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HomeMy WebLinkAbout0068 SEAN'S CIRCLE - Health (2)1'r 6(cje- iCaJ - ��10 lOE-7 j 0a24 No.._ Fps... .. THE COMPOfONWEALTH-OF MASSACHUSETTS BOARD OF HEALTH 01 bS'► f d0� Town..................OF.........Barnstable ----------------- -- ......--.-.. l- ApplirFa#ioaa for Disposal Works Toga uurtion Prrmit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: (0�............�,0 . . _--CJX cla C-enteryd 11a........................................................................................... _ Location Address or Lot No. �.) MES... •- )..� = R�S ..All .................................................. ---•-•-- ........ ner Address w �E i bra 2 �►A .................... a -• --- ................................ -- Installer Address 15,969 Type of Building 3 Size Lot............................Sq t U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder k ) 1 — Other—Type of BuildingNo. of persons............................ Showers Cafeteria a Other fixtures ......................................... Design Flow............55..........................gallons per person per day. Total dail flow per Q..................gallons. 111 WSeptic Tank—Liquid capacity.10-00gallons Length____-V6__. Width..1b-•. .. Diameter................ Depth__4..6..... x Disposal Trench—No. .................... Width......:............. Total Length.................... Total leaching area....................sq. ft. > Seepage Pit No.........I......... Diameter-____-1Q-___..... Depth below inlet....6 .......... Total leaching area..2b7.......sq. ft. Z Other Distribution box (X ) Dosing tank ( ) / Percolation Test Results Performed by.Cap.e---. Qd.._$urVey.-_C.021S111te3YltPate____••_-61.11/79-.......... ,aa Test Pit No. -1....._�--------minutes per inch Depth of Test Pit.....12__._. Depth to ground water....-----none........ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 •-••--••--••-- •-•-------•-••------••••---••-•---••-•••••---•--•-•-••••......................•••......... ................................................ O Description of Soil._9..4-OA.5... 40d__lO m•,-•-0e.5.-2..0•-sub3gil,_-•2•.0-.... _,_ . rse x nd,...$_, -12,�0_-•med.. fine sand..--•-•- •---• --••-•. N �F M a ......... U �........-•..._......y ti... •------•-•••............................•-•-•-•----....------•--•----------•--•----•-•---------•----•-------•-••-•-•------------------- U Nature of Repairs or Alterations—Answer when applicable---------------------------------------------- ..-•THOMAS Agreement: No. 20945 The undersigned agrees to install the aforedescribed Individual Sewage Disposal A S& c a j 4 with the provisions of TL1 F °a p 5 of the State Sanitary Code— The undersigned further agrees t�'/ �eF�� ste in operation until a Certificate of Compliance has been issued by the board of health. fl Sig d ----.na--- -•------- Application Approved By G6 A���qq = �f/Y t / Date Application Disapproved for the following reasons:.............................................................................................................. i Date PermitNo......................................................... Issued.--- j-- ............................... - Date ?11 No.----..... .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........3own -------I....................OF.........�Raxruqtahle_.............................................. Apofiration for Diapaaal Works Tomitrurtion rnmit Application is hereby made for a .Permit to Construct (X ) or Repair an Individual Sewage Disposal System at: ..............ES ... ........................................................................................... dress or It lo. UN t� z8mlotw _bNQ_W ZTAZL_L_. ................................................................................................. .................................................................................................. Address V ETP-,(Z Installer Address 960 Type of Building Size Lot________`. ..................Sq t U 3Ise Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder P4 Other—Type of Building ............................. No. of persons.__..______._____._.___.-__- Showers Cafeteria Otherfixtures ...........................................................................-------------i............................................................... . 4 Design Flow............55..........................ga'lons.per person per day. Total daily,,"flow--_____-----t....33-0..................gallons. P4 Septic Tank—Liquid ca y-10-0-Ogalions ' Length_,.a 1-W, Width.l�i 10., ty pacit --- Diameter'---------------- Depth.1,!.6 ... Disposal Trench—No..................... Width..................... Total Length...................*Total leaching area_._____.............sq. ft. Seepage Pit No_________.I--------- Diameter-----20.!.......1,"Depth below inlet_____6 1......... 67.......sq. ft. Total leaching area..2... Z Other Distribution box (X ) Dosing tank,( Percolation Test Results Performed by._Cap�le...G.O.L.SUMV-1)y.. Date__ ____61.1.1/79........... Test Pit No. I.....2........minutes per inch Depth,-,,,bf T6i Pit..........2......... Depth to ground water.­rA0AtP........ Test Pit No. 2................minutes per inch Depth of;,Test Pit_____.._..__._______ Depth to ground water___._._.._.____________. .............................................................11............................................A""'. �i 0 Description of Soil...0-X:n0-5---V?-Q0d...IQ-am.#----- ...m,e-...(V.'­*c*...o"a,---r"s...e----------.................................... .............................................................................. -------------------------- ....................................................................................................................................................................................................... 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 TITLE 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 he4th. Sign-A... 4.................................................................... ..... ------------------ Application Approved By. 44 1 ................... .......... ---*­ !P,ate Application Disapproved for the following reasons:...................... ....................................................................... ................................................................................................................................................................................... ------------------- Permit No.._......... Issued----------- ------------------------------------------7 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -Tovjw * 0......................................... F... ..........Tuntifiratr of Tompliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by.....VEIORL.N) ...... ..............I..------........ -------------...-----..._....__...---------------- Installer at........lnw P.7-...4-_.... ........................................ -i -------------------------------------------------------------I------------------------------- has been installed in accordance with the provisions of fe)�07-•-----. The State Sanitary Co a de- ribe n the application for Disposal Works Construction Permit No .... dated_- -- --- -- - -- ---------------7..... I THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G!UAR NTEkTMAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............... ............................ Inspector...../n&'..,. ..... .... ........................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.. :. 7 ............Tow.W........ ,OF..... ............................. FEE. ........................ ti Disposal 10ork.5 Tuonotrudion "Pamit Permission ishereby'granted...... .........b.z�:nisjz_z............................................................. to Construct,(tel or Repair an Individual Sewage Disposal System at No...LQI�....tL*..aE�._ ...(ZARC. .................................. .......I.......................................... ....... ..................... Street as shown on the application for Disposal Works Construction Per a2i*Noll. ated.... ... .... 0V .......... ..... ...................... of Health Board DATE.__... -_-__�- 7-� .............................................................. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS t SOIL LOG l 2, ►EA'J70NE IOAY S FILL 12'YAx hpOj ,.ear,.'fin.^'z""'.. r��'`• 4"C.I: DIS1 I,�, •� ° • 0 1 ± 7�r cp R5E " raa 1000 BOX I,.o••; I000 GQL. ` • i s a IO'MIN. GAL. je PRECAST OR n.o °F- 24" n��o 'SEPTIC • •• MIN eras nco • �• ' ., •� .BLOCK ` � • , .•I TANK 6' I�'• SEEPAGE .' • ' , ai // °� o • �i No t I;.• 8� PIT 6T� Imo: .o . i •.° ` 20' MIN.. ••••�• - I*. `w••I • m- ' FOUNDATION ��• I „ Y e i /2 WASHED STONE ELEVATION SKETCH �-- 10' -- = PERC. RATE.=r�r�s�rz �►'��;l� c SCALE 1"= 4' TEST BY - AA(& �+1YZ rZ&6'- TOWN INSPECTOR: /�aA _; BACKHOE OPERATOR; TEST MADE ON G !/ t .LAMES P. LAPSLEY N No.=97 • F`QISTSF'� i suK��' , • " • , • - �,..«+a.w,�^M"w„ :.w+e'w+wWM'�','.`svwA4eW+M• ' .. �/ •+'"' .•ems 4 ' 4,ref.SlrNer �n � y.a ef7 _ I � THOMASE. MONAHAN No.20945 V� � Ago �'E�1 r '�IDNut AL E�G y Cony. FQ/.' t '• �•« _ Top,FQN, `o t I.y Job a / 9 60 9 to 104*0 I I 4 JWWW lay - —N7�-/3 - 3 W .._ •I.PL. z. a �.ali o¢4 .'��:_.�G�........a. .�� -- A1.7.. �c ��jY��.... _.... ..... .► .... BOG I(D9' '_ ._.. — •.._..► ..... - -ti... X,6Z_ ors)CrY, cRrre�/A, . A.ST/M19T,E; [?qI�.Y t�L.DtAt { b 3'aAokoom X/lD' OAA,'fA�9'Yf J30 C`,Ak/13hf�'" MAX- /VAA0WAI3;,E , Da1��Y_ A�8w FoR Tkis �y 6m �0, )e 'Q,p.pI.or - 474 IarP.0. Tel -44 z47 .s.c S�9 1 *.PDe 3,) TowAl Wit,r q%1A1 A13k4 t= ELEVATION SCHEDULE PROPOSED SITE PLAN 9 •, I. INV• AT FOUNDATION tot. z SEWAGE SYSTEM DESIGN 2. I N V. INTO SEPTIC. TANK _ - IN 3. INV OtJT OF SEPTIC TANK C4-IV7-jE �'1A� ,Z- /If A 515. k 4. INV. INTO DISTRIBUTION BOX _ /Q� S ' t • . e SCALES 1°: Z.D` /►t.��I9?� 5. INV. OUT OF DISTRIBUTION BOX = hy,4d C 749-2,. 6, INV. INTO SEEPAGE PIT i01.30 CAPE COD SURVEY CONSULTANTS ROUTE 132 7. BOTTOM OF 'PIT = ��' HYANNIS ,MASS.