HomeMy WebLinkAbout0172 SUDBURY LANE - Health ��a sudbud
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............ ..own ................OF......Barnstable.......-............................................
Appliratiuu for DhyaaFal Works Tumitrurtivit truth
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: ` (�+
....t,.,v _:!-:1.�..... /..LG.vh_P. ...... ....Hyann is... .. -----------------------------------•-------
Location-Ad ress or Lot No.
,:Capricorn Realty-_Trust 76 ___Falmouth Rq_ d_,•„Hy_ann ___________________
•- ....
Owner Address
Steve Lebel
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms......3...................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building BAnQla............. No. of persons............................ Showers (2 ) — Cafeteria ( )
a Other fixtures .. ----------------------------------------------- -
W Design Flow...........5.5............................gallons per person per day. Total daily flow....--..-._-.�)9.......................gallons.
Septic
� Dispo 1 TrenchJiquvdocapacitylIlII Widthns - Lengt otal6Leng hidth-�'1-10'ToDtal leaching area.__Depth----�sg8ft. i
x Seepage Pit No........1 ---------- Diameter.......6.......... Depth below inlet................. Total leaching area... 266.....s . ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by...Eldre-�lgQ.-E2.Ig1212e111g____-__-___- Date....11-2s-H1
as Test Pit No. IX.-.2,0.minutes per inch Depth of Test Pit 12....... Depth to ground waterrian! eneounter-
(i, Test Pit No. 2.....N/A---minutes per inch Depth of Test Pit N/A....._.... Depth to ground water .N.A . e d
a --------•--------------------------------------------------------------------------------•--•---•---.........................................................
ODescription of Soil---------------D-'--2...........Laa.Ill...L.-TQ.p.aaiL.........................................................................................
x 2_'.-1.Q.'_.....ledlum-_Yellow Sand
Q-'--•..2'..-_•• led..-..-•-_•_ te__-Sand traces of Gravel no water at 12
-1 1 Wh ---- j
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 TI:LE 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 o health.
Dajy
Application Approved By... •--•-- . -• •--•--•-•--••-•-- •--
.
Date
Application Disapproved for the following reasons----------------------------•--------------------- -----•------------------------•--------------•------•---------
-•------•-----------•---....-•---------------------------•-•-•------------•------•-•-•--•---------.........---------------------------------------------------------------------•----•--•--•-•-••--.•--•-
Date
PermitNo... ..........3.�.............................. Issued.......................................................
Date
t
N;►: ...... ....
r' THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
rn m OF.. arnc 'n1�7 n
Appliration for Di-p a' iml arkti Tomitrurtinn Vprrmit
Application is hereby made for a Permit to Construct "( ) or'Repair ( ) an Individual Sewage Disposal
System at:
Location-Address y, or Lot No.
rJ..•..L..�G`L1" F't"T-r�:'r ;���`�; rt.�i ri .t�!a 1'71 Y111'�•:'1 �t1�'A'� Fj�rT�_v�"; n
.......... .: Owner........................•----......_._.... ... .. -----.._.._..---....-•--•--_-_Address... . ....... .,............----•
W s7 .,E vo _Cbe7. "
Installer Address
QType of Building Size Lot__..........................Sq. feet
Dwelling—No. of Bedrooms.......I............................._.....Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building = '?3?n'_�............. No. of persons____________________________ Showers (P ) — Cafeteria ( )
Q' Other fixtures --------------- -•--•---•------ -
W Design Flow..........5_.�2_...........................gallons per person per day. Total daily flow.............33Q......................gallons.
WSeptic Tank—Liquid*capacitylDf1A_gallons Length. 1_6_:'.__. WidthA__`_1-OL'. Diameter________________ Depth____.5.'._8.".
x Disposal Trench—No_____________________ Width.................... Total Length.............:...... Total leaching area....................sq. ft.
Seepage Pit No.........I.......... Diameter._.__._6.......... Depth below inlet.......6............. Total leaching area....2.6.....sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by._._. _': .^.. ..:^_... ?._ _:?_:^dy'..:::.__.____•_-___. Date..... 1=25=8 ,
0.4
Test Pit No. 1<2._n_minutes per inch Depth of Test Pit........12._..... Depth to ground waterXl ne, ...eXl.GOunter-
LL, Test Pit No. 2.....N/A...minutes per inch Depth of Test Pit._N/A......... Depth to ground water---)NI
A............ ed
Q+' .......... ---------------------------------•-•----------..............-•-•------.....---.........----------•--•----._.....-••••-•---•---••__-----
DDescription of Soil---------------Q_'_--2'.........Laa.171...$r.__�'apsoi..........................................................................................
2`-'10- Medl,L2IY1-_Ye11Qw--Sand---------------------•--_: --------
W 10-'--12' fed.---White_._Sand�traces_..of Graveh�no- water a� 12
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 TTTILE 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 p�-health.
lgneiV. �e'F' ..
Application Approved B .....
__._ _...fir
Date
Application Disapproved for the following reasons:................................................................................................................
....................••------..__...•---•-....-•_._....--•••-----------•---•-------------•--....----•----.._..._-•-----••----------------------•-••------•----------•-•._...•--•••--•••-------•---••--_•--
92 r � 7 Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
......... .................................................
Trrtifiratr of Tong haurr
THIS IS T0,•CERTIFY, That the Individual Sewage Disposal System constructed ()() or Repaired
b ........` L `. ...............•-----••-----._...._._......_...._•-••---•-- •----------•---.._......._...._........_..._..........-•------.....__...-•-•-•-----•-..._.._.__
1 °'i s
Installer
at...................J....---?c'------..t..'.�,v �.<�* •---------..--.--------------------------•------------------------ •------------------•-
has been installed in accordance with the provisions of TIT l_a' 5�)1he State Sanitary Co � abed in the
application for Disposal Works Construction Permit No...._..............•..................... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE .. =..-L-'-------..... Inspector------------- ---•----__...-•----..................._.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.............OF...... .�';A y'R__t"h _ '"-.....___............ �,a�✓"
NO................. ... FEE........................
Disposal Works Tanstrurtion amit
Permission is hereby granted, ••----...___v'F:...............-----------•---------------•--..._....------------------.........-----.................----•---
to Construct ` ) or Repair ( ) an Individual Sewage Disposal System
at No... - - =4 `'_ La'=`g,!r j-1 j-).nia.-Is-----=/�S�... -----
Street
as shown on the application for Disposal Works Construction Permit N __-._____._ _ Dated........... .............................
Board of Health
DATE............
0
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
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,P No.10951�010 F, s, B,
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LEGEND OFM,,�, � ;.
• CERTIFIED PLOT PLAN '4
EXISTING SPOT ELEVATION Ox0 os� G
-EXISTINGCONTOUR-- 0 --- AV imo � Laff 41 5uDeulz.� L-Awc
FINISHED SPOT ELEVATION EN o
FINISHED CONTOUR 0
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APPROVED $ BOARD OF HEALTH No8T�v�o�
DATE AGENT SCALE: 30 ' DATE_ 12-
LDREDGE ENGINEERING CQ IN Ffco
CLIENT I CERTIFY THAT THE PROPOSED
EGISTERE REGISTERED JOB N0. �i2o5 BUILDING SHOWN ON THIS PLAN jli
CIVIL LAND CONFORMS .TO THE ZONING LAWS
NGINEER URVEYOR DR•BY` JQE OF BARNSTAB E , SS. .
712 MAIN STREET CH. By AAM Aw 1 r
H YA N N 1 S MASS.
' SHEET._. OF DATE R 0. LAND SURVEYOR
240 FT.. MI/V. I, n, /1/OTF /F E/TNER Ts/E S PT/C TAN-I< OR
_E.4C.N11VG P/7 ,4RE MORE 7 1Z"SAEL0W
i, r,4AOE, fa 24 'O/AME7-6R COiyC'RET� COVER
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GONCRC7'E i 4 PVC P/PE ,yE,gVy CAST /RO/Y CoYER Sf,��FGL 3E USED MIN: P/TCN
EY 9 S o CoYERS - IB'PF.y FT. I F//V L7RI VE JPVA Y
A�.•; :ir G •10 E C O ✓E.4 , C L EA iV .SA/V O
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_ UQUJD LEVEL ` " • I
d 4"CAST� �.'.�.�. — 2*LAYER
IRON P/PE �UOU o v o
bl MJN.P?CN` GAL. . r • ' • . . • r r�a i
DJST, � o WASHED 57C/YE= •'I �4Pt=/t�:. SEPTIC TA/VEC • �b • • • • • • • r r • e aBOX • r B • r • • • r .•e ••
•
•EFFECT/YC. ' Ir
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�_:a . r • • OL:PT/a • • r ' • v WA5NEP STONE
: - _ O I • • • • • • 1 1 j p o • -
•• • • • • • tr. " o 0
i a. r • • • • • • • r p O PRECAST 5. CAGE.
t,Vve L LEv.�T7oNs /��x z.s_ ¢7o G/ice a �.• ► • • . . . r r ` As . R/7 GR EQU/v.
INVERT , U/LD/NG 9 2
FT. P(T C.A P/"-C'T/ = S48 G 6 Fr D/AM.:AT D
INLET .TCPT/C 7-.4/VK 9 /.S fT, !O FT. O/AAA. C 5EETA841L.47JON>
OC/TLET SEPTIC TANK 9/,6 FT. '
INLET D/STR/BL/T/ON BOX FT. GROUND tvATER TABLE .
SECT/O/V O F
OUTLETD/STR/BUT/ON BOX
j INLET Ls=ACNiNG PIT 9 1.0 FT. S'EytJAGE D/S/oOSA L .SY.STE/19
LEACH1 VG ,PIT
TABULATlD/V
DES/G/Y CR/TER/.rl sCAI- D/
: % " /= o" MEN-T 0A/ A 3 FT.
NUMBER OFBEDRaOMS 3 DJMENS/ON G_ _FT. Al
GAA?6AGED/5PO-5-4J- UNir0 SO/Z- LOG
TOTAL E371/rf.4TED /='LOH/ 33 U G.44./D.4Y SOIL. TEST I / SOIL TEST,*2 SO/L. TEST
N41mBER QF ZeACNING PJTS_ 9Z."7
ELFY. OATS OF SOIL TEST / 2-./
S/DF LEACHING PER P/'T /9-fl-St FT, f �/!Z� � 02.7� .
BoTTOM LE,Ac'M/NG PER P/T 7X"- $q,, �T. U /. RESULTS PV1 r/VESSED BY /
Tv?� ' rc_ _ PelTCOLAT/ON RATE / L0 5S ML/V /NCH
TOTAL LEACH/NG •aREA . Z� �' SQ, fT. I PfhCOL.AT/0,V RAyF,�2 *� P/ MJN.�JNGH L
RESERVELEACNJN6 AREA y6 b SQ. FT / /0 Z o
� tN OF W sq� �P\�,a OF A44,p i/7/ / pf E
or jam
ERT A/ 'RT�/ 4{
U_ No.10951
!q Q•srti�`yo�- �o FG/STEM ��� ��'✓`v EL DREDGE FNG/N.EER/NG CO /IVG.
NO SU1044 ,d �� FsO 7/2 MAIN 3T. , ffYAA/",S, /VfgSS..
�FSS(ONALE�
ND GROfJNJ LY�4TER ENCOUiVTL�RFO CL/EstlT; J,eA-NCO DATE
0 uAlo Lti.A TER AT EL Ef/.
SHEET _,OW z
LO C AT ION ' SEWAGE PERMT NO.
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DATE PERIRIT''"ISSU> ED
D A T E C0MPLIAN,cE� ISSUED
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