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Home My WebLink About0374 EEL RIVER ROAD - Health '4 EEL RTW R r Zq FRz ........ go THE COMMONWEALTH OF MASSACHUSETTS I� 1 BOARD OF HEALTH TOWN OF BARNSTABLE Appliration fur Di►iptial Wnrk.6 Tontitrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System- at: V... . �..../�iv��..- -- V,_u�---------- 6�...'. 126 ` ---------------------------------.------ .. Lor tion-:\ddress ' r Lot No. ,4 .... ...... ......D . ./. tt MRS------- - ----ems-------------------- ----------------------------- 0 ' cr ddress M Installer Address Type of Building Size Lot.__' !. _, fG_�.....Sq. feet ,., Dwelling— No. of Bedrooms------------ ' -------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) 134 Other fixtures •----------------------------- W Design Flow..........�_...a......................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. 3 Seepage Pit No-------�------ Diameter-------- -------- Depth below inlet............... Total leaching area---$_1K..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by............-............................................................. Date........................................ ,.-I Test Pit No. 1_4_�....minutes per inch Depth of Test Pit...... Depth to ground water.._ 44 Test Pit No. 2_.4..Z-_._niinutes per inch Depth of Test Pit........4........ Depth to ground water......!(,1I V4... R+ .......... . --------•.............ff'? --------------------------------------------.---....----•---.-----.-------I..................... 0 Description of Soil..........ZUil....... _ .....a?.. ................. 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 Compl' as b en issued y thAboaof healt .'� �� / �. Signed ......... _.......... ... .... ......LQ..: .d' Dare Application Approved By .................. .......... -.. -/ Dace ------------------*.......... 0.--�'�.°1�.mil' Application Disapproved for the following reasons: .......................................................................... . ...... ........................................ ............................................................ . ............................ . ........ .................... - - ........................................................... ................................ Dare PermitNo. ...............� - 5.15 ............ Issued ................................................................... Dare ------------- i 7�1E-OZ 7 VN OF HARNSTABLE C� LCCA`TIC1N1� � "-��'° r� SWAGE # VILLAGE (J ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. [ Z 'fo SEPTIC TANK CAPACITY 'LEACHING FACILITY:(type) O (size) i9 t NO. OF BEDROOMS, PRIVATE WELL OR PUBLIC WATER "BUILDER OR OWNER DATE PERMIT ISSUED: DATE COUPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� (/ �= i i �� --� � �� '��2�3�� e Sys � ,� �� . . �� .:c.4.::;•�.,,,,..::��-a-^.,.�.,._'.�. i-+,.s:.c.:-'-'�+�i^..'"'..^w.,�.-w..�,:.2 .7�.ii:»d,�?`�u t:�.z`..+M:: -w.,....r.4c.`a,.,.-....rr«ta-�-'� -- F� J'"'rr''.��r=•�a,l"""Zr„+"'t3^.rv�w�^-�.'.��"mc+�s.•'i5.j.,� i QQ No..,�3. _!1. . FEE..... ....... THE COMMONWEALTH OF MASSACHUSETTS d BOARD OF HEALTH TOWN OF BARNSTABLE Applirativit for Diripwi tl Nurks C omitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. may, ............ Address ---------------------- 1 0........ n .................................. r Installer Address UType of Building '/ Size To .�_,_f l.....Sq. feet a t Dwelling—No. of Bedrooms............. ........................_.Lspansion Attic (' ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -----------------------------------------............-----•--•-••--------------------- -------------•-••-•--•-•------..................•-•....--_... W Design Flow.......... o.......................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity/,)'?r-VgalIons Length................ Width---------------- Diameter---..._._____._- Depth................ W Disposal Trench--No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.______7-a........ Diameter....... ------- Depth below inlet....... ........ Total leaching area..-��*- .j.Z -.sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date.................................... ,.a Test Pit No. 1.4.2-..__minutes per inch Depth of Test Pit....../....... Depth to ground water..., .4�...._. Test Pit No. 2...r...Z.-...minutes per inch Depth of Test Pit--------(-a___.._.. Depth to ground water_.__...te!r? ! ... R+ ...................................... -•---••-•.......... . .........•-• Description of Soil.......... A------_leny.S. :...._ , V ....--------•-••--••---••••----••-••----------------- •---------------------------- -------------------------------------- •-••----------------------------------- W UNature 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. r Signed ........... ..�1'±; --/... ... .. : ..f ..o ..........�1�..: Date Application Approved By ------------------ --- .. tom, . ----/ .- 3 Da Application Disapproved for the following reasons: ... .... ...... ......................................................... ...................................... ................... ... . . . --. .................................. .... ..................................................-- ........... ........................................ � Date PermitNo. ..:............. ........��1�-?�.. ....... Issued .................................................`.................. d THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BAR((��NSTABLE u•Erttfirate of Coraylia re THIS IS TO`CERTIFY, That the Individual Sewage Disposal System constructed (`�) or Repaired ( ) h,tap at ...................... -.... IN .._..... .. 1 .[ � . ............................................ 9-T------- 1-2 : 1 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. ._- �...-.. `........ dated ------- ...._-----------------------_..--- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. '' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH G TOWN OF BARNSTABLE ./ ..�......... FEE..,.. _. /')....... ial nrk �aant�' tuan Vrrmit Permission is hereby granted............704" - ! --------------------------------•----------------------------------..__-..-..--------------. to Construct (Y) or Repair ( ) an Individual Sewage Disposal System O street G as shown on the application for Disposal-Works Construction Permit No 4z, _,. _`Dated........................................... --------------•--••------------------•---------------- .................................................. Board of H&Ith DATE... .................................................... FORM 36508 HOBBS&WARREN.INC..PUBLISHERS DES I GN CR I TER I A : INVERT EL EVA , V'S : GENERA L A/0 TES DESIGN FLOW: INVERT AT BUILDING: �.L` BEDROOMS AT /l° G. P. D. PER INVERT IN SEPTIC TANK: I . THIS PLAN IS FOR THE DESIGN AND �0 3•o ACCESS COVERS kUST BE WITHIN BEDROOM EQUALS ` `��'G. P. 1), 1 NV_R T OUT SEP T/C TANK:__ =a CONSTRUCT/ON OF TN,� SEWAGE DISPOSAL FIRST 2• TO 12' OF FINISH GRADE SYSTEM ONLY. , r— ------- -------- LEVEL I r'1 _, T I N G 1ST. -PDX: 9F �=j_ I 4- PVC —/ GARBAGE GRINDER INVERT OUT DIST, BOX: � U/N. 2' OF �5 L 2. ALL CONSTRUCTION METHODS AND SCHEDULE 40 `� r- PEASTONE INVERT IN LEACH P1 T: . u ` `G �.�� SE Pj I C TANK REQUIRED:RED: T r MATERIALS FOR THE SEPTIC SYSTEU �� 3 i ds _/V BOTTOM OF LEACH PIT: 73• 6 v.:_ G. P. D. X 150 - � '... GAL . SHALL CONFORM TO MASS. D. E. P. � �• 3/4' - l !/2' DIA. �_� -" ADJUSTED GROUND WATER: .t-J A TITLE 5 AND LOCAL BOARD OF HEALTH ourcET WASHED STONE SEPTIC TANK PROVID=D: /� GAL . l0• YIN. GAL D-Box OBSERVED GROUND WATER: REGULATIONS. SEPTIC TANK Z LEACH PIT ? SIZE OF LEACHING FACILI TY REQUIRED: Ep T,C Y T=.tt '-0.:f,=0.'IEN7_s L G fA TED - _ _ : ,VO T TO SCAL E ----G. P. D. UNDER AREAS SUBJECT TO VEHICULAR TRAFFIC DESIGN PERC RATE - L _M/N/INCH OR GREATER THAN 3 ' IN DEPTH SHALL BE CAPABLE OF WITHSTANDING H-20 WHEEL LOADS. PROVIDED: z G 'PIT(S) W/ z 'STN. �j SIDEWALL : -5-77 S. F. X : GPD �. ALL - '�E,R P , -.4 ; , U� t 1 1 V 8OTTO+a. _ ?_ .s. -. - 7_ GPD ,4__ �r.,� D J_� i FGTAL OR APl 30! . - - 5. BEFORE CONSTRUCTION CALL 'DIG-SAFE'. SOIL TEST P I T DA TA 1 -800-322-4844 FOR LOCATION OF INDICATES �__ INDICATES UNDERGROUND UTILITIES, °' `�� PERCOLATION -- OBSERVED � co, TEST = GROUNDWATER 40 c `sm i 6 . VERTICAL DATU,'.l IS. H r�r o\�� .� --- TPt Z i G.RND EL.!'�! GRND EL. /0 7. FOR BENCH ;MARKS SET, SEr Sl TE PLAN. ZONL : Rr - G. EL. G.W.EL. SETBACKS: FRONT - 30 ' 1 Leo M SIDE - 15 ' - L O T 175 se.4� REAR - 15 • All . 43. 1611 S.F. 4� is �'� �� '•" - R _,IO2,6 02.J -4 1 ` R£sER rE-.---�'; : ':..�-��p• ��C o � oa.s s I5o0 3Al . �2 s� �A.�ri y.G SEPTIC DANK 4 1 _101 a DATE. qbe- TP •!�O'r?-pox .--o :V, TEST BY. ,rc � .� .• a r- -�,= S 6 /� ram~ .:• 'a WI T'IESSED BY: ' < ' !VIZ 3 Tr: P c (' RA T L . — — MIN/INCH __ . 100. 73 �\ � TP •12 i V CB/DI SK S E- F 7- / C S Y S 7- i��l E S / G/`✓ <411 _L \\ p �'14 GL. E' sLIR I�FYI�1'G :�z E'NG 1 NL"i'R ING . INC . TOP CB/DI SK EL . I00. 60 l secx � a ezr cY Lanes ffy �rzn t s , :ifa 7 15 0 15 30 60 r J08 NO: 93-282 FIELD:CFWlSAH CAL C SA,�f CHECK: CF►Y DRN: SAH =291a�aacayd'cz.,..a-..s.�. .s. � .acJie.Tlr..�a..s:r:._-cnm:,tW,ri.,.a. _ _ '�.'e¢Z:-M�!E�:s:,..4w1*e'i.. ._:.;..a...u8u'.:.':+�;=_i.:.:iiBMv&S..eB��++-_,..:aP4asa,: :�r+a.: r:'sJ J{...�..�5L 5,<„@e_wx-'s-:.a<_ x:t'�+_--f�emrv::R"rsm.'. ,3i ,E....'a •••.:;ee.t.�+'. -- •..,'