HomeMy WebLinkAbout0965 OLD POST ROAD (CT & MM) - Health �(057 OL-D �O%T �ta.ac
c dt
9YN-OF BARNSTABLE
LOCATION L-C7� �j `JG� �v �r ��y SEWAGE # 3� j r
VILLAGE(',"n-Tu/ r ASSESSOR'S MAP & LOT 07%`UI `9
INSTALLER'S NAME & PHONE NO. 'JG h /it A Ito
SEPTIC TANK CAPACITY � �
LEACHING FACILITY:(type ry (size)
NO. OF BEDROOMS . PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER Alc 1 hG N 4 61"a y t t,
DATE PERMIT ISSUED: /— 2-7— 93 .
DATE . COMPLIANCE ISSUED
VARIANCE GRANTED: Yes No
� C ,
ND
Lt
� r i
o O CO
FEE...... .5 .Y.........
THE COMMONWEALTH OF MASSACHUSETTS
` �-'''�' BOAR® OF HEALTH
/.��W1............OF.. �9e'':f?s.. !J -
lipfiration for Dispngal Works Tonstrnrtion ramit
Application is hereby made for a Permit to Construct ()<) or Repair ( ) an Individual Sewage Disposal
System at:
.. .
Locatioi ddress �L/ or Lot No.
... + q s�...............'�a'.j..J�.. r: s .C..��.. .._�ri_ ........---..__._._..._'•_.....:__._......._..---^_^.....'.----•..............................^
�, ' Owner Address
C _ :.. t. &.�.. ............................
.............•--•------•-•----•---•-•--'---...--------•-------•-••----------_..... ---
� Installer Address
Type of Building Size Lot_._ '.__.....a____...
Dwelling=No. of Bedrooms..................�..........._..__._..Expansion Attic ( ) Garbage Grinder ( )
�'4 Other—Type T e of Building __._... No. of persons............................ Showers
YP g •-------•-----------• P (----)_.— Cafeteria ( )
dOther fixtures ----•-••----•------------------------------------------------•--•--------------•--•--...........•-------------- ---••-
W Design Flow................•_� ........._._gallons per person per day. Total daily flow____.__...__..._..._ "`_......_..gallons.
0� Septic Tank—Liquid capacityt�®gallons Length1,0'em " Width°_=_�"F Diameter---------------- Depth-.l-'I_�"
Disposal Trench—No...... ............ Width.,?!—.Q..".. Total Length__�t. '.a_."'. Total leaching area..'!-?_/------sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box (;K) Dosin tank ) P —
Percolation Test Results Performed b _ _ _.
Test Pit No._I.....�_......minutes per inch Depth of Test Pit--A�z�""___ Depth to ground water.....A� ------
f=, Test Pit No. 2----:9--......minutes per inch Depth of Test Pit_e .......... Depth to ground water....���........
4......................... _ . ............................
O Description of Soil........ ....... 'f� d........._. ..................................................
x
U
M ••---•-•----------------••-•-----....__.._._._.._._..._..-----•------/ ' _--•----�+�="f✓�i_'!a1:7_.�7Y,�- .....---. '7_ i�lc!_i�t_ -Fd_'.P'��.........................•.. 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 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 ' ue by th card of hea
Signed.......... f -----•---•---•------.................................................. 3� �s
---•-• .......... ........
Date
Application Approved By............. •-- ... ............................... ........
Date
Application Disapproved for the following reasons----------------------------•--------------------...----•------•-----------------•----------------------.....----
---------------•---...•------•----•-•---......---•---•------•---...--••••---------------.....---•--.............---•--••-•-••---•------------------•----- -----------------------------------------------
o� y Date
PermitNo...... .3.' 1 �.............................. Issued.......................................................
Date
No._.�`. .. �.... Fizz.....(. 0...........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
e. 9............OF........ 'i�r /!..'._...... s _e
ApplirFation for Dispaii al Workii Tonotrurtion Vamit
Application is hereby made for a Permit to Construct (N ) or Repair ( ) an Individual Sewage Disposal
System at:
p
............... - ...... .... .... �...,..... ---•-•--••••....--•---........
/ Location-Address
a/�.E. �+ o s a Ti---i �✓s••sw o. Lot No.
W Owner Address
f .............................................. ...............`._............ ...
Installer Address ,[ 4_
Type of Building ,e Size Lot_.f._ � _ -_---=Sq:-feet
Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther Other—Type of Building ............................ No. of persons__...__.............._______ Showers ( ) — Cafeteria fixtures .............................................................
W
Design Flow................•. `r..._ _gallons per person per day. Total daily flow......................... .............ga]lons.
. .,_,Septic Tank—Liquid cap ity.2 5-e.gallons Lengthsr__.(..-.. Width`�.'�-.G�_. Diameter................ Depth:S..!..__..
W Disposal Trench—No. .................... Width.?."'.!<j." . Total Lengthlf.s.."..", Total leaching area___'�f...-..�......sq. ft.-04
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box (X Dosing tank ( ) f' " 7,q%',
'-' Percolation Test Results Performed by.
AZs/-::_./rr:�__. .. ,;,,> Date...!.Z• .. r? .-.__.
,-7
Test Pit No. 1.... .......minutes per inch Depth of Test Pit._✓!%: ....__. Depth to ground water--------- -------
44 Test Pit No. 2....�_........minutes per inch Depth of Test Pit.`�-u..-. Depth to ground water_.__���_..._.
F+•I � ....t-�.`-----.-•-•-- i--�----ramcc . ,r .i c.----_-r,s / f . "� - --•----------------------•--
O Description of Soil....... _". .cf'.`�....:r'!'r.1,u— 11 ' 7'V At -e!S_&1°
x
/�' /4�- .,-./i.L,E+ '�'-'--"` sl ry E?cP............................
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 TIT11� 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee •ss d by the board of,health.
Signed fir''° -----•--- .
ate
Application Approved By-•------ ........... . �
...... .... ------�-.--�--�---•--...-.....----
Date
Application Disapproved for the following reasons:.....................................................................•..........................................
••••-••.........-•••---•---•-•-•-------•....---•-•-------•--•-----•---•-------•----...-••--•-•-•••-•---•-•-------•--•-•.._..----•----•• --------•---•--•----------•--•----•--------••---•--••-•-•---•.
Date
PermitNo..................:/.._.. - Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF...................................................................
Tnrtifiratr of TontpliFatta
THIS IS TO,. T�a CERTIF t_lhe Individual Sewage Disposal System constructed ) or Repaired ( )
'^.
by-•-•..--.. .... ... ...............,.....................
k 1 j �1• Installer�.�
at.............................................................
has been installed in accordance with the provisions of ",r m r :. " of`T lq State Sanitary Code as described in the
application for Disposal Works Construction Permit 'o-------.�._.'.-..-�......................... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU D AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE....._.....`'� r
l................. :... .....................---. Inspector.....
=j THE COMMONWEALTH OF MASSACHUSETTS O74/" day
t BOARD OF HEA TH
t.
J
. OF.........
No..........•-'-•----••-•-- FEE...........................
1hopajoat 10orkii witrnrtion "unfit
Permissionis hereby granted........L,}----•--•--•-••--•..............•••--•••----••-•••••--------•------•-•••--•--••••-----•-•-••--.....------••----...................
to Construct 66 `or Repair (, ), 7n I3idi*dual_ ewaf isposal System
atNo.. -• •..................................
Street
as shown on the application for Disposal Works Construction Permit I ---;-------- °_____-- Dated..........................................
.........................r'. --•-•-•-------------------•-----•---•-••-•----••............•---...••-•••--
`✓ Board of Health
DATE................................................................................
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
Lo 72 �e S�. R. N0.�a /h�y9 �y �a� /� -,'� 7
LOCATION
VILLAGE f DATE
APPLICANT /t1c 5-4.ti� CvY.s vC_. FEE S--�
ADDRESS ' TELEPHONE NO. (Non-refundable
1 '
ENGINEER 4-. 1 1 s/Q»Ar, �'tis,a r�-�:.� TELEPHONE NO. - ;l7- 7 Z7z
DATE SCHEDULED / la:°o
(Applicant' s signature
see.* 0*ASSESS 00600000& �.OTNUi . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. �. . . . . . . . . . . . . . . . . . . . . .
,y pa /I/ SOIL LOG
SUB-DIVISION NAME Co/,, DATE V-9 TIME Z®! 0 0
EXPANSION AREA: YES v-"N-O ENG INFER: 'N
TOWN WATER ✓PRIVATE WELL ,.J. b j)N ti1 N eT BOARD OF HEALTH
/9Qu4- J&`T EXCAVATOR
SKETCH: (Street name.etc. ,dimensions of lot, exact location of t�st holes and
percolation tests, locate wetlands in proximity to test hoies )
• NOTES:
a sG .
U Z . 9 3- .
Lof' Y9
to
• `u f
TEST HOLE NO: ELEVATION: TEST HOLE NO: �' ELEVATION:
1 7'6PS611- SUASo<<- 1 7� o,
2 22
3 3 r 3
4 4 -
5
5
6 6
7G��tJl7 7
8
® S!'1 AZ> 9
s 10
12 12
13 13 /3`
14 14
15 1 t 15
16 16
SUITABLE FOR SUB-SURFACE SEWAGE: . LEACHING FIELD✓LEACHING PITSAc/
• LEACHING TREN:CHU
UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS:
NOTE: ENGINEEIRINGiPLANS MUST SHOW NUMBER ASSIGNED .ON PERC TEST APPLICATION
ORIGINAL: COMPLETED- IN ENTIRETY BY P. E. ANJ? RETURNED TO BOARD OF HEALTH
COPY: RETAINED BY APPLICANT
I
,.,,....-�..,........,-.,..,.P_..w...,.,,.�...-:..�,z.....-T.._..,.r.�......n...�.�....»..,1.,,..„.,,�.,.,�......•.,..,��.r...,.,,.,>,...�,.�,,.{,,.,...�-.� ....>..•.,>..v.�+,..�.pa....,.,.:....�.,..y,.�,...,,e.,..,.,,,..,..;.,w,-.•,u,,,.�-.,�.. ,*..,.�,,..w...�,,,,...,,.,W.,........�s...:...�...�.,,....,,,....._.n.,�.,....::�,......,.4,._„<..,�e....,.....�....................=� ..Y.,;:..�;.,,,,.M,n•..,_......_..__
NOT TO SCALE
Fr�'I?i1/,
TCF' r F�'Y' I SiV GFA01z ,
i . 28. 5 FINISH CRAlr E OVER
FIN SH GRAVE z?, 4' FINISH GRAD."= OVI EF1 DIST. ROX Td�r,�JrJ�,��" a �
SEPTIC T,r±1!✓lt
7A a'0'•.. r. ,\v. /`\ri:,,, �\ r ,, c .i\'..< r:,•.'. v.!/.. ri ., '•'/nWN /i, \ !r
i, 1 ^
12 MAX. 77 ..,.•n.+•.,.. riI i//�`, :/r;\`\:i i \%i �T.i y � � r - {{
c• )4 ��``� .j/'� ! r, .jr,'•� ,^//�• \\ /i\\, /ir\`\ i.,'r'�',;`ij,r_" "j; '(\'j?T\"r "�^"
n
LT
o ,. • . . T,1 T•'L L EN6 TH C'F TPE 3 „ : CUTLET PIPE- LEVEL
CUf'�-1
'ri''b7� :•Q 51eLO 6r kill,
n�t' r J
n, 23, 5 _ r;9:v:�•:o o.h::-:o t 1 :� C/', 1-^WD r
2Z.9y p
C. I. OR PVC TEES T- —1 22.80 � $
n
I
,.p n
1 950 °BSIM_ GALLON by DIS TRIBU T„,�'ON DO�'�
FL
EL . 2/, v 1 0� INSTALL ON LEVEL VASE ! -L 01�
�� PPEcA s T cOn�cr�E Tc � �
// -
a /� n /�',�• ,�^'/^� :0 �w,t a a!t s/ �iR"V•c/��R•r- m 6 Tc.v�% �'�< a Y � v 4
.. n..r♦ na �l— �O !'i EI �1'�- OPCI_.L1
a: a
••d G1:4.iO.c":�•4' ;�.Clra.•.O:•.: Tplf:lvcll SECTION
R.�.�.r74. D �.p. ...p., p. .. �•,
.�:e:A••E?.•;;,ba.'°�n.p:• �jy:�••o::n•q•a�.�•�,P.ob,A o••9'Da�lj'�4:
SEPTIC TANK
INSTALL ON LEVEL BASE
No Tf:• EXCA VA TE TO EL•E•V V. /7 0 OR
L Cl 'f=R T(� Ri 'O hE ,�t L L II�'�='ENV ICIl1S / .,.>..•t, /;. ,
HA TERIAL REI&JF_A TH THE LEACHING A,RF•A _
�" A .
/ REF' .ACE EXCA VA TFD AfA TERIrAL YX TH ...-, ()F J!B "—I/2 "
CL EAN, CLAY FRET= SA AID
.��a,�� ,. � � � •� .:.�� _ qm�� I?�r�SddJ�C' Pd�ASTCi�,'E
7/4 -01
CPU^d-D S TC,1,/
L n T 9 �\ GE
- i F-�J=err H Pf'.f 0 1,'
' A�... O T _
1 ALL _L EVATION,S SHOW ARE L7ASFD GNNGVD / b "'T �-
✓ '' �` �� z� P. ALL F�'IF'FS ',TN Tf-'E S?".S TE/A" I'�'�JS7' d?r CAST IF?C'A'J
OR SCHEDULE 40 PVC'. ,��'� '!��°? T AA 's� PIT
.
° b,- ,
'z. Td-I "t�,?1,i°°'P� "t r d-�'�?L Tyr' A US T._��-f- J�fC T.l f"T C'D
6 N �t r ► P-7979
-f ,Y N CON.a TRUCT.�ON I.S CCr!F-7 ETE l',�:ro/7
- ,� . .. . TO BA CJ;f:1'L L I_�JGTTO _
e�... .._
G � o �a /�., ' ..a o � ....•.- """ !'. l�Y L'�-r,�fti b,r,<.� -.:�"r'�: . �E=r,�*',�; 'et`�'J sA �< �.11>~ ! B... A(�� /-�O�L>f�
0 �, y° /r.�r i f` Py� �� i8 8Y THE BOA PC OF d°�'L=,ALTry �tMD CA PE iC ,�:SLA,�f,�7,� ��!?'Tt'�'r�;?SEP f��:•
P/ �� /. /y ° 0 1 1 �SC147 VE-YINr CO., INC. ✓.DUNNING
�, ,/ F����tt na i. — ,, .� 5. MA, TEPI.ALS AM0 '1,A/TA I-LAT.I"l?N f-1-ML d_ `d�E IJ1J �� � -� � �"
e T r _. e.✓-- c- o �- BARNS. d tr:? /71!` d•E,,!L TJ �i 'r`A ,
.� C+Or1'!nL.I"ANC'L" r,.C. d d d Tf�f_ �TA TE ,,/�,�'� TAr , & _ �, J r
/ �� 4 �-= r �! J C/ T!'• DEC. 22,_1992 �_--�—
�� COO!- — T�'TLE V — ANI) LOCAL AF !-LJ,'.,, P-L
Fy'E'C"f1%r-4 TI CATS _ __.
G. NORTH AR170,°' .I•."`� FROM (7E:C0170 FLAN. Al�O � � ,� ' /¢� � r //+[�r� rn Q
IS NOT �O CE II.SE"L? d'O�s SOL,r!t-� f'I.JR!"'':''��E��; O z•�Z O z�s �'��f.'-?, NO
/ r-w 440
_/0 7. FL000 dd,17,AR0 ,?•OA1F. C (NON—HAZARD) r,p.r,, C�AIt } l� 7 �` _ G, L
�;'' _, r"e. er/. ,Sv�i.*Fi / �..,. i f` '." .•.F� ' 1 250 '-!f•.
aS. �? Tl r 1..�' ('/ Y TOWN WA TERa�, a z, __.. . T. "� TT. �' TAB d. .'t �'.
SEPTIC Tr y ' �"? ; I''�L�,; 1250 0A L.
� \ z
AA REG'D a 440 GP0/0. 75 SF/GPD — 587 SF.
AA PROVIDED _= 9 ' X 69 ' � 621 SF.
/0 7j d \ \ \ `\ i f �. NO
/SG" NO l rerrlw f�, �/s
P' Od�O,^�E17LEVA TIC^d
N _- ---- EXISTING CONTOUR SINGLE FAMILY RESIDENCE G
t Z U \ +a
o a oUSFRVA Tlan�' PIT '
D:TSTf�'..I RUT ION BQX _
� �'�,,{F'"R.fja.f P�2"":M.,,. +��' Ma�r T A
F 0Y DIFFUSORS U,._7 O?'T S p/ C '1 n� r ,,,,.
PPEd='/!F�'L=D e"�1j
J o o �EP TIC TANK `� y1 L �.�'?� ' MC SHA NE CONSTRUCTION CO.
T POST
LOT 4S OLD OS ROAD
A
uESEPvE ,AREA •
SARNS TASL E CO TUI T -- MA SS.
DAVID s
PIPE III 11FRT EL EVA TIOA/ o Ct I a:iLES ..,�,.. ..... ._� .. ...,.
28085 �, i 93 CAPIH !S% I�'LAlVI-7' EAIC-11'VEEfye�'i"�I
O PLAN r. _M
I - PLOT
L E �,� ��, ;,�, °4 SCALE /1,_� PIO Tf O � i 3 ��9!i`��1 Tf i R011� �':UF T I--
_ _ _
p 'l''1c �araD�/ /sp r
tip fj
�1•3,'i ♦ £,y r ,�, 3,• .•,�fir r t TS E7;ram �� - -� ( , A�^. ...t'j/SOe �a � �vet•". i �•!,� ~I 1. I.,..�, f ,�•'f r.,..1,.� e
, „ ..:.. .., .. .. ......... -.,,.. .�,. ..,.. ,. ,,. «.,....,.x. .,.>-., -. ... ::.4„-,.».-.. ...•.t.,:.., r -q. : ,....� ,.,..p•..,-.,nx. -,.,. ,.. ..,.,. . o. ,.. ,.., --•..r•^•_.,- x... ,...,a.«.ynr ..xm-,,.•+.. -K•.a„M.vv w r .-�..•,s.,.m*'•m a rx-.r.. •ar -r{.•.ae•rrr»rru^mn,.,. mm..^: r• ..r,r�. w,.y...•s•,,,rv.ov,.a...n•,v.-.+n•+er..r.w,,..o.-nr_« m++ara•u�+,;.,..xx.,,.,.,;,,...:..vn+-.�.wm.�`