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Home My WebLink About0032 ZENO CROCKER ROAD - Health �02 ? en\o C4--Dcxt,-,(- � /rr 5 M E AD No. 2-153LY UPC 12934 smead.com • Made in USA SUSTAINABLE �R�V Cartinad Fdw$OYccb%q �-aRowaram.m►o i Nog- --- Fps. ................. APPROVED THE COMMONWEALTH OF MASSACHUSETTS nst o BOAR® OF HEALTH 0 OWN OF BARNSTABLE Appliration for Diripoonl Wi ork,i Cnowitriir#inn ramit Application is hereby made for a Permit to Construct ( ) or Repair (-n Individual Sewage Disposal ao4I stem at ---------------------------------------------- ------------------- O« r Installer Address Type of Building Size Lot............................Sq. feet ►.� Dwelling— No. of Bedrooms----------------- --- ----------------...Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building --------------------_----- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ---------------------- ------------------------------------------ Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Width...------------. Diameter................ Depth................ x Disposal Trench--No. .................... Width.................... .Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter...-..--------..---- Depth below inlet.....--............. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ W Test Pit No. 1----------------minutes per inch Depth of Test Pit...--.---------.-.-. Depth to ground water........................ fs. Test Pit No. 2................minutes per inch Depth of Test Pit...--............... Depth to ground water........................ 9 .--••----•-•-------------------•-•---••••-••••••••-------•-••••••---•-•-•---•-•••-•----.......-•-.--......................................................... O Description of Soil........................................................................................................................................................................ W V ---------- ----------- ------------- ..------------------------------------------------- •••------------------------------------------------------- . ----------- ........ .-------........ W ---------- U Nat re of Repairs or Alterations—Answer when applicable... �............. . . ...... l �-------.---------- ... <'..�----...................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed idual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental o —The undersigned further agrees not to place the system in operation until a Certificate of Compliance een issued byjife board of health. _.. Si ned ......... Dare ApplicationApproved By . ......... ....................................... ..0- ---- .--- ---- - ........-----------�........._. ........................................ Dace Application Disapproved for the following rearons: ......... ................................. .................... ......... ..... ........................ Dare ................ 1-Y '? -- -*/ - ---------- Permit No. Issued ............... .. ........................ Q70 No..! .. FR$.... ........................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH XTOWN OF BARNSTABLE , pphrativit for Uiripagn1 Warks Towitrnrtinn jJrrrait Application is hereby made for a Permit to Construct ( ) or,Repair (VI/an Individual Sewage Disposal �dA rSystern at, Locati -:\dd ris -_ r___._._ --•-•- on No. ---- . �_�_____�.f:.....3� ...r-� r�--�------ ........................................'r, .....rz; :�-Q=.-1Za!- ---�? Address /� U 'hype of Building � � �. Size Lot.................... (.._..Sq. feet � fi d •- Dwelling— No. of Bedroonis --------- - -- ----._----_-_.Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of}Building------------- �_-- No. of persons---------------_-_-------. Showers ( ) — Cafeteria ( ) d Other fixtures ...............:.. ...... _. W Design Flow.._...._._._ ................` I [ allons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid Li uid ca acitv........-...gallons'gg P 9 P` g Length---------------- Width---------------. Diameter-----...-------- Depth................ Disposal Trench--No. _..;. . W,idth.=:.'`............. Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No...-.----_-------- Diameter---------- Deptli/telow inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.....H..._..... .... Date.................................. 04 Test Pit No. 1................minutes per inch Depth of Test Pit-................... Depth to ground water........................ 44 Test Pit No. 2................minute�per'inch Depth of Test Pit----................ Depth to ground water........................ a ............-..............................................•.......................................................-......................................... ODescription of Soil........................-...............•............................................................................................................................... x U .......... ---------------------------- :_.. ----------------•--------.----...------------------------------------------------•-------------.-........_. U Nat re of Repairs or Alterations—Answer when applicable..-,,...:?...... �/X/-�✓�`�..._.�1��> �/ ------.�a.................... v :/. ' i .--.....-•--•----••---------------•-•------...............---•--•---.................-------•-•--.........------...----•----.._.................--...................... Agreement: The undersigned agrees to install the aforedescribed jiid�idual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental,Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ,asIbeen issued by board of health. y �� n Signed .. ..........� r'°"t—�•...t- r....f`"..�................ u� ---...... .. .........�..... ,l Dace ApplicationApproved By ... ,...................... ................. /-- n -----------------------... ._....................... ................. .................... Application Disapproved for the following reasons: /......_.......... ... ................................................... ......gte.................. ............. ✓..... '[ 2................. .................... .......................................*............................................................_..................-------.---------------- ----.. ................. Permit No. ..............�_�l...��-- ---------... Issued .......'.. ,//4. 9` ............... f ( l bate / 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance w Disposal System constructed or Repaired ( THI .,�15 TO.CERTIFY, That the Individual Sewage spo y ( ) p ( ) .._.r_ r..._...f�.�.. .5...... .................. <' ... ...................... ........ raher at .2 ......_...Z. ea�..�-'.... -�/1�c��.e.. �1/ ... �? •p�'1�.a/l r. ..... ................. ............... .......... has been installed in accordance with the provisions of TITI,E 5 of The Staae Environmental Code as described in the application for Disposal Works Construction Permit No. _-- ..�'."'. .r�. ..... dated . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT 139 CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............_........7 ......` ............. Inspector -----rl �--------------...--------..........._----------........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 3�, No..........-••---•---_.... _ FEE-3 Divttl IV, rksii T.nn tradianrrnti# Permission is hereby granted------- 94Y1 ----- to Construct ( ) or Repair ( n Indiv ,lual Sewage Disposal System at No.-••--------�------ :.��a��• C /..svGf..Qs...% - - 1 f �_. sheet as shown on the application for Disposal Works Construction Permmit No�-!��(._-.- Dated....--(--1-/"L-�� r� I� L, Board of Health DATE / / , �-7----LL7--��-------------------•-----------------•--- FORM 36508 H088S 6 WARREN.INC..PUBLISHERS TOWN OF,BARNSTABLE LOCATION (D32ENO CROCKER- ROAD SEWAGE # & i VILLAGE C E N T ER V I L L E ASSESSOR'S MAP & LOT 7 INSTALLER'S NAME & PHONE NdLLIS BROTHERS CONST . CO . 362-623 �4 &a37 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) 14 0 0 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER PU BUILDER Okf OWNER ts��,c F- Or M®tj- DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: y f��,~ - t--/ VARIANCE GRANTED: Yes No Ll ZdMo Cacucea— RO Ll t f GQ f�. No... ...................`I THE COMMONWEALTH OF MASSACHUSEETTS BOARD 0?'7TH o�............. .'................ ��'. _. .. `� %fix l� 4 ........................................... I � e Appliration for Uhipasal Works Tonstrurtion Famit Application is hereby made for a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. .....(Z1-----I...-A-----" .Al...kA-�: ........................... Owne � Installer Address Type of Building Size Lot.1t7, I ,�1-0-_------Sq. feet Dwelling—No. of Bedrooms............ .......................:...Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures -------------------------------•---------------- w DesignFlow........._ .. gallons � �®'�,,1'..�..............-j....-g Per person per day. Total daily flow------------•-•--•---------------•----•-----gallons. WSeptic Tank—Liquid capacity.��_.gallons . Length...ei. V. Width................ Diameter................ Depth................ x Disposal Trench—N . .................... Width.................... Total Length............. Total leaching area............_.......sq. ft. Seepage Pit No......... ........... Diameter....... ..... Depth below inlet 3,..(p......... Total leaching area..y'.1.40).sq. ft. Z Other Distribution box ( Dosl ank 4, ) a Percolation Test Results Performed by_.�1�!_ { �L�... .._. �_.� ,......... Date........�Cl l�-/._ ,?. '" Test Pit No. 1................minutes per inch Depth of Te t Pit....)2........... Depth to ground water...:...r......___.___. G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O ff y-� Description of Soil � v ` ��5 �� _ r.J...... .'._ I ,f��i.. x Z-------M.D-Q..M•-- w UNature of Repairs or Alterations—Answer when applicable...................... ...................................................................... ----------------------------•--••--•--------------•----------------------------------••-•------.....---------•----------------------------------------•------------•--•-------------....-----•-•-•-•--- Agreement: The undersigned agrees to install the aforedes ribed Indivi lal Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary od — T e u rsi ed further agrees not to place the system in operation until a Certificate of Compliance has b d th oa health. tgned: ... .... App icati n Approved By..................... . �-z-f3 - Date Application Disapproved for the follow g reasons-------------------------------------•-----------------------------------------------------------•----•........•. Date PermitNo......................................................... Issued-....................................................... Date s -T- - -- r .�a ;,-L0CAT1 SEWAGE PERMIT N0. PILLAGE \INSTALLER'S NAME A ADDRESS H/C/<-s-G a U I L D E R OR OWNER se kLO cj DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 3 _�� ,.. ;. i �o� �� 6 f' � / 31 � � �� ►.f .` No................_....... Fim............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® Off` w_- H _ ....................oF............... e .. \.2. J SI A fit_C ApVtiration for Disposal Work, Cfonstrnrtion Famit Application is hereby made for a Permit to Construct ( � or Repair ( ) an Individual Sewage Disposal System at: -Location-Address or Lot No O ner . ....----•-• ................................•---•---_..... Installer Address } UType of Building Size Lot--- ......Sq. feet Dwelling—No. of Bedrooms......_._._.........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures ..----•--•---- Desi Flow.--• . y a r� w Design �`�._/__..••-------_.._•_._g gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity._.W.gallons Length....? Width................ Diameter.-.____----___.. Depth................ x Disposal Trench—N .---------•---------. Width.................... Total Length............... Total leaching area............ ft. Seepage Pit No.___.__...�.._.____. Diameter._.... p (.� r 4.D.. _�._.__ De th below inlet__. ,___ ........ Total leaching area_____ _____ ___ _sq. ft. Z Other Distribution box ( Dosin t nk ( ) `-' Percolation Test Results Performed by. Date......... C?_�. G?. 1_4 Test Pit No. 1................minutes per inch Depth of Test Pit-----!;.?.........._ Depth to ground water_.__..r__ ....._.._. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ••---•---•--........... ' ----------- Description of Soil................ ._�.. •--•••-• r�-t--- ----`-"--�--------- '?7.-- .�i Q ..'..C"'... Z. x7D w lam.. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The, i>ndersigned agrees to install the aforedes ibed Individ al Sewage Disposal System in accordance with the provisions of T I T Li, 5 of;the State Sanitary r d — The unsi d further agrees not to place the system in operation until a Certificate of Compliance has be ' id b the oar health. Signed••---•-• ....... Da e Appication Approved By.................................................................................................. ....................... D ate Application Disapproved for the following reasons:.................•---------•------•--------------•-•----------•---•-------------- Date PermitNo--------------------------------------------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD/1 -OF HEALTH Teriifir atr of Tampliattrr THIS I TO CERTIFY, Thaw.he Individual Sewage Disposal System constructed ( Wor Repaired ( ) by....... l- Y: ,' ...... !.. :d_ �� ` °---------------------------------------------•----....----------- .. //�`� , nst Iler has been^installed in accordance with the provisions of TIME 5 of The State Sanitary Code as described in the applicatioh for Disposal Works Construction Permit No........ ....... '1 _...___. dated----------- --. .__=z_._-. ....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU RANTEE THAT THE SYSTEM IAIILL FUNCTION SATISFACTORY. i` r � o DATE..................- -._.�a.:....-••-_-••-•--------•--------------•-----... Inspector.:. _�✓�!�%........ ...-- --•---...... .:.....--•--------._...--- THE COMMONWEALTH OF MASSACHUSETTS BOAR F HEALTH ...........................................OF....:/;' 1.':��. � .........:........................: FEE.......`. � Tonstrurtion Vrrutit Permission is,hereby granted.......... --- 1C 2 e:. ...!'--._f��_'_r.!!„ T-------------•-----••-----..........----.....................:_:: to Construct ;( / e air. ( , ) an ndividual ewa isposal Syst at No. � ... ....... -- - z Street as shown on the application for Disposal Works Construction Permit N .. j_- 3. Dated.........................'"._. .. .................................0-01��. Board of Health _DATE ..............., ...... ......................••----•---•---- ,�, FORM 1255 HOBBS & WARREN. INC., PUBLISHERS Tel_ AR ` SITE PLAN SHEE r i of 2 SCALE: / = ZO' IlZ . 00 loco "Al- ,A�000 i 5 I x-q I I eKF t5L2 h�hTIG 1"ArJ1� + � o ; FU N o -77 fit„ �L� 54,a N 17 Imo, 14` f aI N IIZ , oa 14i t ti (Yk lu C� G ti I u OF M. �vILLI 14No � v��wrOsc N REGISTERED LAND SURVEYOR FOR- ZONE G N Tr--e— I L.L,.1�- NA f PLAN .REF. DATE .1;1/) V/elS BENCH MARK DATUM 4 h % J kA C-, P WM. M. WARWICK 8 ASSOC. , INC. DOMESTIC WATER SOURCE-- Tom ti w'A,T ram. BOX 80/ - NORTH FAL MOUTH FLOOD ZONE. N a ti J - MASS. 02556 - (6/7) 563 -2638 ix _ LEACHING BASIN SECTION NOT TO SCALE shed z a f Z 24"C./MH COVER EARTH FILL BRICK AND MORTAR COURSES'AS REO'D• TO BRING COVER TO GRADE 4+ B' FLOW LINE INLET L _ __ ___; 2' y+ TO%" WASHED PEASTONE FREE•OF IRONS, PIPE FINES AND DUST IN PLACE rr�11 :•','d�'/.'. ' OPENING WITH 4%g" J•y•• • ' 3 FINES AND OUST N ASEPLACEE FREE OF OUTER DIAMETERIRONS, AND 1314++INS/DE ; 0/AMETEK I. CONCRETE TO BE 4000 PSI 28 DAYS .•' ZZ 2. REINFORCED WITH 6"x6" NO..6 GA. W.W.M. _ 3. 2'AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS 4'0" 6 0 I 3/—� 4. NUMBER OF PITS REQUIRED ,7AJ MIN. EFFECTIVE DIAMETER —{ NOTE: EXCAVATE TO ELEVATION.4D.D OR (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL WATER TABLE - LOAM AND CLAY BENEATH PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN TYPICAL PROF/LE GRAVEL TO DESIGNED GRADE. lB+STD LT. WGT. C./.MH COVER s3 0 •y a.0 5 .� 4'+C.I.P/PE 4"-'r FIBER PIPE OUTLET LEVEL DWELLING _ FLOW_LINE TIGHT JOINT TO FIRST JOINT --.:--4-. ,--.-;t Y � O OO Y l0C l4 11 0�O 0 1 1 I. TEE `-`�-- 11 1 0 0 0 STD. PRECAST CONC. D/ST. BOX TO BE 1000 00 1 1 1 1 IQOOGAL.SEPTIC TANK. INSTALLED ON LEVEL, 6D 1 1 1 000 00 0 1 1 1 g .r.•:'. :: :•'. STABLE BASE 1 1 i goo 0.0 6,1 1 �SEPTIC TANK To BE 1 1 I 0 0 0 0 0 1 1 1 INSTALLED ON LEVEL l 11 1001 0 0 1 1 STABLE BASE. 1 1 1 0 0 0 O O I 1 I11100GOIt11 ` LEACHING BASIN i 11100100 0 1 „ I BASE TO BE LEVEL 1 1 1 1 0 p 0 0 1 1 , , SOIL AND PERC. DATA PERC. RATE �' MIN. /IN. O�� TEST PIT N0. P�1l7o OIL TEST PIT N0. 2 TEST BY : 3 To d'• /5 Li e o I L M till SAL) A!J p WITNESSED. BY: 71 6+�-�v�L TEST PIT GR. EL. 2 .fl M I✓171 u hA DATE: 1 a IZ1 hANJl7 No �„Izovr�Jt�uJ�.fit� DESIGN DATA GENERAL NOTES BEDROOMS NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. DISPOSAL SEPTIC TANK., DIST. BOX AN LEACHING BASINS TO BE STANDARD EST. TOTAL DAILY EFFL�t3`5GPD. PRECAST REINFORCED CONCRETE UNITS. SEPTIC TANK I SOD GAL. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN 'ACCORDANCE Zy TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, SIDEWALL AREA GAL./SQ.FT. MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF BOTTOM AREA 'I GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY 1 , 1.977. LEACHING REQUIRED 7-O9 SQ.FT. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ACTUAL LEACHING AREA OF HEALTH. SQ.FT. AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES 1/41 / FT. UNLESS INDICATED OTHERWISE. SEWQ GE DISPOSAL SYSTEM o MARTR4 �`.•.'' 1 �� „ FOR•_. L 1=C3�t,� �Io�LO�,CJs MORAN H . LQZ' �j33 vZiti;J.i o GoG IG�� iz-b. N234I7�,ly , �c0 f iG�� ° G- NT` 1z�l I LL� f &A'N. SCALE AS INOICATED DATE WM. M. WARWICK 8 ASSOC., I NC- 80X 80/ - NORTH FAL MOUTH PROFESSIONAL ENGINEER MASS.. 02556 - (6/7) 563 -26.38 • i