Loading...
HomeMy WebLinkAbout0043 STATICE LANE - Health �3 Slot-�'t+L l.�• i S �� 3 / a°rt i. \` / 1 �- 0 TOWN OF BARNSTABLE 3 � LOCATION Zs,¢,1� SEWAGE # VILLAGE� ASSESSOR'S MAP & LOT �7-3 -09/ INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type)`_ � (size) 16 dy NO. OF BEDROOMS PRIVATE WELL OR UBLIC WA I E BUILDER OR OWNER., iZL/laz/wof- CA DATE PERMIT ISSUED: -ter DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No f, t r ., ��� .. i \i �t� 9 1\ � (� � �, c�'� � � . � � � � � � , . . .. , . , � _ � _.__ _ _ - ,,������,, _-_._ _n. _jir S ASSESSORS MAP NO: '7 f PARCEL NO: © ?( 4 �G /(� No..----.... ..�L _. FE$...F••-�•:•Q... . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Uispuial Works Tonutrnr#iun Prrutit Application is hereby made for a Permit to Construct (✓f or Repair ( ) an Individual Sewage Disposal System at: .._.._. ------------------------------- ----------------- ..-----•-- --•------------ Location-Addr as or Lot No. �o GGsa/Tt/ - �. �__... ... - -• '•--••- -------------------------------••••---••-•--•----.....--••----------....._............___......... W f�Q /��Qyveyerr ( "rA �i i /•Address Installer Address Type of Building 3 Size Lot 1-3 4B -1._......Sq. feet t-t Dwelling—No. of Bedrooms......... ................................. Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria 04 Other fixtures ------------------------•----------•------=----•---- •. W Design Flow............. ______________________gallons per person per day. Total daily flow...________-73C'_______ -...........gallons. WSeptic Tank—Liquid capacity�dO9_.gallons Length_8.6��__._ Width_�."6.��_. Diameter................ Depth-.-'T- W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. �: , Seepage Pit No..... ............ Diameter...../v -____._ Depth below inlet--------9......... Total leaching area.-#M 7.___.sq. ft. z Other Distribution box ( ) Dosing tank ( ) �_4 Percolation Test Results Performed by.A ..... ............. Date._•_._/_.�?/Y? Test Pit No. 1__ ....minutes per inch Depth of Test Pit..,Sq....._._ Depth to ground water--------_--,----- fX4 Test Pit No. 2._G_?-....minutes per,inch Depth of Test Pit----/ ....... Depth to ground water........................ W .......................................................- Description of Soil---Via= °" W&,02 , }�`X.---- 4Sc� -ScylG sc'_."-.....................................................0H : -t W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ---------------------------------------•------------------------------------•--••-----•----------------•---....--------------------------------•-----------------------------------------------•--•••--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syste -n accorda the provisions of TITLE 5 of the State Environmental Code—The unde - ned furt a r not to the system in operation until a Certifi e of Complianc has been is ed by the d of he It D Signed --- --- ------------ .......... ------------. ---- G�- 1 ------ Due ApplicationApproved By .... . ------- ------- - ...................................................... ...............................-- ------`- ----M e - -- Application Disapproved for the following reasons- -- ----------------------------------------------------------------------------------------------- -------- ------------------------ ------------------ate ------ ------------ ---------------------- - - -- -- --------- - p D PermitNo. Sl- ..................................... Issued ----------------------------------------------------....--------- Date 0 No..................... FRic lbo - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Uhipasal Works Tonstrurtion Frrutit Application is hereby made for a Permit to Construct (&.-I or Repair an Individual Sewage Disposal System at: '0 ...... /I.`/­­/"S......... .................................ZC,7 ..................Re........................................... Location-Addresr�o� or Lot 0 V., ----------- -------- 7. 4/,-, �::--------------------------------------------- Zress ......... ......... Installer Address Type of Building Size U '�?........Sq. feet Dwelling-No. of Bedrooms...........3..............................Expansion Attic (Tarbage Grinder ( ) Other-Type of Building -----_-------------------- No. of persons---------------------------- Showers Cafeteria ( ) QI Other fixtures ...................................................................................................................................................... Design Flow.............-53........................gallons per person per day. Total daily flow..............?.5. , ..............gallons. P4 Septic Tank-Liquid capacity/o*o...gallons Length_&.��_e...... Widthg_,.4__&__. Diameter.--------------- Depth� -.451"' Disposal Trench-No..................... Width..-..._..._..__._... Total Length...__._......_....._ Total leaching area_...._....._A...sq. f t. Seepage Pit No.---.I............ Diameter..._e4_. Depth below inlet.........4......... Total leaching area..Z.4.7......sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed Date....:O 7V. A'-------.f _----- -y- -------------- Test Pit No. L.A.Z.....minutes per inch Depth of Test Pit--1_-'27Z-'/..... Depth to ground �vater........................ 44 Test Pit No. 2...e­ ....minutes per inch Depth of Test Pit----/�'...... Depth to ground water..................... P4 ..........................................................I.............................................................................................. 0 Description of Soil....zz ------ ..........3 ....... cxj 4+ ---------- X4- .......... _5X -5-_V:-------- ........................................................................................................................................................................................................ U Nature of Repairs or Alterations-Answer when applicable............................................................................................... ...................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Systernin accordan e w', the provisions of TITLE 5 of the State Environmental Code-The undersigned further agrees not to I e further k t �system in operation until a Certificate of Compliance as beeq_i�saV by the 56 Ird;f heaQ -vo ... .. . ... . . Signed ... .... -- ---- -- ------- ....... ...... ........il-------- Application Approved By ......./-///, -L -/,.f-M ................................... ---------------------- Dare Application Disapproved for the following rearonr: ............................................ ...................................................................................... ..................................................------------ ------------------------------------------------------I..................................................................................... ----------------- Date ----------------------- PermitNo. ........................................... Issued --------------- -------__------------------ ------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE &rtifirak of Grayliattre TIC- IS at the Individual Sewage Disposal System constructed or Repaired by...... T� .......................------------------------------------------------------------------------------................. ........................-------------------------------------...................................... Installer at ........L07 C? ('41.1'E ....................................................I------------------------------------------------------------- .................................................................................................................... has been installed in accordance with the proVisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Constructiori Permit No. a- A - I J 1-/6-6 datedt A1=_1Y--�C/A An, I f� f --------I----------------------- "04�6ki�............. -_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------- ------ .... Inspector ......... .....1.1Z)...... .......... -------------------------- THE.COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE.....ZZk). Permission is hereby granted.....�kj.......... ....................................................................................................... .... .. .......... to ConstrucV___1 or Repair an Individual at SeWM e Dispsal System :51dl CE Street as shown on the application for Disposal Works Construction Permit No..4 Vevo Dated.... ./ ................ ..................................... --------------- OA C) oard of Health DATE...................... ................................ FORM 36508 HOBBS 8 WARREN.INC.,PUBLISHERS TOP OF FOUNDATION CONCRETE COVEReti CONCRETE COVERS sue_ .341, 0 4 CAST IRON 12��MAX. r 12"MAX. r� / OR SCHEDULE 40 P-V.C. PIPE 4 SCHEDULE 40 PV.C.(ONLY) P. PIPE- MIN. ° PITCH I/4"PER. LEACH PITCH 1/4"PER.FT PIT PRECAST /«�, o'c \—INVERT a. a LEACHING � / \ 4 /�/� o PIT OR EL..G�4 INVERT INVER ° • °' ,•, .SEPTIC TANK EL. G DfST. G � w ;'• EQUIV. I� ���'°�� INVERT /oca BOX ' 0: 7/ i A, ��— C 38 GAL. INVERT .• 6 �n 0• :�. 3/4 TOIV2 y '¢' / f,' ,��� e; EL...9....... G 6 INVERT ,. �o �: WASHED �— --- QV — `rcv� �; 7L EL..9..� o e ELLS Co 1f: w STONE / \ e, o' j ... .` P PROR LE OF GR `OUND WATER TABLE /p. 1 SEWAGE DISPOSAL SYSTEM �/ W1. Bo NO SCALE (� SS r °{ ' � 0 s 0c O SOIL LOG n WITNESSED BY : p ,bn DATE ??!�. 7��go TIME E. oU A17' !gt!� W �Q-�/��T�5 BOARD OF HEALTH e� TEST HOLE I TEST HOLE 2 ELEV. . 74 Ga . . . ELEV. �. ENGINEER .7/'.So . . / 5717--7, DESIGN DATA NUMBER OF BEDROOMS 1p f 1 .�� 7" Z s4,..o . . . . . . . . . . . . . . . . � p=- 1Nin1LA�/�ZS W1n/ 4Ay1r9s TOTAL ESTIMATED FLOW . . '3 . . . GALLONS/DAY \ \ L-Z.GG.Lo BOTTOM LEACHING AREA 78' "� SQ.FT. /PIT/C',P, D. SIDE LEACHING AREA . . . ... . . . SQ.FT./ PIT/¢7/47 GARBAGE DISPOSAL AREA INCREASE) i /D SAT/a TOTAL LEACHING AREA Z 6 7 a. SQ.FT PERCOLATION RATE LC .771A?-!.TWO MIN/INCH Ist Nc� LEACHING AREA PER PERCOLATION RATE .-:� .. SQ.FT./�'P.D. ... . .WATER ENCOUNTERED NUMBER OF LEACHING PITS .�!��- !�!T �!�!?�• s APPROVED . . . . BOARD of HEALTH n,1O �� aSlm✓� pi✓ �GL S//>E3"- `moo , DATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /��/�'/`� S�',9 L� /•r 3o r AGENT OR INSPECTOR ,,/ .� PL.l3,e, O ELOH OF LoT '� Z /fZF . -ST,9Tic� G.4�v�. . ��� ;o�L.LEY N j z� . z6100 � J �� /.� c r S P t ` T.E PETITIONER 8 �^/D� �v/LD/�G, �a !4t L tit S4N1TAk1P11\