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Home My WebLink About0071 WHITMAR ROAD - Health 11 \6-� )& " cav_i .� •. � ��, � � �� —ice c�. No..../... I Fss...... ...._ r— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,.�ppliration for Uigpniitti Warkii Tnnitrurtinn Permit Application is hereby made for a Permit to Construct O or Repair ( ) an Individual Sewage Disposal System at: ------ - Location-Address �q G t No. ---- ---------- �� ,rn. ._.... t�� 5 ` .*. C1.. _ ...._ Owner -- - '� ////i Vllf Installer Address Type of Building Size Lot---�fM:ZI{:....Sq. feet U Dwelling—No. of Bedrooms-_____�________________________________Expansion Attic O-x.;)) Garbage Grinder (JO) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures . W Design Flow__________________ZtS�..__._.__:_.__..gallons per person per day. Total daily flow----- X...l.!_�_ 3.� ......gallons. WSeptic Tank—Liquid capacity.l .gallons Length_�5_'�_..._ Width---_`_1__10_.. Diameter__-....... Depth....,Is x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No....:__1_-.---__--__ Diameter......Iz__-...... Depth below inlet_____ c_S•�____ Total leaching area_._.."ir..sq. ft. Z Other Distribution box O) Dosing tank ( ) Percolation Test Results Performed by.__.��-._._.... L:!_-.._v�----------------• Date:__... -�� e Wf-•-- - _1R-•-_.---_-- Test Pit No. I-___�:_?---.minutes per inch Depth of Test Pit.....1.1........... Depth to ground water......PA.......... fs. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ xDescription of Soil.. f so, L ...._•----•-•-•-.._...._-•••-• -•-•---•------•---•----------------------------.................................................... ..!, � z�' �U -•--••----•---••-•------•-••-••••--•-••--•••---'-'-•-•--•�-..----- - --•••••-•---- -- ------ -----------------................................................. UW ..--..-----•-------------------------------------------------------------------------•--------------------------------=- •-••____._--•-•- 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 qode —The undersigned further agrees not to place the system in operation until a Certificate of Compliance h een issued by the board of health. Signed .... . ...... ! Application Approved By ....-....);.-,...........�� e �1 �r"t "` .............................................................................. ..../6..-�.,571-c�y [e Application Disapproved for the following reasons- ----------------------------------------------------V----. ....................... -----...............---.....-----...--...... ............................................... ....... ....................................... ..........- .........---- .............--....................................................... ........................................ Date Permit No. .. .- ./.. --------------------- Issued .......... - .... Dare ,.No.. FEB......��r..C............ ! f�\ THE COMMONWEALTH OF MASSACHUSETTS ( BOARD OF HEALTH � ... ..OF....... �� -r� c' ----------------- ---------------------....................... Appliratiou for Uispusal Works Tonstrnrtiun rat nit Application is hereby made for a Permit to Construct or Repair ( } an Individual Sewage Disposal System at: . .. ...---- .••-------• . ...............--................ Le ation Address U� , t No No. //��//' ;� • ( � ....... ..... ....... ... Cs&1 _ Y+vh ..:�......... ress W Owner Installer Address _ Type of Building Size Lot:.`f15 -i_ ..._Sq. feet U Dwelling.—No'.'of Bedrooms___....:�................................Ex ansion Attic � P (1_x.)) Garbage Grinder (-�o) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures .............................. -------------------------------•----- -------•-------•------•------- W ------ Design Flow............................_.__� --gallons per pers6n per day. Total daily flow___.-x.-l- '_ S lions. a -----•-----•-•-_ W Septic Tank—Liquid ca acity. __----_--.gallons Length__'_.- '.... Width._-` _.r Diameter................ x Disposal Trench—No:.................... Width.................... Total Length.................... Total leaching area_---__--_._........sq. ft. Seepage Pit No.......1............. Diameter•---__1_Z_`__...__ Depth below inlet....... __�____ Total leaching area. h1` �r � p g ---`=-J-=�....sq. ft. Z Other Distribution box ()() Dosing tank ( ) a Percolation Test Results Performed by F'.�7 - s✓ �~ '�� Date.....ta t --------- ............ ..... Test Pit No. I.....''i_..27__.minutes per inch Depth of Test Pit_.-__��.�._._.._._ Depth to ground water------P......._.. f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •------•------------------------:-.--r--- c � - ..................... fg�So•-�--........-----•.......----•----•••-- O ,_Description of Soil.................................. ..... � L x � ------- ---------- �--- V ............-•-------------------------------•--..._..._._2 ' / I s-✓ A--. W ............................................................................................••••-------•••----•--------•---•-------•--•------------•----------------•----•---•••......-----------•••--- U Mature 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 ode—The undersigned further agrees not to place the system in operation until a Certificate of Compliant l� s ibeen issued by the board of health. Signed °11��0 1 ( i.n Fl t ........ l+Jate Application Approved By .........� --------' �y. .t:�. ..... ..... Application Disapproved for the following reasons: ................ .......................... .......................................... ................................ ............. .... ....... ......... ... ... •`a Date Permit No. ........... ... ..... 6.....S/... ........ ---...... Issued ....... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -............................ OF ................................................. r ............. V Ertifirate of To nipliance b THIS I�TO CERTIFY, That t�e Individual Sewage Disposal System constructed ( �) or Repaired y_... ( ) tl ................�..:.. '.� ------.a..� £:r�??-;.:.. ......- p Installer �.:...:. . ...: . .. ........ ..................................................... has been installed in accordance with the provisions o TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..... ........ dated dated ................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 'DATE../6........r� '� . ....................... Inspect ....-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 31 ................... �? L.. FEE.... G%a........ Disposal Works Tunstrnrtiun "rrunit Permission is hereby granted......_._._.(�....... ' _x__................ to Construct (>I or Repair ( ) an Individual Sewa &'Disposal ystem at No.........C�'s4................. .: . .. ....::.. ' Street as shown on the application for Disposal Works Construction Per No.. y:.---•-} •• Dated.._.. ?..` - -( ! ---- Boar 2 d of Health DATE------------------------------------•--•�---...-----•-••-----•-----....._... Form 1255 H&W HOBBS&WARP.ENTM Publishers i T WN OF BARNSTABLE LOCATION_ t SEWAGE # VILLAGE_ 7-�-v�-r ASSESSOR'S MAP & LOT,05'7,/ INSTALLER'S NAME & PHONE NO. 'SEPTIC TANK CAPACITY �po� (r�Xcln LEACHING FACILITY:(type) j , r;C r (size) &L NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER j.46Qaj..c.�J04 Cof-J , DATE PERMIT ISSUED: Ze,-- -,, DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No /� 3-P -7.0 s /4-( iS;o GENERAL NO TES : DESIGN CR I TER I A : INVERT ELEVATIONS : 1 . THIS PLAN IS FOR THE DESIGN AND DESIGN FLOW: INVERT AT BUILDING: 99. 00 CONSTRUCTION OF THE SEWAGE DISPOSAL ACCESS COVERS MUST BE WITHIN 3 BEDROOMS A T I 10 G. P. D. PER INVERT IN SEP T l C TANK: 98. 75 SYSTEM ONLY. 103.0 12' OF FINISH GRADE BEDROOM EQUAL S 330 G. P, D, INVERT OUT SEPTIC TANK: 98. 50 FIRST 2' TO INVERT IN DIST. BOX: 98. 20 BE LEVEL NO GARBAGE GRINDER 2. ALL CONSTRUCTION METHODS AND INVERT OUT DIST. BOX: 98. 00 4' PVC MIN. 2' OF MA TER I AL S FOR THE SEPTIC SYSTEM SCHEDULE 40 0 'f PEASTONE INVERT IN LEACH PIT: 97. 70 SEPTIC TANK REQUIRED: SHALL CONFORM TO MASS. D. E. P. 99.0 98.5 98 O BOTTOM OF LEACH PIT: 94. 20 ,�30 G. P. D. X 1509 - 495 GAL . TITLE 5 AND LOCAL BOARD OF HEALTH 98.75 98 2 3 5 3/4' - l 1/2' DIA. SEPTIC TANK PROVIDED: 1000 GAL . ADJUSTED GROUND WATER: N/A REGULATIONS. 3 OUTLET 94.2 WASHED STONE l0' MIN. 1000 GAL D-BOX OBSERVED GROUND WATER: N/A SEPTIC TANK 1 SIZE OF LEACHING FACILITY REQUIRED: BOTTOM OF TEST HOLE: 90. 20 3. ALL SEPTIC SYSTEM COMPONENTS LOCATED LEACH PIT UNDER AREAS SUBJECT TO VEHICULAR TRAFFIC PROF I L E : NOT TO SCALE 330 G. P. D. DESIGN PERC RATE - 2 MlN/INCH OR GREATER THAN 3 ' IN DEPTH SHALL BE CAPABLE OF WITHSTANDING H-20 WHEEL LOADS. PROVIDED: L . 4 PI T(S) W/ 3 'STN. - 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 SI DEWALL : I32 S. F.X 2. 5 J30 GPDBOTTOM: 113 S. F.X l . 0 - 113, GPD OR APPROVED EQUAL . TOTAL : 245 S. F. 443 GPD 5. BEFORE CONSTRUCTION CALL "DIG-SAFE . 1 -800-322-4844 FOR LOCATION OF SOIL TEST PI T DA TA UNDERGROUND UTILITIES. - INDICATES V INDICATES v " PERCOLATION OBSER VED TEST GROUNDWATER 6. VERTICAL DATUM IS: ASSUMED TPA P-505/ TP*._ 7. FOR BENCH MARKS SET. SEE SITE PLAN, GRND EL. 101.2 GRND EL. ZONE : R F G. W.EL. N/A G.W.EL. m SETBACKS: FRONT - 30 ' LOAM AND w SIDE - 15 ' 2 SUBSOIL 99.2 REAR - l 5 ' COTUI T APPROXIMATE J SAND HSE LOCATION 98.4+, 101.3 L-OT- Z , '' S 0.9 I - __-- NO WATER 90.2 \, � ' i' / Ill 1 i 97.8+ / / 95.2+ / // " i' /l�l.4+, /1 113.4 + 103.06 .` • a 97.e / / i ' ' / / DATE: p(9+ TEST BY DECEMBER 17. 1985 + i' , �' / • e/' PETER SULLIVAN y �' ---`9s.s i'' �' '' i' /'' /' / / W l TNESSED BY: JAMES C'ONL ON /.'' I / // PR PERC RATE: IN/INCH C 2 M _ / p / �/ OStCO /vF 04. /Z 9 49.24- / / 102.0,E S E P T / C S YS TE-M DES / G/V ---- _ 1 - to 9s \\ 102.1 -_ ------ 91.2-+. / // / , / , / l ►� O 101.2 IVA T 49'# 103.00 91.5 / /, /i , �� / I / 1 .98.9+ 1 ER41 1 O ►. -� � / SA R N L ( COTS / T ) AoefA --------7 / / , ' 'L 197'# I 1 a 4:° k I 1 t RESERw Lo �� / i , , / I I ► PREP,4 REO FOR . 95.,6 1000 GAL D-BOX k-N MA K K WO OD C O R P . \\ I\ 98.6,+ � \\ gEPTIC TANK 15 /02.3� , \ \ \ \4' PIT SC-AL 2F : / - 30 OCTOBE'R .20 . / 994 29o.8A• \ M 1�/�3 STONE, \� N186 5/ ' �.W / -- -- 97.6+ \` 160.3+ 100.7 �' I 102.0 .10 _5'e a 6 ® ca'Zr ce, L er Jr2 B TOP CB/DH lol.sd EL. - 101.89 h'�c/cx.rz!z e s Mcz ® 2 J (' S ® �'�' - 4 4 2 2 432 - .5333 0 15 30 60 =OB 94-341 FIELD:CFW/R VB CAL C: SAH/CFW L CHECK: C'FW DRN: SAH