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HomeMy WebLinkAbout0009 JOHNS PATH - HealthF7�= 9 Johns Path A = 027— 123 - Cotuit ,I ,s t j. t� 5 i!' G� TOWN OF BARNSTABLE '2� i.00ATION ® P T '� SEWAGE ;t VILLAGE nn �� ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO. SOh� SUeo1�r 3 6a�1 SEPTIC TANK CAPACITY \®pp GP& LEACHING FACILITY:(type) Ocec(.-5;—( c©mo� (size) 6w CPAGxy l NO. OF BEDROOMS PRIVATE WELL OR (, BUILDER OR OWNER DATE PERMIT ISSUED: DATE . COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i i fa61 f 3 , �ro r� .ASSESSORS MAP NO: _ . THE COMMONWEALTH orMAssAonussTrs � � \ ������ ���� 7��� ' af \ BOARD ~` "~� '` vl *PApplication is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: �70.:�Ad;d r e s s or Lot No. oc Installer Address ' . ize Type of B.""~g __ __ q. __ Dwelling--No. of Bedrooms. ...............................Expansion Attic (A�6 Garbage Grinder � Other—Typeof Building _-'k�,'A......... No. of pec000s----.------- Showers ( ) -- Cafeteria ( ) ,~ Otherfixtures -------------------------------------------------------------------'--------'--'-'------------'----' ~` Design Flow............. -'-------' �7�'��---- 5 � Tuo�--��u�t� ��oct6'��'.��-. \���6.��^.�1- D�n`c�er-.----' D��6.��__.� ^ Total Total f t. � ~~� Other Distribution box y=/ ^�- Percolation Tea Ileaolto Performed .............. I)utc'-'�---����-°����l� , Test Pit No. l................minutes per inc�' Depth of Test Pit.------_-- Dcnth to ground water........................ '44- Test Pb No. 2................minutes per inch I)eot6 of Test Pit.-'------- Denthtoccnuod water---.-----. -.-----.--------_---..--_---------------____----'----_-'-----'--'-'-'--_---- . 0 Description of Soil...................................................................................................................................)................................... ...................................................................................................................................................................:�'_--____.---__' / ` � \ .--'--^^-----_---_--_----.---_----'-___-------.---__- UNature of Repairs or Alterations_-Answer when -__-.-'---'---.-_--__.----.....--_'_^-^_- '--_'--.._-''-___-'__ --_---..---_ ' Agreement: _ The undersigned agrees to install the uforedeecribed Individual Sewage Disposal System 6o accordance with the� provisions of TL H LE 5 of the State Sanitaryundersigned operation until a Certificate of Compliance has been L t/�by he board of ealt k' � By........ Application Disapproved for the following reasons:.............................................................................................................. - ........................................................................................................................................................................................................ ` Date ~ �- Permit --- i No..............._.....» _ Fps......v._..........._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... ........ ... .. . ...........OF......................................-----............................_._..........-•--- Appliration for Diupuiitt1 Worku Tomittrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System t ........ .�: .._ - .. _ ....... » �________________•-••-•••.•-•-•...•••-•...._ --............._.......................... ... . ......... . ........ �Loca ion Address or Lot No. •--- -••-•-• •-----•-•-- �2�Gm ............. ...... ........_....... .--......».»..... _... Owner � .���•• �//--• Ad �J' W --= 4f. •_�. ..........��.. ..fl... `..:. �,... . ...... -.................. 0��... ��_l�l`. .....---••-.......... Installer v Address � Type of Building Size Lot............................S q. feet Dwelling—No. of Bedroom _______________________________Expansion Attic (Al e' Garbage Grinder 'COP PLI Other—Type of Building ______ _. .......... No. of persons____________________________ Showers ( ) — Cafeteria ( ) Q'I Other fixtures .._•--••••-•-•---•-------------• -- - W Design Flow_.__._.....___ _________.............gallons per person er day. Total daily flow.....5.2__U.........................gallons. WSeptic Tank—Liquid capacity/A".gallons Length_ -A;1..._ Width._. Diameter________________ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area,...................sq. ft. 3 Seepage Pit No----0��...... Diameter....Z.z....... Depth below inlet......... Total leaching area..Z_4�...sq. ft. Z Other Distribution box (li) Dosiq"taPercolation Test Results Performed by... . .. �4_l2. .................................... Date----G --•.......2... �.f. .. ......•--�. Test Pit No. I................minutes per inc Depth of Test Pit.................... Depth to ground water_.___..____.___.____.__. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground Water........................ t� •••-----•--------------------------•------------...•---•-•-----••---........._...._........•-••••-•-...................................... ..... --------••---- 0 Description of Soil........................................................................................................................................................................ W VNature 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 Sanitary Code—.The undersigned further agrees not to c/thn system in operation until a Certificate of Compliance has been i by he board of healt Signed. ........ ... .. Application Approved B ......... •- ' ' -mow'---- ................................ --- '7 2'!a Da e Application Disapproved for the following reasons:............................................................................................................ ..............•-----•----•'---•--•-•-----•------......--•---•--------•-----•--•--•----..._........__._.......--•----.._....._..---•-•-----•--•-----•-----------..__.......----------••...._•----....•••- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' �G•vti.............OF........ /7./ ........................... ti a /j .G 5=..._ .. (Irr#ifiratr of Toutphatt r THJ4 IS TO CF.. 2TI Y,, hat the Individu Sewa a Disposal System constructed Repaired ( ) �.. Installer at--------( V :�� .. ,�u ^-:%.L----- - T ..............'---••----...-------------------...------•-•--•------------------------ has been installAd in accordance with the provisions of TITLr, 5 of The State Sanitary Code as escri ed in the application for Disposal Works Construction Permit No....... ____ .Q_7.... dated.............51__7 7.._. ......... w ' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARA TEE THAT THE SYSTEM WILL FUNCTIOP SATISFACTORY. DATE........ .�2/24O................................... Inspector.........- _Z. .............................................................. THE COMMONWEALTH OF MASSACHUSETTS Q BOARD OF HEALTH ...... ................................... No..... F$ Billpoll 11VVEr _Tonstr4 ion VrrMit Permission is hereby granted............................ .O_ n-.----------.....: . .. ._t......._........................................ Ito'+Construct ) or Repair ( C�.a� Individual Se} a a •sposal System .- atNo. �/.T... ... fL--'n----- ----------------------------...I..-• ........................................ .. Street as shown on the application for Disposal Works Construction Permit No,__c�`�_'_. �7 Dated............ 5... ..... ':.. �....,..._._eCL/,rt�J ( t� ' Board of Health DATE........................b. =?- ••.-•••-•---•- FORM 1255 A. M. SULKIN, INC., BOSTON w _ ,� TOP OF FOUNDATION CONCRETE COVER �I; E� 39ys CONCRETE COVERS •1' 3 RrsEk 4"CAST IRON 12"MAX, 6R- '//YO OR SCHEDULE 40 12"MAX. """"''""%T � + ' P.V.C. PIPE 4��SCHEDULE 40 P.V.C.(ONLY) •' PITCH 1/4"PER.FT. PIPE- MIN. LEACH PITCH 1/4"PER.FT. PIT PRECAST e'• SS NNX e INVERT io iy" Q LEACHING EL,3�X ..- INVERT INVERT ! w e; PIT OR e'• SEPTIC TANK DIST. 3 X EQUIV. .•a INVERT EL3X.. . .. BOX EL ' : >_ , . EL.3 dX . ./.Q .... GAL. INVERT �. �-a. 7 INVERT wa. 3/4"TO11/' � p ELF rl=. EL.37.4L U.0 \ WASHED • •: p 11 161 y .., €l�Xz PROFILE OF AA GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE Alt. LOG WITNESSED BY : DATE . TIME.. .... .. .... .e�W4�1 , , , , BOARD OF HEALTH ( TEST HOjE 1 'TEST HOLE 2yo , , , , ENGINEER ELEV. .. .. . . .. oAe Xj, _ DESIGN DATA : NUMBER OF BEDROOMS . . . . .3 . . . . . . . . . TOTAL ESTIMATED FLOW 3,30, , , • GALLONS/DAY BOTTOM LEACHING AREA /,�,3, , . SQ.FT. /PIT SIDE LEACHING AREA . . . . SOFT./PIT GARBAGE DISPOSAL (50% AREA INCREASE) TOTAL LEACHING AREA SQ.FT l / / flE� s�t�✓/7 7Xo PERCOLATION RATE -2, . MIN/INCH .. LEACHING AREA PER PERCOLATION RATE .. SQ.FT. ..A/!.WATER ENCOUNTERED _ NUMBER OF LEACHING PITS Q!✓&. . . . . . . TR z G` - ��3 S }} APPROVED . .. . . . . . . . . . BOARD OF HEALTH +� y �. / �1.�!/3 Goi7 ,�o TTOs/; �i 1 OATE. . AGENT 'OR INSPECTOR a `ZH OF V4s ve,��4,Q• fgCyG+� i C12 A PETITIONER%: op _ �'D ATAR`;P,; Upper Cape Engineering P.O. BOX 616, EAST SANDWICH, MASSACHUSETTS 02537 (617)362-6281 I - _ 1 October 31, . 1986 Board of Health Town of Barnstable 397 Main Street Hyannis, MA 02601 Dear Sir: This letter is to certify that. the Septic System on Lot 97 John's Path was installed in .accordance to the plan submitted by this office, and further, that the well to septic distances meet or exceed those as deliniated on the plan. Thank you - A John J cobi 'v R Sip Ca A Ln�� 10 v J9AC0B � -o 814 � 0 - - I r G/7 // 0,6 y _ 40 T ?8 ! \ 330 I iS70 IT 1&77,041 N Z T 1- ry = 6.A$ s osf 6Z.5-)- 3 7ScAD siOE OV - I/?8 i ry qj 41._,/ �j� _. 496 Xil y � z ,T4Np�' X/.L PATS f f J , y o 17 I