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Home My WebLink About0596 OLD POST ROAD (CT & MM) - Health Old Cc� I- - - -. 7 \-.7 TOWN OF BARNSTABLE LOCATION Zflf O�e/raS-/ �p's SEVyAGE # ��o�A6 VILLAGE Cptvd ASSESSOR'S MAP & LOT <)INSTALLER'S NAME 6z PRONE NO. 5�1,1 441ta \ EPTIC TANK CAPACITY /gyp LEACHING FACILITY:(type) ,J 1" (size) f 0>C G QIO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNE e CAN 5- DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 9- 1 VARIANCE GRANTED: Yes No S I l4f 0i30 I I � No-a4i- Fmc THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH 'ld.............OF:_.. �c_. AvvitrFation for 14svoaut Morks Tonstrurfia' n Vamit Application is hereby made for a Permit to Construct"( V -gr_Repair ( ) an Individual Sewage Disposal yt• .c. ................................ ---•---••--•-- ----- ........................ ocationAdd.s.. ---------------------�----.- .-.-.:---.- ' .................... ......... 0 . _ ...... .Owner s ------------•-•--..�'��..._....... ._...---•---•----•--------•-•--•-•-•.............•-........ ._ ��.....---•-••----•......•----•----------Installer `� Address Type of Building z Size Lot_.j.-t��.PLIC.�.Sq.-feet— Dwellings No. of Bedrooms.........................J...•........___.._.Expansion `Attic ( ) Garbage Grinder ( ) Other—T e of Building ............................ No. of persons....L-7.............. Showers — Cafeteria Q' Other fixtures - ---• •-•--•-••----•-•••-••••-••••••-•••-..._•--•- •••••-•••--••••-••-••••• -•-•----. ---- ------------------••••-••-•-•- W Design Flow............ .........gallons per person er day. Total daily flow------_�� .............._......gallons. . � u 1 1 ti WSeptic Tank—Liquid capacitylE• allons Length.. ....._.. Width ...l.Q... Diameter________________ Depth.. ._..__. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.................... ft. " c M �1 Seepage Pit No_____________________ Diameter--)D•_O..... Depth below inlet_- _..-.D...... Total leaching areaa(,o.. ....sq. ft. Z Other Distribution box ( V� Dos' tank (, ) P-I kk:3 ff-� a Percolation Test Results Performed bg_ .�.CLAT�.__.... � .1 .6_ Dat� 2-.�5 . L .... a Test Pit No. 1.._._Y ..._._minutes per inch bepth of Test Pit._1 4_...... Def h to ground water________---_•__. (i, Test Pit No. 2_..... .._..minutes per inch Depth of Test Pit---J.1.6�4n..... Depth to ground water-_............. P4 ........ - • (.•_. r-•�--------------------- - ---- -----------------•----•--•---------•------------------.--•-- O Description of Soi � 9 k � ..��.�•1------------------------------------------•------------- x ....................................................... fQ... - fin -� s ------ Q 4 ,� 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 Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee2* e by the board of healthSigned - Date Application Approved By-•-•• ... ---... ••••--•-•-•--••-----•----•••-•-•-•• -•-----• _- Date Application Disapproved for the following reasons---------------------------------------------------------------•-------------•--•------------------•-........-•-- ........................................................ ••... • ...-------------------•••............••---- g Date Permit No.........3!_--^--.._.. -•- -...... -............. Issued_....................................................... r Date ! No.-_S .... w FES..../..., 7w�..... y THE COMMONWEALTH OF MASSACHUSETTS 1 BOA RD_., OF HEALTH .._......�1 ': ..la........: OF....�.:_.:'J.. �.. )"�r:t - .- ........................ ... ••---..... Vltration for R pmal Works Tonutrurtion prmit Application is .hereby made for a Permit to Construct ( v) or Repair ( ) an Individual Sewage Disposal �s Coat: �•) l3 . . __�-�?L.A.:. ?r_i �_ �... :J 1 �-• =c ...................................... t ....................... .. --------- , ................................................Location`s Address or Lot No.(_)l.a i�I"l,L :..................... ..... --------•---------------------- ------------------------------------------------ Owner Address W Installer Address Q Type of Builing - P ( ) Size Lot_.� b� _ SSq-feet U Dwelling_ No. of Bedrooms..................... _..._....__.....Ex Expansion Attic e Grinder ( ) aOther—Type of Building ............................ No. of persons_...L ................... Showers ( ) — Cafeteria ( ) A., Other fixtures .......................... -----------; ---...... Design Flow............ .........................gallons per person per day. Total daily flow_______-_. -:21.c�___ gal. W ------------•----- Ions. WSeptic Tank --Liquid*capacity,_._.'�:`_Jallons Length t:a.r:'_..... Width` '._L: . Diameter________________ Depth..��__J._ x Disposal Trench—No. ...............:.... Width.................... Total Length.................... Total leaching area.........._---------sq. ft. Seepage Pit No._-_-___--_.-_._.__.. Diameter..... ........ Depth below inlet._ %_� ._.. Total leaching arear. ? ....sq. ft. Z Other Distribution box ( V) Dosing tank.( ) i �-11` '-' Percolation Test Results Performed nutes inch(' Depth of Test Pit_�f i• ..__`__t_r ,.� Test Pit No. 1........,. De th to ground water-----`�_______________ r " 40 Test Pit No. 2....... .....minutes per inch Depth of Test Pit---A_::�1-�_.___.. Depth to ground water_._')............... -`/,, n 1 t ��-.------ ------------------- --•--------------•------•----------------------------•------ O - -•--- Description of SoiL't :_.. f �- i ic- ..�' = - . ..L. v ....-•--•-----••---------•--,•.................. .. ..... _.. � _ (_ .art.�i•,r.....----•-................................................... 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 TITLE 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. i Signed..................... �-, Date Application Approved By--••---•--•--•C�""'V �'`"" ''" ----•---------------------------- �- �� Date Application Disapproved for the following reasons:.. ----------------------------•------------------•-----------..._..----------------------------------•-... ...................................................... qq Date PermitNo. 1....::.:......•--......------•-••----•-.. Issued...................................................... Date y. ` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF............ wrrtifiratr of Toutpliana THIS IS TO C RTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by......................... . •-•• ---------- ------ -- ----- Installer , has been installed in accordance with tfie provisions of T.l.T l- d`• of �'he Sta itary Code as described in the application for Disposal Works Construction Permit No......... I__--'S�Z�� r .ted............................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. nr- .2 .... Inspector.. 4.CZ-DATE........................C�-.1 ...........--• ---------•-----------------•----•---•--•---•------------ 1 THE COMMONWEALTH OF MASSACHUSETTS \ r � BOARD OF HEALTH 01 No... FEE.. .. ,!.�2�' ._.......... Disposal Workii T udion amit Permissionis hereby granted.................. ...... ......... ......................................................................................... to Construct (� or Re it ( ) a In vidual ewa, Disposal ysW atNo...................... i Street as shown on the application for Disposal Works Construction Permit No.__?? ._ __. Dated.._..•.................................... ••...............••-••-•-•-••------•-•-----•--••-••------------•---•-•--•••--••--•-••---------•••..---••- Board of Health DATE...............................-................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 1 SYSTEM PRO IL NOT TO SCALE ; TOP FDN. ��'. o FINISH GRADE OVER FINISH GRADE :Le• c• FINISH GRADE OVER FINISH GRADE OVER DIST. BOX SEPTIC TANK j' LEACHING ,PIT o•;•.o 'Y2" MAX. ' o''a: e• :o• a :. e: e i :d: AS e. '°: �: •.e �. 3" OF 1/8" — 1/2" !2" MAX PREp •p;;d �' °o :ea .o. ,e s.e:..;s, i:!.o.':e:: d:i:' e. i d•o.eJe .°p :. ASHED PEA STONE BRICK cSr' MORTAR T CONC. R :e a C 3" OUTLET PIPE LEVEL TO 12" BELOW GRADE i FOR 2 FT. MIN. .aoe•..c:e° °;::e:i,:?:: 4+e:b eQ:po.•a,s ••p'. ;6. .f3 7•,g'' .e .e y3.5O •e:.:•:•.i..•e••.•• _-- •O,bo, •e; o :o bo •b. a °. 'I go C. I. OR PVG` TEES s�.3,2D *Yr, �5"O .e. 1000 GA L ON j BSMT. FLR. o ti p. :o DIS TRIBUTION BOX EL . C O 0 0? o INSTALL ON LEVEL BASE 3/4" TO 1-1/2" p s' �9 4: PRECAST CC)NCRETE PRECAST p I a A H- 1 D FlEI FORCED o :a CRUSHED CONCRETE !� a s. ji STONE a:• e bRo; O o' •a: e o'o D o•°o'o:°o n Qd .e.aQo o' °.O• 'b�D: �.y_ p TNF _ 6.0 0.0 :. SEPTIC TANK o I INSTALL ON LEVEL BASE NOTE.• EXCA VA TE TO ELEV..�z: X-'OR ( ; ° °°.°' c :Q. L OWER TO REMOVE AL L IMPERVIOUS • MA TERIAL BENEA TH THE LEACHING AREA 2 '-0 __.Le 57__._.� :f REPLACE EXCA VA TED MATERIAL WI TH 6 -0 " GALLON CLEAN, CLAY FREE SAND 10 .—0 „ - SOOQ A PRECAST CONCRETE EFFECTLVE ME TER 4 s� SEPTIC TANK A s � � �tR T 3 �►� 2�' L EACHING PI i GENERAL NOTE_ S 1 ALL ELEVA TIONS SHOWN ARE BASED ON ASSUMED INSTALL ON LEVEL BASE FpRECAST CONCRETE 2. ALL PIPES IN THE SYSTEM MUST BE CAST IRON 2 z o LEAcHiNS Pxr OR SCHEDULE „4C PVC. OB E��IAA T. y4 PIT THE BOARD OF HEALTH MUST BE NOTIFIED WHEN CONSTRUCTION IS COMPLETE PRIOR o PERCOLATION RA TE: a w 4 TO BACKFILL ING 0 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED 2 MIN./IN. WI TNESSED BY.• BY THE BOARD OF HEALTH AND CAPE S ISLANDS SURVEYING CO., INC. G DUNNING MATERIALS AND INSTALLATION SHALL BE IN 5. SARNS. BRO. OF HEALTH DESIGN DA TA Z o COMPLIANCE WITH THE STA TE SA TARP DA TE.• Oct 25, 1988 CODE TITLE V - AND LOCAL APPLICABLE — — — — — — 0 RULES AND REGULATIONS - „ ��`'��`� �9 m r� �Z-�- NUMBER OF BE '3 4 6. NORTH ARROW IS FROM RECORD PLANS AND c z9.s GARBAGE DISPOSAL �_ --'f IS NOT TO BE USED FOR SOLAR PURPOSES TOPSOIL 6 7. FLOOD HAZARD ZONE C SUBSOIL DAIL Y FL ON GAL B. WA TER SUPPLYWAT 48 zss SEPTIC TANK REO 'D. �"rT GAL . SEPTIC TANK PRO VIDED U GA L . GPD. LEACHING REQUIFIED � / � �,,,-- •""'._..�" "�� MEDIUM SAND SIDEWALL AREA = 188 S.F / \ E� �N 1SBS.F.X 2. 5G/SS.F. s GPD ?' BOTTOM AREA = 79 S.F. _ ........ � LEGEND 79 s.F.X 1' �F. s T9 GPD o ,/ ''`"`� LEACHINS PROVIOEO GPD -{..J PROPOSED ELEVA TION 144" NO GROUNDWATER „s ---�6 ---- EXISTING CONTOUR SINGLE FAMILY RESIDENCE & r OBSERVATION PIT r '' O DISTRIBUTION BOX r {. PROPOSED SENA GE DISPOSAL SYSTEM N l / x 77T� C Q LEACHING PIT F��. sx� PREPARED FOR o o SEP TIC TANK MC SHA NE CONSTRUCTION rA s PC 1 8 .OLD POST ROAD JRPI RESERVE of n, - BARNS. CO TUI T - MASS q / �3 �� PIPE INVERT ELEVA TIDN 'i� ARI ES �s DATE:. R 1 2u�aa� CAPE 6 ISLANDS SURVEYING, INC. PLOT PLAN , �o �� SCALE AS NOTED SCALE: 1 .�crs ER P. O. BOX -334 MAP SEC P 'L LOT HSE ,. PLAN NO. i 8 9 TEA TICKET, MASS.