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HomeMy WebLinkAbout0648 MAIN STREET (OST.) - Healthr ��g -,gin �-�' v S M E A D KEEPING YOU ORGANIZED No. 12134 2-153LGN MIN.RECYCLED INITIATIVE CONTENT 10'%i �ae��s�rg POSTCONSUMER swm MADE IN USA GET ORGANIZED AT SMEAD.CAM l-0CATION l4, SEWAGE PERMIT NO. VILLAGE IN-STALLER'S NAME & ADDRESS "- 77 S U I L D E R OR OWNER �7 / iDA /!� DATE PERMIT ISSUED I�r DAT E COMPLIANCE ISSUED T. .--� . I G � � I LOC&.TION , v 5EW&GE PERMIT -UO, IAA L6L - - - - - I T QLLER S 1.1WAE e ADDRESS BUILDER 5 tJ / MF- ADDRESS Dt-\TE PERWT ISSUED .- - D ATE ;'COMPLI &MCE ISSUED - - - F 1. 1 A-a A-3 -Ya y1 s No.............Z....... 2� Fu$...........�E.. .... ~ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH fr11� Appliratilan for Bilipoii al Worka Tono#rnrtion . rrutit l Application is hereby made for a Permit to Construct OO or,Repair ( ) an Individual Sewage Disposal System at*;, b ........ .... _...... .................................... ..._...---••---•----•---•--........-•------ •-•-•---........... ..........---••- Location-Address or Lot ...:: -.S' �... ...�..:... , ��T - a l2 a: ------.. t. ----•- ' ...-w..... Owner Addressrth T ____. C1. .� G F.. .. T. cups-�et .. 1 �..Vie- ........ - Installer Address Type of Building Size Lot _ .....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic (f� Garbage Grinder (P6 r. a Other—Type of Building __...._.....•. p ( ) ( )A-M...__:_... No. of ersons____________________________ Showers . — Cafeteria Pa Other fixtures ------------------------------•. W Design Flow............................................gallons per person per day. Total daily flow-----�.Y._Q....................._gallons. Septic Tank—Liquid ca acity/so .gallons Length................ Width........F_.. _ Diameter---------------- Depth_............... Disposal Trench—No:__......_.lja-: Width......C....__.._.. Total Length._:'/_.� . Total leaching area.®.4V....sq. ft.. Seepage Pit No--------------------- Diameter.................... Depth below"inlet.•:;................. Total leaching area..................sq. ft. Z Other Distribution box O Dosing tank ( ) Percolation Test Results Performed b Date...—AP-7 ;. ,4 Test Pit No. 1.......:3.....minutes per inch Depth of Test Pit._____.. '_,_,_ Depth to ground water.../_1 .. Test Pit No. 2----0.......minutes per inch Depth of Test Pit i.. ��-°� Depth to ground water.,/rA.....-_-....; Pd -----------------------•-------------------------- O Description of Soil .f ..tL...br A ----- -------- ----•----------•-•---•-•-•-•--••----•---- x �., ----••••-•-•••••--••-••---•---.....---•-•••••................•--------•--•--......••---•••-•..._--------•------------ w :.k , . V 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 iI'L a' 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Zeened by th ©ard of health. Signe �1 at PPlication Approved By...................... -- ............... .................................. .. . Datd Application Disapproved for the following reasons:............................................................................................................... ------•-•-•---.......-•---------------------•-----•--•••--------•--------••------......---....-----•----•-•••-•-------------•••--•••--------•-•-----•-...---------------•---•-•---•-••-•••---......-•--- Date Permit No._._.._. _ . ......................I----------•--- Issued....................................................... I,�_�_ — _ -- ----------- — __—__ Date ------------ —------------------ -- - ------------- --- F • f No... ..r'.. �'" ��' Fizs........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................OF_............................._......---------......_...----------...._........._._..._. AV;diratiun for Disposal Workii Tonutrn.r#inn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 2 ..- �-p---- .... ._.... .. _ Location-Address or Lot No .............:. Owner a Address i C v _ v� (er- u� ............................................... Av c d Installer Address d Type of Building L. Size Lot_2_a_oA! ......Sq. feet U Dwelling—No. of Bedrooms......._____...............................Expansion Attic V/6P Garbage Grinder a p4 Other—Type of Building ..... R_.:tY!__ No. of persons____________________________ Showers ( ) — Cafeteria ( ) A-1 Other fixtures _----•-------••••-----•••-•••--• - W Design Flow.............................................gallons per person per day. Total daily flow.... A.......................gallons. WSeptic Tank—Liquid capacit,/6.-DO__gallons /Length________________ Width................ Diameter__-____________. Depth................ x Disposal Trench—No-.Zj`..tf4l!. Width.....L............ Total Length_.eg..f..�i4 Total leaching area_.d.-4/A....sq. ft. Seepage Pit No-------------------_ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by.__:_. _._/l L...!w_____________ _._______._____ Date__.A'v_1 a S'S Test Pit No. 1-----3_.......minutes per inch Depth of Test Pit......9I____________ Depth to ground water----- (s, Test Pit No. 2.__.3........minutes per inch Depth of Test Pit....fw.......... Depth to ground water-----I2B........ a ------------------------------ ------------------------------------------------------------------- ................................................... D Description of Soil............ �( W U •-•-----------------------------------.------•---._......-------•----•------•---------._........--------....•.------------------------------•------------•------------•----....-••---•--•-••-••--...._.__ W x ..................................................... -••----------------•._...---•---•.....•-•------------•--••--------•--------•••--•-----•••-•-••••--••••--•---•--••--•--•--••••--•••-•-----•••_•-•-- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... •-------•----------------------•----------------•--------------------------.._..•-•-•-------._....-------•---•-------------------- ----------------------------------=------------------...-••-••-•-•--. Agreement: The undersigned agrees to install th'e 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 orplia 6'has been ed b e oard of h 1 . Si ne � to AXplicatiofi Ap roved B PPP Y --• --.....: _ --•-•----_ -� Date Application Disapproved for the following reasons:-----••-------••---------------•----•------------------•------------------------•--------------•--•--•....•----- ...---•-------•-----•..............................•-----------•----•-•-•--•----------........--------•--••-•----•---•-•--•--•••••---------••----•-••-••-•--•--••-••----............................... Date Permit No.....-...5 ----- .. ..... Issued Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... (9rrtifirFatr of ToutpliFatur THIS IS TQ RTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by............... .. 2_ ............. -------------------------------------•--------•----....--------•--------------.......---•----.....--------...----._.._...._ nstaller. ,+ at has been installed in accordance with the provisions of TIT F . 5 f The Sta e Sanitary Code s escr* e in the application for Disposal Works Construction Permit No......._ ,�_ :�:_ dated"---------------- _f THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE®7ASI, RANTEE THAT THE SYSTEM WILL FUN TION SATISFACTORY. DATE.----- • --7--...� ..-•-•----------------------•--•---•---._._. Inspector......_..___ -�- %.:._...----•----•----..._......-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH a No..'9` '_S::777 G FEE........................ Disposal Nrk� �unutrnrttnn ramit Permission is hereby granted.............- y1�9 (zGt� IMJ1�7 ................ to Construct ( )}for Repair ( ) an Individu ewa e.Disgo 2 System - 4 Street as shown on the application for Disposal Works Construction Permit No...... DATE--------- .................................. Board of Health FORM" 1255 A. M. SULKIN. INC., BOSTON At IA Lo7 ' '1 I \ CsEi� A�'7slal8D Pfq,j roI 8= 1%17V-= /�fPd,RV/ov5 /IA�Y/AL 11 t �k� t'�. � -�.rc3E -: st•.. g ,jam Id-'i.5 kr -_-IC •• ((a��.'+;',,.;: ails?; LCJIGl 7R�'NGI �/G,t;, gsa� ` . `� Q 4. # • 22 0/¢ Ste. F7: 3� im 1 ,1 ', •` 4 _Y r .¢I,, �F�vq��g4 k.r-ncr��+rr� _;,�+, I , o I �ti �i�r�✓� .... /`J�/P?81BlAL. /NTHE'LE�9GM �n 5� ATZb*r9,,ynlD ZS�BE'yotiD ro 3Ar Z6*yo vFv �D qj613 \% � h Q � ✓ � 71 \ 1 it 0 OL Al I 7 &Ztjv, arop o,c LOCATION . . . . .��. . .V. . . . ./. . .. . . .�t. . .. SCALE . .���_�o'. . . DATE �7wr.Z /j�8s Now_ - syq�o,�s 8gs�a oN PLAN REFERENCE . .B&-7NG . .477.'``Z wAIZOe 79W4 : O.00 7119/gs o.V OF 7 KELLEY N0. 26100 c, 1 CERTIFY THAT THE ger Cl$1L��� yi SHOWN ON THIS PLAN IS LOCATED ON THE GROUND ss/�MAL LANO AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE g . . . . .... . . . .. . C'c•a,eC� -7,9 7-- A-W 77oNe REGISTERED LAND SURVEYOR �NEZCT 2. of Z 3,SIEL7�r TOP OF FOUNDATION CONCRETE COVERS I 4 CAST RON "�""'P •�/ PIPE I2 MAX. 4"ORANGEBURG(OR EQUIV.) EQUIV.)- MIN. 12"MIN. ' ' PITCH 1/4"PER.FT• PIPE-MIN. /Z~Avg! PITCH 1/4"PER.FT LEACHING TRENCH (......REQUIRED) •. I/8,,- I/2" WASHED STONE• z� o'- INVERT WASHED STONE EL.............. INVERT INVERT _ / „ 6.; SEPTIC TANK DIST. 3/4" i 1 2 iZ :. INVERT EL.......... BOX EL......... :e EL.............. /Soo. ... GAL.. INVERT INVERT ......... INVERT ` EL. EL.B:6Z.. e PROF] LE OF so -'•�'�'• P-¢7s7 GROUND WATER TABLE SOIL.. LOG SEWAGE DISPOSAL SYSTEM TYPICAL CROSS SECTION NO SCALE LEACHING TRENCH DATE .T..LyiBiyBS. TIME ./os3os!!-> NO SCALE TEST HOLE I TEST HOLE 2 ELEV. . 6.,qo . ._ . . ELEV. .8:oo DESIGN DATA 12"MIN. ¢ WASHED 'Z''r►�N wooar./}r� Sa.ro�tG NUMBER OF BEDROOMS .. STONE zoo 67Z-L,ro TOTAL ESTIMATED GALLONS/DAY FLAW `' � z„ 4" 4"PERFURATEDD iZ„ . 64" - �" 5✓D-SoiC� BOTTOM :LEACHING AREA ..�Bo...... SQ.FT./TRENCH PLASTIC PIPS f� S�`D�F�.vC tiNE oo SIDE ,LEACHING AREA .7.Z. . SQ.FT./TRENCH 43/4-I V2" sts. 0 GARBAGE DISPOSAL. Nd'"E ..(50% AREA INCREASE) WASHED bw- BA•,Do�Feoz STONE TOTAL LEACHING AREA . .. �� .. ..:� SQ.FT. 7.S' �z.,o.00 • ,�- w�rL 3 3 s PERCOLATION RATE . . . . ..• �/N 3. . . . . . . ... "PER. INCH G. CoA-2s� LEACHING AREA PER PERCOLATION RATE SQ.FT/G.RD• Z> SOH y oa APPROVED . . . . . . . BOARD OF HEALTH GROUND WATER TABLE .. . . ...WATER ENCOUNTERED DATE ... . . . ►r/ `1K d!:,. AGENT OR INSPECTOR " of iy�ss WITNESSED BY : �'�'���• 'Y�^� BOARD OF HEALTH Z '`y Z � E ° ' . . . . . ! �?LEY N� w It.Ha -• f� EDI✓Aru� G /CELGE' . . . . .�l/.�-in/ -ST ¢�OGD /'l/LG.��, I 0. 26100 0 y ENGINEER \ �'fCtSfEaE� " . . . . . . . . .. . . . . . . . . . . . . . , GS"T�.7?•V�LLE` . MASS. ��k�� �ae�o`�' � �s,� • • � s�Nrt�a�a�' PETITIONER G' / G .S�fjZT Completed by HIGH GROUND-WATER LEVEL COMPUTATION Site Location: /ftA/ S'M62-7 � oeo IIIZ4 eD 0_97�eV/4LC Lot No. Owner: ��fIG� s�t-7- Address: WE-3T' hti7e_i•�/ich/� /4/.q sS Contractor: Address: Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. 7//8 /3r date STEP 2 Using Water-Level Range Zone and Index Well Map locate . site and determine: TsiN A) Appropriate index well . . . . . . . . . . . . By B) Water-level range zone . . . . . . . . . . . . /3 STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to �z water level for index well . . . . 7 /,9 mo yr STEP 4 Using Table of Water-level Adjustments for index well STEP 2A , current depth to water level for index well (STEP 3) , and water-level zone (STEP 2B) determine 3. 0 water-level adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STEP 5 Estinate depth to high water by subtracting the water- lcvel adjustment (STEP h) from measured depth to water s, o level at si to (STEP 1) oN Z$NLX- G%Gss Figure 3 EZ -7- C o n p l e t v d 1.)y •---------------- HIGH GROUND-WATER LEVEL COMPUTATION Site Location: MA-/N STi>`'t'rT aLD iyiGG .eD . azrr4wVIU,6r Lot No. Z&7 9VZ_ Owner: C�-arcC� 51�itZT Address: We_7- h/oqz-_r.✓ir--f/ /ygSS Address: Contractor: Notes: STEP 1 Measure depth to water table 0 ft. .7 /af 8. v to nearest 1/1 • • _ date STEP 2 Using Water-Level Range Zone and Index Well Map locate site and. determine: Ts"/ A) Appropriate index well . . . . . . . . . . . . B) Water-level range zone . . . . . . . . . . . . C, STEP Using monthly report"Current 3 Water Resources Conditions" determine current depth to water level for index well . . • . . /*t' mo y r STEP 4 Using Table of Water-level Adjustments for index well STEP 2A , current depth to water level for index well (STEP 3) . and water-level zone (STEP 2B) determine 4, o water-level adjustment . . . ... ... . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . STEP 5 Estinate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water 4 0 level at site (STEP 1) . • • . . • • • • - • . . . . . . . . . . . . . . . . . . . • . . . 'Figure 3 ...r:l. -7- �p SNIT / OjC Z 2-5 -18 a 6 A" a/ r,frsrm_*4 8-1, Pe7,0%4m Zs'OO)egiva Z67tQ./ sepnc Ile le t a. YY It GLoW -D/FFvSoeS :t�r�Y;�' ! ��`b � +� § . ,�a isu�G � �• Car 0 V&u Q r d Sri •g�' ' i"�h 'per / kk Z* �/ I i D. row. w.�y GL U ,q /�'l/LG 2a�9 0 7� 046 oar, i igaz o"Do LoC177& . d 57'�l2V//-/- NIBS 5, f'L.9Al .2�'F; Q�7n/G L07- �r/ S/�/vw•v aN JK of ,eicN�2t> L. ;'.76-yc,:6;- /9. -.waG E WiROci s E. N I c3 KELLEY ^� p No.25100 O h I c'6-er/,47Y 7--147- 7t/6= �2o/oOSED FG/STBP�♦ r /3v/oa/NC Sflaw.v on/ Tt//s PG4...' ��a t U a V t,�o G'vNFo2N5 Wi Tf>l 77yE SET-B9G•� ,2v/z�.�sZ�v�s Try wA/ of 1217471 �' o ' �ie�/�•eo L. � -Tyct A, f NDG- J�ET777v�v�•�e 5 ,Pc-G. L,4su v -S�2 v�yo,e, I i 1 EDWARD E. KELLEY REG. LAND SURVEYOR CUMMAQUID, MASS. 02637 TEL : (617) 362-2266 Town of Barnstable Dec. 30 , 1986 Board of Health Hyannis, Mass. Ref: 85-776 George Spalt, Lot # 2, Main St. , Osterville On Nov. 20 , 1985 the septic system was inspected with the following results; the septic tank was 8.5' from the inside of the cellar wall, the leach area conformed to the approved plans and all impervious material in the leach area and 25' beyond on three sides and 10 ' beyond on the fourth side was removed and replaced with clean sand. With the exception of the septic tank the system meets all requirements of Title V and the Town of Barnstable Health regulations. OF ei IBTETS '_: EDWAR0 R.H _ T { KEI � EY N egg, ita Reg. Prof el signal "c'sTF� / LandSur�ve,,yor�%�