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HomeMy WebLinkAbout0035 SMOKEHOUSE LANE - HealthVF 35 Smokehouse Lane a = OPS- oc � Cotuit -- - - - - ----- -- - - i i I, } 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 r o N� Z 6F 446 E /-6 " 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.. 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 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 l o� CJ Fmc...., ..........w 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 ..............................................------•--------------•-•----• •-•---•-•-•••--••--••---•--•-•-•••---•••--•••••.....••-•------•••--•-•-••••-._...--•--••-•-----••-••--•••----•-------•. W t ------------------------------------------------------------------------------------------------------------------------------------••-------------------------------•------------------.............. 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 Gar ! i -51kWAI O// pz"/ BOO ? iP � � r / I � Iry l =ryo1. /ti y,JS k op �OT 1i / D � 1 of � ��• s - D TE�,G c 62cpD r �4z'y.l I �P`�N OF 4f4 EDW „RELLEY N o o. 26100 io LL / r41 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 a � 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 s .so "5 y .�"'l� E. S�v�CE�rbusGs L/ �Gr KELLEY No. 26100 1S f CflTL�7— /'�-4 5s �FCI$T ER�� % S4Nrjp.1A� PETITIONER : r iD��LL � . 1 s 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 LIS � z � 1 t � lam: /Axb ��-