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Home My WebLink About0043 WHITEHALL WAY - Health Aj h kA Ilb c t+i C&&S&-SJ "ON [E)OM6)ADUR i TOWN OF BARNSTABLE LOCATION L61- 4 55 W�SEWAGE # VILLAGE W4 A ASSESSOR'S- MAP & LOT INSTALLER'S NAME & PHONE NO. t�)) I m D(-'�4C oO nn SEPTIC TANK CAPACITY 0)110 �o l E E e- LEACHING FACILITY:(type) Lcuc,� 16 t (size) , 6C)0 cp NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER 1 BUILDER OR OWNER r F' DATE PERMIT ISSUED: 0 f b DATE . COMPLIANCE ISSUED: � t VARIANCE GRANTED: Yes No . } . � � . y / � . . 2 . \ � ./ �� }� . 5 � � . . \ � K�\\ . , � � � i �� . � � . � � � � � . ��4 �� ASSESSORS MAP NO: PARCEL NO.: U� q No. ..... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEA TH ..-----. d. ..........OF.......... .':!?., ri, / .... Appliration for Uigpooal Workii Tonotrnrtion Vamit Application is hereby made for a Permit to Construct ( 4-)"or Repair ( ) an Individual Sewage Disposal y J ---------------------------•...----I Loc 'on-Addr or� Lot No.------------------ -------.'". f x -_�.0. - a Owner ` s Address . Installer Address _ Type of Building Size Lot.-_f ---------Sq. feet Dwelling—No. of Bedrooms........ Expansion Attic .�6j Garbage Grinder (rl pa, Other—Type of Building ____________________________ No. of persons__..-_-_____-_--_-__-_______ Showers ( ) — Cafeteria ( ) Q' Other fixtures ..---•-----------•-•............ . ie------------------------------------------ W Design Flow..__...._...:S ...................gallons per person per day. Total daily flow.......... .,.2®..................gallons. 1:4 Septic Tank—Liquid capacity�0DQgallons Length................ Width................ Diameter__.__-__-____.. Depth................ Disposal Trench—\To. ________--..•-----_-_• Width-------------------- Total Length.................... Total leaching area----------_.........sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( - ) Dosing ff�� '-' Percolation Test Results Performed by._GC� iGX��.. 1C... !_%l�tr�f'1 Date............�1 .zc� ._.. ,aa Test Pit No. 1 .�' _minutes per inch Depth of west Pit___.__.ff Depth ground water_--__-_��// 4 Test Pit No. A&,? minutes per inch Depth of Test Pit------ ........ Depth to ground water........................ .......................................................... ..3 Description of Soil..................................................................... ' -------:�b__ S0Ir� S ui �- •... -- ------- ----------------------------------•••••. x -------------------- - - . It 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 1 i T s� 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 b rd of heal Signed-- ..... .-•--•-......••-•-.........-•--- /� Dat Application Approved By.......... --•-• ....... z......... . --------- -------4 —Z'-L -- Date Application Disapproved for the following reasons-----------------------------------••--------•-----------------------------------•-------------•-•-•••-•--••----- -•••••••--••-•-•---••••••••••••---••-•.....--•--....----••-•••••••-•••-•••-••-•..............••-••-•...---••••--•-••••••-••••••••......-••••-•-•-•••--•------------------•-----•----••-••--••--•--•-•-•- �j Date Permit No........C�_. .� !._•�—� ..... Issued-------------------------- ------------------------- Date r N�r.-�......_-!_I-I Fes$............................_ THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HE L H fCa ............OF_......Ga-- .s" :,ram e P. ................. Appliratiun for Biupoiia1 Works Tomitrnrtion Prrmit Application is hereby made fora Permit to Construct ( or Repair ( ) an Individual Sewage Disposal �,� Loct:on-Add p ry4" .- or Lot ,Nro J �g _..._ _ { .:. .-S.t ....... '�.3...--... ..+'�`4i... ,,,. Address Instal er Address Type of Building °s Size Lot............................Sq. feet Dwelling—No. of Bedrooms.__.....:`±...............................Expansion Attic-if 6) Garbage Grinder ` Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ------------------------------ -- -------------------....-----------------------------...---------•--..._.... ------------------------------------- WDesign Flow......... .__ "........................gallons per person per day. Total daily flow.......... _._ ...................gallons. 9 Septic Tank—Liquid capacit�j.l .gallons Length................ Width................ Diameter------------_--- Depth................ Disposal Trench—N'o. --------.:.......... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosin .,1; ) ,. ~' Percolation Test Results Performed by. :.._ 't _ .. �" 'r"✓ ' Date........................................ Test Pit No. .__minutes per inch Depth of est Pit.................... Dept- to ground water___________-_-_-------_. 44 Test Pit No. _"xy_I.minutes per inch Depth of Test Pit.................... Depth to ground water........................ --•...........................•-----•--•------•-------------------............_..._.......---•-•_._.......................................................... O Description of Soil......................................... x 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 of ii t� 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 and of health Signed_.eZIP�� '/f '--.:/- .. _;fit/- °----------------------------• Application Approved By....... �_�_:� „ ":_._ ____ - 3 - t Application Disapproved for the following reasons---------------------------------•--••---•-------------•---------------------------------------••-•----------_._ ---------------------•-.........._----••......--�••----•---••-----••--------•---••---..................'•-•------------•-•------•-----•-•-•-----•••--••--•------•--••.........__---------•-----•---'--- Pwrt__-. r—• Date PermitNo..... --c2........... ......... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH ....... .., ,t` ... +�` � ............................."?....................oF. Trrtifiratr of Tontpfianrr CIS IS TO CE- FY, That the Individual Sewage Disposal System constructed ( - or Repaired ( } �• f bye ,; ..._. ..�(1 ............. • . '-------------....... t----- ••----•-•••-••--•••------•-----------------•-----•--•- p has been instailed in accordance.with the provisions 111 of The tate Sanitary Cod as ' scribed in the application for Disposal Works Construction Permit ....... dated__'_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU RANTEE TI1AT tHE SYSTEM WILL FUNCT N/SATISFACTORY. DATE................ ---- ..... Inspector `- - A, - THE COMMONWEALTH OF MASSACHUSETTS �«...... _ BOARD F HEALTH ...... .. .OF..... w-W. .... -•---•---- -- 1 I. 1 FEE....................... S n• isPermission i ereby granted_.:. � . _i.. f ----------------•---•---'-----------..................-----•-----...... to Constt'/ir a Re air ( )j n Individual Sewage Disposal System "'�• ..__.� -`'C�--__._y_ .. 3 I......_._.__........ at No.. £ � __<. .'�.. �./9rr,t�.�P" .�_ e.................................................0� F �,�"�-SY._ Dated.-.___.l. 7 •-•---•- at eet as shown on the application for Disposal Works Construction �Permrt I� y.�-. � �� T - 1 Board of Health DA1 E:_1 a�Vl - FOR'N I,2515 HOBBS & WARREN, INC., PUBLISHERS i' L.l H(TCNtt" h'A,v0 R_ A�,5GO s j= AAA I�ltRS,NG J�0Mi �xIG /fie?il. i� 01' AIGI/! /y. IzG' /J'F4-""'-0- UNLhAV 3 0j 15 S' Ill SI. r c� �. 23.SN' 11D j La` ;)20T e1i UJT�Gc �' S'F ` 3 N1 �{ N Ll i0l n � 31= ut/ . • I� A-) +I o III l� 1 oeo c;cl N > I 17-5100 / PIT I � DAVID P. aMARIANO rn _CIVIL l,J µ J�ys/� LL GJ/ Y Paul a. N '�. No.31115 LEVY�� u No. 1051 Z 90 �G/STti� (s 0 4J I Pe P2 IIIA7 S LEGEND EXISTING SPOT ELEVATION 0%0 EXISTING CONTOUR --- 0 --� CERTIFIED PLOT PLAN FINISHED SPOT ELEVATION t.oTS Gih�i7 ��.� FINISHED CONTOUR 0 Nu'1'E: 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 8A J1 h S T A W1 .1 J b]ASS information,. The contractor is responsible for the verification of the existing locations in the field. SCALE, /Iiy41 DATE tgDg& LEVY & ELDREDGE ASSOCIATES, INC. CLIENT ��N�' I CERTIFY THAT THE PROPOSED ENGINEERS-LANDSCAPE ARCHITECTS JOB NO. IV BUILDING SHOWN ON THIS PLAN PLANNERS-LAND SURVEYORS DR.BY jZTIU CONFORMS TO THE ZONIN LAWS OF BARNSTABLE $ MASS. ae - 9 we5 {1'A,Aj 57" CH. BY 1 877VrLl�/ d1?.<55 SHEET L OF 2 T E LAN S RVEYO 20 FT. M/IV. IV 07"L� : /F E/TNER THE SEPTIC TAN/C OR --,4C/•///VG P/T ARE MORE 7—Aiol l /2"BEL0JN GRAOE� Ai 24 'D/AME7-.ER CONCRETE COVER 40PYC PIPE 'S'y'gLL BE B.POejaHT TD GRAOE.6fiN .EXTRA CONCRCTE "W. PITCH �`''ERVY CAST /RO/Y Co{iER SN,QLL 3.E USED •.•. G'Oi�ERS YB.vER FT IF/N DR/VEJtiA Y A .';a 2 . MiN. CDNGRE'TE _ G AOE Co ✓Eft CLEAN r5'A/V O LQu/D LEYEL 0L)N CAS 2"LAYER .r1,.., _ 0/PF ��OD C7/�L. •a e °e Orv8 -J18 r I4•Rem J-r SEPTIC TANIK D/ST. ° •e b t t • fell • A + WA SHFD 570NE :. BOX o t • • t a • • • • .•• • i a 1 t •EFFECT/VC ` AP3 4 - I I2N • ° t • DEPTX • • t ' o WA5,YAFP STTDAYE ~ • /S/.X Z.� = z�77 S a.°• • • • • • • • 0 p i p PRECAST SEEPAGE lNYER�' �LEYAT/oNs /I�� k / O = _ ��U__ a ►e • • • • I a `o P/T OR EQL//V, JNY,ERT AT O/JJLD/NG &z'a FT, P17- cAP 11 Y90" 6 FT D/A/y. INLET SEPTIC 74NK hz FT L --L4n- FT. C 5EETAB41I-4T)OAV> OUTLET SEPTIC TANK (07,61 FT. //VLFT DJSTRIBUT/ON BOX 6Z•4 FT. SECT/a/V OF GROUND WATER TABLE O CJTLETDI STR/9l/T/ON BOX INLET LEACH/M4 SEWAGE O/5P05AL. SY3'T,=.1W 7A�ULATID/V LEACH//VG O/T D/MEN,S/ON A D.E3/GN CRITERIA sc,�<_E : %s" _ / - v D/rfelvs/ON �-4- FT. ' NL/H8ER OF&EIDROOIyS 3 D/HENS/ON C _FT. GARCA6E0/5POSAL. UNIT SO/L LOG T�- lvO/5 TOTAL E57/A7.47"•EO FLOW 0 G,4i-.1DAY cSOIL TEST Jib'/ SOIL TEST 2 SD/L '7"EST' NUMBER OF LFACHWa S a !`-ELEY. ,PATE OF SOIL TEST _ 8Z/A©G /OF LCACH/NG PEit P/T 5 SQ, FT. OL Z 7oy5o'L I RESULTS it//TNESSED BY Wel/SZ��.��"I" 607'TOM L..EiACH/NG PER P/T I f?> s. PT. Pt4C04 AWOIv VAT&:*1 G Z M//V�//NCH TOTAL LEACH//YG AREA � 4- SQ• FT. PERCOLATION RATE/*2 RESERVELEACNI/Y6AREA uo FT. s -P :off DAVID PMARIAN . �yG 5�N0 Lo7' S ttJN� ;rlLL W.4 clvlL 'rRQrieL FA�/US)•AQ l7rd�5 ,A No.311154 90 LEVY & ELDREDGE ASSOCIATES, INC. �'sf AL �' .• /D� CL 5g O � &£ice W, i�YldI&( 57: G'FA/1&�af�MAss. �+. � NO GROVNJ Yt�,4TER ENCOUNTLR60 CL/ENT: /2E�J� DATE � � /o BG Q GIe0UNO YvATER AT ELE�! - .JOB ND' /D45 SHEET z OF L