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Home My WebLink About0110 TRACEY ROAD - Health C� OF BARNSTABLE LOCATION � re*ClP--y /290( SEWAGE # Low VILLAGE CO ' Q ASSESSORS MAP & LOT INSTALLER'S NAME & PHONE NO. �I��6�0�+ 1 rf, SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �� (size l 6' NO. OF BEDROOMS LI PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER . �C'f K, DATE PERMIT ISSUED: 7, I DATE COMPLIANCE ISSUED: ^ VARIANCE GRANTED: Yes No C \��r � 0..0� ' r 'ti0 9 � 9 � s No._�&_.•l'..(._ Fims... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Diupuuai Works Tonutrurtiun ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: i o C l -erz,�c�t Ro+Z',,> . HS - C'O�D`Zcsc� ..... . _......_.....................................................••••• --....-•-•---•----------..............----------------•-•---------------------••......---.......-- Location-Address or Lot o. CZ1l.ES Act� Q— 7�113 P•�-r49c vt�id! I:IR 2w� CALIF . --- ........................................... ...................................................•---•--•--•--••...... ._......---•- ... Owner Address (� �1c�cE`. cp�?sr>_.Co.... `?S-.................•--•-----•----------..... Q:a _ 236 ec"'`�yLv.....„�, ,-7 Installer Address Type of Building Size Lot----------------------------Sq. feet - Dwelling—No. of Bedrooms........... .............................Expansion Attic ( ) Garbage Grinder ( ) `k Other—,Type of Building ............... No. of persons...._._._._____......__._... Showers — Cafeteria Q' Other fixtures ____________________________ W Design Flow,...........`...............................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid*capacity((j .gallons Length..... ........ Width-----`7�_9 Diameter................ Depth.............:.. x Disposal Trench—Np� ... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.___-_..qL-__-- Diameter---/t`-v__--------- Depth below inlet......6.......... Total leaching area_li —..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_-__•________-_-----_--- ( Test Pit,No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ WC •"•-------------------------------•---•••..•-----..]...%.........----••................................................................................... 0 Description of Soil----� t•--•-----5 v,tS co r /- o rw` -----------................................................... 9 x C�ok2se C.A04 t U -•---•-------------•-•. •-----.......--•---•....---------------------------------------•---•......-•--••••------•---------------••---•------------------------•.........................-----••. ------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------•. V 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 sFication pera til a Certificate of Com nce has been issued by the board of health. P �" —� � S pia Signed --------\ �'�`' . ---- re AApproved By .......... -� ~� ------------------------------ ------------------------------------------ -- - -e 9 --------- Application Disapproved for the following reasons- ---------------------------------------------------------------------------............................................................ '.............................. ................ --.-. Date Permit No. ..... -_------------------------------- Issued ................ --- . Dare \ -No.. M Fss...., THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH TOWN OF BARNSTABLE ..; I .pplirttfiou for Disposal Works Tonstrnrtiun Famit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: S_ --------H5 - // C'Qulu i!-----------------------•-------------- --------- Location-Address or Lot No. r . - - ---............... • Owner Address a1C1��`C CS?!`�?�_... ®-• T_'Y�? '-. Q--- C C—WT- 2v I y,\ Installer Address Type of Building Size Lot----------------------------Sq. feet U►-, Dwelling—No. of Bedrooms............ _________________ _____Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers — Cafeteria p•1 Other fixtures -----------------------------------------=------------.-••=--------------------------------•---•-•-•-••--•-•-••-•-••-•----...-----••----•-••••••-•-•-. d W Design Flow....... am.O............................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid"capacity_c 2!_gallons Length_____s-...... Width...... Diameter________________ Depth................ x Disposal Trench—N ..:............... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No________ ___________ Diameter---/d......... Depth below inlet....... ---------- Total leaching area_/A __'-'__sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-� Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1________________minutes per inch Depth of Test Pit_____________.______ Depth to ground water........................ Test Pit No. 2----------------minutes per inch Depth of Test Pit____________________ Depth to ground water_-________________.____- p.1 f _______________________________________________s___1._______-_____________________________________-____________________________________________________ O Description of Soil----� ----••-••Sv Soi�.__.._......�-_--------,r_- roc-------��--------------�-------------'2-�---------'---ED------- "� r �oi.2S C h.�1 ' V ----------------•---...----•-----..__...•-•••-----•-----••••-••••••. W _ VNature-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 =peratio until a Certificate of Com t nce has been issued by the board of health. Signed . ..............__....-----------........._----------_ '--'-....�....�te-..._----...._._ Application Approved BY - ` -.. .Q...- Date Application Disapproved for the following reasons- -----------------------------------------------------------------............................................. ------.......... -------------------------------------------------------------------------------------------------- ------------------------------------------------------------------ ....................------ -----.................................. Permit No. ...... 1 Issued ------------------------Da--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tier#ifirate of (gomplinure THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( /'C ) or Repaired ( ) byN`c E`�..---....�---- - .Q< ... ------------------------------------------------------------------ ............................................................... Installer at .....L�_._ r 44 -�-rt � 20 r,� ...................... ............ ............. OoA ! ........................................................------------------------------------------------------- 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. ......7e..,-..00---------------------- dated _______-.__._--------------................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE----------------- '`' .................... ----------- ,,Inspector - f.. ...-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.._70 n. xx 0.. TOWN OF BARNSTABLE 73 Disposal Works Tuns#rnr#uan "motif Permission is hereby granted.... Cou-SQ___•--._�"O_ ?..- --_-._•_•••••-•_•: to Construct (, z or Repair ( ) an Individual Sewage Disposal System at No..... ..••••. a' Rory.......................!2p3E�'�..k--------------•--•-----•-•---•------- Street as shown on the application for Disposal Works Construction Permit No._,?46P____ Dated.......................................... r �C--��oard of Health DATE....................-/--• ..------•-•----•--•--------.... FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS _ R .,,_.,,u...,.,!„�,a.•..Gg,.,..w...,n—...,a .-•.r,».'W•,..w_s..:a........,..o. .,—.,etlx........vn..,-, +... :.. ......_,..•.MW .._ y.. _..,,,. ..,w,. .,w.:...:w'Y ..w•..,,n ., ,.-,,......,..,.... vew,.w. w..,:,....,....•.+a+,...,,w ,..r... - ei .» NOT TO SCALE TOP FDN. r- FINISH GRADE OVi�A EL . FINISH GRADE _�� ,z__ . .� FINISH GRADE OVA F7 DIST. BOX 27 . FINISH GRADE OVER • :^• �!'' SEPTIC TANK LEACHING PIT �..:o•.e to 12' MAX. "T �`� e O.O. • . •. e• , •.�.•. . ��- — p Q. sJ.o • L' ,o e' .•'•o:' '. " OF 1/3' 1/2" 12• MAX j •�- d.,, PRECAST CONC. OR :.b.. :'•` MASHED PEASTONE •>.dry o.Y .3r, .. e :e ' :i • •:' • " ` Bp ICK 6 MORTAR i3" OUTLET PIPE LEVEL - { T0. 12'v Ba^`O ' GRADE • FOR 2 FT. MIN. ---- -- C. I. OR PVC TEES •.:, 1.2C�� e,e�d:►: . ,. 0:1 AA BSMT. FLR. p'� �25 v �"�6 L ON a -•-;, �, r rON E o x EL INSTALL 0,41 LEVEL BASE 3/4" 7"7 1-1/20 e 6 ' i Q. .:. PRECA S T C CPETE PRECAS T i/ ,� _ � WASHECF , w oa.oe.o. r. H— 10 d�"bEli`li`0P.�LSD CPUSHE7 a i s r : CONCRETE i — . STONE o" �`�.. o.o:' cr':n,.•:�,.e: '. 0•.:a r p .'•. .. ..i...6., o.• • o -o.o .p L'tb '"•'. b•.h.o°.o:e 0•o,,p o.-.e 4. •.. e' .'a . ' o e•.- :o:. e:. o b:o :'i {:' '6 _ o- H— 10 REINF. aI S�P T1C T AIAZ �.d 2`.� NS TAL L ON L _! ._'L EASE i ('o •� •.��"�.:. i � Q '•°''• .�. ° b T NOTE' EXCA VA TE TO EL E V. ,C+ h OR ° -i 2 A C`1' LOWER TO REMOVE ALL IMPERVIOUS ' — —'- - -= _ M.4 TER, L BENEA TH THE L EA CHING ART a � 2 '-0 " � � 2 '-0 � 2OAC ) LOT I t DRYWEL L S A ROOF �— �T , REPL A CE EXCA V, TED MA TERIA L WI TNi-- — RUN—OFF is • �o'Dl CL EAN. CLA Y FREE" SAND 10 '—0 " jPRECAST CONCRETE_ , \, 3O ` _ EFFECTI VE \i'IIAMETER : LEACHING PIT f2 REo'DI '�` , d � 7r 1250 GALLON t TES / .� �. y i PRECAST CONCRF_TE , L G�.\I�� `` �' GENE Rini , NO / 1��7 ` C .�: � �. P.�t T SEPTIC TANK _ f , a - 1 �•�'�`. INSTALL ON LEVEL BASE 1. ALL EL EVA TIONS SHOWN AR.E BASED ON M. S. L . 1 2. ALL PIPES IN THE S Y.TE M MUST BE CAST IRON y T OR SCHEDULE' 40 PVC. +'�i�+� B� W;y 3. THr" BOAPD OF HEAL TH M�,ST BE NOTIFIED U ^t t h'h'¢/J L.'uN. T:iil C"r'I uN t S u^raO,�L LTF :?r�j•'�c," PER( rC: T ' TO BACKFIL L �r 4. ANY CHANGES It,/ THIS PLAN MUST irz 11 ra ��` APPROVED BY THE BOARD OF HEALTH AND CAPE 6 ISLANDS !'da TAI. SSED B Y.' � w► ,' C � - S v _. SURVEYING CO. , INC. P. MUPPA Y c` 5. MA TERIAL S AND INS/A�LA TION SHP1 L L f3� IN - � ,� B1 Pl' :<;r�t3L E BRD. OF f'EA L TH C'• i CO.MPL IANCF. WI"rH THE STA TE SA Tian: - DE5, GN DA TA A Ud)UBL E ROW OF HA YHAL ES TO BE ( �iti" - ' �` •. t i\Q, �� ZZ PLA(ED, STAKED. 6 MAINTAINED ALOI DE — TITLE ✓ — AN7 LOCAL APPLICABLE :)ATE: JAN. 9 i981 -� sr / V - WOP" LIMIT DURING CONSTRUCTION RULES AND PC- TIONS 7E:;i ;-�(T"I t-L. C9.15 b - NUo��'ER OF SFD�'JOI�'S 4 � J` 6. NORTH ARROW IS FPOM RECORD PLANS AND 0 ' 'o GAPBA GE DISPOSA d' NO IS NO T TO BE <'1SED FOR SOL AR PURPOSES a �2 TOPSOIL e 440 GAL . 7. FLOOD HAZARD ZONE c DA IL Y FL ON BUFkF7? STRIG TO ��':MAIN 'a• Vo O 14 �j. WATER SUPPLY Tit � 24 „ LOAI'', CLAY SEPTIC TANK PEG+ 'D. 12,50 GAL . ��• ITV ITS ///Uf?AL STATE _ U, SEPTIC TANK PRO111DED 1250 L NO GROUND WA TER AT EL . 10. 0 ._ C'4 ' C1 (� ll� \P � ,2 SHALL BE CONFIRM,ED BEFORE + LEACHING RE QUIP D — 440 GPD. O LEACHING FACILITY IS INSTALLED ril ,1� COAPSE z - _ .�_ ,. d�,v .�, .- SAND SIDEWALL AREA - _375 S. F. 375 S. F. X 2. 5 C/S. F. = 942 GPD '--- _ �-.�_-- Gi -� �, ,•,•-.^,, � . B�rJ'T TOM AREA = 15F' .5. F. r 158 S. F. X 1. 0 G/S. F. = 15B G,�D '• _ J z• LEACHING PRO VIDL D •- 1100 CPD w ,��• w' `• - v� 'C —PROPOSED ELEVA TION ;3P_ ' , NO GROUND WA TEA EX1 STInf y coNTCUR SINGL E FA MIL Y PE515ENCE• E, lKsj 1 r , \ OOSERVi TIO, PIT n Q GISTRIBUTIO.N ✓ OX, 4 S PPS: PO 'ED S _ A VE DISP:gr-44 L ��O� r- � �� LEACHING PIT � Ol �;; -:2� I �Op1'OUESS�T �- 0 ! PREPARED FOP c` co . \ ?o o SEPTIC TANK 3 R GIL ES A RCHER / y, BREAKOUT CA L CfJL A TIO.•VS' 2 • J_ �* LOT .15 TPA CE Y POA D I/\VEF7T 0 LEACH.ACH. PIT-�20. 00 � (RP 1 F?ESEPVE SL OPF. 0 EL.FV. ?_0. OG�-0. 15 �/ - ^• .� .•� _ ;�''i,^�. PROTECTI�'F. DLST. R!=0'D. -23' B�RNS TADL E ��rf �S. PRO TFCTIVF DIST. PRO VILIFL'-PIT 01 24' PIT # ' PIPE INVERT ELEVATIO DA TE: WCi Zry 1588 L`L'�t r�,•.. CAPE 6 ISLAND, SUPVEYINCC, 2-A:C. PL O T PLAN :- `'-` .� SCALE AS NCl TE 0 ^CA L E:' 1 SO' P. L). ,9C1X .�34 P� E! TICKET. MASS. SOT f �nF o' ' A NO � L y . , ... ...--a.,:..r. ......w....,,•w.....•.....a.Mw_a.-.w+wr,.yp..yy.m.iwM,eb+..mr..1•v.,w.M.w...4.M•s.,.:Y..,wy.r..+vt r...a.r.w......•..w. .-.r.w. ..w+w+..niw.wl.'.�+h-MNYO.M . "7' 4MIMW.y..new:Vv.WY"w+T.a•'L'.n:y+Ay.n'x.... .nMANR., . ar a.'V.VY.'IiMM"s, . fa'.+-R•... e./ .n•.,.yM.YIYYN:"•NI1.. 4RM-•nr.+NMw.w•+YrWo-..v.wNr+'..-•wnw•rb w..a •.',wr, 'aRNu ..Y'