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0540 OLD POST ROAD (CENT.) - Health
540 OLD POST ROAD, CENTERVILLE _ A=054-024.004 LOT 2B^ i No. 42101/3 ORA ESSELTE 1o% (o 0 0 O O i ASSESSORSMON � PARCELS C ` �1 No.,...........---.----- Fmc.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiqn for Dhip j ial Wor1w Toustrnrtiun Prrmit �\ C Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System a Rs- ..... .... .... Loc\ati�n-:\ orLot �C�ilr�.a "• -- /�� -------------Z---4 •�dA2 owner Installer Address Type of Building Size Lot---- 1....Sq. fegt UDwelling— No. of Bedrooms.-___. ._ ... -------------------Expansion Attic (1.(t� Garbage Grinder ( Xj Other—Type of Building ...._. _ _ a g _______________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ------------------------------------------------------ Design Flow-------------- -.----_.. ___._gallons per person r day. Total it ,flow_ ------------D...-_-__--_---_ ons. , WSeptic Tank—Liquid capacity..� *allons Length_I ,_:_ Width--�-�----- Diameter.-.-�_ . -. Depth_.. , M+9 x Di reach—No. .................... Width___-_-..--___-.----- Total Length-.--_____---___--_-_ Total leaching rea--------------------sq. ft. 3 eepage Pit No..................... Diameter._-----.--_--_.-.- Depth below inlet..:Z�-0�...... Total leaching area....�'���....sq. ft. z ther Distribution box ( ) Dosing tank (1 a Percolation Test Results Performed b _....---....�.....� �-_.. a 1.1 .�'p'h , 1 -if- Test Y ate Pit No. 1................minutes per inch Depth of Test Pit.-.----- I..I__.... to ground water.-- ---Y).a.V7.e- 44 Test Pit No. 2.......2--_minutes per inch Depth of Test Pit.- _-_.l2_-.____ Depth to ground water... ._......MIL' 1lA41P/U'�� t� ..............................._ Description of Soil1" '© 3Qrt j �) } k� `-'--- -l��Lll � C�...�1.!�_.. c.� ......--•-••. SW. a--c ------------ �.D.-.3�' ) ©a1 � �w----- �W ice---(nw UW --••----------- ---------- --------------`-V------r_�_ ............i...--------------------------• ure of Re airs or Alterations—Answer when Ipplicable............................._._.._.__.__._-____._._..._....._...._____._........_.............. 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 Compliant has ee ' ue by t board of health. �- l$�e5 Signed ............... ---------- .........._------ � � Application.Approved BY �. � ��..`. ........................:�......................_. ..�-- -�----------�... Dice , Application.Disapproved for the following reasons- ----------------------------- ----------_._..... ------------......------------------------------------ ---------------- --------------------------------------------------------------...._-----------------------------------------._--------------------------------_---�-- ---- ------------------------------------- Permit No. ........ ��. . ......�/.. ...... 111.1 Issued .-... Dee No. Z -.__� ��,� F:ls....:......11. ........:�:... THE COMMONWEALTH OF.MASSACHUSETTS BOARD OF HEALTH s TOWN OF BARNSTABLE Y Apphration for Diiivuiu1 Warlt,s Tomitrnrtiun Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System � - Q - -------------- 8 Locati't or LotOA ..................... �� .r.. ..V p a C Installer -- Address Type of Building Size Lot______________________�_..Sq. f t Dwelling—No. of Bedrooms______ _ _______________ __ _____Expansion Attic ( Garbage Grinder Ofj Other—Type of Building ______ ___ ________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q Other fixtures - WDesign Flow................ .....-�_ ____-___� - gallons per persontt�per ly. Total ;tilyl;flow______-____..����®___.____,__:_gal ons. WSeptic Tank—Liquid capacity.._._______gallons Length__1 Diameter_ b_- _ Depth_.._;____`��m i x Dispesa rench—No_ ____________________ Width---_---------_------ Total Length_-__________-•___.__ Total leaching a'rea....................sq. ft. epage' Pit No_____________________ Diameter-------------------- Depth below inlet---__�'�__i�►_w...... Total leaching area..... Z.sq. ft. z ther Distribution box ( ) Dosing tank (`` q a ; Percolation Test Results Performed by................. . 5-_ __.__PrDate____.___1.�_"_d__�._.___�__!. Test Pit No. 1................minutes per inch Depth of Test Pit________ _�__L____ Depth to ground water.71 ___ Gt, Test Pit I�rO. 2____._._ __minutes per inch Depth of Test Pit_______�_Z------ Depth to ground water- . ............................--•-•••-•---•• ----------•------- ,x s Description of Soil ----------- =p �• --k .........�. Z.•---.-- ? ._ ?._ 1 _.. ............................................ 149n--fp---•-----••- �� �t--- "'W 4.11 /x ..._.. 11.> >. � .� ----------------------------.............................. U ature of Repairs or Alterations—Answer when applicable._____._____________________.__--_____-____________________.................................. - �6tJDf �4? ...._ �' --- TvA----------------------- 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 haW,"een,islued<by t e board of health. - -" ... .. :... Date Application.Approved BYa .�'1.2� 4 ?� ......_.. ' ---... ------ Date Application Disapproved for the following reafons: `._.-------------- -------------------------- ......---------------------------------------------------------- ---- hh .....- - - - - ~- �- ------ -------- - ------------------- --- ---- -------------- Permit.IIo. ---- ------------ -- ---- Issued `�----=- ------ Date THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH , f TOWN OF BARNSTABLE Gertifira e of Gmytinu ie THIS IS TO 4TIFY, That the Individual Sewage Disposal System constructed ( �i`}�or Repaired ( ) by -------- --------{ - --------�s.. "° 'f - - - 1./ �9 ,p l tau t --- -- - - - - -- _....._ ai ... _...lam' . - - �i"' . i t�� 1. has been installed in accordance with the provisions of TITLE of T State Environmental Code as described in the application for Disposal Works Construction Permit No. .�... -.... dated _,,--- - f 9—,A THE ISSUANCE OF THIS CERTIFICATE SHALL NOT E CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ,� DATE /... ...� *.., .��r`.._f - ------------------ Inspector y�,> X✓`}..t-z Y5 ------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i�L� �y TOWN OF BARNSTABLE No-,f__- //rfs �•--•-- FEES Dispofia1nrr g �nn� r irin rrnti ;; 711 Permission is hereby granted------- t=✓ - .---------..__..-......--------------------••-•----...--------- to Construct ( or Repair ( )� Individual ewage Disposal System atNo.- > -----------------••-....---...... ---------------------- Street 94 �.+' ,/ as shown on the application for Disposal Works Construction snit N __4a_ !1'o?.�t d___-�'' '��.•••-. , •4 o fAyylth DATE Board _ ` t FORM 36508 HOBBS Q WARREN.INC.,PUBLISHERS TOWN OF�STABLE _ A! LOCATION 1 e2-13 &,10 )*s 7 SEWAGE # VILLAGE �1 4SESSOR'S MAP&LOT ®may INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY dZY LEACHING FACILITY: (type) NO.OF BEDROOMS Jr BUILDER OR OWNER PERMIT DATE: 9COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 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 Aa qo' y�; tv4.q q51 qci �5- y7 i t - o o N oo \ c9 `� �' # OF xj" OF JOHN 'rn � • I ' / AL ,- / / DERS--i AU MERULA i �ja' . No. rn +' IT ' � EW TANK / ti No. t 32p98 / 68.3' ,`I I TERM 104.0P ! % \\ " / \ A< _39. 7' 1 " 104.6�P 0 16.0 '� - �� °' �gE LOT 2B 104.0 40.0'TP I �6ti 43561E sf ®2 PROJEC T L OCA TION: ►�� /,� - / 15.�5' �� LOT 23, OLD POST ROAD MARSTONS MILLS, MA 108.82' 00 E lflvu5 , APPLICANT RUSSELL V. DENNIS L0* OF 2 OLD TOWN ROAD b-, Y10 WELL ESL EY, MA 0 �� \ 1322315 YANK EE SURVEY CONSUL TAN TS P. O. BOX 265 \� UNIT 5 40B INDUSTRY ROAD O MARSTONS MILLS, MA. 02648 128.17' 7.BENCHMARK \86'31'45 E' PH. 508 428-0055 — FAX 508 420-5553 t ' L CB W/NAIL O'� No TES: EL=100. 77 4-,ROUNDWATER ZONE.' AP �SCALE: 1 "=30' FDA TE. 07-21-95 —_ASSESSORS NO.: 54-24-1 (NEW) —?LAN REF.' 473—75 REV. REV.' ' —� JOB NO.: 50745 SHEET 1 OF 2. I EL. = 104.5 PROPOSED TOP OF FOUNDATION 20' MIN. CONCRETE COVERS( BRING TO WITHIN 10' min 6"' OF FINISHED GRADE-MIN. OF 20" DIA.).' 4" SCH 40 PVC PIPE 103.5 PROPOSED MIN. PITCH 1/8- PER FOOT 101.5 EXISTING ; 2" LAYER OF / / / / / CONCRETE CO VERS 104.Of EXISTING WASHED STONE 4'" CAST IRON 12min. OR SCHEDULE 40 4" SCHEDULE 40 P. V C. P. V.C. PIPE In 151 DIST. S=0.01, D=23.4 12 S=0.01, 'D=76.1' BOX S=0.015, D=15.5 CLEAN FILL;BVESYS MIN. FLOW LINE S=0.03, D=7.3' INVERT S=0.02, D=68.3' 1 10" 19" ELEV=10 EL:=102. 46 S=0.045, D=29.1' MIN. f y INVERT ' 0 00000000 2 O ° -100.63 ° .. o0°°� LEVEL o 0 0° °°°°o°°oo°o ° °INVERTEL. INVERT ° ° o 0 EL.-IOO.88 f ° /� 00000000000000 00000000000 00 _ INVERT EL = 99. 4 7 0000000000000 000000000000000 EL-99 M _____ 000000000000 00 00 00 0000000000 - 000000000000000 000000000000000 000000000000000 INVERT o00000000000000 00 000000 000 0000 00 0 0 00 0 0000000000000 000 0000 000000 80 080 o 000 000000000000000 000000000000000 000000000000000 000000000000000 00000000000000 000000000000000 000000000000000 000000000000000 000000000000000 000000000000000 99.87 EL.=_99. 70 0000000000000 000000000000000 000000000000000 1500 GALLONS EL ------ I2' x 48' L-98 SEPTIC TANK BOTH THE SEPTIC TANK AND DIST. BOX SHALL AS D STONE -� WASHED STONE FIVE FLOW DIFFUSERS.WITH 4' HAVE THE FOLLOWING.• ON SIDES AND 4' OF STONE ON ENDS 5.0' -6" BED OF NATIVE STONE BELOW THE STRUCTURES PROFILE OF AND WITHIN I' AROUND THEIR PERIMETERS. -SET LEVE4 WATER TIGHT AND TESTED FOR EQUAL DISTRIBUTION. SEWAGE DISPOSAL SYSTEM -MAXIMUM OF THREE FEET OF COVER. LONG POND EL=52f NOT TO SCALE BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE EL= 93.0 ALL ELEVATIONS ARE ASSIGNED f SOIL LOG � of WITNESSED BY: J. LANDERS-CAULEY, PE i JOHN �q�tiG ED BARRY uwoERS-cauLEY P 8801 civ r i N .35101 GENERAL NO TES PERCOLATION RATE 2_ MIN./ IN EC�STER���F��4 AL E�1G 1. THIS PLAN IS FOR CONSTRUCTION OF A NEW SEWERAGE DISPOSAL SYSTEM. DATE 11-11 94 DATE 11=1-94 2. THIS PLAN IS FOR INSTALLATION/ REPAIR OF SEPTIC SYSTEM TEST HOLE 1 TEST HOLE 2 AND NOT TO BE USED FOR SURVEYING OR ZONING PURPOSES. DESIGN DA TA: EL. = 104..5 EL. =103.5 3. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. NUMBER OF BEDROOMS 5 4. ALL COVER TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN O,E,BW LAYERS O,E,BW LAYERS _ 12" OF FINISHED GRADE. EL. =102 30" EL. =100.5 36'� GARBAGE DISPOSAL NO 5. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME, UNLESS NOTED BY FINAL CONTOURS. 't. TOTAL ESTIMATED FLOW 550 GPD 6. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE MEDIUM TO �; ( 110__GAL./BR./DA Y x -5-- BR.) OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER FINE SAND OR WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING MEDIUM TO SEPTIC TANK CAPACITY _1500 - SHALL, BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING. ;; FINE SAND UNLESS NOTED. LEACHING AREA REQUIREMENTS a 7. ANY MASONRY UNITS .USED TO BRING CO VERS TO GRADE SHALL EL. =93.5 132" ! BE MORTARED IN PLACE. " EL. =91.5 144" SIDEWALL AREA 0_74 GAL./S.F. 0. 74*256= 189 8. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH l� BOTTOM AREA 0. 74 GAL./S/F 0. 74*576= 426 DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH. DETERMINATION FROM APPROPRIATE AUTHORITY. NO WATER NO WATER ) GAL. 9. THE EXCA VA TOR�CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND DATE.' 07-20-95 UTILITIES PRIOR TO ANY EXCA VA TION. THE WA TERGA TE WAS NO T FO UND, THE GENERAL I RESERVE LEACHING CAPACITY _61_5_ GAL. CONTRACTOR SHALL VERIFY LOCATION WITH WATER DEPARTMENT. JOB NO.: 50745 SHEET 2 OF 2.