HomeMy WebLinkAbout0021 SEAN'S CIRCLE - Health l LJ La l-1 Y Ci tC,
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No. 2-153LY
UPC 12934
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SUSTAINABLE
FORESTRY
INITIATIVE
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0 CAT 10 - SEWA E PERMIT NO.
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INSTA LLER'S NAME i ADDRESS
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B UILDE R OR OWNER
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DATE PERMIT I S S U E D _� (� - 79
DAT E COMPLIANCE ISSUED 7 17-7Z
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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
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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
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THOMAS
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JAMES
LIP N40NAHAN
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LAPSLEY v>j
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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.