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HomeMy WebLinkAbout0043 STUB TOE ROAD - Health o�aoq t�- c. ya- 9( � IJ66M1� bqb C19( ",\ -I LOCATION drL-4 Toe �?j SEWAGE PERMIT NO. a VILLAGE INSTALLER'S NAME i ADDRESS �iUILDEIt OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED y Lot � S 57 RE F- T Pj CS�O- C7gl� ; 1•-� No. THE COMMONWEALTH OF MASSACHUSET S BOAR® OF HEALTH 3 ..................Tc wn..............OF........Bamqtable...------------------. .----.......-----....._........ ` Appliration for Uhip Baal Works Tnnstrnrtinn 1hratit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: ........Ipt 28 Butternut Circle. .............. Qua. ......------------...........................-•---..........---.... Location-Address or Lot No. ... Dennis Star Construction Co........................ ......24 Great P4 _ K..�.. 5?:..�' 115?l� l.....@1r ,..... - - .. Owner Address a -•-••-••--••...................spme.......................................................... •-•--••---••••••-•--••••••-•-••---•••-•---S-.e.............................................. Installer Address Q Type of Building Size Lot......20.,-100-..._..Sq. feet Dwelling—No. of Bedrooms........ ..................................Expansion Attic ( ) Garbage Grinder ( ) p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Pa Other fixtures -----....--•--•-••-•---•-------- - W Design Flow___..___...5..............................gallons per person per day. Total daily flow............................................3 .. gallons. 04 W Septic Tank—Liquid capacity.1000 gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet...............:.... Total leaching area...................sq. ft. Z Other Distribution box ( ) Dosin tank ( -.g d Ra nd P E Nov. 9 1. 8§ Percolation Test Results Performed by._R ? t........................►...•..-.. ........-._ Date_...__.. _ �_..____.._...._.... f a Test Pit No. 1---- minutes per inch Depth of Test Pit. Depth to ground water.....none (z, Test Pit No. 2................minutes per inch` Depth of Test Pit.................... Depth to ground water........................ •-•-••-••--------------------•......•--•-••••-•-•...-••-•......................--••--------•---.............................................................. Q Description of Soil....... !!-36"---cube& l;-•-36-—1441t••send-&--gravel--------------------•-------•----------------------------------------- x x -••••-------------------------------------------•••-------------•--•-••••-......-•-----••-••••-•---•----•------•---------------------••--•--•.......................................................... 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 iIL i..r 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a CertificateA Compliance has been is red by th o rd of 1 alth. f� 11 gned. :. . Application Ap®rove ----------------•-------------------------.......................----- ......ma ..... - Date ApplicationDilowing reasons--------------------------------------------------•--.....--------------------------------------••••........._... .......................... ..----••••-•••........•--•--............----........................•..---•-----•--..................---•--------...Date••............ PermitNo.......................................................- Issued....................................................... Date No._ .=Z.".. F>cs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ....--......OF.........JM=tab _.. Appliration for Dispos al IV arks Toust.rurtion Prrutit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: .... utten Lot 28 Baut Circle ��°_ �?K.�.. ,---------------------•-----------...----------...............----- ............-_.._.------.......--.................le .- - Location-Address or Lot No. .... -Dennis Star _. ..........Construction Co. 24 Great POC.. e.. ---•-.........••-------• .. - ••••-.....- •--.. � _....s.�_s..Y tr. x..i....t. .. Owner Address a ...................................-�........._...-------..........-----••-•---........-•--------- •--•--•-•--•------------..._..----••-•-....sa[l ... Installer Address UType of Building Size Lot_______;0QAIQ0......Sq. feet Dwelling—No. of Bedrooms........3.................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of ersons____________________________ Showers a YP g -------------•-•---••---.... p ( ) — Cafeteria ( ) Otherfixtures .-•--•--•-•---- ----------------••----•--------...---.-•-----._...••--•••----•----------•--...-•••-------•--------._....----------•--•---.......-••-- W Design Flow.............r5..5.............................gallons per person per day. Total daily flow-----330 .................................... WSeptic Tank—Liquid capacity_1000gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter................,... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by............................... Date_____ _•_..g!__1982 -- Test Pit No. 1.....a.........minutes per inch Depth of Test Pit_.23............ Depth to ground water...... 44 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ••-•-•••----------------------•-•--••------•--•---•------........-----........_...--•-••••••-...._...._............._.._........_...---•-....._.......___-•-- D Description of Soil.......8a.,36!L-SUb86jlr...35!-144°--Said--Ergsaiial...................................................................... x U --------------•-------•---------••-••...-----------•..........-•--------•-•-----••-•-----•-•--•--•------.....----••--- w x ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-----._....--------•- 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'TTi..1 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 the board of health. (\ �� f - ate Application Approved,BY � �y-/////--- :r'/.-" •-•--------•-•-----•---------------•---------••---------••- Date Application Disapprove,, or t e following reasons_______________________________ - ._---_-_-_-... _.,...---••------- Date PermitNo......................................................... Issued_...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TCM Barnstable ......................................._OF...........................-.............-..............._......................_.... Trrtifiratr of ToutpliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by -'` ._...... - • • .....-- - ----------------=--••-------•--...-•---•-•--•-----...........-•------•------•-•----......._....---- / Installer has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code a de t<ribed in the application for Disposal Works Construction Permit No.__ 2_-._7rG_............... dated----L- .-. ':._._.______.. THE ISSIJ N E OF THIS CERTIFICATE SHALT. NOT BE CONSTRUBE® S A GUARANTEE THAT THE SYSTEM W NNCTION SATISFACTORY. DATE.. 0..1... -•---•___________________•--------___--•--------- Inspector__. ... . -------•---•---------_____-___-_____------•--------•--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TCM OF,.-..-Barnstable .................................... ........__......_............_......_.._._..__._..__........ G No..��. .. ,7 . FEE....�d............. t ern DermiS Strax CMsttks nrwtticn�n rrutii Permissioni hereby granted--------------•----•. -----------••••-••--•----.._._...---•-•••••-----------•--•----._.....••-••--------••----...--•--.....---........._.... to Cons u t o Re air In viduaL Se �a a Disposal System is €huts, tut, atNo.......................................................................................................--•-----••----•--•--•----------•-----------....---•-••-----•• --__ __ Street �,' � �--•••••--•••• i as shown on the application for Disposal Works Construction Permit No.______/Z.______ Dated___jz_._. ...---.--..-- /.r fBoard of Health DATE................................................................................ f FORM 1255 HOBBS & WARREN, INC., PUBLISHERS 1 GEAJer Al- NOTES E LEV=G5J'7 - —� � (11)_-A,L.L Et EV. g Now rJAe�C MEo.wl SEp _.��d• lIE1_ .l O. use ""/.f S OI�.T l�►�1 PLJ,.►.11E Sv69� i L '� PiV-64 ALL l.IWES A MI,JIMU� of t/b'�F TT N -I _ Ut4LE5S crn,4E04jtsE SF"ECa1FIED. AL- PIPE5 TO AWD r.J TRk� SYSTEM SHA.1_L_ D ad' ,� i r E CAST 19-0" � SC-N>c DUv-E AO P U C F t+�►E To " � � -- ' � _ � � 0 � � � r 1 � � �)— ALL ",E PC1ru TtW IC S, V,ST IZ,g OJT I.o°J 8ca�c, A►,.i O Pl1>e`.1�1v>Nt L.EA•C� t"G P(t� SHALL 8E DES%GioJED F: rO- _ O O �� ti-1 - 2.0 �I+EEE� ��D,�.1C1S WµE11 SA-vt'? --- - - --- -.-� (�-- 26Mo✓E AFL �.1S.�rrA3�E Ma.TErZ1A� gE°}E+�TLi' e O o O C) Ql (3) - 1,�`iEer E�EVATIo ►S OF I EACH r.JEi PrTS 6) in O Las a. h M 0 A e-4,a QS of Ip' A,Jo C"say-PV- _- - !- ^T { G CO-) Cr I?A%i1 E t— _ IJ 1-0 } lr�- h}CSrIFrED Tµt NEAT- I Zc` Z-� Io" j Ja-- V►�L E55 OTNE2�SSE r.�oTE D, A> SYSTT C) (�\ `1% � ^ CONdPOh.11E►J"f'S S4•ta.l� '�E 1w1SC'A�.�.c� IwJ �J v /QLCC32Dt,..,1G� WrTl TITLE : of Z"1►E STATE TYPICAL DISTQtt5uTloeJ d,oX- { i 0 0 C, (0 0 �•�ITAE'`( eroe�� A"D ,e.ry, o llla.TL�iZ.. CS 1►�L GJl d tU �: ll oT T� SG A E 1— -- — T I�oTt< 75��Te°t rr,c.� �K �°.►� Iao�s - T4'PIc,-L 1OX-Do G*�L St.PTeG��` tA�-= ASH LhIG _IP►T OBS�`•C VA T/O A / o/7-5 Dy AMrce,c* 1 t �r.sT I JOT R7 s�•l E w►oT To SCAB E Off- EQUAL r TAI.YKS 2Ec►a FC.CC�E CI 7u�0u4 1GyJT ",e COL A T/O N 4 ATE = Z 1/ylin /117C`F , tt l WrTl1 EIFiCT�°G WELLSEa YJrPt W�T)A �t 7� .J�GU � MOTE:A,%&-At 01 MAhU IOIC J O OB3��t!Y�T/oN5 6y: �,l�'�+'�.�` 2I - �{L' EMSEL70ED S'rfE>EL (�OaS ,� gGPTrG T�aJ� /°Nb r-KA.!L•�ltilC�n Pt'i's 2� �.4GTH ��� 6ozTor'1. Co�IC. IS f}E�000 P9.'F- TEST To gWrLT LlP TO BOA�O 1��^,.K►4t'=S �8�1r.k.`S Lc �./t•r(U►.1 � � P� �CLGM►J ><rr,I ly►+ �°t s+ems• Di,7r NQ�I.. �3 � E� �. TOr' FOt�+y DAT10�� - Frr.r;ISµ 6[AD& F IM154 6c^ DE GvtlG �Fi►irSH CyC�►sE- `t°�"'rt` UI E R- T,V.I.K� r • GvEa.d,� ' }'` IEA�.cM+�NG � '�;•• S� i i �.CIC f I -J- 'L'• p F 9" f�Sro.�E cr � • p ,� � O J r•IJ� '° © (D .O 0 0' _ ¢�Y+E D bToalt 10 06 ex ' ec,N t occ r� cd.tc- • DtSrt P.satc 000 � • . '. 0030O ' � •. (Cl O O CDs.,�►�, err s� r r C.J1�!y� LGWEL � ST,AO LE G- O• � -� ' TYPICAL �j E VXAC�E SY5 1 ( � T»M PYisFrLE ��� � vt 1 � � I I �ti 5 J \ , � 2- GEG F-AIP EY/3T COA/TOuC PROPOSED D\[/CL�LI tiIG LOCATION � O�� � "".--.,"' `�,, DES/GN C,Q/7-E!/.4 �pp� vCcrvldl�.0 HOF,4,d. PROP09E.t7 SE16,AGL DISPOSAL 5Y-5-r 1 12 - r { +DI T ,�''' il/vM M E� OF eEO.eGIDM s 3 ..• EX/'JT `„y*Gt� EL1C`• //C� ROBFRt t �v Boa M �.._ erica✓. .;ioT Ec.Eri- l E. GT 28 8 o-rrr- v- n_a iW T C Arx.5O-,V 5 ce a RAYMOND �� � ig"co�tol°�fo►i� `�1 L44 6«,t C6N5 /NGE e R[_5w oE P o.4 r P�ecac.�l ►'P r � �� N; 19875 � E5A9- ST4,?1-E CccrJ MA SS . !foge-AIIW& AP64 Qf4uzeso Gt YE T)— Ao.-_4 OrOV/O&D E"d.IL.tc gL: PPOPQSED LEACHINC. PIT NA DEv�t� .5 Ca�.a r.► 206E2T' QAWMoIJO G e&xx not.t 0 O 1 t✓fg 39 S^T1Z►P�Q l.�e►+.Sj� SD. YARMO"T") MA . �► S�WE 2 t7E5t G r..l f<c0rsur S I DE VA,L_L A--ZiFA..r((.°28 �4)( 371 OCAU o�tt1 o++sn SOrro M A►iZaA. ( TT" Cq) I °) �° G F'° AS ►.1oT'�O I ) �� " TOTAL— - .427 4 P A r•tpu • t444 DOAwM or CM1t0 by wto Mt, PLAN «w. _3a) .ter• 15.E �J""�1