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HomeMy WebLinkAbout0168 PARKER ROAD - Health xw TOWN OF BARNSTABLE LOCATION_1%d Ll.+ SEWAGE # < q VILLAGE ��� (� ASSESSOR'S MAP & LOT INSTALLER'S NAME Cz PHONE NO. �p��"���4.j ; SEPTIC TANK CAPACITY f Q(�� LEACHING FACILITY:(type) & ,e;,p (size) l�I�CI r NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: I0 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No / o 1� Fxs-72��. THE COMMONWEALTH OF MASSACHUSETTS _ BOAR® OF HEALTH ...rn..LA/A/ .... oF../. .T.�9 ....................... Appliration for Disposal Works Tonstrurtion Prrmit Application is hereby made for a Permit to Construct r Repair X an Individual Sewage Disposal System at ........Ze.T..2......: �.--......_........... ....... .....------.. .. ......._......--------------- Location•rr.ss ••-•or•Lot No. Owner t ............................... Address . Installer Address Type of Building Size Lot.Z7.D�--------Sq. feet Dwelling—No. of Bedrooms- -----.J�...............................Expansion Attic ( vj� Garbage Grinder V10) `4 Other—T e of Building -......_. No. of persons............................ Showers Cafeteria WOther fi ures ...............................•----•.................._......._.._..............-------- ............................................................. d W Design Flow..........`..................................gallons per person per day. Total daily flow...... ..................dons. WSeptic Tank—Liquid'capacity/..gallons LengthT� l.•...... Width`�%�4-...... Diameter................ Depth...__._........ x Disposal Trench—No.--•----•------------ Width................... Total Length.......jj........... Total leaching area....................sq. ft. Seepage Pit No.Cie!�..._./�iameter...12......... Depth below inlet.....�P............ Total leaching area...... .....sq. ft. Z Other Distribution box (v) Dosing tank ) O� Percolation Test Results Performed by...t�.r......�.-..--.-(......................................... Date........ ..lS,.f......--............... Test Pit No. I.A.2'�.minutes per inch Depth of Test Pit..l=v-------. Depth to ground water_.4/0............... f Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ......._ •-•••--•--••--•••-••-••...............••••••...............---.........---...--•----•--......................................................... ODescription of Soil...........................•----------------....---•-----------------------•--•......--•--•....-••-•--••-----••--•-•--•-••-•-•••••••••-•-----._._...._......--•--•---... W V ...........................................•........-----•----._....._....--•-.._...••----...._..................._..------...-----------••-----•--•-....------...................---•••........---.-•--- W x ..............................--.......•.......................................................... ----•••......•-•••-•-•-••--•...................................._....._......... U Nature of Repairs or Alterations—Answer when aRplicable.;e tQ ..... ��"—Ss�r141L..... /1...... ,t' "✓ .......&tiA..........Pl../..%......................................................................................................... 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 b4theoard f health. Signed...... .--•-- ------------------------------------ -------- -----......- Dat Application Approved By... � ........... .......: ........ O <2 � D to Application Disapproved for the following reasons:.............................................................................................................. - ................................•-----•--•-•-•--......-•-•----..........-•-•--.....__...--•--.._.._._.__.__......__....---............_..._.2•••......---•-•-•---•---...-- Permit No.--.- Issued.......... ....._ .......au -- ate r NoV�..._ FI�$....�-�T��a. THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH e)...V6 .................OF..� / �r..t d . ` . ........................ Appliration for Disposal Works Tonstrudion rerun# ..Application is hereby made for a Permit to Construct (/ or Repair an Individual Sewage Disposal System at ........z . :..:.... .t'a.. .... ..................... .•----•-----•-----------•-------..---------- ---- ----.--------.-..-.---------------------..---- Location-Ad ress or Lot No.. A,, ` 07 r�r n�1� Address lI W i Installer Address QType of Building - Size Lot d.... ............Sq. feet Dwelling—No. of Bedrooms...... ................ Expansion Attic ( Garbage Grinder (,a�Q) ---•--•. Other—Type e of Buildin Pam,"'` ...:......... No. of ersons._._.__.._...___.___..: Showers Cafeteria. a YP g P ----- ( ) — ( ) Otherfixtures .----•-•------•••-•--•---------••--•-••-••-•-••-•-••--.•-•••-•-••-••---------•-•-----•-----•....................•-•-•••••-•••......-••-•-•-••-....-•-- W Design Flow...... a..r .......................gallons per person per day. Total daily flow...... 3- �:?__..:.__._..............gallons. Septic Tank—Liquid'capacity/���"r ..gallons Length.�....... Width`��t'`?....... Diameter................ Depth...y-........ W x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No,OWV-!........_ iameter...Z ......... Depth below inlet..... .......... Total leaching areayr _. ......sq. ft. Z Other Distribution box ( Dosing tank ) Percolation Test Results Performed by... .._... ....................................... Date...�� ........................... Wa Test Pit No. L ._. ..minutes per inch Depth of Test Pit. �.._.._.. Depth to ground water.A!�................ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit............-....... Depth to ground water........................ ................................... -........ -....--------•------------..-•--•-•--------------.... •---------------- ••----------------------------------------- 0 Description of Soil........................................................................................................................................................................ W c, ------------------------------------- ------- -------------------------------------------------- --------------------------------------------------------------------.......-------------- x -•------------------------ ----------------•----....----•--•------------•--•----............_............--- ------------------------ -------- ------- -..................................... U Nature of Repairs or Alterations—Answer whenlicable �� � 6.l�_.... _ r'�Q0. f.�� , _ .._.. t .._._'?�! s'/.....------.. °......................................................................................................... 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 b the boa of health. Signed--------••................ ........ •-••-•----r................................. ................................ Date Application Approved Br-.. ✓ PP PP Y = _ --------- 1 'l Z c c` ------- at Application Disapproved for the following reasons:................................................................................................ ......------. .......•••••••••••-••-••-......•---•-•••....:...........•••••--•-••••••••-•-•-•-•-•---...._.......•••••----•........--•-•-•••-•--••----•-•-•-•--••-•-•---------•--•-•••------••---• •---........•..--- / Date Permit No.....::- �------------- Issued...........`C-- =t. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............................OF... f. ............ At wr#if irate of Tomphatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) (� Installer at•---•----•.. ---- ----'- -' . ..... ��---------------------------------------------------------------------------------------------------------- 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...... ._ ,.ir-�... dated--------- _�. .� ......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARA TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE... Inspector .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............... ..... .... ,�.. ..�J. ..OF.- ` .(A. .fir............................. FEE �ra ?,m...... Uisvostd Works Cuonutrt ion autit Permission is hereby granted------- ----•-......: ..( .e.�5�. ............................................................ to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo................................ _•�.......g--•--�t`�...;t''�'.'� Y�-�.�,.._ Street _ / as shown on the application for Disposal Works Construction Permit N�." `.. a?�)�Dated....._�._ �(._f.. ------.Health..... n/ Board of DATE.....................4..�..1...�_�-_x-•�----...--••---------------- FORM 1255 A. M. SULKIN, INC...BOSTON �NAIN sr 52.6 rop OF FUip"mw r Rlsei` EL.• &0 CAMCRETE COVL7PS COAACR T�' COVER 5T EL. 50.5 0 d# $Cl� 40 PVC , �P0N L� , PPE AM arsr d`tLF G FIRST o PyTi w//8"PER FT :,� � .4� 3/8"to kT" 0 G � ,•, Alp •,,, ON TOPO ELEVA T/ON LINES sTcvr ,j,5 err NVFRr ; ,:a ..'� / cAsT El'.. SEPTrC T.4MC EL. 49 3 48 +0 A# o TN�R EL c Q W :'• - 314"to /W" A VELLED Y 1" wvERr '�oao &aL. wv�Rr ,nim , `0 0° < : w,as�,m t� EZ. 49 46 P EZ. �,.9 � 48.J ;;, � .• STLNE �E PD LAN- L' -42.5 R 'QED; 3 N /0! --- 20' /2, - 6, "j'_" PP ---� 100 EDGE OF D/RT DRIVEWAY 4• PROFILE OF AV GRO" WA MR TABLE LOCUS MAP.' SEP TIC S YS TEM nl f -RIL E Y E. DA V/S 6obo0 SOIL L OG • ti o 5 MAY 1988 GENERAL NO 'TES a0 0 54 55 DA TE , 10 S 120 57' l0" E SCH 40 PVC thRoucHouT rFsr AotE >12:53 SIN (fn 00. � * EL. �0. �• c. 8d• lf�d 52 _ M ion T/L/S B Netd; EXISTING �� _ .�..r _,� ;. 0 2 SEPT/C ,LOT B 5 DA TA TANK PRo DESIGN ' I GAR. � . ; J . ` . MA VD? OF NEDROOMI5 51 _ 30 TorAL FLOW G�PD �. 30 BOTTOM LEAAR�M'H►G AREA sa FT. 30fLu f7; Mrs WE LEA C"MG AREA 22 AN© OOSNLt 50% bero s GARBAGE- y EL. 266 $Q F; . W 3B.0 rOTAL IEAC/�'1IG A/�4 - -= LESS 2 5 r t �., PERCGCA 7700V RA TE ABfiCYdA�L NO w,a TnR'Ea1r�C01.NTmtiED 5 1.� GAL Ct"TIION�St EL ' 18 PROPOSED 7T R = 3.14 25 -78 A©MONS TT_ A 6 28 (6.5 +� 188 (2.5) = 4 7/ O �o► TOTAL 549 N t !O OTA � . Ib C a � ro , cV rLAND SITE PL,4I1/ OF NIEf�fTHEW v, L O•CA TED IN , • . No.3Zpgg s. q o�P r , + ss� ♦ + b " qN0 SURE + PS7tEm mam M'ML TA 6L E BA RNS ASS '•Q„a� O � EASEMENT fFNa, • OF'S F�,E'yq � �,w fit- � , 0,00, T/pN . /N Div j . 0 ; REPA RED FOR 50 ` a 19�1610 - . t 64 gp. EL1�L • Of �HARLESADS 50E' P ` WA TER GA TE PARKER ROAD . YIN " SURVEY COWANY RES ZONE.• 'i C" 143 ROU��' /49 0 20 40 6 imillillillillilmllmwMASTONS fim LS MA . 04*6417. 7/8B 0 FLOOD ,ZONE C DATE 9/2 . ; SCALE./ - 2 -