HomeMy WebLinkAbout0068 SEAN'S CIRCLE - Health (2)1'r 6(cje- iCaJ -
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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.