HomeMy WebLinkAbout0084 SEAN'S CIRCLE - Health C wct4lyd-Q,
/!1 SMEAD
No. 2-153LY
UPC 12934
smead.com • Made in USA
AltySllb
1��
0 SUSTAINABLE
FORESTRY
INITIATIVE
corosadFdWSOUMI o
www.efioroyynarp
T
TOWN OF BARNSTABLE `
L CATION 4 I Loan S C-4-61C. SEWAGE #
Q
VILLAGE Cenk .r%A C- ASSESSOR'S MAP & LOT 057-66)
INSTALLER'S NAME&PHONE NO. r�. c p - SfC��tT '� 71 g,- �689
SEPTIC TANK CAPACITY
a r
LEACHING FACILITY: (type) L`— 41 a(-8r—C2 e)� I 1 )( L
NO.OF BEDROOMS 3
BUILDER OR OWNER. 4
PERMIT DATE:. COMPLIANCE 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
r
E � '
1
oq
a
Co
a. 35� a
3, LIB`
6
LOCATION �5 SEWAGE PERMIT NO.
VILLAGE
T,c2 (;/I t,L
INSTALLER'S NAME & ADDRESS _
�l� �/Z®5 -T�l
8U1 DER OR OWNER _
Sal � o
DATE PERMIT ISSU E D ` 5-
DAT E COMPLIANCE ISSUED
r
O
re ��
No... ---•- .......... .o .ti Fa$.......................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town..-.. oF.........Barnstable
--------------------
Appliratiun -fur Ropofial Works Cnunitrurtiun Prrmit
Application is hereby"made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
System at:
Lot 2 Sean' s Circle, Centerville
--------------- ------•-------------------------------------------•------------- .............. ...----------------------------------------------------------------------------------------------
,Loc ion-Address or Lot No.
............... NKEs.... Ma tt----------------------------------. "$p c�. -r --------------.
Ow - - Address
...............VtTR tN�?---- 1 S TAEJ12S------------ -..1 Qpa >bx.>t �...................
....--------------------------------
- Installer Address 16 013
Q Type"of Building Size Lot... feet
U Dwelling—No. of Bedrooms-------3----------------------------------Expansion Attic ( ) Garbage Grinder (nc�
aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Q Other fixtures ----------------------------------------------------
W Design Flow-------------55--------.._...1.00__gallons per person g er6day. Total daily flotw�-------330.-----------------.--.----4qa 4�ts.
WSeptic Tank-Liquid Capacity___.______ allons Length-___t_S_-___----. Width_.__1+_..1.__ Diameter................ Depth...-------_---
Disposal Trench—No..................... Width---f_-___--__---.-_ Total Length____-_--. .t_____._ Total leaching area--------- -------sq. ft.
Seepage Pit No.._.__..1--________ Diameter...=10_-..._.._. Depth below inlet...... Total leaching area.__27_____sq. ft.
Z Other Distribution box ( X) Dosing tank ( )
�+a e Cod Surve Consultant 6/11j 9
Percolation Test Results Performed bY" p -- - - -----------21---------------------- mate ------ ------------------
Test
Pit No. 1-------2......minutes per inch Depth of "Pest Pit---_12........__ Depth to ground water...none----------
rXq Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water-_.--.----___.-_-_--_
a ------------•---------------------••......--•--------• ------------------ ----
O 0--------•---
Description of Soil_.____ •0-0.•5..WOOd- loam, _0._5-2.Q._subsoil,_ 2._ — .0 CO r8e•- _ _
U ------ rocky sand..----$,0 1....0 clean med, sand. -- ----
-•--------- -- ------------------- --• ---- ---------------.--- -----•-- ----------------------------------------------- ------- - . - ---- •- ----- - �- -----------
U Nature of Repairs or Alterations—Answer when applicable------------------------------------------- off. �G
� --THO1VIAS-----
---------•-------------•--•-----------.-_----------•----•-•----------------•-•----------•--------••-•---•---------------------------------------- o -r -
Agreement: i - " MONAHAN C/)
No 20945
The undersigned agrees to install the aforedescribed Individual Sewage Dispo te�Fn in a��o �lg with
the provisions of Article NI of the State Sanitary Code— The undersigned further agr 1 r tem in
operation until a Certificate of Compliance has been issued by the board of health. �dNAL EN
Sig �444e-ttc try' 7q
��e Date y
Application Approved By------- .. ....��/ ®'�^-7/
Date
Application Disapproved for the following reasons:..................................................................:
---------•------------------•-------------------•--------------------------------------------------------••---•--••------------------•-----._...------------------------------------------ -------------
Date
Permit Na Issued -----------------------
Date
- -------_ --- - - ---- - - - — —�i
NO.. Fz�x...... ""` .
.,. .r
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town--... ......OF........... ArnAtAJl.e-------........................................
Appliration -fur, Uts4lofittl 10orko Tatuarurtinn Prrmit
Application is hereby made for a Permieto Construct (X) or Repair ( ) an Individual Sewage Disposal
System at:
-------------------------Lot-...2•••._.Saab_'_.; __ .rC1y-;-:.0 z ervi].i'------••-•---•---•--•---•...---•--•-•-••---••---••-•-------------•••--•--••----
Location_Address or Lot No.
--------•-•--....MX C ---1 A N1�:�.t# A,3�l �_�_P��aL-E.----..............................................
own Address
Installer Address
UType of Building Size Lot....jO 3 L.7.0. -------Sq. feet
-, Dwelling—No. of Bedrooms--------3---------------------------------Expansion Attic ( ) Garbage Grinder (nd
aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Otherfixtures ------------------------------------------------------
W Design Flow...............5........................gallons per person per day. Total daily flow........3.3 -----------------------------gallons.
WSeptic Tank—Liquid capacity---j,-0-0-glallons Length-___ 1_6''. Width__.1t.,Q,0t1)iameter__--__-.-.____ Depth-4-=_6�'...
x Disposal Trench—No-___________________• Width-------------------- Total Length-------------------- Total leaching area--------------------sq. ft.
Seepage Pit No.........I---------- Diameter.....1Q'....... Depth below .......6L!........ Total leaching area.....2t 7__..sq. ft.
Z Other Distribution box ( Dosing tank ( )
aPercolation Test Results Performed byCape---God._Sltrve—y___c£1n;3ul , ti Date........6 1/79------------
Test Pit No. 1.......?------minutes per inch Depth of Test Pit-----1 -------- Depth to ground water_..r°j,�)rl13._-------
fs, Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water__.---.--__-__-._-_-.-_.
a' -•---------------------------------------------------•--------•----.....................................................................................-
O Description of Soil----Q_,AitQ,._5---Wood-._oaI71-,.... �__:�t1�►ft1�.*----?X!48 -�3---coarse---------------- -
U ------------------------------------ram'...sand,--8_,2UttI2;O. c ean__med-r---aand.---------------------------------------------------------
w
----- ------------------- -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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 Article XI 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.
?� Application Approved By........................................................Sign ----------�-------•---------------------------
y ;
Date
Application Disapproved for the following reasons------------------------------------------------•----------------------------------------------------------------
= --------------------------------------------------------------------------------------------------
Date
PermitNo......................................................... Issued........................................................
s
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF;HEALTH
...... Z-WW—N.......:....OF.......... 3�1. ..a:.A� 1.. ............................
(Errtifirate of Tomplitturr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( )
by.......... — ------- "-4 -.
E-R ..--- .----------------------------------------------------------------------------------•----------------
Installer
has been in tailed in accordance with the provisions of Art I (TYxState Sanitary Cocl,, as rtbe ►' the
application for Disposal Works Constructio�I Permit No___ _______ ...................... dated._._____ ___._.___ _--_-_•----�........
THE ISSUANCE OF THIS CEo TIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE [ �' Y Inspector -----------------•------------------------------.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
6.3 7-". ..........
1..t ..........of...."��Ps(�.t1TA, �. .......................
No---------------------•-•- FEE........................
Bi-sposal Morkii Olnnitrurtinn rrrmit
Permission is hereby granted------ ----- .........................................................
to Construct ( vl�or Repair ( ) an Individual Sewage Disposal System
at No......L-07-T----`----------- ....0—A Z U:.. -- -----
Stree
as shown on the application for Disposal Works Constru tion P No.
Dated..........................................
�
----------•----------------------•------ --------
DATE............................... ------------------•-•---.......................... Board of Heal
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - - ,
i
SOIL LOG
t _
l�IEAlTONE ,LOAN a IIQI •• IlYAX WOoA "
♦ -�. ,.�-.-' BARN
�,••>-_ �'`�"�'� '-'. _use—i..-
''.•O • ASc+i
el
4 C. I. a I.•.;,e . ; I onrn �L-9
1000 BOX I•,,.. . 1000 GAL. •.1 ,� No
• ° • ° 9
►0'MIN. GAL. Vie.°°•��: PRECAST OR 24" � '
SEPTIC • ' • I MIN
1. :,;.• BLOCK • • , .i ��aW
TANK 6' SEEPAGE • ' . : I ��"`�
••,�8, PIT °
20' MIN. .':. • iY
FOUNDATION i 1 %2" WASHED STONE-
ELEVATION SKETCH ;---- 10' P —� PERC. RATE= I,,ricaR Zr,iUZZ,�cN
SCALE : I" =.4' TEST BY : EQH&& l jVzZe _4
TOWN INSPECTOR: �'� 11A 1110171ZA'r
BACKHOE OPERATOR:
r yEfs7E�°� G6/rw7'iFy 77+/�s�T 7,W& , C/ .JA-r 4/✓ TEST MADE ON :
s +' r1*7r4,,- c f /999 xtizl /r 004,( CO r,�*OZr'7' 7'0 -rH4
t
AN
.Gti�'s'!+l�"r Ste"` "t�.9 C,.t` �'1'eS'QC1i.�c:�✓*�►�✓'t'�"�" c'J F' 'x"r�l1z
`'�lkOFM �1 a
> '`c :TAME$
P. a
e+r'sL-y
10
BRA
IQ`
°�'
' a
�4%
Ck
IV
/c,
{
Ci
ICj°'k '• ``v m" /DIp
4(11
`t
a
/a
TNCt M,AS
Q v RIONAHAN
1 t No. 20?45
4AA4i ,, JE OA/,4 -" ckowi .c4R �`r%`E.�i 35Y.;;xW'A;�
s1o4 w'q $.l' /88 s, r.0 z s G,p DP r<' - 4 742 efi.If?0.
ELEVATION SCHEDULE
.tt PROPOSED SITE PLAN
.I INV AT FOUNDATION ! r "' 8
SEWAGE SYSTEM DESIGN
2 INV INTO SEPTIC TANK 1,8.44
� tit IN
3 1NV OUT OF SEPTIC'TANK =
4 INV INTO DISTRIBUTION BOX = 1774 SCALE • 1" = 20' ANY 19 74
1 `
5, INV. OUT OF DISTRIBUTION BOX = 97- S6 C 74y-Z-
6 INV. INTO SEEPAGE PIT = !7 4.,0 CAPE COD SURVEY CONSULTANTS
ROUTE 132
7. BOTTOM OF PIT = 911 HYANNIS ,MASS.
r
•