HomeMy WebLinkAbout0815 WEST MAIN STREET - Health 815 West Main Street
Hyannis
A=249—045
I
i
I
, OWN OF BARNSTABLE
LOCATION I51.J �;� ��., c, SEWAGE # — �!
VILLAGE ASSESSOR'S MAP & LOT-2YO/
INSTALLER'S NAME PHONE NO. F IM®Sc ,
SEPTIC TANK CAPACITY Woo
LEACHING FACILITY:(type) h�Grc.� ��� (size) (6,6 w )c W 14
NO. OF BEDROOMS I PRIVATE WELL OR PUBLIC WATER�w���tr
BUILDER OR OWNER ,,
DATE PERMIT ISSUED: �iy� Y,
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
{�
S' �' ;L, �
•- 1f
�„i
��,
I'�
� ,
_ ��.�
r11
17
ASSESSORS-MAP CIO: - - h
Jy5 K .
No ^.1.1. PARCEL N0: Fes$ ....... .. .
THE COMMONWEALTH OF MASSACHUS95MIGNiNG ENGINEER MUST SUPERVISE
BOARD OF H EA LT HVSTALLATION AND CERTIFY IN WRITING
THE SYSTEM WAS INSTALLED IN STRICT
OF....................................• .---------------- ^e'—n!?ICE TO PLAN.
Appliration for Displaiia1 Works Tomitrnrtiun Prrmit
Application is hereby made for a Permit to Construct (!11 or Repair ( ) an Individual Sewage Disposal
System at
L r-
.�I -----
ocation ddress ............................ o...............................
Owner ddr ss
----------------------------------------
Installer Address
UType of Building �` ; ` —v" `co V`5 l'-� Size Lot___________________________Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
pa,, Other—Type of Building ............................ No. of persons.........t'................. Showers Cafeteria ( )
Other fixtures __________________________________
------••• ................................•----
W Design Flow......... _JT, �-----------------------gallons per person per day. Total daily flow---------Z ......................gallons.
0x Septic Tank—Liquid capacity_tL .gallons Length._ .'0... Width... _�-_-___. Diameter................ Depth....4�_.......
Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No--------1_.......... Diameter.....6........... Depth below inlet.......`1........ Total leaching area---7..............sq. ft.
Z Other Distribution box ( k4 Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
a Test Pit No. 1____--_____minutes per inch Depth of Test Pit-------11 ...... Depth to ground water--- ..................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
---•------------------------•-•---•---•---•----•----••------•--••-------•-------•---------------....---------------------------------------------------
0 Description of Soil------------------------------•---------------------••-•---------•-----------------------------------------------------------------------------.......................
W ------------------------------------------------------------------------------
-----•- ----------------------DEStfaMf`dG-ENGJNEERr-MU-S�'-ScUPERVISE-----
----------------------------------------------------------------------------------------------------------------iE�STAttATfON AfdI3 EEF�TfF IAI WFITllal
UNature of Repairs or Alterations—Answer when applicable.______.TiiE-SyST.EMF WAS.-MSTAL-I=€D--III-.S-TRIGT-----
•••---------------------------------------------------•------•---•-•--••-•-•-••-----........•-•--••--•-••---••••.AODOE�I3ANM-TO-Pd�AN.-----------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'TT .E ;of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been ' sued by the board of health.
".""' I
Signed- x ��--6.. ........... --......
ate
Application Approved By---------_-- ------•--••-•------- -----�f Y .....--
Date
Application Disapproved for the following reasons---------------------•-----------------•-------------------------------------------------------------------•---•-
•----•-•-•••--••----•--•-----•••--•-•-•-----••••--••-•-•----•.....------•---•-......-----•••--•-•---•-----••-•--•-•--•-••-•----••---••----••-......---•----------------- ...............................
Date
PermitNo. ----�-- --------------------------- Issued.......................................................
Date
Fps.--........ ............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............. ...................OF...............
.z ppliratinn for Disposal Works Tow3trnrtinn Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal
System at:
VV L
r,;1kc .. -at:oi-.address
orS Ig
_..._.. �.. � p� q o. Z
y c
Owwer
-
VN
1 a ess
In taller Address
UType of Building j�c �: P1 Size Lot............................Sq. feet
Dwelling No. of Bedrooms______________________________ ...__Ex Expansion Attic►-� g— --------. p ( ) Garbage Grinder ( )
aOther—Type
of Building ____________________________ No. of persons....../................... Showers ( i ) — Cafeteria ( )
dOther fixtures •---•-•-•-------•--••••••-•••----••-•-•--•••••-----•••--••••-----••-•••---------•--•--•----•-----•---------••-••-••••---•--•-•---•-----•.._..•-••-_..
w Design Flow___.______._3.55.....................gallons per person er (jay. Total daily flow.......a L_Z ----
WSeptic Tank—Liquid capacityUU`�__gallons I,ength_ _�..__ Width__.-:�._.__. Diameter________________ Depth......G_1_...
x Disposal Trench—No_____________________ Width. .........._._..__ Total Length............... Total leaching area....... ft.
Seepage Pit No......../-_...-__-___ Diameter.......L_......... Depth below inlet______Y......... Total leaching area..................sq. ft.
Z Other Distribution box ( —) Dosing tank ( )
Percolation Test Results Performed by................................................. Date........................................
Test Pit No. I.....R------minutes per inch Depth of Test Pit....&.___:...... Depth to ground water...._-................
fX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ..............................................................
••------------------------------------
-----------------------------------------------
•---------
0 Description of Soil_________________________
x
U •--••-••-•-•---••-------••----••--•-•-•...--•-•---•--•-•--••-----•------•----•.._..------•--•••••••-...••-----•-••-•---------••-...--•----•-•--•---•••-•-------•••-••--••-----------•---•------•---•••--
w
UNature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________
------------------------•---------•••-------•---•--••••••••••-•-•-•--•----•••••--------....--••---•--------•-••••--••••-•••----•-------•-••-•----••-•-•-••---.........................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
��,- it
the provisions of T�,i.LI E 'i of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certinca.te of Compliance has been issued by.the,board of health.
Signed.... .................
_ ;� ��
Application. Approved B Date
_ --•-..._..-•-----•----•----•-••-•------- ------
ate
Application Disapproved for the following reasons:-----••-----------------------•----•------------------•---------------------------------••-----------•--_...--
••-•-•••-••----•-------••---•-•---•-------•--•-------•---••••---------•-•••-----------------------------••-------•-•--•--•-•----•--•-•-•----•-----•-•-------••-•--•-------•••-------•••---•---•-----•-•-
Date
Permit --_-•__------•--• Issued.......................................................
Date 7
1
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
pa................OF............. ..............................................
Cnlertifiratr of Toutplinnrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by------ t ?�s f'1...................................................Installer--•-------------••---•--••-------......._..--••---------•-........---------...---........---...--•---•---
J
at---- ---- ..- '
has be in to ed in�accor�aance with the pro ion •o G'i"I 7 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No. __ i ................. dated____tZ>___------- ________ _ __________________
G
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A 4A4P 'EE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSEWIGNING ENGINEER MUST SUPERVISE
TALLATION AND CERTIFY IN WRITING
BOARD OF HEALTH THE SYSTEM WAS INSTALLED IN STRICT
OF. . . p _•._..._...-... ACCORDANCE TO PLAN,
.......... h;�............... �.. . ......... ................
� ��--------t�t FEE........................
�3
Disposal Works 011,nnstrudion Uprrutit
Permission is hereby granted
............................................................................................:.------..._..._.......•--•-•---
to Construct ( ) or Repair ( ) an individual Sewage Disposal System
at No......... __tT. __ ......
as shown on the application for Disposal Works Construction Pe� `: --_-- ----- Dated__-.. ,-- _-_----- .----------------
e�t1-1-------- �
--� -•-----------••••••- - -- /z=-- r
—` '" ✓rioardlotFealth
DATE----------
FORM 1255 HOB S & WA REN, INC.. PUBLISHERS `p "
�nh/.. Fa�1c��T�0►-1- g s.v¢ -/.5
z
s` in�.e SEF-rIGTAISi::�Gt.JT= 9tn.4,7 %�•9
(�� 1rilC D-&Xpx- tt-A
Imo/. Q p-r�,vx OvT� gl�.43 9�.S
SIPl�/• 2-LE!`41 PITIjL..Cr= 95-•e5
L- OT
MASS.
4-5, WEST' r�►,o.,r�l S-r� EST°'
P -EPQR.ET7 rOZ: E3 U L.l�]� Iz�l�.L'TY T 2 J S T
-�-
_
c,L M ET IZOWE5`� Eti1G 1�lEEhl NC,Yt��G.
E� E>JG t NE>=izS
M,dss. 01701
.�� \ 4:6 � \ rzo�>�- ,e,• GEM M.4 PE�319�7 clvi�
N - � `N
.I� = CEiZTi FY T 4 A7r tom- SHOW" ,&YU7 FOLIMD. -no"
ri E7I-Z_EO r-J GC��vrc�iv-M S i c� T i-+� TO Wr i zONl NG &Y LAvvS, SE:E- aO N I .oP-D of A.l.•S
�.�' jM�� ice I s i o� IJo, I�g�--► n4-, .S�-►J. 14, I�e�+8.
4&verL
= GEZTIFY THAT THE L.Crf-SHOWjQ At.1v FOUND.�T1>7N
TI4aV-E70rJ 15 In1O-r Wl-r ll Pl THE FEDEIZAL- FL_Aqor7.,
= GERTI FY 7)-4. -T- 714 E- L Ck AL T I or-J Ate►L� ���' `� M ) T E .
'rS PL-A1�1 ICE, PI�EPA MS 7 FJZO L IN ES OOF:'p� L�-� Gt, G Fz O�Jt�� SU�Y � r=!EtD H I M
tit SP�G't"I OrJ. '
G�-OP TlO(-1. THE Ti MS TO Ti4e L 0-rLI 1%IES A4lZE
tJdT To B4-= UsEv 11-1 T�-IE sET'1"lI�lG OF
GNET7 ° H,-8 -}IGNV�i�Y P.x1I�ESS FI�(GErJ-, NEDGLs, 1✓TG.
Fv,Bic,'77,PG .74
t
t
PLOT L PLAN
i
SCALE: sa
_
�Q
GENERA NOT
. L
a ES
1 >J s ,a. va �0E E ® Z E 2 ST A. � !-4 ,d G E•1
OF TN M G Fl�G O T I � ,
� E T�- T�GT Ffi�1J
I. AL CONSTRUCTION L TO CONFORM TO THE REQUIREMENTS
R U REMEN TS OF THE MA Q 5SACH USETTS b.E :E.
. Q HEALTH
SANITARY CODE, g\/ S 0 TITLE AND H W B s V I__.,d / M THE TOWN O F ,a. A �2 I 6E A�G T O1J � Iz 9 � Tl IZ.r`1 BOARD OF HEALTH E �>3 �1L SIGN �F�UIQ.�S THAT ALL t�1Eln/ r �
2: -
PERCOLATION TESTS PERFORMED A� r�tB � S S D I N ACCORDANCE WITH H" c.Or�l IZL!/.Ll. rz 1N I->• T THE INSTRUCTIONS F
STjzc�GTU ES THlr1 T E.�Dh1� OF GONTlz1tSUTlt�►J S AL.L.. GonJr.�Ec. 0 0 THE MASSACHUSETTS
i 9
N T
DEPARTMENT F A
P RTMENT 0 PUBLIC HE LT SA
NITARY N I A RY
TO M n
S T CODE .TITLE FIV
E.
U 1 G E i S W t E TI-i II\1
L !ZS 3 E A. V� F
P Cxib )OF _. Pry T
5
G
6L G
G� c p PP t�A G P P
G 30 o F'4 i-
Z 1 O 5
Z 2
3. ' ESTIMATED FLOW loo
s� �o
i 1 BED
1•'1
(0
6 P1�
_ 2
M
A Mt=
., 2
EZ�QUEST � SO.o2OF:NEALTNVAf iAN GE �1zO MT- = G�OJNl7vA �� T�G TIO 4. DESIGN PERCOLATION RA
s5U
D
s,
G P
D
1
� l
. , Ic'� Z
S
C
5
G
`7�8 5 -MEc?I►J Z5. LEACHINGAREA C LCULATION PI T s
P.P
3 5.5
GALS
F
SL�rJ 1 T.� W I
6.
JZ G I
AGE D S H a SL1 t3 S .fit= D S P t✓ F !zF SA.L- YST'r✓ T
m
, MS O
A S E S 3 G tr P l.J LO � 2
E
7
FINISH A NIS GRADING TO BE DONE ACCORDANCE DANC IN ACCO WITH PLOT PLAN.
S _
2
w
f
Q 8.�i
d HEAVY GRADING MACHIN
RY SHALL
NOT BE PERMITTED TO PAS
S OVER. LEACH
ING FIELD.
may,
9. � APPLICAB E
AND
L LEA GRE CHIN AREA TO
BE EXCAVATED
TED TO ELEVATIO
N f3501 L
A
s
4
v O � BACKFILLED TO ELEVATION Z ABVE TO PoF Pi
T WITH TITLE FIVE SPEC, SEWER GRAV
EL, FREE CLAY s F A
-
0 Y FINES
�C
� LARGE ':BOULDERS STUMP FROZEN A[_ S RO ENE EARTH, A A T ETC HAVING PERCOLATION RA
TE TE IN ITS ORIGINAL
O G L LOCATION F
G
4
0 0
,
F I 0 TWO M.P.(. OR BETTER.
T .OLP
A -
10. ALL ELEVATIONS REFER S R R 0 M _
i DT M U
A -roe s _
Q O
{y I
L F3 100
Y
v!
11. FOR PROPER PERFORMAN E A SEPTIC T NK uH SHOULD BANNUALLY. -S 0 E PUMPED
`C _
I
b
I
k
PRO
FILE
FLEOF YT S S EM
I
NO SCALE
A M RIHOLE COVER MINIMUM DIAMETER
24 FINISHED GRAD
E
BROUGHT UP TO FINISHED A N SHED GRADE
I ,
I
EXTRA HEAVY
- - C.I. :REQ D. ZA-
4 ,
?A-
�` o - c
\T"
X T o S G O E iz. v D I ,cam I S r-►G Tl i O
G
„ „
v
3' 9
ScH Z
0
ao _
6 MIN. -
4
�J
AN
I
CLEAN 2
rN
1
G
.OUT ,
\ F G
Sc
5 PP m i,� 40
4 C.I ,
5 FLOW LINE. G
_ _
12
- r
S QL Z
G
hD 4A-O �4� t EVv G L-l�.dG ,S I ,e•G E A ,E. LE DED J01 CX T T
h
SF
14
IaD ...:PIPE OR SC .
Q
o
40 PV
C.
w
4 SANITARY
® m
cn
C.I. S NIT RY
o T o
4 TEE INLET OR _
O _ r
_ _ 3 G
F m 0
/ 5. ®OO
�o Od . w / I i
OS S �- DJ S I n -ro
-PRoP {=L7 2 `T2.`7fL .17 TI171� gJT,L1.1 N D , PRECAST 4 /z
S G F ZETA,i L_ j . _ _ ro t
o Y iZ
,a o
2
,
N
- o c �oz
M m 0 17 o O O oU E @ 1 �u 13L
m
L- �T�MEt�(
a m
1
. 1
S F
5G
PD
-
4 C.1.
5 NE�GD1 OlJQL. SEwAG� G �L_1G� SANITARYl x GPo TEE 5
0
9 0 b
O 0� C ,F D T IBUTION BOX mm
v' -ETM PRECAST YOOT'OT�LD�••1LFLON =x _�P S�: 3
c
v G G F?
2 i
• P. h PD
Z P17
,
2.
z
2
Z
STND RD PRECAST
A A A C ST OUTLETS SPTIG TANK
i I � CORP OR E U L. IF
1
GT► E
OUTLETS T BE PLUGGED
°x 0 L GGED
O
P
orJf
OTHER VERIFY DIM
ENSIONS. FOR FUTURE EXPANSION PURPO
SES SEE PLOT
,
c
PLAN
N FOR LOT AL
L OUTLET PIP
ES SHAL
L
0
C@ VG E
DIS 1.. SY5T M
- PRECAST REINFORCED CONCRETE
I
B V F A E LEVEL OR T LEAST ONE PIPE
LENGTH.
AP A PIz1✓C,OST HtSL.F CAPACITY OF TANK
I'�OID ALL OUTLET PIPE T A
LAC-e--1 PI T
5 0 BE T HE AM i T SAME
r
� ►J X S G Il_OF T
, G
D
tJ
\., ELEVATIO
N,
N OL.DA-Pt r`1G
01
G a SOIL TEST'a RESULTS
IL LOGS SO 0 S
T G ,
A PP ,dT G�
e 1 IJ
S
I ,�
ofJ 1=
_ s D D Box
S
F � I Ttz
13U
►`1
N o.,
V
S
G
P _TOS= ,
. Te T h
TO .,
0 4- I
1 •
B T ^ .T 1 T'COrL pMVT 8 G _
GDIS Pur
<. .
T ,
,o. h1 G �..1J
S a s .N 2D t_..+o D rz D
a ..
Z
SiJ
L 1350 Q t
Z 5 E
1
1/ � t
IZ., _ - s
f
,, 3Z Z
M 5 AR -
R7 r
S
5� /AND W
O
TE
I N 2 ►�. M
TE T
I ti R•M
ITT
U I G
�g L.E
V
K S
' C �OCR
L..A
i E
O� I 1�
S
P
5
S
Y
O
Q
O 1•'A
e
1
J N T
w Q 1J ,
A
V
k
T»
S 0
A a o
9
S ti
Q
D- DATE -
2 88
I
A
BY r S 1� . 1C P ;S ,
O
SP N .
T t v r-1
-� rJ F
0
D G
C
y �o
SCHEDULE OF ELEVATIONS
P
I
4
N : <
1
� PERCOLATION c
P F
TO 0 L,d�S o0
I
I
3
o
v
t I
s
L
NO
. DEPTH RATE DAT
E BY IN P
i
-
INVERT F PIPE AT FOUNDATION
DAT
C1
0 E 0 N ION
S
, T- 2 P 1 2
8 W
\S
30
D T NVER AT A SEPTIC TANK INLE
T= 9 72
J
6, INVERT AT SEPTIC TANK 0U TLET
R t s
( \
d INVERT AT DISTRIBUTION B I - �o.
9 I,E
` U ON 0X NLET
� 7
O
+7 V R IN E T AT DISTRIBUTIONB X'0 OUTLET
I
T �o
s
INVERT AT LEACHING T
Q
to
3
N L I G f�l n1 L
-r 9 I
I
INVERT' AT LEACHING
PI
i RING T tom'OTT-O �
e 3 O
9
0
V , P
I
G
\ lr
V
,
�7
FINISH GRADE OVER LEACHING AREA FG -
9q _
ti
3
IST•
z
I ;
cx
o ANY ALTERATIONS T R IONS MUST BE APPROVED IN WRITINGBY T
VI T.
GO►-�
tJ
HE
- PROPOSED .
, -DESIGN `ENGINEER. AN
Y CONDITIONS ENCOUNTERED
J
DURING
, CONSTRUCTION DIFFERING FR
OM THOSE SHOWN HEREON
EON E A S W GE DISPOSAL = SYSTE
M
\-- 0R REPORTED IN SHAL
L BE REPORTE
D TO THE DESIGN
A
a
w
LOC T ION
ENGINEER
BEFORE_ 30
�G
� CONSTRUCTION CONTINUES. ,
_
ST 5TMlid.
VD �
$.
MA TION SHOWN HEREON IS LIMITED T 0TEST HOLE INFO
\ _
v
I
YSOIL CONDITIONS FOUND AT THAT PARTI U AR TEST
HOLE LOCATION AND IS
..
N�
s S `
NOT 0 BE CONSIDERED AN
, .sG,
�f APPLICANT:
dP
t�IlC A5 T'IMPLIEDOR EXPRESS WARRANTY 0F SOIL CONDITIONS
�
3O tl
!1 M
3 L`
JTL TZ�BE BEYOND THE LIMITS OF SUCH TEST HOLES: 5
T � Ed iZ T�
T S r 2t� T
,
f "<
t
s WEr3 sa T
N`v ST a I PtAJ L ET
Iz
SS. OZ!00
N
S
ENGINEER
9 M
r LIL
t.�1N
!o(e
RI
W
.....: .MET W ENGINEERING
R E T :0 S I EERING
INC.N
1 FINISHED GRADE
1101 WORCESTER ROAD
-o-
2 'LAY 18 T 2 0/ Q/ FR MIN HAM A 01701
G M
\/ l� SS.
O T o ,� L_cz
F 1 G2 P a � T Y s G Trz t�
i DE wa..
G2
,os5
WASHED S NE CLEAN
_. A R BE T 0 R GEMMA P
txg
. E. 3 967
- A F
T E �/ fJ T
B CK IL L
O S tz. E t E 3 1= I>J� U I L_ C S
l✓ T t xIS vJ M 9 T I 9�Y �.
z
�/� DATE REVISION
, o -o
o BY
o_ F•-�-T�2 � o� G
O l�
L FCTT� 1=TG
l� I T 1J - - - -
OIZ ON L. C UGT10 .L_ ST2 F l� b
� STo
D
.
n
E S
M
_ o o
T
3 4 TO l f 2
0
W ASH Ed` S 0
TONE
0
U o
0
a
0
F z4
o
L
CEO 3 z 8 4�-
P G
vJ Y
0
0
0
0
o
r � oa o
o
N
g N H
v\/
G U t� s g sI
_ 4 VC B
Z I 8
FAY L E/A,cT✓A J R`-1- C Ts
L G LiL L.
.dJC
.[Ln n'tJ
o s& SPIPE WITH
P IC
N LcA 1 5
� WITH i 4 JOINTS
.
T
R - I
Q
A
, TE I 8 U T� G . 9
PERF TED P.V. ,
8 7
C
GENERAL N T 0 E 6
I '
I ,.