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0751 MAIN STREET (COTUIT) - Health
-7XI TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP & LOTQ,.3,e!r— 007 INSTALLER'S NAME 6i PHONE NO. . y_ r,/4l�!'�i3t/ SEPTIC TANK CAPACITY LEACHING FACILITY:(type)9 Re cp4j'% (size) NO. OF BEDROOMS PRIVATE WELL!OR PUBLIC WATERnG I`C BUILDER OR OWNER ( '� t lOdv�!''+.� ` n DATE PERMIT ISSUED: _" .e. `? «' DATE COMPLIANCE ISSUED: c- / �f VARIANCE GRANTED: Yes No 1 w � . Fizic N.J.V,J.-13 L 9 l /D THE COMMONWEALTH OF MASSACHUSETTS ( BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiuu for Di-npuml Works (Somitrurt"tun ramit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: Aq ................ ... E .T.a!�:----'-' •-'-' v.l ----'•......•..••••'--'-••---....2'•-'-'------'••---•"-•--•-•----...-•--....--''-- I`1 _ �.1- Location Ad I, or Lot No. 1 . ...................... ........4J.P.1 .................. ---•-Address Installer Address q d Type of Building Size Lot.--_ ��_P-�_.Sq. feet U Dwelling—No. of Bedrooms_____________ ____________ _ _ Expansion Attic ( Garbage Grinder ( c) -t ---- 1:14`14 Other—T e of Build.. t! No. of persons---------------------------- Showers — Cafeteria d1-L_0t.9v 1V1F:Usc Pb_ther fixtures --------------------------- W Design Flow..............�. ................_gallons per person per day. Total daily fl9w.................... lonrs. WSeptic Tank—Liquid capacitv__��__..- allons Length-_�.�?_r0_ Width---�.�-.'..- -'Diameter.-P.A._... Depth...V.... x Disposal Trench—No. ...P IA.._...... Width.................... Total Length.................... Total leaching area....................sq. ft. Pit No.---_4........... Diameter.....ki A-_--.- Depth below inlet..©._.el� Total leaching area.... .....sq. ft. Z Other Distribution box ( ) Do ing tank ) II ' - 4 Percolation Test Results Per by-------------- �.A�.a s- --- Date-------� "ZZ 3 a Test Pit No. I---._---------minutes per inch Depth of Test Pit----- Depth to ground water .......... ......... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to groun ............ a ----•••••-•------------------•---•--••---•-•-•--•-•----•-•-•-•••--•'•---....._......._._.---'--.............................................................. 0 Description of Soil.... = ----34-�� l•-•• 'n'`- t�-- .8�?.1.(.. *r---- '� ^�L'= f lU!'!'!_. !v . .. x W --••-•--•-------------------•----•------•---------•---•--•-----------------------------•-----•-----•----------------------------------------------•-•....---•------••-------=----'-•-•••................ 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complian h -,een issued by the board of health. Signed .._..----- -- ..~ ... Dare Application Approved By ----�heefDllowing'...� � -------- ��-e-.. ..P-../� Application Disapproved for reasons: .. ......... ............. .......................................................... ..........-- ...... ......... ............. ............................ ............................ .............. ...... .................. ....... .. . .................... . ...... q Dare Permit No. ..........1... --------.1---t 3------------------------ Issued ------------------------- Dare No...l. .. Fic$.........1... o �► t / / THE COMMONWEALTH OF MASSACHUSETTS U (� (O BOARD OF HEALTH ' TOWN OF BARNSTABLE AVp iration fur Di-nipwial Workii Tomitrnrtinn ramit Application is hereby made for a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal System at: 2 ....................�s - -...,...••--. .............. -----... . Location-Ad ss f or Lot No. _.. --------------------------- ..... Owner Address -------•-------..... � Installer I Address qq vType of Building Size Lot.... ..t..........Sq. feet Dwelling— No. of Bedrooms_____________ __________________________Expansion Attic (i Garbage Grinder ((A c) P4 Other—Type of Building _______N�.!4- ------- No. of persons____________________________ Showers ( ) — Cafeteria ( ) d `- 9-Other fixtures .------•---------------------- W Design Flow.............. .................gallons per person per day. Total daily flglw..--._-_.___._....�}'Ir.0............... Ions. WSeptic Tank—Liquid capacitv__L-�ZC allons Length__ - _- _ Width_-.�J._""-Diameter-_ _�___-__ Depth..- ..7�".. x Disposal Trench—No. _qlp_........ Width-------------------- Total Length.................... Total leacE area.........._.........sq. ft. _____ Diameter Depth below inlet-.2.:.T!� Total leaching area...: -�_....s ft. � Se-e-page-Pit No.----�'-•--- P g q• z Other Distribution box ( ) Do ing tank ) Percolation Test Results Performed by--------------_______�A!,.�.e� -. .!xl - _____ Date_____..�-"ZZ_c� ,4 Test Pit No. 1------2......minutes per inch Depth of/Test Pit-------LZ........ Depth to ground water ki�_..___... (i, Test Pit No. 2................minutes per inch Depth rof Test Pit.................... Depth to ground watery—, c►Jcc?c---- �L � R+ ----------•------------------------------------------------•--------------------•---.....-•------------••----•--•---•--•----......................................................... Description of Soil--- - 3- ��, 3 Lc<`-``� °"�' a3So t-L_ -_ _=C I_L,- ----- x W 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 TITLE 5 of the State Environmental 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. { ( -- ......................................... .....�.�.�r ?t, Signed Daze {.. Application Approved By ......tee -.- j ....... ...—'�--.`/Dve Application Disapproved for the following_reafons: ....................... ........................................ ............---------------------------- ---------------------------------------------------------- -------------------------- ----------------------------------------------------------------------------------------------------------------- - ------------------------------- q Dare PermitNo. ---------/ -Li---`----- .�----3---- -------------------- Issued -----------------------..................--------------------------- Dace -- ' - -- THE COMMONWEALTH OF MASSACHUSETTS d BOARD OF HEALTH TOWN OF BARNSTABLE tTErtifi atr of Tompliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ................ L---- ------ ----------.......------..._...--------------------Install-- ----.------------------------------ ... .... .. .... .................................. er at ..--...... ........ ..../.......... .... .� --------_5T. ........ . -s has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in the application for Disposal Works Construction Permit No. .......( ... ....__...!�...�.. dated ............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..... Inspector ------------- -. ' ... - ---------- --------------------------------------------------------------17- -----------_ _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE......,/z)-tr)..... �i��rns�l nrk� �rrn�tr�rtinn �.erntit Permission is hereby granted...........tZf?yL--.------•------•---------------------------------------------------------------------------------------------------- to Construct ( or Repair ( ) an Individual Sewage Disposal System atNo..........`7...... ". -------------------- --------•---------------._...--------•••-............•. Street ec�� as shown on the application for Disposal Works Construction Permit No.l_�-11-3---- Dated----- a.L' . f .......................................... ........................................................... B and of Health DATE..................... FORM 36508 HOBBS 6 WARREN,INC.,PUBLISHERS -- —--- - CHHA ?C / N/F COTUIT FIRE DISTRICT BEN , ASS. LOT , 2 NAIL Il�r TREE ELEV.=40.00 w � j N86 49'25"E �,r Q \ -• ; PLAN REF.` rn 278.54' � / N8652'47"E \� 72/33 161) v0e 0 99/155 204/95 <oc �q LOT 2 0 \ / �Q- / to \ �� Q � MERITHEW �. to 2VTAL AREA ____= 126.3 0 Ivo. 3� 54790 f F. l ____=_ __ _ FJ `�S. 9 `�/Q f?ROPOSED h `ZH OF ,- ��r90STE�`������. Q JOHN yG OLD LOT LINE — --_- - WVOERSr.AULEY +, .. 1-'` _ CIVIL 5 O P O \ .o No.35101 tq •� se ficO — —� t8 x � g /mod. ox \ PT \ \ hAL E `� 259.1 c shape TO /�' _de di_t_oad line 4QQ lHe S884'53"W 90.00' �o ���7 -i� areaY R- _` `y 6 _ m W ,o S86 2'5W .0 ✓ FJ — ti " 189.OEJ ch N8834 53 E PARCEL «A« ,t46.38- — 199.05 — `23\\ \ PARCEL C S8622'S5"E BA � R N88�453"E F� 165.5g' 237 42� 40 co t� ale PROJECT LOCATION 737 1t4I11T STREET h COTUIT S847415 APPLICANT O O DE KO 11TN1S NARY. STREET 428-5122 YAAYUL' SURVEY CONSULTANTS w UNIT 5, 40B INDUSTRY ROAD d P. 0. BOX 265 MARSY19NS MILLS, MA. 02648 { TEL 428-0055, FAX 420-5553 SCALE 1" = 40' _ ?ATE 3/21/94 NOTE:THE RELATIONSHIP BETWEEN THE ASSUMED ELEVATION OF THE NAIL IN TREE r IREV [REV SHOWN ON-PLAN AND THE TOP OF LEWIS POND IS THIRTY-THREE FEET DIFFERENCE(33'). THE BOTTOM OF THE LEACHING PITS ARE APPROXIMATELY FOURTEEN(14')FEET ABOVE THE GROUNGWATER. ,. [JOB NO. 50418SEP SHEET 1 OF 2 _ t r, A( I EL. - 51 3 PROPOSED 20' MIN. 10' mm CONCRETE COVERS 2"LAYER OF 50.5 PROPOSED 49 5f WAS VED STONE CONCRETE COVERS /7 7 i i i / / / / / TT/ j { 4" CAST IRON 12AIAX / / / i ♦ / / � / / / / / 46.0- i / / / / / ♦ / i / 46.5E OR SCHEDULE 40 4" SCHEDULE 40 P. V.C. 3't r P. V.C. PIPE MIN. PITCH 118 PER FT. DIS S=O.02, D=15BOX ' FLOW LINE `S=0 O2 D=18.9' RECAST INVERT 0 110 19" S=O.02, D=15' IT INVERT LEACIT C MIN. �, EL. _ _ , --- OR 42.35 '2 q .Jp EQUIVALENT EL. LEVEL --�[•x—I�i—— II I IGLDU[ry 111/TIyGrR °EL.= 4260 c p�O 3�47 70 1-1/2" Dc STONE0 p1250 GALLONS EL.- 4I.97 EL.=41_80 EL SEPTIC TANK p W c EL.__35.5_ AC6 PIT 3'I LE �13, PROFILE OF - 12'DIAM.-- � SEWAGE DISPOSAL SYSTEM NOT TO SCALE BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE EL=_37.5_ ALL ELEVATIONS ARE ASSUMED BOTTOM OF TEST HOLE # 2 IS 11.5 FEET BELOW SURFACE. SOIL` LOG J LANDERS'CA ULEY, PE WITNESSED BY. J DUNNING * THE EXCAVATOR SHALL DIG 4' BELOW THE PROPOSED BOT710H OF THE PIT AND THEN GENERAL NOTES NOTIFY THE ENGINEER TO INSPECT THE PERCOLATION RATE 2 MIN./ INCH SOIL CONDITIONS. 1. 276S PLAN IS MR THE CONSTRUCTION .OF A SEWERAGE DISPOSAL SYSTEM ����ZN OF O JOHN z PLAN REFERENCE BOOK 204, PAGE 95, LOT z, BARN. DEEDS DATE 12-03-s93 DATE 12-0_3-93 i�4 OER yam K " c+wL y 3. ?Ells PLAN IS FOR INSTALLATION/ REPAIR OF SEPTIC SYSTEM TEST HOLE 1 TE5'T .HOLE 2 4 E. A Ka ,� AND NOT T O BE USED FVR SURVEYING OR .ZONING PURPOSES. 4 ALL W0R1�ANSHIP AND MAT.�RL4LS SHALL CONF10RAf Tn D.EP. EL= 49.5 EL= 50.5 DESIGN DATA. jSTEREQ� ` TJnE 5 AND ?IIE 7V N2V OF BARNSTABLE RULES AND RWUL47YON3 OHAL �G� PVR = SUBSURFACE DISPOSAL OF SEWAGE J. ' NUMBER OF BEDROOMS FOUR 5. ALL COVER Tb SANITARY UNITS SHALL BE BROUGHT Tb WITHIN TOP do SUB 7VP A! SUB 12" OF F7NLSHED GRADE. SOS 3.0 soH 3.0 GARBAGE DISPOSAL NONE 6. M257YNG AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME, UNLESS NOTED BY FINAL CONTiOURS. TOTAL ESTIMATED FLOW 440 G D 7 ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H 10 LOADING UNLESS THEY ARE UNDER r ( 110 _GAL�BR�DAY x _4 BR) OR WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING MED. SAND MED. SAXV SEPTIC TANK CAPACITY _ 1500 SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARING. -�- VAM&S' NOTED. LEACHING AREA REQUIREMENTS 8. ANY MASONRY UNITS USED T10 BRING COVERS TO GRADE SHALL 12 0 11.5 BE MORTARED IN PLACE. SIDEWALL AREA 188.5 CAL/SF 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH j BOTTOM AREA _ GAL/S/F A- DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS 719 LEACHING CAPACITY (BOTTOM & SIDEWALL)_267 GAL OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. -- _* F 10. THE EXCAV4T0R,C0NTRACT0R SHALL VERIFY THE LOCATION OF ALL UNDERGROUND ` UT I&ITIES'PRIOR TO ANY EXCAVATION. THE WATERGATE WAS NOT FOUND, THE GENERAL RESERVE LEACHING CAPACITY _I_09_8 GAL CONTRACTOR SHALL VERIFY LOCATION WITH WATER DEPARTMENT *AREA PER LEACHING PIT JOB NUMBER_ 50418A__`___