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HomeMy WebLinkAbout0025 ISLAND AVENUE - Health 25 ISLAND AVENUE Hyannis A = 265 — 030 1 e 114S 7 A LLER'S NAME I A D 0 R 5S 4 DATE AERi i3 A T I~ C G M Is i a A M C s'. i S S U E D �L �'8 � /� Z G u � �� �� .�,� Nb �� � � '�� � .�3 Qn 0 D 44 � �o +���� I } Nam..... D�j ~ Ab �� THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH R07' Town ....__.._."...__OF.... Barnstable '�. ........................ VVftrFafivn Saar Bi-spaaii al orkii Tomitrurtion ramit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Island Avenue H annis ort Lot No 51 -•--•--•••••-•------------•----•---- X ••-••---.P....................•----- •.........--•••--•--•-•--••-•••-•• •'- •••--••-'• - Locatio Address or Lot No. �..U.5_e_k.... s � A/Vt v.. _,t �r '...!°f�' .`...� Owner ddress In aller Address 15,000 Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...............4...........................Expansion Attic ( ) Garbage Grinder ( X) Other—Type of Building ............................ No. of persons_-_____-.___--_____________- Showers ( ) — Cafeteria ( ) Q' Other fixtures --- -•----•--•-----•---•----....•-•.......--•._.._....-----•-•••---•------••--------•-------•----•-- .... WDesign Flow.........5L5.__-_•___--_-_-__ gallons per person per day. Total daily flow............................................gallons. p y 7 5 gt _ ----- Depth_.5'-4." W Septic Tank—Liquid capacity._.._._.___.gallons Len h._l Q..._._6`�Vidth`�____-�____. Diameter__.____..__ x Disposal Trench—No..................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter-__--___10...... Depth below inlet.5•.61_'_.... Total leaching area.._..514----sq. ft. Z Other Distribution box ( ) Dosing tank ( ) +F aPercolation Test Results Performed by....J.-_-E 11 s_: !12e f•.••-- P-2 4131_.... Date------9--7-8 3................. Test Pit No. 1...........2_.minutes per inch Depth of ,Test Pit...l.Q........... Depth to ground water-. 0- fi, Test Pit No. 2............ ..minutes per inch Depth of Test Pit...5 t.6..._.... Depth to ground wate �st,Q� __F04 �gss9 O TP------------------- --ii-------------------------------------------------------;....-•--•-ii-'•-----......•--•------...._...... g E-N-- c�G Description Soil..............�1_0-5.4••--_•Med.-•••sand -fill- 54___-7.8 loam.................. w P subsoil, 7 8"-12 0"--medium••-sand.•• •-_TP...#.2...0--4"-_•till_,__..4."-5 3"•__.•_.-•- ____WILSOrt____ W 0216 subsoi-l-,-.-53"--6...."___medium_.sand..__• � ��03..... -- �v UNature of Repairs or Alterations—Answer when applicable................................... •------__ ___-__--_ -_---_---_ 9osG�STE S N Agreement: ��., yf The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iIT?:;. y g g p y 5 of the State Sanitary Code—The undersigned further agrees not to Lace the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...... _. - •---••...•-••--- Application Approved By....... . . ....... :......... ............................... ..... .... ate Application Disapproved for the following reasons------------------••---•---•------•---------------------•--------••------------•------•-•---•----------•••••-••- ..............••-----•--•----•---'-•----•---•-------••----------'•--•-•---•------------------•---------------•-••---••----••-----••---------•------------------•-------- ............................... Date PermitNo......................................................... Issued ....................................................... Date .. ,�:�i. •` "ter--- �q ) No�"...' FEE............:: ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `•.......Town ....................OF..........Barnstable Appliration for Ditipviial Works Tumitrurtinn Prrutit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at Isl.and. ..,Avenue - Hyannispo. rt Lot No.....51 ......._•.. _.........-•--•• •-- ....................•----. ....:....�..... ....... •------- ....... s._......: -i Locatio -Address or Lot Us IL, W Owner dress Address 15000 .---------Y�... ---------------•-------- -----------------------......--------_--•- :--------•- ------._...r.... Q Type of uildng Size Lot______ _ _________ __...Sq. feet Dwelling—No. of Bedrooms.............................................Expansion Attic ( ) Garbage Grinder ( X) Other—T e of Building a YP g •--•-•-•-------•------,=r,•--- No. of persons____________________________ Showers ( ) — Cafeteria ( ) Otherfixtures =.--•-------•--------•----•------••-----•----•••------•-------------------.-•--•----•••- 660 W Design Flow..........5.5.................. gallons per person per day. Total daily flow.._.........._.__......_.......__.........._gallons WSeptic Tank—Liquid capacity_�_5_�gallons Length___ �_�.'o��%'dth 5...:' �_`,. Diameter •-----•-----.. Depth------•--_4,� x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.........1Y.... Depth below inlet... .... Total leaching area......514_...sq. ft. z Other Distribution box ( ) Dosing tank ( ). Percolation Test Results 2 Performed by.._.,7. . E111s-�(1Re �O#P-2413) Date..__..9.':�."83................ ,.; Test Pit No. 1................minutes per inch Depth of Test Pit....- __.......___. Depth to ground water........................ GLI Test Pit No. 2............2.minutesper inch Depth of Test Pit.___5.��..._.___ Depth to ground water--- . AOF_. ---- ------------------------------------------•------------••------- --------------------- ---------Description of Soil...._TP_.#1 Q-54." Pled. sand fill, 54"-78" loam X subsoil, 78"-120" med�.um sand. TP .i2 Q 4'� fill, 4"-53�� ��' subsoil' S3"-67" medium sand. ' . c >xt«`N - •- --- :- ................................. �s...... H U Nature of Repairs or Alterations—Answer when applicable---------------------------------------------------------------- No.;39216�4 Agreement: A The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in i the provisions of TITIE 5 of the State Sanitary Code— The undersigned further agrees not to p ce t system in operation until a Certificate of Compliance has been issued by the board of health. J-If 14 ................... --•--- •-••------,---• -- -----•-----•-•-- ----- Application Approved By............. ••--- � - � tr ��J��" ° �� .................... - �YYC• Date Application Disapproved for the following reasons----------- ..................................................................................................... -•-------------------------••------•-------------------------------------•-------•--------------------.....---------------------- --------------------------------------------------•--•-•--------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................I.........OF %Trrtifirtttr of Tontsi$iattu THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by---------- - ............... ----------•------- •-•• ------------ (- 'I -. - � at...............................................................................................:. ............ has been installed in accordance with the provisions of mI ..• Hof The State Sanitary C ep as (j ibed in the / application for Disposal Works Construction Permit No.__.__.... V....._...J.: dated_...-._-___-."_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FU CTION SATISFACTORY. DATE............... �..�.� g .._..... -..... Inspector-------- ` ,-•----- -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 'Y G... ...........................................OF•............---........... ........................................................ No..' .................... FEE........................ Dispoo t1 Varks Tunitr ion rrutit Permissionjshereby granted------------------- -------------------------------•-----••----•---••--•----•--•---------•-•--•------•----------••••----............._--•••- to ConMt ( )--gr._7.2 ai IndiyiOuaJ.Sew e Dispnsal System atNo..................................-•--------••----------••........ ='.............................................�--r�i` G,r •-------------4- ' Street r.. 9 C r 1611j3 as shown on the application for Disposal Works Construction Permlt,,,l\T.O._— __,.,_.._ .__ Dated.......................................... --------------•--- -----------------------------------------------------•------- / sa DATE Board of Health 1 j I �------------------------------- FORM 1255 YOBBS & WARREN, INC., PUBLISHERS w .. 12 ar•.,,ac,.,.... :,...:,rrxr.raav+axsaauu. -.uv.>,.a.a!x^x-:ierw. r -:,. xcaa. .. P- �4 13 HEViz:oIONS: A TEST PIT D DATE � rEST(NG . _ : E C. TEST DA TA e EPTI C T�'NK DE'T IL : s1ZE- _=- _ __— DIST. BC DE TA IL LEACHINGFACILITY E ' �� ' �.a t?,4TE I i-, _ TEST BY _- `-' _ To CDN�ORM TO rirL£5 RF_OL!/REMENT . _ __.. �_.._ TANK O CONFORM O , . c.E 5 ..EOUIREMENT. , T �` . '. - WITNESSED 8Y, " �", ` OF TEST/NG� _..����' �i9, r r . r r� � �' s r NO. OF OUrl-ETS , E1. jC�. " • ram. _—}-- _ WITNE,SS'ED BY: r RFMOVEAOLE COVER `MA E 8ROU6HT TO a o.'ev.,.1d d,tte'T}r 0 �_ / _ _ - + + / k ' 'b "t b i a _, --..°-�-,- _•.. A ar. 'lia, _r CyLL/.. /40°MA AJ AJTJy LEAR -CEAn OUTLET PIPES --- ..._.......... A.. g.ter ,5 MIN. P�M/N M'Y: " ' A5 DfP! TEST _ REl3U1R£D ( { RATI _ �' S .�,Mr/°+�? .L°'' 2._ , w�_ `` /O'M/N, jj ' � " ~ �'•. g ; I -- ---- - — —__ /NtET TEE ; OUTLET TEE ^ZI i BOX - GAL.. 1 ��°r I .� f1fe� / OUTL ET TEE DEPTH: /r . . INLE r AND OUTLET 4'On MINIM . SFPT/C TANK i C, r iv y rEES TO BE CAST L I GU/D DEPT I/ �.i 14 Ar L IOUID DEPTH OF 4` � ;' {n �„ G t, / � � �•, !r?ElLt7Ck' y� __ IRON, SCHEO.40 19 5' / •. CON T !^. , DEP rH OF rES r• r4-PIT ------ STR CT/CkV i �` PVC. OR CAST 1y �� 'el £''�„ 6n t' � ...� i i y _ 29 PLACE CONCRETE �rL AW.. CO - rn i f. •:, .- cON� _, 3q' „ �' BOTTOM ON LEVEL STABLE"BASE i4 • • i ! RATE, /._ 1 lr R ✓- .r N ) _(WATER IGHT',' ! ' -- — - INLET TEE PROVIDED WHERE 5LC1J C i OF INL ET PIPE EXCEEDS 0.08 % OR F'OUNOAT/0N I �','.r. -• •_'z.___�_ _ ---;► TANK 710 BEABL£ TO WITHSTAND 4 a `8o T Tom—OF TA.h"h ON LEVEL STABLE A45E H-'/0 LOADING UNLESS UNDER /N A PUMPED SYSTEM. 20, PA 1'EMEN r OR/N DRI VE,H-?0 — s # L O AD/NG UNDER PAVEMEN r OR i I DRIVE _ 'p_.__ __ f i sT�"S ,l INVENT EL, • TIONS� -- PLAN Vf,E' WA I, i'HIS PLAN IS FOR THE DESIGN AND CONSTRUCTION OF THE SEWAGE- DISPOSAL FACILITY ONLY. SCALE : I "-h�C) • .r r INV. AT BUILDING L L CONSTRUCT/ON METHODS AND MATERIALS SHALL C73NFOR!!�! TO , INV AT SEPTIC TArb *PASS. D.E.O.E. TITLE 5 AND THE___..1j,4_T`W % . = H BOARD OF - INV AfSEPTIC TANK - _ -{ HEAL TH REGUL A TIONS_ 111 -•�- y WA .;(,rail ai.� ........ u - INV. A T D/ST. 8f1X(IdGrl,' / T I;r`.• «-J' --... r ✓,a INV A DIST. BO/S (OG< -a -4 Sr"' '=."'hL� s.:6A' .f-Y iF a✓F,/f'v' rf?'�" Wx7�.L. ,` _:`.�'' v M>'w'�s''�;*"!•f;.'% r� f,"';{,e '.+..��S,,r F.-...1�'./`,i"'/",{`e` A. .. � ` �. " - .. A T LEACHING FAG/ : ; BOSTON, MASS. WORCESTER, Ar BOTroM oFPIr: .. ...,��:�. HALIFAX, MASS. NORWELL, M MA BEDFORD, MASS. LEXINGTON, H YANNIS, MAYS. MANSFIELD,C RA T4N R.I. DERBY,N.H•" O _ "r`..- ' •".",.,w. "'.'e.. '"�,.. "* ...:. © �'`Y�0` `" ,may �i.C1 t .... �•ta�.. : is n 9 .h'` `} - y •''a C"S:S.''7'Ikirri�"� , `"" f. 'g._ .r+"• , '" ... X .\ ��,� T,�`'- .,,,, R ,i l rr�; DESIGN FLOW oc75 4.5; � •' � ',,"ma�yy � � { �• �.� � r i'Li;n.�.r_._' r , � ,], �D. • VAN 5 "` -- , REOUIRED SEPTIC N y0 GAL. s,. ., , N '� �' 'u � j r- ' �•' SEPTIC TANK PROVIDED = A-5-Co GAL, APE D SURVEY REQUIRED SIZE LEACHING FACILITY., ON ULT•ANT° n --- - — 4, r, 5 •, ? .• L) .r I — _ -- -___ ___ ____.�__— HYANNIS, MASS. 02601 � -- f -- — 617 775 -7155 -- }F, IMI. z / i DIVISION OF I a f BOSTON SURVEY CONSULTANTS INC. SIZE 4F LEACHING FACILITYPROVIDED EdVGINEERN�G « SU.RVEYING « PLANNING t ' _ TYPE OF SYSTEM TITLE: .71 &-7 44 5- / SEWAGE DISPOSAL SYSTEM Rc`VI Do a* P�T x DESIGN 7" LOCUS Rl AN: ° FOR. 4)R, P.4�'.Sf c./ ` ,,.1 st�txv l SCALE: -AS SHOWN in`?X zyCtdS \ ' METERS • ��'P �! �v FEET p��i' DATE: A/OX 18 I783 COMP.IDESIGN: f",',F,th ,Q. P rr?. ,' --.•... -` .` CHECK: C. F. W. , :`i �?y?`",. s.ems. w. nA Tu '° DRAWN: T• ,N.C, P z4/V�f Pr-1 13,1077. /vflicEl' FIELD: r-?,E;G, --- 3, R -}.�' , , //Y • , ."V ;�V h,r'Z"} t L. i d.;� FILE NC?; DWG. NO: .f JOB NO: C- SHEET: i OF: