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HomeMy WebLinkAbout0048 CHERRY TREE ROAD - Health q8 Chem Tree- 'Po6D Io-fuI�e Lig TOWN OF BARNSTABLE LOCATION LA rl( SEWAGE # 8-5 — 710 , Lrlt23' VILLAGE z ASSESSOR'S MAP & LOTN-lq INSTALLER'S NAME PHONE NO Cr`k�i t�tvslc;c�-ms, &SEPTIC TANK CAPACITY v � t .LEACHING FACILITY:(tcype) L. �42 (size) � 'ENO. OF BEDROOMS ` PRRIVATE WELL OR PUBLIC WATER %UILDER OR OWNER DATE PERMIT ISSUED: (0 Q DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No .76 1910 46� No.... .. ... ..... t� 7 d �, �b THE COMMONWEALTH OF MASSACHUSETTS 1 BOAR® OF HEALTH .-•................................... .OF....................._......._......... Appairafion for Uhipoiial Workii Tomitrnrtinn ramit Application is hereby made for aPermit o Construct ( ) or Repair ( ) an Individual Sewage Disposal Aysbmn �-(_1------- Q. .afz Loca n Address or Lot No. _.. ..........._../__2. ..........._...... Owner Address -------------•----•------ � -----------------------................ Installer Address I� UType of Buil ' g Size LotrZ��_- ___........Sq. feet .a Dwelling—No. of Bedrooms.....................................Expansion Attic ( ) Garbage Grinder ('9/4) 4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fix ures -•--••-•----••------------------ W Design Flow....................s''......_..._.___._gallons per person Vg day. Total daily flow__...._._-_-:_3...... .............gallons. WSeptic Tank—Liquid capacity/.4W..gallons Length..----'-....... Width....`,t�-_........ Diameter---------------- Depth..._...__.. x Disposal Trench—No. .................... Width.......... Total Length.................... Total leaching area................... ft. Seepage Pit No---- Diameter-------lD_-..... Depth below inlet.....j4--_......... Total leaching area__)-1,__sq. ft. Z Other Distribution box ( ) Dosing tank ( �— aPercolation Test Results Performed by_________ _____ ______ ___ __.___.. Date.__.. __. �......_.___. Test Pit No. i________________mmutes per inch D t of Test iPt_...._..____...___._ Depth to ground water_._._____________._____. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-___-__--__-____-_____. 9 ------------------------------------------------------------------------------------------------------•-----•-----•-------•------...........-•-•-••----....-- 0 Description of Soil.................................................................................'...................................................................................... V ..-------•••---•--•----••----•-••-•-•••-••-----------------------------------•----•-•-•••"•-.....--•-•••----•--------------------------------•--•---•-----------•-•-•••----•--------•--•-...._------------. 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 iI'i U 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 board of health. Signed........................... ...... Date ................. -••-•...--•••- Application Approved BY � V . ........... Date Application Disapproved for the following reasons---------------•-------------•-------••------------------...---•-------------------------- ...................... --------------------•------•-•-------•---••------------------•-------------------•------•---•-------...--••---••-•---•••-----•---•-•-----•-•-•-•-•---------...•-------••-•---••------••--••-•---••--•--- g Date PermitNo............ `� -------------- Issued•....................................................... Date t , THE COMMONWEALTH OF MASSACHUSETTS �! BOARD OF HEALTH ' ..................................----.....O F�......................................------------......------------._..._......._....__. t . , ppliratiun for Diupusal Works Toutitrurtiun rrutit a. Application.is hereby made for a Permit o Construct ( ) or Repair ( ) an Individual Sewage Disposal systemt: ._.4`.�e zr --. ... .... -•-•........ .......... .-• ... -•----• ----•-•--•-•---.._...........--- Loca on-Address . or Lot No. rK'......••--...... ...... ..................................................... ..........--...................................................................................... Owner Address a � ............................................................ ...........•••-•--........------•----------•------ Installer Address �. r d Type of Build' Size Lot�_l�i._ ....._..dD Sq. feet Dwelling—No. of Bedrooms........... ___________________________Expansion Attic ( ) Garbage Grinder :1/0 pa., Other—Type of Building ............................ No. of persons............................ Showers ( ) Cafeteria ( ) a Other fixtures .... P -------•-- --------------3-. � ---------- Design W Flow........................................---gallons er person per day. Total dailyflow............................................g gallons. WSeptic Tank—Liquid capacity/Z '.gallons Length............... Width-___/-------- Diameter---------------- Depth.-_____--__--__ x Disposal Trench—No..................... Width__.._...._......... Total Length.................... Total leaching area.................: ft. Seepage Pit No......f------------ Diameter------7�_______ Depth below inlet.................... Total leaching area..-Z.. _3...sq. ft. z Other Distribution box ( ) Dosing tank ( -- G Percolation Test Results Performed by________ ___ __" _._E--.--��,...... �� ...____.._..._._._ Date__ ::_y'`.......... ............ Test Pit No. 1................minutes per inch D tT1 of Test Fit..._...._ . Depth to ground water........................ (� Test Pit No. 2................minutes per inch Depth of Test Pit________-..-______._ Depth to ground water........................ --------------------------------------------------------•------------------------------•----....... -•----.........-----...------•--•-------- •--------------- ODescription of Soil-----------------------------------------------------------------•-----------...--------------------------------------------------------------------------•-----•-.----- x 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 TIT!L- 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 board of health. Signed...................................................................................... ................................ Date Application Approved By----------............... r�<.., <v { --•------------------------------------ -------- Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ..............................••-...---------------------•---•---•------•-----•---------------------••-----------------...••-----------•----------------------------......----------••-----------•------ Date PermitNo....................•.................................... Issued....................................................... Date " >f THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEAI . ..........................OF..v�'4a .....t.......... >...................... ..................... CIrtif iratr"of Tout rliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ----•--------•------ ---------------------------- --------------------------------------------------------•------------ t It Installer at �"- ------- �J rn f '----- has been installed in accordance with the pro isions TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No............. .. P_0__._ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..........................6. " & I............................... Inspector............... .t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `}� OF.....................................---•--------.._......-----................--.... �. ....!_. FEE..._._..: Raposal Morks �unu r ' n �ernti� Permission is hereby granted -- •--- G to Construct ( ) or Repair ( ) an Individual S�.wage Disposal stem at No...-....... 3 = --- ....................... Z:.a: _... --••-------•----.....-•-•-•--•--•--•--•-----------••................ Street <RS -7.(Z.5 o as shown on the application for Disposal Works Construction Permit No.................... Dated.....19)P�... j-Jcrr._.S..__. r z ... ..ram :.......:............. ............................................... Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS 1 /--EL. 3.q.... . '. . . ... . TOP OF FOUNDATION CONCRETE COVER ®.� CONCRETE COVERS n o 4 CAST IRON 12"MAX. OR SCHEDULE 40 12"MAX. P,V.C, PIPE 4� SCHEDULE 40 PV.C.(ONLY) w ° PITCH 1/4"PER.FT PIPE- MIN. Q'o PITCH 1/4"PER.FT. LEACH �IkyEERT PIT poil Isi a EL 6,r!D • 0. a LEA' NI o'. INVE T c� SEPTIC TANK ®IST INVERT w a•. PI� ' e INVERT ELF. . G . . . ®OX ELF=a:.. ' >_ E V. a ' �..f�.... GAL. INVER e: ava .r. ELY, INVERT w w d 3/4" I I/ i ELF. �9 WAI ED ' ST E 8' i PROR LE OF GROUND WATER TAB SEWAGE DISPOSAL SYSTEM NO SCALE L LOG WITNESSED BY : DATE?�6 �S�... TIME./ .. BOARD OF HEALTH TEST HOLE 1 TEST HOLE 2 9��� ®�— ELEV. 22.- . . . . ELEV. .. .. . . . . . ENGINEER ®�Xo&j. DESIGN 2DATA : NUMBER OF BEDROOMS TOTAL ESTIMATED FLOW GALLONQPA 'it I BOTTOM LEACHING AREA, 7 SQ.FT. PI/ T I ` SIDE LEACHING AREA . e�RS- • . . • . SQ.FT./ PIT GARBAGE DISPOSAL I} (50 /o AREA INCREASE) TOTAL LEACHING AREA , ad.3. . . SQ,FTil. I I I' PERCOLATION RATE . !��. i — — — — — MIN/INCH AP-WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE .. SQ°FT. NUMBER OF LEA )N(G PITS�. .���� APPROVED . . . . . . . . BOARD OF HEALTH ���\.'� = 7 _3 770 DATE . AGENT OR INSPECTOR J. ©yam IACO BI Upper Cape is 814 PETITIONER �. Engineerinq Co �p a I :Zi d�vich, M= ��'/VATAR��`� Qa`� Amp- 3 TOP OF FOUNDATION CONCRETE COVER •.' CONCRETE COVERS I • e o 4"CAST IRON 12"MAX. �� ` OR SCHEDULE 40 12"MAX. P.V.C. PIPE 4"SCHEDULE 40 PV.C.(ONLY) PITCH 1/4"PER•FT PIPE- MIN. LEACH PITCH 1/4 PER.FT PIT 11 , P Sl Iky RT ° -i :••• EA ELP??c Ur.' a L N(old :. SEPTIC TANK INVE DIST T INVERT p . � e•; o INV RT EL-3 ,G . . . BOX EL F= :.. ' ; >_ . E A IIV. a; EL.3 ..f�.... !jlam. .. .. GAL. INVE� a�a '0 i INVERT i ,'o EL3 �o w o;• WA w ED STD E o. • . . /D 6DtA. _ _ le DIA PROFILE OF �o -.-- - _ _ J_ _ GROUND WATER TABLE SEWAGE DISPOSAL, SYSTEM NO SCALE 1 L LOG WITNESSED BY : DATE ?�6 ,�5� TIME.j .7 31Z�3 o .Cs,v °r" • BOARD OF HEALTH TEST HOLE 1 TEST HOLE 2 f}OL- ELEV. .�7-19. . . . . ELEV. .. :. . � • • • ENGINEER D/ toR• DESIGN DATA : NUMBER OF BEDROOMS , , , , TOTAL ESTIMATED FLOW . . . . GALLONS/ A -:;ljt'-� BOTTOM LEACHING AREA 6,-- SQ. I I FT. /PIT SIDE LEACHING AREA SQ.FT./ PIT GARBAGE DISPOSAL .111.e? , . ,(50% AREA INCREASE) I! TOTAL LEACHING AREA SQ,FT PERCOLATION RATE'. I, -/ WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE .. , SQ.FT. i NUMBER OF L�TG PITS . .��t� . . . . . . . . . . . APPROVED . . . . . . . . . . . BOARD OF HEALTHR ' •3��y. . s = 7 .S !�_ S� 6 P/' DATE . . . AGENT OR INSPECTOR Of J. JACOBI o� Co Tdi T `-UP—Per Cape 814 I�g9roeering Co 9 p 4 _ PETITIONER E'� 7 Fern Ave. pi Jq ASTER !ate T E,Sandwich, MA t �.f�PNATAR,'',°d°° c��4M PLAN OF LAND IN COTUIT FOR ' JOHN SWEENEY = ZONE RF TOWN WATER • �N 1 (393'r0 V A/ A I"A q v o f 4,947 Fi of T/Qi1'E3 P. s o(l Z ^ d Y C*,4Xirj N. SA✓EiCY - D9n/) /1 AVG r.T �Y�� A_f i1'ECe,l�1E0 .v /�cA,✓ !?e.�' fit `! Al 91 OAkwoon Of -� a`tN Mq� �H Of Mq ssgc sae = 4 PAUL . N ► ` I i i MERITHEW 814 a' ....R-•"''"'" / t No. 32098 �EGISTER`�o C/STkR� 6w` ; f--- , L�wo�� �'�,q�A TAR\P� °a®® 1; -- .__ ..._,...........,.. , ---- '-" 13 A f' 3 Sic�� kE k V(G \ �s 69 + fv lb ry TH tv /T1 + ar ri OIL rzl SOL 3 J , A I �►'�'\.1�� t� 0� . / ��`��Q� t,�'� f g cue (p Z 'L. � J n 3 set 0 ROA � -��k RED f �' ,, t.o Iq i C H R R Y �VK '� 2� I 3 � Zg