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HomeMy WebLinkAbout0069 WHITEHALL WAY - Health (O q W hi tC h4 h W418 . N , 0 f f 0 1 1 �6 -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 :� • �� ,. � F "1 ti �� ♦ �'Y�_ _ (� '� (,0 3 `i �+ � "' '�` -. n �. ASSESSORS MAP NO: c�2 3—CD /o® PARCEL NO.: No. G.::....... Fps..: .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE TH j � 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 ----------------- ---------- -------------------------------------------------------------- f 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 / 3 -PORN 1Z 5 HOBBS & WARREN. INC.. PUB6, HERS �� a P j ) � r { zaw E PC -1 125' FI��t'JT�IG '�ASSuf` er) Lo7 .PROT WIT FE1) UN��Ele. T o„�N REG j 30' r eo N S LT Ci Re k CH L,r .Car Z 4 I 51DE ter- �k r 15 ' RP-00t E. ,S L.0T 7 L oT Co y LA LOT0 LA 0 �a DAVID P. �y N v? 5' 2 3 I O �' - MARIANO N 1l-� U v CIVIL No.31115o00 AL•EPY C TNNK Q OR, , �..' B°x 4x12 `FP T� rI I I PAUL A. u LEVY -41 I No. 1061.7 w Y\'f i LEGEND V R y'�`% 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 � Asa _ �_ G�AOE CdVE'.4 CLE,4N `SANG a L.L L/PU/D LEVEL 4. 'LAYER _ ,q 2 Y 4'C S T /RDA/ P/PE • o o 0 0 0 ! 0 6 0 CPAL. - Ml o N /TCII/ I ! 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 i ------ a • r r • • • • • • e v P/7 OR EQU/V. 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 #/ $OIL 717ST#2 NUMBER QF t„e°ACIJING P/TS GATE OF SO/L TEST S/OE,(,L•ACH/NG PER P/T !,T/ SCE �T. RATE,'/ a,_,2,o. LOAM RESULTS iV/TNESSED BY�t��^"L / — - OOTTOM LEACHING PEIZ P/T SQ. FT. Su65oIL P�`RCOLAT/D/V G Z Ir PVIJNCH • 7'07',9C 4&4CH/IVG AR,--A 2fo sip. it P'ERCOLAT/ON RA7-X M/N.J/NCH RE.SFRVELEACfI/(VGAREASQ. FT. STRAriFteA VOL /sS.Tfv SAS p DAVID �T �o. MAP,IANO !'1 C$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