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Home My WebLink About0120 LINDEN LANE - Health � - qua- by� � �dti � �c TOWN OF BARNSTABLE LOCATION l / V F �.✓`G=�i✓ SEWAGE # ��_ PILLAGE / ASSESSOR'S Ml1P & LOT ` INSTALLER'S NAME & PHONE NO: GZ�r� `� P/j �r SEPTIC TANK CAPACITY % � LEACHING FACILITYAtype)� � e.f-1 ' </ � (size) /6 � NO. OF'BEDROOMS PRIVATE WELL OI�,-PUBLIC WATERW�!/�Jf/ BUILDER OR OWNER DATE PERMIT ISSUED: , DATE COMPLIANCE ISSUED: x-VARIANCE'GRANTED YesNo ;� .. f . L '� 8 eG; Q �� , v 1 �. THE COMMONWEALTH OF MASSACHUSETTS 1 "�1 BOARD, OF HEALTH --.........O F............. ..I .� . ......................................... IfL ppliration for Diopo,ottl lVarkii Tonstrartion Vern it I� Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual P Sewage Disposal System at: ............... (-....�.....T��...�..!Z ..+--�N� - -•--. L� -Location-Address or Lot No. Owner 7/yt�� Address . ........ -.......... Installer Address Type of Building 3 Size Lot..._�_ l...LSq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building No. of persons............................ Showers a YP g ---------------•---••---•-•• P ( ) — Cafeteria ( ) 04 Other fixtures .---.....---•----•-........-•------ •--- ---------------------- �. ..................gallons per per Total d4il flow......... .D............__.... .'gallons.I WW Deslgn Flow............... g p ge>:sen y. y WSeptic Tank—Liquid'capacity..).�?...gallons Length8_.(S_..... Width:t.,..�.Q_.. Diameter................ Depth.-5.d--_. .... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.........I........... Diameter....LO........ Depth below inlet............... Total leaching area.ZJG_j.!.Q..sq. ft. Z Other Distribution box`( Dosing tank ( ) I Percolation Test Results Performed by--.. L�1.44Y f0". .... ... Date....(e..l Z.`....................... Test Pit No. 1. _......._minutes per inch Depth of Test P.1+•it_..... ........ Depth to ground water.Q.00LL, Test Pit No. 2..L-7 _minutes per inch Depth of Test Pit......�44._.. Depth to ground water.. .................. y...................................... ... ...............;;.........._..........-- �Y....._.... O Description of SoisV` ._ 4..-. ... .:Sao.?P....l :�.-.1 .. 4 ..?.�9,1 ....Z- :..-..: -------------------------- VW ----••-•-----•----•---------•-------------------•---•---•-------•-----------•----------......-•---••-•-••------•-----------......•------------•---......_...--••--•-----•-••••.....-•-•--•-----••....... 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 11TL LZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issu d the board of h�It .Signed.............. ••-- ....... ---..•• . ... .. �• -/-! ... . Date Application Approved B ............�� Date Application Disapproved for the following reasons:. ..................................................................................... ........... ............................................••----•-••-•-----------••---•-------........----.................:-..--•-----•-•--•--..........--•------.....-•-•----......---•--•-•••--•--................� Permit No......... ..2.......`.... .2.............. Issued..--•--•----•----.....--••--••--••--•-.....nau...... Date I � No....F.L.6 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0 6 .........OF............... ...... .......I...............................! ' I Appliration for lkspitgal Works Cinstrurtion famit �76 Application is hereby made fora -Permit to Construct or Repair an Individual Sewage Disposal System at: Lo-r I F-2)' -Fu oiee +4)L D 4 � f tQ c IL!=4.. r2-C,L osr4�.vw t"--r ....................... ............................................... .... E]. .................................j-----7................................................... Location.Address or Lot No. 4_2A K i 1 ��................. ........... ........................... .............C. ......--.a_. ................................................. Owner Address ........................... ...... ......... ............ ...............................................................*........ ......"........Iastaller Address Type of Building Size Lot..... feet Dwelling—No. of Bedrooms..................r'_...._............_..Expansion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons._........__........._______ Showers Cafeteria Other fixtures ..................... ................0,0 j%=*............. .................................:................................................ Design Flow............... 1 ( 0 -------------- ....gallons per person per day. Total daily flow........ D...................g-,,d I o n s. Septic Tank—Liquid capacity.. �.gallons Lengthi�.11,9�...... Width�.+.'J d.. Diameter................ Depth..5.14-" .......... Disposal Trench—No..................... Width.._................. Total Length................._._ Total leaching area....................sq. ft. Seepage Pit No......... ..... Diameter.... ........ Depth below inlet.._.�4 ......... Total leaching area,.Z.0.t.n.sq. ft. "'(X) Dosing tank r Z Other Distribution box Percolation Test Results Performed by.......?Ms�.Ia.HJM............................ Date...... ..... ....................... Test Pit No. ..minutes per inch Depth of Test Pit.* Depth to ground waterJ...1...p.1, LL7 Test Pit No. --.minutes per inch Depth of Test Pit...... Depth to ground water..U............ ..... ............................................................................................................................................. ,:� 'Z 4 - t4t-o-Ciwo (7 6' - 1-!52" (o(; e P_�0 Description of ............................................................................................... ;:�� - .................. U ......**"*........... ------ .......3 ........... .................................................................................... .......................................................................................................................................................................................................... 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 Sanitary 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.'"\_1 7— r ................ ............ ..................... .................... ............. Date Application Approved By.............. ...... ............................ ......6................................. Date Application Disapproved for the following reasons:..................................................... -------------------------***-----------*---------- .................................................................0.................................................................................................................................... Permit No......... Date __Z._- 6 a )— --� Issued-----01- .................................. ................................................ Date Z ----------------- ---------_-----------_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........OF............ .................................. Tatifiratp of Tompliatta THIS IS TO CERTIFY, Tha theIndividual Sewage Disposal System constructed or Repaired.................... ................................................................................................................. by ............ .................... I staller . ..............�f----- .. ..... (-*.. .............. ..XJ& ....... at.............A.�.e ...... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary 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. a Z DATE...................20......—.1............K&..................................... Inspector......0............................................................................. --------------- -------- -------------------- --------------------------- -------- ---------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............0 F...... .. ........... ....................................... N FRE.4... ...... Bispd�al Vork.9 Tonstrud wn yr ft Permission is hereby granted.........PIP"* pm. ....... ......................... ........ ........................................... to Construct or Repair ge Disposal System an Individual S,eA, at No............. .......e.,......................................................... .. ........................ .........Disposal .....fi,'. . Street as shown on the application for Disposal Works Construction Permit No.42 K2. Dated.._.... .................L ?.... .......................................... ......................................................... U Board of Health DATE............................... ................... L•................. SEC RON - SEWAGE ' 'Q -SEPTIC TANK - jt5 -"D"BOX - �b -LEACH- TOP OF FDN .' �� ,/,• . (MSL)• s-I' GVLTO RJG WASHED STONE/ USED TN>?a HOJT : r`� M II.1IN- TF t _ OUT• IN- f _CDU OUT• 1N• JO.00 2r.I SEPTIC TANK ZQ Z�, Cc ' / U� Ire ELEV. (N ~ C ELEV. ELEV. d�• ( "� \ i Zo ELEV. DaF,N of FLat<! 4 FZ r' ELEV. ELEV. / c' 910I�T --� Ir.)I T Tom' l t�; ' �'�Jw�l. FIesT 2' cF PI-PC o !� OUTLtTTEir 20 LlPfI4 t?oWr`I Ct1TOr- U-I�a)Y- L`� ..?:. OFV4••-Ilk•' +` �iL\ N �AI�AC�F�E� WASHED STONE n _ TEST HOLE LOG OZ,I TEST BY �r"lrf�l� . I. I'yGVIli I l f Lo \ J W THE � 11 SS f � f TEST DATE 6-G-10f0 BEDROOM HOUSE DESIGN T.H. ,x 1 T.H. 2 V.✓(.,Z ELEV.,!n� NO 0LOII X' P L MI DISPOSER DISPOSER ERC RATE _MIN/IN. \ \ J FLOW RATE I 1 a (GAL./DAY)/ 3c SEPTIC TANK 7 : C,Q= i / - of IF9 REO D SEPTIC TANK SIZE I ��-`' 1, < J LEACH FACILITY SIDE G D ,-WAIL (2+ — / S1 r BO OM z _ G D. 11 1. '., TOTAL _ �4 f r •�. �-r4 �)r-�`\'. I f - - -._ -_ ._ _.-__ ___ �`J� e� -- v;"t USE: c�- �c--5-'1 LEACHING y- + Iyl EFF D I It 1,4 OFF'. VE,�-rH WATER ENCOUNTERED (�� ✓t��7 �—— — -- NOTES: (UNLESS OTHERWISE NOTED) 1• DATUM(MSL) TAKEN FRO lr�`_ ..____.QUADRANGLE MAP' �>fa�', ,z r `. - jwg� i } !' ( -, +i T' ' A, r 2.MUNICIPAL WATER _ _—_-._.AVAILABLE G��`4� �; I /' �/ /�� p.t�• y✓-�n� i 3.PIPE PITCH: W"PER FOOT ,.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO -44 '"�t S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. 6.PIPE JOINTS SHALL BE MADE WATER TIGHT l CJAL �t �G>I�E' 1O ' 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. CIV!L - is, o. `y2 � +''' `�4 ��[/��• lot t STATE ENVIRONMENTAL CODE TITLE S us SITE PLAN Loc�� iap : ILL, ��sTHrs P,� wiz pvoy 2 ec L 44- IKlpf BE U -�-ED FOR 1111E e-i�CI 44F 14 .1 ,1 w l _ /'m s� oETIorJ C7� ' r I ' REta. iq ONAL ENGINEER - e• �p> rsq� / ✓ o ARNE ti��\ REF: L1!' — �'I 'I 1 N YYQ�?✓ % — down cape engineering ` r 11{ y OJ A �1 PREPARED FOR: ? ? � 1 1 CIVIL ENGINEERS ' LAND SURVEYORS ' ---- BOARD OF HEALTH 1� �� ;�L�AND'sSC1'RV, YOR II = ��I CONTOURS (EXISTING)- gPPRCVEO GATE �: { _ MA x i �f ��A (PROPOSED)-O-O-'O O- 1 SCALE_ -yam ( �rrw�ws°�° DATE Y'