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HomeMy WebLinkAbout0079 WAYLAND ROAD - Health 79 pb�'i6 d., µyam:: � �ao.� �OCAT.I SEWAGE PERMIT NO. -&) V1LLAG .f I N S T A LLER'S NAME Ap ADDRESS 'TO e �� K bs �s 6 U I L D EIII OR OWNER DATE RMIT ISSUED DATE C 0 M P L I A N C E ISSUED 0r�,� �8�- :�;" � � � � , � � � �Y �.i TJ�Ay _ ` � !�/ �J 6 No........ .s%p FEB.........i X............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...............Town.................OF...........Barnstable---------••-•-•--•-----....--•••........---•- Appliption for Eliopoii al Worko Tonitrurtion rxmi# Application is hereby made for Perm to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: manna r~ .. -.....Lot_. ... ... ............ H - B 1�A ........................... ocati Add s or Lot No. .......... ........................ .......?_65---Falmpth..Rpa ....HyA ls................ - .. w Steve Lebel Owner Address � Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...........3........................... .Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ranch p� yp g _____________________ No. of persons___............._........... Showers ( 2) — Cafeteria ( ) Q' Other fixtures -----•......•-•--•-----••-•••••--- • .• •••. Design Flow..........:...53 ..........._..__._gallon s per person e day. Total dail flow____._._.._:__ Q________ ___.......__ Ions. w y1000 8�6" �.•1 n WSeptic Tank—Liquid capacrt ,_----...--.gallons Length.__-'...•_... .: Width._.__.._..0_.. Diameter................ D'epth__5__8_._.. x Disposal Trench—tNo .................... Width..................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter....6.1............Depth below inlet....6............. Total leaching area.....266....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed b .....Bldred e...Engineering Date..Iln2_ _•-81.............. r Test Pit No. i.�.!2� .minutes per inch . Depth of Test Pit .._ 2�....... Depth to ground water.none...ancounte 44 Test Pit No. 2....._I....._minutes per inch Depth of Test Pit____�A___..._.. Depth to round water_.__ N-A P P N--••......... P g XVA........... Descriptionof Soil..................Q_ .:__-...2••••-------�=..&...tG teLau------------------------------------------------------•-•---•----......----•---- x 2---•-•"•10..:_....mec ..y0 atr2_-Sans . :_....--•-------------------------------------------------- - 1/na__.secater_.at 12 t W ................................................... -- ------ ..w2� t---- ----n- --tr..cet. gm3re 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 A. TTI-E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ued y the board of health. - Signed 1; . _ Z................ Application Approved By---••--. -•--••-- ---- �i/-, -- ... Date Application Disapproved for the following reasons:......................................................................................................... ---••-...•-•••••••--•-••-----••------•••.....--•................••••••--•••••---••-•••-•--•----•-•-------'•--••••-••----•••-••-•---•--•----•-•--•--•••-••--••••••••-•••--•--•--•-.... —--•--•-••-•- Date PermitNo......................................................... Issued•...................................................... Date No.....8 t:_'-V AP F>cs........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ...................................:......O F...........-..........-..-._.......__..--------------------.........-..................... Appliration for Uiipnattl Works Towitxnrtiun ramit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal Systenuott # H' yannis., MA " Faut = HnCaprcorntydralrust 7b5 s - ........ __. ------- ------- --------•-------- --------------------- w - Installer Address � . Type of Building 3 Size Lot__________________________S q. feet Dwelling—No. of Bedroomsparte-h.................._..........Expansion Attic ( ) G bage Grinder ( ) '4 Other—T e of Building No. of persons____________________________ Showers ) — Cafeteria 04 Other94 ures ...............•----•...•--•-•--•-----•--•------•------•-•-•---•-__---- w Design Flow................................ per persor8p%day. Total�ilk�°w............................................ 18ms• . 9 Septic Tank—Liquid capacity............gallons Length ................ Width................ Diameter................ Depth................ Disposal Trench—V. o..................... Widtg'a.................. Total Length._____..___.____ Total leaching area--------26 ...sq. ft. Seepage Pit No_ ___________________ Diameter.................... Depth.below inlet....................:Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing 91��eage Engineering 11-25-81 Percolation Test Re ts2.0 Performed by............................................. t_________.________._.. Date_________________ 12 none----encounte Test Pit No. 1....N/A...minutes per inch Depth of Test Pit__.N/A......... Depth to ground water..._..-./w_________- @ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ao 21-------- t=-g----to�s0t2:______________________________________ ___ Description of Soil-•-----•-•=-----•.2.l..: -•1�}�-•----medium--ye- low...sa'nd---•--------•------------=---------------------•---•--•-----------.. w •--••-............................... :.---14-e---•..---}2-1-------meet-:...white---sand f-traced--•o-f--gravel/na-water-at 12' 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 TTIZ 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. Date Application.Approved By- �'""' -----------•-•••--•••--••-•••-••-- Application Disapproved for the following-reasons:-----•----------------•---------•------••-------------•------•-------------•--•------=----••-•--•--------_...._ .......................................................------------•----------••-•...............•----------------------------- --------------- --------------------- ............................... Date PermitNo......... ...... Issued.----...------------------------•--•--•---•---•-----••- - - Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town ..O F........... Barnstable ........................................ ..-..........-..-........... �rr#if irtt� of fl�unt�fi�nre • • THg;t �OLCe%JIFY, That the Individual Sewage Disposal System constructed ( X) or Repaired ( ) by................................................................................••••-••------•-••--•--•-•------•---_.............._-•--•---• - ----•__---••••••--•----------------- Lot # Installer H nnis MA at. -------- --- -==-•.. -==......... ..................! __.: ..------------------------------•----•-------•-•----•------------------'---------•---•--.---.._..--•---•••---•-•- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No,b' . ., ' __________________ d�ed-----•.................................. ......... THE ISS NCE F THIS CERTIFICATE SHALT. NOT BE CONSTR E® S A GUARANTEE THAT THE SYSTEAeI 1All L FU TION SATISFACTORY. . ✓, DATE..��• -- Q _. L.� ....... ----=-------------- Inspector... li • THE COMMONWEALTH OF MASSACftUSE S BOARD OF HEALTH Town Barnstable a ?" 'Y ..... .......OF........... .............................................................. Disposal er�s To itr i.on amit J ebel Permissiois hereby granted...............................-.............................................................................................................. to Construct Zt)!pr Repair .( ) an Individual Sewage Disposal System Hyannis, MA tt�t atNo.. -----------------------------------------•-•----•-----------------------------........_....... Y 'r-.n ✓' Street as shown on the application for Disposal Works Construction Permit No.______�__._._y___.____Dated.......................................... f •----- ram^''_;__/.};••-�'�ate % o eal--------•___--••----------••_______________ DATE...........................................�l_/JI_l� ---------......--- t v FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - I t g04 /¢3"j� 0 `K � .. .. Q k' r iA !�j 3 a - xan+✓ Q PP S CPyEwAY '.`s s � r + P•r ` rT• 10 s-nc EL-9oe 18ro }. hR +�s4,r7« 0'� 3 I [ f 1• [1� w', r f r � 4 - �'2 ��� r '?. � k.r k 4 �, �. ���'GLG/e777J - .I ' � � —�l �, C �i rf�! t f'�be�4Y_•J�♦Krq�74 4te i a rt 'R'+ - .� .�L � J �•�` ` � sf :n;alr y�~�¢r,t?t � �eKgx�7�}�t'^ir_ s'��5�kaetti"�h ��"'�. .. ..5 �, •• ,, x s s �� r' ,y t; t VA , . �� A }�4'�"•W'i 7 , � 9 4 t't. �,�,F � L�.41•J� H� ' .. � I; � ,�b � ..a.,V^r/}a� ��� A jiK,"Fa{� Tt � tt ,•�. , a .. '9pggA r� r ty,! ,y+Y 7.-frl'Y •' ,::.:fir � t ,'. •.k :y �U� W 1 b"fl-4 , n { • ��j� �e` cl.�3 vrls3 r. k'f tz�• ry f ILOr F s. E>. i Su � f r l �f� y �}�A/p a'r�r- � Y! k� � •J�w t i '•I•e - LEGEND YA'r CERMED PLOT PLAN (EXISTING SPOT ELEVATt-0 . -EXISTING CONTOUR — O. —..�,� r q� L E �� RNISHED SPOT ELEVAT.10N .f: r ra !-� iq-�!//Vf-s FIKISIDED CONTOUR - ..° s 3 t �" fi N04 1Q�51�Q t .'APPROVED , BOARD . OF 41 ALT -777777777, :ATE AGENT ,. .fr ;titti j� ; E. t;.." SCALEi• '.:J 30 DATE, 9/17 6 .t1J� `I1GE ENGINEER1NO 1 �w I CERTIFY THAT THE PROPOSCO 1,:�t? '�UI1.67II�® S�®!�N t3�6 THIS PLAN EGIsvERE RECIS'I°�RE�: E CIVIL LAND x��hR�k ��� ��. a ,�4 � °� ,• CONFORMS TO THE ZONING LAYS E SI EER U VEY r E . CIF DA '-ASTAS E, SS. 712 MAI N STRE'ET . 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