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Home My WebLink About0043 PLEASANT PARK AVE - Health a 49 oqa - col - q I�h h f 1 6 A i .� t I ,' �'�, ��I i I�� '� TOWN OF BARNSTABLE. L(3C�(TION �� ,d�LC%�,Sia��' �.C.P.C� SEWAGE ## `VILLAG A-W ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. Cam/ e f"P V -_ ;77 f" m A0? SEPTIC TANK CAPACITY 0 o I <�' C�`X/J� w LEACHING FACILITY:(type) fff ems t ;: (size) -70 XI,�`�� NO. OF BEDROOMS /� d�,Af'�cr�' �1'� c•�1��1P3 BUILDER OR OWNER �� 71J 1/VL PERMTTDATE: -1.o 'tea COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Welland 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) y, J Feet Furnished by til � g n ASSISSOR'S MAP NO. PARCEL � L01,;A ON "1� o2y� 'SEWAGE PERMIT NO. �y� PEE 14-)t pj1Aug- L-01 :1A ? - 3-Al VILLAGE ` 44dV)S _ I N S T A LLER'S NAME A ADDRESS c. ,k,ssjl,,G 9 -re"i +�ooK Rd "e U I L 0 E R FOR OWN ER tG �AA/JAS l DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �'=1i� -li a a z G � � � H � �I ��. �, . ��° it-� �, � ' t i Nolamal .. ..�J.2 I F$a..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Applirkion for.Disposal Works Tonstrudion 1hrtnit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: rAg-1'`> ."b'V L...............•-- .....................................................:. ....:.....•-----................»...... I i • -�QCation-Address or Lot No. .... ........................jr .............................................-•---- Yt. ...... Owlet , .1�` o Address 'Wa •---.....---• Installer ............... ............ ...Address...._................................ ..... Type of Building Size Lot-13t.Qg...........'3...Sq. feet . ., Dwelling—No. of Bedrooms........................................Expansion Attic ( ) Garbage Grinder ( ) - a . aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q Other fixtures ------------------- Design Flow............1 �......................gallons per person per day. Total daily flow.......ZZC?.......................gallons. Septic Tank—Liquid capacitylPgallons Length�3..�!'-.. Width..` 1.LQ..!�. Diameter:. '_... Depth.�.1. w Disposal Trench—No...................:. Width.................... Total Length Total leaching area....................sq. ft. 3 Seepage Pit No..ol ... Diameter....... ?._..... Depth below inlet....C=........... Total leaching area.-? ft. Z Other Distribution box Dosing tank ( ) ''" Percolation Test Results Performed by.......!.A'.►.'............... a 'rJiSMs.......................... Date...P-'_�Zo.. .8�... Test Pit No. 1.G.....minutes per inch Depth of Test Pit....!_ !..._... Depth to ground water..,440..(.44��.r.. LL' Test Pit No. 2................minutes per inch Depth of Test 'Pit.................... Depth to ground water:....................... O Description of Soil......2 fr.�. .0. `? .......... l?.�`V- ----------*_,--....? ..... �r.._.1'(. _!.u I`'I._S.a.hLb. v •.....•.................................... w UNature 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 LITL U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...................... ....................................._........ ......... ........_.... I &L, Date < ....................................... ...... �......... ..... Application Approved By...7..::_ •--•-•--- Date Application Disapproved for the following reasons:............................................................................................................... ..--•......--•--•-•...............................••-------...----.:.................._......----•••-•............... ---..................-•-•--....••--...................... ................ Date PermitNo. .�............. Issued............... ---..............•............. Date 9- No. Fing THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 70 W t,4 oiF� .. ... ............. .......*......... ......*--------------------- Appliration for Di"osal Works Tonstriulion 1hrmit Application is hereby made for a Permit to Con9irr_U_Ct(A__')1' or Repair an Individual Sewage Disposal System at: -I- V t� .................................................. ... ....... .......................................................... Location-Address or Lot No. &— -S .................... ............................................................................................... )wg Owner Address ..............4.;.__' .......................... ...... .............................................................................................. Installer Address Type of Building Size feet Dwelling—No. of Bedrooms....... ..................................Expansion Attic Garbage Grinder ther—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ....................................................................................................................................................... Design Flow............it Q..................:...gallons ...............:...gallons per person per day. Total daily flow....._.Z'Z-12............... .....gallons. Septic Tank—Liquid'c"a"p'acity1J000 ..........gallons Length.,8..�!.... Width:4.1112.1t. Diameter'..--'-'":.... Depth22--'.4." Z Disposal Trench—No..................... Width......i.............Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...OQ.N��.... Diameter........e?....... Depth below inlet.�.J .'......... Total leaching area-Z flfsq. ft. Z Other Distribution box (X) Dosing tank Percolation Test Results Performed by...................................................................... .................................. ... Date� 4 Test Pit No. ...minutes per inch Depth of Test,Pit....!�.......... Depth to ground water.. '11.4 44 -Test Pit No. 2................minutes per inch Depth.of Test Pit.. -.: l....I.. Depth to, ground water........................ 94 ............... ............................................................................................................................................. 0 Description of Soil......:-...itUr...... -r--V F�' '! 9:, ^F--r. 0 4:. Gp.................................................................................................................. 6- V W . ........................... .................................................................................................... ..........................;...................w...................................................... UNature of Repairs or Alterations—Answer when applicable.........f!7.'................................................................................ ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribedi Individual Sewage Disposal System in accordance with the provisions of TITA ILE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued-by the b d oar of health. Signed..................................................................... ............. ............................... ... ....................................................................... ........ Application Approved By........... .-T...Da-t-e.............. Application Disapproved for the following reasons:.............. .................................................................................................. ............................................................................................................................................................;Z........................Date.................. �4 Z" el Permit No.._.... Issued......................................................T. Daft -------------- ------------ ------ -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ d.....OF......... �x7w ............................................................. (Intif uttte of Toutplianre THIS IS TOXEWTIFY, That the Individual Sewage Disposal System constructed or Repaired by......................... W]*TM 4� j 1�,_ .................................................................k).................................................................................................. er Install ............................................................... .......................................................................................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the "$ 5� application for Disposal Works Construction Permit No.... ............ dated....... �. .......... I I THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 77" DATE.................. .............................. Inspector...-..-7 .............................................................. ...... ...... .......... THE COMMONWEALTH OF MASSACHUSETTS .7 ON BOARD OF HEALTH ............. OF.....W............... .... ue-............................................................................ 7 .................... FEE........................Disposal Works Tonstrurtion 11nmit Permission is hereby granted....�".7�� I 1' ....... .......................I..................................... to Construct or Repair an Individual Sewage Disposal System at No......._... (4 .................................................................................................................................................................................... Street as shown on the application for Disposal Works Construction Permit No.R;.......]�>2! Dated......../.// ............ ...............................z:::..................................................................... DATE.......... ...... '153(0 Board of Health ............................. a SECTION - SEWAGE _ = -zOdl�b fib - 43S6,o ' SEPTIC TANK - Z _ ,.D..BOX - -LEACH2�U 1 I 11 TOP�O FD^ V / is I U I j D (/(MSL)* "2"OF:/8T0 4h" I� I t WASHED STONE lK plo 53 � 50. I N• / 00 I 55 5. A I OO dG OUT• IN• OUT• IN. 60 �J9 57 54 I� 1 `ry` \ I L r \ / � / TANK ELEV. ELEV. ELEV. ELEV, \ ^ 4a ! . ter ELEV. ELEV. ). fi� NOS' WD� 41 WASHED STONE TEST HOLE LOG 777,77 f TEST 8Y .OIJ L/. l C�/V IC&Q . WI^TgNE/SSA TEST DATE h��t 1�`t DESIGN_ � BEDROOM HOUSE T.H.- 1 T.H. # 2 �`'� I tV v�l —iC ELEV.. ELEV. /I'^Io�. ( -wh L NO DISPOSER DISPOSER O `E s6 + '� ipa 47 L z4 -1 I PERC RATE MIN/IN. Q \ >, : Q FLOW RATE I 10 (GAL./DAY) Z ZC7 ` \ t v SEPTIC TANK 2ZO ((-Si = "IxZ REQ'DSEPTIC TANK SIZE 'OQ0 _._ . LEACH FACILITY SIDE WALL O 6 S l ) ■ �1 i. 2 G/D. ' \ / 1238 7 Z - ; IQ 5 3(0.7'l BOTTOM G/D. T Al �(p1,ds _ -`y Gf ' USE: ��1C LEACHING ' p �•� 1 `'y l � � s 1 WATER ENCOUNTERED a �> �� 1 47 45 NOTES:* (UNLESS OTHERWISE NOTED) �,• // �� ` cJ3 ,Of 2� Cam' �N(,@,t 1.DATUM(MSL)=TAKEN FROM E}Yy ✓ QUADRANGLE MAP 4^ gyp, 4 2.`MUNICIPALWATER 47 AVAILABLE 5:5 3.PIPE PITCH:'A"'PER FOOT _ 4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO- �4 _I •44 l`N CF 5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. yj 6.PIPE JOINTS SHALL BE MADE WATERTIGHT 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. ye ARN� H. G i STATE ENVIRONMENTAL CODE TITLE 5 _.O: J.A; q� S E PLAN . �EA-7f . T , yI4 Of LOCUS: w�. h7o.'3079�. , �� J•9l' P•1'f�1�1FL1 S�J i I 1f4 �9 ----- - ;�� ARNE [ G, LENGINEE14 I(. ✓ -'_1�i libgn :.- qq� . •. o O ALA REF: � down edge eo�'�P1��'!'if��' �Ooe PREPARED FOR: !`11GK h>�4�►'>� ' CIVIL ENGINEERS o/ I LANDSURVEYORS BOARD OF HEALTH �, �w REG. D R , CONTOURS (EXISTING)....._.. � ��221, /I _- _ ._.- APPROVED Tl(JL\`I(.IG I / r.MA SCALE 7� Zy . _._... �j (PROPOSED)-O-O-O-O- DATE- — , DA E r.