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Home My WebLink About0011 SEARS AVENUE - Health II :sear-6v � oss- ogg r # �I` OWN OF BARNSTABLE LOCATION: _e� Se4r-S ave SEWAGE # VILLAGE G-®fv , ASSESSOR'S MAP & LOT ��®UU INSTALLER'S NAME & PHONE NO. //'c7 SEPTIC TANK CAPACITY f y�OL IL LEACHING FACILITY:(type) f; (size) NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATE . BUILDER OR OWNER Aoi-r y,5'��-4111 DATE PERMIT ISSUED: DATE . COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 6z � � . . � �� — � /'cl � / l � � i \ ./ a - I, �� _ r No.. r. .... Fizz......I ........... THE COMMONWEALTH OF MASSACH'USETTS BOARD OF HEALTH - r Appliration for Dispati al Work, Cni nstrurtion rantit Application is hereby made for a Permit to Construct ( !,/r Repair ( ) an Individual Sewage Disposal System at: f'D ..................................' Ad.........................................' ......................................... ------------ ----------.---------------......--.------. �^ Location• r ss or Lot No. ?....../i ..�..._....---•-•--•-----•.............. ...............•-------•---------•-•-----•---- .......--•-------...-----•-------•---......... wne Address ..........•--•-•-•-•--•-•---... Installer Address Type of Bui frig Size Lot._��_.____ZSq. feet Dwelling No. of Bedrooms.......... ..........................Expansion Attic ( ) Garbage Grinder (o, U aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------ . -----------...-----------------------------------------------....._------------.......... W Design Flow........../1 0.......................gallons per hers per V. Total�j� f�w--_------_-.----3V......... ony/ WSeptic Tank—Liquid capacity. gallons Length___,-............. Width...___ ....._ Diameter................ De th.._.__.�.... x Disposal Trench—No. ..........t........ Width...../0......... Total Length... Total leaching area...... - Seepage Pit No.............:....... iameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (✓� Dosing tank '-' Percolation Test Results Performed by................/ �.�G�- 6(��6 - / a • a�- --------------- Date----- ----------•-•-- ��'/ Test Pit No. 1' "__�._minutes per inch Depth of Test Pit---1��.. _... Depth to ground water_._7ll.".... . -,, Gt4 Test Pit No. 2.G'. ..minutes per inch Depth of Test Pit---/,3Z_"--- Depth to ground water____Z.�,7Z u ------------------ x Des t r�Hof Soil = U• V ._-.13.....-- ( - js c.� .o--•----•---•------70.....�...5-....i 37 !L •--- �..1 1 v�'11 .ram tLA :# Y W -------------------------------------------------------------------------------------------------------------------- --------- -- .® U Nature of Repairs or Alterations—Answer when applicable------------ . V --------•---------------------- ----•-----•-•----•------•------•-----•--•---.....-----........----------------- . . -- ------- --- --. Agreement: 1�� ._. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i1Ti IL 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 thboard og�iealth. Signed---. - . �• ----------- � Date Application Approved BY ------.. V--- "}-••---•-•-•--•----•------------- ---------� ._."_YJ Date Application Disapproved for the following reasons:......................................................................................I-------------------------- ........_......-------------------------------------------------------------------------------------------I----------------------- ------- -------------------------------------------------------------- Date PermitNo..........� -------------------------- Issued-....................................................... Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m A LI DATA No........................ l�t1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /... ...............OF...... tir:� .t`. �r:: C. t ... Appliration for 11spusal Works Tonstrurtion rumit Application is-hereby made for a Permit to Construct ( l4"or Repair ( ) an Individual Sewage Disposal System at: , ................. ............................................................I.............. .................................................................................................. r- X Location-Address or Lot No. ................................................................................................. ..._.....-•--------•-•---......-----._.....--•.............------......---............---------- W Owner Address a ....................................................-............................................. ................._............-------•--...-- •---•_..... .....-�--------------- Installer Address Type of Building Size Lot___...... �._.___.__._Sq. feet Dwelling No. of Bedrooms__..,__.__: ..............................Expansion Attic ( ) Garbage Grinder ( -�) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) � Other fixtures WDesign Flow.......... ......................gallons per per. Qa per,day. Total daiV flow.................. .............gallons,., R; Septic Tank—Liquid capacity.'`." gallons Length---5$".6..... Width....... r'.. Diameter________________ Depth.: .... Disposal Trench—No..................... Width.....:.. ......... Total Length...... >'....... Total leaching area------ _:'....:sq.-ft cer- Seepage Pit No------------------- Diameter .............. Depth below inlet.................... Total leaching area....................sq. ft. Z Other Distribution box ( Dosing tank ( --, // 0 f ~" Percolation Test Results Performed by.................. '__. ' .................. Date__._.._.._.. _.._............... e Test Pit No. 1 '",._ ...minutes per inch Depth of Test pit--- ^....... Depth to ground water.._..:'`_..................._.f fs. Test Pit No. 2.= .._:..._._minutes per inch Depth of Test Pit___ ......... Depth to ground water___7. __... tr D Description of Soil../_ -r/ ... fi..`�, -.r_. ../s.... «!� "— f / _I i�_'s~//'rj1.1..... 1, ��. Syr l 1, P - �,1 --- i4 `7, l W . /fit , x /� U Nature of Repairs or Alterations—Answer when applicable.._, �.� !��.__!?+�_ _ _ _ 1_.-'�� %•b . �? v� ----------------------- 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 agr es not;to place the system in operation until a Certificate of Compliance has been issued by the board of health. �`1 �1 Signed............................--------------------•-----------------•------------------ -----------------............... Application Approved By............ -----`I----------------------------- Date Application Disapproved for the following reasons-------------------------•---•------.------------------------------------------------........................... ..........................-....... ............• Y •ti--•---••---•---•--------••._..-----••--------••-•--••--••-•-•-•--•••---•--•-•--------•----•---••-------•-•-•-•---•----•---•---••-•--•---•------•- p / Date Permit No......../ ........ Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...................................... IVITprtifiratr of Toutpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by...........................................................................................------- -------------------------------------------------...------------------------------------------- Installer at has been installed in accordance with the provisions of 1'Ir' ;. 5 ofI the State Sanitary Code as described in the application for Disposal Works Construction Permit No...... .......................... dated---------- THE ISSUANCE OF THIS CERT4FICATE SHALL NOT BE CONSTRUEDIAS A GUARANTEE THAT THE SYSTEM WILL FU TKO A SFACTORY. DATE.............. :.... ...0�.:__. ..................----....---------. Inspector,......------•--------- .......................................... THE COMMONWEALTH OF MASSACHUSETTS BOARS�OF H TH ....................................OF................................................_.................._...._..._..._.... e / — No......................... FEE........................ Diaposaurk � r iutt rani Permiss' is hereby granted.------.. ........................•---------------•-------•---------------------------------- to Construe ( ,-),off'Re ,p#r ( )�jpdjyiduA,§ewage Disposal ystem atNo , ....................... ... :...i q Street �f� i 1 J P.as shown on the application for D posal Works Construction P/errins No:.....:.............. Dated1__:_j1 J_.. ;_.,..._ :...j.... � n V ...............'_._...•..._..........._.___. __.__..- ............................... DATE....................... ✓� ( / i ar Hof Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - • _ 1 , 1' $0 FT. MIN. TOP OF ,FOUND. SOIL T E S T EL. 10 .FT MIN. PATE OF SOIL TEST CONCRETE CLEAN SAND WITNESSED BY COVERS 4 SCH, 40 P,YC PIPE PERCOLATION RATE MIN. INCH .MIN PITCH 1/8 PER FT. R OBSERVATION HOLE i . OBSERVATION HOLE 2 t 12 CONCRETE 4" CAST IR N PIPE COVERS 2" LAYER OF ELEV. ELEV•a FOR EQUAL) MIN. I/8"- 1/2" WASHED PITCH 1/4 PER FT ,i — STONE FLOW L INE E L = MIN. ----�- .'•.�• _ i E L.= 2'p" EL = LEVEL _ EL. EL. _ °W DIST ! EL. BOX • o WATER AT EL.= WATER AT EL.= 0 3/4"- 1 1/2' c o GALLON WASHED STONE o ° ° ' tb o 0 o• DESIGN CALCULATIONS SEPTIC TANK s v �� ' PRECAST LEACrith'v NUMBER Of BEDROOMS OR EQUIV. GARBAGE DISPOSAL UNIT I TOTAL ESTIMATED FLOW ,�; ' ,S c GAL./BR./DAY x BR.) GAL. DAY SEWAGE DISPOSAL SYSTEM PROFILE 'REQUIRED SEPTIC TANK CAPACITY GAL. NOT TO SCALE ACTUAL. SIZE OF SEPTIC TANK GAL. I� / BOTTOM OF TES? HOLE OR USGS PROBABLE WATER TABLE EL = LEACHING AREA REQUIREMENTS n. ' ?rc/ OBSERVED WATER TABLE ( / / ) EL.= SIDEWALL AREA �AL./S.F. �. .__.. . BOTTOM AREA GAL/SF ., I FArHING CAPACITY ( BOTTOM+ SIDEWALL) - /9 /7 GAL. LEGEND _f i�. �� ! L f'7T/ �� ± - - -- _ _._ - +" - EXISTING SPOT ELEVATION OO,�O RESERVE LEACHING CAPACITY 1 GAL �.. t EXISTING CONTOUR - -- - 00- --- 1 FINAL SPOT ELEVATION ® NOTES : t 1- `L � - i FINAL CONTOUR ------�00— 1• ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E P '�I -=-�_�; SOIL TEST LOCATION TITLE 5 AND THE TOWN OF RULES AND UTILITY POLE �- ,. , REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE 'OWN WATER CATCH BASIN (�~ 2• ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 12„ OF FINISHED GRADE . /. • Jt ` .L 3 EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE S•4l'E. '.r , i - ; 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE �� _ OF WITHSTANDING H- 10 LOADING UNLESS THEY ARE UNDER OR lff J r ^ WITHIN 10 FT OF DRIVES OR PARKING AREAS. H-20 LOADING K4i j t.'` !i� 1 1Qp o,�; - 1 f i MIN. FRONT SETBACK ` SHALL BE USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING. f A w 5. A r % �rAti� f �,, ` _ f fir( MIN REAR SETBACK _ ANY MASONARY UNITS USE; TO BRING COVERS TO GRADE MIN- SIDE SETBACK- SHALL BE MORTARED IN PLACE. �' Fy ' - t�I' j 6• NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH "4' r ,; DEEDED OR ZONING REGULATIONS. OWNER /APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. o � I�j",c �,'f ,� i j�• � ,' { � r � � � `'�"- - � �';? � ` ram:b�l� p e• ,APPROVED BOARD OF HEALTH �* DATE AGENT I { j EPROJECOCATiON, t ROB//V {�Y. WILCOX �.. / PROFESSICNAL LAND SIhNEYOR 203 SET UCKE T ROAD i SOUTH DENNIS MASS. . • 385-6478� � 02660 SCALE-- GATE REV. ~� REV. I LOCATION MAP Jog N0' SHEET OF