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Home My WebLink About0055 CONSTANT LANE - Health L-ane, 039- ac�� THE COMMONWEALTH OF MASSACHUSETTS BOAR® QF HE LTH .........OF...... ` .................... Appliratinn for Uhgp gal Works amit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ' Location-Address or Lot No. ..��Q. rt..... ...... . N�C� �.............................. .....................................................I....................................._..... L_ZjWner Address ..?Z....--, c� 6�-------------------------------------------- Installer Address Type of Building,/ Size Lot............................5 q. fe Dwelling No. of Bedrooms.__......_gaL.....................Expansion Attic ( ) Garbage Grinder �V)1_ Other—T e of Buildin No. of ersons............................ Showers — Cafeteria Q' Other fixtures ......................... . W 1 Design Flow--------------------C�� W- allons lions per person per day. Total daily flow--- - = - Ilons. Wt Septic Tank Liquid cfipacity Length-------------_ Width................ Diameter---------------- Depth.................. x Disposal Trench—No..................... Width.l.........41..... Total Length .... Total leacchhi ing area_............_..._..sq. ft. Seepage Pit No._..__�-----____-- Diameter---- �✓ Depth below inlet..C!_�.. ..!_. T �lhing area.- - - .... ft. Z Other Distribution box ( ) Dosing tar rD Percolation Test Results Performed by..�__ q�v-.....0 Date-__-7.:. ............................. a Test Pit No. I________________minutes per inch Depth of Test Pit....... .._......... Depth to ground water_-___-.-_-______--___--- Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------ __._-_. a ----- ------------------------------ ............ Description of Soil----- 2 �` Y - ..---•--•-- a x �= �' ' �� - V - -----------------•-------- --------------------•----------------•-------------•--•---------------- �/12 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 i-IT " 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 y the b r health. Dat Application Approved BY '�2 Date Application Disapproved for the following reasons:.........................................................-...................................................... -------------------------------------•--•--------------------•-•-•--------------------.......-------•-----•••-•-•-••--•-•-•••---••--•---••-------•----------•--•--••- _ -------- ----••--•_.. d Date Permit No......................................................... Issued-- - .7�n--d--V..................... Date No.._..... 1�..... FE$.... ( . THE COMMONWEALTH OF MASSACHUSETTS BOARD E HE LTH ------- ,�.ti�f` .........OF........ ... ----- .... +...................... Apfiraa#ion for DigpuoFal Worko Tomarurtion Prrutit Application is hereby made for a Permit to Construct ( V'�or Repair ( ) an Individual Sewage Disposal System at: L cat.on-Address or Lot No. Owner Address W Installer Address aTypeDwell ng i No. of Bedrooms...........""''.........•._._......Expansion Attic ( ) Size Lot.....Garbage Grinderq fe )s p, Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ) aI Other fixtures ................ Desi n Flow--/------------•--•-- P P P Y Y gallons. W g �...__$""�.______ lions per person per day. Total daily flow__._..... '�-. �._.. WSeptic Tank f Liquid c2pacity/ __ . allons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Widt 1.........14----- Total Length___..._ _._-....... Total leaching area....................sq. ft. Seepage Pit No....... ........... Diameter.._.. .!._ ___ Depth below inlet_.....v T �1 hing area__ : ....sq. ft. Z Other Distribution box ( );" Dosing to ( ) '~ Percolation Test Results Performed by... -_ V.--..C... Date.....=3` ��....... Test Pit No. I................minutes per inch Depth of Test Pit-___-_- ........_.. Depth to ground water--.--.-_-__-_---:__---.- r., Test Pit No. 2................minutes per inch. .Depth of Test Pit-------------------- Depth to ground water... x ...................................t `r --- l t�GLr .____...._- . 0Description ofr Soil l ` .... .. ... ..-- ... -•---•---•-••......... •-• . . "... ................................................................................................................................ VW ---•--------- --------- ----------------------------------------------------- __...------------------------------------------------------------------------------------------------------.......-•----. 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 TITI..:" p S of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een issued y the r ealth. gned• -•--• ---- .. '--- - - -----.................................... ................................ Da�tq`v Application Approved BY............./-• ••. .-- �L... ............... *"__.+` _ -•--•-. Date Application Disapproved for the following reasons:................................................................................................................ --------•--------------------•------------------------------••-----------••------•-------...--------•---------.---------------------...----------------------------...-••----•----`•-----•----......._. ,--Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ...... �.............OF......... .... . .,.............................._.............. C�rrtifiraatr of Toutpliaana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by.............................................. ------•--• --•••,--•• ..----- -••••-. . .. - - -------------------------- - Installer c/ y....................... has been installed in ac ordance with the provisions of T� j of The State Sanitary Code.as descri 7e m the application for Disposal Works Construction Permit No._ =_'_ �`'".................... da.ted_..._�..'_ ... ....._.•.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. =.._... Inspecto ....._ TA COMMONWEALTH OF M SSACHUSETTS BOARD O EALTH Notrl, 0, 3 �� FEE.... ...... wiopooaal Work.6 Tono#rion Vrrmit Permissionis reby granted....................................................................................._..- -•-••-•-••.................... to Construed ( or Re air ( ) an Indi al Sewage D' , osal S at No.. a' !'t :. G �,T y�:..._�;-' '..... ........ . -----------....--••---•-- Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ----------------•-------•----•-•------------------------------------•................................... Board of Health DATE................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS LOCATION / SEWAGE PERMIT N0. con,fta VILLAGE i co I N S T A LLER'S NAME i ADDRESS JOHN A. AALTO BACKHOE SERVICE Street West Barnstable, Mass. 02668 B UILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 6„ o vIC 40.1 SCHEDULE OF ELEVATIONS � sE� GE►��aL NaT�s ,cLNo cousrl��cTto1� ., r0E- PFZOPEP- 1KISTAL.LATIOKI ) TOP OF FOUNDATION TC. i�'2 'D PAIZTIGULA IZLY MOTE &10. BASEMEN7 FLOOR 1=11,1.C.F• _ �� 5 �tiY ALTE►z LLT IONS MUST BF— .APPROVED IN Fit�tlsu>=fl GRa DEStCaN EN<- NEED 1 I TKVERT OF PIPE AT FOUNDATION L" L YEcz !g To li CLEAI`i INVERT AT SEPTIC TANK INLET = FR E tZMNE' SE n PR 0Fe:7. PRFOACPTIC T�AN1� 5r4OULD WAS T " SONE TNVERT A.T SEPTIC TUNIC dUTL.ET F"'- PUMPED A4-1taUAL-L�1. — I BACKFILL 2 =t•IVI=RT AT D15TR18UTION BOX I FILET 4 ) 00 ' o' o' 00 2NVERT AT DISTRIP�UTION 130X OUTLET = 14 T I t� C ° 0 00 SNVEFZ7 AT 1 E-AG{-11 NG _ r STDI�IE o ° ° 0 � I T �f RJ l .L _ ' f ✓ e ° o o e T fW tF-R,T AT LEAC N I N G F' ! T ->L 'T�i 1 = 'r X x ;ti% E X 1'C> X V.G.F3. 4 S PIPE L,l�t D PLOT PLAN W ITH !o 4" OPEN JOINTS. I`10 a. PROFILE OF SYSTEM (vtAN4{Ot. E C40VF-R - McN,OIA.- 12' FINISHED <a12ADE gR.0001-47 UP TO WITHIN l2" of Flf 1. 6MADF ' ( /77//� W l� F T ram. a z vY 4,. 2,Llb \ 02 C=.REQ'.p 4 TIGHT Jb T PIPE -- [/ D O — �- ----- -� 2,� 10T4 � 3 M l lu. Zw Q co 4"GS. r zk �. I Z In PLPE LEADED A,"' N y Y -1� �2E5 J �� sautTAiZYTt=� �Z �• �� 1 1-1LAZT ' O fir pl2tGw.4�'r' 4G' . ,4'c xf T oUT►-ZT b1sTKtF3UTloty Bc�c LE,&C1-- 1I ,1 , R1'f Ole PR6cA r.T I 3' Z� � P�L••�AG�fi OUTLETS _ OUTLETS To P F- �.� 1 s�' r` VLUGCaED F'OR FUTURE EXPANSION. C' �• PU RPOSES. SEE PLi-UT PLAN FOR IAT. `3EPTtC TANK L1=AST C)fJE P PE 6 LENGTH. _ ALL OUTLET P1P�S To 3k 4T THE �"" -� A`*` ` 1�RlC/SST C21c(NF02CEI7; GO�IGRk.TE Se ME ELEVATION. LJ �r,` 44 '� r. v, GENERAL NOTES COLIS'TR.UCTIOM TO CC*4FDRM To -rWE REG?UtRENIENTs OF T14E MASS. D�P'r.OF PUSI—Ic, S, mkTAR`{ cor�w , T IT LE F I V E Ar►o THE TOwvl or-$A.iz TA.SL.0 asQp OF Vk-EA- .- +• 4_ - PERGOt_,A.TID1a TESTS PERFOlz.MED l►.J .40(_-0RDA.IJCE W1TN THE =NST21)GT IOtVS OF T4lE O O F PcJ�31` I,c 1-EE� LTN S.oN►Te.►Z.�C GOt TITLE FIVE ^+ I (� k G- t.=' (+i t v 3 EST1M.4'rED Ft_oW � Lfl I L �P>rz - < N 4. DESIGN P E►2 GoL �T t O F.1 TL,d.TE 2 M i~ ��` I4 r,�. L.�t+A�-�L�l = 3(s•� � '4 5 5. Llr,e,G"'KIca TG 107. /" G F- 1U4. (0 1`ErdC1.ltNCz► 1..I1.LES SUQI.-L GONS15"j" bF `l"WO F`oOT LETtGTHS OF .Q" PIPE LAID W►TN Y4" OiWt"l 30INTS. I 1NtSN 6VAOIK16 To P�1jz:- IDONE 1►J Ac� oRDA1�1cE WtTH P1.oT P1 Ate. B• 1-4E.dVY GR.A.ptNC-+ 1"«uINER-Y 51-1Al,L ►RIOT B►~ PE2MtTTEU TO PASSOVEt2 LEAGI41N4 MELD. -= 2 CD* � �- �oT,APPLacaQlrE - ��ac.�F►t�.1G. To %F-r vExcA-VA-TM:o To E►..trv. a>va ram. (G,t - F3AGKFII LEA To Q EV. wrrV4 A '50KIEY Ex2AVEL, FR.I~E OF CL,A-N<, Ft"E:S, Lr+ + "" LAe&F_ 15001.DE2S, STUMPS , F:007-EN 1=. I TH ETC, µ,WING A. PE2G0L LaTlO1J RAT - IN lTs CR1614AL O } t,.oG.d.TIoN dF 2 7E. r � U to , �L t.. k.L EU14T1 OWS CZ,�`F�2-. To c� I N T E.= 06� u TEST PIT SOIL._ LOG �. - . PROPOSED SEWAGE DISPOSAL SYSTEM I � LOCAT101�1 GaT� -f' 15 co K 2 IC G• ;G�'' i _1 1 l I APPLI CANT -:rL � v I�� -I N 1 -'�G/ a.,C.,�-. M.1 .+•...m, , I 'a �/L• > Y ��, t .. ,�Q, E L EN, D WAT E W- T BLE E �'Q• � PF-- L J� Da.T� • +'�%-#L- D S I CANE R PE f�C .4 1 O TE -T" , G rz v�.l-i ;, ► _ t �.r' i ._ .1 2 t HOME-Z WM. -- -- - K$ I�o1�E I 8 �IoLE ASH l._d.t�.2 U K7- MA Ot�21 r ,- -c � �PTF•4 � � • � PA`ut..�>.cn{:�� r'E, �p�vn2t�!•',•`"�rc`vJG ��.�... DIvPT}} ' ... . L.. 1E L= I�'�'% ;. �. PERc. R..e.'rz7 Zo PAC.R-4,TE'= DATE 5CALF-f p.S NOTED p►&.T�• of