HomeMy WebLinkAbout0083 WHITEHALL WAY - Health 83 WHITEHALL WAY
Hyannis
A = 250 — 167
I '
TOWN OF BARNSTABLE Y
LOCATION 1� ►e.m V SEWAGE
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY log® �r
LEACHING FACILITY:(type) L*,x c \ , (size) , ,
ct NO. OF BEDROOMS 3 PRIVATE WELL O P4.111-1
_
BUILDER OR OWNER Cr c e v f tc-a r� Cc�
DATE PERMIT ISSUED: C) -
DATE COMPLIANCE ISSUED: f i3 C
VARIANCE GRANTED: Yes No
� . '
�� � 1'.,•
t
j ��.
j Z' _
..
`� � �
v
s •
�y.s
1
�� � � � � ��
��
Y
r'�-
'r �
J
ASSESSORS MIAP NO,,,
PARCEL NO.-
to 0
No.. .............. YmB..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HE T H
--- ...............
------ OF..i6 .�tL..C11Z ...............................
A firation fo r Uhipviial Works Tomitrurtion rumit
Application is hereby made for a Permit to Construct (4-<or Repair an Individual Sewage Disposal
System at:
...... ..... A/d, -1. .......K7......... ------------- ---------
•
Location-Ad&Iss 0 0
Ri e�
......................... .... .... ... .. ...ce--- ....
Address
Owner V.1
<,.O- -S
.. ........1&.1.1
_.(.......................... ........... .....A..C.............................................................
Installer Address
Type of Building Size Lot/47
U ...Sq. feet
Dwelling—No. of Bedrooms.........3...........-----_-----------Expansion Attic VJ-6 Garbage Grinder
Other—Type of Building ............................ No. of persons.........._...____._...___._ Showers Cafeteria
Otherfixtures ........................................................................................................
Design Flow..__.....__._._. .................gallons per person per day. Total daily flow...........13"%T(0 g, -1"1-o n,s-,.
Wadgallons Length................ Width....___..._..... Diameter.___._..________ Depth_._.____.___.__.
Septic Tank—Liquid _
capacity Y
Disposal Trench—No. .................... Width-----___............ Total Length..__................ Total leaching area....................sq. ft.
Seepage Pit No_____________________ Diameter....._..____.___.... Depth below inlet_............._..... Total leaching area............. ..sq. it.
Z Other Distribution box Dosing 'e.? /��a��'
I ....Z� , - e. . ... ...................
4g�
Percolation Test Results Performed by-- ----- .'/?*Dat
......Cam . .
Test Pit No. As.5-----minutes per inch Depth of Pit-......_ _Ye.... Dept��Olground water
�-4
44 Test Pit No.
--minutes per inch Depth of Test Pit. ......... Depth to ground water......................
P4 .................... ........................................................................
0 )iL0.. \a.. .. -
Description of Sc .............. --------------------------------------------
-------------------------------- .. ........ .
M ....... ........4?�U.....................................................
�ii ........................................................................................................................................................................................................
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'-,TLE 5 of the State Sanitary Code—The undersigned further agrees not to place the s stem in
A.—
operation until a Certificate of Compliance has been issued by the b d of health qga r
Signed.. ........... .......................... .......
D to
ApplicationApproved By................................... ...... -------- ................ .................. .......... ------- Q
Date
Application Disapproved for the following re as ns:................................................................................................................
..................................................................................................................................................................................................................
Date
PermitNo......................................................... Issued.......................................................
Date
No...................•----- ~ Fms.............................
THE COMMONWEALTH OF MASSACHUSETTS
'BOARD OF HEA T
;��p iration' for Bhipo��al Works C�onstxa�r#ion rxanit
Application is hereby made fora ermit to Construct ( or Repair ( ) an Individual Sewage Disposal
System
Location ess Lot No.
Owner Address
W •_ '. a d.. _11........................... .......... tie.�a_. .............................................................
Installer Address
Type of Building Size LoV. .....Sq. feet
Dwelling—No. of Bedrooms........3...............................Expansion Attic �16 Garbage Grinderif 0
aOther—Type of Building ............................ No. of persons....................-------- Showers ( ) — Cafeteria ( )
a' Other fixtures ------------------------------- . -- •. .
d ..........•___.._gallons per person er day. Total daily flow.._...... _�� :...............gallons.
W Design Flow........... --- g P P P Y• Y s--•- 1�
WSeptic Tank—Liquid capacity..:..gallons Length................ Width................ Diameter---------------- D6pth................
x 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 ( ) hosing
'-' Percolation.Test Results Performed by. i- r.. _ez-2. �Date
a Test Pit No. a: ..___minutes per inch Depth of Test Pit Depth'fo ground water... .
G=, Test Pit I`To � .. ...minutes per inch Depth of Test Pit. ..,_.__._. Depth to ground wate� _.._.... .
--•-•--------------------------•------------------------------
O Description of -----------------------------------------------
U
W
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 T i=1— 5 of the State Sanitary Code— The undersigned further agrees not to place the ystem in
operation until a Certificate of Compliance has been;ssued by the beard of health,
Signed rons:
� b
te
Application Approved B .................... ••. ••--••--• •. •--••............. ---- -�--- ... ....
Date
Application Disapproved for the following re --------•-•-----------------•-•-•---------------•--••••--•--------•---•--------•--•---•------••--........._
---------------------------------------------------•----------------------....---------•---•--------------•---•-------------•-----•--------•-•••-------------•----•-••-----•----•-----------------------
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HE
,r
................0F.... '' .... .... .. ..............................
Trxfif iratr of Tomplianrr
THIS IS TO CF�IFY, That he Individual Sewage Disposal System constructed or Repaired ( }
by ? :_..... __ stv
-.
----•-
staller
at - 3 ............................. a"l. ._. ! ` '" `a`e-"dad
has been installed in accordance with the provisions of i i j ahe State Sanitary, Code as &scribed in the
application for Disposal Works Construction Permit No�i._6._��'___ _I.............. dated-.
THE ISSUANCE ,OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G ARANTEE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.........................................•--.........----.....-•-•--....._ . . fiiispector.----
;"
?- 50^ 1(67 THE COMMONWEALTH OF MASSACHUSETTS 1-'l -
,•
,.- BOARD OF HE LTH
/ O _.... .................oF....i „5..::.. .. .........._........................ ."�
�r0 .._. ..: .....� FEE ...: ._0
.;
�i o gal oxk Sono xnr#'ru ramit `� rk
Permission is hereby granted....-.-)��. ._\ .. n s_. ... 0............................ `
to Cons u ( q R pair ) Ihdividual S .wage Disposal System
Street -•.................... -�- .....-.
PP P f ��.
as shown on the application for Disposal �t o"r s Construction Permit N -:_ _ Dated........................................
f .. .....................
t
.- f B ardHealth
DATE...----•---•-•----•........................-• �- o -\'
FORM 1255 H�QBBS & WARREN. INC.. PUBLISHERS
� 0
C' —
:o►,1E RC-1 l
i
1
25 rkONTAG E
36 FRorJT SErl3k� ;I
I5• .�r,o�yR�e.p
6`s� QEp}1GZ
LjA r
134.so
L0-r 8 20 IyI��N
LCNDE� 7pU/N RPFG1 . (8 c7010 S F FRSE/ LN-r
ARr a: C,4 �m-, G
Lo'T' 3f
DAVID P.
.,. .•,r zF-IP.N o
`,v f
rtic� CIVIL
j,P1o.311!5�� mil; 410)
' (0 3
YVJ
Fir
T— O / ��
S w
� ,
�3
VjkITF144L.L
F22 l V/--T e- VJA
1./ ° PAUL A. \,
c LEVY ^i
No. 10617 .4
T
LEGEND
EXISTING SPOT EL..EVA7"ON 04
EXISTING CONTOUR --- 0 --- C C;?T! r_G F '-OT PLAN '
FINISHED SP"� toLEVAT!0?�
�. � �o't" 8 IC-7 H-A r.L WAY
FI>gdISHIr;_ CJ4dTot� . � W H I
Ct�Y�w�lls '
)NOTE: The location of any existing unde d sewer«de, —
---
wel ls, or other tit ' 1 i t i es shown on this ratan i s app.rox-
`imate only as dctermMed f-om records and/or verbal
information. The contractor is responsible for the
verification of the existing locations in the field.' SCALE, I!'= p` DATE , 9//g1$G i
T- CLIENT � CERTIFYi,
LEVY ': DREDGE ASSOCIATES, INC. I THAT THE PROPOSED.
JOB. NO. /04 BUILDING SHOWN ON THIS PLAW
eNGr�r eRs- LANDSCAPE ARCHITECTS
CONFORMS TO THE ZONING LAWS
PLANNIv AS- LAND SURVEYORS DR.®Y t WETS RAM
_ OF MAS
712 MA ! N STREET ,:CH. BY:
H YA N N I S, MASS. �SHEET-L OF z ATE EO LAND Su VEY0 k
IV071= /F EITHER THE SSrPT/C 7-,4 .,V OR
!EffCNinlG P/T ARE. /"JOKE THA:'•,/ /2"B.ELOlt/ �.
/O PT• MIN. GRAOE� Al 24'O/AM ETER CONCRETE COVER
SHALL BE aA'0[1GH7- TO G/qA OE.(�4/" EXTRA
E/E
CONCRLaTE ?�PYC P/PL f,rEAVY C,9STRN L
IRO NC sllgL DE U5E0 M/N. P/TCN
_•.•. COVERS ye'vF,Q FT /1=/IV .[7R/VElvAY
2'J• MiN. CO/VCRL TE
co I�Eft C L EA N .SA/V O
:4: _ f• BACKF/LL
L 9U/D LEVEL
r ;
4.. 0'CAST� 2*LAYFR
IRON P/PE /66 G/44.
:: '4/ReP� SEPTIC TANK D/ST, • • r r • • • • • r • • ,• yyA SHL=O ST2�NE
ir. BOX o o r r B , • • � • � •• &, w
:'..; ?LAojE INv, ' r � � ♦EFFECT/VE � ' • ► 314
�,a:; - ��l.o�J ► o r DEPTH � , �.e o e 1VASJdEO STaNE
.15/ x 2;S= 377 S GPD Suloso% •
1I3 x 1,o = IJ3.0 CrPL> • e. • ♦ • • • • ♦ p ••„ PREGA5T,SE.EPAGE �
!/Vl wITT ELEYA7'10NJ ?'TcApAclTy q�Gpo OF ►• • • • old eQ o P17 0R EQU/V.
/NVERT AT AU114®ING 6 2•y0 FT.
INLET JECP /C 7.4NK _Z.ZO FT, . _12 F . O/AJrI. •i C(SEE—PUL/L.4T)OW
OC/TLET SEPTIC TANK 62.0 0 FT. _
INLET O/STR/B!VT/ON BOX 6�FT. SECT/ON OF GROUND M447EFR 7A LE
0(17LETD/37,q/BUT/ON BOX to/•G o FT.
INLET LEACH/Na PIT ILVO FT. SEWAGE AV/SPOUSAL SY-STEM
LEACH//V6 P/T Ti�98UL.A7"!D/V
DES/G,V 'CR/TERRA
SCALE _ /= 0" . D/MENS/ON a 3./ Al
FT.
NUMBER OF BEDROOMS 3 D/MENS/ON C _FT.
G'ARL3.4G.Eo/sPos.�� U.N/r. N� ,SOIL LOG
TOTAL -3WA1.47TEG F40*V .,WO G.4L.1,DAY SO/L TEST A/, SOIL 7XrSTOZ SD/L TEST P_.
NUMBER QF LE-aC/l/NG P/n_ / f-E[EK �3•`w -ELEY, PATE OF SOIL TEST'
SIDE LEACH/)V4 PER P/TISlSf•7 PT. —' —'
6oTTOM Z.04cN/NG PER P/T -2� ` RESULTS H//TNESSED BY
S4• PT taRH£ Sc�f35o1L PL`RCOLAT/ON DATE#/
TOTAL-LL`ACH/NG AREA SO FT. FEN COLA7'10N AA7E/*2 M/N.J/NCH
RESER{i46 LEACNJNG AREA 519. FT.
Q i
2�-Io
`a T-se AT I F"t ED
yc� DAVID P. 9�62� Cs1eAVEL LOT 8 TC�iYLL. W
o MARIANO w,q
CIVIL ^'+
o.31 5 LEVY & ELDREDGE ASSOCIATES, INC.
o, Et Sr , VYA,vNiS, M,gss.
/pN ��'\ NO GROUND y�ATE,4 ENCOUNTL�RFO G'L/EN.T:C, grZ�R DRTE q Z/ 6
�1 GM U.VO LV,4 TER AT ELEI/ _
JOB NO.' ICES SHEET zOF
t