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HomeMy WebLinkAbout0040 HIGH NOON DRIVE - Health 40 HIGH NOON DR Centerville A= 193 - 224 N S M E,A Dfl KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSTAINABLE FORESTRY MIN.RECYCLED INITIATIVE CONTENT 10% Cerd&d Fiher Sourcing POSTCONSUMER® wwwsfiprogram.org SF401290 MADE IN USA GET QRGANIZED AT SMEAD.COM 1 R TOWN OF BARNSTABLE LOCATION\ �)-,#4; SEWAGE # -"P-S -L��eVILLAGE C ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY \Spa c,aD LEACHING FACILITY:(type) (size) 100 o ec NO. OF BEDROOMS_4PRIVATE WELL OR UBLIC WATE BUILDER OR OWNER Qv So.u CU p DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: /d 7 VARIANCE GRANTED: Yes No'Y �C),li n � 3q , THE COMMONWEALTH OF MASSACHUSETTS ( t; BOARD OF HEALTH 97 DL.1 .. ....................OF......�:9slvS�i�-.Q(c� ................................................... Appliration for Uigpnual Works Tomitrnrtiun ramit Application is hereby made for a Permit to Construct (­-) or Repair ( ) an Individual Sewage Disposal System at: ly D �1 .. .................1h---/.. ---........�6ti :vrG Location-Address or t No. �Q oX__........� �.vy�e�.•/�G Owner Address Installer Address UType of Building Size Lot........ .�6.1...Sq. feet Dwelling—No. of Bedrooms...... ......................Expansion Attic Garbage Grinder (fit o Other—Type of Building .......... No. of persons....................... Showers ( ) — Cafeteria ( ) Q' Other fixtures ....----••---•--•-------•------•-•---••-----•-•---•----•--------------------•-•-----------....._....----------------....................---•-•-•---- Design Flow.........................l..!a 3 ..........gallons per person per day. Total daily flow..._....__....._._._... . ..4?..._._.gallons. W �O�G 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 (L-� Dosing tank ( ) ~' Percolation Test Results Performed by. _1'_z-:4'e V_'....ga"'4-'-'�.._.................. Date... ...'..a-1' -------••--•---•--- Test Pit No. l.._.A.......minutes per inch Depth of Test Pit---- .°...._. Depth to ground water..__ '..fl......_ . 44 Test Pit No. 2................minutes per.inch Depth of Test Pit.................... Depth to ground water........................ 0 •---•-••-------------------------...--.........--••----•-•--••-•---........--------•--------•................................................................ 0 tl - 3 - �ev�' o sc.,a so-,'e— Description of Soil . ..............•--------•--•-------------------------------------------------------------------------------------------- i=l:AP ,s,09—.6 ........................................ ------- - ----•--•----------------------------------••-•---•-------•-•-----••-•--------------------------•-----•-----.--•-- W S'-./CA ° /»e .b --------------------------------------•--------•---------...------------•--•-----------•-••--------•---••----•-----------•--------------•----•------•----------------------•---------------------------- 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 o eration until a Certificate of Compliance has been issued by the board of health. SignIons: ..-- -•-•................ �. D.-•------•-•----- App ication Approved By............................... � _.. Date Application Disapproved for the following -•-•--•--------------------------------------------•----•--...---•-••...-------•--------•-------------•---•--- ..............•---------•--••-----•-•----...--•••-•-------•.....------------•------------•...------------•-•-----------.....•---•------------------------•--•-•--•--•-------------------- Date PermitNo......................................................... Issued........................................................ Date �'No.........�..­.......... Fpim.............................. THE COMMONWEALTH OF MASSACHUSETTS B'OD OF HEALTH ­�L:...........OF.......3ir. ......................... A VftratWu for' Diiipviial Works Tonotrurtion V"amit V Application is hereby made for a Permit to Construct (") or Repair an Individual Sewage Disposal System at: .................................. ................................................... .................................................................................................. "1% _. Loc lion ress 40 eep A!66j, Aw 4 .... .......................................................... . ................................................................................................. /j Owner Address . ...... .. ......... Installer Address Type of Building Size Lot... ......Sq. feet U Dwelling—No. of Bedrooms._.____.3..e OT .................Expansion Attic Garbage Grinder (4.0)6 P4 Other—Type of Building ....................... No. of persons___.�.R_..................... Showers Cafeteria Otherfixtures ...................... ................................................................................................ ----------------------- Design Flow.........................IZ✓P..........gallons per person per day. Total daily flow__._._...._.._______.._ ......gallons. h eve P4 Septic Tank—Liquid capacity............gallons Length________________ Width__.________._._. Diameter-_______________ Depth____________.__- W Disposal Trench—No_ .................... Width______._..._._______ Total Length._____.____.._______ Total leaching area....................sq. ft. �41 Seepage Pit No_____________________ Diameter_._._.__.....___._._ Depth below inlet___._.___....__._.__ Total leaching area..................sq. ft. Z Other Distribution box Dosing tank ( ) 0-4 Xt-1-14-ov- Percolation Test Results Performed by-__............................................ • --- Date_______:...... Aolt�j 40 Test Pit No. 1..... minutes per inch Depth of Test Pit_____! ..... Depth to ground water........................ fj:q Test Pit No. 2................minutes per inch Depth of Test Pit__._._._.._.____._.. Depth to ground water______._.____.___._..___ ............................................................................................................................................................. 0 Description of Soil_...--_-- -c&eS Va.#*4- . .. . ............................................................................................... UW .. .. .. .............. ............................................. .. ..... .. ............................. --------*-----------**--------- /.� I '~ Z I--------------------------**'**----------------*--------------- ....................................................................................................................................................................................................... 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 oeration until a Certificate of Compliance has been issued by the board of,health. Signe .....;. ........ .. ................................. ................................ gut . ... ....... Application Appro4ed By................................ _4 .. ........IJL.......V .......... .........4.............. (1, Date Application Disapproved for the following re(I ons:.............................................................................................................. ......................................................................................................................................................................................................... Date PermitNo........................................................ Issued..-------- ........................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..7 ...................OF...... (Infifirate of (ff11*M:P*fi*attrr*­­ THIS IS TO 4 CERTIFY, the Individual Sewage Disposal System constructed Ljr'or Repaired .by.............Zz............ .....%........... r/01-41i ......................................................................:.......................................................................... In at................................................ has been installAd in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No_________________________________________ dated..............I......!.......................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM -,WILL hFUNCTtON 5ATISFACTORY. DATE.............. ............011.12............................. , Inspector_--------- IV CCP THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH, 71 ..............................OF.........Z..... 7- ................................................................. FE lhapsal Works Tanstrurtivit famit Permissiori;is hereby granted... .................... ........................................................................................................ ..... ..... e-77 c to Construct or Repair. ap Individual Sewage Disposal at No..._____................ ........e��w......A1.0e—----------,X-/ Str eet as Shown on the application for Disposal Works Construction Permit N4?6_7.11�t Dated..........-5 .......... .................................. - DATE. 4C.................. ............ Board of Health FORM 1255 A. M. SULKIN, INC.. 80ST0,N .. SAMC--LE 'GAMI(-`( - 3Xl 6Cu12oor-( �: j Nc GAiZ A&G GZi►3DC'R_ / DA1LN( FLc>W 110 x 3 .33o Cr. P. E> /. SEPTIC TANK : 33o X 1507, - 4q5 CG.P.O . tit L e T D IS PnsAL P iT -- V SE 1000 6rAL. ° Z0, 76 r S10E\NA%-I- F,CA Iso S, r, N 15'0 5.F. 2 . S S75" (91-. P. 0. gc,TrO M A R!a rn X. To?"A L h CS I G Q = 4 ZS- Q-. P• D. ►- ToT-AL DAILY FLOWf R1.0I—A:to Q RATE- • ! 1►4 2 MIQ- - j�% OF PETER .; SULLIVANRICHARf 9`i 4 4. No. 29733 a?ST � 9j 17 U r• e SjONAL `�..1. �_ �s -�q,�y�' On s•..: • tri6c or•- i�der h�<t s� T ' AsSuNt c 47b IY16G1-/ A/00 1)z t v C TES/-f,,at� #Z P-4S48 f-enavCRmb QN- taco nu. S�Z9�gs- . U►JS�;rT�CUc` f`�A717t?.��1 �'A 2�vn+ l i t TV4 C_'.(.C-.q r1�G �15 C' ,1 r r• y CDWA/LU �-. ,Cc�.Ce"y - T ry �NLotiJ 3 ' /coo O /,v�/, GAL, 73� Nc` Sati,•D , BOX C14 M Pl� S' u� �' C�gc.N� ' 93.z N a W r T,)4 / ... W 17-14 � W g s H C-D ' 9Z.9 ?3.0 G'E.27/F/EO PG OT 64ycll .t 57orJE .b _ &14VLL co q e a c= .3J l3AUoWAT?zV / GE,er/,CY THAT 7NV,4F AN�.fETI�/•1G` .eE4lJ/�ENI�iVTS D� 7'HE _:,C�.E6isT�.e�-�.Garcio s/ievEyo,P� ToW�v �Fv�<zt;sTf3�.?Llz .QV /S Tyler Pl.,e j /.f iYOT' 13.4SEO o i✓.4 XV 1,.V ,e— BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville, Massachusetts 02655/Tel. (617)428-9131 WIIIJAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering March 9, 1987 Town of Barnstable Board of Health P.O. Box 534 Hyannis, MA 02601 RE: Lot 8 High Noon Drive, Centerville Permit: 86-224 Installer: K. Hickey Dear Board: In accordance with your request I have inspected the installation of the above referred septic system. The system has been installed in accordance with all Title 5 and Board of Health requirements. Attached please find our "as built" of the existing septic. Very truly yours, Peter Sullivan, P.E. Baxter & Nye, Inc. PS/bc Enclosure H OF 41��S9P PETER SULLWAN No. 29733 0 A�OA, �01STef" Fss/OVA L MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSE7TS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS r 001 769 S,I=, :. IZ2�,3: Lo-r 1 0 0 4 41— �� Can :�U� �.N•�.� --�.:..J,� 14 I G--H N� O o N' CER T I F>f E® PLOT PL A N LOCATION CG-MTLP-V1Lt_C- I CERTIFY THAT THE 1=oOopo i�olJ SHOWN HEREON COMPLYS WITH SCALE -DATE THE SIDELINE AND SETBACK PLAN REFERENCE REQUIREMENTS OF THE TOWN OF ABLE AND IS Mo 7' LOCATED WITHIN THE..FLOODPLAIN. DATE '��- `/ . t_-� __. _ BAXTER NYE, INC. THIS PLAN IS NOT BASED ON N � REGISTERED LAND SURVEYORS INSTRUMENT SURVE`Y AND T%H ,- OSTERVILLE^- MASS. OFFSETS SHOWN SHOULD NOT BE . USED TO DETERMINE LOT LI NES APPLICANT C VID SAo2-c R TOWN OF BARNSTABLE LOCATION e��# \�'.�� ro o c, SEWAGE # C�r�Q�v� `� 3 VILLAGE --�--Z'}- �� 2 ASSESSOR'S MAP & LOT- INSTALLER'S NAME & PHONE NO. k SEPTIC TANK CAPACITY \Soo LEACHING FACILITY:(type) (size) i va o NO. OF BEDROOMS Lj PRIVATE WELL OR(PUBLIC WATE BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � \A Sh roor r a�� o �.