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HomeMy WebLinkAbout0040 NATHAN ROAD - Health ��■■eeeeeeeeee■■enee■■e■■e■■�� /e■e■■■■eeeeee■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■1 ■■eee■nee■■eeeee■■■■■■e■■■eee■■■■■■■■■■eeeeeee ie■�■■■■■■■����■■■■■nee■■■■■■■■■■■�■■■■■■■■ee■ei ieeeeeeeee■eee■eee■■eee■eee■■e■■ee■eeeeeeeeeeee� eeeee■■■e■e■■■■■■■■■■■nee■■■■■■■■�■■■■■■■■■■■■r i■■■■■■■■■■■ee■■■■eeee■■eee■■■■e■eeeeeeeeeeeeee� eeeeee■■■eeeeeee■■eee■e■eeeee■■eeee■eeeeeeeeeee� ie■■■■eee■■eeeee■■eee■■■e■■■■■eeee■■■■e■■eeeeeee i■e■■■■■■■■■e■■■■■■■■■e■ee■e■■e■■■■■■■eeee■■■■■� nee■■■■eee■eeeeeeee■nee■■■nee■■eeeeeee■■■eee■■i eee■■■■■e■e■■■e■■■■■■■■■■■■■s■■■■■■■■■ee■eeee■er re�eeeeeeeee■■eeeee■■eee■■eeeee■■eeeee■eeeeeee�r i■■■■■ee■■■■■■�■■■■eee■■■■■■■■■■■■■■e■■e■■■e■eer ie■■■■eee■■■■e■�■■■■■■■■■■eee■■e■■■■■■■eee■■ee■r iaee■■■■■■■■■■■■■■■■ _�* _ _ Mour ■■■■■■■■■■■■■■■■■■■�� r}� J ���■■■■■■■■■■■■■■■■Omni i■s■e■■■■■■■■■■■■■■■■■ ����■■■■■■■e■■nee■■■e����i ieeeeeeeeeeeeeeeee■■���eeeee■eeeeeeeeeeeeeeeeee� �leeeeeeeeeeee■■eeee����nee. '-��eeeeeeeeeeeeeeeeeel i■ee■■e■■nee■■eee■eee■ee■ee■■eee■eee■nee■■eeeeee s®®e®©e®®®®eeee®eee®®e®e®®®®®e®ae®e®®e®e®eeeeeee ilk■eeeee■■■eeeee■■eee■eeeeeeeeeeeeeeeeeeeeeeee�l lees■■■e■■■■■■■■■■■■�■■■■■�■■■■■■■■■■■■■■■■■■■■1 ■■■■■■■■e■�■■■■■■■■■■■■■■■■■■■�■■■■■■■■eeee■nel '' ■■e■■■■e■eee■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■eel ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■nee■eee■■■eee eee■■■■■■■■■■■■e■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■� �■■■■■■■■■■�■■■■■■■■■■e■■■■nee■■■■■■■e■■■■■e■■el �■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■eee■■■1 eee■■■■■■■■■e■■■■■■■�■■■■■■■■■■■■■■■■■■■■■e■e■■r ie�■■■eee■■■■■■e■eeee■eeee■■■eeeee■■■eeee■■eeeee eee■■■■■■ee■■■■■■■■■■■■■■e■■■■■■■■■■■■■■■■e■■■eo iee�eeeeeeeee■■eeee■■■■eee■■■e■e■■■eeeeeeeeee■■� eee■eeOeeee■■eeeeee■ee■■■■■■■■■■■■■■■■■■e■■eeeer -��������������e■■eeeeee■■■■eeeeeeeeee■eeeeeee TOWN OF BARNSTABLE LOCATION L(Zj) �(�,,o�,� �Q+�cS� SEWAGE VILLAGE e� �.�-s„�--y,\�� ASSESSOR'S MAP&PARCEL 03?j �s.WS CLANAMJ'.S ER'S E&PHONE NO'Zc iT SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �,6& 4ze) DS' A Q NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S 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 leaching facility) Feet FURNISHED BY �1.N15®�G 1 b� �'�k" IT! P �f 3f G_� J 3 33 AS - a LOCATION SEWAGE PERMIT NO. G®7`--i;�-ii v /-� VILLAGE INSTALLER'S NAME i ADDRESS //L0 i� BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED . �_�� . � i -�� ri -- 7 - c THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �ow..A................OF.......... �. Appliratinn for Bhipas al Works Tomitrnrtiinn rautit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: \ Location-Address)Ke� ' .r. Lot%.N..o............................ ........� - . -- -- o ...............-......... --owner � Address \/0cof:� ��...........LS D s ZG�n s - c� s_ Installer Address UType of Building Size Lot_1....:..........•--------Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (V -) a . Other—Type of Building _______________•__-..___---- No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------•-----------------....--------•--------------------- ----------------- W Design Flow.................� ..........gallons per person per day. Total daily flow............33__Q'_._._...............gallons. WSeptic Tank—Liquid capacityVR9e__gallons Length................ Width................ Diameter__.__--_-__-•-.. Depth................ x Disposal Trench—No. .................... V�idth.................... 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 e ) a Percolation Test Results Performed by........ . ��.�.�. .._.._.. `•` ........ Date........................................ Test Pit No. 1................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........................ 0 ----•------------------------------•----•--•---...---------•---••-------...........•.....----••---••......................................................... 0 Description of Soil............................................................................................................-------------............................................. W U ------------------------------------------•----......--•-------•-------------......----.......----.......-•--------------------------------•------------•------------------....••-•.._..........--..•... W ---------------------------------------------------------------------------------------•------------------------------------------------------------------------------------------------...........--••-" 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 TI':?. . 5 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. Signed-- CJ m Fes- (we.......5 n:.-N,�...----•---•-------• Date Application Approved By.. F.' ....._. ( `�` ''�.' Date Application Disapproved for the following reasons---------------------------------------------------------------------------------•---------------------....•---•- .......................................----------------------------------•-••--•-•••- Date PermitNo......................................................... Issued....................................................... Date No.--- -•-2--z�i 8 r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �4.WA...............OF.......... .c,QN... Appliratilan for Disposal Works C�nnstrudinn rrntit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: n ...........�::�}.-----`� ... . --•................................... .... u nt�.f Y.i1�::. :--- ---------....---..........--------------- • Location-Address or Lot No. ---•--... -...... ner Address W �i tit �1 1 `a s: U<'n V c� .n... Installer Address UType of Building Size Lot... ......Sq. feet Dwelling—No. of Bedrooms..................�.......................... Attic ( ) Garbage Grinder (}j a aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) p I Other fixtures -----------------------------------------•---- W Design Flow................... .._.`....gallons per person per day. Total daily flow............. ...................gallons. WSeptic Tank—Liquid capacity_A!?g9..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........CIN 1!4.V-......--�—_.< c�.}.::._. ... Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (T Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ....._..•-••-••-•-•-•••-••---••-••---•-•---••--•-•••••••••..........•-•-----••-••••-••-••••....................••-•----•--•--•---•...-•-•-••-••-•-•......---- 0 Description of Soil........................................................................................................................................................................ 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 TIT12 y g g p , y 5 of the State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. Signed------. 4k.M.e.�------ -•------.s��- ................... ---.5n--�.cY.:.X.Z. Date Application Approved By....... 1. ...... �--•--•---••-------•--------- ..---- Date Application Disapproved for the following reasons---------------------------------------------------------------------------------•--------------•-----•......•... ................................•-----------•••-•---•-••-•--•...............•---.............---•--•--••----•-------•••------••--•----•-•-------•---••••----•-•-•••-•--•--------•---•-•••----------.._.. Date PermitNo..................................I..----•--------•----... Issued------------=------------------------------------------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .`.�t �n..............OF....-...... .c`^. ? ... C.......................... Trrtif iratr of fwuntplianrr � TH� IS TO,CERTIFY That the Individual Sewage Disposal System constructed (L,) or Repaired ( ) by........... ----•---� '.........................•----------•-----------------...---•----...--•---••-------•--.......-----------...............-•----.....--- f Installer has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------- .`.�.... ........... dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SAT SFA TORY. DATE..........................................4�1�kli _lk: ....--_. Inspector....................... =`-A-�--------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF....................... S. ` b.�......................... g2.�y .......................................... �? No......................... FEE...J.;............. Disposal Works Tnntrurtion fautit Permission is reby granted--------.�!_ _ r.1•lZ s...._..----------�� v ''------------------------------------------------------------------- to Constructo(4�or Repair ( ) an Individual Sewag Disposal System \• atNo. .............................................V �--- ----------------------- -�1_-�Mv._�.,.�C... Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ................................................. DATE...........................................4�.91/ZL .-_.•-• oard of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i i F p. x. y,. 4.:. loon ... \ SEPT' L TANK i' L'or t OSO s� � r- v . ?Z97x' O Sfk x FO /. . .. �� F � \vim �. . / J .Z_v P t. xo S A�M meek ce : 21 c Elev ,00 w e / OF \ TWO..// ,000 .s. \Nip"i..l� ` a 30" 4�0 kV/0E7 IU S« E� 1 IST_,�y e' --- ---- —_. hp SU1n"� LEGEND P�A oa,M G CIA Qb FA-r-"F-2 CLAu sEF. " EXISTING SPOT ELEVATION OxOPH '� CERTIFIED PLOT PLAN EXISTING CONTOUR ---- 0 --- w c FINISHED. SPOT ELEVATION Q. sss ` Lor 44 NATHAN RnAD CENTERVILLE FINISHED CONTOUR 0 APPROVED BOARD OF HEALTH u 1 3AI JCSIAS"2,M,PSIS. DAT E AGENT SCALE, I " = 30' DATE s F,_6 a3`j/982- LOREDGE ENGINEERING CO. IN CLIENT KER R i CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB NO. 82-014 BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS E GINEE, JURVtYOR IDR.BYt JPD 'OF BARNSTAB E , ASS., 712 MAI N STREET CH. BY: H YA N N I S,. MASS. . SHEET I OF 2 DATE ('R. . LAND SURVEYOR E/TNER T/7'E S�PT/C TAN/C OR 4` ;�EACN/n/G P/T ARE MORE 7N l,`✓ /Z'.BELow `/D iRT. /yl/N.;, .1.-?A OEM f� 24 'O/A M E TER G'ONCR E TE CO liER S qA 1-4 BF B.PO ura R T TO G RA O E. �,-;,✓ EXT,?%q CONCRETE 4'PVC P/PC f,+EAVY CA ST IRON C o f/ER 3E 41 Nf/N. P/TCN. COYERS - Ig.ow j /F.//V DRIVEN/AY �2 J• n,liN. CDIVC.C'E•T.E A _eI I G/t•�oE CC) ✓E.4 i .: �.. .'_ CLEAN -5',AVO } IRON P/PF t�C�C� GI�L. v • a o �1 °o� OF !�8 '3/B MIN.P/rcN 1 1 . . • • .• TANK B X • • • . . • , a WA sHFo s7r/YE • e 1 1 •EFFECT/VG' 'i � . • 3�4 - � �2 • • ° ► • • pEPTi� • • • � • v � l✓ASNED STDNE /1 • a. • . • • • • • • p • p PRPEC45 T SEE.PAG E I5o•:8 x .�.S _�� � D /N!/PR?' ELEY.�IT/CNS a ► o • • • • • • • e o P/T OR EpU/v. /N.YER LS 1,0 T.A 'ffL/ILD./NG. : ` l NL ET ;SEPTIC, Ti4 NK 17.2 FT, r�. 12 FT O/f1 M. C. SEE TABULA T1©N� PT CA s c1T`( 4`�o o f• OUT4ET SEPTIC TANK 7'O FT. . . IAIL FT DI57R/01I7/0N''BOX 9 S' c7 SECT/ON OF GROUND WATER TABLE Ot/TLETD/STR/B[JT/ON BOX 9Co.3 _ �/vLEr LEACtrrNG o/7.` s.s lcr, .SE1�1/AGE OISPO%SA L SYSTEM TABULAT/DN P T L EACN//VG / DESfG.N 'CR/TER/.4 .SCALE �4.. I_ O.. D/MENS/ON A FT. : . D/M.ENS/a FT. _ BEDROOMS- 4 F r. (n.�i NUMBER OF �, DIMENSION C �,j G.4RdAGED%SPOSIIL UNIT NOt�lC ` SOIL LOG SOIL TEST TO TAG E3T/M:AT'ED'_ FLOW ? CAL.1DAY •SOIL TEST AI SO/L 7=•ST*2 s, NUMBE,P:aF CAC1VlNG PITS I Eta✓. 97.4 f' r-ELFY, PATE OF SO/L. TEST �' 09 S/OE L1ACH/NG LOAM RESULTS' *v1-r vESSED BY ��� �� BoTroM.L, 4CH NG PER P/T l I3• I' S4 10�'�i L PERCOLATiO/V �I.47-,w / TOT.4G LEf�CH7NG �4REA •9 SQ. .FT F�EitCOLAT/ON RATE r2 -THA" MIJv.�INCH QESERVELEi4CH/NG'AREA2(03:9 S4 FT. UP ALI 4-4 - -:Fv��j.f� ^ c W I RG L-- i rC��✓t LLT= _ H 366 "ISTEf w 7 @ ELDA EDGE =NGI)VEER/NG CO,/NG. i ' J F-(' 7/2 MAIN ST. , HY.4NN/S, MASS, . O Su m 0' IvaGROUNO ;-VA rleR_ENCOUNTERED CL/ENT; ICI=�-' DATE 02 24 A - GRO UNQ.LvA _4=' .IOB iNO.' 82o f 4 SHEET 2 OF 'L