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HomeMy WebLinkAbout0256 OLD OYSTER ROAD - Health OLD OYSTER RVOCOTUIT - -- - - -- - - - -- -- ---- - - A=021.109 �,,,,J. TOWN OF BARNSTABLE Cy p�e-Q L ff' TION CO�Oi ��,49Gg SEWAGE # VILLAGE CO' U it ASSESSOR'S MAP & 1.01 cR I INSTALLER'S NAME & PHONE NO. CARS. Nljc�)'fPT s3 ~6098 SEPTIC TANK CAPACITY �S-00 // -`© LEACHING FACILITY:(type) lR,'�'H£S (size-`'/0' NO. OF BEDROOMS _PRIVATE W LL OR PUBLIC WATEk7-5'wt BUILDER OR OWNER Qf4l DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No Talc " I�4 � 14:2 36 TA yo, K1 c�1! /V :z "`� / No..-IIJ...... FE THE COMMONWEALTH OF MASSACHUSETTS 1 VJ BOAR® A T g H .........OF....... ...................... ..... `={ ........................ , pptiratiun for UiupuuFal Workii Tonotrnrtiun Permit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: - .. `-**,-q. ....._...... ..- a .•-.• ' L. - ca a ... .. ._. i. _ .. � _Lot. .6 .............. .... ow c Address rW-a / �— — x. ...... .........b . I taller Address 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 ........................................... d ---------------------------------------------------------------•------------•- --------------------- 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. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by---•-•••••-P-------•-------------- •-•-----------•--•------ ------ �te-•-•----•-•......---•----•-•----------• N Test Pit o. I................minutes p er inch Depth of Test Pit.................... Depth to ground water......................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 -••-•------•-------------•-•---------•--•-.......-•---------•-•-.....-----------•---••-•.............••--•-------------•----------•-•--••--.--------------•-- 0 Description of Soil.................. x 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 iITA YU 5 of the State Sanitary Code— The undersi ned further agrees not to place the system in operation until a Certificate of Compliance has bee is ue b heW2 rd of h Signed �~ ._. Date Application Approved By.........�\ .......................................... a P Date Application Disapproved for the following reasons:.......................................................................................................... --------------------------------------------------------------------------------••---------•-------....--•-----------------.._._...---------•--•---------•-•--•.....-•----•------•••--------......._.._ Date Permit No.... .................... Issued........................... ........................ Date No. Fizz................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF...... .............................................. .......... ......_ .. Allpfiration for Disposal Works Tonstrurtion Frrmit I _-,. Application is hereby made for a Permit to Construct ('�­)_or Repair an Individual Sewage Disposal System at:,, ................ .......... ............... .................... a..fg � ............. ........ ................ Or Lo 7 ocation t' ............. ..... . .. ..... .. ... o7b Address A -t- ----------------------------------------.....-------....------------------------------------------ ...............................................46:1 - ................................... Insialler Address Type of Building Size Lot......f U ...................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder Other—Type o-__ Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow..................................:........gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity/.2,."�2.gallons Length................ Width.......____..... Diameter______.......... Depth......._......_. W W4 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.._...__.____......_.__. fT4 Test Pit No. 2................minutes per inch Depth of Test Pit.__................. Depth to ground water.__.................._._ 1:4 ............................................................................................................................................................. 0 Description of Soil........................................................................................................................................................................ W ......................................................................................................................................................................................................... U -----------------------------------I.................................................................................................................................................................... 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 TIT1:.,% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certilficate of Compliance has been,issued�by`fhe.b65rd'of health Signed...... .......................... ............................................... .......... ....�' 7'­' " .ate ................ Application Approved By.......... .......... ............... U Date Application Disapproved for the following reasons:.............................................................................................................. .......................................................................................................................................................................................................... Date Permit No.._...l L.5LYI.................. Issued . .................• Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. ......OF... 1, ....... ...... TUrruftratt of Tomphaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (�) or Repaired by....................C ......._Iw ............................................................................................................................................... Installer , g... ........ ... at.......... L. ,17....3.A...01A...L -4 ........... ....................................................... has been installed in accordance with he provisions of TIT IE 5 of The State Sanitary Code as described in the U,-- application for Disposal Works Construction Permit No.__._/--').......4 ....... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 10-0-7-f DATE..................................................7-------------------------- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF.... (�n.......... r, lf. ............................................ No..../S..-.... -..I/ FEE...../.(... ....... Disposal Works LT11notrudion "pamit Permission is hereby granted............�......L_& ..................................................................................... 7 to Construct or Repair an Indiyidual Sewaggy Disposal System atNo.......... ... -2- A. .A; , i), ,/ !^,_0 • ,,---77........... . .. ...... ........................................................... Street as shown on the application for Disposal Works Construction Permit No/_-J�DZ�L Dated_.-_—.ZX.._ ...... ....................................................................................................... DATE................................................................................ Board of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS e I � SII�+-t DATA EST ► or 2 `--,IW44L.E FAMIL`( 3 FSt� t E PLA tit oN BAGK. ut=xz>ro�' w I rt-"I GA¢13gL6• L�LI►.tD EZ'PA4Ly FWW - a X IID = 33a G P D LOT 3A � oL D del S«Q Qdf\� SrcYT1G '[7sN t 33oX?00/s ie(oo GCD �.���GrI>�M W�-�� GaTv1T USF_ 1500 6AL. L;;AG I}1 W, 5`(STWA M'f V-W e T\N - 4 GGM P. 4TTU CATION AMA EGfP'D. ,. N 33o GpD o.-J4 vn�SF 4 5.7. 51tE1yALL AM4= 3s2 s F FWISN GRADE t� •�••�- �Q�� 2' OF 1 8' — 1 2' STONE w l 'OM '! 3 2 0 S F/� IF ENCOUNTERED REMOW = YAY BE REPLACED 1MTH -TV(� ey"�'4 i (o-I(.SF UNAJITABLE MATERIAL TO INSURE THE r e PERF SO4M /0 PVC WATU 4ATERIAL / �-}� N' Imo_`r^� `I,.,I SIDEWALL AREA OF SYSTEM IS IN 1�G�d:-A I[/N 2m 4- S'r`IV/II`�.►t 10 CMR CLEAN MEDIUM 15.293 OR FILL P� T �•STO3/4• IL 13E ZOIL CLbS� I of Ar 5 `' 5•' KTER SULLIiAN DETAIL LEAW FACILITY itlD. 2733 END SECTION N. T. S. E.G.= 44 + F.U.=4� T9, 51 5 'i '9 r DOLE- e L = 4 6 ✓� ,!. A� Lo/lM 3'M Ali imjM IM/, Aa.O .r�.,,_,�,. IIJV.44.45 t Lr� 1 w� I 43 2s I�5 4 VSW .A W McO1L,M -ml = S 2EC;,J T=AAe:,7� �- I . N JVEL FZOFILE- 1 - CEF-TI RG D PLOT PLANT I IZ� EL-- 3L•o 11 �,�/ T I I t4C. T1=12 W`AI 1 LdTL�I T PLAf E=-� I I I GEZ 11 F`f T 14AT T14 E s-T-a,,,•,,Q I=- —%Mt4 pLAW N C4m pt-`15 W 111A Tlt E- A 17-- A K. Z5rvVlEEMENT OF Tl-(E TOWN OFAfA p F RN s�R�x j,<► V l 5 ►,or LOCATED VJ I T 4 I N 4 Sps=u 4L FLZCV HAZAZ , ZONE. LAUD SUQVE'IGwS • Iq&IN5ER� oSTEtz�lll..& MdS�. I . VFSL-M- Mom $V I l.Dl w.6 SNOVLj:;, NOT' Bra VSED Tb 6STAbL-sq Pr2opE -r'-/ LIQLW4, q d�dc at24'. y SULLIWAR k 24' DETAIL CF pQo�. (�UIL�IuL� / / / "IV T,P. •9 46•3 SZ� / n,°i 2 � / t , kv a. I D CA t o ALB A•sc XgCC •r i 3�/ 4 L ,c 44 I ! d�'I air 9 L o r U 4 1 44 U ' 4s. — 4Lo \ •9 L�T 2 T1 Ft E(� >D !AT P L A I "GoTU I T P (SCAT 101--1 • cow u I T M o.S s - r P-/ T?iAT Trt E Pn c Dw' lw& L� DATE : co /I v •9 5 T�I c= S i DELI NE ANO S1=fT3/bCL� Eon 12 n ITS o F 74S 'Tawu cbF PLC I--1 BPt Q�.l 5rfl-F3 L� , Go v I T P C e cE P4_&,.r 1 ('_A Q r.1 STA-!� C Gc,... ,r 1 AA A-s•c F•r1 C._ l_.c�..A•'I'E--� v.!c i1-+-i►.i T3•+1= �[rnD PGA 1...I. �.p�,-+,n�..L n {1-t�A�.7'1 �"QJiT� 7 c A�� : 1 " - 4 e �•1.619S `-ter"-' &Ax7T--- 1 IJ�/E� IIJG . T,rh S PL.'\ 5 r A 0 cz ..j A,.j eMS ISTE fit, LA-ti 0 SuQ.ic-/o l-S• I N S'r �� ►.� Su E'Y /h fv O 7H 1= OSTE_(Z V I L-LQ AA A St . 7 A�-,r,n�a a e n L�,--, -r-o..,-,r I S►l -� yATA EET t fir= 2 }15I We LE FAM IL-( 4,4---S pLA BA44. uG=zoF I T,-a 6AZ3A4,Q G¢Is.ty 17A4L`1 FWW - 3 X I10 = 33o G P D l-oT 3 Q , aL b a- Qaf\O StMC TANSI�- USE. 1500 GAL. TV.Id - 4 x 40� 2 TLF— c Er5 V /.Conn P. 4FFLI CAT10" AZEA 2 b. 5o?o APP t.164T1oN A2EA 16 N SIt�WAL.L A¢EA= 3S2 S F FINISH GRADE 2' OF 1 8' - 1 2' STONE Al 3 2 o S F MAY BE REPLACED 1MT11 /l IF ENCOUNTERED REMOVE = WAN MATERIAL UNSUITABLE MATERIAL M INSURE THE PERF SCNED 10 PVC SIDEWALL AREA OF SYSTEM IS INCLEAN - LOLATlO� 310MCMRM15.201D- 15.293 P� 2 4 OF 3 ' 1 2. .,OIL UAP7' I Of K;TE SULLIVAN � DETNt LEACHFAgUTY fNO. 29733 END SECTION N. T. S. 'i f3. o• I-1 Exc�a�Aro� RQcrt,f�A�_o O 44 + F,l�.=4� T9- S1.5 - LoRM 4 Sv(bSo�L 3'MAl(IMJM I Ae,0 Q�L IMl 11�! IWV.44.25 { d am} Trek I 0 3.2� Bo>< l e EL= 41,o' 4AL. 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At ° FPCTER at do* 2V at f9o. 1�i�3 � 14' 10' µ• + ± 24' 26' tr /' / DETAIL cF- 47 PQoD. �ull�luy /• � �� 51'g 50 Q DCRIu4cvE Erl-s'cM�ti+t p' tri .9 L_oT 3 - A � w 44 �� 9�,q2 �. 4s• _ L� GI=iT1 Ft c L.flT' P LL A 4+1 1 "GoTu 1 T P LAt E LcCAT 1 cDWT, n n a s S . 7-)- AT T" E DQ o Dw�1►w i5r--A Lims, I"- z.o ' DATE-75- co •/1 •9 5 A r4O s TT3/bGL PL A l.-•I 2.a Ft-= �..�. j Eon 12�M E-r.-1 r5 of TES 72=IVIJW :M-F Elko li-57�l-F--- A-$4.0 IS ►-►o T "Gcrv1� Pc r�c.E Pt.Au of LA.. C u nn r.sc I ����—U Vv ! 1 Tl 1� 1 Tl C Pc.�D PG�t/..�. r�-u�,-+,n�ALn ft-cA�"7'9 'f'¢./�T� �GR�..fx : 1•• ' 4.0 ' 'S CPT 'JOB 1905 1 7-rh AvJ JCL-+IST�Q�fl L+q'►�l SuQ�/C1/o�S I N S-rL. nn� ►.� Su E'M f1c N i0 T3-�E c�Sre.P-,v I L-L a - Ni A O�F� .rs 5F-4 a l•! sH— )L.0 APaT (i>� A -P P L I CIS 4.•►"7 : A, �+,r:n R E A TOWN OF BARNSTABLE LOCATION �o !�%� / �-� ��� SEWAGE # � VILLAGE CAA it ASSESSOR'S MAP LO-B v � INSTALLER'S NAME 6z PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) / H s (size `t d NO. OF BEDROOMS _PRIVATE W LL OR PUBLIC WATER O WIV :BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: Ac •.VARIANCE GRANTED: Yes No i . B= CaG C:' C - ao 4 3a' y Al = �'8