixtures --------------------------------------------------------------------------------------- ---------•••••-•------------•-._._...---•-•-•----•-•-------•- W Design Flow.................... ............gallons per person per day. Total daily flow-------------- s76................gallons. WSeptic Tank—Liquid ca Pacity.Z�"__.gallons Length---------------- Width---------------- Diameter--.------------- Depth................ t x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........<n-,-A------- Diameter.__.../Q------- Depth below inlet.....6.......... Total leaching area..................sq. ft. Z Other Distribution box ( ) . Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Lr. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •-•••-••••••----------------•-------•---•---------••-------••-•------•••••----------••-•------•-------.......---•-•......---•••-------- -------------------- 0 Description of Soil....................................................................................................................................................................... x U w --•--------------------------------------------------------------------------------------•--••••......------..---------......__...•----------------------•-----•......------ U Nature of Repairs oj' Alterations—Answer when applicable._.__._-.._ .- `( �l .......�...+�--------W....�..k:............S.7 '+1... .......... 2 Z 1 =----1..? �.>S.1:J_ 1. ...-•-•------•-•y,='-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha�beened b the oard of health.Signed � ----�---�(rt --------- ------ Date Application Approved BY -- . / ------------------------------------------- -..._.-..fie=1., ... Application Disapproved for the following reasons: ------------------------------------------- ................................................................................................................................................................................................................ . ....... . . ............ Permit No. ....... 5`..-..- - � Issued ............................ .. .. .............Date...... t Date - -------------------------------------------------------------------- ----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE `Ljertiftrate of Q-Taraylianre THIS IS TO CERTIFY, That t- ndividual Sewage Disposal System constructed ( ) or Repaired (-,,Z ) by .... '------ .c.c1.-TL.------_�.----rt'�._sT.-'Z.�c-rr vr.l Installer ' -� T- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ----- = _f. ...._....... dated ............................._------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE... �-�'--�`' � �� - Inspecto - '�_'�- 1 -�4,C.� THE COMMONWEALTH OF MASSACHUSETTS ��'! ' /93 103 BOARD OF HEALTH TOWN OF BARNSTABLE �� J No... -..1. FEE........................ Rupuuat Vorkp T.unutrtuttiun "rrntit Permission is hereby granted............................ --------c." -`J --T1'Z/ ----- ...... to Construct ( ) or Repair (a).an Individual Sewage Disposal System ez ..................... . ---------------•---••-------••-•----._.__...._....................... Street as shown on the application for Disposal Works Construction Permit No.7 :':I Dated-------¢._�.__�l_._-..c�_�.......... ................................1--'- �"Board of Health�--------------------------------------------•------•-- DATE �j - FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS T s~' TOWN OF BARNSTABLE LOCATION 33-el Ccd- C,J"a (1 9 D SEWAGE # /r VILLAGE ��,��,-v,�� _ ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE No. SEPTIC TANK CAPACITY LEACHING FACILITY:(type)� 74- ( _(size) NO. OF BEDROOMS 3 PRIVATE WELL OR UBL1C WATER BUILDER OR OWNER DATE PERMIT ISSUED: f— DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes (o - 7 - s U L• 0-C A TION � G E PE RMIT NO. VILLAGE �- Loel INST4LLERA NAME i AD R SS � U 1 L D E_R OR OWN ER DATE PERMIT ISSUED ! ! 'ODATE COMPLIANCE ISSUED 3 /,,3 4 i ��eaF ,JAR ' i * , . yr ADD a No.... ....... .... F�s...f7�0................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ------... ......... ...............OF......................................... Appliratiou for Dhipo al Works Tonstrurtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal All . ... /t/ . ... ....................................................... .....f/?__ . •..ocation-Address . ---•-----------------------------•----..._..._ . -- � , ��. _ � W Owner Address ------------ J ------ ----------------------------------------- In ller Address Type of Building Size Lot_ f..la�_XSq. feet �-� Dwelling—No. of Bedrooms......... --_----------- -----Expansion Attic—(------- Garbage Grinder-_ p-, Other—Type of Building __:___—'//_---__ j. of persons......,................ Showers ( ) — Cafeteria ( ) a Other fixtures ................/------ GL��2 `] W Design Flow.............-�d-.•...............•..gallons per person,�?er day. Total ily flow----- 02.__ ..............gallons. WSeptic Tank—Liquid capacity�o�`.gallons Length._1s ..... Width.- --•--••--- Diameter---------------- Depth EL x Disposal Trench—No./C'100..... Width.................... Total Length.................... Total leaching area.9 _ Seepage Pit No--------------------- Diameter.................... Depth below inlet................... Total leaching area..................sq. ft. Z Other Distribution box (/) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit-_______------_____. Depth to ground water---_-.-.----_-_______--. fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 P4 ...--•---•-•-•--••---•--••--•-----••----•--•......................................•----•-------.....---•---••---.._.........--.--•- Description of Soil.................... •----------------------••---------------.......-------•----------------------------------------•-----------...------.............................. V .............................-......................................................................................................................................................................... VNature 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 fur :er agrees not to place the system in operation until a Certificate of Compliance has been ' led by the board o t1_ Signe �%` � �� ate Application Approved BY = ....--••--------•. ....................................... Date Application Disapproved for t e following reasons--------------------------------•----•--•---------------------------------------•------------------•••-----....-- .........•-•--•--•---•---------------------•-•-••-------••------••------------------•----••-•••-------•-•--------•------------•-----------------•-•-•••--------------••---••-••••------•------•--------- Date PermitNo......................................................... Issued-....................................................... Date 4 �v Noa.:.... ....... Fizz....Z...p_............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH •.................... ........ ......OF..............................---......................................................... Appliration for Disposal Works Tonstrurtinn Vrrutit Application is hereby made for a Permit to Construct ( °)�or Repair ( ) an Individual Sewage Disposal Systom 1 `� ... 4 / " G�*h r �..`... o ocation-Address or t N . • fJ . .................................................. 3 -f _;� /�'. �--- ` Owner Address ........................................ Ins Iler Address Type of Building ac,��pp Size Lot. f---------,.._...Sq. feet U Dwelling—No. of Bedrooms---------sue.............. -Expansion Attic..,(-7----- Garbage Grinder,-...... p,, Other—Type of Building ._..........7....._ of persons.................... Showers ( ) — Cafeteria ( ) P4 Other fixtures -----------------.................... .................... Design Flow.............. .._.,. _gallons per person perday. Total rly flow...... p . ._._............._....gallons. WSeptic Tank—Liquid ca acr .... gallons Len th._ _:-_.---..... Width--. ....._..... Diameter................ Depth.---9-------- P P 9 P t1'---- - --g g Disposal Trench—No. 1O.12rV..... Width.................... Total Length___..__..._....._... Total leaching area.l_4!�_/ x � � Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (/) Dosing tank ( ) Percolation Test Results Performed by--------------------------------------------------------- ---------------- . Date....................................... aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit-------............. Depth to ground water......................... a •-------•----••----------------•--••------•-----------•--•..........--•-----------------------------......................................................... ODescription of Soil.............................•------------.........................-----.....--------------------...--------------.......----.....-----------------•----..........------ x x -------------------------------------------------- -•-••-•••----------------------------•--•--•--•••--•••------••-•--•--,---•-•-------•----•--•••••--•-•••-•--•---•--•-•--••-••-•......•------------•--- 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 fur er agrees not to place the system in operation until a Certificate of Compliance has been ' ed by the board o th. - tt Signe j ---- 17S ApplicationApproved By--•-- ----•------•-------------------------------------------------•-•-- I Date Application Disapproved f r t e f ollowing reasons:-----•-------------------------------------------------•---------------------------------------------......---- --•---...-----•..................................•------------------------•-----.._..........-------•--•------••-•-•.....--------------------•----•--------......------•-----•--•----••-•--....._..... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...... .............................................................................. w1rrtifirtttr of Toutplinnrr S IS T Y, That the Individual Sewage Disposal System constructed (�or Repaired ( ) by... .......,.. ...... /...............................•-•-....-- ti nsta ---=-•---------•------ •------- ---•--------------- has been installed in accorda e with the py6sions of Tiff» �� The State Sanitary Code, s d c 'bed in the application for Disposal Works Construe Permit No........................................ dated-_ ...................... THE ISSUANCE OF THIS CERT FICATE SHALL NOT BE CONSTRU AS A GUARANTEE THAT THE SYSTEM WIL ATE. p1CT10N SATISFACTORY....... Inspector....... ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........0 F.......................r //��la N ---. --.. FEE..7................... trrritrinn rrntit Permission is hereby granted. ....- " �r�e .... --• •--•- --•--• ...................................................... to Construe or epa' In ' ual .................................. w isposal t at No �. � .. trees.-zr.�-_.._.. _.... ...... ........... Street as shown on the application or Dispo orks Construction Permit N _:'______________ Dated.-f�_..��................_. ------------------- ----•- --.:..---------•-----------------------------...........----••---........_ Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS V SHEET OF f • % 45lvjl \ LOT 14, Del 1 �1tN 46 Of THOMAS o� SEWAGE DESIGN PLAN LOCATION /./. f . . .. SCALE / .�:. d DATE / !2M,� . . PLAN REFERENCE .Rl4a Ba. 4 2 77 , .a6; �/, •/� , , ,_ CIVIL ENGINEER . OF bps PETIT,I�O-NER . ...•.� �" "' ". • -"' �� THOMA3 E.KELLEY CO. .� y ENOMERs-SURVEYOU; :4260 14 sK zvNO POND DRIVE iOt.TM YARMOLT.t13.]LMB� GlSTEP \� L. TOP OF FOUNDA ION CONCRETE COVER CONCRETE COVERS - • �nrmy�r 4'�CAST IRON 12 MAX. • 12"MAX. • • PIPE (OR 4"ORANGEBURG(OR EQUIV,) EU �•' PIQIH I/4"PER.UV MIN. PIPE- MIN. LEACH TC PITCH 1/4"PER.FT. PIT PRECAST LEACHING o e EL vpT,�Q. INV T INV T e�:' PIT OR o, SEPTIC TANK EL.: E.fa�SZ/ DIST. EL . . >_ EQUIV. , o INVER BOX .. F,�.. •�. e; EL.43.,. ��. GAL. IEV.�r �/ INVER Ow :'i; 3/4"TO I I/2' ' � U. WASHED . 'STONE 0 ° /D I • •s ---iil IZ --•}+—6�' DIA PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SO L LOG WITNESSED BY : / '/ N,V, 0 . . BOARD OF HEALTH DATE .�Gq�ZD/�.f'. TIME.��'. . . ' TEST HOL I TEST HOLE 2 , .v. . .if� G?' . . . . ENGINEER ELEV. .-40 �'S ELEV. .. .. . . . . . . r71 z. . .zi `bK/1446: h�J DESIGN DATA : r 04- NUMBER OF BEDROOMS,, TOTAL ESTIMATED FLOW 2?.D. . . GALLONS/DAY BOTTOM„LEACHING AREA .749f$P . SQ.FT. /PIT 60 SIDE LEACHING AREA . ��.'SD. . SQ.FT:/ PIT GARBAGE DISPOSAL ./v. .(50% AREA':•INCREASE) TOTAL LEACHING AREA .�. 7f4P . SQ.FT PERCOLATION, RATE4 ss.7#0 )4 MIN/INCH ..4. LEACHING AREA PER.PERCOLATION RATE% r.'SQ.FT. N0.WATER ENCOUNTERED NUMBER OF 'LEACHING.' PITS Q!!!� �l T r1w1w. `. /,., APPROVED . . . . . . . . .'. . BOARD OF HEALTH Av _'�'�� T'_ `� DATE . . . . . . . . /O .. AGENT OR INSPECTOR OFIy,Q, p? •nio�►s 6.4 ��TV'.•! .L��/ THOMAS E.KELLEY CO. • ENGINEERS--SURVEYORS STEa6�•t`�' 346 LONG POND DRIVE SON PETITIONER � �¢ SOtTI1i YgItMOUTIi,btA88► 02664 Lzm. SHEET OF \5 a V . til 92�� 26 117) �d5 • '� 4W oo ---- i OF • � I THOWA SEWAGE DESIGN PLAN LDCATION ��/. :. ... SCALE DATE /.2.-Z 7,*Z. . PLAN REIF 0 CE R4Qe l Bgv.,<2 7.7 CNIL ENGI NEER .�OFIy,� PETITIONER / '1 THOMAS E.KELLEY CO. o SNOINEERS—SURVEYORS 24260 v� X"LONG POND DRIVE �/ q YA j G15TEP �� . _ _ � /.�G• . . . . . . 'OOtTi�i E�+i�LTl�ii yLAAB.� ssjO�Lp�6 L. s"o,00(IONssrJ��j,q-/v TOP OF FOUNDA CONCRETE COVER • CONCRETE COVERS 4"CAST IRON 12"MAX. 12"MAX. F3/4 PIPE (OR 4ItORANGEBURG(OREOUIVA EOUIV.)— MIN. PIPE- MIN. ' LEACH PITCH 1/4"PER. PITCH 1/4"PER.FT. PITLvTINV TINV T . Q•;SEPTIC TANK DIST.EL.:. . Z� 80X EL. > : .INVER 1HF- !'•. • .O.. GAL. INV RT ,. ° ,�EL.. 3�. E / LNVER w w •,�• 2�/ EL¢Z � �` .;.� *'� PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SO L LOG WITNESSED BY BOARD OF HEALTH DATE AG�ZD/� TIME.��'. .. r /, TEST HOL I� TEST HOLE 2 . .gg �?/�&e� . ENGINEER ELEV. 4jt! ,S- . . ELEV. . . .. . . . . . . r •gybe ham ,DESIGN DATA Z¢" NUMBER OF BEDROOMS,. . . .� ' . �L.DAM TOTAL ESTIMATED FLOW Z?.D. . GALLONS/DAY LirL�s BOTTOM.LEACHING ,;AREA . .749!.$7p - SO.FT. /PIT. GO SIDE LEACHING AREA � .'sd. SO.FT:/ PIT GARBAGE DISPOSAL . 4P. .(50% AREA'ANCREASE) �AuD TOTAL LEACHING AREA .;W(40 . SQ.FT — _ — PERCOLATION RATE&ZS?#40 4 . MIN/INCH LEACHING AREA PER PERCOLATION RATE4�M. SQ.FT. w O.WATER ENCOUNTERED A� NUMBER OF LEACHING PITS APPROVED . . . . . . . . . . BOARD OF HEALTH . rtiS DATE . . . . . AGENT OR INSPECTOR 10F Af4 02 T.HO S K I THOMAS E.KELLEY CO. o 'p ENGINEERS—SURVEYORS &TEa 1346 LONG POND DRIVE SOON PETITIONER � �¢ ,�/ �, SoUTH YARMOUTH,MASK► J 02664