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Home My WebLink About0011 BOB-WHITE RUN - Health I � �o� ��i°fie �.u�n MOWN �18tiNIV1Si1S I I vsn u!Spun • mop peeves VCGU Darn A1�5/-t'pN OV3WS /// TOWN OF BARNSTABLE LOCATION // �� hj . R1�0,4--SEWAGE #9¢1- VILLAGEdv-&j/-,, ASSESSOR'S MAP & LOT(OOV-05 INSTALLER'S NAME & PHONE NO. - r / QTIIS'l;' SEPTIC TANK CAPACITY /4Q0Q QG/ LEACHING FACILITY:(type) pL (size) ,/d ` NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER �JLDEROR OWNER DATE PERMIT ISSUED: // Ap DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � qq� W 1 e. a , I I LY� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diripoottl Work.6 Tomitrnrt"ton ramit Application is hereby made for a Permit to Construct (X or Repair ( ) an Individual Sewage Disposal System at: uLocc-Vioo�n \ddrrss .-- or Lott No ) ....�i�/.+----- --f"""•��J+�F•O;r. ��I�..-�=R/JK!Ge--1r7�c�.7�,�-�'--��---��s ddr�l:r.�.---,�•'.��Ul:s_.:..N�e�'�s ess ------ -------------------•-----••-----.------------...------. Installer Address UU Type of Building Size Lot_.Z/,3 0-Sq. feet Dwelling—No. of Bedrooms-----------_______--------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures -------------------------------- W / flow --•-------------------------------------- Design , Flow............ 4_0_____________________gallons per person per day. Total daily flow..._..... .3.0.._... gallon. WSeptic Tank—Liquid capacity _gallons Length! ____�a_ Width_�J_-_E..- Diameter__--A-.__ Depth_...��.... x Disposal Trench-- N,o/� ............. m....... Width_-_-____T.......... .Total Length.................... Total leaching area..............�..,,.tt...sq. ft. Seepage Pit No....... .k Diaeter____..1Q � .�_-___. Depth below inlet...... Total leaching area�ll..sq. ft....... Z Other Distribution box (�) Dosing t k ( ) f/ a Percolation Test Results/ by..__ .1✓�t....L &- Performedt. �Date.../_ 1�.... 4 Test Pit No. 1------ minutes per inch Depth of Test Pit------/�........ Depth to ground water....... f3. Test Pit No. 2........ ......minutes per inch Depth of Test Pit--------- ..... Depth to ground water.......__------- ------------------ ............................. ---•-------•------------•--.. ..... .......--•--- O Description of Soil--4 Q -•TQ ..�' � -�� _.._�✓ 1�....�<. ....... SST U W ------•--•---------------- ---------------------------------------------•------------•-----........----.....••--------•---•---•-----•----•----.._..------------..............._................--------- 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia ce h/ ee iss d b t oar of health. IllSigned .... . . /...........:.............. ... ---- --------- .�--- � Dace Application Approved By .11Z.'I'Ll ............ ....fl�..-..� ^.. f Dare � Application Disapproved for the following reasons: .............. ........ ............................................ ......................................................... ....... .................... . . ........................... ......................................... ..................----- . .......................................... ..------------. --.................... Dace Permit No. ...........( t...........�--Y_ . ....... Issued ........................................................ ......._. Dace �_——————--——--— '+i. «w� r.i-.,.a1...;',a.......aJ..nw '�--.:i-.... +�..+:......roL.,...�+.rws�,^ '•.�.fL� i:�s�vJ�" � ,.s'.-r �ti-,�R.,,:,iti.,,k No......!..�. .y 'r : 4, Fss....... fa......... n THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Dirip vial Work,6 Tvtwtrur#iurt Pun it., Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: 1..... 8....W...+-►zT - Address I- / ss 'S.. Pt� .Z ��' 1. • �>~...._�,l l��i `V�,r�t&W.._�GIMr__- caR� I- 3 ' ' ?. L�NN._}.111p1 TG�1S S 6. 1 Address al �L UTr GNS'� 191� 1' ----------------- Installer - � Address Type of Building Size Lot_...Zj,.330(Q.Sq. feet Dwelling— No. of Bedrooms............ ...............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of ersons----...__--_____--__. -_-. Showers — a yp g p --- ( ) Cafeteria ( ) 0 Other fixtures ...............................•--••-------•-•-••-•---...------........--•-•----------- ---•------•- .............-------- Design Flow...........././`.0......................gallons per person per day. Total daffy flow......... 30.__... ... gallons.. WSeptic Tank—Liquid capacity/lift-gallons Len gth-� _---6---. Width-S.._S___ Diameter._-AIA---- Depth.... $.... x Disposal Trench—N,o/. .................... Width...._...r_.___..... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.-__--.J-......... Diameter-------/D.----- Depth below inlet......6__ 151 Total leaching areaa4.11...sq. ft. Z Other Distribution box ( ) Dosing t k ( ) / aPercolation Test Result Performed by.._.�-k 1a....Z__._.t ,S� ..Date.../.it_. .-1-`�.__: minutes per inch Depth of Test Pit._.... ------- Depth....... De th to ground water.._._._. �14 Test Pit No. 2........Z....minutes per inch Depth of Test Pit.........q....... Depth to ground water......... .--_--. D Description of Soil..Jts.....Qf...T10P..t_...�MA.;0._ a -_-- ..-/---Qr----- 'r. ... . ,�111 ...... Wp. .....IA. 144'14.-To•-•--.C06AP -----•---- .................................................. -----------------------------------------------------------------------•---------....------------------------------------------------------------------------------------...._.._..--•-•-------......-- 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 Complia ce has'Been issu-d by the-board of health. Signed .... .../Z'h%2+•✓lZ_� ........ ..... ... Dale Application Approved By .........0 ..�.�f�,�w•,�` ,��.-.. .....:-.. ---------------.....—'.................. Dace Application Disapproved for the following reasons: .... ... . .. ............................. ....... ............... ..................... .... .. . ...................................... ............ ---.....I............ qq....... ......... Dale PermitNo. ...... ....I...L............ ..Ll....J Issued .......... ..................................................... Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C>er#tftcate of Comlittianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by -----------------I mo ....... .............................. ...In....rall.....__................----------........................................................................................... at ............t! ........r.. ..... !�V 1�L�. P, y�-. . _0114 �•�------_:............................................................................. 1' y. hhe applic tas been sonlfo 1Disp�alaWorks with Const ucn�nlons of PermitTN�I,E 5 0��e State Environmental Code as described in THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. „ -� Ins ector ...._. ,. •P..:. DATE....................... p �, ......................:.._......._.......,.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE N r FEE....Lf .. �i��tt1 �rk� � ��fr�tr#uan �rrntif Permission is hereby granted---------.. `„ -=------------------------- --•------------..--.----------•------•-----•--•--------------. to Construct (-,-,�"or Repair ( ) an Individual Sewage Disposal System at No.........l¢........PL_ ......_1 . -t ------- ---••---- street pp as shown on the application for Disposal Works Constructio Pe -it No._..(__Yn_��✓.�Dated------------------h...n.................. jhtlq� Board ofHealth DATE.------•......... ................................... f FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS SST ALA S L � T SCALE 1 :30 Sou. '1"Esr , Prkr'eMEo sy Ewa SEPT�G yUK (No Cw�AGL bTsR0_SAL) L.; f�s�� , Pr--, �v , Gt�rrNEssEQ BY _ DEs�/U F�OuI B� .us x llDA�+y �wAR� B r�Rv A 1 Boo of Ne�H 330 GA</my X /solo Pe RG -T E5"T P�R�RM GD gy D L, Pr-: �, w p GfS CAL S�zG TAJL,V � -7— � a&k ; E AL TP LOT 27 LOT 28 ` 01 P ' IUJ, z L PC-AG RATE : 2 ,�►�� - - - - — - - - - - - p Flow r-ok 'Tor+ stt�_spZ. �.5' -�i op t StAesolL /J r SZl1� �.L 1 - - - - -- - - - - - - - - -� -- - - - - - - % STL? ��sAu� i•t' � �� !�� Z�r � (�.S �/�2 J B 0 B WHITE R U N (yo Ur�E� {� — — — - — -��., - — - — =q.o o PeP�� _ Pt+�rl 1 WATEK = 11r r 2 (l,o �z 7-01-AL = SlI GAL LOT 51 TOTAL AREA FOR LEAUVq = ` I t PR_o ems_ L 0 T 5 2 Ne to ATE�e IJJ r NATANT) �� , U� �D 1 G E E FZ Aii. L —r E S ' 1p z - 0 i �t �d 19 1 . Construction of this proposed septic system shall be in conforn.ai.ce with ' ' 2D"'" -- - - , P Title 5 of the MA Sanitary Code. An as-built certification is required prior to SeFT I T�K TP 1 > k_ � : 5 ��- =� JG ��nn U rY q t i �oov�a_ � / backfill . ' D BoX � �AA pp 2 . No changes are to be made to this plan or design without approval of the Pt. N EOOK l9q/P , I 0 � fib + �`� � A 5 Board of Health and the Design Engineer. 0 �` I 3 The contractor is responsible to ensure that the septic system is } constructed as per the design herein and location indicated. J I 4 . The septic tank should be checked annually and pumped as required. 7�M P �(--Iw�N P ', " l<X�, S6' (ASS14 n�G u� LOT 5 5 >qT 'FOP F� FZ C :> F I E I I—:- ED ° 102,0 (AJO-T 70 SG&,6 WARD�.. � PsscE CIVIL No.3 i 63T�� 01, z AL Certification of this drawing is not valid unless qq. I� �� IN�� STD the stamp above is provided in red ink. /g" �z �Sr,H 40 Q „SC,H VG P1P Q 4 �j SGH, yO P(/� r //A146 �Ll I 1-S1XJGAL '7r9rUk' Gi�/41V6£� ?O /L��IGAZ S' °7?r� v lOi"t i' — n ° 5-:02 ° S=,pZ 0b000 O 0 O 0 b �E SZO 5&Pr1G `?,A1UK 6PAA)6P_ 7L) s=,OZ i a —• c �' , ObQ� ai Nil �5 N GA MO ,�� Yee /� UrYt y0 00 00 00 00 yz, PROPOSED SEPTIC SYSTEM 11 Loa WHzre IUN Cr�r-r�z-r MA ti TEE 00 00 WASHEDt (OR Pksclw v e.. e o X r STONE PREPARED FOR: 16 P� 0000 \ 000 00 0 0 S 2 0 O 0 0 a 71 ��L-E : DRAwN Py: DAT'E : DRAWINC No, strEEr 1 a , As VAIN 2s suy y� �jy- D7_ 17..E or / 1 �a�w� xoN PESCE ENGINEERING & ASSOCIATES 3 LEONA LANE, OSTERVILLE, MA 02655 PHONE: 506-426-3730