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HomeMy WebLinkAbout0057 THORNBERRY LANE - Health 7 Thornberry Lane enterville = 186— 090 f S M E A D No. H163OR UPC 10259 smead.com • Made in USA OYCRb 40 ,q� T' TOWN OF BA.F:NSTABLE N LOCATION �,d:ti�C�i (,�,,,� S W q o —Ll Z� E AGE # L VILLAGE �`'K��'�� ASSESSOR'S MAP Q LOT INSTALLER'S NAME & PHONE NO. �- ��.Sc4�� 771 SEPTIC TANK CAPACITY l Sd0 y���dv.S LEACHING FACILITYAtype) y �'► ��5 ��� (size) ' NO. OF BEDROOMS 1 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER g117514 DATE PERMIT ISSUED: S Zt> qZ DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes 0 Lvf Z7 �9 /� CQ 6�� i q()oa`1 No. .............__.. .. j Fnaz THE COMMONWEALTH OF ASSACHUSETTS j BOAR® OF HEALTH �..................... ...............OF...... sT ... ApplirFation for Ui_qpnial Works Tonotrnrtion rnmit Application is hereby made for a Permit to Construct („ 1 or Repair ( ) an Individual Sewage Disposal _ g P System at: t- J �'i? ! ._ C.rF �!1. .. -,y 1� �_U?!Vc�/�c¢-...................... .� LocatiI Addres - l�ll13 � or Lot No . /� ---s E . ......... Wa O jAdress --•- .m ..... L -----------------------------•--•....------. (� Installer Address U Type of Buildin Size Lot._6_e.JA A.?�_._..Sq. fee(/s'?-4t �--� Dwelling No. of -Bedrooms.......................................Expansion Attic ( ) Garbage Grinder (,N-) `4 Other—T e of Buildin a yp g ............................ No. of persons___.___.......___._____._.._ Showers ( ) — Cafeteria ( ) dOther fixtures --------------- ---------------- --------•-.......------------------------------.....------------ W Design Flow..%Vr.....................gallons per person per day. Total daily WSeptic Tank Li capacity.l;rO.U.gallons , Length................ Width................ Diameter---------------- Dept-I____-__-____-__ x Disposal Trench—No..........::K....... Width_10' Total Length-/_(o t. 's'AoTotal leaching area.a3'..Af-- sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (_A� Dosing tank ( ) Percolation Test Results Performed by........2;4X,E.e...... . _........................ Date..... ........ . . Test Pit No. 1.......?- ---minutes per inch Depth of Test Pit. __ ®.....__. Depth to ground water.._/IID�f.� (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R4 -----------------------------•.........------................. , / p z d Description of Soil �`' 4 .��/ -- - -- - - - U ............................................. ........rn.e.dr1'e'laxr......%:, ----------DESIG ING..ENGINEER.M4J$T SUPERVISE------. , . INSTAl.1.�1TI0N AND_CERTIFY IN WRITING V re of Repairs or Alterations—Answer when appli`�ble--------THE-SYSTEM WAS INSTALLED IN S-TMOT' ------------ACCORDANCE Tb PLAN........................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal S tem in accordance with the provisions:of ilTli; 5 of the State Sanitary Code— The u9bo sign rthe agree n t to place the system in operation until a Certificate of Compliance has b s ed by th - he lth. Signed ---- -•---•----------- ---- ----- •. ..................... tAppl � �ate ication Approved By-------`•�--'6[a��--�.s ..... .... .......•--------.:.--•--•----•---....---------------•-- ------ Application Disapproved for the following reasons------------------------------------------------------------------------------------------------------------•---- ......................---................................................................................................................................................................................ Date Permit No.----�....._...� - Issued-.............. 2. . ie -- Q -L_ --- .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............................--.........OF.......................................-.. Appliration for Disposal Works Tonstrnrtion Vprrmit Application is hereby made for a Permit to Construct (4-)' or Repair ( ) an Individual Sewage Disposal System at: IL 0—Y 0. .. el- ............................. ......•. -•-•-------.......................••••• ••••-•.................••................. Location-Address or Lot No. _• Owner Address r Installer Address Q Type of Building Size Lot_'..r_..... ......Sq. feet e f+ Dwelling,m�No. of Bedrooms........2-...............................Expansion Attic ( ) Garbage Grinder (�') aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q Other fixtures ...._.. W Design Flow.. .` ......................gallons per person per day. Total daily flow.,-'.',..L ................_:: !gallons. W Septic Tank=Liquid capacity.....-.......gallons Length................ Width---------------- Diameter................ Depth.............__. x Disposal Trench—No. ..........:......... Width.yKt;?'•...._.. Total Length.......:............. Total leaching area::Q!;4........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.__---_----1:!.r:...i__..__. .._'::_!��............................ Date._..!.___'.�.��__._ a -•--•-•••--- Test Pit No. 1................minutes per inch Depth of Test Pit........: _....... Depth to ground water_._ ......f I; , fX4 Test Pit No. 2................minutes per inch Depth of Test Pit-----_.............. Depth to ground water........................ D Description of Soil.............:.......... - r A = / x ------------------ ------------•••---..................................................................................................... V . ..- W U ---------------------------------------------------------------- ------------------------------------------------------------------•--------------------------------•------------------------------- ure of Repairs or Alterations—Answer when appli ble.----------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal S stem in accordance with the provisions of TITLl 5 of the State Sanitary Code— The u rsign 'further agre not to place the system in operation until a Certificate of Compliance has tf sued by th bo liealth. Signed./ �=� .••.... = .... f. Da Application Approved BY =- ` .....'_ � rf -= - -�, . g- ate Application Disapproved for the following reasons------------------------------------------------------------------------------------------------•-•-•----••••---- ------------------------------------------------------------------------------------ -_,r _ Date Permit No.- .............. -•----------------- Issued-............. -%C L 'r' •-----...... Date :.r.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............................O F.................. ... ............................................................ (9rdifiratr of f umplianrr THJ IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( () or Repaired ( ) by... ......................................................... ----- • ------••-•-•-----------••--•-------•-•••----••••......••------•-•- �' � rv. Installer r -,n a+ n - _ at.. ! -------------- --- has been installed in accordance with the provisions of TIT E 5 of T e State Sanitary Cgde as describ d in the application for Disposal Works Construction Permit No.__-_-_`�. .. -_. P 1 '" dated ------------------•-•--------•---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G ARANTEE THAT THE SYSTEM WILL FUNCTIO SAT SFACTORY. DATE ..................... ....................... Inspector ------ ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...1..�...-................._OF...!.!'..:.....!�c.......................'..._................................ N6.........-•--. ...... j FEE. f. —.......... Disposal Yorks T-IMmitnution Vrrmit Permission is hereby granted..........i!�i.....'1. to Construct ( .),,or Repair ( ) an Indivilual Sewage Disposal System at No... ` ? 7 - �-� Streetr- as shown on the application for Disposaf Works Construction Pe . it No 1 _��! Dated.......................................... / - Fle Board of alth DATE----------------`-F------=----..._.....-•--••-----..:..----•--•------------•---- I/. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ` - BAXTER & NYE, INC. _ Professional Land Surveyors and Civil Engineers 812 Main Street •Osterville, Massachusetts 02655 Tel. (508) 428-9131 FAX(508) 428-3750 WILLIAM C. NYE, P.L.S.- President PETER SULLIVAN,P.E.-Vice President-Engineering RICHARD A. BAXTER, P.L.S.-Vice President May 26 , 1992 Town of Barnstable Board of Health P . O. Box 534 Hyannis , MA 02601 Re : Lot 22 Thornberry (formerly Lot 27) Map 186 Parcel 90 Dear Board : Per the conditions setforth in the Disposal Works Permit I have provided engineering inspection during the installation of the septic system. Based on my inspections it is my opinion that all work has been performed inaccordance with the plan of record . I trust that this meets your present needs . Very truly yours , Baxter & , Ny e Inc . Peter Sullivan , P . E. c .c . Bayside Building Inc . PS: s1g - F'. n' SQUI s:. No. 2W33 s+ g MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS I AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS 27.80, -7St �.rt Voe i ji 1 u i � 1r Uf J SEPT I C. TN►v 1L AR USE 4X4 (XAc.c, %6 wiT%Z' 6lbME ALLAeOL,"'? ( �e 2oxa" ) w /gyp t� C7t lv17 �'�, i+���i` R�ST 17 QATE ef, Z rk,U,-J. �L 1 i.t't� t�QL,tom• Tt 4/-T T? IZCJ �St. ��0H Of ,"� TZ, T74 EE $I � / yv1� 'a\ ��� PETER _ LJ V SULLIVAN Ti 4>= T7J Vu�J v� F3 n���{3L-.C � (D � Y - No. 29733 n+ r P�i��..cr�