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0064 TRINITY PLACE - Health (2)
64 TRINITY PLACE, CENTERVILLE i - A= 248-281 No. 42101/3 ORA ESSELTE 10% O m O O [ ExistincT flow diffussors ( 2) New _BCY T .� :t4 ® Existing 1666 1,T 8 infiltrators Jc Jq • "i 64 Trinity Place Centerville qg\- No....... .:..�- Fps..�...3�..........._ . w THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF yIBarnstable Appliration for Disposal Works- Tonnotrurtion thrmit Application is hereby made for a Permit to Construct ( ) or RepairX(XX) an Individual Sewage Disposal System at: 64 Trinity Place Centerville ................____..._._.........--•- ............ ........._... ...... ......-•-•-••------•------•---•---------------...-•---•--••-------..............---.............-- Location•Address •- or Lot No. Brien -•• ...... .................. Owner ........••...._......-•-----•-•--......•....Address ...P.Macomber_Jr. ...... ............ Installer Address U Type of Building Size Lot----------------------------Sq. feet -� Dwelling X No. of Bedrooms.............. ......._.........._._._.....Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons ................... Showers YP g --------•................... P ( ) — Cafeteria ( ) P4Other 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 ( ) aPercolation Test Results Performed by.......................................................•••---..._......... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Lt, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ODescription of Soil..................................................................................................................................................................... ... V ----••••Sand .. Gravel••........-••••......................•-•---•-•....••-•••-•-•-•-•...-•••-•••-•-••••••••--•••.......••-••••-•••-.....•----••••...-•----••--....---........... W ..........................................................•--------------------------------------------...------------------...-----.......-•-------........-----............_...............--•--.._... U Nature of Repairs or Alterations—Answer when applicable_.Adding...!-__infiltrators to anexi . . . .................................... .fisting tank._tank.-.and ffus_sors......•••••-•....•----------------•---•••••-•••-•--------•----••-•-••••---•••......--•--•-----••.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITi lE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be n issuedjbb t boaFd of healt Si ned ._ . .. ---.. // . •----- 6126195. .... .---•-------------- ,�� D to Application Approved By..... - �....A'�.....-------••-------------- ....... �Irs-�-• Date Application Disapproved for the following reasons:................................................................................................................ .................................. ........... ....._............--... ...... ................................................................. ........... ........ ------------._.................. 22y� ``� Date Permit No.------....T.C---/----� ---........ Issued--•-•-••-••t0 "Z�o �� ......---•................ Date :.. s .s THE COMMONWEALTH"OF MASSACHUSETTS K «a BOARD OF HEALTH t TOWN OF } birn9tab`e +. ,��r�lirtt�ion fur 4��io�oottl larko'��C�oa���:rr�iun �rrbti� `p xxx Application is hereby made for a Permit to Construet4'( `)' o; Repair ( ) an:Individual Sewage''"Disposal i System at 64 Trinity Place Centerville _ ................___................ - - .--- - --._.......------- --- ------- 1:I. .----.._.............._.. Location-Address �. or Lot No\'%^ k•t'ryk ................. ...... .................... ..............•--•••-•-•----------_-•-•-- --....._....-•------•--....................... Owner Address W J.P.Macomber jr. :\ a ,. x tx Installer ,. N... ................................T. ..............................................................Address c- it Type of Building g "' ' Size Lot________________ ___ ___Sq. feet Dwelling-'No. of Bedrooms.............3............................. xpansion,-.Attics,, Garbage Grinder YP g ..................... .. -••------------ '---. No. ofpersons.....__--_._ _.._ ( ) Cafeteria ( ) Other'—T e•'of Buildit Showers — � Other fixtures . WW Design Flow...........L_............;....................gallons per person per day. Total daily flow............... :__..........gallons. WSeptic Tank—Liqutd ca.pacity___.____..._gallons Length................ Width................ Diameter .............. Depth................ x Disposal Trench—No..................... Width.................... Total Length..................... Total leaching area....................sq. ft. 3 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ------------------------------------------------------------------------------------------------------------------------------------------•--•......••••---- jO Descri tion of Soil-------------------------------------------------'_.:._.......... W oyand & Gravel W ....................................................................... .- .....-••--••••••--••.._...-•----••---••..._..._..----•----•--••-----••-•--•••...._.._..._.......-••....._..-•-•-••-•---- -----•--------------------------->--- ------------------------------------•---------------------------------------------••------------••--------------••--------------------------•---- U Nature of Repairs or Alterations—Answer when applicable_.Adding•8-__inf i 1 trators to anexi - - • - • -•----•-•--•----•-•................. a__sta._ng.__faLa k__and---..•-flow-.duiffussons ------•-------------------------------------------------- ............................................. Agreement: 1 The undersigned agrees to install the aforedescribed Tndividital Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation tmil-a Certificate of Compliance h4bDened b t boa d of liealtSi ne =A/ff $--------------- •6126/95DateApplication Approved By-...._.. ._ _ _.__� ............................. L.' .._ Date Application Disapproved for the following reasons-----------------•-------------------------------------...--•----------------••-•----------------------•--••-•--• .........................•--------------......_...-------..._....----------...-----------...--------.......-----------------------------•-•-----------------------------------------------...-•-._.._..._ / t/" / PermitNo._._.... ••-------------•-----...._..---•-------- ,F Issued...-------- Date -------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN of Parnstable (9rdifiratr of Tomphanrr,, THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ) J P.hlacom er Jr. by---•----............................................••-••----•----..._•---•---------••--•----• ------------------------•--....----•--•--•--------------.......----------------._..._----•----- at. 64 Trinit Place Centerville.......... ------- has been installed in accordance with the provisions of TI LE 5 of The State Sanitary Code s described in the application for Disposal Works Construction Permit No.._��'6�_S��� ' -- -------•---- dated---- �..�-� ..�..---•---•--._ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIONS SFAC-TORY. DATEL... . "e'''�r . �i ------------- ----------•--•-•---•---._........_.. Inspect..r�::�:---- ��.._.....---•------ -------------------------..'.J.....---`-'•........... r—_------------------------------------!2L ———————————————————__ ----- THE COMMONWEALTH OF MASSACHUSETTS BOARD ''OF HEALTH v V TOWN of. No...................... Barnstable Disposal Marko Tonotrudion amit Permission is hereby granted_.)»P•Macomber___Jr•_____---____ ............................................................. to Construct ( ) or Repair �X ) an Individual Sewage Disposal System at No.....64__Trinity--Place _Centerville.._._... Strect as shown on the application for Disposal Works Construction Permit Noq�- ���- Dated.... ��' � ...... �A� ... - ! / Bpa�f Health DATE_._..----•...............:�.-•--•----- -------•-----•-••---•------.. ----- --••--• r CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) L J.P.Macomber Jr. , hereby certify that the application for disposal works construction permit signed by me dated 6/2 6/9 5 , concerning the property located at 64 Trinity Place Centerville meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system, • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. I SIGNED : DATE: 6/2 6/9 5 LICEN SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system:Also if the licensed installer posesses a certified plot plan, this plan should be submitted]., t. LET � • gz set � I 74 4 , . , � ZOO Fss.......Z5........._ E COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH vintratian for Disposal Works Tonstrortioit Prrutit Application is hereby made for a Permit to Construct 'k—) or Repair ( ) an Individual Sewage Disposal System at: 77 r u i T � .................................. ...............Zv__._E..0................. - ------ regs :flo!:YadS�'—'f/�— '`^ or Lot No. _.... . ...................•....t-•---.... -••• ......................................_.................................................. OwnT� Address a � -�� ................................................... ............................................................................................... Installer Address Type of Building Size Lot_45�.Z 6____Sq. feet Dwelling—No. of Bedrooms___... _.................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building '____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -------••--••-----------•-----------------------------..-•----.....---•------------------------------.......--------•----_____•-••----=--•--..._------ W Design Flow....s.�J�.Q.....................:...gallons per person fr da�!. Total d�daily flow.___._.._.____________.___._....____ .___._ lons. 7 /. ,6 f� Septic Tank—I_iquld capac�ty�Cggallons Length__._.___�1.__. Width�._�.__._. ..._ Diameter________________ De th_._____.._..__.. W Disposal Trench—No ____________________ Width__�Q__________._ Total Length Total leaching area_ x P - g •--- g ��_..1�._:..(nsq-ft6�A 3 - Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.................. ft. Z Other Distribution box Dosing tank ( ) _ Percolation Test Resulysr, Performed by__._ ZQ!1.).1' ......�:.__...... -..1�.........____.._ Date../��_��� ,a Test Pit No. 1................minutes per inch Depth of Test Pit...... : ___. Depth to ground water...__ .. _.__ L44 Test Pit No. 2__..............minutes per inch Depth of Test Pit___/�-���_ Depth to ground water..--A..- ©.`V..E✓ a .�` '0 Description of Soil..................••--•-•----...._..•--.............�..�5% .-•- �_.. ------�----... U .........................•--•-•--•-••----------•--•••-•------------=------ ------------------------------------••------------------------•------•--....---...._........_._:.-•-•--••------------ 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 iI I - 5 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 iealth. Signed_-._ _ .............. .......F/`zz; Date Application Approved By................ ........ ........ Date Application Disapproved for the following reasons:................................................................................................................. ------------- •-•---_. --•----•------------ --- --------- •--------- ------------- --------------------------------------------------------------------- •------------ •-----•_----- Date Permit No........... ...a.-Ya.--••----_.. Issued....................................................... Ficla COMMONWEALTH OF MASSACHUSETTS kTHE BOARD OF HEALTH ...................OF.......------.-. xj� .. f3G.� ' 'Application for Disposal Works Tonotrurtion jJrrntit Application is hereby made for a Permit to Construct k or Repair ( ) an Individual Sewage Disposal System at Locafion_Address or Lot No. I ........•------..._........----•-------...-------.........._..-------••--•----....� �nAddress •��,-•'•__/-•!__1•-J-/-_I•_�_/s.L./.(../... ••--•-•--- __-_- --------------------------- Installer Address Type of Building Size Lot.45—ZP.-..Sq. feet a Dwelling—No. of Bedrooms-...s3.................................Expansion Attic ( ) Garbage Grinder ( ) --a Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q Other fixtures .............................. Design Flow____3_-_�__"_n........................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity/t gallons Length.,?_ (,--._.. Width...7C.�... Diameter................ Depth_.'._ x Disposal Trench—No......k.......... Width._0 .._......._ Total Length__.. ry .- Total leaching area,,3q�a_. 3 Seepage Pit No..................... Diameter.................... Depth below inlet................... Total leaching area..................sq. ft. Z Other Distribution box (k) Dosing tank ( ) / Percolation Test Results,•,. Performed by....1 i.t- ��`:�z'-_.f-!t-)0.......... Date..�/g .��__�`1--�''� minutes per inch Depth of Test Pit...lV�_•.. Depth g .th to round water!. _�*..... Test Pit No. 1__ �..___ _ f=t Test Pit No. 2................minutes per inch Depth of Test Pit_._��.(.... Depth to ground water_._/242' Q'+ ............................................-••;........_ r .._......... "............... D Description of Soil:...........................•---•-•................_. L.li..... w - --------...•----•--•-••.-•• - ..._.__.._.. ....._ VNature 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 TITA U 5 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. yy�s Signed_._• "_ -> t Ae''�l*of /Yp A4,4 A" Date r Application Approved By............... 5--------------•-----______----•- ........ U ........ Date Application Disapproved-for the.f ollowing reasons_........................................___________ ..----•------• Date PermitNo........... ..... ------------ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......' ��'� LrG!1�1.� _ ....OF....... ��,�±+�►>rg,�•,9 /� ?d .................................... Trrfifiratr of faootptionrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by------------------------------------- ________•---- -----------------•----•--------•------••-------•••-------•-•--------------•-----•----------------•----•---•-•-•••-••--------------- / V, Installer atv`° %K PL t ----------------------------------------•---------------------------__------------------ has been installed in accordance with the provisions of TITL' 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit NO........ _-_ ���_._. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. (� DATE.................. -• 7) ') - o � `�� � -•-•-. ,... i::. : ........................ Inspector.....:..------------•-�1.. ........................................ �V THE COMMONWEALTH OF MASSACHUSETTS � BOARD OF HEALTH QQGG �. 2�±.nrt<---........OF..............l;�!'�� '. :-._..........:.............._.... FEE Disposal Works Tonstrnrtion frrntit Permission is hereby granted...--- �vc-:�----------- ........................................................... to Construct (yf)' or Repair ( ) an Individual Sewage Disposal System at No............ ,' Street as shown on the application for Disposal Works Construction Permit No. �._, lated���C 3���'�_---- w - board of Health DATE-••-••• ..= r5� J .�........................ 1 , A ur X ! W •moo• •�• �• 'q -` Y � •� - -- � ►- g•• r \ U • �•.•• 15 •ors ,W © .y501 a [[ Q "ze pon 1 a �'• al'r��• la � -e• Y:D "''•:' _ , � - Top � El_. 3LO0 r�IKs�.• u•r• F 2 •a�e� •��• •�• © � 2iUi'TO ELF. . 1 ' a -C o• Seh «� © sTcNi✓ M- MGvCIMuM 42oJr.JtTAai-g2 F-LF-,/. 33 So i rn -�-� � A' _. .:: - f - •i• � Loci\►icy �� � � 1-TAPER— / N TMiN. ^r / yFe 5-5"OIA OUTLETS NET. " -2%" CLEANOUT d INSPECTION LID(OPTIONAL) S-� DIA. g" r B" - 2"6. C lL Liam O 15' 19h' FLOW I r LE'EL f O 9h" LINE 3" -I 12Y." -14:- �� 6 LINSTAI.LATION VIEW B-8 K-O's FOR BED ll J. ♦" a- VIEW AA.. W JD T - 1000 R°s S DB-5 FLOWDIFFUSO PRECAST SEPTIC TANK - 1000 GALLONS. PRECAST DISTRIBUTION BOX: 5 OUTLET FD 4 X 8 - L -� ,= PRECAST LEACHING CHAMBER P 4Z _ - � zo44 ' J �9 i Ir I lao% r l DESIGN DELTA 1 I ExPA \OL-2 \ I ., r�AII, FT-OW: 3 BEDROOMS X 130 CP:;/3DRM = 330 GPD SEP"�C 'I : 330 GPD X 150`� = 495 GPDfir=� �... USE: 1000 GALLON PRECAST SEPTIC TANK o v > ►� z z LEA( ITNG FACILITY: ° USE: (2) 4' X 8' FLDMIFFVSORS W/3 OF STONE -ACITY:/ I (7� 373.6 GPD I n. I ►►;" ¢GFs>ERAL NOTES • �\\ r \\ \ \ 1. ALL PIPE TO BE 4" DIA. SCH 40 PVC. �� _ 0�,o�� > 2. AIL STONE MUST BE WAS M AND FREE FROM IRON, FINES �LL �= � a \ \ � DUST IN PLACE. to ... z°D � o� o � r � \• �� v\ `I� 9 ' \ \ 3. PIPE Ta BE LAID LEVEI, FM 2' OUT OF DISTRIBUTION �> ,,AJ _^�C� _ BOX. s�� RL W \ 4. RtENi3VE ANY IMPERVIOUS MATERIAL FROM WITHIN A 10' / f I ° RADIUS AND 4' BE[AW THE LEACHING FACILITY AND REPLACE �0Ww0� ¢ Q � WITH.cLFAN MEDIUM SAND. -J 5. SUBSURFACE SEWAGE DISPOSAL SYSTEM IS NOT DESIGNED f I i L \ \\ \ \\!I - - FOR TBE USE OF A GARBAGE DISPOSAL. e ` t 6. 0ON RACIM To BE RESPONSIBLE FOR THE LOCATIONS ('F ALL iTM TIES, UNDERGROUND AND ABOVE, PRIOR TO \ i ExisrrJc, \ ,6 EXCAVATION OR CONSTRUCTION. p J II4JI : cl 01 V cc I \` \ M N > \ \�1arEQC[XrE ' ✓ I � \ \\ \, \ �. 176' : MAQC11 8, 11 ~ r J cc 7 Tom-�{: t ,f r\ t•lEL lt✓2,I1.1C. (G � 163,3 �- .- \ ------ -�ro�i.�ll�aSS�. �.�+.I��+JG� F�EAL�� �E� ? � > N ' -------------------\-- ----•-\ ---------- -_` � ` .,, �,� Qt�r-e.: �Z MI+.I.��l. CT�1 �Z7 Q Q V z seA CA 5L.4o.73 \ 32 c N Q CC 4Q .q 2 BA�>J �� 3a 3Co Oa W W O J Z N _ .473.0 O Z W � O Z a 41,5 J8" ca } W 0 cc ,m�-ZLU ` E ? Z a N Lc�T 8 �F'LAt� �c'�IZ� �.bC,E �j z 8 F W M I al l M L It sFT8�=K5': O V �2o. 1T Z?.5 144" 31•o i h�1' too DESIGN: 1 �>] LIF�i.I��Etl D , �rKci l+tfEfL� DRAWN: CHECK: FILE#: DWNG#: i R