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HomeMy WebLinkAbout0121 LEWIS POND ROAD - Health jai Luis i�o,.iQ I2�R D Y` TOWN OF BARNSTABLE LOCATION ��� /�ri/� 70 �/r�P SEWAGE # � VILLAGE � �� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY /Zrzy-o LEACHING FACILITY:(type) (size), Ivry NO. OF BEDROOMS PUBLIC WATER Bed OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ,s ., ��. /,� � /, � ' ��' �� � �� ___-.-�--- --on �--_ �. i �� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................C)W ............OF............ '. \. ��? - ................................ Appliratinn for Disposal Marks Tonshvdinn rrrmd Application is hereby made for a Permit to Construct (K) or Repair ( ) an Individual Sewage Disposal gm at: S ............. `' ........................ ......................-......................................................_..............._.. Location-Address -.- or Lot No. ..-----•-•----------------•---•----•--•---............. -•---------------------...----•- ...---....................__............. Owner Address W 7 Installer Address Type of Building Size Lot_2*&.A.=.�_....__.Sq. feet a Dwelling—No. of Bed rooms...... ...............................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures .......................................---..................... r........................gallons per person per Total daily flow........:..Z347__............_...._.... Ions. WW =Design Flow............... g P P P Y• Y � WSeptic Tank—Liquid capac><tyJf0.?S�._.gallons Length._; .la_..... Width__`�.sST......: Diameter................ Depth_. .o...... x Disposal Trench—No..................... Width_i__............... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No........_t.......... Diameter.....I7,-.......... Depth below inlet.... '.......... Total leaching area... Z Other Distribution box (>C) Dosing tank ( ) Percolation Test Results Performed by..G:: _.`.0. :.......................................... Date......2:: 7�................. ,aa Test Pit No. 1....GZ...minutes per�inch Depth of Test Pit.-4 �......:.. Depth to ground water....Jllo►^c�....... Li. Test Pit No. 2....G Z...minutes per inch Depth of Test Pit....�`�`....._._.. Depth to ground water......h�..... .. a ----------- T - ................................... O Description of Soil......_..�� .1�C1!�. 2.... -----------•--•------- r -------------- ---------------------------------------•-•--------••••--•---•---•-----.............---........-•----......-----....._...........•---••--•---•-•-.............................--•---••... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ••---------------•----------....---...-•-------•----•--•-------•--------•--•--------.........._..----------•-------------------........----.......-------•----..............•-•-•••--....---•--••----••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with z the provisions of iITL' 5 of the State Sanitary Code— The undersigned further agrees not to place the system in 0 elation until a Certificate of Compliance has been is ed by the board ofyjlth. 3 �Q Signed- f � QY°'�` --•---. � ..:.... ------------- _.... Application Approved B _..... . Date Application Disapproved for the following reasons---------------•-----•••-•---••---• ---•••----•-•-•••-•-•---•-•......---------............................•-- .......................•------•••...--••--........... - ...-•-•--....----•-..._..-----•--•--•-•------••----•.....-•-------...__................•----........-•----...........•--•---•------••----------- P �X Date PermitNo.....F..©..... ------------- Issued:.... ................. ,.r � _...1.f1✓'.-'."7+fy-q�ss.y — ,. ... -_- �.. K.�rae--ri�- � � � �•.•J,'4�Z'7'ry. -''• ''.' y Fimim THE_ ,COMMONWEALTH OF MASSACHUSETTS -BOA-RD 'OFi HEALTH - - ;.. ,��r lutttturi ur D spusaf Worko Tonstrortiun 11rrntit Application is hereby made for a Permit to Construct ( Q) o Repair ( } an Individual Sewage Disposal Sy0m at: .. . ... .......................................... *Y -Location-Address or Lot No. •------.»..»___iMQta;' !�............................ - ---- --- ........................ ..............»»»•--.».... Owner Address a .............................5.......---•------........ --•-----•-------..............---••---......_.._...-------...-----.._.._..------------............ __-•-----___----•-------•• --.. Installer Address Type of Building Size Lot._ 6;;?o........Sq. feet .4 -Dwelling—. No. of Bedrooms......tiS....:...........................Expansion Attic ( ) Garbage Grinder ( ) 914 _ Other—Type of Building .............................. No. of persons............................ Showers ( ) — Cafeteria ( ) 91.1 Q Other fixtures ...................... ......................._....-----------•----------------... ......................................................... Design Flow...............»?:: ..... .............. per person per day. Total daily flow........:.3 ......................gallons. Septic Tank—Liquid capacity c.C.X?...gallons Length.-vS.6o"_.__:. Width_y'8'...... Diameter................ Depth... ....... xW Disposal Trench—No..........:.......... Width.........-._..._.... Total Length.................... Total.leaching area....._......__..._..sq. ft. t Seepage Pit No....._.._I.... .. Diameter.....(Z...__._._..�De th below inlet....�__..__.... Total leaching area � 3 P� . r P g �1...:�.-sq-ft�i I°� Z Other Distribution box Dosing tank ( ) aPercolation Test Results Performed bY._G:: ?._.`.C.o:.......................................... Date..... Test Pit No. 1....5 Z___minutes per inch Depth of Test Pit..A�"f....... Depth to ground water----P1 ....... LL, Test Pit No. 2....G ....minutes per inch Depth of Test Pit....�'f.`.!......... Depth to ground water......he A-c. a r 0 Description of Soil.......... P vlf� ................... U ---•-•- -----••-------••-•-- - l. .. . ....- - = - -.:.... - ....... - ...... ... " 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 TIT1E 5 of the State Sanitary Code—The.undersigned further agrees not to place the system in operation until a Certificate of Compliance has!been is shed by the board of I lth. Signed.._.,v.__Clr�9t'r-! -�-.. ............0..................... --------------------------- � D tA Application Approved BY,:..._/ o .1, .91 "%» . . '.._ �,//k- ,..Date Application Disapproved for the following reasons:..................:..:.............. ............................................•-••--------•---...-----........---------"-----•---------•--•--------•--"----------....---...--••-•------------.._....---------•-•-•••----•••--......._..Date Permit No » Issued---_.L Z Z��__l ��. -------------». J Date�,-r THE COMMONWEALTH OF MASSACHUSETTS { BOARD OF HEALTH / rh...............oF..."/� �z��l ��'............................... Trnif iratr of Tantphuna THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (114 or Repaired ( ) by......................... .. f �v !_._.' .arw n. /. act .............._...................._ ......_............._ .. ✓ r ._..... Installer ;—v v has been installed in accordance with the provisions of TITS 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..... of/:�____ dated... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. /.��/j� 1 DATE....... '' '.»�='.. '....... f' ........... .......... Ins ector' =, . ..... .....:.................. THE COMMONWEALTH OF MASSACHUSETTS ..BOARD OF HEALTH rr i°° ./� � .................0F....� i / -d` '!' ...................... No. ...... :� F$E.✓ urknX�"ITunstrudiun thrntit • Permission is hereby ranted..... r _. �",•�_ %. °. -�.. to Construct ( or Repair ( )Ail Individual.Sewage DisP-osal S_ st _at No...../ -�••... �. �. �.... �? °••---.. < !t. -•--•--- ...................................... ....... Street( as shown on the application for Disposal Vl'orl�s-Construction Permit No '&I: Dra,ted...:1. --- 1A;�.__f-J DATE------- .� Board of ticalth > • t �hJ df LOCATION , SEWAGI PERMIT GO• VILLAGE IHSTA LLEWS NA10E ADDRESS J. CRAIG M. EDEIROS �'�rcckaag z . o�,srg raer-p eralton Stra- AM OWN E it Vj Ajs,'Masse 775-C-328 DATE PE MET ISSUED DATE COMPL`IAN-CE ISSUED r��- r- ��wi.� .ell � � \ 7� .��9A LOCATION � - �� SEWAGE PERMIT 130. e u-,I S VILLAGE o � Co All,� INSTA LLER'S NAME D ADDRESS 0 U I L D E R OR OWN ER DATE PERMIT ISSUED 7-�2 f j DATE COMPLIANCE ISSUED -7c�. �. M` !� 0 V� ��� .Q �'i O � , . �� . . c O THE COMMONWEALTH OF MASS�ETT S j BOARD OF HEALTH --_...........u... ................... Appliratiun for Uiupuiittl Works Tunittrurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (t/) an Individual Sewage Disposal System at: .... - -----•-----�............... . .....--•------_..... ......_........ _......-- ... 3 catioq-Address or Lot No. �•-�- t wner 'S Address y 0�664 Ct,a, ............... ..•--...�...!:�� •-------------.. 1 Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling— No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ..............._............ No. of persons.............................Showers.( ) — Cafeteria ( ) a' , Other fixtures .----....---•--•--•-•••----•--•- - w Design Flow...................................._.......gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-----------_------- Diameter................:... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........................................................................... Date...................:.................... aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ODescription of Soil 2 .. .................... .... ...... ..........................•-----••-------•-•--•--•--•-----------•-•-•-•--•-------.._....---- .._.. .........................................................-............................................. x w x --- -----------------------------------------------------------------------------------------------•----•--••--------.• ....................... --- U Nature of Repairs�or-Alterations— nswer when pplicable_.___ :..�'::::_ � r .......:................. A reeii n G�� g The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TAITL- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been isqiSd by the board of health. Signe :'. .................................................. ,/1 4 Date Application Approved By........... -----•• .. j�- Da Application Disapproved for th following reasons-----------------------------•-------._....--•-•--•------------•------------------------.._...---•--•--------_.. .._......-•--------------------------•---•---------------------------•-------------:.........----•-•-•---.......................................... - ------ -................................. Date Permit No...........95._-..a:_13_3................. Issued........... ............... Date n 00 No......................... Fas.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........ ...t;" ' OF.......�3 n P_` ........................................................................ Apli iration for Di n ttl rk C� tt rttr iun prntit , Application is hereby made for a Permit to Construct (k ) or Repair ( ' ) an Individual Sewage Disposal System at �.... ...................................... ocatiorif Address � 3. ..__...... dress f � f414e1°_W T/ ......... •....- t.. �. .........................•. •-•.._..........•- i td� c .. Installer Address -- U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of p ............................ Showers ( ) — Cafeteria ( ) adOther fixtures ---------------------------------------•---------.................................................................................................... W Design Flow....:.......................................gallons per person per day. Total daily flow............................................gallons.' WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter................ Depth............ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date......................................... Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... G>:, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a �� O Description of Soil ----------------------- - - - - - -....._...- - x W •---•-•-----------------------------------------••-------•-•-------------------••-•----••••-•------•----•-••-• V f Re ai�rs�z Iterations—Answer whetapplicable____ ________________ ......._ .---_-.....--.-..-.__..--__-----------__._. Nature --...... Agreenqrd: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1E. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in- operation until a Certificate of Compliance has een i d by the board of health. Signe i7 ✓ 3 c"1. at ApplicationApproved BY........-------�--------------•--•-•------.......---- --•-••--•--......._..----•--------- � ..-----...--••-•- ..................--- -------•--•---•-- Date v Application Disapproved for the f lowing reasons------------------•-------------•----•--...........------------...--------------•---------. ......•....... f _-.....ram. ate ` J i , ...::....... ........ Permit No......................................................._ Issue(L.................. )ate THE 'COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH . .... ..........OF..................................................................................... C9rdifirat e of Tilutplianu f THI �TO,CER Y, Th�aat the I dividual Sewage""Dis osal S .stem c truct�d ) or Repaired bar-p/ �a E'.'r ,ram L.�--jw-� , �. j �G �j Y - ----•...............•---------•-r--------------•----........•-•-......._......•. at------ � r"�15 r ...0 r7u j I fD has been installed in accordance with the provisions of TITLE f f-T,�e3�ate Sanitary Code as�e c �e Q$the application for Disposal Works Construction Permit No.......................................... dated.......................__...____................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO TRUED AS A GUARANTEE THAT THE SYSTEM WILL FU CT ON SATISFACTORY. �� DATE.................:. . _f....-, ---•---•-•------............----.._.....------ Inspector........ �.. _ _ .. _..- --- •-- --- -- •-- --•-----••-- fl�l Jl/ai/o� THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH ............ r...............OF............:..... ................................................... No.......................... FEE........................ Uto v ttl orkii tus#rt Ua�cr rratit Permission is hereby granted•... '.0 y..•.......-•.........e b I. ............... Construct ( ) o Repair ( Indivi�luewage Imo'posal System at No.......lLl.. _ w1.. �J--'-4s�1...--1-'---.�_.s ........�..��"�v�`t 3 +t } .. Street 3�--•--•�-•---- as shown on the application for Disposal Works Construction Permit No........... .... 72ted.._.........___..-..__....._.............. ------ -- -•---- --- DATE.............................................. .................................. oard of Health FORM 1255 A. M. SULKIN, INC., 60STON >r, G W Y u W �Y .+' - •`�,`,� � 72" DIA. Lovella j"r.a (. �� �,� �.�il• ��o� 1„TAPER-- /` Pondo ) �,';+T". "-.r• s 0.^�O �, I"' 21r' DIA. Q •�` �e 1,�i1 y. � �P�"d I('�•''• r�+ ��.� `� a• "�Y;� I 18"— I I 5.5"OIA,-bUTLETS /-I"D a �'. ( b • ., ':. /� 0 . �n. - ( 's*'. •+' °• r n INET. _ ¢ �•, j♦ ,r. ;`� 11 .,' ,ry 1 - 4�' ��r.;.. -_.-. ._. _--. _-----_ .._ ..__ _._...--- - .----- -.. --- ------ ----- ----- ---- -- s.:�.. i.=.c.•;,�,�•.�•Trr+.�'i;:;'h,-l•',',-�-.'- -:ati. .•:,:.; ..� 4 N Cr:� .Z Y `•• ���!!! O. '�O dry 1.1 0 a^ r rr I 2" �2 " pp+lF �s r,�� y..�. irY1V'Vi'1�{iu A ��,'31`�O• 4n W 3"MIN. 1 —0 t SOY �_ 0 V Y '-� •'F '/+9 ,,`u,r••'O r' t�J. _ .. + • • 1 6 • hit i 1 `.a• r.r; ♦ \% •. i � �a. n l� \, S/2- o� _ V I O 15" 19'h" 1 ,(�f��� I i.^'t.' C ♦ r'v�t !� bV. O �, •i•' ` mr ,-r-. .I. 1• O /� • • • • :moo z5 / \ �" .. : 9u" �J 0 0 OO O O • • ,.,t �•^ T) '♦�y � • p ♦ !;` ♦ �, Y. .a, '� °1 oG � J o l •I. _ 5r_8rr ` ,p+ g . \ '>_. ��Jude.♦` + \: 1 i ♦}"n ,--', _ )��♦` t , 'l�" a ��' 4r-6rr 2" i ( �� (\/^�J • • • • • • • w t `r 1 d I SP S \ ., f♦ 1 O ' + / :-_ �I: I O® \/ `/ 01� cc \ ��i ''"" S Ult-• ; moo � .� �Qp 0 $` O �� a'+( Ir �f• J,Oc ZS.00 I' LIQUID - v O °•e� 48 [J/- I'I n� t ^'�--����. - O 0 ' P�jl° L./, p ) D B 5 br ,1.1' U i .�, 'lN6 :• °e�¢E`r '�W J „ p N-+ /•�1�o1 :�• LEVEL •I' ;�• �Q" .4� ,�-�b� e o �,--�� ,I,_ 3' G PRECAST DISTRIBUTION BOX: 5 OUTLET 100 O42�ryPine 0 �� ,1 (e• Itland�• r.• •..•..1, (l/� �4 '1• In on a , . CnnBo •o'Oo ° p © D o Le 'I.• _•:.r'i___,,•' —.T•�•_. . •.,i•r q" O V 1 © O O (�/ • • • • / • z a ��OII;�. r • ' 't♦ "•~ ` �•�'•' V ks l.1 j 116a I, ` ..,...., `�. :- ♦ t/_�e r `.i _ __.- -- ----- - Lu 0 0 0 0 • • • • • 1 . e1 ♦, • 1 n ,} I - O ��+� Pt 1 _ t V O O O O • • / �1 ) �" : I'� ; $ o'� .. o > / Isabella SCAM; 1 - Ic . � .r �j � ���.� <� ;� ° I ST • 1000 • • ° I TANK • 1000 GALLONS ., o•' c . �-- �' • �, �• ;; r .• PRECASTSE�' C i S°� 1� .Y. ice •, r Lo Public ' % t 2 e . 33"\ 1 ♦ ��� 1 __0 '.ti; o • r1-�•.-j Lending' IO LP - 600 ' , .Q� I' �6 '' 0 _ 'k- " "• 0 ,� Tims "Time • "" -`7•Handy IPt COLe� LEACHING PIT - 600 GALLONS Pt a,'+f� �, ar tr. . . I ! (Hoopersi �; a gl1 �))�� /�Ss.__ / S 1 ` ,Beach / golf Glu \ /I �i Ltu,ia'� .Pond � OG�_'. ; Noisy. s l j1 arbors cc ss ly N of '? '%h ,., � \t\ ' •^O\\ 1`\C' •gM_\P lic vO /O / ('�\� ' /r' (� :? �• Landing i-. • RVI i tL D ui cotuit DESIGN DATA ul ` - - --- -- - --- ------ DAILY FLOW: (3) BEDROOMS X 110 GPD/BDRM 330 GPD SEPTIC TANK: 330 GPD X 150% = 495 GPD USE: 1000 GALLON PRECAST SEPTIC TANK U Q- Q LEACHING FACILITY: W USE: (1) 4' X 6' LEACH PIT W/3' OF STONE CAPACITY: 490.1 GPD W 7 ,1/ 'ram!, 1'Li_� •-4 YD 1� GENERAL NOTES N d 1. ALL PIPES TO BE 4" DIA. SCH. 40 PVC. V 2. ALL STONE MUST WASHED AND FREE FROM IRON, FINES AND V DUST IN PLACE. a O1� y 3. PIPE TO BE LAID LEVEL FOR 2' OUT OF DISTRIBUTION BOX. 4. SUBSU:.FACE SEWAGE DISPOSAL SYS= IS NOT DESIGNED FOR , THE USE OF '1 GARBAGE DISPOSAL. 5. CONTRACTOR TO BE RESPONSIBLE FJR THE LOCATIONS OF ALL UTILITIES. UND .�GRnC?N.0 AND PR'V?: puma m^ svr�A�J>�TTrty np k 3 �,c 4 - USETrs l.03 43 4 CONSTRUaION. �yw -., W W EiC IrTI1ki �-W.KEG; ;E c> ( Y O yl Z ^1 E�tz V N? ,q lu \ fi'IT Z^V `� O (}' J UJI 4Z* 5 cc :�•(�TC.r'\ PEA InS-_'_iD.l.-LE25 '/ _ \ /!.. lti 41 KZ- a5 cc P o Ll.r - T A i-`c� �\ W �� FftUv by 4 ��s� ¢ ® zoo z p W c.�n (n o' �= _� W 33xI \ ` W y0dvw03 °` tlx 1 28><1x4 4 1�17�j "Ne 00 cc zN = O eh N ~ W 34 t Z ,5 32,0' 2 0" N 11�� ff v v z p ► - �360 18l' 2�0.7 Ig" ---- --- W ► C z m O z w MI rJ1 Maui B���T71+�1G s�T G KS : �R�1T 0 W LL slime'• 1 S' z 0 MLJi� N1�,L11. Rom; I5 a a O?j >- w G o W IC cn N ca W a z O ND VVi•�'� 1 �i./V.M DESIGN: �f• I t�l DRAWN: CHECK: FILE#: �- DWNG#: S l R