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0037 CLAMSHELL POINT LANE - Health (2)
� �° Cl�Yris�i�e �� ���� � �� �� �� Doi- 054� � _ _. _ �O N�rr S i&Al OFF vIvIrlL lqSBUlLT/S f-6 V6 Nn/D tiPl'�IId6,� i � y IT�rkyZUA✓Nh✓C, r f 0 I No..3!y...t*A� FEB % 3 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............0F....17 �1V�S_T � ............................ Appliratinn for Uhipuiial Workii Tomitrnrtion ramit Application is hereby made for a Permit to Construct (A) or Repair ( .) an Individual Sewage Disposal System at: .... ........- . --.....__ ,�oT /33 G�,eE�v ,L.��t/E - Location-Address or;Lot No. P._.... --- C.lT.............. ......... .............. ........ .............. .f.... �i Owner / Address r Installer Address Q Type of Building Size Lot........-1....�r.Q........_Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons.........Z............._. Showers ( ) — Cafeteria ( ) a4Other fixtures ................••-•-----------. . •............................................. Design Flow..._..._...�,5........................gallons per person.Per day. Total daily flow........... ....................gallons. WSeptic Tank—Liquid capacity/0.00..gallons Length.&.�_..._ Width y../4?___- Diameter..::- -__.-_ Depth.S_.!. xDisposal Trench—No. .................... Wid��.�.............. Total Length................. Total leaching area....................sq. ft. Seepage Pit No �.__......... Diameter---- -- ------------ Depth below inlet....6............ Total leaching area-Ul_-7.... sue. Other Distribution box (x) Dosing tank Percolation Test Results Performed by..,[ ......!UC...... .. ...... Date..... ___...__.... �i Z T 0-- ,,� Test Pit No. 1________________minutes per Inch Depth of Test Pit.-���._.___. Depth to ground water..l.�_. 2O (14 Test Pit No. 2.......4.....minutes per inch . Depth of Test Pit..J'y'...._... Depth to ground water_/V.&Z_0 Z -------------------- --------...._...-----...-•---......................................................... Description of Soil_._ __.. .-----.y.... "O?eF�ST.COs4r O �S.014 1 U,13�0/G------Z rj! _ �Q----e5/41E_ x SiG •S/fil/D. -C2.�_``-'�yy_`'_./ E1���/ S4T/D `G2iUE�,-- Z.._�_".-Z`t��'-- Q. ! '..._.. 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 CorrXih—anlq has been ' sue by the board of health. Signe - ------ ..... .. . ............. ........................................ te Application Approved B .... .... _........................................... ,..�f..-... A/ PP Pp Y ................ J Application Disapproved for the ollowing reasons: ...................-----------.--------------------------------------------------------------------------------------------......--.... _.., ------....-................................_...........------------......------.............................. ....... -'...ate..--.......------ NO. 4. 934/ Fss.......,/���.... 1 THE COMMONWEALTH OF MASSACHUSETTS g3 BOARD OF HEALTH 0.Wltl..............OF.... r .T c. .............................. Appliratiou for Uixinu ial Works Tono#rurfiun Prruti# Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: ..... oT /33„ Gf,�eFiv �C•4�c/E...........-•-- -.. ................_........... .. ...........__....---• ...................... •-� /Location.Address t- t l.ot No. -,S.---- '................... .................••---•--•---........-•---................................ Owner Address W ....................•••••.......................... Installer Address Type of Building Size Lot..: .f.✓�0.4-..Sq. feet Dwelling—No. of Bedrooms....................•........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building :.:......................... No. of persons.........Z............... Showers ( ) — Cafeteria ( ) . a' Other fixtures Design Flow............�S 5.-S........................ per person per day. Total daily flow...........3U_....................gallons. Septic Tank—Liquid'capacity/WO..gallons Length .E._.._ Width.y_. .... Diameter................. Depth_:.S`7y xDisposal Trench—No..................:.. Width.................... Total Length................. Total leaching area.,..................sq. ft. Seepage Pit No...... ........... Diameter.... Depth below inlet_..._..._....... Total leaching area.. Other Distribution box (K) Dosing tank F , / /X/C, 7�� 3 Percolation Test Results Performed by..46, -�'r�c ._,..N Y. ............................. Date......•-..---3.-�_........... aTest Pit No. I.......Z.....minutes per inch Depth of Test Pit.2.y, ._.. Deptli to ground water../.�V.15_k.0 Test Pit No. 2.......Z.....minutes per inch . Depth of Test Pit../ �Y.'...... Depth to ground water./NV./14.0 R' .............................•••-••-•'....... ��_..............._...... 0 Description of Soil--.. �..�.z`?�_::.to SST Coe4rvj '7_ee e�„_l.v�3 S.0e4-......4Y--:-..Ga rIVE_ x S16 rs"' v Sc/dSo/ .................. 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 ............................................................................................................ ........................................ Dam ApplicationApproved By .............:.. .. .. .... -- .. : ........._........................................ ...f..--.- Application Disapproved for the ollowing reasons: .......................................................................................................................................... .......................................................................................................................... .Dale................. PermitNo. ......... ._.....3.."f............................ Issued ...................................................---------........ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............................................. .........................................---..-..............................-....-. (1er#ifiratr of C�ortlplinure THIS IS TO CER IFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) ..... . ...............................................................................••-----------......----------••---------- GO , Installer l .............................................. has been installed in accordance with the provisions of TITLE 5 AThe State Environmental Code as described in the application for Disposal Works Construction Permit No. ............!:�. .......... . dated .........---.................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ' 1q .........................................DATE..................... .....:.... Inspector .............. 1 --- --------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �y'3yIL ' .............OF....................-.................... ....................................... L No......................... FEE.-..C?.z.......... wtop oal Works Tundrudion Vantit Permission,is hereby granted.............................................:> ....-••••-••........••-•-••••---..._.............••-••-......................-•-............ to Construct ) �r oR�paitr an ivy 1 Svtra a Disposal System atNo.....................................................................................................k-Alf- ---•--.../►'i ........•••---••..............•-•-•--•-••........._................... Street 2 as shown on the application for Disposal tiVorl;s Construction Permit -`�. ...•... Dated............. �.�- = ....... --- . . --..... oard of Health DATE................ ..... .. ......... --- "I W P_ •,Ir+Onet r4 WADV)CW 1Nr' P11R1 MW VPC _ TOWN OF BARNSTABLE LOCATION 'I Ct AAU-#4CLL- 2 KL SEWAGE # '14-,ri VILLAGE � � `� ASSESSOR'S MAP & LOT,Oq4 , INSTALLER'S NAME & PHONEl- SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) (,'jc NO. OF BEDROOMS PRIVATE WELL �Llc TER C1�?.F.i OR OWNER , g � DATE PERMIT ISSUED: L,l-&114 DATE COMPLIANCE ISSUED: �/ VARIANCE GRANTED: Yes No � ��� � � a2�` `� SEWAGE SYSTEM PROFILE 8c DETfAILS TOP NOT TO SCALE n FOUNDATION 104.5 F.F.- 105.5 FINISH GRADE= 104.0 FINISH GRADE 103t7 FINISH"GRADE 1 Q3.7 FINISH GRADE OVER TANK OVER D BOX— OVER LEACH PIT= 103.0 C AN BACKFILI USE CONCRETE RISERS TO 3"PEAsTON� WITHIN 12" OF FINI,9H GRADE + ' 1 D"TEE —_ 14"TEE - -�� INv. `" OOOOOOODO000� r, � 101 101 5 •. „ f;' rr y :,;t 'C i i i ° ,�1 :,�_ 102.0 4"O" 9 ,33 OfJOQ00000000� LIQUID PISTRIBU110 I r w w I I.EVE4 99.5 BOX ' &O 36" 1000000000000I 36" iooa GALLON SEPTIC TANK U 1000000oo0000 d === VLL '---SET to 4 , � , c� .: . 4-� c� � � 4 sET LE � o OOfJ�t70000000 , :. 000000000000) C�7 pTToM 92 Q 0000000000001 ---..,.,�--- t i d � (J t r�c 0 `•.-W..e-.---�- ,....._„_,_,,, II � I~,PIT . � ,, NOTE, `SEE GENERA. I � 1 0 « �, ='•� _ `.: _-.- -� ..,� z NOTE #10 USE A 6X6 PIT WITH 36„ OF STONE ALL I 53 AROUND DESIGN CRITERIA 102.31 NUMBER OF BEDROOMS 3 aa� PERSONS PER BEDROOM 55 j ? ` ` .. 2 . c_�G DAILY FLOW PER PERSON 330 c. � 0 �� 1 "" LEACHING REQUIRED P P LEACHING PROVIDED G.P.D ,p V-17 CALCULATIONS C' 1 t L`• BOTl-OM 0.785 D K - 113 WATER SERVNC ' w. y � ' 'ti r CY �L,. SIDE = 3.14- D H K .- 565 A; r�, �,. I I I �'�. ` GALLONS PER DAY = 67 .. 51 LI It 102. , ''suu'x awx m... A �, {/gyp \ � w ``'• p'( 1- ' x --- - T �' t � -- �� �1 -��. �� z r � ��- �1. � t��� k'- 22' ol t t� {27 T � ',�� � ` t,`� _ �. t t1 0 '� •'�tG "� '� , 8083 IC ti � a A �,` a�- �� ��� tarp �;� ,a` SOILS LOGS l ' t } n r J I� , - - - -_ � �� " 102.5 PIT 1 "103.5 PIT 2 ,� , - G , RES. ��\ N ��ra ;' i `1 i � r - - ;�, FOREST LOAM �? — — r J_t 1_ L.' �'0 L W�� I s.� SUBS _ - ' ''� r • rSUB 24": - - - - , "� ''J1.5 11.91 C r- �.��� ii �?". \ 1 j 24 100.5 SOIL VERY FINE' I � r 1 i I I as ,4 1 1 C f 1 "i t GENERAL NOTES FINE "" 98.5 SILTY SAND I a f ; 60 �'t � ', ', � ,, , � ���, SILTY 1. ALL ELEVATIONS SHOWN ARE " 97.5 SAND PERC 072" BASED ON U.S.G.S. SANDWICH QUADRANGLE 60 MEDIUM CLEAN 1�.. i 2... ALL PIPES il\ THE SYSTEM TO BE , � • CAST IRON OR ':SCHEDULE 40 P.V.C. SAND & SAND U') `�'0?!; ; ,: l ,' ` >! ti �. c_ }t 3. REMOVE ALL UNSUITABLE MATERIAL GRAVEL � " ,, I..,� FOR A RADIUS INVERT ELEVATICN ti I —" BENEATH THE I 1 _ `� OF AND BACvr'ILL 144"' 90.5 NO WATER 144" 91.5 NO WATER " DUET. R 1 1 � � ; � ` ' k� •"a� W/ CLEAN COARSE GRANULAR MATERIAL. ' 01..•0 , t I 1 r 4. ALL BACKFILL SHALL BE CLEAN PERCOLATION RATE = 2 MIN./INCH 101, '� COARSE GRANULAR MATERIAL FREE OBSERVATIONS BY: JERRY DUNNING I ,���,_, FROM DEBRIS & LARGE STONES. _"., .' ""_""" -b. --•-- .-. - . .. . 5. CHRISTOPHER COSTA & Assoc. MUST, BF. NOTIFIED WHEN THE DATE TESTED: -7f23/93 '{t � SYSTEM IS INSTALLED PRIOR TO ( BACKFILLING FOR INSPECTION. ,3 7 rn tC � , RF 21 µT, C., 6. UNLESS OTHERWISE NOTED ALA. SYSTEM COMPONENTS SHALL BE L0T 1 _. INSTALLED IN ACCORDANCE WITH MASSACHUSETTS TITLE V SANITARY I SEWER CODE AND LOCAL RUI ES WHICH MAY BE' APPLICABLE IN A WORKMAN-LNKE MANNER. 7. THIS LOT IS IN THE FLOOD PLAIN. 8. A GARBAGE GRINDER WILL cE INSTALLED ON ITHE SYSTEM. 9. NO 'CHANGES SHALL BE MADE TO THIS PLAN WITHOUT PRIOR APPROVAL FROM CHRISTOPHER COSTA & Assoc: 10. A 4' DEEP HAND EXCAVATED TEST HOLE SHALL BE DUG BENEATH THE BOTTOM I ELEVATION OF' THE LEACHING PIT TO APPLICANT: PETER & CATHERINE SMITH � VERIFY UNDERLYING SOIL CONDITION. PROPOSED DWELLING LOCATION PROPOSED SEWAGE SYSTEM LOCATION r LOT 133 WREN LANE _,PLAN� t_--'._--rE-W � . r ,,. � BARNSTABLE, (MaRSTONs ems) MASS. SCALE: 1 .... 20 :��1 I i r, � ti,✓ �,,_, ' LEGEND SCALE: AS NOTED DATE: 1 /4/94 SMITH133 104XO j PROP. SPOT ELEV. = �/ N;,;, � ; « ;" EXIST. SPOT ELEv. — � c DRAWN BY: ,..A.B. CHECKED BY:C.C. JOB NO.: PROP. CONTOUR = � 100 �. r CHRISTOPHER COSTA & assoc. EXIST. CONTOUR -- . a ASSESSORS MAP #2? ._PARCIEL #��_ L©, pp P.O. Box 128 / 465 Main st., East Falmouth, Ma. y \C- .....