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Home My WebLink About0028 SACHEM DRIVE - Health , /// SMEAD KEEPING YOU ORGANIZED No. 12534 2-153LOR U&Nsus TalNASLE MIN.RECYCLED INITIATIVE CONTENT 10°6 comedFdwuumml POST-CONSUMER wwwifipmgm=rp (9 maim IWAM M USA mAR mmnasNtmcow t� TOWN OF BARNSTABLE LOCATION 2F sevr- o, ,D iv r SEWAGE VILLAGE C h yv� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY /SUU 4- LEACHING F ACILITY:(type) 2 s io o o L Pf (size) r r_n NO. OF BEDROOMS° _PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: �1 3 DATE . COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �/ V ,,� 4�` � � ` � c� � � � � ��/l � / \ � I � �� E �, � b � � � � �r :7 y ` ASSESSORS MAP NO: 9 7_� PARCEL NO.: i/ -� � No.. .............. FRs.. .................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ----.- ..To�n1-..`.!..........OF....... w � E` Apli irFation for Dispas al Works Tomitrurtion rnmit Application is hereby made for a Permit to Construct (L-) or Repair ( ) an Individual Sewage Disposal System at: 1 Location-Address or Lot No. ..... .? Wt� Owner Address a �T - --------------------------------------------------- WET .��s 66- -------------------- ---.. .---------------------•.---- Installer Address UType of Building Size Lot.. _60 ......Sq. feet .¢- Dwelling—No. of Bedrooms............`............................Expansion Attic ( ) Garbage Grinder (ter a Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures . WDesign Flow.............................._..•__gallons per person per day. Total daily flow____......._:�3�..........._.......gallons. WSeptic Tank—Liquid capacity/:r�.gallons Length...9.6./... Width._��6'j__. Diameter________________ Dept....S'._`g_`� x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.______2_______-- Diameter.__.....�Z�... Depth below inlet.._...6.�........ Total leaching area-- ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by._-.�W,151.._. ...'�'� .G�. / Date___ ec- 17 1JB-r T G ZPit.... �r'------- ,� Test Pit No. 1_________ ____minutes per inch Depth of Test Pit....l_¢_____._--- Depth to ground water-------______-__---___-. 44 Test Pit No. 2---G --_minutes per inch Depth of Test Pit..../ Depth to ground water______ _______________ P4 ................... •-------•-----------•--•-•••-------- ------------------.....------------•••--..._.......--••--•-------------•-•----------•--•-•--------- 0 Description of Soil......... 4/ L�oo s�Go -i-� * S cs6-.,/ 7 v-�`f¢ A'r2 s�6 .55 �.--- . rWl�I�-----"""'f" s----�=�---•-• �------- --------------• V 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'TT. }of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certifica.t ' Com Tian n • s d by the b rf of 1 lth. Signed----- -•- ----•-----•--•---• ... . ....wo - A Application Approved B 7�Zte PP PP Y 3. gt! ate Application Disapproved for the following reasons:------------------------------------•-----------------------••------------------------------------------------- ------•-------------•--••-•---••----------•--------••---------••-••-••-••-------•-•--------•-•----------------------.........••-•----••-------•-•---•----•------•------•--....-------------•--•----•---- Date PermitNo......................................................... Issued------.....-----------.............. Date aal N0.'....._�_.�_-.......3� FEB.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH To in/ /`�... OF......4??;.w5Tr?'�4 Alyliratinn for Disp.aiittl Works Touts rurtiun "(.erntit Application is hereby made for a Permit to Construct (`) or Repair ( ) an Individual Sewage Disposal System at: .SAC/,��=<? %��VL' �' i.7- ECG �7 � ..--•--•----••---.....--•----•---------------••----•---..._..--------------------._.....---------- --•--•------------...---...._...-•------------•-•-•--------...-----•-------------•-•-------------- Location-Address or Lot No.o./4 n 1�'E IZ T owner dd�;= 51/1 'S � A ?�C.e ...... • ....................... Installer Address Q Type of Building Size ------- feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QOther fixtures -------------•-------------.._.._...------------•--•--•----•----•-••---------------......•-•••••-----------....__.._....•---•---•-.._.__._-----__----• W Design Flow................ ................-__gallons per person per day. Total daily flow..........._--`.--3-0.....................gallons. Septic Tank—Liquid capacity✓ 4�_gallons Length_ .?_..'..___ Width.�.�_.__... Diameter________________ Depth_S".`'�_"' W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area__:__._.__......__..sq. ft. 3 Seepage Pit No.......-Z..-.......... Diameter.......6Z_�_____ Depth below inlet_.....1.._.__... Total leaching area_42!�!.6...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by � .......... Date_TeC_.__!.7 Test Pit No. L�..2_____minutes per inch Depth of Test Pit._f z`�`...._._. Depth to ground water----—"."--------------- 44 Test Pit No. 2................minutes per inch Depth of Test Pit--- =_:__._._.. Depth to ground water...................... ...--••-•----•------------------------------•-----........------•---......------••-•----------------........................................................ Description of Soil 0 '`� 2 Ef 1n�oor,4s'9-r�......_rV/-_ Sc.l3_ c�r c. 2_r- c-1•_-1 ..................................... 5.��.✓.........../�/'J........./ �2 5 G . - 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 TITLE `of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificat f Com Tian een issued by the board of health. Signed..............•----•---..........__......._..-----------•-----•----•-----•------------ ---------•--................... Application Approved BY ........ .'_. .. 1, .......-----•--------- a � U 7�� - ;.. Date Application Disapproved for the following reasons-------------------••--•-----•--•---•-------------------•------•-------- ----------------- ---------------•------ .--------•----•-----...--•-------•-----------------•••-••-•---------._.......-•------•......--------••-------------•------------••-----••---•---•-•-•--•---------••----------------------•--•--•-•--•--- Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ICI/,/ �e Z. 6 ..........I..............................OF........I—......................................................................... �rr#ifirtt#le of f�ant�littnrle . THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (t,p') or Repaired ( } bY---------------------J-:--_--V K�. ---------------------------------------------------------------------------------------•...-----------------....----- Install has been installed in accordance with the provisions of TITIE ,j of The State Sanitary Code as escribed in the application for Disposal Works Construction Permit No.___._____�-- :??Z2._.. dated_...___-.__. z3 ___r�_.: PP i 3- ----- � ................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. �--- / I � DATE < L � -•---------------•--- Inspector -M....--•--------------------....._.......__....._...-•-•---- AV U `/ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. ......... FEE.... `......... Elisposal Vv ks Tonstrurtion Vrrmit Permission is hereby granted ------------------ t. -.--..........--••-...-----•-•-••---••---••-•-••------------------........-•--•-----•--•--------- to Construct (!./� or Repair ( ) an Individual Sewage Disposal System Str eet as shown on the application for Disposal Works Construction Permit No..................... Dated...... =---------------- - Board of Health DATE--------------..v I 4 FORM 1255 .HOBBS & WARREN.-INC.. PUBLISHERS D'eI ve ►�� 2ESt7�VE I\� � L E79G� 7V3 r ` r. ► 4/I 4 ho T,e&smv 6_ 3G A-ss`utie n fwt,E Zz P1 T ►a gtia qi Lo7 be Z,07" LoT 'r'!o LOCATION SCALE ...�.��'30,�.. DATE MAy 30 /486 �---� PLAN REFERENCE 0i -0 ED',%,5RD J� KLLEY y . .. . . . . . . . . . .. .. . N0. 26100 aC' NAL L4�y CERTIFY THAT THE ..... .. . . .. . .. ....... .. . . . . SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON; DATE . .. . ..... . . . .. . REGISTERED LAND SURVEYOR Cr TOP OF FOUNDATION s CONCRETE COVER CONCRETE COVERS Z.35 . 0 4"CAST IRON 12"M OR SCHEDULE 40 4"SCHEDULE 40 PV.C.(ONLY) 12"MAX. ' ' P.V.C. PIPE � PITCH 1/4"PER: PIPE- MIN. LEACH PITCH 1/4"PER.FT. PIT PRECAST NVERT -� LEACHING ° EL.. SD'�S••• INVERT INVERT o . T. PIT OR °'. SEPTIC TANK ,6 DIST. 4 3$ W ' ' EQUIV. INVERT /S o EL.. .. 9 . BOX o; EL. ¢9t.. ... GAL. INVERT G ►- 0: �¢ INVERT c�a a' 3/4..TO 11/2 uW o a: o EL :9.4. :.' �. �;. WASHED STONE • . • �`'--- �Z' D I A. �vco�N�-a�zra PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE 7>Ec: /7 /q85 TIME. /:30 �-1 �il�iE^S �o!vLa!�/ . . BOARD OF HEALTH TEST HOLE I TEST HOLE 2 GS7�W6}-i?fl Lr• Z 4-- ENGINEER ELEV. .-SO•�� . . . ELEV. ..s/oo . • ' �±L DESIGN DATA '. L4-7. ,o 0 NUMBER OF BEDROOMS `�. /. TOTAL ESTIMATED FLOW . .`�-5,� GALLONS/DAY S/}svD G�A�2S� BOTTOM LEACHING AREA ��3 S,q�D SQ.FT. /PITlC.P.D, wrrW S L��/Ls725 SIDE LEACHING AREA . . . `,. Z. . SQ.FT./ PIT/.SZSCRD G2g1/�z s'F GARBAGE DISPOSAL . yCS. ..(50% AREA INCREASE) GrzAv�z- TOTAL LEACHING AREA .G. SQ.FT " a PERCOLATION RATE LC35 777 ��No MIN/INCH �94 e•Z,3B.9 �0 ,4 �G_39 ov Na. .WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE .�-�• . SQ.FT./C /OD, NUMBER OF LEACHING PITS . .77No. P/T5 Wiry/ APPROVED . .. . . . BOARD OF HEALTH DATE . . . . . . . . . AGENT OR INSPECTOR OF OF /' ss GoT � d EDwA ID o "--LLEY 5�9Gf/�?-J �2 �/� t� o. 2610O in /. ' I$T[R�� µdo - CLTIT��GV�[-G.� j Lkf� sAMllAi\P�.� PETITIONER ,�$ T f• �/�'�vC 2