HomeMy WebLinkAbout0121 MONOMOY CIRCLE - Health I
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TOWN OF BARNSTABLE
;�4e�f /,2 1-
LOCATION LU7 O/ikiAj C!,Q, SEWAGE # 5P4 1,41
VILLAGE ASSESSOR'S MAP 6i LOT
INSTALLER'S NAME & PHONE NO.s-&�4r,0-77T G'CVJ, lam,
SEPTIC TANK CAPACITY /OIJO �
LEACHING FACILITY:(type) (size) 6,X&
NO. OF BEDROOMS PRIVATE WELL PUBLIC WATER
BUILDER R OWNER
DATE PERMIT ISSUED: 44�iC ��D
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
/�
GJ
... ,
�.
t �
�'"•
�,
No.---- FEz 140......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
W..A .......OF........ ...7 6... ...........
Appliration for Disposal Works Tonstrudiott ramit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at: 7
zqj�LA/0 1v'r 4=-R V I L L E....................
........................................................I...
Loca ion Address f or Lot No.
................................. ................................................................................................
own Address
........ .......... ............... ...7SCP�4�
Installer Address
Type of Building Size Lot.. '�0 Sq. feet
U u' "kage
�_4 Dwelling_YNo. of Bedrooms-_1.3....................................Expansion Attic (VT 6a Grinder (NO)
'_l
04 Other—Type of Building ......RE. ......... No. of persons.....3................... Showers Cafeteria
04 Other fixtures ..................................................................................................
<� ..... 36,------ ......."------------
Design Flow................1.1.0....................gallons per person per day. Total daily flow.........................*.................gallons.
WSeptic Tank`Liquid capacity.J.M gallons Length.A'k/.. Width...t�7....... Diameter................ Depth....Lf........
Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.. ...sq. ft.
Seepage Pit No............/......... Diameter....._®......... Depth below inlet.._.._.......... Total leaching area.-.1.6k......sq. ft.
Z Other Distribution box ( vj Dosing tank 0 A.1
.7:U%
Percolation Test Results Performed by.........TOH.-A�......... ---_----------- Date._ . :ZJ90
1.4 ... .......*-----------
Test Pit No. 1......�2-_....minutes per inch Depth of Test Pit.../.?-.......... Depth to ground water---AV�/V i��-
............
44 Test Pit No. 2........?-�....minutes per inch Depth of Test Pit....Ll........... Depth to ground water--- 0
......................................
...... ................... ....P..... ... ---------------------------------------------------------------------------------
0 Description of Soil....... e- A..I .A....V."r' t=' ....................................................................................
W
-----------------------"------------------------------ ------*-*-"-,*,,*-------------------*---------------------- ------------------- -----------------
........................................................................................................................................................................................................
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 b ss d b th o f ealth.
Signed.. . ................... . . .... . ... ......
Application Approved By......... . ...................................... - te
..... ...... 41,
operation
Disapproved for the following reasons:............................................................................................Da.Date.............
.........................................................................................................................................................................................................
Date
PermitNo....................................................... Issued......................................................
Date
—--------------------------- ------------
JIV-1
No..... Fimic 42.....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH _
..�:�.A/.......OF........r ...�.�...91V.....................................................
�� ''
Appliration for Disposal orkn Tonntrnrtiun Prrntit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: _ _
3:...--•- ._..: ....L.oc � --
. . ....... •---•-......-----.......... ......
r Lot No.
.....
.......----•----••---•---•-------•--...... •-----•-------•--•----•---....------......---
Owner
Address
'1 J 161' .7 .._L �f� .....�10_ 1tsln 1y. /cLs
-
Installer Address
U Type of Building. Size Lot...`:, ..2.�9.....Sq. feet
a Dwelling�/No. of Bedrooms... ......................................Expansion Attic ( GaAage Grinder (A10)
aOther—Type of Building ......ta _......... No. of persons......3................... Showers ( ) — Cafeteria ( )
dOther fixtures -----------••---•---------------------------•--.....--.------....-•------•-----------•---•••••--•••-•....-----------------........-----...-••••.......
W Design Flow................: ..._.
...............gallons per person per day. Total daily flow......... .....................gallons.
0.i Septic Tank °°Liquid capacity..O <`�gallons Length..=C'..... Width... ___....... Diameter................ Depth.....tom_........
Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area... _..sq. ft.
Seepage Pit No........... ....... Diameter.....P7.__..... Depth below inlet.....'?_._.._.__.. Total leaching area� � .....sq. ft.
Z Other Distribution box ( vj Dosing tank
Percolation Test Results Performed b __...._ , e _ .._....__ � ?: .!�................ f l
a
Y Date-----=-!...... 0..............
Test Pit No. I...... .....minutes per inch Depth of Test Pit...j_?_•........... Depth to ground water....6�.4:7.
f=, Test Pit No. 2....... :>---.minutes per inch Depth of Test Pit.................. Depth to ground water-__
W' ...............................................................
----------...-------•-----------•------------------------------•---•-•-----------------------
D Description of Soil....... =_ .--S :. ._�:.t.�� _ J f p' ..............................................................•------•-•--------•---
----------------------•-----------------•--------------------------------
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 be ssy%�dby th boa f health.
Signed.-. ...... ... . . ..........
ate
Application Approved By..... ......................................
Date
Application Disapproved for the following reasons:........................................................................................• ....._.._._...
. .............................•--------------•-----••-•-------..._.......-••------••---•-------............_......-•••--....--•-•-----------------------•--••-----•--------•----•--•-----•••••-----•--•---
Date
PermitNo....................-------.............................. Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
04—liter-�,...........OF............ ,&.. b x-f�,si&; ....................................
(9rdifirntle of Tuntplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( )
bY--------------------------------------------------------------------------------------
Installer
---
has been installed 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................................................
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No.....l .: ` � ..........................................
.OF..................................................................................... FEE F
Disposal Works Tunn#.rnrtion "prrnti#
Permissionis hereby granted..............................................................................................................................................
to Construct ('-� or Repair ( ) an Individual Sewage Disposal System
at No......... ----7i'a ........../4---
t � E
Street
as shown on the application for Disposal Works Construction Perm; No,* ,`��/.._ Dated...
r 0 Bo a f o xea
�
DATE---------. _... ............................
FORM FORM 1255 A. M. SULKIN. INC_130% -
EL.= 51.s
mP of- rmx
p Cow cow
e GROUND EL— 5O.8 Cow Cove"w 505
4
OR S EgJ 40 '
W � P.�'a s 4" 5VAWVLE 40 P.KC(ORLF)
pnw 1 4 p" PIPR -
G P�1 4"'P.SR PT LSIGS P17pitwAST
7p
mcam
Ca
LOT 62 LOT
EL.= 49.18 � TAW .DmT �' ��.�'
6 � 48.82 x EL.= 48.64 � o
v Dvv81?t' 100Q GALLONS EL._
00.1
EL.= 48 98 I poll `O o 9/4" m
— 48.80 EL.— 48.5 0 0 s7»n�
— _
o c` EL.= 42.5
10 5
7• 6
10 --�
h0' / EL.=.35.5
PROFILE OF NO GRO T" rtaLE
LOCUS MAP 10001 .
SEWAGE DISPOSAL SYSTEM
LOTSOIL LOG NO SCALE WITNESSED BY: HEALTH 72 ��
DA TE J127190 NUMBER 7581 rows OF BARNSTABLE
AREA TMT' .SOLE P ncsT BOLE AV J. JA CDR] DvaVw?
=15, 74Q Sr . EL 5Q 5 EL. 50.5
DESIGN DATA:
yOAa�a err 0-4' T/L/S NUMBER OF BEDROOMS,Oro,, 3
J30 GPD
TOTAL ESTIMATED FLOIf
Op .� 5 BOTTOM LEACHING AREA 78 SO. FT.
cV ✓50' N SIDS LEACHING AREA-- 188 SO. FT.
03 14.0' tp GARBAGE DISPOSAL NO NO 5OX INCREASE
LOT �, h TOTAL LEACHING AREA 266 So FT
", - ----CD - o LOT 7`3
- _ PERCOLATION RATE 2
4- ' AL T M?S LBACEa NG AREA PER
12 PERCOLATION RATE
OF SAMEL. =J9.5
=38.5 GRA Ik[� NUMBERof L�►CI�NG PITS 1
CAL CULA 17ONS 7S 5 F 2 1O= 78.5 GPD BOT.
� 12.3 12.0'�- `'�'�'•=o ry . 15.E
a '.28 �: 188 SF (Z,5) = 471.0 GPD SIDE
mo WATER ENCOUNTERED TOTAL= 549.5 GPD
41Ao ,IPPROVBLt....................... .....BOARD OF WLL?8
► - - DAM.....................................................................................
3ao AGMVT OR RV5Pa9 MR
l � �
GENERAL NOTES- _ Rf.MOW ALL IMPERVIOUS_
¢ ..5 100.00 MA TFRIAL 10' IN ALL
------------------
1 .o DIRECTIONS TO EL. 46.5
Oleo
�` _ AL PIPE 4" PVC SCH 40_
1V1vo K CIRCLE
-9s►
SG
O%s/ TE PL A N
F LAND IN
110
a
(OS TER VIL L E
HA FANS TA HL E. A11A SS.
e..
PREPA RED FOR `" OF c�
PM)L
T_F1 JOHN GA RREMERI ML%V y
'No.A.
MARCH 27, 1990 �A
GRAPHIC SCALE
0y 15 3O 60 1 0
AL A�l�
w 9
nN I�aaT ) o
ar JOHN
PLAN REFERENCE 272158
1 inch = O f t. �A�O�
� No.814 y
YANKEE SUR VEY CONSUL TAN TS y
FL OOD ZONE: C 14J ROUTE 149 P. 0. BOX 265
RES. ZONE: "RC MARS TONS MIL L S, MA SS. 02648
1889 JOB NUMBER.•
EL.
mP at junmunoN
q " cowtaar8 cow
50.8 e�BaTa covAts ,R 50.5
GROUND EL= _
3 OR mr 40 "n-7-r--r
k Ln _
P.Y.: 4" SC�Dl�Ga' 40 P. (ONZY� --
Plr l 1 4 PA9? i�PAR Pr - -
�. � 5 I.R/C�f PlY'
J
o
LOT 62 LOT
EL._ 18 SaT'T7c rAN� D�5'T MATTJo AVDir.W
61 48.82 EL.= 48.64 o
MAU 1000 GALLONS EL.= BOX o. • . p
EL. o 1s9nNa
/ V EL.= 48.80 EL.= 48.5 o
f0 5
' c` EL.- 42.5
7' I 6 -10
--�
EL.-Ja 5
LOCUS MAP � � PROFILE OF NO GRovM NM_TAW
100.01 SEWAGE DISPOSAL SYSTEM
LOTSOILLOG NO SCALE WITNESSED BY:�� Mitt N aFRCLW
DATE .3127190 NUMBER 7581 mWV O. BARNSTABLE
AREA 1,5 749 SF TMT BOLA' �1 TMT HOLM ,�2 J. JACOBI Dyamm
= EL. 50.5 El, 50.5
o '3, DESIGN DATA.
T s
rrr 0-4' T/L/S NUMBER OF BEDROOMS 3
TOTAL ESTIMATED FLOW .33o GPD
BOTTOM LEACHING AREA 78
/ N SIDE LEACHING AREA-- 188 SO.
Qso FT.
LOT 7, GARBAGE DISPOSAL NO NO 50.t INCREASE
�, 14.0 LOT 7J
;-,;-, --,-;p TOTAL LEACHING AREA 266 SQ. FI.
PERCOLATION RATE M1N./IN.
�'-11 M
4 -12' AL T YERS LBACSIIdG AREA PER PERCOLATION RATE
EL.=38.5 SAND aZ. =39.5
NUMBER OF LEACH[NG PITSORA la
1
------ - CAL COLA T10NS 78.5 F 211)= 78.5 GPD BOT.
.o�:-.:- .o 15.T
12.,3 12.0 1 1 s (2.51 = 471,o GPD SIDE
A N�-2 0 u,
00
N
vo WATER ENCOUNTERED TOTAL= 549.5 GPD
,j
.IPPRO VM.........................................RO,[RD OF IILTX
DAIZ. ............................................. .....................
sool
( AGE' OR I?CSP3'G"11DR
GENERAL NOTES- _ REMOW ALL IMPERVIOUS_
49,5 100. 00' MA TER/AL 10' IN ALL
------------------
----------- ---------- -- -- -o - DIREC770NS TO Et. 46.5
IVON r��J _ AL PIPE' 4 PVC SCH 40_
OIVO Y CIRCLE
9�sG %s/ TE PL AN
0 LAND IN
(eloS TER VIL L E
LP__j 1AIRNS TA HL E. MA SS. OF
PREPARED FOR �'A.
tEarr+�v y
,e `No.
JOHN (3A RREf F1
MARCH 27 1990
GRAPHIC SCALE
30 0 15 30 60 .� 0 �M,��
�5 r
JOHJACOBI
N '
PL.A N REFERENCE. 272158 1 inch = 30 f t. ��
� fAltll4�+e�
YA NKEE SUR VE Y CONSUL TA N TS
FL OOD ZONE: »C » 14J ROUTE 149 P. 0. BOX 265
RES. ZONE: "RC " MARS TONS MILLS, MASS. 02648
JOB NUMBER: 1889