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Home My WebLink About0184 WHITEHALL WAY - Health 184 GNxUutL( Al"Ais DS!LAJ J4 ,s"��T xAp BARNSTABLE ' LOCATION e Ii' �/� SEWAGE # VILLAGE ASSESSOR'S MAP & LOT Z 17-~ 0 Q 9- q INSTALLER'S NAME & PHONE NO. �.3. 0 sc L A"S a w 7 71-- —5(,16 \ SEPTIC TANK CAPACITY LEACHING FACILITYAtype) t--e°�u� '� (size) �O s��ES L y'i O. OF BEDROOMS PRIVATE WELL O PUBLIC WATER q" BUILDER OR OWNER UE:� vu un DATE PERMIT ISSUED: DATE ,COMPLIANCE ISSUED: Z� /97 VARIANCE GRANTED: Yes No r a _ ASSESSORS MAP NO: PARCEL NO.- 0 �o No..... _ �� F�s........7...... , THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEA T/�° .-_......f�l.�1�.......-----OF...... .. ,-. .�Q ..... ApplirFatiun for Ui_qpugagl Works Tuntrurtiun Famit Application is hereby made for a Permit to Construct (�r Repair ( ) an Individual Sewage Disposal . Sys - .ZJ�� ... .. ........1 4 Z...r_. ........ Location- ess Lot No. 1p Owner /( Address ...7D. - Installer Address gg Type of Building Size Lot. lC Gala- feet U Dwelling—No. of Bedrooms.__.................................Expansion Attic WO) Gauge Grinder �� '4 Other—Type T e of Building .............. No. of ersons..........................._ Showers Cafeteria a YP g -------------- P ( ) ( ) Pa Other fixtures -------------------------------- -.d - - - W Design .Flow.........�5 .....................gallons per person per day. Total daily flow........._3..��-................_gallons. 9 Septic Tank—Liquid capacitybOO-Cgallons 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 by. a e We . 3' -1. �i Ihet .r�r _- Date....4��a:A aTest Pit l�To. 1 C� ____minutes per inch th of Test-'Pit.____..._....___.__... Depth.-Co ground water........................ GL, Test Pit No. 7w.�.minutes per inch Depth of Test Pit.................... Depth to ground water........................ - -----------•-------•--•---•-- .. .................................................................................... p � o s� 7 Description of Soil--- 5 �-_. C-4: & �---------------------•--- x ��-- i U -•------------- c - � L�-� f'!�I.s 1-GS1_2'1------ ......--------.------------........--•--...------------- 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 it L p 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 the and of health. Signed_._...x ... . ...... ...... ... .....•-------•---------- .... Date Application Approved BY----.1- ....---•-•---- ............... •----•- ------•-•IJA4 Date Application Disapproved for the following reason . ....................................................................................-•----_------------------ .....................•-----•-•-------.....•--•••-•----••------••••--•-•-----•----........•---•--••---•-•--•--•-------•--•--•--•-------•-----------•-•---------------•--•--•••-•-------------------•-•--- Date PermitNo......................................................... Issued....................................................... Date _ No................-....... FE$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAT ....... .-oF.....1.! e >. -------.Ile........................ Appliratiou for Biipuual Works Tomitrudiott Prrutit Application is hereby made for Permit to Construct (40<Or Repair ( ) an Individual Sewage Disposal systetr,# �"- .. .......__._.... ... ---- ., -- - ------- -------_--- Location- 'Mress or Lot No. ,f ,{` -. ' Address . ....... !......._Installer Address dType of Building ,� Size Lat e-5r.. ---Sq. feet U DwellingNo. of Bedrooms___j.................................Ex anion Attic Garba e Grinder — P ) g kjC aOther—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria ( ) Q' Other fixtures ---------------------------•--•. . d ----•---------,6y- -----•-•-••------••------------ W Design Flow.........: ...A..........................gallons per person per day. Total daily flow.___.._... -X_----...................gallons. 1:4 Septic Tank—Liquid capacit 00.40.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 ( ) Dosing tank '—' Percolation Test Results Performed by _. ... p �"< £� µ� �+°�` �r"�"� Date._ .__ "'.. . Test Pit No. ._.minutes per inch �pth of Tesit._______x ...... Deptlao ground water________________________ \ fs, Test Pit I�To i 7:,.,_..minutes per inch Depth of Test Pit.................... Depth to ground water---___--_-_.___.. --__-- O Description of Soil �_ Sc �l A� y p/."' !x -------------------------------------------------------------•- ..... d .............. ' " F.... ---•------ '----._.........------------..........•......................... M ...............-...............................................................................................................................................-........................................ . 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 Tip'?E j of the State Sanitary Code—The undersigned further agrees not to place the s stem in operation until a Certificate of Compliance has been issued by the oard of health. Signed ' j r Datyt Application A roved B ! ' `1. .......................... PP PP y---••------•----•-------------------- Date Application Disapproved for the following reason*................................................... ---•---•------•---•-•-----•-----....... a.t o............_ ------------------------------•••--------•--•--------------•-••-----•---•-••--•-------••-•-•-•--••----••------•-------------•••••-•-------••-----••.................................................... Date PermitNo--------------------------------------------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH L..�f .............OF... �,�!?"',►�r- �.f ..� s' .................................. Tntifiratr of Too phaita THIS IS T ERTIFY Th the:Individual Sewage Disposal System constructed "" ) or Repaired ( ) f 7� Installer , --•-------- at e'...-! ----•---- • -. .. ' �r�g � +�....... ..... � � � �_j_ -----------------------------•-------•------------------ has been installed in accordance with the provisions'of '"' i The State Sanitary Code"as des ribed in the application for Disposal Works Construction Permito.__._ _f _ _______________ -------------------------------------------------------- has THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE ` SYSTEM WILL FUNCTIg �TISFACTORY. DATE.........................z_.....° . Inspector...------._•.......................•------_.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF 7 . . OF No ........ .......... F V11V!9 . t - DifyiQ11 1Works Tottutrw tt �erutit Permission rs,hereby granted -- _5...f ...o, ..G� ----------•-•............................•---------- to �Cpns ruct ) ory}D�epairram a8 ) an'Indivldu Sewage Disposal System d•F L-.�,f�*d'.�°_....e �-.L.a�3 .!_i.R: _ _-••-----------------------•-------------•----_•_-•---------------___....__._•.___.......__•_ • as shown on the application for Disposal �'grks Construction Perriut No.._�.__�'.�2`„Dated..._�l_`.`�____...._G.............. x z _ yw�....- .... -------------------------------------------------- f`' Boar of Health DATE---------•-•---=•••----•-•--••---------•-•-•-•-••--•---......--•--•---......--- �,/ �. FORM 1255 HOBBS &r,WARREN. INC., PUBLISHERS i LOT I(o !, a as FR01�T'>4Cr E. ' 30' .FROt4T SFTSAC F . �ya,S�oEy�- - ly► REr1RSETBfacy, AA - W O l TC 44 LL W ' a ss�raEv Lo-r^Rest UNC�� (Sa' 'PR i VF�rE CI+ 'Tn..G. oo S ,. i90.00 LOT �0 co- V Say / Im IW. N S-MM , Tc, LO-T 3 � r �� N Q � Q bh 40171 4 1 S i So h- DAVID P. rya oc,� Y POA W\10K gfJr u L'I•I!L L O.T- 2 �}- ate' 'cd u PAUL A. Gn na 14 .31113 _ LEVY 1 o 'S T VVV"' LEGEND . ►- EXISTING SPOT (ELEVATION 010 tEXtM49 CONTOUR ---- 0 -- -� CERTIPI PLOT PLAN FINISHED SPOT ELEVATION FINI SHED CONTOUR 0 NOTE: Ail The location of any existing unders,round sewera c , -�_--� Y - W wells, or other utilities shown on this plan is approx- IN imate only as determined from records and/or verbalSTI�•d3.L.� information. The contractor is responsible for the , verification of the existing locations in the. field 9CAl.E ,; OAT.E ,4/2 (� LEVY & ELDREDGE ASSOCIATES, INC. CLIENTEN ' ' , I CERTIFY THAT THE PROPOSED ENGINEERS-LANDSCAPE ARCHITECTS JOB NO. _BUILDING ' SN.OWN ON •THIS PL AN PLANNERS- LAND SURVEYORS d CONFORM.$: ,T..O .THt• zON N L AWS DR.BY� .�.;.,...., .....� "0 F TiA M 712 MAIN STREET CH. By NYANN I S, MASS. SHEET OF 2. DAT !: LAND SURVEYO 20 FT. M/N IVOTF /F E/7•1yER THE S'EPT/C TANK OR iEAC!//ivG P/T ARE MORE ELOJW /D /r7: /rfAV. 24'O/AM ETER COyC'.f'ETE COVER FE- SWALL eE BROUGHT TO"GigAOrE.�•SN EXTRA 4 PYC p/PE CONCRETE /'•/E.4VY CAST /;PO/Y CO✓ER S/�ALL. DE USED EL I: M/N. P/TCN /F/N DR/VEJt/R y -' 2"J. MiN. CONCRETE a CU►iER CL EA/V .SANG _ &ACXF/LL . 2 LAYER IRON P/PE D�/ o v o • Pee OF GAL M/N,P/TtN -�---- . • a • • • • • • • • e •4 ` I4 P..EPc/'7.. SkEPT/C TA)VX D/ST, o • b • • . e • . • • • e ,� + 1�YASHFO S7YJNE BO • B.• e e •.• •EFFECT%VC • • • • 3�4+ - • • • • • pEPTN ' • •"• • o IVASl/EO STONE [,5/ .x ZS=377.S' i ao • • • • • • • • • p i v PREG45T SEEPAGE. • ' P!7 ORPir-CAMO-ry- 9-0-5 apz> 0 o jVP'& T &AR41AT/Oas s INYERT EQU/V. AT QU/.t.DlNG FT. 6 O/AM. j fNL ET SB'PT/C. Ti4/VK 'S 0 FT, , � t'� FT. O/i4� � C SEE TABUL.4T10N� OUTLET SEPT/C TANif / fT. /N,CET DJST/�/BUT/ON BOX 5?• Mgy SECT/ON OF' GRDuNo TER TABLE h OdTLETD/STRIB[IT/ON BOX 59,70 FT SEWAG.6 �ISROSA do ..SYST�/1'9 !I 4Er LEACYINa .p1T SFr. TABUI.ATID/V LEAG'H//VG, P/T / _ /•_ o" DIMENSION A FT. D.E516M CRfTENIa Sc.4LE /4 DIN--N3/0N $-4 FT. Nui►9BER OF<J EDROO/yS _ D/HENS/9/V C FT. GAR45AGED15PoSAL uN/r AJoNE SOIL_ LOG ®/L TEST TOTAL FLOrt/ ,?3 0 GAL.10AY SOIL. —TEST*! SOIL. TES7-*2 NUMBER QF' GE`ACHING P/T,S_{ !^ELEN c).tr. -ELE'Y• .,DATE OF SOIL TEST 812`Sf 9 S/DE L-`ACHING PER P/T SQ, /=T. 0'-21 TGPso/c. RESULTS PV17-1VESSED BYTbM MC CEO/✓ r BOTTO/iP LE7ICH/NG PER P/T-1� $Q- PT. 6L).s O/C.. -eTC0LAT/01v /c.47'E,A•/ e- 1, M1NI/NCH • TOTAL LEACH/NG AREA 2L,,I/ SQ. FT, FL/tCOLATICN RATE 0,2 MI N.�INGH 'RR sz-RVE GEACH/NG AREA 24A SQ. FT- CLI AAJ " U v5,4 ND bAVID P. _ All iU5 LEVY & ELDREDGE ASSOCIATES, INC. EL• 7. S 7/2 MA//Y ST. , yYf7NN/S, MASS, O GROUNt7 YVi4TER ENCOUNTER�O Cl-/ENT:GREENIe3A& DR7 :q112/Z8 ` Q GRO UNO yVATER AT JOB NO' 14'f� SHEET�2 OF 2