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HomeMy WebLinkAbout0031 WHITEHALL WAY - Health 3J,WHITEHALL -# J tb Hyannis A p, I I, o TOWN OF BARNSTABLE V LOCATION{'-�;R �•1 y ( � SEWAGE # ' VILLAGE f'44!9 /1 i ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) -ey�.j NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: nn DATE . COMPLIANCE ISSUED: ( J� VARIANCE GRANTED: Yes No ' -�. { . -� .� .� � i„ �, r` , V!i "'� ` ' RC .� � �G �", na �' c r T �.� �. �, � r ASSESSORS MAP NO- —r 'ARCEL NO.-. No.. Fxa..IS................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® F HE LTA 7 .............OF....... ----. -------••--••-----•----------- ApplirFation for Bigpoii al Works Tomtrnrtion ramit Application is hereby made for a Permit to Construct ( &-�'or Repair ( ) an Individual Sewage Disposal Sy at 1 11 ....... ............... Location-Add r y j of I�To. �/ .......... 5..i.. .._ L+' _ ...0.................... .... _.... ... V Owner Address -------------------------- ..................... -........................._............................. Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms---- ______________________________Expansion Attic (67 5 Garbage Grinder ( 76 aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ------------------------------------- - W Design Flow.........5�..... ...............gallons per person per day. Total daily flow............-.3.Q......_.......gallons. 9 Septic Tank—Liquid capacityi 42 gallons Length................ Width................ Diameter---------------- Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing�av' (, )� '-' Percolation Test Results Performed by------- ,..�f.C'. ! ...�lY�Date.................. . aTest Pit No. 14C5.5.._.minutes per inch Depth of Est Pit....-. _. .... Deptb/to ground water.............. fi, Test Pit No.�*.,,A_minutes per inch Depth of Test Pit.................... Depth to ground water.. G___.._.._... a -------- --------------------------------------------------------------•------------------•---------------•-............----------------------------------- 0 Description of Soil...........................................................................................0---R—'aZ------ •----- f - ........... U ----••••-•-•--------------•------------------•---•-----•-----•----------•--------••------•---•-••-------------••-------------------------------••--•-•--•----•-....------------•-•----•-•-•------ W -------------------------- -------------------- -------- - -------------------------•-------------------------------- --------•---- 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 iT y g g p y�of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued.by the board of health. Signed•. . •------_s .a� ... .......... ------------------ .. -------------------------- D t Application Approved By--------------------------•----- ��................................ ....... 1�' -9 Application Disapproved for the following reasons---------------------------------•--...............................................(............................ ----•-.........--•--------------------••--•--•--••-••---••-----••--•-•-••----••--------------------------........--------------•------•--•--••------•----------------•-•-----------------------•••-•---•. Q� Date PermitNo.------.LJ. 7........................... Issued_....................................................... Date r ". j b No. FEs7_S................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® F H LT �1...................OF....:.. ' - , .-... � Appliration for Disvvii al Murks Tomitra ion Frrmit Application is hereby made for a Permit to Construct (4-T or Repair ( ) an Individual Sewage Disposal System a ,g J .ry Location Add Lot I\o " Owner Address -•-----••--•---••-••---••----•-••-•-•---- Installer Address Type of Building Size Lot............................Sq. feet ., Dwelling—No. of Bedrooms____.___......................._.......Expansion Attic e(f Garbage Grinder Other—T e of Building No. of persons............................ Showers — Cafeteria Other fixtures __________________________________ • _._-- w Design Flow......... I'.........................gallons per person per day. Total daily flow............ ...............gallons. 04 Septic Tank—Liquid*capacit)f 9N� _gallons Length................ Width................ Diameter---------------- Depth................ W Disposal Trench—No_____________________ With....._.............. Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tt (� ) ~' Percolation Test Results Performed b ...... s .............. ' " Date........................................ Test Pit No. Z5.3_____minutes per inch Depth of Test Pit....:_:............. Depth to ground water---------------------_-. Pz Test Pit No°� ,;:F :..minutes per, inch Depth of Test Pit____________________ Depth to ground water_-___-__________________ a ---•---•-•••----------------•-•----•-•--•-•------••••...........---•-•.._..._..:__-------------•-•-'-••--••....__........_•---•-------•-•---....:----------- 0 Description of Soil........................................................................................................................................................................ x c., 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 ofT of the State Sanitary Code—The undersigned further agrees not to place the system in been issued by the oard of health.operation until a Certificate of Compliance has be _-�-�'���� : if ........................... ................................ Date Application Approved By............................... ., ------� ---1��- �-�--•------ ate Application Disapproved for the following reasons-------------•----------------------------------------------•-•••••-•----•--•-•... ......-•----•--•---•--•--•-•- ..------...-•-------------•-----------------------------------ii--••--••---••-•---------•--....----------...---------------------------------------------------------------•---------------------------••-- Permit No.-----�� �l 5f I Issued Date Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF. HEAL H '`?e !...................o F.. - "•.v.... -�.: .-•--------.._........... Trrtif irate of TompliFanrr THIS IS TO F&tRTIFY, That the Individual Sewage Disposal System constructed (4­'1'or Repaired ( ) GInstaller�_ � !°� ...----•-•-•..........................................•---••-- at ------. .......................................................... r. . - ............................................................ has been installed in accordance with:the provisions of liTE - of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. ................ dated__ 41"................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE SYSTEM WILL FU ION A ISFACTORY. DATE...... = TV........................................ Inspector---._ l' --..................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTIJ 7.................OF.... ....................... NO �......:7. FEE ....... .......'-- �i���io, 1 orko��on�#rai�n rrmi� Permission is hereby granted___ _ to Constr ct ( or ep it ( ,/ an Individual a gage Disposal System a. I..._ .•. •. - _°. '`__ !-------- �l, .r?.fit I.................................................................................... _we Street S,t f as shown on the application for Disposal Wor-s Construction Permit No.;!____ �l.._ Dated---. -•--•-------•----- ------•---- ----•----- t� _E ( ems" C..��,"y✓ oar�fa I x 1 C.3� !' c � FORT:I255,I_`-Hosas & WARREN. INC., PUBLISHERS Zo►--I� 1'-G- I��� LJ 9 I T E-.14AL L /1,44)0p, HOME 77 ra: I RM N / � LoT '-1� EASrn�L-N> 2o'wraF_ w . X If l � Assam,-,Erg ✓ � � � � !*L n7 l�2oT�cTE p 0 ( vNr>fEQ Towr.l M � I / / � .� Qe �RiGr�LIJ• 33� �2 ��; l000C�aL z 1 IC0% to ro /Z5, ° a Q� OF a Cµ�rr PA U L A. v,o� DAVID P. G V g MARIANO m e LEVY `�i -+CIVIL � " No. IOGI7, � �V9 lT� % LL 1A) c2 No.311115 Q co p v, E)1p l'12.rv/J7E A9CG1 7�Q`�� �'�\�:ST1R�• � rU LEGEND ° EXISTING SPOT ELEVATION OxO EXISTING CONTOUR --- 0 --- CERTIFIED PLOT PLAN FINISHED SPOT ELEVATION FINISHED CONTOUR 0 . �VO'IE: The location of any existing underground sewerage, IN wells, or other utilities shown on t;is plan is 'approx- imate only as determined from records and/or verbal JI \ information.. The contractor is, responsible for the �� �� -�"""�'°��, � `�d � verification of the existing 1.6catibns in the field. SCALEO = s/O r DATE G LEVY & ELDREDGE ASSOCIATES, INC. CLIENT.4--819414P,1,04 i CERTIFY THAT THE PROPOSED i ENGINEERS-LANDSCAPE ARCHITECTS JOB NO. IcyS BUILDING SHOWN ON THIS PLAN. PLANNERS-LAND SURVEYORS �C�ly CONFORMS TO THE ZONING LAWS DR-BY, OF BARNSTABLE , MA. SSg w, VMp iIJ s�'t" CH. BY PL b SHEET_1_ OF Z OnA E E LAN SURV YOR 20 FT. M/11/. /YOTF /F ETHER THE SEPT/C TA V/C OR LEi4GN11VG PJT ARE MORE TH.9/'/ /2"BEL0/&t/ /D ITT. MAN. --"- SRAOE� �4 �Q"O/AMETEK C'ONfR.ET� COtiER 4'PYC PJPF SHALL pE BR0UG.VT TD GRAOE.��+N EXTR/�i CONCRL7E All". PJTCN i`/E.4VY C/9 ST /RO/Y CO✓ER SHALL QE USE. . e,,•, �—�— C•OIiERS �9�PL�,Q FT. !F/N !�R/VEN/A y CiRAOE COVER CL EA/V .SA/V L7 L94/ID LEW L ( ' 4.• �"CASa _ . . 2'LAY--R IRO JV P'I PE• ICOO • v o ' a o p / •"3 MIN.P/reH GAL. 1 . . . . . . e e of /8 /8 `<t %4"p0m.-T S,EPT/C TANK Day ♦ s 1 • • t • . 1 • e •Ae WASHEDEcrIv— S727NE D 1 ° DEPTH • 1 ' •Al v . WASHED STaNE BSI X r. c� = R �rl.rj • • • • • • • • . • p p PREGAS r SEEPAGE ; !Nl/efiT' E'LEI/�9TIONS //�X/ O I�3' O_ `a�.' • • • • • . . • • o P 7OR EQL//V, e a INVERT AT QU/LD/NG (c? ? FT INLET W)OT-IC 7.4NK FT L. /Z FT, 01AM C,(5EE7ABLJLA77JOAV) . 0UT1-ET SEPT/C TANM Fr, //VLFT O/5TIR/81I7/0N BOX 6/,9 FT. SECT/ON OF GROUNo WATEfC 7AOLE O!/TLETD/STR/BIIT/ONBOX 6l,7 FT INLET LEACHING Jn/T Gl,s FT .SEWAGE O/SPOSA L SK57W/l9 7AJI11-ATlD1V LEACH//VG PIT DIMENS/ON A Z'a FT. DR-516M CR17-ENIA -SCALE : %" _ /=o" D/M.ENS/ON $ FT. NilA'9BEJ? OF BE'L>ROOVS D/MENS/ON C 4—F7- . (7-4R4 AGE p/SPO.SAL zlNir "OrJL� SOIL. LOG P- TOTAL —637I/►x-47•EL7 FLodV '�'�U G,aL.�DAY SOIL TEST / SOIL TEST 2 SOIL TEST NUMBER OF LEACHING P/7rs I f^FLEK PATE aF S'O/L TEST S/DE 4—=ACHING PER P/r �5/ SQ, FT. FT v >'OSoiL RESULTS B is//TNESSED dY11��1s�lyc/lei., OTTOM L ;ACHING PER P/T / L -eAC04AT/ON RA TO At AZI MJIV/-hYCH TOTAL LEACH/JYG AREA SQ Fr. - laEhC0L.47'10IV RATE/k2 MJN.1/NCH RESERt�ELEACN/NGARE/a -" Sip. . Q FT 4 Sco I L TEST 71-Coo l4 DAVI D P. �� SIR/O GUT MARIANO v CIVIL H�epd S7A L-e- )471-c? SS ,A No.31115 co LEVY & ELDREDGE ASSOCIATES INC. SS�0NA - /o' CL-.5?, COrrzge j;jUr,.�.r g ss. � . ®. ND O,govn/p YY�4TEf� ENCOCJ/VTEREO G"L/ENT:�n_�v�eJe DRTE� �'�n &G GRO UN17 LVA7 AT ELEI/ _ JOB No; 1045 SHEET�'of