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-1 TOWN OF BARNSTABLE
LOCATION "� `] i,�i�'��� ����� SEWAGE # a5
VILLAGE G Jx LS ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. \
(-*' SEPTIC TANK CAPACITY bnO.
IAA
N LEACHING FACILITY:(type) L e KZ, v,A (size) boo f�a O
NO. OF BEDROOMS__,,3_PRIVATE WELL O PUBLICZWATE�Afl
BUILDER OR OWNER ecv��(d4r COS'
DATE PERMIT ISSUED:
DATE . COMPLIANCE ISSUED: !�
VARIANCE GRANTED: Yes No'x
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ASSESSORS MAP NO: c�2 3—CD
/o® PARCEL NO.:
No. G.::....... Fps..: ..............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HE TH j
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Applir�atinn for Uiipnsal arks Tomitrnrtinn Permit
Application is hereby made for a Permit to Construct (41100'r Repair ( ) 'an Individual Sewage Disposal
Syst at t'Ila
r
Location- ress
Owner Address
a -------- _ .1-------------------------•-------•. ------.....-_. C +�L.�, ---•-
Installer Address
Q Type of Building . Size Lot _:____ .. __.Sq. feet
Dwelling—No. of Bedrooms___....____...........................Expansion Attic (�2Cp Gar�ge Grinder
'- Other—Type of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures.-•--•------•-•-------•------- .
W Design Flow.................,4 ..............gallons per person per day. Total daily flow........... :.cQ._._..............gallons.
9 Septic Tank—Liquid capacityAO-QCgallons Length................ Width................ Diameter.___-__--___-_ Depth................
Disposal Trench—NTo..................... 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/ ( ) r
'-' Percolation Test Results Performed by 724A�.c-__. ✓T rf?Pen/.,7_�Date.�______.� _�.......
�j Test Pit No. �G'` __._minutes per inch Depth of test Pit-___._ F__ Depth-fo ground water___
ss�� ��JJ,y
fi, Test Pit No-14 _ __minutes per inch Depth of Test Pit---....(J....... Depth to ground water/_�_v _
C ---------- y.._._..
O Description of Soil.... ____.. 5? ___..._ . P _..Ll ..X(7
-----------------
---------- --------------------------------------------------------------
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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 iiTj" 5 of the State Sanitary Code—The undersigned further agrees not to place the sy tem in
operation until a Certificate of Compliance has been issued by the board of health.
Signed-•-- --......... --.............................. --..
Dat
ApplicationApproved By......................................... ....0------------------------------------------ ............--Z...- lb.L_Date
Application Disapproved for the following reaso - ...............................................................................................................
....-----•-------------------------•----•---_._.......-------------------••-•-•--------•-•-•-•----------.._...-----------------•-----•--•---••----•-------•---------------...•-------•--_---------.----•-
Date
Permit No......... ..•.® ............ Issued.,,..:.. ,. _..
No................-----_.. Fxs...................._......_
THE COMMONWEALTH OF MASSACHUSETTS
j BOARD OF HE�A
_...........OF....:.� .. .}... 1_.
Annliratiou for Di-spngal Works Tongtrurtiun Vamit
Application is hereby made for a Permit to :Construct (L,,<or Repair ( ) an Individual Sewage Disposal
systegi A#
Location dress Lot No j j
Ow Address
�. ..__. ..._.. ................ ----------------------•---••'
� Installer Address
:__ ____S feet
Type of Building Size Lo ____:____ _ q.
Dwelling—No. of Bedrooms.__________...........................Expansion Attic.�16) Garbage Grinder ,( {
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
p 1 Other fixtures
�. .--------------------- ------
Design Flow............. ____________________gallons per person per day. Total daily flow.___._.__.: __ 'l0...................gallons.
WSeptic Tank—Liquid capacity:V) gallons Length................ Width.................Diameter._.__...._.__.._ Depth................
x Disposal Trench—No_____________________ Width........... Total Length......_............. Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.............. Total leaching area..................sq. ft. 1
Z Other Distribution box ( } Dosing
HI r
a Percolation Test Results Performed by. _: - Dat�` / _ c ___.... 1
Test Pit I\To: r' 2_.__.minutes per inch Depth.of""hest Pit....,`�°�,�_yy_�_.__ Deptl�to ground water.:_
r=, Test Pit No 4_10. _._minutes per inch Depth,of Test Pit.i _C).______.. Depth to ground water .
P x' -
,,. •
x Description of{Sotl . '�r� ---------- --- --------------------•----------
(� ±. f __ r't = e�'�''+�_ ==•------------------•---•-----------
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 TITLE E ;of the State Sanitary Code—The undersigned further agrees not to place the s stem in
operation until a Certificate of Compliance has been issued by the board of health.
Signed ' �v ---'a-� —
a
Application PP lication Approved BY ________________ _ ___ _ ---........
Date
Application Disapproved for the following reasons•------•----------•-•--••------••--------------------'--•---------------------'--------------••---•------•-_'--•-
Date
Permit No.----'-- -
._.. Issued.......................................................
h, Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.r�d",rN ,•'" ...............OR..::*"'/�....'"i:.. -..-.{..:.3 t......_` ..j:.4......................._.._
Trtifiratr of f ompliaurr
TICS IS TO CskRTIFY, Tha� the Individual Sewage Disposal System constructed (1,4,#')' or Repaired ( }
s
f nstaller
at ` t F' A 3-J_ 4 h t = Y ..............."s---------------------------------------------------
has been installed in accordance with the provisions of T1i' of e State Sanitary !E:o e as described in the
application for Disposal Works Construction Permit No----- � ...... --�%f�r3-es&
, dated--.1 ` --------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G ARANTEE THAT rHE
SYSTEM Wt t, U T N SATISFACTORY.
DATE............ •---------------•'-'•••••-'•'--•...-_•-_. Inspector--••---1_1h ...-•-•-'-'-----••-•-________..:---......_•--'--•'-'._....._••-•••'
5 � ( THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HE
62
. fit � 'Y ';� `
.....................OF :._._..........._........................ .:
No:........................ FEE... . ........
Raposat Vorkg 0.far r#ila rrini
Permission is hereby granted. ' _ ............................................ ...................
to Con ct ( or Repair ( � I dwHual ewage Disposal System
atNo..--.I "•• --! 'r�-L -. -----•--° ✓:a i-- ----------••-•------•-••-•-•-••-•---•-•----'•--•----•---•--------
�€ Street
as shown on the application for Disposal Works Construction Permit No_______________�_,_?___. Dated..........__..... . ....
'•- _---
Board'of Heat
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5' 2 3 I O �' - MARIANO N
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No.31115o00 AL•EPY
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PAUL A.
u LEVY -41 I
No. 1061.7 w
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i LEGEND
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EXISTING SPOT ELE\'ATION OxO
EXISTING CONTOUR -=— 0 --- 10ERTIF P'-OT PLAN
FINISHED SNOT ELEVATION j --
FINISHED "::._ : 0Ur O /-OT '7 W#17&JS"ALG ►OAS/
NOTE: The .location of any existing under round sewerage,,;
we11s, or other utilities shown on t}:is plan is uppiox- IN
imate only as determined from records and/or verbal BAPJJS7A�,� MA
information. The contractor is responsible for the '
verification of the existing locations in the field. . ' SCAL,Et "_
40 DATE : e)M)IB&
C L I E N T
LEVY & ELDREDGE ASSOCIATES, INC. i CERT FY THAT THE PROPOSED `
/045 I
ENGINEERS-LANDSCAPE ARCHITECTS JOB N®. BUILDING SHOWN ON THIS PLAN
PLANNERS-LAND SURVEYORS DR.BY /�tlS .�+a : CONFORMS TO THE ZONING LAWS
O F 5,4 e,✓sr , MASS 1
712 MAIN STREET "CH. BY, DPW
HYANNIS, MASS. Z
SHEET_L OF DA LA S VE'y0
20 FT. MIN. /1 07 /F E/TNER THE SEPTIC. TANk OR �
LEi4CH/wG P/T ARE MORE TNA,eA/ /2"9ELOW
/D RT. M/N SRAOE� f� 24 ��/AMEPER CONCR6T.E COliER
IE— SJ•dA L L �
EL. (oS• 7S CONCRETE MIN. c P/P.Lr BE ,9ROUG.4►T TO GRA DE:�aN EXTR.q
IIERIiy CAST IRON GOf/ER S/�,4LL C3E USFO
OYER.S /F i C ► CH
/N 2:;R/VEyVi4
I •-
_ 2 • MIN. CONC.�'L�TE
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_ �_ G�AOE CdVE'.4 CLE,4N `SANG a
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L/PU/D LEVEL
4.
'LAYER
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4'C S T
/RDA/ P/PE • o o 0 0 0 !
0 6 0 CPAL. -
Ml o N /TCII/
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V4"P&A /7: SEPTIIC TANK D/sT, o 4 WASHED. 570NE
, .y 1361.oc..> Sv b so►1 • e.� ! • •EFFECT/VG'. ► ` •
i
S - 3 7 '7. • ° o •.DEPTi e , oo WASNED STO1VE
3 X / = / /3, 0 GP® :v. , ► • • • • • a.p PRECAST SEEPAGE
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lNiiER7- g'�L.E6iAT/®NS /TC4PAC17V /�
1 �g®� 5 {Slp-t> - ° a L . 20
/NXERT AT EU/LD/A/G FT,
/NLET SEPTIC Ti4/VK 43.00 FT /2 FT. .171A 1. C SEE TA9411-AT1 oN,
OUTLET SEPTIC TANK 62' 0 FT, r ''
//VLET OISTR/8!/T/ON BOX (P2,46 ,c7 SECT/O/V OF GROUND W,47-EK TABLE
0UTLETD/57RIBIlT/ON BOX (o q 0 f?
/NLET.LEACHING. PIT G�2.20 FT. SEWAGE ®1,fR0%SA L SYSTEM
L EAC'H//VG �/T TABULA?/O/V
DES/G/V CR/TERIA
SC.g LE %4~ _ /=O" D/MENs/ON A L.Srp
OI,y.ENS/o N 8 FT.
NUhfBER OF®EDROOMS_ .�_ _ D/HENS/ON G FT. -=
GAReAG.EDISPOs. I--UNIT DAIE SO/L LOG SD/L TEST
TOTAL EJ
T/1+1A7`EO FLOW Z?Q 04L.IDAY SO/L TEST #/ $OIL 717ST#2
NUMBER QF t„e°ACIJING P/TS GATE OF SO/L TEST
S/OE,(,L•ACH/NG PER P/T !,T/ SCE �T. RATE,'/
a,_,2,o. LOAM RESULTS iV/TNESSED BY�t��^"L
/ — -
OOTTOM LEACHING PEIZ P/T SQ. FT. Su65oIL P�`RCOLAT/D/V G Z Ir PVIJNCH •
7'07',9C 4&4CH/IVG AR,--A 2fo sip. it P'ERCOLAT/ON RA7-X M/N.J/NCH
RE.SFRVELEACfI/(VGAREASQ. FT.
STRAriFteA VOL
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DAVID
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�o. MAP,IANO !'1 C$TZK`s'JEL Z07 YVfT/
v CIVIL 'd .
31115 u;
lieLEVY & ELDREDGE ASSOCIATES. INC.
F �a ho
' 712 MA//Y ST. AHY.9N.vIS, M,gSY.
r Y ` tl NO GROUND ;,Y,4 R ENCOIJNTL�R�O CEMENT:
-� GRF�DATE
Q Gm UNO Y1//a TE.P AT ELEv _
JOB NO.' /0:5I SHLL,ET_l__OF Z