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HomeMy WebLinkAbout0026 PEEP TOAD ROAD - Health 26 Peep Toad Road Centerville A = 173 00@ 1 No. 42101/3 ORA ESSELTE 10% a o 0 0 -� - F, ,c TOWN OF BARNSTABLE 1 7 -3 V 040 LOCATION0(Co o SEWAGE # o►o —5 VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO S �V6\� 71,71 ( �� SEPTIC TANK CAPACITY 1QQ0 a R� P-OD£P l NC u L LEACHING FACILITY:(type)b cam,-Q I_('X 0Q (size) 64j ram'nk NO. OF BEDROOMS PRIVATE WELL OR UBLIC AW TE BUILDER OR mrlll, a 1a(( DATE PERMIT ISSUED: lQ 9--), DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �/ fiFk q3 `. s 31 r THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Biapuoa1 Work.5 Tnnstrnrtiun 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair (L,-Y'an Individual Sewage Disposal System atr' -�� j ( .......... - -_...!LV'S:�--...... ............ o .4..-•----- ----------------------------------------•- - -•-- ....._.. ...... or Lot No. ................................................. •.... caner Ad es `� 1M Installer Address Type of Building Size Lot.................... .....Sq. feet �-, Dwelling—No. of Bedrooms................. .........................Expansion Attic ( ) Garbage Grinder ( ) a Other-T e of Building a —Type g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures .............................................. ----------------------------------------------------- ------------------- ------------------------------ W Design Flow............................................gallons per person per day. Total daily flow._._.__............_..._._..................gallons. 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 ( ,) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f14 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ 0 a .-------•-•-•-------------------•---•------•-----------•-•-••--....-•---....-•-----•---••------_...•......................................................... Description of Soil............................................................................... -----------------------•--------------------•---------------•-•---•----•.....----•_•---- x U .----------------------•••-•------------...-•-------••-•-•-•-------•---••-----•---••-------...........•--•-••.-----•--•-•••--•--•-••-------•-------•----•-----•--•----•--•-------•--•...----------•-••. x -•-----------------------------•---------•--------------••----•-------------•---------•-•-................... - --------------------- V Nat of Repairs or Alter t• ns— swer whe applicable_--___ .. ------ __- .__��, �...................................... �U Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environ m al Code—The undersigned further agrees not to place the system in operation until a Certificate of Comp 'ante been ' and of health. Sign ------- ------- --- f C7 29 g ... --- ----- Date Application Approved By ...... .. ............. ... .... . ............................. .. . .............. . ... - Date Application Disapproved for the following reasons- ........................................- ...... -:- -- -- --.... ....------------------.----.....---... ---------------- - --------------------------------------- ------------------------------------ . e Permit No. ...................................... Issued ......... . Dace No ----•--•-- FEs... THE COMMONWEALTH OF MASSACHUSETTS 7� (�� BOARD' OF HEALTH 6Cw TOWN OF BARNSTABLE Applirntiun for Dhipmal Works Tontitrnr#inn Prrutt# Application is hereby made for a Permit to Construct ( ) or Repair ( L Kan Individual Sewage Disposal Sys at .......... t '.; J.. 1. � '... •.............�0- ...q...----.-- -- ...................................... or Lot No. w ..-- lCw.--W-- ---'..1`'V------------------------ M a..es a M Installer I _ / Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms_______________________________________ __Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures . '.••--.-------------•---------------------••------------•-•----••------................_.......-•-.... W Design Flow............................................gallons per person p'er,day.' Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Lengthy__________._.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 ( ) aPercolation Test Results Performed by.......................................................................... Date---------------------------------------- 14 Test Pit No. I________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ 93� Test Pit No. 2________________minutes per inch Depth of Test Pit.................__. Depth to ground water........................ ---------------------------------- -------------------------- ---------- •--------- ---------------- .--- ------ •---------- -.... --------- •... •-----------•--------- 0 Description of Soil........................................................................................................................................................................ V ----------------------------- --•---------- •-------------------------- ---------- .------------------ •-------------------- ----------------------------- ._----.-------------------- ----------- --------------------------------------------------------------------------------------•----------------------- V Nat of�e airs ter ti s— wereti app�icable � ,---- � -!=`--- - - tea. ` z :� _ � = Agreement: The under signed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of`TITLE 5 of the State Environmme al Code—The undersigned further agrees not to place the systemin ope�tion•until,, Certificate of Comp fiance been•issue�hy—eh��h and of health. Sign ..V Dare. Zq....Z r� Applic la on Approved By ........... ... ---- -------- ------4% ,-----------.............. 11��'..... Date Application'Disapproved for the following reasons- ---------- --------------------------------------------I ---------------------------------------------------------------------- .................................................... ---------------- -- -- _............. .............................................................-----...----- ----------------------------------------- --------------------- ---------------- ------------ to ------- Permit No. �' � - - . ..... 'r ................................ Issued ----...--- -- --- - - Dae .... + -k- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ce>r#iftrate of Tomplinure TH S7, at'tthhe Individual Sewage Disposal System constructed ( ) or Repaired ( ) by----------------- Installer at ----------------------- ......---- - � ... -=------------- ----Z� t ...---wl-Ya:-1--------------------------- has been installed in accordance with the provisions of TITLEA5) o The S�� Environmental Code as described i the application for Disposal Works Construction Permit No. _.. �`�..... dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOTE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------------' ...' . ' - � ­ - - ----------------------------------------------------------- Inspector --------------......;-------------------------•--------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE ................... DtfiJI � nuk Tunutrudiun rruttt Permission is hereby granted..-`-.--._:---� �h ..._.. ---------•- ..... ...............------- ------ to Construct`( )�or2e air (�.F Individual Sew ag Disposal System �� Street r �� p as shown on the application for Disposal Works Construction Permit o./.✓______________ ated__•___________._.._.......!.-^..-•.- t•--- --•-•---- ----- ------- '------••---------=-------. Board of Health DATE--- .%-- ,e •• ....................... FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS LO•CATf w _ SEWAc,E, PERMIT NO. ( Lc•� VILLAGE INS,TA LLER'S NAME & ADDRESS B U IL D E R OR OWNER _ T DATE PERMIT ISSUED 7 DATE COMPLIANCE ISSUED IS- - r� �` ' � � c �-i ° 1 � i� � ,�� �� �� � � i �_ \ ��, a � = �i �� �. ✓"': _,l THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH A..............O F........ Appliratinn for Disposal Works Tnnstru" diun Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .......... /a -----------------•.... ..... -._...----._... X - ......... ... nA�J ____..____.••--••.-•••.•--•-•--•.--•---...o No. ........................... .................................................... ,� caner -Address ------------------------------------------ Installer Address Type of Building / Size Lot_...... ... �._._._Sq. feet Dwelling—No. of Bedrooms........ 6.....................Expansion Attic ( Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers A - — Cafeteria Otherfixtures -------------- ---------------- ------------------------------------ -----------------••----------•--•-• ------------------•-- W Design Flow......V..�s'�......................®_gallons per person per day. Total daily flow------------ �. .......................gallons. WSeptic Tank—Liquid capacityw?`w.___.gallons ength._CP./..... Width-----C........ Diameter________________ Depth................ x Disposal Trench—No. .................... Width......1 ........ Total Length.....q.1..... Total leaching area.___, .4�-.___sq. ft. Seepage Pit No-----_------------- Diameter.................... Depth below�inlet__.___. _____..__ Total leachin area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( l4d/- ��"— li �� ' 7Y Z a Percolation Test Results Performed by................� _ .......................... Date.....................-._II............. a Test Pit No. 1...._-----------minutes per inch Depth of Test Pit.................... Depth to ground water---- 1__ ----- .__.__. fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ..........------- u cxW, Via..x A.(O �escr ton of Soil —. .------------- . r2 --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 LI'L11 5 of the State Sanitary Co —The undersigned fur r a rees riot to place the system in _operation until a Certificate of Compliance has be is led b the aboard of 1 Sig^d �"�. ................... " ....---•--. - ---- Application Approved By------. -ale-If Date _ Application Disapproved for the following reasons:................ -------------•-•-------------------------------------------••-----•---......---------•------ ........•-•-----------------•...----•-........----------•----...............--•----•--------••----••-••....---------------------•-----------•------------------------•---.....---••--------•------------ , Date Permit No...................••---••----------------•--- --._....`.. Issued- -- ----`-----,� '�` �` Date — NoE. .. _FEB °.."�... THE COMMONWEALTH OF MASSACHUSETTS v BOARD O HEALTH ti• ..... .. . .....OF......... Appliration for Disposal Works Tontrurtion Permit Application is hereby made"for a Permit"'io.onstruct ( ) or Repair ( ) an Individual Sewage Disposal System at: `� n 4(�� C? g . . .�l.Q -•........................ _.....------•---------------•-----••--- ./- ------•---•-------•-------.-----•--•------ - - . .Location-Ad ress ? or Lot No. ............. !?._� c.5..:a: ,1.•••••. e_. ....................... .................................................................................................. n �Jwner/ Address Installer Address O Type of Building Size Lot---1F.Y..o..�_....Sq. feet Dwelling—No. of Bedrooms-•-•�w..............................Expansion Attic ( y�S Garbage Grinder ( ) a Other—T e of Building h za -'t No. of persons............................ Showers Cafeteria Otherfixtures -•----------------------•-----------.....------.....--.--•••...-•-••-•••. W Design Flow..........I-1..3.-)...................gallons per person per day. Total daily flow---_.-_-:3_Q _........................gallons. WSeptic Tank—,Liquid capacity/O9c..gallons ength................ Width................ Diameter---------------- Depth..,,............. x Disposal Trench—No..................... Width.._l.. '.___...... Total Length.... ...... Total leaching area.--_y_JVA4 sq.It. Seepage Pit No--_--------------_ Diameter.................... Depth below inlet...... Total leach' area............... .sq. ft. Z Other Distribution box ( ) Dosing tank 40 �owG 00ro T Percolation Test Results Performed by............... .......................... Date......•......................_. ..._... Test Pit No. I................minutes per inch Depth of Test Pit..................... Depth to ground water...... (..r1 ._..__. fX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W ...._ .__ ............................................... ._ O Description of Soil....... _ ..-•-- E+,; 'j x `--------- -- - - - UNature of Repairs or Alterations—Answer hen applicable._._...•________________________________________________z..__.__._._._.___.._,.._____...______. ----------------------------•--•---------------•-----------•---•--•------------•--------•---.....---------......--------------------:..----------------------------...•-----------------............-••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Cod —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ss ed by e board of ea th Sign ••. . . . ...... •----------- -------------------- ` ........ • e Application Approved BY :. . .. = e�/+ ` IP .Ly._.%.. Date Application Disapproved for the following reasons:'........................---••-••-----•-•--•-••-•••--•-------•••••-•-•---------------•-•----------•-•--•-••---•- ........-••-•••••••-•....•-••••-•••••-••......--••-•••-•---••••-••-•-••••-•••-••••-•••--•-•---••-•-•••••.•••--•••-••-••......----••....-••-•-•...••----•--••---••-•-----••--•-••----••••--•----••••••... Date PermitNo.......................................................... Issued...............................=........................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............... ............., '/ j,rf het..*.......�.................I...................... (9rdifiratr of Tompli anrr THIS IS TO CERT Y at the Individual Sewage Disposal System constructed ( ) or Repaired ( ) __. bY------------=V6W -- -• ••. ..... .. - ------......-•-•-•••................ I�a,.l�le�r'f f at .� . --- ••-••••••••••-•-•--•-•--•---•-----••---••••. has been inin accordance with the provisions of TIT L7 :of he State Sanitary Code s describe, , ' the application for Disposal Works Construction Permit No_________ _ __ ___ �s-d..... dated___..._._. .............................. THE ISSUANCE, OF THIS CERTIFICATE SHALL.NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....................•• ...... Inspector•=............................................... _'__ H i T E COMMONWEALTH OF MASSACHUSETTS BOARD OF klEALTH 7 �,.,� .... ....... ... . .OF....... .. FEE f" No...............�p. L �,r '1...... ............ ........ Disp osal for ion "permit Permission' is hereby granted K........ y.............•--••••... ----••---•-•-........................ .... r to Construct ( �,Repair.,() an , eD' r sal st " y / Street `rr as shown on the application for Disposal Works Construction e Perm'. _ tedh..._._____�D." 7�. ._..A.. ; d......... Tr f ealt DATE•-• --- ............................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS f . r i M /3¢.7 S_ hr LO 7-- .� it SZ r 1 14 LIZ CIUAR � N • . � °} N.i zz' z�'s` per •/8' Is R0BERT P. OUNIKIS LEGEND EXISTING SPOT -ELEVATION oxO �ERTOF4Ep -PLOT PLAfd 9XISTINQ 4ONTOUR - — �- p 4,Q 7� �¢ v �1a- rr�. Flyl SHED 'lPOT ELEVATION G n!7 1 tfit t.,. AtA R FC}.�.�Q7�R0 •.Qi� HEALTH r " ,� , , _•�: • _ .. . IN t?4T:E AGENT _ . - . SCALE: 1"`-`��� ©ATE LbRt` 0E'' l 1I41' ' 'R/IVG; 'CO. fN WENT L 4 CERTIFY THAT THE PRflPfl*3I~4' E61STEREvi, rn4iyfiim,�, ,lfl8 N0. 77�006 @VILDiNti •SHOWN ON' TI#!s PLAN CIVIL. . ' LAND � CONFORMS TO THE ZONING LAVES 1:N IN RVE ----- -•� t?i�` RARNiST '8L'E , NABS. 3 .I O.MAIN"S7. 7i2 �9AihI'ST CH. 8Y? R. ?' B. SQ YARMOUTN, Li* M�ANNiS, MASS. SHEET .,L O4=' Z 0 7E_ �REG. LAND SURVEYOR X. PIPE 4 v Iwo 'IH- 4 !-s IM PFR PE PVC PIPE - 1 A - Li fiD:'L$VE -r -.CLEAN .. SAND :�- �, F-�'r •�U �y i °e •.• •r T 'G _ G�u"�' EE, R F ... .. v 'ram, Yv �. :• -- - �= -' - .� - - � FIELD, TOt� LEA�H�NG � . 7 • SE'C�` 'OF _ GROUND WAT£R tABLf � U/OBI L SYST1G7i9 X - SOIL: LOG 2 LAY 4 DOUBLE --� 1/6 8" TED SOIL TEST _ OF : . PIPE a Z ?7,6d��,*dam DATE =0F SOIL TEST ` RESULTS WITNESSED BY CLEAN PERCOLATION RATE ___'Z-MINJINCH DESIGN.'- CRITERIA4OUIBLE ,. . i ?I�AT 314--1 IA . BE©RbOMS 3 .ASf Of RAHE3 • GOAD STAKE SET -8 FT. PVC PIPE R GARBAGE;`-DISPO SAL UNIT _ . v , - f u 5-4 ° ON CENTER ESTIMATF'D `'FIOMt 3 GALJDAY _ LEACHING AREA - `�''zsQ. FT SL�C�"r 4t V X_ X _ �, RESERVE AREA 4 Z SQ. FT. TABULATION SCALE • /14 = / = D DIMENSION-A ys FT _ INVERT `ELEVATIONS DIMEN B 4.�FT ' . . DIMENSION C FT `' w-o� �� w�►M INVERT AT BUILDING ��.a FT , t •.: � ,�,,� `!' �f�LET SEPTIC TA 9 5 FT. Lor 9 pE�� To ° tN P PQSEaT t3UTLET SEPTIC TANI( S 9 3 FT• — sRUCF ` �FTRtBtlTION IMLfT BOX S9.DFT `- ELDRE cE H F` seb o w f OUTLET`'DtSTRISMION BOX S8-2 FT. ELDREDGE NONEERING .00. Y� �� �Qcam`.-� .; END OF;LEAGHING FHELD.. Sa:?�T. 33 T�i MAMI 5T <o ` SOUTt+_ YAfWOUTM 14tAS;?• JOB N0. 7 7.0'.v SF ZOF-• Z