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Home My WebLink About0095 WHITEHALL WAY - Health 45 WhiFaVwl1 A7ab , N�wus �So � ILB _ _ _ _ - - - -� II i - Fo�� J TOWN OF BARNSTABLE LOC TION ��l °`� �e l� ;'�� o'll_ " SEWAGE # �� a 1�fA5 VILLAGE h�(/c;n ;s ASSESSOR'S MAP LOT )So o I( s INSTALLER'S NAME & PHONE NO. (o r SEPTIC TANK CAPACITY too 9 � ; I N LEACHING FACILITY:(type) G Cz t..\q 4 i ng NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER s- -► .G ,- ,� DATE PERMIT ISSUED: 1 DATE .COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No St-.. ' � -�� t �� ., � .s .� Y? r ' ` WId (Vj�_ /�' �� 1 V_ V_ T A ASSESSORS MAP N0: PARCEL NO.: S a, No..�a..... Fes$............_............... THE COMMONWEALTH OF MASSACHUSETTS B 0 A R DZ F H LTH ApplirFation for Diipniital Workii Tomitrnrtiun rumit Application is hereby made for a Permit to Construct (Z,,Y'oor Repair ( ) an Individual Sewage Disposal Systemjat: Location-AddV47 r or o. �_ P:C_:v- G -�.r.... ..._-•-••------ ........�V�-.�..----�...1.�--•--.._�.._.Lli.�_o..LI)IIl C----- Owner / Address Insta]ier Address d >Type of Building Size Lot.,l S feet U Dwelling—No. of Bedrooms..._.. _.. Expansion Attic Garbage Grinder 476 aOther—Type of Building ............................ No. of persons............_............... Showers ( ) Cafeteria ( ) QOther fixture--------------• ---•---•----------•-------------------••---••--•-•••-------•----•---•-----------••--•-- ... ................................ Design Flow............ �` ..........•..gallons per person per day. Total daily flow.......... . ..._ gal W ............ lons. Cd Septic Tank—Liquid capacity AgQgallons 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 tank ( /� r aPercolation Test Results Performed by�,4' `Pe(xliGf - ...G f?_ .. ate_._._Q _ _� _..__.. .:. Test Pit No. 1� .-minutes per inch Depth of Test..Pit.______ ... Depth-Co ground water________________________ (14 Test Pit No.�,4G�:minutes per inch Depth of Test Pit----- ............. Depth to ground water........................ ''''`` 7--- --------. - - 0 Description of Soil... ._�.,�__: �.C1 x -------------- �._, �+° ---------------------------------•••--------•..... 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 1 i iE 5 of the State Sanitary Code— The undersigned further agrees not to place/thhesystm in operation until a Certificate of Compliance has bee sued b the b of health.Si ned.. -- -------------------••-•-•••-. ....--• .. / �' i�Application Approved BY •. •---------•---•-- . -- Date Application Disapproved for the following reasons:----••--------••-----------••--------------------------•--------------------------------------------------•-. --•---•--------•--••-•-•-----•-•--------•--•-•-••---------•-••-•••---•-•--••--••.............•------••---•------•---•---•-------------•------•----•------------•---•----•••-•-••-•---------•-- -------- Date PermitNo...........LZ......... ........ Issued-....................................................... Date ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H � AL H .................................... ............ ...OF..(r � i "ad7. �.' ApplirFafion for Dispas al Works Tonitrurtion thrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal S stein at Location Ad ss ,.. or Idd No. Owner - Address ... ........ - �............................................... � InstaL•er Address Type of Building Size LotA : � _.Sq. feet .-� Dwelling—No. of Bedrooms----->, .•_........_•...................Expansion Attic ) Garbage Grinder vo aOther-Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria114 ( ) Other fixtures ... Flow.......... - g P P P y y f --------------------- Design --•. W .::��______________________gallons per person per day. Total daily �iow____.__..:�„,.__. .________.__._gallons. 1:4 Septic Tank—Liquid capacitbAa P.gallons Length................ Width................ Diameter---------------- Depth___-_-____--__-. Disposal Trench—No. .................... Wid -------------------- Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. it. Z Other Distribution box ( ) Dosing tank " ' .�.' 6,el ',ra j ' / a Percolation Test Results Performed b c f�'`� ° ___ _.__._.. Date... .._. _ __.. 1 Test Pit No. '....minutes per inch Depth of Test it... __.'`_._ Dep o ground water........................ Test Pit No ,4. ._minutes per inch Depth of Test Pit.. .............. Depth to ground water.-----.................. ................. ......................................................... D Description of Soil A � �' � �� x - ---------- -- �-, ,-- "-- te r U W VNature 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 11T 5 or the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beeriissued,\by the,bo rd of hcalt , -- Signed ,,' �,, '�'"'c*° / Date/ Application Approved fy :_� .� �:== ----- Datd// Application Disapproved for the following reasons---------------------------------------------------------------•-------------•---------------------._......-•---- .................-.................................................--•--------•.._....•---•--------•--•-••-•--•-•------•--•-••------••------•-•----•----•-----•--•----•---•--•---•--------•--•--------- Date C c::% Permit No........ .. ........... ----------- Issued - Date THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALT " p✓l6 ...............OF.... ............................ 'p. Tatifirair of TompliFanrr iS IS TO CERTIFY, Th t the Individual Sewage Disposal System constructed or Repaired ( } ' - -----•-•------ -------------------------- � r I staller � ` has been insmiled in accordance with the provisions of Ti T i 5-of' he State-.—ganitary Code as described in the application for Disposal Works Construction Permit N 3-_-..__.. dated------._ . THE ISSUANCE 9F THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU RANTEE THAT HE SYSTEM WILL F N 10 TISFACTORY. DATE........................__ --------------------------------- Inspector---•---,1.../..!i(...------------------.....-----•--•---....-•----.......--••--. THE COMMONWEALTH OF MASSACHUSETTS BOARPP PF HEALTH „ A: i ---` //�� .. ............... .....................OF._. I T a..._.. .5....... �. FEE ...... ........ Disposal orkg funotrnr#' n iorrutit Permission is h b " to Con r�uct ( or, epa}r ( n Individual Sewpag� Disposal System at \'o.. ..!` e°'- e 3�, . :f,_ .....T ..? C, 12 , ---•-•----•--------- ---- --------------•-------•------- -------•-- as shown on the application for Disposal Forks- nstruction Permit .... D/atte�d..C"I.. ................ ` •----G.r=' '------� mil.... v...�----------- -.-•...- Board of Health DATE.......... ....... FORM 1255 HOBes & WARREN. INC., PUBLISHERS e � i LINZA-L E HDMkS' /NC: " IRICHARD C CSC/L � . c � L OVA4 13,DW f A= ►ZT FRvnlrr6c I LOT : 30' FRoNr sEr Aov- 629 SF,,. S/Dec_Y.4,£ t5� REAQ UNCEk To WN 'GEG (04 50 PAARIANO h' V CIVIL / "Sl A .�No.311 5 / �GIST ' a r/2e;�; r- s Ile oc f0 S /V0 -TO +4ALL fl y µOFM.4 PAUL A. LEVY 4 0 !0�~1+� r-S / ° SD' ` Gtl No. 10617 '" LEGEND EXISTIN® SPOT ELEVATION Ox® PLOT PLAN EXISTING CONTOUR ® __ _ �eERTIFIE FINISHED SPOT ELEVATION FINISHED CONTOUR O LoT 9 1nj H ITS ,LWA y_ NOTE:- The location of any existing under round sewerage, wells, or other utilities shown on t; is plan is approx IN Ff imate only as determined from records and/or verbal ` se IN ' information. The contractor is responsible for the '' .� `� � � "^ verification of the existing locations in the field.. SCALE! �� yD� D/I:TE � 9' /2. �cDv''�'��fis. >4 { LEVY & ELDREDGE ASSOCIATES, INC. CLIENT �j 'e�l '. I -.CERT;IFY -THAT THE P.PtOPOSE®� ENGINEERS-LANDSCAPE ARCHITECTS JOS NO. .1. 5. BUILDING SHOWN ON THIS PLAN',`,1: � PLANNERS-LAND SURVEYORS CONF®,R14t9S PTO THE . ,ZONINa LA9NS ; IyR.SYt 'OF -BA DLE', M 3 t 9 889 lit. MAII4 lit. -- CH. SYi eENrERVILLE, MA, $MEET 2 ..L OF A E E(3. AND SURVE OR 20 1=T. M/1V. NO7F /F E/TNER THE SEPT/C TANK 0R A� !D frT /�9/N. !EffCN/NG P17' ARE NJORE 7'R,9;'/ IZ"SELO.W q'PNC P/PE sovALL �E ®.poeiay7, ro <,TAD,-.6i /V EXTR.g CO NCRl�E h+E.4 V Y CA 5 7- /,V O/N C O lER y Sh�A 1 L Q E USED L, r�{Sd COYE1'S M1N. P/TCN /F/N DR/VElVAy e.•- �B PER FT a 2 M 1A/. CoNC.�E T� ��_ G 40E COVER CL EAN SAND o &ACX L =_ L/QUI[7 LEVEL � _ - . . - ,• LAYER PIPE MI/V.PlrCW 1ZQ 0 C OAZ. v 'Q o a a %4 Pe-q'-r. .S.CPT/C rA)VK D/ST, o ° . ° ° . r r. 4 WASHFO 570jYE SOX o n eo � ♦ r ooe � .•° �� . ,�• _ _ _ ° • � e • DEPTH ° e e � • o d�.4S1/ED STa,YE" ,.'.. • a � o s • • • • oe boo ° o 0 0 /13 k /, b ►a• i e • t Pv'?'EC,A5rS6pAGE • ° e .-fA-'/E4y Ael-R&IA77ON P/7 OR EQU/V, t Pam.romI '1Tc/'_ </9U.SGPD ' A B 'cL; 6'.50 l /NYER7- AT F!J/LD/NG _ � 0Fr /M[E7 65�'PT'iC 7.4A/K J2_ 7.. PIAM. C(SAFE T)o,1%�) OUTLET SEPTIC -rANH 6/:10Fr. //(LET,015)rRA0117'10N B®X-_ �,0 . aSECT/GN OF GROUND kVA7:FIlr 7A49LE OtJTLETD/SYR/Bt/IYOM SIX �0.70 FT /N4ErLRACH1NG .Si�FT. SP ACE A91SROLS'AL aSY.57- 1W 4 CH/NG 10/r �t4d1/Ls�tTIDN_ DES15N Crgt/TER/off ss,� E : %". _ !: p" 01MEN.S'ION A T. i 'o/mz/V5/aN NU/�'lBER OF SED.4a01+9S 3 DIME/1!S/ON C 7- CA'qaAGC.Pl5R0_-.4 J. U.v.,r en/F SOIL. LOG T®T.9[ �.STI/+?rS�ED FL®r4/ 330 G.4L.10AY SO/L TEST O/ SOIL 72FS7-02 •��/•� T�� NUNPBER OF LL�4Cfd/1Vrs P/TS__�_ �°FYCY. �0 /^-.EL Y, .Df4TE Oic' SO/L TEST Zf n S/DE t�,4cHlNG PER PIT /S/ Sq, -7- O'-2'-roPso1L f 490T7lo,"LA-,9CM/NG PER P/T / RESULTS 6V/TMESS_-p By 7;�9G�legn/ ��. AT F Svt35otL P-61i?C0,4A7-101v )eRTE At <Q MIN /A'GK TOT.4t LEAG'pI/NG AREA Sq cr Frl?C01.AT/0N RA7-X 02 M1N.11 HCH RESERVE LF�CH/NG AREA��54). FT. 2 �Q DAVID P. �TCa A4�E L coo Pv?AR1AiV0 c<i V, 40T 9 GIIf ZE PT/4LL W14 r > v CIVIL �,o. NoLEVY31115 / r o�'CIS-�e`GL LE & ELDRE® GE ASSOCIATES, INC. _ seg W. Multi°S7., CE71(>-ElP1/�LL�j MfF•-. �NoG1�ovND ;'04TER E/YCOUNTER�D CL/c�Nr,� 1F D,cITE C� l2 g'(� [7 GKOUiVO kVATjiW AT ELEf! JOB /V0.' SHEaET 2 of 2