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HomeMy WebLinkAbout0158 WHITEHALL WAY - Health /5T Whifehag Wdlo ir-- = P? ;L. / 00r I I � G � � G on n fi � s I I 44 TOWN OF BARNSTABLE - 1 LOCATION Lr> I �j� (.�I,.� �.,.-� �� �,�/a SEWAGE # 9 6- tbz7 VILLAGE- A VtV. - 27 Z ASSESSORS MAP & LOT o n< INSTALLER'S NAME PHONE NO. . ?, Zt-5cak\ 77 1 - 3 (o� SEPTIC TANK CAPACITY �` ® LEACHING FACILITYAtype) k c c- ,. Q 1 (size) (0 0 16 y (�0 hS NO. OF BEDROOMS PRIVATE WELL O I A C'e BUILDER OR OWNER G -ev\iiOtl .« 04-vt , c9 . DATE PERMIT ISSUED: 4B G DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �-- /,er����:�U s t � c � � .�' �` I �„ w a Lr� N � a !' ASSESSORS MAP NO: �y PARCEL NO.: No. ---1-0 i / Fxs........Y.`�... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HE A T -f..L.-.......OF......... ...., . ..- ,r ApplirFation for Uhnpoii al Works Cfayustrurtivat thrutit Application is hereby made for a Permit to Constr t ( or Repair ( ) an Individual Sewage Disposal System at /- - ---------------- /� Location-'.Addre. /-'� or Lot No. r1.. , �.�?k' .._ .�? -' ----- -------- Alm e----- ---------- . . �— Owner Address .. ......................... Installer Address� �^ Type of Building 13 Size Lot.e ��--•Sq. feet U Dwelling—No. of Bedrooms.............................. .. .Expansion Attic Garbage Grinder �11& Other—T e of Building ............................ No. of ersons................_....__...__ Showers — yp g p ( ) Cafeteria ( ) Otherfixtures ---------------•-----•-• ---•--------•-•-•-•••---•-••---•--•••-•----•-----•••----•-.......-••--••-- ---- ................................ W Design Flow......... ...................gallons per person per day. Total daily flow---- ..............gallons. Ix Septic Tank—Liquid capacitif 0 .0-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. it. z Other Distribution box ( ) Dosing tank (,-)� _q Percolation Test Results Performed b � -__.__. .�eYr. __ y a y - �'_. 1 �/� ate..L�--,_. ��. -- -------••-- Test Pit No. ------minutes per inch th of Test Pik-_p_ -_ Depth-1/6Depth' ground water-.--- (s, Test Pit No.�a,�Aminutes per inch Depth of Test Pit./._ ......_.. Depth to ground wate......................... O o ---------- Description of Soil � ----------- U ................................................ ------.cka. ---- -----------------------------------•------•---------- -------------------------------------------------------------------------------------••-•--------------------------------------------------------•---------------------------....................... 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 A.-I p of the State Sanitary Code— The undersigned further agrees not to place thZs tem in operation until a Certificate of Compliance has been issued by the boa f health. ned.- -- --- �li Application Approved BY--.----••-•.-------••-•-- �. .. .. ....... . . .....-•-------- -1 ..... �i Application Disapproved for the following reasons______________________________ ............•...................................... ----------------------------------------------•-----•--------------------•--•----------------......--------..............---•--......••-----•-•-•......-••-•-......•---............................... Datc PermitNo..........................................................Z Date o "1No:,X ..1......._ Fss.............:'............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Applira#ion for Dtspuoal Works Toutitru.rtion Vrrutit Application is hereby made for a Permit to Constrict or Repair ( ) an Individual Sewage Disposal System at: ......... .............Ax�f e:!!0W f ,f Location-Addr •� or Lot No ........... ..... -rujilk Owner Address ............ - --------- ------------------------.... Installer Address Type of Building Size Lot . �! ___.Sq. feet ., Dwelling—No. of Bedrooms........ ..............................Expansion Attic A? c) Garbage Grinder41(P ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) � Other ixtjes .............................. . . w Design Flow....... _.........................gallons per person per day. Total daily flow...........a-C........._............gallons. WSeptic Tank—Liquid*capac*0 €9_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 ( ) Dosing tank (,,,,,,),, ,, 'f 0 Percolation Test Results Performed b3a ` " ¢`,' ir .....!2 Date. � ?�,f ....... Test Pit No r�) __-minutes per inch pth of Test I ------- Dept o ground water---- -. ........ .. . _.. N(s, Test Pit o� faef-_--minutes per inch Depth of Test Pi _......._... Depth to ground water.._ D Description of Soil r c.... - t x - c, ----••----•----•---------- . ------- .�-•-•--�-Ac - --- eggRAX � --- -........................................................... 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 T_T LE ; of the State Sanitary Code—The undersigned further agrees not to place the s stem in operation until a Certificate of Compliance has been2 issued by the board of health. _____-Signed..Z.:ZV11, - ApplicationApproved B � 1 PP PP y---••.... ........................ -------•-........._......-------------•--- ------. ------------4--=='---r" Application Disapproved for the following reasons:................................................................. ........................ Date---........... ry Date Permit No..----- ... r l _ Issued Date THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HETH 'C ............... ............... .. .. .. .. Trrtifiratr of Toutplianrr TI-1,S IS TO C TIFY, That the Individual Sewage Disposal System constructed v4x or Repaired ( } ------ - d t/ , Installer sr has been instailed in accordance with the provisions of i IZ r. f The State Sanitary C de as de•cribed in the application for Disposal Works Construction Permit No.__�..�`�..._ _h?_`�1--_•. dated--_.._��_��.��-�. THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................7_`_. ....... �_ -------•-------•------------- Inspector..............------------ ----- ............................................. THE COMMONWEALTH OF MASSACHUSETTS 005 BOARD OF HE LTH.. .....................0F._ ..... r Zk. �• ................. FEE..... io �rl or , ,ono#rion �erutit Permission is hereby granted------ �.�'" ' .. `---- . ..--..L C -----•----------------------------------------------------•.•-•-- to Construct Ll , ep r ( ) an Wdividual Serfage Disposal System as shown on the application for Disposal Works Construction Permit reet � �9 ���` I =----------- d------------ - ----------t•-. ........ .............. *_"-(!/_._.....__ _ ............................ Board Board of Health DATE_.............................. = FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1 15 F'RC�WT"P ile 1�s5UN I� Lo'T. I r=-RAusT SETI3AEK UNOMI%L x9lt¢ l5' S I lb Vlhwo Tape -Towns 'Refs A= 43,s�o W►4 I T a'l+a L t. A�� (Soy WIDE PIZNA'CE VJP-y) Sg g, O I :4.4 37 �+I SEPTA TJi � NAr ,III vs MARIAIdOra 1.0 �' 60 .� CIVIL = •<<y Q 311' 39t / No.3111 ' � 00 0` __ _, 6 ro^�,��sr 3��•� h o LUT 3� � � f, S�oraAL. ':b o 15,000 5. F. s In its: oa " .._ S SO , So" O LOT- aG M4 LEGEND � PAPA UL A. EXISTING SPOT ELEVATION () 0 o LEVY x � No. IG617 1 EX.IS TIN G. CO eTCJ3z -- - 0 --- r\� � l CERTIFIED P' OT PLAN FINISHED SPOT ELEVATION! R- .l r-I N I S I•I ED C O R`3'O; R ® 4071. _.—,.�. N7I'G: The location of any existing un r round sewerage,, wells,. or other utilities shown. on this plan is approx- IN imate nly as determined from records .and/or v.erbal r4RN5T $LE �Nyi4NN/S� MA . 1 information. The contractor is responsible for the verification of the existing locations in the field. SCALEi I`� = y0' DATE 9�23�96 �. t LEVY & ELDREDCE ASSOCIATES, INC. CL.IE-NT 1 CERTIFY THAT THE PROPOSED �. ENGINEERS-LANDSCAPE ARCHITECTS JOB NO. -- . BUILDING SHOWN ON THIS PL AW PLANNERS- LAND SURVEYORS CONFORMS ,TO THE ZONING LAW$. s. DR.BY t —A M, OF 84r►,tS�gB M A SS A . 88g !J, 1W,41A/sTr,5'C i CH. BY C�nlTc�evi�L M,S�s-s. I . SHEET OF ATE R LAND SURVEYOR . ..... ....... 20 FT. N07 /F E/TNER THE.5EPT/C TANK OR , /EACI•//N ? A G /T RE M TH ORE A.Al lZ"JELOK/ " /O �, M/K :�RAOE� f� 24 O/AM ETE�' GONC�ET� COIiE.P � SVALL BE BROUGHT. TO 4MAOE.(�4N EXTRA 4"PYC P/Pd h+E CO/VCRCTE RVy CAST /ROlY CO/i�R SHAL L S L3E UED COVERS M/N. PTTCN /F//V ,DR/VZ=;VAy ;_• _ /B PER Fr. 2 J. MiN. C'D/VC.eE" lie' A ::: _ G .�oE COVER CLEAN ..SA/V O •� . . . BACkF'/LL Lp1//D LEVEL r s. 2 LAYER ` MN P/�c v L---- GAL. D/ST. • • o • . . • • • e •e yyA SHFD 570NE ti V4 4OP01i PT, SiEPT/C TA/YfC • • 6 • s • • • • • • • sea a BaX o314 8 • r • • • .'r • . , r . • • • • . OgPT/� • • • • o e WAStTED STaNE _ dic l9�gli3T�oxr�./ coT y= 377.,SGPo2 r °•oo ••• •• •• •• • ••. •• • •113• o 1 L'eo '• SEZRA O• Pr•o�05C�A • • • of o P/T D.A�EQl//V. lNieA"r PCEYAT/Oros l r a �•_ /NYERT AT &WLD/NG %.2136 FT. 6 F7 D/AM. INLET SEPTIC TANK 6 6d FT, 1� FT O/�11+9. C(SEE Tit8uL4TION� I O/JTLET SEPTIC •TANK 56•¢o FT, /NLFTDISTR/BUTTON BOX 5*.,"2-0 xr7 W,47TCR T.48LE OtJTLETDTSTR!®t1T/ON BOX 56, oojax SECT/ON OF INLET LEACHING Piz' .�2rgo FT SEWAGE O/�PO�S's410 .5'l��7&M . LE�OGT�//VG A /T 7�4�U1.ATlD/V. DIMEN SCALE S/ON A AM FT. DES/C/Y CRITERIA —!4—FT. /vU�9BER OF®EDROOMS �_ D/HENS/®N C FT. (7i4RBA6E'D/5PO.S.91- UNIT /VONT SOIL Loci S®IL 7,657 To7'Ac E3TlAlA�eD FLOW 330 GAL./OAY SO/L TEST A/ SOIL TEST#2 Nury;,6c'R OF LF,acNrNG Pjr.�_ f`FLeV S8,8 �^-AL.EY. GATE OF so/L TEST 8�2S18 G S/OE LCACH/NG PER P/T —SQ /sT. O'-Z' TaasotL RESULTS is//T/1/ESSED BY ToM Mc eEAN 450TTOM L_&7ACH/NG PE1R P/T-ZL3---$Q. FY- ReV COLAT/OlY CA7--F At I MJAl//NCH 7-,07,41 LEACi///YG AREA 2651 SQ. ":r /-ERCOLAT/ON RATE I 2 M/N.�lNGH R,ESE�VELC'T,�TNGAREA 2!o`F SQ, FT. c%r-,an1 a tisE:�rr1H� .S'O!L IfS 7- K�@ys"opt,, 5 3 0 .f• .�, Z I Il mar DAVfD P. .LQZ o WNI7'511,rf LL- W_ _ MARIAPiOi�' f+� cfvlf LEVY & ELDREDGE ASSOCIATES, INC. „a t 3ili i L "O,_ ` . ► /:. EL• 4./5.8 7/2 1"A/,Y ST- , AlYq"A.11S, A-fA3S, y; " �NOGRO ONO.; A7ZR ENCOUIV7L� . � CL/EN7�:GREENQR1Er2 DRTE � 9 Q GRd UVO 1-11ATER AT ELw .JOB NO' TOSS SHEET 2 OF 2