Loading...
HomeMy WebLinkAbout0150 BAY STREET - Health 160 BAY STREET, OSTERVILLE A= 117-017 t 6 F 4 . 6: 4 ASSESSORS MAP NO: -1.7 PARCEL Na L3 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE , ppliration for Diliip ml WArkti C oastrurtion Vamit Applicatiop e ad Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: / �' + s!� ....' . 5 ...._ .....__ ill .... rruion-:\ddress or No. v Owner Ad ti dal,__ -Pv s 1914_-4 _,4�/� a - .��---- -------- Installer ......... Address te of Building Size Lot............................Sq. feet ►-t Dwelling— No. of Bedrooms._S......................................Expansion Attic ( ) Garbage Grinder ( ) aOther —Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 04 Other fixtures --------•--- -•---------•----------- ------•--------- w Design 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...S ._........_ Total leaching area....................sq. ft. Seepage Pit No...--.--_--._..._-- Diameter-------------------- Depth below inlet-------------------- Total leaching area..................sq. ft. Z Other Distribution box (tV) Dosing tank ( ) Percolation Test Results Performed by--------------................................................ ........... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.-.--.-.--_----_--- Depth to ground water....-----------.------ . frr Test Pit No. 2................minutes per inch Depth of Test Pit..........-_-.-- -. Depth to ground water........................ 0 Description of Soil...............................................................................................---- ----------------------------------------------------••-----------•-- x U --•.............•-------•--•---•••------••---•----•-•----•-----•-•----------••---••---•-•-••••----------------------••-•-------•---•---•------------••-------•--•-•---•----••--•---•-----•-----------•-- w 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. AA... Sig ned .. ------------------------------------ , . S Date Application.Approve ----...... / --------------------------------------- .. `- v Application Disapproved for the following reasons- -------------------- .. .... -----..............--- .. ......_. ..... ....... ........ ------------------------------------------------ .------------------------- ---------------... Permit No. ... . - .... ......._..Issued �'".. .... - .c..7........ Date l 1,17 Fri$:... ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH >- t TOWN OF BARNSTABLE Applirat nit for Dil Wnrbi Tonmrurtiott vi iii t rrutit Applicatio &* hereby made o a-Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: , /�,/ ; -------------------•-•-- qqy tio»-Address �� Ali or �rlr. e n w , Owner Address W _.� '°` � rv�f311_S /a _` __Q__S_______ I»staller Address Uype of Building Size Lot............................Sq. feet .-� Dwelling— No. of Bedrooms.A---------.----------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons.-_-------_-..__.--__-.._-_- Showers ( ) — Cafeteria ( ) d Other fixtures .. W Design Flow............................................gallons per person per day. Total daily flow-------------------------------------,......gallons. 9 Septic Tank—Liquid capacitvl_QW...gallons Length---------------- Width---------------- Diameter--------------.. Depth................ Disposal Trench—No. -./..............-.—Width... ----------- Total Length---S;4........... Total leaching area....................sq. ft. 3 Seepage Pit No-------_-_-_..----- Diameter.--_-------------- Depth below inlet--.................. Total leaching area..................sq. ft. z Otlier Distribution box (kj Dosing tank ( ) aPercolation Test Results Performed by-------------------------------------------------------------------------- Date Test Pit No. I----------------minutes per inch Depth of Test Pit------...____---_-__ Depth to ground water------------------------ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------------------------------------------------•--------•--------•-•----------- --------------- -------------- ... Descriptionof.Soil -------------••-----------------------------------------------------------------------------------------------------••....--•- Wx ---.-••-•-•---•---••----•-•--•-•---•------•••----•••------••----•-----••--•-••--•-•••------••-----------•-......--•........................................".................. _ __ ---•- _ - s• U Nature of Repairs or Alterations—Answer when applicable...__(1trl�_ 1 >a � ._... �' �:......... ---------------------------------------------------------------------------------------------------------------------•---------------•--------------------------------..;...--------••-...........-• 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 -..... -+ - J� .... ---------------- Dare Application.Approved }c,. �--------��� ���r/-�}/ 5 -�� Dare Application Disapproved for the following reasons: ---------------------.------ ................................------------- - ........... ------------------------------------------------------_........----------........------------........ ..---........ ........--- ----- ----------------- /- { ��I- G/ - Date-.s...l...'....... Permit No. - ----- --------------------------------- Issued .... -oa THE:COOMMONWEALTH OF MASSACHUSETTS i ' BOARD OF HEALTH TOWN OF BARNSTABLE Tertif rate of Tompliance y Tu�S ISO CERTI That the Individual Sewage Disposal System constructed ( ) or Repaired (X ) aby ------- Q ....G ----- -1.r..fJvS------.._--------------- --- -------- ------ --------------------------------------------------------...------------------------------------------- i instauer • / at -------160---------GAG J------.3r.....---- --O--S �r --------------- has been install!d in accordance with the provisions of TITLE lof The State Environmental Code as described in the application --or Disposal Works Construction Permit No. ... c ' lr _ dated .... .........-.... .._.� " THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUA ANTEE THAT'T� SYSTEM WILL FUNCTION SATISFACTORY. DATE. . ��/ ...... - - I n s p e c t o-� ,�, '�.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �- TOWN OF BARNSTABLE No..... FEE.. .. 1.. 19iupos 1 o kg Tomitru#uau f rrutit qq Permission is hereby granted------- .0.� - C t.......E.-Ji. '.k�iw_y u�................................................................ to Construct ( ��) or Re air 1 dividual Sewage Disposal Systelli at No. � d 1."rt4J...... __ -I- .1?.i '11F ......................... as shown on the application for Disposal Works Construction Permit Street •P."✓'/XAf O /-�- �'" ------------- Dated ---•••-••-••••. _- W------- �'� e / Board of Health DATE-------- -------- ............................... FORM FORM 38808 HOBBS&WARREN.INC..PUBLISHERS a� o0ow✓,.,.,EL, •q�! i�.3.3z /8 G9 727 �/I".1p ,'�D ,'��.5't'iC1/.L" /�i�'�C.1'i —`( 'fir► !>'J/►'�Cw7 r t°'i�L�t3 ( •/ �� �7.0' .fix �/doD E�11.7 �rc� ,c 7,g►v,C- w,a rir-,ss �p ',{c.�it N i� r.�V - q' ►✓. :,N �'. i s�.✓ ,'�r`.' �„i r, 44 T ,''/ 7 v�/ L.f r''4.�.✓ 1 G 7 72 I✓oR.,iXrI-a aR EQ�,% r 1 c�.����✓ ii X E e le,.,R ExJ,s.. ls � I G�+:��a�c � AEG�i✓j � J�o T ESE✓.9Ti�.,/S J / i3 h A /✓©T< , /y/S LD/ /,5 /.✓ ! � DDT ZGNE L' ✓ V''dOaJ� l r x'G /7 g. ' Y b S� I � ' BAYSTPEETEL TOP OF FOUNDATION ..� CONCRETE COVERS 4"CAST IRON 12 MAX � G i6. OR SCHEDULE 40 { 4"SCHEDULE 40 P.V.C. (ONLY) 12"MIN. _ _ ,' P.V.C. PIPE MIN.PITCH 1/4"PER.FT. PIPE- MIN. / w PITCH 1/4'PER.FT. E�/y�2 LEACHING TRENCH (......REQUIRED) � ','• I/g'- I/2' WASHED STONE 2" o'• INVFR T /�G� yET�yCENE INVERT INVERT ELlfa'"QC.• I WASHED STONE SEPTiC TANK Z. • INVERT EL.�SZS� B X EL," 9i: 3/4 I I/2" •; EL..�� �� /500.. GAL. INVERT f EL INVERT /.�:`... INVERT I , �. _ s°B.8 x d�_..s, _. ".if�,ta� EL.�:Y.•.�z'�' EL•./'✓.�'t��.�. lt,•�, • .,', _ -��;�- a�,X PROFI LE OF "Cl Z /YL) GROUND WATER TABLE SITE PLAN - �- OSTEPVILLE ,, MA SOIL LOG SEWAGE DISPOSAL SYSTEM TYPICAL CROSS SECTION OAT E7T. ,..vz 2z,.-T9drlME /O.:.c 9r►? NO SCALE LEACHING TRENCH FOR ,, TEST HOLE I TEST HOLE 2 NO SCALE '. ELEV. . ./.BQo.', . , ELEV. /7 . . . DESIGN DATA - - o-w-m Q 0AV J �.Y I 12"MIN. WASH / •_ Z y� [S-2 - Q NUMBER OF BEDROOMS FRANK LA ,VBERT 3 0 27•, �o L,2 -,6 TOTAL ESTIMATED FLOW GALLONS/DAY q 4"PERW RATED � , EG /S,o /oy BOTTOM LEACHING AREA 2Y{J. SO.FT./TRENCH PLASTIC PIPE C' -71G 6 �r�r✓> SIDE LEACHING AREA . . . . .. .�^�G SQ.FT./TRENCH S Ec i2. 1.S L3/4"-I V2�� ' CG ,PO Co-7,,T4 GARBAGE DISPOSAL eYo (50% AREA INCREASE) WASHED a�✓a STONE .�.. TOTAL LEACHING AREA ��. .. SQ.FT. 2, z i✓��� _' 9 /O j�,z Fr✓rrJ.fiJif�'f'J . 7/6 H7 PERCOLATION RATE . . . . . . . . . �. =�«✓PER. INCH ��✓ '9"� �✓ LEACHING AREA PER PERCOLATION RATE-��o..7... SO.FT. (", -} //V-- GROUND WATER TABLE r APPROVED . . . . . BOARD OF HEALTH z N.O.WATER ENCOUNTERED DATE . . . . . . . . . . . . AGENT OR INSPECTOR OF WITNESSED BY * r ,s BOARD OF HEALTH o� EDWARD E. EN GINEER �5�:.� r 4! jl�s4 L S ��k. KELLEY ✓��. NO. 26100 �fCtSIIQ PETITIONER s� l LA���