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HomeMy WebLinkAbout0272 MITCHELL'S WAY - Health r�ll tcheI`F-s'§ -zy 'A=290-060 ASSESSORS MAP No.. z 3 a aOELNO.: ��� � A G E PE R l�I � Q. V t l L Are E '—� � ; 2- -AA �Lc-Is uj 0-1 i�y em vt i s � _ NAB -[� ADDRESS BUILDERgi _ _ AT E ;iI.APLI A MCE ISSUED k.ak. s� ,� -� � e O W ��� � l - v . ' No_.2.f?..—_.;..s FEB... G THE COMMONWEALTH OF MASSACHUSETTS ,tea /�' BOARD OF HEAL—T, H O /..� !V... ..........OF.......:....... ! /��! ..�..�..1.. LC.............. ApplirFa#ion for Uhipaottl Works Tontrur#ion rrrani# Application is hereby made for a Permit to Construct k) or Repair ( ) an Individual Sewage Disposal System at N. 1_ l-t. 4:�:.....•---•••-��-�---•.............. �. 7-5----- .....2.. - ..... Locatio dress - •-��� - - or Lot No. Owner ................................. ^ Address Installer Address Type of Building Size Lot...21._ P�Q_..Sq. feet aDwelling—No. of Bedrooms..........3..............................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building :.......................... No: of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures -------•---.... •-••-•....•.... -- . . ...... .............. W Design Flow........65...........................gallons per person per day. Total daily flow............ _ .................gallon s. WSeptic Tank—Liquid capacitylO.490galIons Length._.',.._.. Width....l- ..... Diameter................ Depth..... ...... x Disposal Trench—No. ...=__/............ Width..../0......... Total Length...... Total leaching area3713t•4•, ,GAD Seepage Pit No.... ......... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (yQ Dosing tank Percolation Test Results Performed by.... N. ___.. Date_._`�.-.9'_. ......... Test Pit No. l... Z....minutes per inch Depth of Test Pit.14'j-N_.._... Depth.to ground water. E....... Lt, Test Pit No. 2...C.Z...minutes per inch Depth of Test Depth to ground water.t.-I. ....._.__ a ................................................................................................... ODescription of Soil ....._....t -----------------------------------------------•------.-------- ------ --•-------•---........------.-_.. W ----••---------•-----------------•------..: ----------- -.--------------- •------------------------------------------------------ ------------------------------- •-------- .... ---------- ....... x --------------------------==-----•---- ---------------------------------------------•----------------------•-----------------.----------------------- 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 iITi U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in opera ' until a Certificate Compliance has been issued by the board of th. +fowing d.. D /pplication Approved By...... -•••--• ••••........................ ......... Qp 1� G • DatB Application Disapproved for easons-------------------------•--.....----•-------------------------------._....---•-•----....._..D. •--•••••-•-- .................•--••---........----•--••----....-----------............------------...........--=-•----.......---------------...---------•-----------------------------------------........•---•••-•--- Date PermitNo......................................................... Issued-.....................................................-- Date air No.......2' p Fss. - ..........._............ _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF~-HEAL.TH_._ )�1 �. ..�`..:. Dl Tr9 PLC :.. . Apli iration f it `liopoottl Works Tonotrur#tun "rrntit Application is hereby made for a Permit to Construct (YI) or Repair ( ) an Individual Sewage Disposal System at: \ .................... ................ .. '.75 �. ----- Locatio dress or Lot No. Owner Address 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 ( ) Other fixtures ......................................... Design Flow_..__._..5 ____________________________gallons per person per day. Total daily flow............3_a.©....___.__..___._gallons. W Septic Tank—Liquid capacity&aOgallons Length__._ __ Width--- -`.._.. Diameter................ Depth...... '._-- x Disposal Trench—No. ......1............ Width....A2......... Total Length_____z ..'.__. Total leaching area_� �PD 3 Seepage Pit No.___ .__-__.__. Diameter_____________________ Depth below inlet................ Total leaching area___.._.._:____.?sq. ft. Z Other Distribution box (yQ Dosing tank ( ) Percolation Test Results Performed by.... r W...` _.tJ l .�?__. _ _._... Date___.U.7.47..05 Test Pit No. L_ .____minutes per inch Depth- of Test Pit__!` ".___ Depth to ground water_.. ___,_-. Gr4 Test Pit No. 2...ig_2-:...minutes per inch Depth of Test Pit_.144 `'___. Depth to ground water.111.�'(____._. O : -----------------------------•--•--•-•-••--•----••--•••----.......•-•---.....••••---••-•-------••---.......................................................... Description of Soil............: ��'__________._t = V ...:..........................................•-....._..-•..............••--•--•••--••--•••----=--•---••---------•--•-••-----•-•------------•---•------------••------._._....'..•---•••--•---••--•_•--••- W 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 T I T U S of the State Sanitary Code—The undersigned further agrees not to place the system in opera • until a Certificated Compliance has been issued by the board of 1 th. Signed- �"' - ...-------•--•- -- '!ligation Approved B ... Da PP PP Y... ---•--- Datt Application Disapproved for the f o wing reasons:•------------------------•---•-•----•---•-------------------•---------------.-•..------------•-•...- - ...............................................•......................................................................................................................................................... Date PermitNo......................................................... Issued-................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... T ertif iratr of f amplinure THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed NA or Repaired ( ) by......................................................................................... -'-`�x3q* ``.t,?. .t.ava.........................=................................... Installer� at ---•------`-_.------•-•--------•--- .1.......... .......... ------ -------------�`(YliJ--t................................... has been installed ,i'n accordance with the provisions of TITLE; j of The 9tate Sanitary Code s described in the application for Disposal Works Construction Permit No---------!R4?-__Z T______________ dated..........J-_ _Q_ R-6..................... THE ISSUA,,NCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAR bITEE THAT THE SYSTEM WILL F NCTION SATISFACTORY DATE........... .�fa_ �3 Inspector...;.._ ..: - .. '�.� 14Y�.''........... COCIIN£f R tkAVS"r S,,P.4Ft._ THE COMMONWEALTH OF MASSACHUSETTS —T N q t,t 44 ro OJ �ot�stfi�c}toN„ AN9 44 BOARD OF HEALTH WJ P,Le\A4i0WS As Avjj_ - " ..............................OF................................. No...... .' �- W�t R..4v �, FEE..._. �- Disposal Works Tonotrttrtion rrrmft Permission is hereby granted -------------=-------6=lF,(2 �4--- ----• :0.0...--•--•---•--- to Construct (X) or Repair ( ) an Individual Sewage Dis osal,.System at No---------------`-------- ? #4�4 L` • ` Street :................................................. as shown on the application for Disposal,Works Construction Permit o.��F-----� 1 �ated............0_/. Q ---- JL oard of f lcal ••••- h DATE. ?)"5... -----.E?---------------......................... 4 Permit Number : ' Datr�y Completed by L HIGH GROUND-WATER LEVEL COMPUTATION -TGt eLZ ' 5 LJfl4'' IBIS Lot No. Site Location: -Mt_ Owner: Address: Contractor: Address: Notes: STEP 1 Measure depth to water table .�� JZ. D to nearest 1/10 ft . _ date STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: • f111�1 Z3o , A) Appropriate index well . . . . . . . • • • • g) Water-level range zone . . . . . . . . . . . . �� • STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to water level for' index wel 1 . . • . = • /(165� mo yr STEP Using Table of Water.-level Adjustments for index well STEP 2A , current d&pth to %'rater Ieve1 ' for index well (STEP 3) , and water-level ti zone (STEP 213) determine 4" water-level adjustment . . . . _ . . : : . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . STEP -5 Est,inat.e .depth to high water by subtracting the water- _ level adjustment (STEP 4) Q from measured depth to water �G• !,% '% C level at site (STEP 1 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � . . :,.. I r a LOW & WELLER, INC. "Fiddler's Green Plaza" 714 Main Street, P.O. Box 119 Yarmouth Port, Massachusetts 02675 362-6868 362-8131 Registered: George Low, Jr., R.L.S. Land Surveyors A. Paul Simard, P.E. Professional Engineers William G. Weller, Consultant April 1, 1986 Board of Health John Kelly, Agent Town of Barnstable Town Hall 367 Main St. Hyannis, MA 0.2601 RE: Lots 1 & 2 (as one) MitchelV s Way Hyannis No. P-5108 Dear Mr. Kelly: Please be advised that we have supervised and inspected k the installation and construction of the new sewage system for the above referenced location. We find that the system has been installed-and completed in accordance with°-.the approved plan. If you have any questions, please do not hesitate to contact US. Very truly yours, j A. imard, P.E. A S:jlt - y a 7' d. l(.?: Z S l I , I. fy )Jf •,.;; l, ',.�,:x:� (�,... �,.,;, '..:.. `;.;fir;.,:" � �.,� � ,, ;, .; I ,• G `7,,,� •I ' , 1 I'� L n'i a 1 1 k•• Y 11 O O ( 4 so Lr � 0 r I. W N C,N � ( 1 e I I N. I i ry -. i _ B0r742 FLoc.J ' t r r� t M fi- ! -. 25 i4 4. 2 „ s .4a /473 _ -- - --- -- ---- -- --_ l_4. 3 Y - - - -- - - -- -- -- r r °. EKTEN� /ILL /�PPLI� PL E — — — — — — — ex/s•f/r-� round ro !/e !9 'f-(Dt_ � ,eS —o--o—a--o— proposed ground Prof'/le VE >eT• SGRLE / � = /O, �., SCE-&0 40 PVC. o,E �,rn/nimum „ der foot a fl u' r EQU,1� o SEP'T1 c T/, l 1 n� Sy ___A___.—+ Dr S 7- B O X -3 -- ` 4h cc t 1 5fc�r c ---- / 1-7 !8•� � -" B ED,2 ooM HOUSE • ' c�c.� l.�J � _; _ _' ) A SP�Sc'r" _ " ' -,. /! `)h ! 1z4r r-�n f' f� Lr—rr Q 24. 1... ' " t.. /�7 r/�.�/�/�C r'7 PEF2C. ,t2 ATE - QI ,2 ry T E _ GALS. He a.h Za S E P T/C 7•r9 r`/,L 3 �n x /. 5= 4 1000 GAL. 1 ; G,P, Z> . 1 4 r7 18 a 2;• � ' ToTi4L .373,G G, P, D F✓ a �3 v w" 5AN D TFQ E,NC0 U/-J T�Ic'�c''> Ceu7 C,2 J42T/�Y THAT THE BC//LD//\/G a�-r•, ��G �� ,,...� � � E IAJ G L_ f9 /`J -_ .- �d�- ,V�cC,�•�,��,rZ �! 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