HomeMy WebLinkAbout0143 WHITMAR ROAD - Health ly3 Oh Amak
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THE COMMONWEALTH OF MASSACHUSETTS'
BOARD OF HEALTH
TOWN OF BARNSTABLE
ApVfiration for Danal Workii Tonfitrnrtinn unfit
Application is hereby made for AmrVlo Construct ( ) or Repair ( ) an Individual Sewage Disposal
Systurg#
. ..%c��n .. .0.} U --------------------------------------- _..................._.._. .----...-•-.
yc: i t c-s / or Lot No.
�.�►�/ O._... ..lr�-• - ... ...............................
cr Address
W .... -Q ................*-----------*- -------------------------*----------------------------------------*.........*........
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling— No. of Bedrooms........ .. ..............................E�pansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building -_........................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Q' Other fixtures ................•---........... . .
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
9 Septic Tank—Liquid capacity............gallons Length................ Width......._._._...- Diameter---------------- Depth................
Disposal Trench-- No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
. Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed bY--------.................................................................. Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
LZq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a •--•------••-----•--•--•----•-•-----•-----------•••-•---.....--••---------------•---•••••••-•...............•--•-••.......................................--••
0 Description of Soil........................................................................................................................................................................
x
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 operation until a Certificate of Compliance as been issued by the board of health.
Signed ....... ....... ............ ..�................. ---....a./.... .................:....�j
Application Approved B .. . .. ..... ............. 6�.... ..... ........ ............... ...4J. ..G �....�C�
to
Application Disapproved for the following reasons: ..................... ... .................................................................................................
..................................................... .. ... ... ......................... . ............................
'� / to
14
Permit No. ............... Issued ..........J �.. ....fe ---•-- ----- -- - ------.......
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._�. 1 /j
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiutt for Diripuiul Works Tvastrnrtiun Permit
Application is hereby made for a Permit to Constru ct ct ( ) or Repair ( ) an Individual Sewage Disposal
.... 04L)ja
/Lori i n ^>dir .s or Lot No. ••
W Ovenr Address
f rl�� .
� Installer Address
UType of Building Size Lot............................Sq. feet
.-� Dwelling— No. of Bedrooms........ _______________--____.__-Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ---------------------------- No. of persons--------
_-------------------
Showers ( ) — Cafeteria ( )
Q Other fixtures ..........
WDesign Flow...................:........................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............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 ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........... ............................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.....................
0 w ----•-------------------------------------------•-----•-•------•---•----•........___......__...............................................................
Description of Soil........................................................................................................................................................................
x
W ......----•-------------•---...---•-•-----.....-----••--------------•-•---------••----------......--------•-----------------------------•--•-----------..-----------------••---•-------•-•--••......----
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 TITLE 5 of the State Environmental 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.
Signed .................. ... 4�,c. .. .......'......... ..........
uU ;...............
A Application Approved B
PP PP Y ........ !T//1. ........... .P....11................................ W.A................ ....��
Application Disapproved for the following reasons:
............ .................... ....................(.l.........�..�. ......,. �1../..../I..................................
................ ..............
- .
" ...... . ..
Permit No. . ,,
-v- ...... ............... Issued .......... .p ...........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(IlEz#ifirate of Tomptianve
THIS IS TO CERTI Y, That-the Individual Sewage Disposal System constructed ( �) or Repaired ( )
by ................. �._.....Lr7l 11�f
..... ...............................
h_r,a•� _..
has been installed in actor ante with the provisions of TITLE 5 �f,Xhe State. �Environmental Code as described in
the application for Disposal Works Construction Permit No. ._�. ........ . g..._ - dated ...... ,. ...... r�
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THA -THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE....................... _� ..—..}._._... ...:......... _ Inspector ....._ .. .. .................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE /
FEE... 0(2 1_7
Rqumal ur u Tonutrirtuan remit
Per/tsston5is hereb ranted n •-------------------------- ....................................................
by g F�
to Construct( ) gr' ;epatr any I 'di dual. S`ewa Disposal System"
`�{/ `N, .� triet
as shown on the application for Disposal N,` rk1Construction Permit No '� ted.._.._._. :-. --...� -
WI/ .,
.................. . .
Board of Hcalth
DATE.............. .... .r-•--•••-........-•-------•--------------.........
FORM 36508 HOBBS Q WARREN.INC..PUBLISHERS
TOWN OF BARNSTABLE
LOCATION Lf 3Y L>11d7rn.�✓ SEWAGE #
VILLAGE Co r}" ASSESSOR'S MAP & LOTJ��-�
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY /GCw II
j LEACHING FACILITY:(type) t (size) G y
NO. OF BEDROOMS. PRIVATE WELL OR PUBLIC WATERo. "6kL-
BUILDER OR OWNER {,,,, �;G,.,e, ,�,,y►�cln✓%�
DATE PERMIT ISSUED: 617/S3
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No �../
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JACK E. LAND ERS CA ULEY P.E. Y ANKEE .SURVEY=CONSULTANTS
CIVIL-EN I/IRDNMENTAL ENGINEERING UNIT 5 40B I DU
:
N STRY .ROAD ,
P. 0' `BOX J64
P. 0. BOX' 265
WEST FALMOUTH
.: � A. 02574 _ MARSTONS MILLS MA. 0,2648
508-540-. 20J5
TLL. 428 0055 FAX 420 5553
SEPTE"ER 30 19\ 92
J 50170
S
. - _ HEFT 1.< OF ,2
_ 1
,
• - . T O UNZ AT70 OP F Fi7 N
. GONG C
GROUND. . L.--
:WAS WD ST0NE
_ 4
R SCHEDULE 40
P fB P FT P. V.C. PIPE
ITCH J >..
PIPE --;:ANY. .
, = .� .... _PITCH 1 B PER ,
::BOX
/ ,
-. INVERT : _, , ; . � �
10 -YS a. a� -� _
, i D 9 PRECAST
_ s .. LEACHING
EL. 9a.5
INVERT c7tvsREn.. . - Ir OR , :
. . E DIVAL�
_ .WVE'RT EL.
• 'iYa,SHED STONE
'. SEPT?C TANK �.. ' _ o C
�000 GALLONS FL.— EL.—�.� .. _
H,20 LOADING
83. ��0
AC ,
T,.E' H PIT
, 1
o .
. , BOTTOM:OF TEST. HOLE OR USGS ?'S.,2 PROBABLE WA TABLE .E-U-"•
PROFILE OF
SOIL LOG;.
SEWAGE DISPOSAL SYSTEM ;.
P 5061
, # N T TO SCALE
W.CTNESSED BY: _ DAMES C01'VLON '
_ STAKES TO SUPPORT FENCING
HEAL 7N OFf7C£R
ALL ELE VA ASSUMED ;
_ BARNS,ABLE" , ,
DEC. ' 1 85
TOWN OF
DATE. ..^:_
P. SULI�1'V ENGIWEER
` ,..TEST'HOLE 1
• : L E
85. 7
2
_ PER CATION RATE MIN. C
._._ , IN H
LOAM • D.�',SIGN DATA ,
..,.. A & SUBS '_ ,
. : OIL. , .
D 2 ,
NtTMBE Y BEDROOMS : ..
SILT FENCING ,
.. ' GARBAGE 'NO .
DISPOSAL
COTUIT T TAL ESTIM �ATED FLOW
11D ..•
- GAL.:
3
.^ T WN V�f'ATER A AICAPACITY- , }
,
A-NK .
.,. . HEEL F C
_., �. ACHING :AREA REQUIREMENTS ,
• rllr, EN ING 3 <...
�, .�.� 188.5
cE W _ _n
R _, .SIDE ALL AREA _
s-c,� .�_... GAL.
BELD SUR.,�.AC OF GROUND ,�.
IVILB'OT.7`'OH AREA G.AL. S F .; . .,
WA TER ENCD �o
; ; - �'' .�• / /' !' / / _ CIVILof . .
� : ACHING _CAPACI 549
w CITY BOTTOM & SIDEWALL ,( )
, • _ RESERVE LEACHIN
q G CAPACITY _ _. :GAL
GENERAL NOT�'S
t,
,. 1. THIS PLAN IS FOR_INSTALLATION OF N�'W SEP C.. Tl` ,
:'. .. PROJECT LOCATI
ON.ION. LOT
LAN. REFERENCE
_. .,. P OOK- 06 B 4 PAGE 78
WHITMAR ROAD .
•
APPROVED.- - _ ,
,t� Tom' BARD d.�'. HEALTH _
. , , . .. 3. T S R H7 PLAN-IS FO . INSTALLATION ...:REPAIR OF:
SEPTIC SYSTEM :
AND NO TO BE USED D S FOR URVE GO
T YIN R ZONING PURPOSES. `; ;
.. _ APPLICAN
T. W. LO UGHhAN
ALL 0 A S .
RKM N HIP MATERIA SHALL` CONFORM
.. ,.• AND LS' NFOR TO D.E.P. O _
.., . , A T.E' r ,2'8 7884
J A�'.�'N.T .TITLE_ AND TH . T �'N F BARNSTABLE RULES AND : EG 0 • ,;.R UZ`,ATI NS
:
0 E SUBSURFACE
F R THDISPOSAL. AL °OF SEWAGE. > :
5. ALL COVER D -S 5 ,
. T ANI?ARY UNITS . HALL BE BROUGHT TO . WITHIN
_. 12 0 F S D G ,_ F IIVI HE GRADE. : to ,
_. YANKEE SURVEY CDIVS'ULTANTS
. _ .. T AND FINAL GRADES. SHALL <REMAIN ESSENTIALLY: THE
, OX 65 143 17d U�.E 49
_ , , 1
SAME UNLESS NOTED BY- AL-•:CON _ '�
,
. : .. - FIN TorrRs
,.MARSOS ,
, T N . MILLS 'MA. ^.: 7
7. ALL COMPONENTS,, : , _
.bIPONEN. OF THE SANITARY SYSTEM SHALL BE CAPABLE �
APABLE
„ :„
LOCUS
, .. .; 5 Ax
.. OF WITHSTANDING ",: 0 ,. : D __��_.__ H ,2 ,L ADING UNLESS fi,HE'Y ARE:..UNDER � --`—�— ,
_ .. A � E. LA.N.IaER,�' CA LEY: , .-�: . , ,
.. . , , , , OR �7THIN 10 : OF D IVES O P R
,� R R A DING AREAS. . H 2c� -GOADING � • -
. _. _ SALE . DATE..
.: : SHALL BE USED .TJNDE , _
U R OR. WITHIN 10. OF DRIVES OR PARKING
I T�TL .�NVIRONME11rT L .�'NGIN��RIN o , :
.. UNLESS.NOTED,
, BAN a Y MAS NR U
Y 1VI USED TO. ,, _..... , ..
TS .BRING COVERS :?"O G � .. ... a
,. RAD.E_SHALL
t
E - , J,,. B M R E
_ .., . . 0 TAR D IN LA - .P CE.
T FAL D U � ..
T� .A. 0 ,
RMINAMADE .: .
_. TIN :FIRS EEN , n DEYE' B AS TO:GOMPLIANGE, .WIT. '
D8 DEEDED OR ZONING > EG IO S
� J��� �DJ'� .R LrLAT N .. .OWNER AP.P C ,. _ : . :.LI ANr IS TO
.. . ......:..LOG .. ,_, - ,- . , .,. : SHEET .
.OBTAIN. U ATIDN MAl' .. _COI�aB. � DF
• ;. , ,., _..:, . _., : _ S CH l� TERMINATION FROM APPROPRI _> _ _. 2 _
. . �' ATE AUTHORITY.
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