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HomeMy WebLinkAbout0021 SEAN'S CIRCLE - Health l LJ La l-1 Y Ci tC, T /!T s M E A D No. 2-153LY UPC 12934 amead.com • Made In USA AOaQlb SUSTAINABLE FORESTRY INITIATIVE Cardfled Fipwtmuft v�wr.dprpp/Wgorp 0 CAT 10 - SEWA E PERMIT NO. �=�k-r�-rev/L L)�- INSTA LLER'S NAME i ADDRESS VE( 01fltid 19/Z03 B UILDE R OR OWNER i 1vl r Z-U U/ F DATE PERMIT I S S U E D _� (� - 79 DAT E COMPLIANCE ISSUED 7 17-7Z r U5� aG 53' C 3 � L - w No...........�......... F>cs..... ................... Th)E COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town.....................OF..............Barnsyable-----------.................... ApplirFa#inn for Uhipati al 1VOrks Totw4rnrtiaan ramit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: Lot 45 Sean's Circle, Centerville ................__..................---......-•------------------..........._..........._....--- -•..............--------•-•------........•-•-••-----•---......•---._...........................••- Location-Address or Lot No. ------------------------------------------- - - Owner Address w VE"6o2.l. '�( O'[ rE!�5.................•- - STAFaL ---......•..--------------------------- a ....-••---•-•••-•••.._...__ Installer Address Type of Building Size Lot...1.8-1-006-------Sq. feet U Dwelling—No. of Bedrooms..............3............................Expansion Attic ( ) Garbage Grinder (no) Other—Type of Building ............................ No. of persons............................ Showers — Cafeteria a' Other fixtures ................................. w Design Flow..............5.5•--••-•-..----___.__-----gallons per person per day. Total daily flow.......33Q-_---___.__-.-.----_-----.gallons. WSeptic Tank—Liquid capacitylQDQ_gallons Length....$'6." Width....1a IO"Diameter................ Depth...4.t Q tt x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..........I------- Diameter----1.Q-t........ Depth below inlet....._6 t....._... Total leaching area.__267......sq. ft. Z Other Distribution box ( X) Dosing tank ( ) '—' Percolation Test Results Performed byGap-e.._C.Od...S rmey...C.011Sta,.a.tWIt. Mate-------11/79............ �_l.a Test Pit No. I.......2......minutes per inch Depth of Test Pit....12.t........ Depth to ground water.JQ e.5......... (i Test Pit No. 2................minutes per inch Depth of Test Pit----- .............. Depth to ground water..--.....--............. •-------------------------------•-••----•-------•--•----....---••-------------------••-•••....--••--......................................................... O Description of Soil....Q..G-Q...5...W0.0d.-1.0aM4.._Q..5ml..5_...sUbs.QU. ....1...5-3_e5 roc gravel j.. x �•-5- -..5..med. oars ...aan�¢ �_.5-12-�4 Wit. - l `� s� U W ......--•--•--- --------------------prat-er._..att._.1Q=-5---------•-•......-•••••......••--•-••• -. ...... . .- •• . • -- � ti� . ........ UNature. of Repairs or Alterations—Answer when applicable----------------------------------------------- o----------- -AS�f.-�.r��...... --------•••••-- •----•-•••••-••-•-•••••••••••--•••--•----•••-•••••-••••-•••-••---•••.................••. s- TH-- AN - p Agreement: MpNAH 0 20945 The undersigned agrees to install the aforedescribed Individual Sewage Disposa s in accl ith the provisions of iITIT.L 5 of the State Sanitary Code— The undersigned further agrees R �� in 'n operation until a Certificate of Compliance has been issued by the board of health. S IOM L Signed .......:......................................................................i Application Approved B � :.. . ... ...............••-•...__ ... .2�al��PP PP Y '; Date Application Disapproved for the following reasons:................................................................................................................ -------------------------------------•••••••••-••••-•--•-•-••--•••--••-••-••-•••••------...................--•-•••--•••••••••----...•------•---•-••-------•----••-------------------------------....-•-•- Date Permit No......................................................... Issued-__7 /17_ Date 4 4� No........................ ............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town.....................O F..............BarnsVab le--------•---.._...........•---...--------- Apptiration for DiopooFai Work, (fon,3tratrtion thrutit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: -•- _Lot 45 Sean's C rell e, Centerville _.. ........ ...-- .-•-• ---•-•---••-•----•......•--------------------- - - ..._...... Location-Address or Lot No. LL.O N\Ac.�vtt�.0 ........`..............---...-•------....-•-------•-•-•------.........--••-•----•••---•-...._._..._ .....................................................•............................................ (� V ,�ti l.3 { �C`x � 1 e}�—N•r hl� �.. Address -------- ------ ............. Installer Address __ d Type of Building Size Lot. 18.,.006_:......Sq. feet U Dwelling—No. of Bedrooms.............3..............__ ..__.Expansion Attic ( ) Garbage Grinder (no) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures --------------•-----------•----•---•-•••-••... . W Design Flow............. 5.........................gallons per person per day. Total daily flow.......3.3.0............................gallons. WSeptic Tank—Liquid capacitylOO( .gallons Length._. Width---- '10!Diameter................ Depth_.. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area-__-___-•_-_-___-_.sq. ft. Seepage Pit No...........,Z....... Diameter....101........ Depth below inlet......61......... Total leaching area....2.6.7......sq. ft. Z Other-Distribution box ( X) Dosing tank ( ) '-' Percolation Test Results Performed byCA.P_8..G,0 1.3=.V.e C-0118U.tan-1iSDate....... Ah ............ aTest Pit No. I....... ......minutes per inch Depth of Test Pit....2.2!........ Depth to ground water---1 46......__. (z, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water______-.--_.-___-_..____ ----•-----------------------------------•--•-- ........._...........................................................................'................. D Description of Soil__-Q.0:n0. .WOod . ; uhsQ1 .. . s .moky gray s.-.. x U -------------- ..... * ? .... .W9.4.- -Jad-o................... W -- _---------- '-----------------Wa-tee.__at---.10..5`*.................------------------------------------------------------ ................................................ UNature 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 TITHE 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. Sie = ---•------------------------------------------------•••............--• ................................ r _ � Application Approved By..... `�^ • ...... _ Date Application Disapproved for the following reasons------------------------------------------------------------------------------------••-••---••-•-•-------••----- ..............................--....---------------------------•--------••------•---.......------......_-•-•-•--•-••......--------------------------------------------------------------------------- Date PermitNo......................................................... Issued--•-----------------------------•-•--•._....._..---•-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH %........ t:7\J.N................O. ......1� 1..ts�:7! t'............................................ TntifirFate- of Tontplionrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (W1 or Repaired ( ) by.... 2. t CZ 1 `�------ a'C N e IZ.»-------------------------- � Installer. W. at.---•- .......� .r '� l�'G C.1 L' tL' te�'T Ete-V!t_L r - -_ ----------_---- ' has been installed in accordance with the provisions of T '�� 5� Tate State Sanitary Code � c�e�cri�j in the application for Disposal Works Construction Permit No. ._..._... _-___________________11�0 dated_...___(o___ _-.G...__._./._ _............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................•-•-•...•-•--•----•----•-•-•--••--••••-••••......•••..--_. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /dG 24- No......................... FEE.................. - Disposal Workii Tonotrnr#ion amit Permission is hereby granted u- ........................................... to Construct or Repair ( ) an Individual Sewage Disposal System at No'- ..!.....__` ............ =h..3... . .. ...1-_.. - r`' ! t: 1 E ------------- as shown on the application for Disposal Works Construction P m' No.. . _O-Ited .. ±-•------ .. Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS S SOIL LOG 2*PffA3TCNff LOAM S FILL It* MAX Avi All 4"C. 1. GIST. BOX 1000 GAL 1000 • • . 1.- 24 4Q 6-3 I O'M I N GAL. PRECAST OR A SEPTIC • MIN Cc,4W, TANK • BLOCK 11, SEEPAGE w AT PIT 20' MIN. FOUNDATION I WASHED STONE ELEVATION SKETCH P E R C. R AT E SCALE 1*' - 4' TEST BY TOWN INSPECTOR BA�KHOE OPERATOR: ------- I E S T MADE ON Ar 1A Ca"v '7v'v'c /`?79 �-V.0 rr %P-0,ES �AW-V %I 7';Algr :,4-7- - f,-9 C At 4-> mC 9 411A" -1,6 e7 Inv-- j,A'0F THOMAS E. JAMES LIP N40NAHAN P, LAPSLEY v>j ho,22597 0 SS� N At -7 4- -7d AA All > i IIA Atr 10" c )COAo' 0 .0e q3,07 �x cl 77 q rjAg J�l 9 2ie4p Ta /1 I-T ELEVATION SCHEDULE PROPOSED SITE PLAN I. INV AT FOUNDATION a ez SEWAGE SYSTEM DESIGN • 2. INV INTO SEPTIC TANK IN 3 1 N V OUT OF SEPTIC TANK 4. INV. INTO DISTRIBUTION BOX SCALE S. INV OUT OF DISTRIBUTION BOX = C 6 INV. INTO SEEPAGE PIT CAPE COD SURVEY CONSULTANTS ROUTE 132 7 BOTTOM OF PIT = HYANNIS MASS.