HomeMy WebLinkAbout0035 SMOKEHOUSE LANE - HealthVF
35 Smokehouse Lane
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TOWN OF BARNSTABLE
LOCPTIOYI&�%--� c�sf-ZAJ .SEWAGE #_ fide.
00 9 000—o
VILLAGE <::�D-GI l—1 ASSESSOR'S MAP 6z LOT
INSTALLER'S NAME & PHONE NO.,BaG�VeZ—Rr7 CeA61—
SEPTIC TANK CAPACITY 11506
LEACHING FACILITY:(type) ,/-- g /Qa4sO,,� (size) Ar7/
NO. OF BEDROOMS PRIVATE WELL OAt PUBLIC E-R
BUILDER OR OWNER --ZHA l /U00A11f^J
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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" ASSESSORS MAP NO:
PARCEL NO: Fxs..... -
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
/ --._....----- /O INN-----...0F..f'�FZ� r/�",�.� ......................................
�j Appliration for M-4pavi al Works Tonift.rurtiun Prrutit
Application is hereby made for a Permit to Construct (ems'or Repair ( ) an Individual Sewage Disposal
System at:
Zt
........................................ CoTv�
v Z... ......--
Location-Address or Lot No.
......................-...................../a ------------------------------ ---... ...........---- J......v.►... �r -
.- Ov�npy ' -.---..-Address.
W \�)
� - Installer Address
d Type of Building Size Lot--_a0-/3.8........Sq. feet
Dwelling—No. of Bedrooms___---_---_`3•--------------------------Expansion Attic ( ) Garbage Grinder ( )
'4 Other—Type of Building .............. No. of persons.....................,.----- Showers — Cafeteria
Q, Other fixtures .................................................
W Design Flow................
............................
WSeptic Tank—Liquid capacity.�roeo.gallons Length... Width. Diameter................ Depth...S^�qu
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No-------- Diameter-----/9'....... Depth below inlet.....6........... Total leaching area...Z6.7-----sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
'-' Percolation Test Results Performed by......4-TL✓ ._. .. ................ Date..NbV. Zs--/ 8C
Test Pit No. I...4.z....minutes per inch Depth of Test Pit..!!!�!........ Depth to ground water-------.................
LT4 Test Pit No. 2--- .........minutes per inch Depth of Test Pit... Depth to ground water....._—..............
M --••-•----••-•-•-•..............•-...........-••'-------•-••--•..........-•---•-••-••---•••......---.........................................................
0 Description of Soil.--•-----a'�36 ..---- 1.s/eav 4C 9�. `3'uB-SoiG je.- 370 'S '`'D
U ........................rl�•V�C. �o.....................................................�1G1b)01..
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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 i T'I E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been ' u d by the and of health.
Signed------ ---- ----• .. --• --_. . .•-- ••• ................ -
_.. Da e
Application Approved By.......... ..
Date
Application Disapproved for the following reasons:................................................................................................................
----------------------•---------------.....----------------••'-----------••------•---------•------------•--'----'--•---•-------•--------------•---••------------------------•-•---------•---•-•--...._.
Date
Permit No...6.>..2=.... g 6.-'-•-•-----••-"•---..... Issued.................•-
Date
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..................o r,,ir-1.-----..OF.. ...............................................
ApplirFa#ion for DispaiiFal Works Tonstrudion J1.rruld
Application is hereby made for a Permit to Construct (cam) or Repair ( ) an Individual Sewage Disposal
System at:
.............. __ ............. .............................................. .............................................. ..........................................
Location-Address or Lot No.
......................G�7./ /`�b a/Y/.�•/ ...................................✓L Ni,.i�t7cvi�l----------------------------•-----------•---.....
------------------------•----••-•-------.._._.....-----------•---•------•--- T
owr Address
a •-•••-••..•........_G ^: -......M .- ..... ........
l Installer Address
Type of Building Size Lot__`Sd/3 --------Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
pa-, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures ..................................
W Design Flow............... �3. .............-____gallons per person per day. Total daily flow__-....... 3U....................•-_gallons.
R: Septic Tank—Liquid capacityl&p._gallons Length..;�."!�.".... Width'a 6...... Diameter................ Depth__3 '16.'"_.
Disposal Trench—No..................... Width.................... Total Length.........._......... Total leaching area....................sq. ft.
Seepage Pit No.___-1--_--___-.- Diameter.....e�e......... Depth below inlet.....`.......... Total leaching area...Z.6-7......sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by..... .................
W
Test Pit No. 1_',14..._Z.._..minutes per inch Depth of Test Pit_._%` l.._........ Depth to ground water_.__-_____________
(s, Test Pit No. 2... _z.....minutes per inch Depth of Test Pit---e4 Z...... Depth to ground water_-__�...............
a •---••••••------------------•-•••---•••••--••-•--•••••----.........••-•---------••------•---••--_............................................................
0 Description of Soil..------=a"-3e. " ioo Gv. y tee,¢_50�� ---•-- 3� p a
•---- ••••. - _... •. •-••--.....--•-•--•••-•-••-•-•-••--...----•-_-----•
90 `'- /�_/ �
" •�iG-�. c:oi�-ram sue' ", i
v ..............................................------•--------------•-•----• •-•---•-•-•••--••--••---•--•-•-•••---•••--•••••.....••-•------•••--•-•-••••-._...--•--••-•-----••-••--•••----•-------•.
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------------------------------------------------------------------------------------------------------------------------------------••-------------------------------•------------------..............
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 T," ;of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee"S�Upd by the and of health.
Signed----� !y ... � "2 Z`r`a ,�- -'-'/ �...
i Date
Application Approved B . .... '�
Date
Application Disapproved for the following reasons---------------------------------•-•---------•---••-----•------------------------•----------••-•••----------••-
..-•••••-•---•••-••-•---•••••-•------•••...--•--....•---••-•-•-•-••••-----••••--•......................••---...•--••-•••-••------•--•-•-•-•-••-•-••-•-•-•-•--------------------•••-•--•---••-•------••--
Date
PermitNo...62_-= -•- ........................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.............. T 1.....v.........OF........ ...>:T,q-�' L.�.........
Trrtif iratr of Tomplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (t/) or Repaired
, ( )
Installer
at•-••-•-•••--•--•. --•••• ............ ------,,--------- J - ----------------
has been installed in accordance with the provisions of T i T IE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.... ............. dated__...-.---._._-__-_-__--___:-__---....f-'
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE T T YHE
SYSTEM WILL FUNCTION SATISFACTORY. 1�
DATE..... - ��-_�..rk........................ Inspector....--------------- A.-. .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
501" OF.......9,�•1_5_7<I54 6. 72
.................. ............. .................._..........---...........-•.......................
No. ........12.... FEE... _?
Disposal Workv .Sonstr irrn antic
Permission is hereby granted-------- .e.. .- � ' ........................................................................
to Construct (v ) or Repair ( ) any Individual Sewage Disposal System
atNo.............�-:d.7...__ZL.._._.51e_� c>1(?�,�Gt«:+`-....�e�.........._._______._.___..._.._..._.....___..._.____._..._..._.___.__._.._....__.------------------
Street
as shown on the application for Disposal Works Construction Permit No.3,34y6--_Dated....... ...............................
..................................... - ................................................-
Board of Health
DATE.....................y......./•9• ----••••-
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
FffTIC
N ,'I-,�!�/sT�B�L� CCc�7v,r�.. ... �lr M�//�/ — S77z�Z�' ci
SCALE . . . . . DATE /-PW,
PLAN REFERENCE . . .Lo?.. . .... . / 1
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�P`�N OF 4f4
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„RELLEY N
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TOP OF FOUNDATION
a` CONCRETE COVER
CONCRETE COVERS
348' .e o 4"CAST IRON 12"MAX.
OR SCHEDULE 40 12"MAX. •
P.V.C. PIPE 4 SCHEDULE 40 PV.C.(ONLY)
' PITCH 1/4"PER. PIPE- MIN. LEACH
PITCH I/4"PER.FT. PIT PRECAST
INVERT a :: LEACHING
''0 EL••,sy, z INVERT INVERT P . e'; PIT OR
o , SEPTIC TANK DIST.
o INVERT ,r EL..-�E',7G•; BOX EL?"i EQUIV.
GAL. INNERS INVERT 1- 3/4"TO II&
EL...'..... w WASHED
STONE
6'DIA.
PROFI LE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
NO SCALE
SOIL LOG WITNESSED BY :
DATE N°v. �BG. TIME.��•�!SA!?. °�! !`?C!�E' "! . BOARD OF HEALTH
TEST HOLE I TEST HOLE 2 .G /�CLG��/ ENGINEER
ELEV. . .-'44" . . . . ELEV. .44/0. . .
• 59'SD�c. 30„ �,B-5�,� DESIGN DATA :
NUMBER OF BEDROOMS
sA''° TOTAL ESTIMATED FLOW . . . GALLONS/DAY
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G,es3vdZ. 6�vez
BOTTOM LEACHING AREA SQ.FT. /PIT/G.R,Z>.
SIDE LEACHING AREA . . . . . . SQ.FT/ PITI4716-,P.D.
GARBAGE DISPOSAL .n/C^145• •(50% AREA INCREASE)
TOTAL LEACHING AREA Z67.op SQ.FT
SSA
/44 s2.4�i•�o /SG" 48.io PERCOLATION RATE LZ�. 7V*".T;V0• MIN/INCH
!.!'?. .WATER
LEACHING AREA PER PERCOLATION RATE . - �.. SQ.FT./G,RD•
ENCOUNTERED
NUMBER OF LEACHING PITS
APPROVED . . . . . . . . . . . . . BOARD OF HEALTH p!� Shy
DATE. . . . . . . . . .
AGENT OR INSPECTOR
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S�v�CE�rbusGs L/ �Gr KELLEY
No. 26100 1S f
CflTL�7— /'�-4 5s �FCI$T ER�� % S4Nrjp.1A�
PETITIONER : r iD��LL � .
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TOWN OF BARNSTABLE 1
LOC TION '/� � �52VO ck-c G/'19 ,.SEWAGE # —�3dll*ll
VILLAGE
o0 9 aQ(0—q
CO-7-0f ASSESSOR'S MAP 6r LOT .-- —
INSTALLER'S NAME'& PHONE
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) /. /6e4 (size)
NO. OF BEDROOMS PRIVATE WELL.OlB PUBLIC WATER
BUILDER OR OWNER --ZHAJ
DATE PERMIT ISSUED: s��/lp7
e DATE COMPLIANCE ISSUED: l--4 -- 'R r6l
VARIANCE GRANTED: Yes No
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