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HomeMy WebLinkAbout0011 STONE HORSE ROAD - Health ' , Y l -e- ed TOWN OF B.ARNSTABLE LOCATION �/� �'tav7c�Hr,�.fd' SEWAGE # VILLAGE (�..fer���f�� ASSESSOR'S MAP & LOT ' INSTALLER'S NAME & PHONE NO. �/��� •Tl �� c`�� `� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Ztw d Y(Tf (a) (size) /ova alC. NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER -�//vrW,a ZA--4g l 7' DATE PERMIT ISSUED: DATE .COZiPLIANCE ISSUED: X, - /`1- 7 VARIANCE GRANTED: Yes No 1 33.E' +� qry` C L.O. v r i�vv 6�L. ��• i L { THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ---------------.OF.-.-...,/� / ��/ �STl3 -------- ------------------ OF Appliration for Bh4potial Works Tonstrurtiun amit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .._._,r .... ..._- :Q......_..QZ .._..._._..: ..................---•-----•--•-----.-----...........--------•---.......-- Location_Address or Lot No. .............................................. W V Owner Address (`J� Installer Address S U Type of Building Size°Lot___________________________ q. feet Dwelling—No. of Bedrooms_______________ ___________________________Expansion Attic ( ) Garbage Grinder ( ) a Other—Type T e of Building _______________ No. of ersons__...__._..______.____._._._ Showers — Cafeteria a yP g ------------- P ( ) ( ) . a' Other fixtures ____________________________ W Design Flow..............1A0.....................gallons per person per day.- Total daily flow............................................gallons. 9 Septic Tank—Liquid capacityG6:00_gallons Length/V fA_.`.._. Width57-1.2_ _. Diameter________________ Depth_. ...... Disposal Trench—No_____________________ Width.................... Total Length.........._____:.... Total leaching area--------------------sq. ft. Seepage Pit No.____" _ Diameter.._:_. __.'� �-.______: .�' _.____ Depth below inlet..... _......... Total leaching area .......sq. ft. z Other Distribution box ( vy' Dosing tank ( ) aPercolation Test Results Performed by....R.....R�1 _A's____________________________________ Date_____....J. ' e_.__..__-. Test Pit No. l........Z__minutes per inch Depth of Test Pit.....,[.2.________ Depth to ground water___ ,�/�'2!E.:_,06 S (i, Test Pit No. 2................minutes per inch Depth of Test Pit....... .Z__....... Depth to ground Description of Soil . Q✓ ....... t `��.��!�...--................... W ---------------------- ----------------------------------------------------------------------------------------------------------------------------•-------------------------------------•-••----._.._. U Nature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ --- •----------•--•----------•-•-•-------•---•----•------•.......-- Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in-accordance with the provisions of'T`_E p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of o li c ha een issu by the board of hea h. ied ._.. . -------••-- ------------ Date Application Approved B 2' ° PP PP y-•-•---•----------•----••••---------•-------- ---- ------------------- •......_. ...---.--------........... - A Date Application Disapproved for the following reasons---- ----------=-..... = ............................................................--•-•---•----------•-------.......------•---------------------•-----•----------------------------------------------------------------•-•--- Date PermitNo....................................................... Issued-------------- Date �Y No. •-------•- . En .... �. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................OF..... Appliration for Dhgp .sal Works Tonstrnriinn rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal ' System at: / Location-Address or Lot No. Owner Address W -••••-••-•-•.......-••--.........-----------------••-••-------............_..................... ---•-•-----•-•--•••-------••--•----------..._..........._......_..------......•--•..1......_..... Installer�. Address �,,.. •.; UType of Building �/ Size Lot............................Sq. feet .1 Dwelling—No. of Bedrooms._.........�P...........................Expansion Attic ( ) Garbage Grinder aOther—Type of Building •_________________•--__-__•- No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures .-----••---•--•-----•--••-•-••-• ; W Design Flow............/.:60............ .........gallons per person per day. Total daily flow.............................................gallons. 9 Septic Tank—Liquid capacit�.� ....gallons LengtV42._ ......... WidtliT.:..cam...__. Diameter................ Depth6-------f-_-. W Disposal Trench—No. :................... Width..........:......... Total Length.................... Total leaching area--------------------sq. ft. x Seepage Pit No.--.-............ Diameter.....S......... Depth below inlet....1✓........... Total leaching area4&.....:...sq. ft. z Other Distribution box (✓f Dosing tank ) '~ Percolation Test Results Performed by.._ t ?_I ...................................... Date.... ._::_ �••...--_... Test Pit No. 1...... r_---minutes per inch Depth of Test Pit....;. _.�_.._._ Depth to ground.water. / .Q Test Pit No. 2................minutes per inch Depth of Test Pit-__'.Z.. Depth to ground water/../<,'.C:---c?'Z?s a' ...................................................................•--............................................--......... _ /� J ----------------------•------•----•---•-- >i Description of Soil.......�.__-.Z. .._ 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 r^i—- . 1 ::.::-, ;of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a CertificaZq'. o pi' rice h been issue'by the board of h ith. Si tied...... ... . ,... .. •-• --- e a gJ. ----•--- .....2.....Z3',� Date ApplicationApproved By.............................................•----...............••• ------....-• 2 Date Application Disapproved for the following reasons:.-•--••-----•-•-••--•--------•-•-----••••---•-•-•--••••-••---••--•---••••--•••••-=-•••-•-•-•-•......--•-•-.. .........-•---------------•--•---....----••------•-•-•-----------•-------------------..........------------------------••---•---•------------------......-------------------------------- ........----- Date' PermitNo........................................•-----------•--- Issued....................................................... Date THE COMMONWEALTH OF.MASSACHUSETTS BOARD OF HEALTH - " ..............OF......�111•^^�: : ................::........... ................ Tntif iratr of fin mptiatta THIS-IS TO CERTIFY, That the Individual Sewage Disposal System constructed ') or Repaired ( ) Installer ------. has been installed in accordance with the provisions of T iT E j of The State Sanitary Code/as desgribed in the application for Disposal Works Construction Permit No. .�___.�_ _7-:4____..-_. dated_...-.�.�./.�_.s. ___�? THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................... ---•-••---------•--------- Inspector.......... ----- .................... �] THE COMMONWEALTH OF MASSACHUSETTS BOARD OF }HEALTH T OF.............. 1..;1.� :1�. ..................................... �- c} No......................... FEE........................ Disposal Workp (1pno#r ion rrmit , Permission is hereby granted ------. ..•-•-•-• 1..._.. .----- to Construct (V) or 1}2ep it ( ) an Individual Sewage Disposal System atiVo.......•-•-----•-•-•---•-• ---• -------•••-••-•-.....•--•-••---••••---•-•--•..........-•-_•••...•. •-••-•.............. Street . /n as shown on the application for Disposal Works Construction Permit No.8.6._.I __i.. Dated.__ ______ ..L.+_.`.'..c% - �.. - -------------- �� , Board of Health DATE----................................ ..................................... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - ENGINEERING DESIGN CONSULTANTS 95-113 Commons Drive Shrewsbury, MA 01545 (617) 842-1919 June 8, 1987 Board of Health Town Hall Barnstable, MA 02630 RE: Lot 2 Stonehorse Road, Osterville Dear Board Members: In accordance with Section 15. 02 of the State Environmental Code, Title 5, we are writing to inform the Board that the septic system for the above-referenced lot has been installed in accordance with the state and local codes. The septic system was installed by Arch Construction. The as-built location and elevations for the septic system are as shown on the enclosed site plan entitled "As-built Septic System, Lot 2 , Stonehorse Road, Osterville, MA" . Thank you for your attention to this information. We respectfully request issuance of the Certificate of Compliance. Ver truly yours, Peter S. Bemis PSB/pl enc. cc: Bernard Lannquist, Jr. Tri County Construction Arch Construction PD19-049 - -- - ----- --_ __ _ I I_ - _ , _ -_ --- - ___._-- . .__ — _ - -- ---- - -- -- __ _ _ „ _ - ,. - ___ _ ___ 1 . «. _m� �, - ror I- [,. ,�i.' �.I.I!.�11I..II I...".,�F1LIr..2 r�I I...r r�.-.�I D.I�.�-.,1.'1/�4.I.r 7�1..\\-,�I r I.�I,I �*�-I�....7.\*-I'�.�*.I.'I�-I. -IIr—I I".I��_I I,-.-..-�.I-�.—.�r.II-I Ar--,1.�rI�0�.-�-_1�Ir.`.l.-r�,II*�-/'1__-1.I:I.r....�**r..�4,I-.Ir��.-,,.-*.-_II-_r���___.Ir IL_._,I_.b_I,I_I. _:I..--I_.�.I .r I.I.-"!.I:,:".r: r,�r�Ir.I nI.,I&j_Ir I Ir I _I— IrI-I.�r I-.Ii�.-I..II-I.IL�..I r-I�I�3I'1�r&**II-�� 6�I.I.r..I�I,I r�I�9.1r I...I I r I1 I..�r I.�I.I.I� ..4.I�I�M1..I��I -I��.II�I I I...�I II I:IL,:.�.r II II.II I1.r T..I1.I..I IIM�....i..E:I.'.N�.I I.��.r�.AII i�"�I���I;:���L��i,..Lr.I IL..; ..-I.r_I O.811 1--..I5_:g r�.—��,�I.I4 I�*I rr.�.,-INr 5._I I._Ir I_I_.9I I"I����—r�—_-.:­.�I--r,;1 I.I��I­,.....,I..I 1.�I.f.��...,..I.II,_-I II.r 1�.II.r.:.Irr I��::�I�!_r,�.I 1.I I.­.,�.�.1I��_�-I I�__I.r-1.I.r'..r�:I-I1 I-I1 r..-I.L jr�._��.I�._.r I I_�.I�-I�:�II­.I....-��I.r�II,,����.I�.�I��-�X.�-I I-.I.r�r,I.I,�I .I��*.-.rI.I�.-...r-.II_.,.�I_._.-.I_�..ILr r I-.I�I:�II I-Ir��.-.�.I,�-,..-�...r�.QI.I_.II.r..I..II r,-.Ir_I I L,I�._I I.I.�,�­.I,�r7�I I I,"�..Ie.,1.rI:�;:r r.�IrI­._—Ir I I-I.I.�.��I.� _II r_I I'I.._�'�I.I x I.Ir.,I..�..I II_�:�1Ir.�,..t�I�I..,��rI I...I�.I._.._�I I.._II.�I..I�.-r..I rI1 II-._4r�.I.�I..-.I.I-U_rr,'�I.I�1.,�II I&._?I6�.9...I�\V'.0.r�_...,�I_�_.I-I�-r _k..I��.�;�,�7 I-�._-I...�r1 I1rI;-.-;I.�4._Q—I 1�.�_I—I..r-1_I.I V._,�,�r.r I..�O.1�,I A�II_IV.�I_—I.'T-�7-.-r'.I�,.�...:-rI"I..I I_I.r I-I._-�I.-,r..-._II.I�..r_I-, -I..—,-r�.�..r�..­r�I�I.,��I.iI_—I.I�I�,IrII..I I.I I iI_�.��I1 I,I I�­I�1�* I�I r� �_I­.,t I..7 I*I.�IIr 7..... �.�I-4�.I1I.�I.�.:..I—.I.I�'...I;���_.��..I.I�+1 I.II.�I�1I:I,.I.�Ir..._�.Irr�II.I',i I.�.,'I�I__II.�.�.I r.I_II.I���-.�I_..I��._I_If.QII-.I�._...I�.7.r 0D.I I I_-.I I_I7I-I1I 1-I.I I.I'Ir..-I U>IL7I_WI�C_�<L(Ii.�...�I-_—I I f).rI�.j;��j II I).�.��),II��III�,r-I...II�rI�,,I,.1.I..I0 r r.�.,I C�0�r—I I.;rI�..II,--,I I'rr rI�.;.., %7II r-1.._,'I�,I I1,.r II�,�I,,-��W1�_<,rI1,IL I.7I-�.II�I.r....:-I.I�II.�I_,�I I�)�,-I I�..�II r..�.,I,,j­�Ir.,'�-I I"0:.Ir,.II<1-,�I:�n1II I,I1,.�_�\�I1 ry:'�.�,-: --."�'�I�L,�.',,I�r.,Z"1,r��r�I-I:1-�-�,.,.:,I"�II�;,I,,',r�.'-,��,r��I I.��A,,"�,."..�:i�..�_-I,-r.1,,I.I',.-0,.-P,—Qi:.,,���.:�I,�,,,.,, ,—1."�..,-,I�,:,r I����:,:I�'n�I�,r�I,�Ir 4­,�I�r,,-:r,�,�,I 1,Ir'._-�-<,--�r._��I-.(:_`,,�.:,,�i�r�'��_,�_r:,r.I��,r�'��'�I-�:,,",�r�,,.:',,1:' �,,,,,",��1'I��!�'::,'::p.:I.',I':.�',:,, ,r��"�-1�"I,��',­.��',_j r���,�­,I,��1,�j1_�,,��I11�,,,:,�';"I -,,,-r..,"�";,:"�A.:,j,"'��:,­,,�i:r��r��,%.;..'. y'I,,I1-,,':,',,,I",,!",1:r,�I.I...�W1�:,.,�� �I,r1 1��_�,,--,V�,1',',3­1,��,­'�j�,I';��',".-j�',_A',r,�''r',�,"�,e:.n,�I'I"�I01�,�"A�I Ir�..�,�­W�_I ,,"_,�IIr'��r s',��,_�:-I�,,,'',��t�"A:"­�,.�rI,�.12-r,,,A".I I�,­�:�,,"_'.I_-,,!I,�I�".1�-�,_-�"17.t,1�_1',i,I'_�1,.',�,�Y',��,rr�.",rr"I,_,�:�r,'.��. -�,"S"��,"',.,,�,I,",I"',_,�'.._,,1_�"W-�1I�,W,",-��","I:"r,�',j��W'.,1 1;-'�.1,n",,,�,�,,,rII"�'&��-�­,",i�-,�-4�i,,'­­,',,-�,,1�,,�'"-�_�",", w­w:,;l".:,,-1e,.,'��I,I�_"".,I�,,�," "'r_,_�--�,�"r�,"0-�,,o�,,�,,,�V'_'�1"0'',"1 I,-��_,-,_,,`�'I:,','­y,._''­_"""­.;'��,.M���".4;�, �,,_"­,��"'�)�I��,5.1�,�,,''""�.1,"'-I1��.,,­�'WI,�!C"".,,,,,,,,,1,",,,*1O,�':"r� ,-,,,��',l,­,11��,"'­,.�_.,'�vv 1.',,`,�r�,,,,,�.,- n�,:::�,',�",�,_'",l�1�," ­,',,�",,�,wr",7",,,,:''n,,',l,,,,,,.,i,,,,,',.I-�,m i,�,�'""�-,;,�",�_-`��,�r'��'­� ',­-�-�,f II,,-.,5'-,',L:,,,p:'r 5,,,.�x,,,",v­:.,,",',r,r, ��,.�­,,'-I",'��A,1 �,Ai�,'��.,1:,,t,_,�"o�,.,,'�,�,_�I.,,­10�1,1r,'_I.P 1]�"4,;,AW��r�,"_"".,,rol_,_r"K, ,,- I"! t' I 1Z"',�,, 1 '�r�, '�1%�V�,,""; ,­', ,,"', ,"-�,�,� LAC lV � rLIT � TAl�.Hi — Y . . . . . 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AT SEPTIC TANK(WT7 :,"�'",-,.­'Xt 4,.- . ,,,iI�,m 9"A`_%=,f-'-,,7""i'-,7,�,�����r r;L� jo r,�_­''"Mog,�,, 44 QD 20 CROSS SECTION VIEW . �F Q , . 6,0 8 --� V. AT OIST. BOX IN) . 1— All inspection covers and manholes to 'be sealed :,;,, ` 9/ 4 with asphalt.tar before backftll to se tic tank _INV. AT GIST. BOX(tX1T) - ,. r P J P • tz -s . a J, : alto , : '. . 1500 C n- - - - -� - - J 9590 ---- .---_. ACHIN FACILITY r~ AT LE G t SYSTEM ' _ , ,. PRECAST RESIDEN I IAL S`PTIC TANK e 9.9 0 BOTTOM , .,� �.> S. $ OIA OUTLETS I IA:INLET C -s p NOT TO SC 1L_ 3 • �' , ,- .. ,>'a' M rt „ :. : - , - .. _ _ _ } .0 i,, 78" D17A COVER Z)t., a ? t� . 0- �= ... 3! y - ,. . ,et„ .. , u, , ,. .�. .tom +.,�,:.. .._ _ _ _ - - -. 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