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Home My WebLink About0399 POPONESSETT ROAD - Health 36 / 041, sja F y } 0. TOWN OF B STABLE LOCATION LOT 1244 P®pOIy'.55 c 11 4044 SEWAGE # VILLAGE Co 7" V 1 7- ASSESSOR'S MAP &LOT INSTALLER'S NAME.&PHONE NO. L W R t N C E bD Nd t/ ,nl SEPTIC TANK CAPACITY 6-00 6-19 Z LEACHING FACILITY: (type) L 1 i-> L� (size) NO.OF BEDROOMS 13 BUILDER OR OWNER I o m S J$L I Cr PERMITDATE: 0/1'l0 94'7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ®o o, U -i N A ASSESSORS MAP NO: ` PARCEL N0:__Z Fizz THE COMMONWEALTH OF MASSACHUSETTS p BOARD OF HEALTH TOWN OF BARNSTABLE ,c ppliratimn f tir Di!3paml lVur1w Cnnnitrurtion ramit Application is hereby made for a Permit to Coristruct ( ) or Repair ( ) an Individual Sewage Disposal System at: F tJ S� Location- \ dress / ......... ................................... n y�► or Lot No. .......................��+-I••.. wner ��.T-.......................... .............--•-••................__......._ ........................................... O Address10 ............... ..•---............................. --............................---....-•----....•...............................� Installer Address Type of Building 3 Size Lot... }...Sq. feet .-� Dwelling— No. of Bedrooms............................................Expansion Attic (No) Garbage Grinder ({j?) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures ..................................... W Design Flow.................11......................gallons per person per day. Total daily flow.............. ....................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width .___. .. Diameter................ Depth.............. x Disposal Trench— No. .................... Width.....22. --..... Total Length......�d.--_.-. Total leaching area.... 5.0.....sq. ft. Seepage Pit No...................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing ank ( ) t `" Percolation Test Results Performed by._-. J-1d�.......I�A.Aa.pzg� ?:nCa.VL -_-••.•--_ Date......W 1l. ►. .......... Test Pit No. 1...... _.._.minutes per inch Depth of Test Pit----��... ...... De th to ground w ter...........to.......... rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ................................ . O h ��._.'i'......1'......_ ..... k ......................................... 0 Desc option of S oil..ot-. --......�"�'> SP n� }`�..�=Iz;, �� 'J t.1211_-'a. .....Lakt.m--S,3N01911)-----..... -5 . �g� , -. �...--._ �._...s � ��} ....................................... 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 Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compliance s been issued byet e)board of health. Signed ....�J �° � � - a -............. ............................. ' Dace Application Approved By ............. .....�.�.. ,.,,��..�1 �...... .......................................................... ....... ...-../ Q. .. � Uuce Application Disapproved for the following reasonr: .........................................................._............................................................................ .......................................................................................................................................................................................... .................. ........................................ qDare Permit No. ......_/ ....�..:..�.. ........................... Issued .... ............................. ....... ........................ Dare No................-....... ,- F$s.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Di,tymial Morkii Tnwitrurtion rumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...... !t.T.......12AR. Fort. ��5�1T........�:..... ............................... ...:oi. 12.14a.....---............................ Location-1 dress or Lot No. ......................-1Kae.�..........Lb.O .. ........................... ....----.......................---...--•---....................................................... Owner Address W Installer Address U Type of Building 3 Size Lot...�f�,l. v... ...Sq. feet ►., Dwelling—No. of Bedrooms............................................Expansion Attic (NO) Garbage Grinder (jj,�) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ..............•-..............................-----..........................------.--.........-----.................................................. W Design Flow.................LQ.....................gallons per person per day. Total daily flow..............3�1( ....................gallons. WSeptic Tank—Liquid capacity............gallons Leygth................ Width...... ........ Diameter................ Depth................ x Disposal Trench—No. .................... Width....Z..��. ...... Total Length...... ...... Total leaching area.... �n .....sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet........ g q............. Total leaching area.................s ft. � z Other Distribution box ( ) Dosing ank ( ) `-' Percolation Test Results Performed by...._J.AdA;: ...LR1AI.DL�..�`S.I:1�-V�. ._........ Date.....a1. .1.�? .qi2��....... t-7 Test Pit No. 1..... .....minutes per inch Depth of Test Pit......�....I/...... De th to ground w ter.....��....la.......... f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ................... ........... .. .............................................. 0 Descritptionof Soil.. 5....... 'v�4`1...Sr-N ..�. �:l �i....lay.Aa ...BAN _t.►2,"- ,'!....lvk�?l!�...S,9N..O. set .......... ��.......5Z.:ZA....... ..... x+<o...LC ................................ 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 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. Signed ............................................................................................................ ........................................ Dace ApplicationApproved By ...................................................................................................................................................... ........................................ Dace Application Disapproved for the following reasons: ........................................................................................................................................ ................................................................................................................................................................................................................ ........................................ Date PermitNo. .................................................................... Issued .................................................................... Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE urtifirate of C�oUtylianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by .............................� .Ga r ...r>... ...........r.•r.7 ..l ..1/.f i2...:.............................. Insrdlcr at ..... ..........9f�..e..1Zlfl.. fJ ...... ..................................... has been installed in accordance with the provisions of TITLE 5 of 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 ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No......................... FEE........................ Mijazal Workii Tonatrudiian rantit Permissionis hereby granted.............................................................................................................................................. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo.......................................................................................... ....... ............•--•.................................................................... Street as shown on the application for Disposal Works Construction Pe it No..................... Dated........................................... Board of Health DATE...../.`' '.�%�Z......... FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS AililL1C;ATIUN 1••UR PERC;ULATION TEST AND OBSERVATI N 1?1`1'S LOCATION QA 134 SS NO.. VILLAGE DATE APPLICANT ko,,6P_rt w 4 FEE ADDRESS TELEPHONE NO. (Non-refundable ENGINEER ' - TELEPHONE NO. DATE SCHEDULED r Applicant's signature AS§BH0A'3 jA1P d WAN SOIL Loci SUB-DIVISION NAME . DATES f�� ✓ IME EXPANSION AREA: YES ✓NO .� �ndeys- ENGINEER )�t TOWN WATER '!.� PRIVATE WELLS _ �� yy_4 BOARD OF HEALTH � 1a EXCAVATOR SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) NOTES: A-�S,�¢ ►`mob. PERCOLATION RATE 8 2�;�� : 1 ®"V TEST HOLE NO: Z ELEVATION: TEST HOLE NO: '- ELEVATION: QI_ rL' 1 J .OoYN1 �ANb 1 O S� 2 2 3 z g �w I4 5 6 Q, �� Mom, W 7 Sao 7 11'.IfP- 51(, 9 9 11 12 12 � �� • I?�Z�� 13 13 14 14 15 15 16 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: NOTE: ENGINEERING PLANS MUST SHOW NUMBEW ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P.• E;—AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT .o-,e► .oA � .o,of V E► 19i1 I 9r w ❑ � r-70�4 ; r' b 03170013a o ,a.wsau.•• , i A*.9 E �i l � I 1 � �• I �'��. 1 w l7 O � ; a. 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A 2' LAYER OF DIST.=10.B' SLP.= 0.02 SLP.= 0.00 s M IN. 1/8"-1/2" INVERT CONCRETE COVER 35.6� WASHED STONE FLOW LINE DIST.=15.0 DIST.____ ELEV.= 16.66 16 45 _ SLP.= 0.01- INVERT — 0_0•0••0•, •,o"o"o"o"o"o"o"o"o"o"o"o" "o"o 0 0"0"0"0"0 0"0"0"0"0"0"0"0"0"0"0" ELEV. - �0�000�0 ODODO�ODODODO�O�O�O�ODO�O OHO00o00 0O0O0- 0 0O 0O 0O 0O 0O 0O 0O 0O 0O0 10" MIN. lg" _o_o_o_o o_o_o_o_o_o_o_o_o_o_o_o_o o_o_o_o_o_o_o_o_ _o_o_o_o_o_o_o_o_o_o_ ELEV.= 16.20 u ELEV.= 16.05 ELEV.= 15.88 O o°. /4" TO 1-1/2" 4" CAST IRON OR 4" CAST IRON OR OOuOvOvOvOVOVOVO OVOVOVO�� OOOOU VOVOVOVOVOOOCWASHED STONE SCHEDULE 40 P.V.C. SCHEDULE 40 P.V.C. n 0-0-0 O O O O O O O n O n O n 7 O,�O O,�O O O„O„O ELEV.=15.2 DISTRIBUTION -BOX USE STONE 6" A �T 1500 GALLON SEPTIC TANK TO BE IVET TESTED IF TO LEVEL THE TO BE PLACED ON MORE THAN ONE OUTLET. BED AS NEEDED. 7.2 6" OF STONE OR TO BE PLACED ON MECHANICALLY COMPACTED SOIL. 6" OF STONE OR _-----------------------------------------_ MECHANICALLY COMPACTED SOIL. _ BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV =8.0 USE A TANK WITH THREE COVERS. SOIL TEST DONE BY: J.E. LANDERS-CAULEY P.E. PROFILE OF WITNESSED BY. ED BARRY________________ PERCOLATION RATE: __2___MIN/INCH P# 8608 x of SEWAGE DISPOSAL SYSTEM HOLE 1 , DATE: 1111195_ ELEV. ___ "o�o�o�o"0 WAS 11B"-l�r NOT TO SCALE o 0 o So 0 0 0 o o° •��N. DEPTH HORIZON TEXTURE COLOR MOTT. OTHER 3 PERFORATED PIPES O"-5" O LOAMY SECTION A-A . .SAND 5 sTIuro E LOAMY �ya�A� �ssgo SAND Jo GENERAL NOTES: 12"-15" Bw LOAMY 7.5YR 4/6 N E LEY SAND v1L o.35101 1. THIS PLAN IS FOR THE CONSTRUCTION OF A NEW SEWAGE DISPOSAL SYSTEM. 15"-52" Bl MEDUIM 7.5YR 5/6 NO WATER AT & o`E EI'SI��,�®�� 2. PLAN REFERENCE 234/115 LOT 124A BARNSTABLE REG. OF DEEDS. SAND MOTT. 516" 3. THIS PLAN IS FOR THE INSTALLATION /REPAIR OF SEPTIC SYSTEM 52'0 A' C BSRVE AND NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES.. —84 SANDIM DE DATA: 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. NUMBER OF BEDROOMS .THREF,(�L___ 5. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN TEST HOLE 2 DATE: W16Y95_ ELEV.-18.5___ 12" OF THE FINISHED GRADE, DEPTH HORIZON TEXTURE COLOR MOTT. OTHER GARBAGE DISPOSAL �YP1Yl'�(0�_____ 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE TOTAL ESTIMATED FLOW -3Q----- GPD SAME, UNLESS NOTED BY FINAL CONTOURS. O 75" 0 SAND.O Y ( 1�_- GAL./BR./DAY X -3 --_ BR. ) 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL .BE CAPABLE 5"12" E OAMY IOYR 5/1 OF WITHSTANDING H-10 LOADING UNLESS THEY ARE- UNDER OR. SAND SEPTIC TANK CAPACITY _L59_0__Gd.L__ WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING 12••-15" Bw LOAMY', 10YF' 414 SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING . SAND LEACHING AREA REQUIREMENTS AREAS UNLESS NOTED. 1, 1 1 15"29 BI MEDUIM IOYR 5/8 8. ANY MASONARY_UNITS USED TO BRING COVERS TO GRADE SHALL SAND - SIDEWALL AREA -0---- GAL/S.F. BE MORTARED IN PLACE. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH 29"48" C MEDUIM 10YR 6/4 NO BOTTOM AREA _A5 ___ GAL./S.F. DEEDED , OR ZONING REGULATIONS. OWNER/APPLICANT IS TO SAND MOTT OBTAIN SUCH DETERMINATION FROM APPROPIATE AUTHORITY. OBSRVE LEACHING CAP. (BOT. & SIDEWALL) 337.5 _ GAI 10. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF 48"-132" CI MEDUIM 10YR 6/4 { ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. SAND RESERVE LEACHING CAPACITY 11. COTUIT WATER DISTRICT WAS CONTACTED END ACCORDING TO THEIR REVISED: DECEMBER 26, 199 RECORDS, ALL OF THE NEIGHBORING LOTS ARE .,ON PUBLIC WATER. APPLICANT: KIMBERLY SALIGA DATE: NOVEMBER 28,_ 1995__ SHEET 2 OF 2 JOB # 50839A