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Home My WebLink About0145 SEVENTH AVENUE (HYANNIS) - Health y�- Ave ) � oa4 . V TOWN OF BARNSTABLE- / 7 SE WAGE # L:�CATIO � VILLAGE �°� � i� '' � ASSESSOR'S MAP & LOT INSTALLER'S NAME Q PHONE NO. � �� ,flf SEPTIC TANK CAPACITY �l4w cS'�.r✓7TC �- LEACHING FACILITY:(t7pe) (size) C� NO-OF BEDROOMS--�PRIVATE WELL O PUBLIC WATER .BUILDER OR OWNER .-Z - DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes -No, c� __ 0 'A„�. �� THE COMMONWEALTH,OF MASSACHUSETTS BOARD, F H A T. .................... A 7 q 1_5/'9 � ppliration for Dig pasal Works Tontitrudion rumit Application is hereby made for a Permit to Construct (K) or Repair an Individual Sewage Disposal System at: ......Li�_....7rk....G...... .......... ........................ .........��/ ............................................... Location-Addressor Lot No.../V _/A . .0 ............................................ ... A .. ....... ........ Owner Address 410MAR.7......... .......................... ... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..................14......................Expansion Attic Garbage Grinder (.vo) 04 Other—Type of Building JUSIPOMV.41— No. of persons............................ Showers Cafeteria Otherfixtures -------------------................................................................................................................................... Design Flow.............. �?!!�_gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacityl.S�.gallons Length................ Width..............._ Diameter._._._....__.._. Depth................ 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 P rformed by.......................................................................... Date........................................ 1.4 If Test Pit No. 1... per inch Depth of Test Pit.....16.......... Depth to ground water........................ fTq Test Pit No. 2................minutes per inch Depth of Test Pit___......_.......... Depth to ground water____._.__....._.....__.. P4 ............................................................................................................................................................ 0 Description of Soil.....4.9(-L..... ...... ......je!�....... ...... ............ ......................................................................................................................................................................................... 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'TTIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been piss,, y t e r f health. Signed.. ....... ..... ......... ........... ................. L Application Approved By. all - Date Application Disapproved for thg following re n s:................................................................................................................. ......................................................................................................................................................................................................... S . Date PermitNo.... ...fj.............7..........*------------ Issued....................................................... Date No. ..... �/ Fx$... THE COMMONWEALTH OF MASSACHUSETTS BOARDf F H ALTH Application for Dhip ottl Works Tonitrurtion rnmi# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .. -•- •----- --- _------- -----------••---•------•---- ------------------------------------- --..........•-------•----------•---•----------•••-•-•-•----------•--------•-----------•----------- Location-Address or Lot No. ......................—.......................................................................... .•---........_........'----.................---•----••--•....--•------"............--------...•-- Owner Address W 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 ------------------------------•. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 13� Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—NTo..................... 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........................................ 04 Test Pit No. 1----------_.....minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ GX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil.............................._.............................................................................................................--------•-•--•------------- W ------------------------------------------------------------------------------------------- ----------------------------------•----------------------------•------------------••---------------'--..... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -----•--••-----•--••-'--••----•---'-'•••--•••-•••--•-••--•_...-'--•••---------------'--"---....•-•-•----••---------'•-------•-------'-'---"'•-•••-•-------------•---••---............................. Agreement: The undersigned agrees to install the dforedescribed Individual Sewage Disposal System in accordance with the provisions of:ITS p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue by the heprd_of health. Signed ..!):.. ✓ .. .................... ......... Application Approved B ........ ......... /: -- Da................ Application Disapproved for the following re ns:............................. .........................•--'•-----`-'- --.... ......------•--- Da ``��-- s Permit No.-.C1... -------•._.. Issued---------------------------------•------•--------------- LSt.. THE COMMONWEALTH OF MASSACHUSETTS OARD OF HE TH i ............ V....... ......... ..�...... B ......... Igrrlifiratr of Tootphattrr THIS $ T dCERTIFY, Th/at th Ind,i,v/iicWal Sewage Disposal System constructed ) or Repaired ( ) by... — � -%-- ✓-- .' / J_..._ .WA,.... !V. �.1 .-- In.......... .............................................. ..................................... at / 11 v "a ,fir /n .............................................................. has been installed in accordance with the provisions of TITLEC� of he tate Sanitaryi12RANTEE as sF\rib�d in the application for Disposal Works Construction Permit No.,___ _- �---- dated-... . .................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUE® AS A THAT THE SYSTEM WILL FUNCTION- SATISFACTORY. DATE.................................. ............................... .. 8 ........................ Inspector........----'-'-------'--' ...................................... THE COMMONWEALTH OF MASSACHUSETTS /�. BOARD QF HEALCT.kI^ \ ........ ogle.0F.._.._._ � ��-�4.--:�.......:- FE ........ E-. .�.......... Diupoua l Works �o ton - rr` tt ._-.� , :....._...Permssi s hereby granted (_ = - ------ to Construct (, )wor Re.{air ( ) an Individual S .w .ge Disposall S /street i as shown on the application for Disposal Works Construction Permit N � -��.f,?., ted.......... .�� - DATE- Board of Health ...-- -� ��---------------•-. ... ------ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS`, *. 4` IMANHOLL COVER' TO ' a• ` � \1 / EXTEND TO WITHIN 12' pr -OF FINISHED GRADE --------- MIN. • ig 77 FT, 2" MIN. '. --�-. _ � _ , ,c , / o p GAL D.B. � ' e,-_'' •. . .. ' 1 � t . ` �,. .�----- 20' MIN. S_T T. f-�/-,,2 O _ LOCUS MAP SOIL TEST LCG ,��oE" ✓�Ew PERK RATE PROPOSED SEPTIC SYSTEM GENERAL NOTES ELEVATION -- NO SCALE OA 7✓M ELEVATIONS SHOWN ARE BASED ON DEPTH EL �lie . ® SYSTEM PIPE SHALL BE EITHER C.I. OR SCHEDULE DESIGN COMPUTATIONS (LEACHING CHAMBERS ) _ »� ® 40 PVC: I I THE BOARD OF HEALTH SHALL BE NOTIFIED PRIOR 2 T .��__ �'- g _ NO_ OP BEDROOMS r �;. - II-----� 3-rJ t--T T— / I ' I '- DESIGN FLOW 110 GPO .�_4 G O TO BACKFILLWG OF SEPTIC SYSTEM. t Gt A^/' �f►�M6�/� , ,, .�, --= LEACHING RATE Zell A/ - =�; -- ----, SEPTIC SYSTEM STRUCTURAL COMPONENTS SHALL BE ", • p i. 8 - - - PROPOSED LEACHING COMPS. — CAPABLE OF WITHSTANDING A H-10 LOADING I UNLESS ; ,� !� AREA BOTTOM 1.0 gat. / ft. I SPECIFIED OTHERWISE. ' g AREA SIDES 2.5 gal./. ft. E/✓p ?,//L-' tit/ SEPTIC SYSTEMS UNDER DRIVEWAYS SHALL COMPLY-v-- - l- 9 y- - A b L x W'x 1.0 6 8 x/_ o = fl.. HE DESIGN ANOO COMPONENTS OF THE SEPTIC COMPLIANCE WITH THE STATE Izo — -? - d_ 9 / �, •/� _ ( 2 xL • 2 x W) x1.0 x 2.5 ■ Z��+3&)�1:S) = „� SYSTEM SHAD. BE IN COMPLI N E -�L _ - ' ! TOTAL LEACN!NG CAPACITY ra n. .� �� - — ---- ----- -- ,. SOIL TESTS CONDUCTED ON �_______.r_____ SG �. .�, � OF MASSCHUSE � TS SANITARY CODE TITLE V, AND GA BY $/�1CF_'��1�Pf•'y 1C. 5- It OBSERVED BY J: 0VA1A11,Al/., � � SHALL BE IN COMPLIANCE WITH THE LOCAL BOARD TOWN OF • s°/� .ZF� B.O.H. AGENT , f SEPTIC TANK CAP. - 150y. x _so,.� - 7� L: i OF HEALTH RULES AND REGULATIONS. ^� NO GARBAGE GRINDER Usk'/.5"od G'A4. .f_ '. THE CONTRACTOR SHALL BE RESPONSIBLE FOR LOCATION OF ALL UNOERGR`?UND UTILIT'F5 AN.- SHALL ,'NOTIFY DIv-SAFE PRIOR 10 CONSTRUCTIOK sf y tail -,�- ��.�- •:_.r- : -� ' - �� _ ,:�vl f G E Fri�9 �.(� 1 r --- Nff/� t:: A.�if7N%✓%+f j , / T // A ,( n �- c"` '.--.-. '_ /�/Ti.�/•✓ T U dF i/ A G-G G/'! �.' '�� ' r � !T./Y lr /LL EG k./Lai. L�,� (/ /A'��!.//U�/ �/{/✓I•`,J l/ �' ,[//TW O Y /► i� ' ( J-- ��E r{' �L`�s- �ON�-n�� •�'a�a %".f w 6 9 7-Z 11- 7 9 I ��.+✓: .J1r'1Nr 74' �.•r.l.i. 7 r _. �G �� ° .T•�;r ►.vi• FL = 7. / ' = 8• , Z — EXISTING CONTOURS ' •->^T�}— PROPO"D CONTOURS ' � � I � . (, ,C�'v;-',•,,<.,ti; � ; �� /d'�.: � OBSERV.1 PION PIT ' "r ,'\ f �_—�__ �6 ,,�,-L .. - K ./ - n' -' �' < � _ c �;•1' ' �,^ ! .�. -- DISTRIE3! TION BOX (OBl v x �--- I cEog2- X - E3 SEPTIC TANK (ST) F�K I-e,4 Y/741. /y, 0/?o.t LEACH± G PIT OR L� FLOW DIFFUSORS RESERV'-. LEACHING PIT ' Uri �C '�' ► �Xt� �~�.. s^ , I i ,, -0- UTILITY POLE (UP) _ ¢ r , .1. 4'��//' I \ ® CATCH BASIN (CB1 ' w — WATER G — GAS ' 3 45 , —T TELC HONE 2 V x SPOT ELEVATION ,r c r�oxc- H, cv � ., ' oc �, 4• T S 7 ,9R r'� � fr f�1 ;,, ..:�,a ,� i�'� / �- ,c rS: 4/� A.,�, PROJECT: �, -� ~. l=� /L r✓ ✓lam !'� 'r � i�} > - - V S V r'tr GAl'[' 1 (t�47�/-.' DRAW" BY: GATE � MAP N0. � 4• ?T N0. .� _ - \ _ _ ;-►�---�---..._.._. , _(�, `� , J�,�L � z (� _ f> � .,.� '�• � ��v�/��/ � �.- ��' �l� '""....rl• .., � /� /r P�J�•'j�C15 E. ��:.�,,�/ ..'. � S�i•T/� s'-• � ors, • a,wsw r ru �710!//InrV.!y 'v