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Home My WebLink About0118 WHITEHALL WAY - Health r I, I,I 1' I� R i i "'I I i �� ,� 1 �� ,;� I<�i �� ' �I. + �I�I+ ��I �� i �� j� • i. I A� � TOWN OF BARNSTABLE 'Ia`r '73 LOCATION -f )¢ [,t, ,WA-y SEWAGE # VILLAGE ASS ESR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 1OW (7.4L. LEACHING FACILITY:(type) �� (size) . NO. OF BEDROOMS PRIVATE WELL O [h^`.I�'W'�A� BUILDER OR OWNER DATE PERMIT ISSUED: d DATE COMPLIANCE ISSUED• ? - J VARIANCE .GRANTED: Yes No 1 0 a Q\1 ASSESSORS MAP NO: r-:?ARM. N1 r No------------------------- FR$�� v..... THE COMMONWEALTH OF MASSACHUSETTS �- B®AR® F HE 'LT ' of �------ � � ................................ ApplirFation for Uispoii al Works Cfonstriirtion Prruilt Application is hereby made for a Permit to Constr t ( or Repair ( ) an Individual Sewage Disposal System t• � ��.. .._. . ...... k.... .o..c.._..._ - .... .�°.�. ... ...._...... II Location-Add or t •/� -mac t� -----•------�C.. --- ------•--------- ....k�.---...: f� -�f-- ��'S..�l.--`- e /� e•��vno, �y�/ Address -Sr J.....:..... �. ►•J 1. ................. ........ .. Cry................ ' Instalier Address Q Type of Building Size Lot Z O. .Sq. feet U Dwelling—No. of Bedrooms---... ................ .. .Expansion Attic Garbage Grinder k7o ............... No. of ersons__..._.._.__......_.._.._... Showers — Cafeteria Other—Type of Building ............. p ( ) ( ) P4 Other fixture .----------•-•-•••-----•------ Q •- ....................... --- -------------••••--------------------- W Design Flow............ .....................gallons per person per day. Total daily flow.......�3. ...................gallons. G; Septic Tank—Liquid capacitj xaz.gallons 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 ( ) Dosin tank ( )��% / Percolation Test Results Performed b «i___ 1�i! 1 .i�... rr.1lC�' !CL.._. Date---- Percolation _.� ....... Test Pit No. 55.____minutes per inch depth of "1�'st Pit..___ ... ground /`._ De i to water..... __.. 44 Test Pit No. minutes er inch De th of Test Pit..(/.A Depth to round water /-/---C_. ��zG1/1� P P P g - -- Z./=-.L -- Description of Soil... .7-- �l --•- r .- --------- ----------- ---------------------------------------------------------------------------------------------------------------------------------------------........................................................ 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 i-'.".,u. p 5 of the State Sanitary Code—The undersigned further agrees not to place the sy em in operation until a Certificate of Compliance has been issued by the �d of health. Signed- •. --.....- ;%l/ ---------------------- ........ _ e Application Approved By.............. ••-----• -----•-•-......•-!�)L.-•-•--•----•--- ------------------------•-- --- C •----------1 ._ Date Application Disapproved for the following reasons-------------------------------------•-------------------.....--------------------•---..................... ... ......................................... •---------------•------•-_---------•-----••- -----••----•................................................. Date PermitNo....... ---v .. Issued-....................................................... Date i 4- 2 No.--- �n_.... FE D`....... i THE COMMONWEALTH OF MASSACHUSETTS BOARD"-pF HEALTH CJ OF..... F :r ,pplira#ion for Uhip r ial Works Tonstrurtiun fIrrutit Application is hereby made for a Permit to Construct (for Repair ( ) an Individual Sewage Disposal System at . ..... )_'._.' - . # Location Ad ess "'"�`" ~t':"�� `� }.._. ..._..._T Y 0 0 a�lz 0 6 --- '�.---7/ -- ----------------- .: __ •_..._..._ ._.. . 1 . caner Address Installer Address Type of Building din Size Lotfi`�---'�-�± ...Sq. feet Dwelling No. of Bedrooms.....:.. ................................Expansion Attics( `9) Garbage Grinder,o# ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -------------------------------------------------------------------------------------- - ......................... WDesign Flow...........,�� .......................gallons per person per day. Total daily flow------- _ ............._......gallons. WSeptic Tank—Liquid capacit�'C ..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. Z Other Distribution box ( ) Dos* tank ( ), '-' Percolation Test Results Performed b, Cc �._�'1° r'�- :r ..t`.r �- .�° '<''6✓?-:._.. Date....,..__ ` ._ �_.__..______. W T Test Pit No minutes per Inchepth of est Pit&;K _.. De h to ground water- :y_-(_, Test Pit No�'` • minutes er inch De th of Test Pit _.. De th to round water _ l; s P P P g ............................................................................................ O Description ofst �''d�� x 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 iT:Imo• 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 thee board of health.,,,-/ d Signed 4-1 ............................. • a '�+ _.r. Dates ApplicationApproved By---...--- f ------------------------------------•-------...........-•-•--•-•------ ._.. Date Application Disapproved for the following reasons:---•----------•--•---------•---------------------------•--------------------•-------------••-•--••--•...---•-•-- ..................................................-...................................................................................................................................................... Date .�-- 1 C Permit No.... '1.... ISSIl� `=: ------...•••-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD, OF HEALT1A ..............of /.:.�� . ....... ....................... Trrtifiratr of Toutpltanrr. IS TO. RTIFY, That the Individual Sewage Disposal System constructed ' or Repaired ( } -- installer ¢----- '_°l ---------------------•--------------------•-•--------------- has been installed in accordance with the provisions of T Z� `jsaf The State Sanitary Code as described in the application for Disposal"Works Construction Permit No..... .�.._.1__.�?_LC_. dated-._.Sy�-.?"-/�----------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............................. ....................... Inspector................... _:c ................................................ THE COMMONWEALTH OF MASSACHUSETTS ....•�_ BOARD, OF HEA TH r z �J ...................OF. •,,... c � .. t ........................... .,.,.,. N .. FEE....: 1.5p �au^t or, �ons#r uan rrnti# Permission is -ereby granted...�.1 " . ' r " ?_ _: -- -............................0................................................. �t �o-- ------------ (._._._ vldual wage Disposal System to Co rut r R ai(gg )� p '( an .n i r "1arl. _ � ___...,. " . Street _ 0 as shown on the application for Disposal Works Construction Permit No �__ .Da, z6 _S_f................... f DATE---------- • Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - f .. .. -.�. .� ..--.. - _..- "--•-••iYIIIY.III.Y�IIN��MIYIYI��/Ilr�r��' � �kss�MEa Lo-r -roc-rrzu ENE UNDEie TowO. REG A-- q 3,,56d s,f f . /¢Pr. M CFI. ILL.Gn. J251 F/z�►TA aE 3o' t=Ror.YrsCrG#CX � Z 15' StD�:yftRD �. 15' REML SMP<-.4 c TC I�P�LL WRy 6z><o so WIDE nulvATF.,,JRy� I g m 6 0' So In1 132. b d (I. �� N NK12 Dr�T N L'II LEAck R N PST 22 fl - $Olt t000 w RESFP�JF !� GAL• pp o O �) N TN N►C 2 C 1 LOT 3 2 I a �1 b z yy (, O 3 4 I 1.. I ` N 10 gal �' S 7 W N N N O 60 N 0• Co IL LOT 33 � N D1VID P. J,S, N IS,DOO S.t= p N1nl2 ANo I,3j / 6 I CIVIL No.31115 . / 19.00 Sy 1p;A LOT 30 60 E0 E ND EXISTING SPOT ELEVATION DX® EXISTING CONTOUR CERTIFIED ^'_OT PLAN 1.41SHED SPOT ELEVATION — FINISHED -,') dT0UR O NOTE: The location of any existing l► d r 'Lound sewerage, IN wells, or. other. utilit cs ;'•owr on this plan is approx- imate only as determined from records and/or verbal $p�R1JST/4BLG (k�y�NN\S�� M�, information. The contractor is responsible for the ,verification of the existing locations in the .field. SCALE IIII=yf7► DATE 9 J2g186 . LEVY & ELDREDGE ASSOCIATES, INC. CLIENT 2REM86019A, I .CERTIFY THAT THE PROPOSED, JO® NO. 1t1 L11 _ BUILDING SHOWN ON THIS PLAN ENGINEERS-LANDSCAPE ARCHITECTS CO.NFDIZErlS TO. THE ZONING LAWS PLANNERS-LANK SURVEYORS DR.SY t OF'BAsTZ$c�E MASS. 889 W./-lAiry S i 1VCE i— CH. BY�,�/`'l• j . CEI J i C/?V►,►--L'�, MASS. --- -- SHEET OF 2- DATE REG. LAND SURVEYOR 20 FT. M/N•. N07F /F EITHER T/IE SEPTIC TAN/C OR-------------------------------- �= GEACH/NG PIT ARE MORE TNA/V I2"BEl-ow /p PT• MIN• JR.4OE� A 24.AO/AMETEK COyC.�ETE �Oi/ER •' FL. 6/.S M/N. PiTCN C V / CONCRITE HZ=AVYAST /ON CaER SHALL [3E USEO •.-. COtiERS �B'P1r.Q FT /F/N DR/VEJ'VA y A 2 • MiN. G"ONGRL°•TE G AGE CO rE.r i— CLEAN SANG QACXF/LL LQVID LEVEL 4. Z'LAYER RDN P/PE ��Q GAF M8'-3/8' -a M/V.PiTcov 0 GAZ. 1 1 • I • • 1 1 p • 5 W PER/rT. SEPTIC 'TA/YK D/sT, ®�8 1 • • • .s • e / 1 • WASHED S717/YE` Bay o • t $ • . off r .•• •� 2ir �• e / 314 t ••EFFECT/.E • • ,;Q - _ t v 1 • � i •• • 1 / � ' WASIXED STONE • 75/X 2.5 = 377, SC�/�. • o • ' ° • • s 1 / • • ♦ • • / 1 Op o 113 x /,o = I 13,0_Crpp , e• r • • • t • s • 1 p • v PREG4 r SEEPAGE lNYCR'r 44 RVAT/ON5 ��r cRopuM, v 90:S CtpD a ►•• . • . • • • 1 e o P/7 OR EQU/V. • a EL. 53. o /NYERT AT BUILDING SR.00 FT. INLET SBPT/C T•4/V.< s7.8o FT,- /2 F7 PIAM. C(SEE TABULATION OUTLET SEPTIC TA)vx 5 7 too j-c p' /N.LET D/S7R/BUTTON BOX 57,110 F; GROUND W,47,6R TABLE SECT/ON 0F' OUTLET P15- R/BYT/ON BOA' 57.20 FT, INLET I-EACN/NG P'iT _51,o o FT. SEWAGE O/SI®OS'A L. SYLS I&/W LEACHI VG PIT �AdULA7•lD/V D.,=516 / CNITER/A ITCALE : %4" _ /= o" D/MENS/0A/. A ' 3,5" FT. O!.•9.ENS/oN 49 N41h9dER OF BEDRaOti95. 3 DIMENSION C FT GARBAGE'P/SPO.Srlt UNIT'NONE S®/L. LOG TaTAL E 9T/MATED FLOW 33"� _G.44.1DAY SO/L TEST AI SO/L 7EST#2 SOIL TEST i NUMe3E,P OF LEACNtNG P/7:5 / �FLE✓ 5 �`-gLFY, OATS OF SOIL TEST 9'12�8�O S/DF LeAOH/NG PER P/T JS/ SQ FT BOTTOM L.�.-,ACff/N�s PEA P/T//� G'-2' ToP3oic. RESULTS H//TNESSED BY TOM MGKEffN �• FT s �U�S�t� ReMC04A710N .LATE At/ LZ M/N INCH TO TAG LE.4CH/NG AREA FT. PEtCOL.A7"/ON RA7•E lk2 M/w.11,Vc + RESERVE LEAC'N/NG AREAA - ;� SQ. FT. 2,- 11`/i' /Q DAVID P. INV !X MARIANo .}'� eft/7Efr<�LL �J�Ic civic ! Lo7 33 7. No.31 i 15 !? �i� +3�2Ns`, LE Wt t LEVY & ELDREDGE ASSOCIATES INC. /ST o , 999 W 11I4/i, ST, CENTEk'V/LEE, /L/A. NO GROUND Yt�i4Tt�R EWCOU/VTE.�EO CL le"T: XPRTE : y121/ $(o • C� GKO Uwo 1-VA7j5 P AT JC® /Vo.- /6'-1 S SHEET 2 OF z I