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Home My WebLink About0032 OUTPOST LANE - Health N S M EAD KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSTAFORESTRY MIN.RECYCLED 1111 INITIATIVE CONTENT10% CerdfiedflberSo-"G POST-CONSUMER wwwApropramwp Wom MADEwUSA GET ORGANIZED AT UM.= ASSESSOR'S MAP NO. PARCEL L 0 C ATION -�/ SEWAGE PERMIT NO.' VILLAGE e�n1 -1 INSTALLER'S NNAME/' a ADDRESS BUILDER OR 7e7,-,m, R us li IJiT DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �12 6), a ��ac c� G I� t� , G Z3 z� �� 2�. �� No... c .� c _ `f FEs............................... THE COMMONWEALTH OF MASSACHUSETTS � - �' 59_ BOAR® OF HEALTH j Own...............O F......&CYO 5kkl J.. --------------------------..------ Appliration for Bi4poottl Marks Tontrur#inn 1hrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at ... Location-.A dress o Lot o. .__.1 � 1. � ... .C.`-.�� ... _.. r�:�. -Win_+.....Y� ......tj�- 31 Owner Address 1.4 Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms___._.____._ ............ Expansion Attic ( ) Garbage Grinder ( ) aOther —Type of Building __� ... No. of persons............................ Showers L::4 — Cafeteria ( ) P4Other fixtures ----•-•---•---....---•-•-•---•-•-••-----------------•.•------------••--------------------•-----•.............-- W Design Flow..........J55....:...................gallons per person �e �ay. Total dail jr ---------..__...___...._____...._..gal�lo s 1 WSeptic Tank—Liquid capacity ....gallons Length........_.. Width�._1 .._. Diameter________________ Depth_.._ ...... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.... ..(.-�.,_ sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area._.Y✓.......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Res u.I�j� Performed by......................................-- n Date........................................ Test Pit No. L.,Q�0.._.minutes per inch Depth of Test Pit___�_ �__________ Depth to ground water `.-. _ mun-k``i C14 Test Pit No. 2.. I ___minutes per inch Depth of Test Pit....... ...... Depth to ground water.. .�.. ............. ...............f ,.... --------------- --.......... -------------- .... ---------- O Description of Soil........--------a --�-i.... f....... -b-- �.�..- ---------- x ----------------------------------- -..--•-------� .......... 1--�d...- h� -�. rr�. ..L- C- D ._(�_C �a- . ._no..�Zi�� 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 MITLi� 5 of the St to Sanitary Code— The undersigned further agrees not to place the system in operatio Certifi Co >an s been issued by the board of health. Date Application Approved By............... .. .... ............�-� 1-t Date/ Application Disapproved for the f osons:--••----••---••-••••----------------•-------•-----------•--------•--------------•............................ --......-•---------------------------••-•---•---------•--••----------------••••-------------•--------••-.---------•--......•-••••---...-------•-------....---------------•-----------•••---------------- Date PermitNo......................................................... Issued....................................................... Date No......................... Fes$.......................... THE COMMONWEALTH OF MASSACHUSETTS � . BOARD OF HEALTH ...............OF..... - :. .....--...............-..-..... Appliratiun for Disposal Works Tonstrurtion lirrmit Application is hereby made for a Permit to Construct (11,15 or Repair ( ) an Individual Sewage Disposal System at: ocat - .... L ion Adress .. -• :t7�. tc ( ....C,7� t:�.1 �r C#..............fir'�C c �--_ tn:.C... 'mot `° / .....k`t(t .�+••-'--- Owner +.� Address.............................................................1 .. Installer Address U Typeg g Size Lot..r_..... ----------Sq. feet of Building 1., Dwelling No. of Bedrooms{�- _,_ Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e tC l� yp of Building ................:......... No. of persons............................ Showers ( — Cafeteria ( ) dOther fixtures .....------•------------------------•-••----------.....---------•---------------------------••-••... W Design Flow...........5. ...................•..gallons per persoyr IAy. Total d�il �ow._._.._...__ ��...._..___......___...... C4' Septic Tank—Liquid capacity ..gallons Length.... ........... Width _. ..__ Diameter................ Depth,..,,.)...__ Disposal Trench—No. .................... Width.....................Total Length.................... Total leaching area.... ._.�4>' sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.........•.......... Total leaching area.... . ?.........sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test ResuI Performed by................................... ,a --•-•-•-•--.._. Date................. ,.,..._. Test Pit No. 1.._J?' ._.minutes per inch Depth of Test Pit.., .. Depth to ground water...:.. . 1 , ��1'�� GL, Test Pit No. 2W...minutes per inch Depth of Test Prt........ .......... Depth to ground water.... `. ..........--------=-------- -..--.---------••------•-- __. cam.� -� �f ;,D Description of Soil... ` --..i�... ...........•••l•• -•••--•-•-••--- --- xf----------------- 1 j x -------------------------------------- ----•-•---------------------- ••. ---------- _.-1 "I! -------�' --------�f:: � t`�-�--��......_1 / !�� 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"ITIE 5 of the St to San• ary Code—.The undersigned further agrees not to place the system in operatio Cefi Co ian s been issued by the board of health. Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons:--•--••-----•••--•--••................•----•._.......-•---•----•---•--•••--...•••--..._•-•-...••.........-•---- -•---•-•---••-•-•----------------------------------------•-----•-----------•--------•------•------------------...........-•--•-••-------•••----•--•---••---••------••••-••-----•------•••-•---••---_.... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF. .!.1�.. ...................................................... Trrtifirair of Toutpliattrr THIS IS TO CERTIFf7 That t Individual e e Disposal System constructed ( or Repaired ( ) by... .'C .. •! ! ---------•--------------------••------•-•---......--•�..-•-....... ................. LQ T 1 �j�jI tales / e. at.-••-•-----••--•-••......•------------- --•...... "......••.. J T J I* .) ' -L.L- /` has been installed in accordance with the provisions of TIT F 5 of The State Sanitary Co e as described in the application for Disposal Works Construction Permit IVo..__ ��'___._Ll.. z.... dated1.2 !.! ................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL F CT ON SATISFACTORY. �- DATE.................. Inspector.............j...................................................................... A jW4T THE COMMONWEALTH OF MASSACHUSETTS '(7I—fi � BOARD OF HEALTH 5- ! OF....................... J ...---•--......... ca5 No......................... FEE........................ Disposal Works Tonstr rtion f rrmit Permission i hereby granted......:......� f Vf....--._. '�..i�a---L............................................................................. to Construct ( or, Repair ( . ) an Individual Sewage Disposal Systen 0 Street '5?-S..I I J� as shown on the application for Disposal Works Construction Permit No...... ............ a ..... ••.... --•------...--•- " ^ " / Board of Health DATE............................ . gh.. FORM 1255 A. M. SULK1_ C., BOST" 7,L 9� /U� 7 8. 9 T- 3 Z. w lellG s-,�= a "' off . � h° ` u� o � �' b Q� \6 N ` C) I g4 a T L YWo-rE; A SSuM,,!E:D LUT �� qq a1 -EC7![7N PE2 .4�e7i�i S Ic-r, ..LJ, e,E. Tu wAl $v 4.4 44,,s �Al I qq E'.7uQ. D U TPOS7- 99. SSIT r. EXISTIN® SPOT ELEVATION 0x0 €*XI9TIN® CONTOUR --- ® CERTIFIED PLOT PLAN -- �,s1��t-'� . FINISHED SPOT ELEVATION �' ''az � o 0 TPv S'T /I-A A✓E FINISHED CONTOUR ---- 0 --- C�/1/TEIPV/LLE DOTE: The location of any existing und_ erxou�nd sewerage, :wells, or other utilities shown on this plan is approx- IN imate only as determined from records and/or verbal information. .The contractor is responsible for the verification of the existing locations in the field. SCALES / "=40 DATE /z S/BS El.:DREDGE DGE EdN.G!l4lEERrI�® CEd l�� /�ivcH o g CLIENT..,._____® I CERTIFY THAT THE PROPOSED MISTERS REGISTERM d®® NO,�1- BUILDING SHOWN ON THIS PLAN CIVIL , LAND ®R�SY� , ,q, CONFORMS TO THE ZONING LAYS OF BARNSTABLE , MAS5 5ev ^x"E , C- 712 MAIN STREET. CH- BY' �HYANNISt MA3S. I ?, � ES • a - -�_ L.-- .- - -....---- - SHEET—LOF Z A E EG. LAN D SURVEY0_- ---. � - ------ -- _ -`" - "- =`-- -- -----_ -- TAc:i:,v.a T 4.4�E /`JORE Tfr."q:v /2"SE40yv /O FT- yf/N_ � .�--- -- ---—�'—� ;=.?A1 OEM .�► 24s O/ii M ETER G'ONC'.F'ETE COVER yJlALL 6,F aAFOUCHT TO 4.OrA O.E. GONCRC'TE j'_.4 y CAST /20/Y CO!/Ef? SN.4L.L 3.E USED j — C L l o/,S co �g P ' e:. E.P FT CC) VER CL EA/V .SAND 77 -7777 ia'f N,. �i :.' .. L/QUID LEYEL ' • �� tt • ' 4••DlA. i '. : Z'LAYER I A4-': gCHEO°u46 40 .c.�.a _ I p,Y.C. P/PE lao0 a 0 1� 'o QF 8 Ei� r!!N. P/TG/! O/4L. �' ' o a • • • • • , e • is •a %4 PON )-7. SEP7/C TAAlX � ®Q� ? o „ . � • ol r • • •.• , , •o , • 1'YASNFO 57?7NE �-•� � I r a u , a •`cFFECT/VC r ` • f r. I • v r r o p�PT1-/ • • e ► • o WASNE0 574NE El o x;; •; c `• 5 3.9 x /,o = ! S 3.9 �3i4L r • •�. s • • • , D o v PRECAST SEA'AGL`' /NfiGRT ELEtV.�IT/oMS ��T C•4n/�C/T y .5�93 / / v r e' r • • • . • e , ' e 'o P/7 OR EQU/v. _INVERT A7 O!//LQ/NG- ��FT. '3 :SET SEprlC 7,4lVK FT � r 4' FT O/f7 M: � �C CSEE TABUL.ATlON> ®tJTLET SEPTIC TANK 6.3 FT. I/VLFT D/STi4/,5a710N BOX 95.3 FT. SECT/O/V 4F' GROUND W,47'ER TASLE - 4- T,�ETD/ST_R/f,3UF/UN.QjOX 9 5 / F7.' t/N[E� LEACN/NG �/T 4?_o FT SELVAGE AVISPOS'AZ. SKS7,=..M I-EACHI VC P/T TKO QtJLAT/O%V DES/GN CR/TER/A SCALE ' �� " � �� D� oIMENS! N $—�-FT. N[JMSER OF BEDROOMS 3 D/ME/VS/ON C�_FT- GARQA46E 0/SPOSAL. 4/A,,r A10 A/6 SOIL LOG TOTAL e_vro 1wEO FL4w_3 3 U GAL.�DAY_ cS011- -TEST 01 SOIL TEST-02 So1g TEST !NUMBER OF 404CRING P/TS _ ELEK 99,3 & 7 /Z`�/Br f^ P--ELE',! g$ DATE OF SO/L TEST j S/OE/„EACH/NG PER P/T L7 SQ, /aT. _ zz 1 .z JOD, COA"-0^/ 'BOTTOM L.&9CII//VG PLEB P/T L! 3•9 sq, FT. w O A M d& U- RESUL TS iV/T/1/ESSED BYL ES S TOTAL LEACH/NG ARE-,A 3�¢� �� Sv 3 S�� L =, laAM `� PERGOLAT/0/V RATE�/ MInS/iNCJ SQ. FT. Svi3 Su�L y�9ERCOLfaT/ON Ri4]'E2 T~'9iV MIAI.1/NCH RESERVE LeAcmI/VG AREA 3 `1 �$Q• FT. _ F/NL-, INE MFD' F s�Ao s rE sr p_5��8/ S SG�E FiM cy Lv ,' 3 Z vu7-no5T J ,; % ,e.,F O /3 �,r r �, CE1�/TER LI%z L c nT ,• =' EL DREDGEArNalA/EER/NG Ca,lNG. wiL CL M N 5 3 EL s. G 7/2 AIN -5 YA VA115, MSS A . � ® No GRovNp YNATLm� E/VCDUNTE.�EO CLI,ENr'A DATE: /L /S/8-S .� / j''� ' " "+rat -s Q G!?OuAo Lv.4TE.e AT FsLEv. ✓OB ND: f� -e �`? $NE�ET z OF z