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Home My WebLink About0010 GOFF TERRACE - Health (2) 1�f ;jw� gem CAeo+., t�1 c � � l Lm ASSESSORS MAP 10: D PARCEL NO: '^ ^� No. ..._.. ............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiun for 11ispuiiai Works Tunu#rur on famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ........1a.. aE .. ------------------------ ------- -------------------------- ---------- ----....... r Loc Ade '�..... _..... ---. _ ...:. ..es .......................... `�........... ---•--•-- Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.................3......................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g ---------------------------• P ( ) — Cafeteria Otherfixtures ............................................................ ----------------------------------------------------------------------- ( ) 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 ( ) Percolation Test Results Performed by.......................................................................... Date--------------...--------------------... a ,.a Test Pit No. 1................minutes per inch Depth of Test Pit---.--.............. Depth to ground water........................ G Test Pit No. 2................minutes per inch Depth of.Test Pit--.................. Depth to ground water....................---. a -------------------------------------------------------------------•-----------------....---•---------...................................................... 0 Description of Soil........................................................................................................................................=.............................. x w U Nature of Repairs or Alterations—AnsweA when ;�*icable--.-. -- ��_._.....� ..j..................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code-The undersigned further agrees not to place the system in operation until a Certificate of Compl' rice s b the board of health. Signed --------- - .................................... - - ---c----- ---.--_- ....................................... Dace ApplicationApproved By ------------ -------- --- ----- --- ---- ---------------- .....-----.......----------...---------------- .------.-------- ----- .�.�. --..---- Dare Application Disapproved for the following reasons- ----------- -- -- ---- ---------------------------------------------- ----------------------------------------------------- --------------------------------------- --------------------...............-------...--------...-------------------------------------- -------------- ---------------- Da.e PermitNo. � ,' ----------------------------- Issued ------------------------ ....................................... Dare _ I Q '3/' No,.. -�. Fps..... . .. .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Bi-ovoo al Mirkii (film xnrtiun Vantit Application is hereby made for a Permit to Construct ( ) or Repair ( "°) an Individual Sewage Disposal System at: ........1� ...... - P �---<------------------------- \�`t\ � Ad ess _ `h.J . O ner Ad es� a _ ....................... :.�(`�10 cry,cry Installer ................ Address UType of Building Size Lot___________________________Sq. feet Dwelling—No. of Bedrooms_______--'.__......3______________________Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Building ______________ No. of ersons______________________....__ Showers YP g -------------- P ( ) — Cafeteria ( ) Other 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. I................minutes per inch Depth of Test Pit............_....... Depth to ground water........................ f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x -----------------------------------------------............................................................................................................. 0 Description of Soil........................................................................................................................................................................ W U -•-----•------•---------------------------------•-------------•--------------------•-----------------------------------.......................................-...................................... W x --------------------------------------------------------------- ..........................---........................................................................................................... U Nature of Repairs or Alterations—Answ when Nicable._._-`QQ�Q �`____._._ Q .__j_____________________ . - ' .. ------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compl�.nces ene-d_by the board of health. Signed .....-..--------.-... -.__� ................. ...........................................-.. ..------- Dace ApplicationApproved By --------------------------------------------------------------------------------------_----------- .-....... :. . - Date Application Disapproved for the following reasons: !...................................................---- -- ------------------ ---------------------........................... i//\--Permit No. ..-..... .- Issued 0 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Te>rtiftrate of C ompltanve IS I T0.GF� IFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by----- ------------- ..... ---------.............---.............- ..�..- Installer ---------- ---..........................-------.........-..............--.................-......... at ......./.b........ ........ ....` - ........................ �. 3 r.-.- .......A has been installed In accordance with the provisions of TITLE 5 o State E onmental Co �as d ibecl in the application for Disposal Works Construction Permit No. ................. . .. .. .......... dated ----- --- ..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO STR� D AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 1 ,I �l £ ............... _ Inspector ........ ...` f -- 1 '------- THE COMMONWEALTH OF MASSACHUSETTS -BOARD OF HEALTH TOWN OF BARNSTABLE D �' IFEE.__ ................... i 1 n�4s- nno#rudion rrntit Permission is hereby grante�K ........................................................... to Construc or Re, r ( ) an Individ al Se�eta e D'�pbsal System f � ^ j � at No. - - .41�1W .........�` 9................Z7 --------------• �?--j---' I---- . Street �,a_ �EL as shown on the application fo Disposal Works Construction Perrfiit o ! _Dated_. ...�1 c Board of I ealt. DATE.................... / •-- •-------------------- FORM 36508 HOBBS&WARREN,INC..PUBLISHERS N .1/.77 No... � Fps................. , THE COMMONWEALTH OF MASSACHUSETTS af� � 0� BOAR® OF HEALTH ��` ROGER a- PAU L ,� �t o MICVNIEVVICZ ' - d��f�/I ............OF......��!a �/'9 �........................... O No.30420 CIVI Appliratiou for Disposal Works Tonstrnrtion Vprrmit � �� ( � Application is hereby made for a Permit to Construct (�or Repair ( ) an Individual Sewa >isp' System at: j tE�Ac --------------------------------------------------- Location-Address or Lot No. ...................... ...entz/.' ..... --------- -----7A---- .............. Owner Address W Installer i Address U Type of Building Size Lot..��1.7�� .Sq. feet Dwelling—No. of Bedrooms............3-------------------------Expansion Attic ( ) Garbage Grinder (ND) WOther—Type of Building ____________________________ No. of persons................_............ Showers ( ) — Cafeteria ( ) A4 Other fixtures .................................. W Design Flow.............. ' ........gallons per person per day. Total daily flow.............. ...............gallons. WSeptic Tank—Liquid"capacity//LO.gallons Length__6 Width..4-`/V" Diameter................ xDisposal Trench—No..................... Width.................... Total Length-------.%..........Total leaching area....................sq. ft. Seepage Pit No--------/----------- Diameter-----16......... Depth below inlet_24�767._.. Total leaching Area...�7_ _sq. ft. Z Other Distribution box (>() Dosing tank ( ) Percolation Test Results Performed te........................................ ,aal Test Pit No. 1-----Z-----minutes per inch Depth of Test Pit...../Z...___.. Depth to ground water------------------------ Ii, Test Pit No. 2................minutes per inch Depth of Test Pit-----lQ......... Depth to ground water------------------------ --••----•--•••-••-----------•--•--•--•-•---•-- .............................................................................................................. _ O Description of Soil-• ...... --/... -e,P, av..........�-'3'._-,T�-'`z ,'Y', f �Gv � e�t .. 'b G®.4/� �" si4-.Y�.'e-0 `� lT-- � �� fir/ S ey�-f?-�---G�.l�% V -•••...------..�.... ------•--••••••• •--•••• ••------ .0.. W __ 'rtZ. `�_7cir ��- "=•2_�� y s�c�sar� Z5"_B'• os `' �'�`'` -r.� ��s U Nature of Repairs or AQterations— nswer when applicable................................................................................................ _ -•--------------------------•-----------=------------------•---------------------------•-------------------------------.---------------............................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in tion u Certificate of Compliance has been issued bybcyththe board of health. igned...~-�% v •--------•-------- - ---------�-- ................................ Date pp ication Approved By..... ----------------------- .. ..---• ..� _ _k....--- Date Application Disapproved for the following reasons-------------------------------------------------------•---------------------------------------------------.----- -•..................•••--------••-------•-••-•--•----••----------•-•••----•------........---••-------•------•••----------•------------•-•---•---•--------•------•------.......•-----------•----.......-- Date PermitNo.------.e-_ -Z�_2 7---•-------------••-.-•. Issued....................................................... Date No— if. Fps......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE�ALTH ram' /---, OF......&t?110r!VW7*ai�! -------------------------------- o ROGER AUL �^ Srd �' ICHNIEWICZ Appliration for Uiipniial Works Tomitrurtion rrntt , rao.aoaao c 1 Application is hereby made for-a Permit to Construct (�or Repair ( ) an Individual S a' System at: =..,�.....�k-41z �.. . - --------------------------------------- ......--------------- . -__-_------_..____= Location-Address or Lot No. 1 z3 ! +'J►f_ - . i:l '......... ......�•`�-... _..cS! ......1..�I;X5r5�'•GdG!1.: Owner Address a ........ -----•--. - i Installe: - .•sw Address Type of Building " Size Lot_____��_.,j�__�_�__e _Sq. feet t-, Dwelling—No. of Bedrooms____________it_________________________Expansion Attic ( ) Garbage Grinder (M) Other—T e of Building No. of ersons____________________________ Showers a YP g -••-•----••---------------•• P ( ) — Cafeteria ( ) dOther fixtures --------------------------------------------------------•-------------•--------••--•--•------------- W Design Flow............. ......gallons per person per day. Total daily flow______________�O.__________._..gallons. WSeptic Tank—Liquid-capacity/*4104lgallons Length__&�,90' Width_.4_e'?10."' Diameter________________ Depth___57r'_k�� x Disposal Trench—No_ ..................... Width.................... Total Length-------------------- Total leaching area.....................sq. ft. 3 .A40!______ Depth below inlet___�i_-_�:�°__. Total leaching area___��''_�'_`.sq. ft. Seepage Pit No________e__________ Diameter_____ ' Z Other Distribution box ()() Dosing tank ( ) a Percolation Test Results Performed by.__ r __ ..... ,Sw�_4te________________________________________ Test Pit No. 1.:__: ^"_.___minutes per inch Depth of Test Pit_____1Z....... Depth to ground water.____'""...'"'""°""__. 44 Test Pit No. 2.....__.........minutes per inch Depth of Test Pit_____ _________ Depth to ground water_______------------------------ •�;••---------------- •--�;....:•••••.-•••-•••••-•--•••••-••-•.-•••-•-•-•.......__._._.._........................................ Description of Soil Q—/ !> .1:;4 l • '�' � � _.__ G "c`+ !4 '> y!t!!---a.,*4..__'r�iYP_ W ��` "�,e O.Rf''_7eSa. . ��__ '•�rtti 6!_e�Ncs�SG •� �• "i '�.r "?` ew � i 'A/t? G .4vE 7, ��6.,t.3 J U Nature of Repairs or Alterations— we when applicable__________ ___ ______ ______________________________________________ _________ _________ •-•••--••••--•-----•••--••--------••-•---•-- -•-••••--•--•----••••-•-•-----------•-••••-••-•-•-•---••-••••••--••------••------•-----••--•---------••----•------ ...................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with .the provisions of T1TILZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in tion unW a Certificate of Compliance has been issued by the board of health. ................................ o ication Approved By••-- � 1 Date Application Disapproved for the following reasons:---------••-----•--•----•-•--------•----•-----------•--••-------•--------------•--------••••••••---••••••----•-- ••••••••-•••-•••••-••-••-•••-•••••••-•-•••...•--•••-----•••••-•--•---•-••-•-•-•----•••----••-•••--•-•••-•-••••••••-•••••-•-••------•---••••-•---•••----•-•••---•--•-----•••----•-------...-•-•-•--•-.... Date PermitNo............. -----•-----------• .Issued_...------•----•---Date---------------••-••-•-•--••-••-••-- v ►-�--=l--� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - ..........................................OF..................................................................................... Tatifiratr of Tuntplianrr jz THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-•••-----•----••-••-------•-----•----------•-•--•-•------•-•-----------------••••••--•--•-----------------------•-•-----•-•----------- ------------•-•- Z __--------- Installer at-•••••••••-•-••--•--•-••••--•-------•--••-•••-•-••. x / - ---- w has be isstaie' ' anc��v3itii the r v " . ^� --------•------------- p � >x he State Samtary Code as described in the application for Disposa orks Construction Permit No----------------------------------------- dated......4_......................................... " THE ISSUANCE OF THIS CERTIFICATE SHALa4T'BV TRUED AS A 9(BJ2i�IA11ECI J(T THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................. (' - 4 . Inspector.............. ......................................................... -1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH a,�.....OF.................. z`vl' ,;___...-.-......--......---_.. No............. °"f� 27. �/ FEE.--••---•••••-••••••-_•- Disposal Fore T.1nitr ion �lirrutit Permissionis hereby granted.................... = --------------------------------------------•........................................................... to Construct or}fie air an Individual Sewage Disposal System atNo. --------------------•---____--------------------------- as shown on the pa plic tion for Dis Works Construction Permit No.__________r�__':,/ 'Pd_:________. .... Board of IY'eafth` p !y DATE E t r--•----t.riAA_!!l... .........._- 4l r i x ; `.FORM 1255 HOBBS & WARRENJINC., PUBLISHERS JIhS}.,, •i. -7- ------------ 7_1 SOIL TEST PIT ,-DATA: . vm1NDI1CATES INIDWATES SEPTIC TANK DETAIL- REVISIONS: -Y=- OBSERVED DISTRIBUTION BOX DETAIL: LEACHING PIT DETAIL. PERC. _T_ NOT TO SCALE NOT TO SCALE TEST GROUNDWATER NOT TO SCALE NO. DAT E NOTES, 1. SEPTIC TANK SHALL BE STEEL 4. INLET AND OUTLET TEES TO BE CAST IRON OR OF OUTLE1 S. MANHOLE COVER LOAM 8 SEED REINFORCED CONCRETE. SCHEDC 40 PVC, TEES TO BE CENTERED UNDER NO. BROUGHT TO FINISH GRADE- OR PAVEMENT TP- TP TIP 4 F 2. SEPTIC TANK TO WITHSTAND H-10 LOADING MANHOLE COVER. NOTES- HFUTTI-WTI III U ( tililP lift III it 11( ( 11 � EL. 97, F GRD. EL. F;;71 C9 GRD. EL. GRD. EL. UNLESS UNDER PAVEMENT, DRIVES OR I. DIST BOX TO WITHSTAND H.-IO LOADING 2 M IN.OF 1/8" W. EL._;�7,4 W. EL. GW. EL. GW. EL. TRAVELED WAYS.WHEREIN M-20 LOADING UNLESS UNDER PAVEMENT, DRIVES OR TO 1/2" T� to e - ;�_ 12"MIN. SHALL'APPLY. _j PRECAST TRAVELED WAYS WHEREIN H-20 LOADING WASHED :Z� STONE F�<d 4.40',-11 SHALL APPLY. 3. ALL PIPE CONNECTIONS AND CONCRETE MANHOLE COVER I DIST 1 0. AIDE I I I`_1 .-- ... 'a��eo;tml, CONSTRUCTION TO BE WATERTIGHT. BROUGHT TO FINISH sit BOX 2. PROVIDE INLET TEE OR BAFFLE WHERE SLOPE OF �fto %"� INLET PIPE EXCEEDS 0.08 FT./FT OR IN PVC INLET PIPE- 0 1__1 c= cm C3 13 ce A� -b,&_ 93 9= C=3 C-1 CM C3 0 tb NOTE: COV 3. FIRST TWO FEET OF PIPE OUT OF DIST (cj1,_fV 7n) GENERAL NOTES: PUMPED SYSTEM. LEACHING PIT TO 12"MIN. L 9 ER x c=1 cm m b BOX TO BE LAID LEVEL. 0. WITHSTAND H-10 LOADING vlv; PLAN VIEW w ra Im co E= r a - . 1. THIS PLAN IS FOR DESIGN AND REMOVEABLE-, A PRECAST UNLESSUNDER CONSTRUCTION OF THE SEWAGE �NORMAL Y!ATER LEVEL 0?' PAVEMENT,DRIVE OR s, _j rV t COVER w 3/4"TO 1-1/2" ta I= cm E-3 = C= C3 0 (3 TRAVELED WAY WHEREIN DISPOSAL FACILITY ONLY. > U L LEACHING PIT H-20 LOADING SHALL 2- ALL CONSTRUCTION METHOD AND' S WASHED =7 cm C= m =3 0 APPLY. PROVIDE Uj MATERIALS SHALL CONFORM TO MASS. STONE LET TEE ines) D.E.O.E. TITLE 5 AND. LOCAL BOARD 13 C3 1:3 M Mi C3 C3 0 WATERT HT U. > PRECAS JO INTS(typ) OF HEALTH REGULATIONS. 7- 7- 4'-0"MIN. OUTLET-/ '.' D * , P, �q z�- r SEE 0 V SEPTIC 26 IF/' LIQUID DEPTHI TEE LET NOTIE 2 1.- ��I 11.1% 1 .. 3. ALL PIPES LOCATED UNDER PAVEMENT TANK I El C3 CZ3 CZ3 C3 r3 E3 T r= /o - % - 0 OR TRAVELED WAY SHALL BE 4"OUTLET A L_ 7E c?_0, SCHEDULE 40 OR EQUAL. L L A ' DIA ----------j 6"MIN, /0 . ...... BOTTOM ON.LEVEL STABLE BASE 0�- 6 --BOTTOM ON LEVEL STABLE DI A. CROSS-SECTION PLAN VIEW CROSS-SECTION VIEW BASE CROSS-SECTION DATE:' DATE: DATE: DATE: CONSTRUCTION NOTES: INVERT ELEVATIONS: TEST BY: TEST BY: TEST BY: TEST BY: C81DH (FND) INVERT AT BUILDING WITNESSED BY, WITNESSED 8�: WITNESSED BY: WITNESSED BY: ly INVERT AT SEPTIC TANK(in) U.P ZONE RIC INVERT AT SEPTIC TANK(out) PERC. RATE:' PERC. RATE: . PERC. RATE: PERC. RATE: 4 MIN AREA 15,000 5 F MINdINCH MIN./INCH MIN./INCH MIN./INCH INVERT AT DIST. BOX(in) MIN. WIDTH /00 FT INVERT AT DIST. BOX(Out) 19;1 SErBACKS INVERT AT LEACHING PIT f,7 47 DATUM. BOTTOM OF LEACHING PIT FRONT 20 FT U.S.G.S. MAXIMUM GROUND VERTICAL DATUM: BACK /0 FT SIDE /0 FT WATER ELEVATION 4114 ' OBSERVED GROUNDWATER BENCH MARK USED: -70- ELEVATION 4//11� NOrESJ\I. h) I) PROPERTY LINES SHOWN WER,& COMPILED FROM A PLAN RECORDED IN PLAN BOOK CA C), 275 PAGE 55 AND DOES NOT REPRESENT LEGEND AN AC7 AL SURVEY I ON THE GROUND. 2) TOPOGRAPHIC SURVEY BY TRANSIT (9 19 , CATCH' BASIN B.M. STADIA: ME7H0D. ASSUMED EL.=100.00 Cj HYDRANT O.HW OVER HEAD WIRES ?2 3) DRAINAGE EASEMENT rAKEN FRom PLAN TAG BOLT 839 NCO R� L�r 62-01 BOOK 364 PAGE 38 EXIST/NG CONTOUR -977 EL, 3 C:/ C:/TOP OF H UP 104 0 UTILITY POLE L 0 T 22 ---DESIGN -CRITERIA' (FND) .08:t,�F 15,769 -FIRE HYDRANT 03620-t AC. DESIGN FLOW: 000 9 9 3 k BEDROOMS AT 11e7 G.P.B./D _:�29G-P.D. g c81DH CONCRETE BOUND WIDRIL L HOL E T P. ee- X 97 X,50 spor EL EVA TION 99�5 c� TheBSC TES T PIT I �_ "I'll. Group �7 c) A�, Tf REQUIRED SEPTIC TANK: A �IA e CE, n;,e) k" 16 -44 G A L. A� SEPTIC TANK PROVIDED: /� 000 GAL. Cape Cod Survey CID sukiints SIZE OF LEACHING FACLITY REQUIRED: f A DESK3N PERC. RATE MINJINCH 4 b 3261 Main'Strbet 5A 'A ROUte6A Bam�tabfeVilla MA Vk 02630 99 617 86�,�8133 a % P T*P2, PtRg)PESSIONAL GINEER-Cl 0L DA TE J jr, PROJECT TITLE, SIZE OF LEACHING FACLITY PROVIDED: W C. FRANK 3�47 SEWAGE DISPOSAL ' No, P�Mr4 & �Wee," :5 %ZZ711 LA- f U U . M , DESIGN P SYSTE CCESS N N PLAN OF LAND K� 5- .I i - Z_�� ON PROFESSIONAL LAND S�RVEYOR DA TF t)k 0 LOT 22 IN 00 co LOr,22A CENTERViLLE, MA LOCUS PLAN: 5938.56tS.F 0.1363 t AC, C, LOT 21 OD SHC'D PREPARED FOR: MR. Ek MRS. CLIFFORD 0, 10 LOT 21A z/0 0 DATE: 11/22/85 (b COMP/DESIGN: G.G.M./RRM. co CHECK: R.PM. PLAN VIEW DRAWN: G.G.M. ",UNDERGRO LITI S WERE COMPIL A A ILAK 0 SCALE: 1" = '2o' *n UND10 FIELD.- R.L.H./J,V.B. OF Vff *15CORDPLIA LITY SCALE: I' 2,000,:t FILE NO. A 'N �oRlt DEIS"AND iU*S1*U0-' ko'�Ake`*00040XIMOE 0 $0 DWG. NO: 1039 0 0 L 0 E- I W UN PM TR IG 4 IN L 00,o;'329 -.4 0 10 20 40 A ION `_ L 4 0 FEET SHEET, ::T CA JOB NO. 3-1678 00 1 0 F I