HomeMy WebLinkAbout0068 EVSUN DRIVE - Health �:
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No. 4210 1/3 RED
No... Fa$.........�L�.Ca'........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
A liratisn for Ui�ti oil. �� � l lVUxli£ Tla$tB#rnr#tAri F rant#
Application is hereby made for a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal
System at:
I--oT Co/�-G S�►�f TJ2
.......................... .�_..••--........
Location- -\dd
---------•- -•-----------•-------------------•---.......r Lot. ot L. ..-No............................................
n'ss o
...�.P�2c�.� I . ..��
w �o .
l �d
/oe; CY��s es5
� Installer Address
U Type of Building 3 Size Lot.._Z`{ 3 ....Sq. feet
Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons......._-------------------- Showers ( ) — Cafeteria ( )
dOther fixtures --------------------------------------------------------------------------------------- .............................................................
w Design Flow.................... . ...............gallons per person per day. Total daily flow..__..._..._..3��...._..........gallons.
� Septic Tank—Liquid capacity.[e o`�gallons Length----�---`_-_ Width----4---.a Diameter................ Depth..:
Disposal Trench--No. .................... Width.._..._�o.------- -Total Length.................... Total leaching area_._` ` .....sq. ft.
3 Seepage Pit No..................... Diameter---_..__--:---.----. Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Resultsy Performed by.......................................................................... Date........................................
Test Pit No. I.._.___.y__._minutes per inch Depth of Test Pit....... _.... Depth to ground water.......... .............
44 Test Pit No. 2...� ----minutes per inch Depth of Test Pit._.._..�.�_.._. Depth to ground water.......... .............
W: •---•---•......................••••----•---•••---•-• -----••-•••-•--•---•„......---...........---•--•----------•----•--•---.......--•....---•-•...........
O Description of Soil...•fit• ... 4 T S•-•-•--- - l zd l�t.c.+. t °`'-' v-�
-•---------------•--------------------- ------
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 TITLE 5 of the State Environmental Code he undersigned further agrees not to place the
system in operation until a Certificate of Comp ' as be ued It and of health. .r
Signed
9
..... ............................................................................ ............................. ......
�,c�-�� Dace
Application Approved By -.-......(J' v- ..a...� .s�-.-... - _............ ...�...�.1 y.-9 ..
Application Disapproved for the following reasons: ....-...................................................................................................................................
................................................... ... ..--.............................. ....--..........--.........--....................... .. . . . ........ ... ....... ......................................
Date
Permit No. ................�..-"-- .................... Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
CITeartificttte of Crompliance
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (-�) or Repaired ( )
by ........................ .................. ........... ............. ..... .......... ...--........ ........ ...--.................... .. ... .............
Installer
has been installed in orccordance with the provisions of TITLE 51(4 The State Environmental Code as described in
the application for Disposal Works Construction Permit No. - ---- ..�� --- -IF....... dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.............................._........... ......._..._..._-.---- --..-..._-...._.-.--...... Inspector .............................................-------------.----..-----.-.-------.-.---..........
------------- ---------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
No....7Y_,:' V FEE---•••6•-`•
Displaind Work nns#rudian "rani#
Permissionis hereby granted........... . - ••• -••••- ------------------------------------•-----------------------•-----------------------------------
to Construct (7r) or Repair ( ) an Individual Sewage Disposal System
• ------4--- 4 .........-- t ------
stree
as shown on the application for Disposal Works Construction Permit No.. Dated Dated...........................................
--•------•-•----------------------•----------•--•-------------------...........----••......---•--•..••--
Board of Health
DATE................ -•-------------•-----------•-----------••---------------------.
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
q ry!
�'•....'j�..,�„L�+SJ�+tA�y,trl. �}y a>' r.'—.i�U�iiG"y'LMn�M1�. �`I�F�:I:R��iIs.FM�^K.tJ1�4
.-}�e+'.'.it .td:'4L`lt+�.c..+.-�;tl..�fX`.d?-dc-aL:7.:�..,,. -^1s.v-�...�•a�b,.�.` � ^'{"t't;
Fss.......
THE COMMONWEALTH OF MASSACHUSETTS ,
BOARD OF HEALTH
TOWN OF BARNSTABLE
tf Appliration for Dbip vial Works C omitrurtion Prrutit
Application is hereby made for a Permit to Construct (/�n or Repair ( ) an Individual Sewage Disposal
System at:
...................................................... '— <__.... ...t_t �_..`.,�
' Location.Address or Lot No. ..............
C...........................I -YJ. t� ....
c 1 f e l�_ff; C�/yL n O..ncr
a Vi P //s �f /,ress
---- •------•------...-•--••--•••••. ......-- -•-----•----•-•--•--------••--------•-------•••- ------------.............----......-•--------••••-•--•---••-••-•-----•-......--....--•---
Installer / j Address
UType of Building Size Lot.... ....Sq. feet
.-t Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
d Other fixtures -----------------------------------------•----- _
W Design Flow......................-..;...................-gallons per person per day. Total daily flow............................................gallons.
W Septic Tank—Liquid capacity.? "'.'_.gallons Length----:-=------- Width---`�.__`:.:. Diameter................ Depth.......:`...
x Disposal Trench—No. .................... Width....... �.:--__-_ Total Length-------`(......... Total leaching area...`!..`.1_ sq. ft.
Seepage Pit No..................... Diameter..................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results2 Performed by.......................................................................... Date........................................
Test Pit No. I...`...........minutes per inch Depth of Test Pit------
!._' ....... Depth to ground water.._...._.............
4= Test Pit No. 2.._`__.'__.....minutes per inch Depth of Test Pit....... �.<?.:... Depth to ground water.........I..............
W .................,..................................(...1.C._..r..5.....5..I..r.I..r.,.L..c._..n.'..,_.r....
l......(�-.
...[.�._.n�..../....�i..c.....'E....f..._..1..,.,......,.. ' --n----.,.ODescripton of Soil...t� ... .......t ' —...-t -•--------- ------•-••-----------•••-- t=
x !' I ............................................
�.........._.__.Y .------ ........................ .......... ...........
-----------------------------------------------------------------------------------------------------------------------------------------------------------
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 TITLE 5 of the State Environmental 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 ----.0 `---.- -.. .............
................... .......... ...............
jU f
. ........................
j / Dare
ApplicationApproved By ....--.-. .-.._.-.. ... I-. ....../..... - .....................................,.................... ..
- - �----�•A Date
Application Disapproved for the following reasonf: . ................... ...-- -- .................. . ........... ......... . ..........................
......................... ........................... . . . -- ..--.....--......--....... ...................... . -- . ....--...................................... ........................................
Date
PermitNo. .................L(....-...SZ..�/.... ... ...... Issued ........................................................
Date
--.J..---——®o-----—.......-—„.—.——— _.———
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
C9e>r#tftrate of (111omplian e
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by ........................ .. ........... -
` Insrdlcr
,Rt--------------....-.... .. ...............................at ............... . �
has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ....... .e..-...- dated ..........-_.............................._-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE...................._.._.__------_--._-..--.-------__---.....--------...-.............. Inspector ----------------------------------------.:-------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE UU
inttl mrk �,aaitrrtirrn VA.
erbtit
Permission is hereby granted------------ f - e------------------------------------------------------------•--.-_--.-----------.-.---.-------•-
to Construct (�__) or Repair ( ) an Individual Sewage Disposal System
atNo..................... . /- ••---- `�� - :�
Street
as shown on the application for Disposal Works Construction Permit No.��:.6._0__ Dated...........................................
..........................................-..............................................................
Board of Health
DATE--------------------------------------------------------------------------------
FORM 36508 HOBBS IN WARREN.INC.,PUBLISHERS
h
SECTION - SEWAGE -` a, `, BeNCI-! 1✓t41ZK STdK`` 154Ess MbP ICo6 ,PbRGEt+ 84
W T&CK EL.= 2t.Sl LOVING 11 E G
sET g dG LCs ; F Z-0 V l . 20,
\ St�Es c 10`
SEPTIC TANK- F4EL0 2;=4Q 10
(�I -"D"BOX - -LEACH I \ n TOP OF FON
(MSLI� OF 1hTO Vi" a
WASHED STONE `
N
lb
IN• OUT- r�„PEKE•PVG. +'
IN- OUT• ! PIPE
bJOG SIN•
SEPTIC k t•--e _ €,- ill '� 1 i `
).32 TANK
ELEV. ELEV. ZO.DJp 11
ELEV. ELEV. �` 51 ZO.Ig / ' rJJI
5tPTIC TbtlsC TO II4Y' TEES l Zt.o 1,05�' sP S
\NLET-rEE-t-o EXTEND 10"B�1 o W i>,IVEQT ELEV. ELEV. /
Vv
OVTLt7 T$E TO EXTEt1G l4"ESEI OW\KV ERT - ^' 2' O(�O cidL'SEP tG t bN!C I --tfe
10 x OOF V."-I W"
WASHED STONE
lob,
w �! [�OO GiF LE1.G4iINGIEI_DIs.F.
TEST HOLE LOG € 00'* A0' x O.S' OE-ap)
TESTBv IL,�AIQ(3ANIC P.E �J.A�NNINC� ('S.0-H•�
c. Ito
TEST DATE
WITNESS 3 �4 �� V� Z it
DESIGN BEDROOM HOUSE : \ i
T H - a :-
T.H. 1 1 2 : , -
y � -
:. •. w.. . � . �.
t S
ELEV.Z O.2 ELEv. NO
tot su So�� s `osc < 2 DISPOSER DISPOSER • \i e t PERC RATE MIN/IN. ` \
Ig" IB, 1 IS" 19.5 FLOW RATE it0x .3 (GAL./DAY) ' 3 D : '` • \\ �`tJ i�, �� / -�```' , a '
CLE µ. SEPTIC TANK 330 (LSj= - 4 5
cLea REO'D SEPTIC TANK SIZE '
St,N COd¢ L�C� .Tlot I s�R EA.n 330
,gyp
T �.
I 0
Q �
T \ \ O
� LEACH FACILITY z ,� P�� � \•0 1 � ��n �,2.
p
►�eot SIDE WALL ( y - j f. G/D.
\ly _
W _ o r
A l ,
SduD't' �J ' � BOTTOM ('�tt��lo-r� '451 s��t,D � � 45t =G/O • t ' , ti ESMT.
wdTEe @ GLEJ.. TOTAL y51 ��P Se�ov-v�lr:
a4" .a O \\ /; L2- �'`� k Iso = i1.3' ✓
4 ,
y \
USE: b14E' LEACHING FI h L_D
120 10,2 120 tt-0 \
CID` x 4Otx b.sl pEF-P)
WATER ENCOUNTERED I• ��j(Y� �
ALSO. to tvL . to �Y• W
NOTES: (UNLESS OTHERWISE NOTED) art A D,us r.f. N)r- CIt c c ,
1.DATUM(MSL)+TAKEN FROM
a MUNICIPAL WATER I l AVAILABLE h�':'N �� l
2-PIPE PITCH:Y."PER FOOT
1-DESION LOADING FOR ALL PRE-CAST UNITS:AASHO- O -44 ��� O�
5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. �a � wI SCA G Ei_= \y-O]5.
S.PIPE JOINTS SHALL BE MADE WATER TIGHT AANE
1-CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. �"�
STATE ENVIRONMENTAL CODE TITLE S o OJALA �1 ¢ �'/�(A(�/�r;i I\/�nQ
�= CIVIL I� w fl 11tV ' IrU SITE PLAN
6--f t, mul W. vcoroigp worj' , OkLel- 4 �3.1,4) JOT w IwED � 2 ]�- LOCUS: L O T G/4,AEYsd ;1 c)21 V E
F'Oli= F'KOP�e-I�f U►Jl: d: . -G , _ ���P`1� Of
�C�tyTE2ViL`�� a�IPNSTrL3l.� M,.
q•'Y+ ►;XLS 'fO PVG'f0 8E LkO '(PWjfj+0tkf �P;iC �p�tV. R � f LENGINE*:R ov ARMS,
# A Pl_. 3K, Z181
� H. -�� REF:
down cape o�lgineeiing ' { �!z EE,1�R I E 2 I-I �M ES
- ` PREPARED FOR:
' CIVIL ENGINEERS -
BOARD OF HEALTH SURVEYORS EYOR
LAN � ,.;., •a�j.
D SUR
✓13L n _
sss rain �►� I - 40 �- 1-5-$S ��. t 3
(EXISTING)-----�-" APPROVED DATE MA OONTOURS (PROPOSED) -o-o�- B �N STAB l.E , YIEI��y� SCALE
DATE 6-7 - Z Z
9•
• Yl
SECTION - SEWAGE 15ENcu wl 7-K a ST&S LssEsss mi.io ifo8 ,i* Tz,=EL e4
f W/ZeCK EL.= 21,6k LONIN6 ; la c
I �ET3dGK5; F2oNT = 20
,
STpES = IOr
TOP OF FDN SEPTIC TANK- (�' - "D"BOX - -LEACH FI E LO ' - \\ TLc e.v- - .l D
-(htSL)• "2"OF 14TO Ni"
WASHED STONE Z \ o
,
lb
11 \ /40
l ¢"PERF. pvc_
IN• ,
OUT• IN- PIPE /
t b0.7G OUT• IN• \ /
z t �Z1 SEPTIC
_ 21.32 TANK '.
ELEV. I ELEV ELEV. o� 7-1 '^�a LIT
ELEV. 2 .1D, i ��411
St?TIG TL14Y- '70 ;L-4YE , Z1.01 Zo. - — 4' sr-
\NLFT-rFC-To EXTEND10"B�IoW ,�1VF2TELEV. ELEV. / `y� I1-2\ So
GVTitT TEE TO EXTEND 14r East oW INVERT AD •Lui I I Y 0 0 /N
. 1 ,Y
0 O' '-
WASHEDSTONE ". T
f. \� 1 / i/ t` CaA,
4OO-iF L.E1,CI,4lS6 =IELD \�/ / / -1s31 Ts.F-
TEST HOLE LOG
CIO" 40' x
TEST BY R ,IFA19.5AVC ?,E ` ,DONNING, (T3.v.N•� \
TEST DATE 4- 2 5- 2% WITNESS E ��41 o v Ito
DESIGN 3 BEDROOM HOUSE
T.H. • 1 T.H.2
Z a
_�[ ELEV. O.Z ELEV.
Lo4M 4
Lof, E su Soil s esei L PERC RATE ` 2 MINAN. DISPOSER DISPOSER
19.5 FLOW RATE ItOx .3 (GALJDAV) �'Vla
SEPTIC TANK 330 (1.$)=
cl E d _
c LE N
- REQ'D.SEPTIC'TANK SIZE l 20
AQ� AFz-E<A a 330 _5 a-15- "'r"T�� •5.F_ � ry � ., ,� O r' �// 6 _
LEACH FACILITY � �: �.� • ' �'�"� ���o ` �' Q".c ,� Z' �Z'�v
STb�y 5 Mew SIDE WALL _ D: w + o o 1 1
t34WDABOTTOM ( ) G/D G/O _ . yWd76P `� ELEV. I'. r � / ` r: ESMT.
84" l3.2 94 �� �La=v. TOTALe _ 1 F�e�� �, �'• ° �` o� Z�9 so =USE: v14 LEACHING r-ti=L_.0
CIO' >< 4o' x o.s1
WATER ENCOUNTERED
AD1.'ty �ulc 1 . to �T_
I wo
S E'er Sf Pa2r1Tc, St�4s.
NOTES: (UNLESS OTHERWISE NOTED) �� A D3s 7v�4 5 C�Lc c , LOCH h r" Le
1.DATUM(MSL) TAKEN FROM 2 M 25 F Qo r1 F.t•Q.M. M�Q -- D �' \\�``
!.MUNICIPAL WATER 1 g AVAILABLE
i.PIPE PITCH:W"PER FOOT ,➢�ds(� �1' \`
-1 O i -►
1.DESIGN LOADING FOR ALL PRECAST UNITS:AASH - �"� Or' -
0 0 4a >s��S� I�t �.. T L 6. h► b
b.MiN.GROUND COVER OVER A SEWAGE FACILITIES: -
O CO O ALL S ) FT.
� ti
S.PIPE JOINTS SHALL 6E MADE WATER TIGHT a-
i
1
� f
ARNE H.
I - 2G00
>>.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. CIVIL ^�� ���1f0" SITE PLAN.
STATE ENVIRONMENTAL CODE TITLES � o OJALA ;1� VkP
b.'(k5 PlA►l jolt P�PGSgp kbrx, DI.U-`T a} �.1�-D ►.10t BE tlp
ft rr-optew U015 s� ):� f� 7 2 a� T /`H Oc
LOCUS:
OTG��AEySJN O1z1ya
1-4, CC JLS 40 FVC.-O BE Lk,-6 0 1�iW;�'�10jf ��jr_ 'EjKfe �& ►� L ENGINE a fa� RN �C frhtT��v t`L_ � t3:>?N=-T�3 t- �M�
A REF: f L, 3 K, Z`3 1 PC., Z Z
:. down cope engineering ! c PREPARED FOR: � -eF�6R I E(L 1-�o►-%t ES
` CIVIL ENGINEERS '
LAND SURVEYORS -=`-
CONTOURS (
(EXISTING)•------- BOARD OF HEALTH an main a�
PROPOSED) APPROVED DATE $dZNSTpBLE , MA N�� EVOR SCALE � u � �Ot � ((��/, l 31-��G• - r
_ — DATE 9rg7 - ZZgM