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0093 HARBOR HILLS ROAD - Health
93 Harbor Hills Road A= 247—055 Centerville 1 +� !!/ 5MEAD No.2.1531OR UPC 12SU +n�sd.eom Us"In USA �`�•,yap 'wuroNwsnaouaw SFI NO.. ......L� v�r THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH TOWN OF BARNSTABLE Aplirtttivu for inttlnrltii Cnon �r rtinnrruti# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ---- ... �,/L�ocatio :\ dress r t Owner Address W .. ....................... ..2!J---------------------•---- ..en+z� ��� ��)� 1�1 Installer Address r _ d Type of.Building Size Lot......6.1........Sq. feet V Dwelling—No. of Bedrooms...._..... Expansion Attic ( ) Garbage Grinder ( ) aU pp Other—Type of Buildiug6fil�r) _GI '_L ko. of persons----------�........... Showers (J) — Cafeteria ( ) dOther fixtures ---------------------------------------------------------------------------------------- ---------•-------•••-•-•-••-•--••••----•-•----•..........•••. w Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------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 ( ) Percolation 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........................ A+' ............-.........................-- ------------------------------------------------ ----- ------ •------- •............ •-------•--------------------- 0 Description of Soil....................................................-----•------•-----------------......---------------------------------------------------••--•-••-•-••-••-•-•-•-•••-- x _. w UNature 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 Environmental Code 4Thee igned further agrees not to place the system in operation until a Certificate of Compliance has been ioard of health. Signed -- ----_;r;;2t ................................ -----.. Application Approved BY e7.. _. .� .. Application Disapproved for the following real------------------------------------- ------------------- ..........-- ------------ ---------- -----------------------------------..._..------------------------ - - r Da e Permit No. ------------ /G-�------ ---- --- 1 Issued �. a../... ............................... . �e ' TOWN OF BARNSTABLE LOCATION �` ,L�:g ► rr �� SEWAGE # ��' _ VILLAGE "��+.�''�✓t�.��� � ASSESSOR'S MAP & LOT f INSTALLER'S NAME & PHONE NO. , J , ,; LF,�,r �„q ;l/7 7-w7 75 SEPTIC TANK CAPACITY 10 Oe-- (,r,00/t LEACHING FACILITY:(type) (size) Oo NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER S`,l:v�A t- S,L�.)i A DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No (�� �� R � Y;, TJ � l l 1� I r ��, � „ �F� �� ,�, ��_ J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BAR`.�NSTABLE Certificate of Grayliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by -------------------------- ------ ---------------------------------_......--- ......... _.....-......... fl In a Iles .�- at ..... /..... .1.. .. .�� y.V./..(�) ..._ !--1..Y..C..- �-�d�/.------1�.�/(� - - .... has been installed in accordance with the provisions of TITI.E�5 of The tat! vironmental Code as described in the application for Disposal Works Construction Permit No. v ......... dated .___............... THE ISSUANCE OF THIS CERTIFICATE SHA LL NOT BE CONSTRUEYAS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................ ....._.......,J /... �....---------------- Inspector .. - ---------------------- ------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE -- (% ✓ FEE.. Mipofial 10orkii Tonotrnr#ion "muff Permissionis hereby granted.............................................................................................................................................. to Construct (x) or Repair ( ) adVhdividual Sewage Disposal -yst-m at No....... j, �/ G!1 �s - aC� i�f .-'------.0�`,1� eV/� Street ��/�i ���/ as shown on the application for Disposal Works Construction Permit No.....;......�_____.. Dated.......F.:..�.4.. ct �. ....,..... .................................. I=� = '--------------------------------------------------- p L V Board of Health DATE.................cc �" --.... ---•----------------------- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS 1 k No.. ...o. _ Fps..,.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t ^ , TOWN OF BARNSTABLE Appliration for Diuputittl Wnrk.6 Tomitrur#iun Prrmi# 1 ' Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at .....?. /�121�<..... a,�........... Address S�.y .. (•�F. _-•Location - C r . ------•----••-.••----••••.__. .at-12 •`?............ r _.Lot_ No Owner —� Address �• P = M Installer Address v Type of Building ' Size Lot_..._�':.6 j?.......Sq. feet aDwelling—No. of Bedrooms._.._. ?................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Buildiug`..1 _�G_l:f =�^ No. of persons...._..._1.9_.:_______._.__ Showers O — Cafeteria ( ) Other fixtures ......... y--------------- ---------------------------------------- -------------------- W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length---------------- Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water-..__--.----_-____-_---- LXq Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ P4 .-•••---••••-------------------•-•••--••••••-••--•-••••--••-•••••-•••••••••--•••••---•-•-•-.._..._....--•-•-•-•-•..__........•---•-•••••...-•-•......__...... 0 Description of Soil....................................................................................................................................................................... W U ---------------------------------------------------------------------------------------------------------------------------------------------•--•--------------........................................ W UNature 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 Environmental Code—The un ersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued bthe board of health. Signed -------- ..........:: .... ... .......:........ ..........------.�----- ^- V--------------------..... LAPPlication AP .:.... :7::Proved B ... .—-- -✓- - ................./...D...a..c..e...�.....Ul../.:../-....... r ...� Application Disapproved for the following rear --- -------------------------------------------------------------------------------------------------------------------------- ......................... - .............. ----------1..---.. � r- �/' Dare Permit No. : / Issu.................��_ ..... ed J llace .. -x i 6 �O 1 Z ELEVATION SCHEDULE _ 21" COVER T.QF(SILL) 102.00 J qq 5S O SOIL PIPE INVERT 100.00 O SEPTIC TANK INLET 99.80 1p0 20. O i 24 DI A.COVERS p O O O of to 0 UTLET 99.60 � � TD.BOX(OPT.)INLET 99.50 RES - T 38 a in q8 �---- 9' —� 7' o o pro ao I. .0 OUTLET 99.30 AREA GAGE M `� 131 _ SQ•�� N � INLET 9£1.8 6 0 0 0 0 0 5 6 LEACHING PIT INLET 99.10 9D �`, l 7500 N C.B 6 a c o o v O 0 i SI-p8 T Sp►NOS BM © o c o 0 o BENCH MARK-ASSUMED 100 S 6' o o o 0 o TOP OF STONE CORNER BOUND 4'9" 6 MIZZENTOP LANE. /D/ 10'�. SEPTIC 7. 23' BENCH MARK 100.00 4 6" 4' ' p-BOX p.`�` ASSUMED TOP OF STONE BOUND 0 80.9 HARBOR HIL S ROAD IOOOGAL.PRECAST SEPTIC TANK H-20 O c NO ,SCA�L.E ♦I PLAN VIEW 1 " = 40' 1 1000 GAL PRECAST + LEACHING PIT H 20 LOADING SILL EL 102.00 NO SCALE DEEP TEST PIT/ PERCOLATION TEST DATA ACTH OF y " OF MpSs?� (D.80X) I I N V 100.0 �� qss �°' o� y, o GILBERT 9G, GILBERT \yG c T. m 2' BELT OF CLEAN, T] pp �'1 I 199,g �`8 TEST PIT LOG o T 8 JOLY e VV 30 --J JOLY �� w �� o No. WASHED, CRUSHED b v 99.'S 4"Pv� 5 4a £'ale►. 0-6 LOAM d TOPSOIL No. izEsa Y / o pF �o STONE 3/4"-11/2" C A " F�%srs��° %� FS G/ST0 G�z Op �p 1000 GAL 61 -24 SUBSOIL �9�� NO CLAY OR FINES DDp � SEPTIC EL 84.E 2. " - 12' LIGHT BROWN,MEDIUM �° suRVEJ° d� S�Orva� Op1000 GAL 0 TANK TO COARSE CLEAN SAND LEACHING 1s o- - WITH SMALL STONES 1 C� v - 4� PIT HOLE DRY NO WATcR-1NCO�iNTERED. o — 6D p i T . BY fD BARRY 4/21/94 0 NOTE: DISTRIBUTION BOX OPTIONAL WITNESSED �D A alp A °e I PROPOSED SUBSURFACE SEWAGE DISPOSAL SYSTE �Lq D INSTALL SANITARY TEE IN LEACHING PIT PERCOLATION TEST IN SHELF ' GROUNDWATER DISCHARGING TO RESERVE AREA IF �� LOT38 HARBOR HILLS ROAD , CENTERVILLE , MASS. T 42 NEXT T P T. A E T 0 DEEP TEST PIT.4 BELOW BOTTt�M EVER NECESSARY IN FUTURE �� PROFILE DROP IN 10 MIN. P I NOS O F I LE I2 FOR THEODORE C. S OF PIT. ,. �,L $q DESIGN CALCULATIONS-NO.GARBAGE GRINDER. RATE LESS THAN 2 MIN.PER INCH BY MASON ENVIRONMENTAL SERVICES INC.- HORIZ. 1" = 10 ' I) REQUIRED FLOW 3BEDROOMS X IIOGPD/B.R.=330GPD ` BOX 450 POCASSET, MASS GILBERT T. JOLY P.E.,RLS VER T. I 4 2)SEPTIC TANK I.5X330=495G.USE IOOOGAL.PRECASrCONCRETE H-20LOADING ALEACHING CAPACITY -330GPD EQUIVALENTAREA REQUIRED-508.50SQ.FTPROVIDED. SCALES AS SHOWN 4 / 18 / 94 t11094. 4) 1000'GALPRECAST L.PIT H2O W.2FT.BELT OF CRUSHED STONE EFFECTIVE DIAMETER a IOFT. BOTTOM AREA 3.14000/4=78.50SQ FT. SIDEWALL 3.i4(10)5.5'=172S.F.X2.5 s 43030. FT. i r1