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HomeMy WebLinkAbout0048 MADDAKET LANE - Health (2) � i90 �aa (ta � i77) No.. `' F��...... �............ Y ' THE COMMONWEALTH OF MASS/?#-_HWSQ0TTS' BOARD OF HEALTH .............OWN... -- .OF...BARNSTABLE......................... ......................... ApV1trtt �� -for U ��u�tt1 Works na �tr� rtion Pgrunt VX Application is hereby*made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal 1..1�ystem at Maddaktet Lane Lot 3 i - .. '�......................A =�•__-_-._._........_...__ ..._•___•-____-......_............._.........._.....--...-_.....-- Loc ion•Address or Lot No. -------•..................... .......•:---------...---•-----...........--- ----.............................................. - = Owner Address .............. ............................................ ........._.......---•-------------------•-- Installer Address 15 279 Type o Buildm Size Lot---- ----,--------- feet Dwelling—No. of Bedrooms________________________3.__..___...._..._Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 0.i Other fixtures .--•--------••----•------•--•- -- W Design Flow----------------/1_0-----------------gallons per person ?er day. Total daily flow.............................................gallons. WSeptic Tank—Liquid capacityl0R0--gallons Length$.....6 Width. _'.-.1.O."Diameter---------------- Deptli.5 —4" x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area-------------------- sq. ft. Seepage Pit No--------1---------- Diameter.l0'-0."._ Depth bel wj- let5 Total leaching area.252---------sq. ft. Z Other Distribution box ( X) Dosing tare, Percolation Test Results Performed b Capp---Cod Survey_ Consultan.t�te June 29 , 1977 none a Y Test Pit No. 1____2_---------minutes per inch Depth of "Pest Pit ._12...._..___ Depth,tp ground water...... f14 Test Pit.No. 2..... ..........minutes per inch Depth of Test Pit-------------------- Depth to ground wate �tl_OF_A9��� �+ --••-------------------------------------------•--------------------•--••....-----•-------------•---........................... 9 O Description of soil------------0.�.-8.0 coarse. sand & grave-1.................... �N x RENWI(,K--.-. G v -------------------------------------------0 '--12-.0 ----clean---coarse sand g e. m �HhiFIVIAN '' ----------•------------------- ----------------------------•----•--•-----•-•----••--•--•--•--------------•-----------------•--------•-------------•.--------••-- - NII:�9fi5$ U Nature of Repairs or Alterations—Answer when applicable......................................................... ...... ------------------------------------ ---- -------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal/ ys em in accor ance w• i the provisions of Article \I of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b ssued�jbyQthe board of th. Signed--=-,-i�=`-- --�-------•-----•..............•---•--•---.._..-------....----•-•--••-- Date Application Approved BY ..��-n .----��/�.>a_t�/�_?�-------_----•-•--- Date Application Disapproved for the following reasons:---- ..............................................................................:......... ------------------------------------•--------•-------•------•-----------•-----•-----------------•--------------------•----•------------ •----••-:••--:---------------------•---------------------•-- / Date PermitNo.......................................................... Issued----f/P•-I-......................................... Date —__—---------------------------------------- --------------------------- _ �7 No......................... F>cs........� ............... THE COMMONWEALTH OF MASSAC;.HUSE7:TS BOARD OF HEALTH TO' ..........OF.....BARNSTABLE Appliration -for Uiipoott1 Works Tonitrurtion Vrrutit Application is hereby made for a Permit to Construct ( 8) or Repair ( ) an Individual Sewage Disposal System at: Madd et Lame Lot 3 -- ----•;. ..................... . ................•------- -....---••••-----•------••----•------•-•-----•-•'-••••._...•-•----••-----------•-----------•-•--- Loc ton-Addre or Lot No. ` - --------- .............................. ---------•.-----•----•--•--•----------.....---------••-------....--•••-•••--••--••--••-•-•----•--- Owner Address W Installer Address UType of Building Size Lot....ls.t.21?.......Sq. feet �-t Dwelling—No. of Bedrooms.........................3----_-----..._..Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------- -- Design Flow................. 4.a................gallons per person per day. Total daily flow-----------------330 __ Mons. WSeptic Tank—Liquid capacityl�---.gallons Length-.?.. -6` Width....'". --sO biameter................ Depth.- 1.-.4.1-1. x Disposal Trench—No. .................... Width-------------------- Total Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No...................... Diameter_-_©�-"Q.te. Depth below inlet_ �.:: '1//- Total leaching area_-------sq. ft. Z Other Distribution box ( Dosin tank ( ) L�r' ��� � - Percolation Test Results Performed baPe.-.Cody.._-Surveil Congult:ant�te �3U21E' �� , Z477 aY--------. .l•---•. a Test Pit No. 1...._....._.._.minutes per inch Depth of "Pest Pit..... 2�------- Depth to ground water.._nOne f14 Test Pit No. 2_-.--_--___.•...minutes per inch Depth of Test Pit.................... Depth to ground water..._-----.. .._.......... Ix -------•---•-------------------------------------•-----•--------•................................................................ O Description of Soil-------------0 '-M8.0•-1 - coarse sand.& gravel �`�P��N-��Ass� v 8.0'a12- J ' �Iea i co rsea sand---------------------------------------------- _ _--RENWICK- cyN --CHAPMA' m ------- -------------------- ---------------------------------•---------------...-------•--------------------- -a U Nature of Repairs or Alterations—Answer when applicable................................................. ....... ... " N N A 1$ 276 {v Agreement: F The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in ac I 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 h, th. 'Y�Igned.. D ...--- Date ----- ------ Application\Approved BY = - ------ Date Application Disapproved for the following reasons-..........................- ----•-•• .-- .--........-•-•--........--------------•-------•---••....._......-- .............••--•---------••---•-•-•-----............---------••----•.•---------•-••--•-•......•-•-•-•--............---•-•-----•----.................---•----------------------....••----•---------•-••- Date PermitNo.....................................••-••-------------- Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........`1................................OF............/... .. .... % r!�Wit..:- ................................. �rrtif iratr of fallinphanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( l or Repaired ( ) by...._.. --------- at... r -------------------------- q = ... ns a er 'l� �c I�t II cam`' � � /.�.� r (l - -•--'---••--•----- U has been installed in accordance with the provisions of AvfiC�IZ�})XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.. .---_._._Q�............. dated...._7—. .. , THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE----- � `--- 7_7.------. Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD OF 5EALTH 71 /............... ...... r -� OF........... -- .....- ......... /_ v tJ ........• D js - . .................... FEE ` ----�o-�-�Ctr.�ttr�tt�o$t �rrntit Permission is hereby ranted_..:-- --.o._--... ^-'�-s/�^-�� , to Constru (� or Rep`ir ( Indivi a Sew e Di Sy hem �� r at -�� � -2�� -• •--------4 � ---- �'`�,1 . r Street as shown on the application for Disposal Works Constructioas shown on the application for Disposal Works Construction Per it No.--,-.._--li-__... 1 ted.----7- .Y.-:7.7-•..-•- --------••••........................—.. Board of Health j DATE---��6. .�'...�� / FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS bf Som.—Los •\Xh ll>L Yi\Vn,vti- A[•eri,ie...c.4 Jew i�/_C 2"PEASTONE LOAM d FILL 12" ° - Box -I°fie° ,• 00.°°I. jr MIN. 1000 II° D° e°e 1000---GAL. / 'GAL. . a° PRECAST ,OR ° ° °I q 7• 1/ STA IC 6I61, BLOCK °a ° . TANK I; ° o o SEEPAGE PIT ° u I GLc o l o 0 00 °o °9 '0000000l� �� 20' MINIMUM oo°. �° ° ` FOUNDATION I° ° J /:._ WASHED STONE _.. ELEVATIONSKETCH r' ►o' — PRIMRATIR � J SCALE: 1"= 4' TEST BY {,F W1b%lIqY /�/,�.P4+'t 6e.11oar /. . TOWN INSPECTOR: ?*�t®raq m PST A BACKHOE OPERATOR : 'Z.r4. '9sS4 TT "3 TEST MADE ON - � 129/ 77 I 3 ` 171 1-140 x 4 ' too /� f {{ {( e �� 7 2 IS �7 r ,o \ 1p /0/ r Q >� ti �. } 4a�f ` OF i>1R 40 CJICHAPMAN No. 27654' E� T E \ i TONAL EN ELEVATION SCHEDULE PROPQSED SITE PLA" 1. INV. AT FOUNDATION = ��4-.UQ all y SEWAGE, SYSTEM DESIGN 2. INV. INTO SEPTIC TANK IN c' u7 3 N)A'1> G t=T �Al V. 3. I NV., OUT OF SEPTIC TANK = � 4. IN INTO DLSTRIBUTION BOX —a-= �C3z SCALE: I"= 20' �u-IY 19 77 — 5. I NV. OUT OF DISTRIBUTION BOX C— .>' 2C7 6. INV INTO SEEPAGE PIT CAPE COD SURVEY CONSULTANTS ROUTE 132 7. BOTTOM OF ,PIT = `% 2 HYANNIS,MASS. IN A DIVISION 904YON SURVEY CONSULTANTS. INC. B. BOTTOM OF STONE LAYER • r