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Home My WebLink About0251 CAP'N LIJAH'S ROAD - Health 25-I C°IPTafn OjOkh 113 � (33 SMEAD No.2-153LY UPC 12934 smead.com • Made in USA J 11W 40011, SUSTAINABLE FORESTRY INITIATIVE Certified RberSourcing wwwAmgramnre � r �4L TOWN OF BARNSTABLE LOCATION �� h L/vG �j 17g1 SEWAGE # VILLAGEGfl/mil I/>'��. ASSESSOR'S MAP & LOT INSTALLER'S NAME 6z PHONE N ?Ak e-G,y„ e,(c SEPTIC TANK CAPACITY 2-,600 LEACHING FACILITY:(type)� 'z� (size) L Q NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No t/� �C _ ' - � �� D °�� i � � � � � � I „ f�� o � % ��. e� "� � G� � � `.. �� / s'� �� I � � �� w� RMI N0.L O CO�1 _ � � SEW G � VI L L A G E INSTA LLER'S NAME & ADDRESS a S UILDER OR OWNER DATE PERMIT ISSUED 7c� DAT E COMPLIANCE ISSUED �_ 9_ 7Z 7 No.........Ij... ... Fay... THE COMMONWEALTH OF MASSACHUSETTS BOARD F S-IEA. T ..............OF....... . Appliration for Disposal Works Tonstrurtiun runti# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an ndividual Sewage Disposal Sys /.`>. �>. r------------------------- ............. Address a ............................ ..................... --......._..•-•--------...---.... .......---------•-------...--------------.............-•-... � Instiller Address Q Type of Building Size Lot.. p00-'.Sq. feet Dwelling—No. of Bedrooms......... ...................................Expansion Attic ( ) Garbage Grinder—(—)— Other—T e of Building a Other—Type g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q Other fixtures .....................................................---------- --------------------------------------- -3._-r• 0.......................gallons. WSeptic Tank—Liquid'capacity...°p...gallons Length................ Width................ Diameter................ Depth................. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.___.____.__. sq. ft. Seepage Pit No....166Q----- Diameter.................... Depth below/inlet...... ._. ...Z_ Total leaching area.iL4. .sq. ft. Other Distribution box ( ) Dosing t ( ) O!U � � C- 1J7. Percolation Test Results Performed by..... ,�� .. a �1z1...._ '••. ' ..---.-•-•- Date.... .-_2.�.`_7. Test Pit No. 1................minutes per inch Depth of Test t................._._ Depth to ground water........................ 0� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depths to ground water........................ .................. •--•------------•-••...----- O Description of Soil.............L7 ---•• ----------- 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 i i i 1E 5 of the State Sanitary Code—The undersigne further agrees not to place the system in operation until a Certificate of Compliance has bee u - by the board �a.Sig ......-'�-.------.. . G_..------r -•--------•--- --------•------ Application Approved By...... ••• • .----_.. w1,l� -... .. L3 -2 t � Application Disapproved for the following reasons: Date-------•----•-••-•-----••--••••-----•-•-•------••---------•••-••••---._...•-•--•....---•--•-- Date Permit No......................................................... IssuecL``� 1 � ... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ...........:....(f' .......OF......... :.................................................... (9rdgf ratr of Tomplianrr . T T ER IFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ---------------------------------- I taller . 4� at-- ....Lally . . �. Z - ----- has been installed in accordance witl the provisi ns of T v' j,,df The State Sanitary Code-as d%cTibed in the application for Disposal Works Construction Permit No.�,` ............................ dated___..` . '_JJ''_ ................... THE ISSUANCE OF THIS.CERTIFICATE SHALL NOT BE CONSTRUEb. AS.A GUARANTEE THAT THE SYSTEM. WILL FUNCTION,SATISFACTORY. DATE................................................................................ Inspector;......--...-- THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH lop..." ,...OF.......... ' �k..#......................................... No... ...... a ..... FEE..-...:.......-....... Disposal larka nu ion Virrutit Permission is ereby granted.�-- "� ---- ..__--".a ._e................................................... -------------- to Construc or Repai ( ) an Individual Sew Dis �rn ""� `... `/--7---P( i*-�.- Cx$� d Fes{---- ................ No. S eet as shown on the application for DisposalAvorks.Construction Per, 't o _... .... . __ ed.. `. . +---------------- DATE_ Board of,,Health " .............................................................................. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS elf �2 j No....... Fz-z ;.................. T)iE COMMONWEALTH OF MASSACHusETTs BOARD O`F, HEALTH ................... .......................OF..................................... Appliration for-Dispinal Works (futuitrurtion Vamit Application is. hereby made for a Permit to Constr,uct or Repair an ndividual Sewage Disposal Syste)n at: a .............. �. �_..OK 7,; ie ahoy 1 N ---—------- . ........ . ..... s................................... ........ ..... ......... .. ..... .... r Address .............................. ... ..... . . . ........................... .............................................................................................•..... Installer Address Type of Building Size Lot.yt.��OC' .-..Sq. feet U �A---------------- Dwelling—No. of Bedrooms.........--d..............................Expansion Attic Garbage Grinftf—(--- ' �4 P4 Other—Type of Building ............................ No. of persons________._______._._______._ Showers Cafeteria Otherfixtures ........................................................................................................ Design Flow__._.___._.4 ;0Y e,'�.......I.............gallons per person per day. Total daily flow____._S!R...0.0.......................gallons. 'V0... ...... 1:4 Septic Tank—Liquid*capaci �p...... gallons Length________________ Width..____.._._.__.. Diameter_.....__.._____. Depth_._.._______.... Disposal Trench—No_ ____________________ Width_...._:...._._____._ Total Length._.__.._._._._.._._. Total leaching area_._.._._._ sq. ft. Seepage Pit No...4000...... Diameter.................... Depth below inlet_.__.. ............ Total leaching area_'.------7.--.sq ft. Z Other Distribution box Dosing t nk Percolation Test Results Performed by...... Y2V.... / ' ... ...... ..- .. .......... Date.. _4 Test Pit No. I................minutes per inch Depth of Test Vit.................... Depth to ground water................1.......... 44 Test Pit No. 2................minutes per inch Depth of Test Pit._:__:....______..._ Depth to ground water..._:___..___._.._.__._. ----------- . ........... 0 Description of Soil..----------.0............. ............... -------------------------------111------------------------------------------ ----------------------- -----------------***---------------------------------------------------- ------------ ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable..',................................................................................................ ................................................P........................................ ................ .................. ................... ..................................... Agreement: .e, The undersigned' agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'L'LTU_ 5 of the State Sanitary Code—The undersignsp further agrees not to place the system in operation until a Certificate of Compliance has bee su by he b o Sig ....... ................ ......................... . ......... .................. at Application Approved By...... .... /.a:C'�C .............. ...........:....... Date Application Disapproved for the following reasons: .............................................................................................. ...................................................... ............................................................................................................................................... Date 7 PermitNo......................................................... Issued....................................................... Date LAI OF FOUNDATION CONCRETE COVER CONCRETE COVERS 4' CAST IRON 12 MAX. m """' PIPE (OR 12"MAX. �' 4"ORANGEBURG(OR EQUIV.) EQUIV.)— MIN. PIPE- MIN. LEACH • � PITCH 1/4"PER. PITCH I/4'PER.FT. PIT � PRECAST o I N V�l1� o Q �,:: LEACH I N G ` e EL.�f`tS� INV T INV RT o . e•:' PIT OR ,•, SEPTIC TANK DIST. EQUIV. �., EL. .rlo.3. EL. >x :•: ,•o INVERT /DDO BOX /—� O �. o; EL'Y�Jr��.. GAL. INVERT INVERT w w �; 3/4"TO 1 I/2 EL. .7i . WASHED ELg7i/.. w STONE Oil /O� � �' • • ..i ' �D -- •--6-D IA. —►-I F PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOI oL LOGq WITNESSED BY : DATE . /71.. TI ME. .1.�� I ��. OLAA04 VL BOARD OF HEALTH TEST HOLE I TEST HOLE 2 �.�.��-ENGINEE ELEV.48•.o . . . ELEV. .. .. . . . . . . '00 = mod 5�a5'ercr DESIGN DATA '. z¢.c NUMBER OF BEDROOMS/ � . . . . Ga,g25tr TOTAL ESTIMATED FLOW 3� . . . GALLONS/DAY QLQ1Ce4&&, BOTTOM LEACHING AREA 78•So. SO.FT. /PIT 100� SIDE LEACHING AREA .� �.w SQ.FT./ PIT GARBAGE DISPOSAL . 4. . .(50% AREA INCREASE) S'qN� TOTAL LEACHING AREA .d?ZXoZ). . SQ.FT PERCOLATION RATE[a5e;y'9IV MIN/INCH LEACHING AREA PER PERCOLATION RATE 6.5.6 SQ.FT. 4/0.WATER ENCOUNTERED NUMBER OF LEACHING PITS APPROVED . . . . . . . . . . . BOARD OF HEALTH DATE . . . . . /�. AGENT OR INSPECTOR , ��p�'(H BFMgss9 ��%�Lgi4i� ---- - THOMAS Cy� v KEMEY N �j �' Mo 24260 /. �� ;THOMAS E.KELLEY CM .o �. . . F ENGINEERS—SURVEYORS 9FSS)pNAL�NG\�� cJ +fir 346 LONG POND DRIVE PETITIONER SOU � 4c/ � � TH Y 0M TH,MASS- 0 64 ` ��a.aua.....ew....,. ,...-.,..,.,.,,...._. ... .. _ _.. ,.....«. ..,.. ....,-........L. ....,.�_..�,,.-..tl.,.,,. ....,. ..-,.....ter. /L� TEST I Mgss nioMAs E. KELL v EY ti Mw 24260 Q V f 9e)— G/ST —�+ f�S�ONAL o ZoT 47 o a \ a 22 37yi it g ♦tH OF��SS �" THOMAS yGN j E. KELLEY10 � I is �. qN SURD iTHOMAS E.KELLEY CO. ENGINEERS—SURVEYORS 346 LONG POND DRIVE SOUTH YARMOUTH•MASS. 02664 CERTIFIED PLOT PLAN LOCATION SCALE .f. �•4t,0. �. . . DATE ..�'�:��. . . PLAN REFERENCE .R 3K�45 ?K: 77. I CERTIFY.THAT THE �DR.T�M.... ........ SHOWN ON THIS PLAN IS LOCATED ON THE GROUND r AS SHOWN HEREON AND THAT IT CONFORMS TO THE A 'Z/,Tj- /14Z /�/. SETS REQ I f�,T$9F THE TOWN OF Q�GCr . WHEN CONSTRUCTED. �v�E2!/rl S DATE .43'1J 71?. PETITIONER: + EGISTERED LAND SUR YOR A S14-,_.T ,i CTOP FOUNDATIONCONCRETE COVER CONCRETE COVERS 4 CAST IRON 12"MAX. PIPE (OR • " i2"MAX. 4"ORANGEBURG(OR EQUIV) PIPE- MIN. � EQUIV.)- MIN. ' PITCH 1/4"PER. LEACH PITCH I/4"PER.FT. PIT PRECAST o INVi a LEACHING ` o EL.. IN T INVERT o . a :' PIT OR SEPTIC TANK DIST. EQUIV. w .., EL. ..lo.�. EL� >_ INxxERT BOX -� O �. e; EL'`1'J� .. �DoQ GAL. INVERT INVERT';:' ww :;i; 3/4"TO11/2' EL47i WASHED w STONE �0 --0I+-W DIA. • �--/D' DIA.---� /1/D PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SSOI L LOGq WITNESSED BY : DATE .VZ?017,9. TIME. ./.��Q �I ��. !,/G'e'� """"7��L�� BOARD OF HEALTH TEST HOLE I TEST HOLE 2 /!Jf}� �j„ �Cc� cENGINEE ELEV.` 9-.f� . . . ELEV. .. . . 1 s�agerc_ DESIGN DATA z¢,c NUMBER OF BEDROOMS GaA2 TOTAL ESTIMATED FLOW . . . GALLONS/DAY BOTTOM LEACHING AREA 7e, . . SQ.FT. /PIT SIDE LEACHING AREA .� /. 'r6 SQ.FT./ PIT GARBAGE DISPOSAL 550% AREA INCREASE) r7 f'�ivD ,TOTAL LEACHING AREA .0 7O'P. . SQ.FT PERCOLATION RATE4ZS WV MIN/INCH LEACHING AREA PER PERCOLATION RATES5_0 SQ.FT. ivo.WATER ENCOUNTERED NUMBER OF LEACHING PITS APPROVED . . . . . . . . . . . BOARD OF HEALTH ��G ��, � ��"� �� C�+' �• DATE . . . . . S 0 7�AAGENT OR INSPECTOR OF Af4 THO S gcyc KEUEY y No.24260 !9� GIST'rHOMAS E.KELLEY CO: .o F � � ENGINEERS—SURVEYORS PETITIONER cJ +� 346 LONG POND DRIVE SOUTH YARMOUTH,MASS. 0 664 L • v L417- -0S ,� g _IA OF - --I --- p� THOAAAS yG E. KEUEY y &L 24266 O /STE�� + 1 fss�ONAL E��\ O i a Z-07- 47 g Ilk, �s"OF THOMAS yGN a E. s v KEU"40 a �-- z23. 42 _` ` G/STERN Q- -" tip SURv O t. �. •----_ .- ...........„ .„-, THOMAS E.KELLEY CO. ENGINEERS-SURVEYORS 346 LONG POND DRIVE """- ,... .,...._.......-._...., SOUTH YARMOUTH,MASS. 026" CERTIFIED PLOT PLAN LOCATION SCALE ./. )•�0. - PLAN REFERENCE l�VKJ&.w!<277. I CERTIFY THAT THE �DAT� .... ........ �S _�'��vov� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND C� AS SHOWN HEREON AND THAT IT CONFORMS TO THE �, 001A) ��/JI3 �1 /�. SETS C OUI F THE TOWN OF WHEN CONSTRUCTED. k ��1J�E/ � .Sj• DATE . PETITIONER: aZ��. �- EGISTERED LAND SUR YOR