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HomeMy WebLinkAbout0498 LINCOLN ROAD EXTENSION - Health y98' knUln Rd. end., - - a7a 9 LOCATION y �.o SEWAGE PERMIT NO. VILLAGE' 4PI(I'irs � � INSTALLER'S NAME& DRESS C4-1 BUILDER OR OWN d� DATE PERMIT ISSUED 7- DATE COMPLIANCE ISSUED off' F . Z S 0 3 s w 0 G1 W r I`� J G..��� THE COMMONWEALTH OF MASSACHUSETTS BARD , F HEALTH 6,.V.A ..............OF.... ..---.......G............ /...'.:...!-......... •............................ ApplirFativit for Di"os al Narks Tonstrnstiun rrntit Application is hereby made for a Permit to Construct ( ) or Repair ( )' an Individual Sewage Disposal Sys at: .. ....ram c C : . .. �...... .............. �.. ---�' �---........ �'-- -....... or Lot o. .... G4./J�.._ ,�.GG . .mil ...e.., ... l..l�lia 1-.. C��G'�l.G�21.t:� ----------- / Location Ad � W finer Q� / l Ad re (iYQ1�✓� a Installer Address d Type of Building Size Lot._/ .G®5q. feet U Dwelling—No. of Bedrooms............ .Expansion Attic ( ) Garbage Grinder ( ) PL4Other—T e of Building No. of persons...........2.............. Showers Cafeteria Q' Other fixtures ...................................................... Design Flow...............' __ ..................gallons per person ger cjay. Total daily � h. Septic Tank—Liquid*capacity...._._.gallons Length. ............ Width__15%n _ Diameter------.......... Depth. =._. _._.. x Disposal Trench—No. .................... Width.................... Total Length......_._...._...... Total.leaching area....................sq. ft. Seepage Pit No----/............. Diameter....../®...... Depth below inlet. ^_?w.._._. Total leaching area.;?�:?_Z.•...sq. ft. Z Other Distribution box ( ) Dosing tank ~" Percolation Test Results Performed by..._.._ �! �...... ..:+ .9................ Date.......... Test Pit No. 1__2...Z-__minutes per inch Depth of Test Pit.../2.......... Depth to ground water.--�, t1 G Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Description of Soil �� = '.. ( •---------------------------------------- ..... r ' 01 U ...........................................�3_�------..... ........--- - � -----'�12 ._,...-- _... ...-•----------------------------------. W ........................................................................................................................................................................ UNature of Repairs or Alterations—Answer when applicable................................................................................................ ----------------------------•--•---•-----------------------•---•-------..........-----•-----------------------------------------------------------------------------------------•......••....--•------•- Agreem nt undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with th pr ioi of'I f the State Sanitary Code— The un ersigned further agrees not to place the system in er . n of Complianc as b n is d by the boaNd o health. f Signed--•_... � ......... Date A pli tion Approved BY - ----•--- Date......-----•---- A, ication Disapproved for the following reasons:...................................................... -•-•-•..............•-••----•----•----------•---------------.../............---------------...---------------••-••.._........•---••-•------•-•-•-•-•••-•-••----•----••-•-••----••--•----•......-•........ Hate PermitNo.----.... .......... Issued........................................................ � ... FEs...."'"'................. THE COMMONWEALTH OF MASSACHUSETTS • BOARD OF HEALTH Appi rtahou for Disposal Works Tonstrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal. System at o Location/Ad or Lot:�10. r /. ---.. .-----•- �J1t{,may '�y`�,A,�+ '- 7?!Y �FJ:. ', °:nrir l'!''^�' / 6'" /siw',f.,��;i£j 4.d.°"C.1,....---ot%-�s�-Ja Cr3'7". S j• ./..... -/±• �1 - d3 er'e' ' ._... ... $....-_....... 7.'"!-• _...._. -Y.'• -R:.C.'. I.,+K y.._. .� ..._-__.".+r"Kyr�'yf Y�r.G`�./:- . Installer Ad ress Typ ofBuilding Size Lot.yl ._ : , �;,.Sq. feet -, Dwelling—No. of Bedrooms......_...__ Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No, of persons....__... --------------- Showers ( )'= Cafeteria ( ) Other, fixtures .......................-------------------• W Design Flow_________ __ __ ..................gallons per person per day. Total daily flow _.1-,e � ; gallons. WSeptic Tank—Liquid capacity. -o,a.gallons Length ..,._.. Width! --f/,)•- Diameter................ Depths;_- ' x Disposal Trench—No..................... Width.................... Total Length ................. Total leaching area....................sq. ft. Seepage Pit No.../--------------- Diameter.....,. ......... Depth below inlet.,''__3.____..... Total leaching area,. .-,e......sq. ft. Other bution box Dos Z Percolation r1 i Test Results ) Performed bynga k }_________________ Date........ aTest Pit No. 1 _.... .....minutes per inch Deptlf'of Test Pff Z......._... Depth to ground water._-_- 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........___.............. �•I ---- - .._ ... ............................................................................- - Description of Soil y / r -lam.. - - - -- ;�T V ._______________________________ ______ __fir_.._.:,w.-.. .���$____�e'_ .. .�i_tx] .____r19_. ;__...asyPni-------_ -_-------_------_•------•----- W ...........................................................................................................................(...----.........---........_......_......._........_......_..._..._........_. U Nature of Repairs or Alterations—Answer when applicable_-______--•----..__:............................:.............................................. --------------------------------•--------------------------•------•-•-----------------------•.......----•-------••-•-•--•-•-----------•- Agr ent he undersigned agrees to install the aforedescribed .Individual Sewage Disposal System in accordance with e r vis, ns of the State Sanitary Code— The undersigned further agrees not to place the system in o do un ert' to of Compliance,.ks en iss ed by the b rd of health. ( .-- A ication Approved B � 1011 Date PPlication Disapproved for the following reasons:............................................................................................................... ...............................••----••-----------------•-•------•---•-••-•------••-•--..._._...-------••--------------.....-----•••--•••---•••------•••--•---------=-•----•----------•----•---------•- Date Permit No ........ - - -�. .--^ --------• Issued................. ...•-•................ -•------- ~Date �,�Ifi".�..'"" CYa + �iw � ��y� +� +�?-�.+- ��'«�s.w"'ar4� ,�,{�"s '`^.Y i"tif"°'�� �;`r'* � / S' �•�.+wF THE COMMONWEALTH OF MASSACHUSETTS j . I BOARD OF. HEALTH ..............OF....... . r`.,f,Y ��•�` r'� :........................... Tntift-rttte of Tonkplianrr THIS IS TO CERTIFY. That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-------------- .................... •-----. --..... ------ ...----....------ -- . ...-------------------------- InstAller at.......... ! `t 9 .. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Cod a describe the application for Disposal Works Construction Permit No............. ._.&�_d..__ dated- ------------------------*------ }THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL UNC 10N SATISFACTORY. .._ Inspector._...._.. DA3'E.............. [, 5 -� =' - THE COMMONWEALTH OF MASSACHUSETTS VA, BOARD OF HEALTH No.. FEE... ...--••-.......... Permission is hereby granted............*.40--4�-----...........-•--�---.........................---------------------------------------........................... to Construct ( ) or .Repair ( ) an Individual Sewage Disposal System atNo....... t - ` ------•--_.�'.....��...:....-..._.: ------------Z- --•------•--------•------------- .4....................... Street97 as shown on thec� litcation for Disposal Works Constructign Permit No"'" _. Dated__.:_._: ................................... •-•-- --_.. ......- •--• -- ------ ------ ��.�� Board of Health DATE._ f r.. ..FORM 1285 A. M. SU LKIN,,INC, BOSTOI�`4,_ 14 .+--IE- 111 N INC. Agahk R O SEM E Ada& now] Box 757, East Dennis, Massachusetts 02641 (617) 385-2831 January 16, 1986 n Mr. John Kelly Barnstable Health Departm nt Barnstable Town Hall Hyannis, MA 02660 RE: INSTALLATION OF SEPTIC SYSTEM LOT 39/40 LINCOLN RO D 'EXTENTION FILE #1-487 Dear John: This is to certify that I have compared the installers "as built" sketch of the subj ct system . I find that, although the septic tank and distribution box are several feet to the right of the proposed locations, the leach area location is as proposed and the system appears to meet the Title V regulations. It should be noted that I was not asked to inspect the construction until after it have been installed, then inspected by a Health Age t and backfilled. However, since neither water nor unsuitable material were encountered in the test hole, I see nothing :requiring special attention in the construction. Please advise this office_ if inspections and certifications are going to be required n future projects so that I might note it on the site plans to avoid future confusion. Sincerely, Craig R. Short, PE CRS:p � t r ENGINEERING• SURVEYING•DESIGNING• BUILDING I Lo L--07 47 04 3A"5 t 1J ?�f C 1-7 5bo t + i< �L�. l i 354.o to t L OT1440, Z� P� (�C� MIML)PA fit!rLOQI 62 � Ta ' �(Lo�iT >�t O QF AU �?tMDAA. 60 Q AAAN H O LS CGO R TO SXT.EiN 9 O Ft Nt544 GiZAVE AW• 2 /o +kl(TIAo-f ONS. ;70 T of r-lrQtSN _GRA0S 1. OVER L.EAG,H AR_£A_ PEA 4TONE IrT ���FfzM ST r PR V Lo N t%i l�l LEFNr ) It�IFtt,1'iZAT1i kA s 1� 4�C v!tRo.0 6' nAirt• z,,MiN IL Mr►.!• Pt. OA ►c�►�T t2 AA" 100 4C� 5GN•AO NCO v`�T L 1 ni€ _ PrTCH x 1 td'M�N. t4"' ��FO� /4' FOoT " �'%.otA. \4-7 � � . �♦r' 75 ` .2� LER�i.� wAs E© L�1-159Z _ _ STOtJ.�rGALLON Q�tNttJ �i ► T 3F?1 AL.V. �7. S ! Gp�PAGt TY 7� 1 4 DcA, t?VC. 5.3 EFA AQ >Jv. NVERT 5 E PT t G TAN.K ►r1v'6RT PIPE i I WATERTIG it'ol70� Q OGAR GAO E GQWC)SR - 2o'nntr.l . 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