HomeMy WebLinkAbout0336 MAIN STREET (COTUIT) - Health ,-�-3(p aA
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F � � 4iTOWN OF BARNSTABLE e
LOCATION r�®j� J/�jpr�N�S i SEWAGE # bo
VILLAGE__ OTQ i 1 ASSESSOR'S MAP LOT 01 b
INSTALLER'S NAME & PHONE NO. .A�/Z A
SEPTIC TANK CAPACITY 0 G O
LEACHING FACILITY:(type) 660 (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER-OV/V
BUILDER OR OWNER 0i 4r?lr-w b o A Carl"k
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No t-/
3k Kr 3 13 6 31 9 ` n�
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NO........................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH ti
742W-�..........OF.......�.. !we-
ApplirFation for Mgpvii al lVarkri Tonstrnrtinn Prrutit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at:
...... ....... .--•-- . ----•-•--- K....--•.................................•---
.---•. Location- ess t.No. 9
. ..........10 ...
Owner Add
1�14�--.-.------••-•-•-------------•---------•--------•---- --..._�-'�------?'`--.�'� -----�,r..?....``-•---•-----------------•--•--•---
Installer Address
d Type of Building Size Lot.... feet
aDwelling—No. of Bedrooms..........�................................Expansion Attic (dt) Garbage Grinder (Alc�
p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Pi Other fixtures --------------- ------------•-- .
Design Flow..................J`r�..........._....gallons per person per day. Total daily flow._.... �'..1� .�__33 ......gallons.
W '� ,la
a; Septic Tank—Liquid ca.pacity) gallons Length__.____.___ Width---- Diameter....:.--...... Depth_S---
Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.................... Diameter....../7-.0...... Depth below inlet------ ...... Total leaching area........`fJ__..sq. ft.
Z Other Distribution box Dosing tank ( )
a Test Results Performed by........ '... ....... _�.... Date._.......-4aZAZ•
Percolation
Test Pit No. I_....----•-.__..minutes per inch Depth of Test Pit----%;n.......... Depth to ground water_._ _�___.-.
Lt, Test Pit No. 2................minutes per inch Depth of Test Pit...../ ......... Depth to ground water......lv�.e
1:4 ---•-----------•-••--•------••--• -------------- ........................................................
Description of Soil-•-------------•------•--....4_2.:��........�:.........-CC�� •-----------------�---�--- ........................................................` .
x -------------------------------------------------3-......��.......h.'..74..e------�'�"�------------------------------------------.
c.�
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_,L 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been ONE
of health.
Signed............ --------------•----------
/ ate
Application Approved BY("'._ ? t_ _ - j
rA Daly
Application Disapproved for the following reasons:.................................. .........: =------------------------..........._------------
------------------------------------------------- ------------------------ •-----------
. Date
Permit No...../ ��23
!-:!......... ------------------- Issued---•--.. _57.'", Z.
Date
No................_....... Fxs..........................
_
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..._...7 ..."..............._OF...... ..•�"v'�-�,��.7
AppilrFation for Disposal Workii Tonstrnrtinn ramit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at: r-
33
J/
........ ...r_ __.............................................': .............. ....1.._j...-..:._.......,':........._.'/ /Location-Address J ( i r;, t
!.. .... . cl Y�f� �r'Z �/rY
s
J........ - .................. ... •-----...------------............----••............•••..._.......••---
f ` Owner �"
.................................................
Address
p
...........: ..... ... .._..............................-
Installer Address
Type of Building Size Lot_.. .'......'`.......Sq. feet
Dwelling—No. of Bedrooms.._.___.._.-...................................Expansion Attic (*1 Garbage Grinder (Pc-5
'k Other—T e of Building No. of persons..:......................... Showers — Cafeteria
P4 Other fixtures ----------------------------•••• -
Design Flow................... .�..............____gallons per person per day. Total daily flow__-_._ .?�._/i'-'..`•_3 � .....gallons.
04 Septic Tank—Liquid capacity] �galIons Length.'.'�._.. Width-__ /:� .. Diameter_____--....... Depth—S.. -_..
w 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. 1...."'. _._minutes per inch Depth of Test Pit._./.-in!........ Depth to ground
Test Pit No. 2................minutes per inch Depth of Test Pit..... .�......... Depth to ground water____-_ G" .
a' ................................. -•--- ........................ ------------- ..--------------------------------
O Description of Soil...........................:?�"P '..1.... .._.. �"' `' - 5 :p C_
x : - r- ---- --
w � L --�,-c..-.
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 TITIE 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 by the board of health.
Signed............!lfX:,ty^;,'C/a�.::..................
A lication A roved B ,.,� � ..->..c.r '. + .. ���...s"t// D"2e............... .
PP . PP Y • • . --- •• •...._----•-
/ � �. Date
Application Disapproved for the following reasons:...................................---------------�--�-- -•-----..........................•---------•---------
-------------------------------•-•-•----------•-....------------------------------------....------------•-••---•----•....-- --••------ -------•----•••••••----••-•-------•-•-•-••---------•--•----••---
Date
Permit No:........................................................ Issued......................... ;!.*
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.................OF.. ...... .t�';-'1 .........................
(Intifiratr of Tomplianrr
THIS I,,S--TO CERTIFY,Jhaatt the Individual Sewage Disposal System constructed (1,.4' or Repaired ( )
by.................. n/ o,� / �frLa-; /G-r: c '
...................................... --•---_•---••...
� .� � 4:l Instal �at --• - •....----•_•..............................•--------- t%------y.............................................................................
has been installed in accordance with the provisions of TI IE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No----'�",,V _.._!"��1"11r, dated----.-_-!--7__-___/�_-_ ----
I �=_...
f ok-. t
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
1
OF .................. Y .....................................
No.:_.�:..'.__........ FEE..........
Miposal Workii Tonstrudion ranfit
Permissionlis hereby granted.............IV-----__._--.:........ ..--._-. - --*.. .�.....�'... ' "
to Construct (.�) or Repair ( ) an Individual Sewage DisposalSystem
at No.........
~
...................................................... ------• .......iii / ,� • /_-_s� ' �_
.._-----
Street as shown on the application for Disposal Works Construction Permit No..................:: Dated.._:_:__._......................_......_.
Board of Health
DATE................................................................................
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
d
- DESIGN CR I TER I A : INVERT' ELEVATIONS
GENERAL NO TES : DESIGN FLOW: INVERT AT BUILDING: g�•v
-a-BEDROOMS AT Y" G. P:'D. PER INVERT /N .SEPTIC TANK:
1 . THIS PLAN IS FOR THE DESIGN AND g 9.d ACCESS COVERS MUST BE WITHIN BEDROOM EQUALS ..3 5 G. P. D. INVERT OUT SEPTIC TANK-
CONSTRUCTION OF THE SEWAGE DISPOSAL FIRST 2 TO 12' of FINISH GRADE
SYSTEM ONLY. BE LEVEL �O INVERT, IN DIST. BOX: 9s• z
GARBAGE GRINDER INVERT OUT DIST. BOX: S5 p
LE-
4' P VC MIN. 2' OF
SCHEDULE 40D 1 PEASTONE INVERT /N LEACH PIT: 9y
S
2. ALL CONSTRUCTION METHODS AND .5 SEPTIC TANK REQUIRED: BOTTOM OF LEACH PIT: g� S
MATERIALS FOR THE SEPTIC SYSTEM 9G 695 �s S.z 95 30 G.P. D. X 150x - ��-S CAL .
SHALL CONFORM TO MASS. D. E. P. 3 OUTLET a WASHED STONE SEPTIC TANK PROVIDED:
l caU GAL . ADJUSTED GROUND WATER
"0 OBSERVED GROUND WA TER:
TITLE 5 AND LOCAL BOARD OF HEALTH 10' MIN. / GAL D-BOX -�---
REGULATIONS. SEPTIC TANK 3 SIZE OF LEACHING FACILITY REQUIRED:
LEACH P/T
G. P. D.
3. ALL SEPTIC SYSTEM COMPONENTS LOCATED PROFILE : NOT TO SCALE 33N
DES/GN PERC RATE - '�- Z MIN/INCH REVISIONS :
UNDER AREAS SUBJECT TO VEHICULAR TRAFFIC
OR GREATER THAN 3 ' IN DEPTH SHALL BE 3 NO. DATE REVISION
PROVIDED:—�.�LPI T(S1 W/ 'STN.
N ss�s� �e�E N sE s�C� 30'
CAPABLE OF WITHSTANDING H-20 WHEEL LOADS.
+97.8 S/DEWALL : 3Z- S.F.X 4 S - 332 GPD
BOTTOM: 11 '3 S.F.X -a - 7/� GPD
4. ALL SEWER PIPE SHALL BE SCHEDULE 40
TOTAL : VyS S.F. `f 3 GPD
OR APPROVED EQUAL
M
5. BEFORE CONSTRUCTION CALL 'DIG-SAFE'. SOIL- TES T PIT DA TA
I-600-322-4844 FOR LOCATION OF m INDICATES INDICATES
PERCOLATION OBSERVED UTILITIES. GROUNDWATER
ZONE : RF+ rP• /97.6 Z
6. VERTICAL DATUM IS: ASSUMED TP*
SETBACKS FRONT - 30 ' GRND EL. 9 `� GRND EL. 9e
7. FOR BENCH MARKS SET. SEE S/ TE PLAN. +9e.o ia• SIDE - l 5 ' G.W.EL. G.W.EL. —
as ��
REAR - 15 '
L O r s -
�.\ i� 5�3 Soy L Sv6S'S07(
a y ZZo. 27. 5001 S.F.
+97.4 —
'
� +97.e D-BOX 4' PIT ��SG
l 000 GAL
W/3' STONE
5
T.P.#I 5�4-ram>T�
SEPTIC TANK
7.4
T.P. 2 ti6 RESERVE\O6
L duo
DATE: ,,,! sz
TEST BY: .ST��a�l�ca �lr+ S, P•6
2�o� W/ TNESSED BY:
Q . M. TAG BOLT ON HYD. � �' PERC RATE: G2- MIN/INCH
EL . -
l 00.00 ASSUMED
Q9 a oQo5E0 •�
QR p +9d.
G 97.e
AS E•P T / C S Y S T E-M D E S / G/V
� � ZQ•�dt� 9d.4
a• .r + 5 5
COTUI T , "ASS
A +9e.� PREPARED FOR
STEPHEN
N MARKwOOD CORP .
�� ,
a ,y, � � T
�1,r ?°„ �� 97.7 q HAAS
Ig or f, [��,^ GIVIL
,Y �r No.3546� SCALE : / 20 /V O V EMB E R 23 / 9 9 2
Y
ISTER`�Q
FRA Szo
E'�4 GL�' ..S'UR YE'YING 8c E'NG INE'E'R I NG . I NC' .
J ® .S'ecY � OdrGY L. c7ne
�yann t s Ma . 02 CO .7
PIG
0 /0 20 40
JOB NO: 92-303 FIELD:CFW/SAH CALC: SAH CHECK: CFW DRN: SAH