HomeMy WebLinkAbout0088 LITTLE RIVER ROAD - Health OS� - (xis q�,�
TOWN OF BARNSTABLE V
LOCATION �� 7- le 1 (v'It Ile SEWAGE #
VILLAGE C®T v' l T" ASSESSOR'S MAP & LOT
t.
INSTALLER'S NAME & PHONE NO.
SEPTIC.CTANK CAPACITY dy
LEACHING FACILITY:(type,,_/� !=c--s4 ✓�/`rr(size) �yx l-
NO. OF BEDROOM'S ~ PRIVATE WELL OR PUBLIC,WATER�� /%�
'.. 4,
BUILDER OR OWNER `,
DATE PERMIT ISSUED: '/h _ 1
DATE COMPLIANCE ISSUED: 1 1 1
VARIANCE GRANTED: Yes No ��
J6 f p!
76
" l3h
73 �JQ
a
ASSESSORS MAR.��
PARCEL NO:
No...`..`......... J ....�C.`J
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH �Eo
TOWN OF BARNSTABLE �
Appliration fnrtsaa1 Workii To �o
Application is hereby made for a Permit to Construct Zor Repair ( ,) an Individual Sewage Disposal
System at:
LOT A-
Location-Address or Lot No.
t�+ -----------------------•------•-------•-------•. ........... -11� :..............•--
Owner Address
a ......1a ---------------------------------- `' ............4 ��
Installer Address
dType of Building Size Lot... .'_1.� .....Sq. feet
U Dwelling No. of Bedrooms-_--.-_-__._ .Expansion Attic Garbage Grinder
per-, Other—Type of Building ...V40LVO........... No. of persons............................ Showers ( ) — Cafeteria ( )
a Other fures ----------------------------------
W Design Flow.........S. ............................gallons per person per day. Total daily flow.........��40_...._.................._gallons.
WSeptic Tank—Liquid capacity _.gallons Length._ICk!t . Width-,-d _.. Diameter.. "......... Depth-.S-.-8.._.
x Disposal Trench—No..................... Width.................... Total Length....... ..__ ---- Total leaching area.............4,_.--sq. ft.
Seepage Pit No....2----------- Diameter.....1..L..___..__. Depth below inlet.1_� ........ Total leaching area.g40._...... ft.
Z Other Distribution box ( ) Dosing tank ( )
1-4 Percolation Test Results Performed by._.�Q 4►An«Q......6......
a _.____ •.... Date._. L _
Test Pit No. i�I6�J_�- minutes per inch Depth of Test Pit..12 __- Depth to ground water_ -.__.
(it Test Pit No. 2................minutes per inch Depth of.Test Pit---- ._........... Depth to ground water��--____
C4 --------- --- -------
------------
-...
-........
•----------
------------------
---
xDescription of Soil------.O..:!... ............��..S2�,F1. SQ1 -----------------------•------------------------------------.........••----
w ---------------••--------••---..----_ y -., ���y....... --- ------------------------------------------------......------------------------•-----------
x ------------------------------ ----------------------------------------------------------------------------=-----------------------------------------•--------•------•---•-----••--------.....---••.....
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 b issu d b h , r ealth.
�p Signed .... ............- ----- ------- - -- ----------- -------------------..............
ll
Application Approved ! /.... G^,
.......
Dare
Application Disapproved for the following reasons: -- .................................................................................. .. --------------- ...---.-----------
-------------------- ----- ------------------------------------------------------ ------- -- --------------------------------------------------------------------------------------------------- ...........................-----------
� Date
Permit No. .. '' Issued 1.1. '``/
Date
No..!...��r" � •�U� Fss..�l��7
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
s TOWN OF BARNSTABLE
Appliration for Biiipogal Works Tonutrnrit."11
A lication is hereby made for a Permit to Construct or Repair an Individual Sewa e,Disposal
PP Y ( P � ( ) gf p
System at:
Uri
LET W� L.�Cl.x `��.�:�.-`t"�---......• - - ..................................................
(Location-Address or Lot No.
... St ,J 'C »..5 4: �?'�.................................................. ... �. f YY? .b .......W 4 VeYI�/�.......................
Owner Address
W IL41'L (_W"CR J�_(10�) ..............�C3� �.A 'S..... � L1 �' ._....
,-� •• Sq.
Installer Address �
d Type of Building Size Lot---- "')I _ ..... feet
V Dwelling No. of Bedrooms...........................................Ex ansion Attic
�-, g— � p ( ) Garbage Grinder ( )
�` 4 Other—Type T e of Building ►��r� No. of persons............................ Showers
YP g ---•---•------------•------- P ( ) — Cafeteria ( )
W ' Design Flow.Othe��ures .............:__gallons per person per day. Total daily flow._._._....�Jftj.................•.....gallons.
WSeptic Tank—Liquid capacity.6 _gallons Length_-(N' �... Width..'--v-.... Diameter............ Depth.-.S ....
x f_Disposal Trench—No. .................... Width..................... Total Length.......}............. Total leaching area-------------- ft.
Seepage Pit No...... ----------- Diameter.....L7........... Depth below inlet..�) �.:' ._._.... Total leaching area.W Oc.._....sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
a Percolation Test Results Performed b ....6�.t4. .....F_..._�F:�0-�............ .... Date...`�_.�z-_ __. �
Y l `�
Test Pit No. 1 �_?- minutes per inch Depth of Test Pit___1?.........____ Depth to ground water__ _________________
fs, Test Pit No. 2....11.........minutes per inch Depth of Test Pit-----!.............. Depth to ground water!^'""'"'-''".._...
f1'
0--'77 escription of Soil....... �" - .......... �`�?!`�__Z....5-' _ �!_
W T
x ------------------------------------------------ --••--•-----•-•----------------•----------------•-----•----...-----------------------•---•--------•--------•------•------••-•••-•-•-•-.................
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
.....................................----..................................................................=----------•--•------------•--•----•-•----•-•-•......-------•--•-•. ...................
Agreement: F
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 Compliance has be�'t3 issued b the par o ealth.
Signed ---- ---------- ... . ..... .... ------------- ------------------- ----------- /�
Application Approved Bd ..._..---_---------- -- ---- --- --------------- I. .................: //-'41 ���'��.
7.....................
Date
Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------------.....................................
- - - ---------------------------------------------------------------------------------
g / Date
Permit No. 1-.A .'....�-jo- 1... Issued ----_-_! r' ._� �
.......
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
'- TOWN OF BARNSTABLE
CITertifirate of Toraptianre
THIS_tS7TO C RTI� hat the Individual Sewage Disposal System constructed ( ✓) or Repaired ( )
by -Alf 16-
------ ----- G.
n pile' �-1
at e -..?�/ .. �'<f/ d ----�-07-7-�..: ....... * -o-------------------------------------------------------
has been installed in accordance with the provisions of TITLE Iof The State Environmental Code as described in
the application for Disposal Works Construction Permit No. -�,7 ''- 7-..... dated ..1.1Z /a..-.._-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE ------------------------------ Inspector ------.---------- ,-.-.�--�----'--------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
9,�., � TOWN OF BARNSTABLE
No. .............. FEE '
�i��rr��t1 nrk� nn��rnr�Uan rrntt� �;
ffJ��
Permission is hereby granted....... W-s '7`l/ ��G .........................................
....._....
oe
to Construct ( ti) or Repair ( an II dd'vidual SewaV Di s sal�S�y stem
at •----••----------------------------••--•--•..............
Street (� �//4
as shown on the application for Disposal Works Construction Permit Nd..�___.__Dated..........................�z._..
...........................................................
Board of Health
DATE.................. _ .................................
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
I � �
to
DI
�P oP TOP OF FOUNDATION
.� ._
CONCRETE COWER
a
L •. CONCRETE COVERS ;D
Z.2G e 4 CAST IRON 12"MAX. 12"MAX.
40 OR SCHEDULE
4 SCHEDULE 40 PVC.(ONLY)
P,V.C. PIPE
PIPE - MIN. LEACH
PITCH 1/4"PER.FT, PITCH 1/4"PER.FT PIT
, PRECAST �
LEACHING
INVERT
� INVER ♦ . �.� PIT OR
. __ . EL.. .8. INVERT
DIST. '�' EQUIV.
♦, SEPTIC TANK EL..Z7.3o BOX ..•d >_ I
;oc ELNZ7'S /Soo GAL. (ELE��- INVERT ,' wa.
w 0: .;�. /
; U. �9` WASHED
EL...
- ••' w STONE
j I
PROFILE OF - _— - - - -
d7�S 1 GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
Ale
NO SCALE 1
-- E-s 7�i
. �, �4. c, WITNESSED BY :
�� _ � ����-- , SOIL LOG
DoN�A M/a2A7vt5 i
f DATE !9pe{4 7- I fY4 TIME.#-.'off,R!? BOARD OF HEALTH
t -- "►
` 1
TEST HOLE t TEST HOLE 2 t?�h/A,f1� �. � � ENGINEER
.T0, esv
ELEV. . . ELEV. .
LO.A•r � L•.grr d' - t/!' 34 ' Sv�g.Jv�tr
,p-• _. DESIGN DATA :
d'-SoiL
a•
J, .e� j BC7bXtorarrs e'Dtr/
�E3 NUMBER OF BEDROOMS . . . . . .
r -t, - f �`r • .;'�'.-,_ a t G< ;. ``r: � a/ ../' '4 Z, ML-I�. TOTAL ESTIMATED FLOW GALLONS/DAY
. :.h ;•,- �`''',�\ � \,� \,, R y'' �r',,,,�., ,�',p'/,a. �'IG'7r? s'>�y,.,ID BOTTOM LEACHING AREA
/�'r SO.FT. /PITI6•:P.P.
4
�J _ ��F SIDE LEACHING AREA . . . ��/♦ SO.FT./ PIT �;t�Lti.
GARBAGE DISPOSAL (50% AREA INCREASE)
Nvr✓.�"
°r , , . .
•` "'Sf, , TOTAL LEACHING
AREA a '� SOFT
PERCOLATION RATE53 7 /,r�+✓ 7k/c . MIN/INCH
144" �. / .Cad /4•�" E'2. f��.S
LEACHING AREA PER PERCOLATION RATE 8c35 &SO.FT. Ci�?A
1S ,r.. �5 l�WcrE Np. .WATER ENCOUNTERED c� f/Tr tuiT /
tr�•�`\\� ; i . NUMBER OF LEACHING PITS
D
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