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HomeMy WebLinkAbout0181 WHITEHALL WAY - Health lSI WhFkha�t u.� ate, niS aia L_ i9 �- - - - � TOWN OF BARNSTABLE v �' LOCATION ILo rt W SEWAGE VILLAGE *4 N/4%K kv S ASSESSOR'S MAP & LOT 27 2- INSTALLER'S NAME & PHONE NO. -7 7 - 3 cI L w SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Le.-7 p 4 (size) 66c) tl ot,s NO. OF BEDROOMS _PRIVATE WELL O PUBLIC WATER QL BUILDER OR OWNER DATE PERMIT ISSUED: DATE .COMPLIANCE ISSUED: 2 2 c-: VARIANCE GRANTED: Yes No �1 • � �� � C!- `�' I s, ASSESSORS MAP NO: PARCEL NO.: THE COMMONWEALTH OF MASSACHUSETTS Fnzf. ................. BOARD,,, E HE LTH ---- -----cc ............OF.... .. ...f��'7.� ............................. Appfiration for UhnVooal Work,5 C9nnitrurtinn Prrutit Application is hereby made for a Permit to Construct (( r Repair ( ) an Individual Sewage Disposal System a `��.`r.� .. 1.. t` . ------...t-�- .Cc.c nm.'s........................................................ Location- ress or Lot o. L7.... �, -�L�r ©rd�_x. 6�c I 2V� rl�i �... .......................... .. -� ...o l.� OwP er Address .�.Q � 5 -QC. ------------------------------------ -- Installer Address Q Type of Building Size Lot.��� .�.� Sq. feet V Dwelling—No. of Bedrooms.......3----------- --•-_..._____-__-Expansion Attic qd Gafbage Grinder Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures .................:............... Q ---------------------------•--•-------------•---•--.....---•------- W Design Flow.......... _________________gallons per person per day. Total daily flow.......... WSeptic Tank—Liquid capacity,.O?Ogallons Length................ Width................ Diameter................ Depth................ xDisposal —i N g g ....................sq. ft. 3 Seepage Pit 1No1._'____��-.---_-- Diameter idth.--.-_--... Depth below inlet.................... Total leachingarea---._---- .......sq. ft. Z Other Distribution box ( ) Dosin tank '-' Percolation Test Re,s,uolts Performed b -C-� ---.. �l �c 'J�-�. ✓7C' 6/� te.....e ..�.......... . Test Pit No. i "- ---•--minutes per inch 134eth of Test Pit.......�//. ..___- Depth to ound water_._.�}_yy. LL, Test Pit No n,'1._minutes per inch Depth of Test Pit-----e.....I/..... Depth to ground water................... ---- -• . Description of Soil....0----- ��'-- ---)p--- --- ----------------------------------------------------------- �., if -- 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=1. , ;of the State Sanitary Code-The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued byetheD'.. d It of health. Signed.. ... ---•- ---......--- --•---------------•------ - D to Application Approved BY a.g --- Date i Application Disapproved for the following reason : ------------••---------------------------------------------••-------------•---------------••--•------------- ------------------------------•-------••--------------•-----------------------•--••----•----------------- Date PermitNo......................................................... Issued....................................................... Date i No................-....... Fxs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® F HEA.LTH Appliratiun for disposal Works Tonotxnrtiun thrmit Application is hereby made for a Permit to Construct -nor Repair ( ) an Individual Sewage Disposal ; Systtem at Locat on dress or Lot o. Owner Address ---------------------------- ----- �,,_ ..._... Installer Address Type of Building Expansion Attic ) Size Lo G Xag ___-___Sq. feet �_ DwellingNo. of Bedrooms-------— ___-_ e Grinder (� aok Other—Type of Building No. of ersons___________________:_--. Showers YP g -•----•--------------•------ P ---- ( . ) — Cafeteria ( ) d Other fixt�u�,es --•--------- ---•-------•---- a W Design Flow`:___:_-S � _______________________gallons per person per day. Total daily flow........., z-_,:�'_.._______.•-___.____.__.gallons. WSeptic Tank—Liquid*capacit� _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 Dis'ribution box ( ) Dosin tank Percolation Test Results Performed b.,y 4°L116 -_. !� _a .... �'r'r ate - -- Test Pit No. w" -----minutes per inch Dth of0-4 Test Pil _ "�__ Depth ground water 44 Test Pit No �u ___.minutes per inch Depth of Test Pit---- __ Depth to ground water__-�- �, . / = 0 Description of Soil i.�' "" e l E W UNature of Repairs or Alterations—Answer when applicable........................•..-___________.---____-_-._._-__.......-_•___.-._.-.._-_-_____._.____. --------------------------------------------------------------------------------•-------------------------------•••. Agreement f The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE: 41 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 the board of health.,,, Signed ._ . ��. -------------------•-- --...._. ApplicationApproved By••--•-----•-•-•-••---••-•-••••---••--•• ........ ............................................ - -��e/ ` --------- .Date: Application Disapproved for the following reason�f_.•---•••••••----------------•--•••••••--••-••-•--•-•-••••-•---------- •-••-•••••._......_ ....---•------------------•---------------•-.--.....----------•-•--•---••-••-••------••-----•--•----_•--- ,Date PermitNo......................................................... Issued_........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........OF. < . ............................... V'&rrtifiratr of Tomplitanrr THIS IS TO C.�RTIFY That he Individual Sewage Disposal System constructed or Repaired ( ) by Installer has been insmiled in accordance with the provisions of Ti� j of he State Sanitary Code as described in the application for Disposal Works Construction Permit No._ f _:'_ICJ. _ ;___________ "dated_---------f-. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT 7HE SYSTEM WILL FUPVT ON S4AJI,SFAg jORY. DATE---•-••----•---•----•-••-•-•-•. ..... U------=------••---_---- Inspector 7� ° `� THE COMMONWEALTH OF MASSACHUSETTS BOARDF HEALTH .,.� - :....: ................ NO;_w.�...y...._..�t:_r:. i.. FEE•. Mapiagtt1 ork (gonotr ton autit Permission is hereby granted t >_ ................................................... ....................... to Construct ( I �� 1 or epa-r ( (l) `fin In wage Disposal System at No.. � f_f�`4.!_��_: i�3 i_1._.S � ---------------------------------------- fC Street as shown on the application for Disposal Wor s Construction Permit Now '_________ _____ Dated_:1_...... w y -� -�_-__-__,_._ j \ Board of Health DATE.................__ ... ..................._. FORiN=12S$ HOBBS & WARREN. INC., PUBLISHERS .L - r ' y f ZO►JE RG-1 ASsumsv LOT RZOTECTED A= 43,560 s.F . <. :. uapER �6W�1 125' FrzaN�-AGE G ARX. M.C;; -so'. FRONT SET'13Rcr 15" SIDE yµP 15' R E04.2. { t N 12- 14W 39 F- 3 t \ L C)T s =kD �r cti dr�`� LO I I M LO"T DAVID P. _ b . MARIANO. CIVIL .o ,¢No.31115�� 90,E G/STEM c > 22 " 0 5q / �' r �� ?- o z S,>r"'<YAVC to P 52 �• / o Q I w- ISOIL /U III � f �4e2 Q71 WN17F_4AL- L WAy l501WI01_ P,Q/VA..TF_ k l I LEGEND Ca EXISTING SP , , x - EXISTING CONTOUR --- 0 ­ CERTIF!E'D PLOT PLAN ! FINISHED SPOT ELEVATIOiv - FINISHED GO T0U?2 LOT k1f1TF- 4LL- (ill+\ NOTL•: The location of a! - existing un d sewerage, IN wells, or utlier utilities shown on this plan is approx- imate only as dctorm.ined from records and/or verbal 8ARM5T,913Lt= �/4,/f�VIQISl) MA . information. The contractor is responsible for the J verification of the existing locations in- the field: ' SCALE 410' DATE LEVY & ELDREDGE ASSOCIATES, INC. CLIENT���/� I CERTIFY THAT THE PROPOSED JOB N0. Loyd BUILDING SHOWN ON THIS PLAN ENGINEERS-LANDSCAPE ARCHITECTS CONFORMS. TO THE ZONING LAWS - LAND suRvevoRs DR.BY AA." 0.F QA2aJST-ipet MASS. CH. BY, r SHEET! OF DATE REG. LAND SURVEYOR 20 FT• MIN. /Y07E /F E/TNER Ti�/E SEPT/C TANK OR !EACH11VG P/T ARE MORE THA."/ /2"BEL0.W 1 $�AO= A 24'O/AM ET•ER C0NCRE7',A7_ COYER SJ/ALL BE BROUGHT 7 4RAOE.CAN EXTRA GO/VC'gCTE 4rPVC P/PE 4EAVy C^ ST /R O/Y CO Sh/ �/ER AL L L3E USED EL• �o.S M/N, .o/TCN COYERS �BwPE,QFT /F/N UR/VElt/Ay 2 MAN. CD/VCR�TE Cd✓ER CL EAN. _5A/VO UQt//O LEYEL • - � � • • ' " f,� `LAYER /RqN P/PE I D©D• h- b MIN.PTGII/ GAL. a • • • • • a a > �e �4P�x rT SCPT/C TA/VK D/sT, o . • a • s • • • • a a • e • WASHED STr1NE, 6�X o • I 41, B • r • • e � .•• •� a n I a •EFFECT/VE a r. • •• 314 Jor • • PE"t' • • a • o 1VASXED STONE . 4 a ► • • T • • • 1 o YS/ X2.5 377•SGpD � • oe a � • s • • ► aa op • /1 3. Ct� i ao 0 �f q s • a • • • • • • a p •. o PRE.0 AS.T SEEPA GE 3x / 0 PEVU/V.•. a a • • • • • aa a o / 0R !,.VVZKT �'LEYT/ONS Prr C04PAC-My S . I O /NYERT AT B[J/LD/MG 56•d b FT. 6 FT D/AM. a /MG ET SEPT/C TAMEC SS•Sb FT 12 FT. D/�4M. I C(SEE T�4BUL�I T/ON� 0UTLP7-SEPTI C TAN/•C `��_FT. . 1j //1/LET D/ST/i/8UT/ON BOX C7 GROUND W,4TER 7AOLE OUTLET`D/STR/®!IT`/ON SOX 5S ZD F7; SECT/ON OF //VLET I-EACHMa -/T 55,00 drr S�d�A�CaE L�/eSI�O�SA1. 5�.57P',�/19 TA.BlJLATID/V LEACH/1/VG P/T DES/CN Cft/TEft/A SCALE D/MENS/ON A .SFT. D/.►1ENS/aN -FT. ,v41a9eER of EEORooMs 3 D/HENS%ON C FT. GAxeA��o/ Po A� U.v/r S®/L. .LOG S0/1. TEST TOTAL EST//�1riTED FLOI�S/ 33D 0.4L./0AY SOIL TEST / SO/L T.EST#2 NUMBE,e OF L,E`ACt/!NG P/7:$_, fEL EY. 5;�,tJ EL FY• 2 S 8 G OATS OF S0/L TEST 8'_'/ S/OE LEACH/NG PEtt P/T / S/ SQ, �T. -3' TovSviL RESC/LTS rv/TNESSED BY T6M Mc eE,9�✓ 400Tr0/Nf LE;ACN/NG PER P/7--LL3—so. FT. PelCOLAT/ON RATE ,** e-2 IVIJAI,//NCH s SUBsn�:. TOT,4L LEACHING AREA -6 so. FT. PE,t'C0LA'r101k1RA77E•A2 MIN.1I1vCN SQ. FT. H Or M' erq Cc /IN tvY NIARIAfVO en Sf?N U ! LOT I&. 1 i' u CIVIL --11 - ANNo.31115 .. "J /2 t,js `T NS•U LEVY & ELDREDGE ASSOCIATES, INC. f s/ Np �, /�.j' mac• 9 !ti 111A)Al Sr., C Ed7Ek2 VIL LS, ne74 NO GROUNt7 YVATFP ENCOUNTERED GL/E�VT;Gk��NB,e16• D�4TE �- 9��Zy��� Q GMOUNIT LVATER AT EL—1/V i ✓OB NO.' /C S SHEET Z OF 2