Loading...
HomeMy WebLinkAbout0008 JIB WAY - Health -- - H",annis A: 247 188 r e �1 (4 1 o i I 1 I, c c �t ° li ° r o t TOWN OF B STABLE �L LOCATION SEWAGE # 1)0 q' �a.° VILLAGE U ter/ ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY / -;520 LEACHING FACILITY: (type) (size) �;L NO.OF BEDROOMS o BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Leh Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by U4 G rA N u® TOWN OF BARNSTABLE LOCATION �{�� GU,4 ti SEWAGE # VILLAGE •�/ti ,�,J;s ASSESSOR'S MAP & LOT IIJSTALLER'S NAME 6i PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) O (size) NO. OF BEDROOMS —3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED'- DATE COMPLIANCE ISSUED: VARIANCE-G� , TED• Yes No O ` � '� f0o— .. � �1 .' i ' •,a. ... F` Y / Up —Q? � S U No. Fee 3 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE L MASSACHUSETTS 0(pplication for Migaaf *pgtern Cougtructiou Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parc l7-/0T u -T:' . 7 1QS/ytQr1 &hee,' Installer's Name,Address,and.Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size1 _sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow ?0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank %,5 OD 6ti I&A f Type of S.A.S. U 11AA r Z F Description of Sod, Nature of Repairs or Alterations(Answer when applicable) Date last.inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmen 1' de and not to place the system in operation until a Certifi- cate of Compliance has been issued by thi B2pr of He Signed Date O Application Approved by Date Application Disapproved for thY following reasons Permit No. 2 ooq—a- 9 Date Issued 0 Ll r No. 1 ;,:,.., 1.. • Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓i/ •� Yes r '• PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEi MASSACHUSETTS - 01ppYication for Migpoal bpeum Con!6truction Permit Application for a Permit to Construct( . )Repair( )Upgrade"( )Abandon( ) O Complete System O Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel a7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Rod v}e� �tl,c2 �-050�4/ Gov Type of Building: Dwelling No.of Bedrooms Lot Sizesq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow C) gallons per day. Calculated daily flow ?y gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 Type of S.A.S. VU rr A, r 6f f Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmen Cede and not to place the system in operation until a Certifi- cate of Compliance has been issued by this,B6"ard lofHe Signed , .---- Date dc/ Application Approved by Date 111a4lo Application Disapproved for the following reasons Permit No. 7(Loy-6Q 9 Date Issued I Q _:...--------.—.---_--------.-----.-----.— -- ----.------ _ . THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired W)Upgraded( ) Abandoned b at 116 1 has been constructed i accordance with the provisions of Tide 5 and a for Disposal System Construction Permit No. A 00 Oa' dated Installer Designer The issuance f this permit shall not be construed as a guarantee that the system wil. function/as designed. Date 2 . ► Inspector �..I No. '?Q J _ b? Fee S / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE, MASSACHUSETTS Miqu al *p2;tem Con0truction Permit Permission is hereby gran d to Construct( )Repair( )Upgrade( )Abandon( ) System located at w a 1, and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of s p t Date: a ( U Approved by` nI 1 I1 n 1 ` yJ �P_ t - owa m V�— ; F �- s. p f • - 'r►_ -sue o` w. ' . a ..._ •N . CD mob o A y its ti rn • b = . Zi - ' Flit/./c•GCdd2 51-. 35.6¢ 'TEST RESUL TS 5"�5WA6,E: SYs'TC-M . pRo rl:L E . 4" Et. 33.40 d /NI sf�' &R_.,4PC- MIA/_ sG©hE Of'.' 2 �jo j j! Z �„M�4X. _ - LOANJ 3 9" '� ` W/RooT.S S R / . d , „ ¢Z" MIAI,P)X/8R C-A5F(jRC I tiI V, 29.70 3 G" MAX• a •�-=-r— ScN..4D :Pvc r. ¢. scH. qo Pvc � SA/v1sY 7,5Yf 8/ 2 OVER OF ,. 2. SsToNE � G DAM 'o INV. !NV•.. �a,r. '4„ 1N INV, ., NY: . .�_ .� .,� 3l.22 30.75" M/N. b.SD ., 3� ,� �r 5 3�.03 �9._SG 9- r2 L.+� 1 /g- 1/Z f� B OASNA. 2 c to :,.. �� ...� 3Do �..chi�tM$ IZ'5 2 F. .UcP7.11 a °N 27,70 COARSE C/SE l5`ad SAL. f';2Gr95 ' S�p7"/C � 7• ---- "�10 ' TANK WITH 1Au_eTfr)uTLG7 Tee- s 5.7' � C /DYh' C_0 STRUC7E-D PC-R 3/�s.G'N1R• 15'.227 SO/�-:5 xlBt±�"1 PT`IC>h0.. Ys7'�Ii� 1N 15'70 - 6iPOU/V4 W47 59 /YOT ONC0[/N7'El+,6Z • • . Sp/.cS TEST 1�A?E � /- .5' D¢ .,C AL UATO,C: ✓ONN .d 0YGC "W sM D ss -oNE z'�" E,M4V,470,1 AW CE NICALLIS7&1r 10' 5006. 500�. - , A5RC. A,4TE t Z M/nl./lNC lV �HA1�B�R L"NAA�1gE�, �• . ' to, •1�El� 2''7 Ic-4 jl sT'oN.Ea Sa/4 S 7�X724R. 4 CLAss:OAI - sc. �Et; in. S/7'E AM/d S:!: A.G E PLAN • �, ,5'cl�,�{�E 5'YS'7'�M D�SI�N CALCUL.�4TIoN.� L `�Q� - PREPAl�El� /FOR 1. -bE S-1 GN DAILY l=''L.-OWN 3 B�.nRoDMs X llo GPb = 330 �P.D 7ziP of MW/< 'V2 i 2 .04 , 1/VD /CA C/•14e C O Z. k6-4?U11ZE-b ABSORPTION AAC-A J3 o GPD , 0,74 G sF DAY = �4-� s•! l I P.e'OPD.S�.d �W.9GE s-ySTEM [/PGRA T�E °',, �� p•� p9RGE!. /l/4. /88 39 c3' - 3 J� � TWO&) 500 G, ,L. LEACH CHAMBOAS wl?H 4' of �X/.5T/NG 3 g�dR'4aM �WEZG !NG �Y.0 B• y /O� 8.1/.•'S. 4 R= /20`,pp� 1�V.9509,D S?bNC- ATEN.bS� ANZ 2''7" OF tNA,514El� ��`� q `,,'' ?P• � � - s''Z`oNE CIV S1bEs. 8 cJ/B W�1 y qP/ a� , �; ; • CIO- 4 ,985oRPTION AREA PROVISION: /t/yA/v/y/s MA . 8D7 TAM A � = /D' x Z9' = 29D s• Sc,9�E-!"=Zo ' ,..IANU�9A Y T, 200 -t O/ f r "+ _ _ s�'AL¢ /N FEET V x 2 Ise s'.F. -TO•Ti�L- .4RE.4 4 4 G,.. s,F, o, Zo. 4.01 •./. hoY1.e •45soc, TEL : .SaB 5G 3 • /9914 p.D• t3ox ,5'9S W+ `WZ MD U Th'•MA • 0 2 5 10 �j�` �9� /•5'0!3 GAG ftpcl? i \\ a+..�Q. APT/C ?'ANk �tN OF s\ YnWAM � JOHIN r,tEarRMAN �^ �( V No.3358J fSSIOHa. tAP su T T 'f- • 1,9�F�l STE`��pQ- y PINE'� S it 4 ` 1 � � , ._ 9a�i�� '� '•,, •. !0� s`. �/AN� gi �� d��� J�tP •pGd z �p�C� i I �`'� ,� /o•` Pub S >� I T ' 0 yE,g cH RD, CxisT c�SPoo� 7o BE PuMPEr� .q cI� FiGLc� Wt?N -5'19 oR ,�EMovEp.