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HomeMy WebLinkAbout0039 AGAWAM ROAD - Health eV 39 AGAWAIVI ROAD M STO , MILLS ` ' r 1 TOWN OF BARNSTABLE !� LOCATION ll� SEWAGE # '?O//y VILLAGE I-feldAwc A,j/S, ASSESSOR'S MAP & LOot'?e-0 ;;,INSTALLER'S NAME & PHONE NO. Rob c,fi ct K 77-C73.5 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) T/f _(size)_ %0. OF BEDROOMS_. .-�:- PRIVATE WELL`OR PUBLIC WATER BUILDER OR OWNER !l s) . DATE PERMIT-ISSUED: DATE COLIPLIANCE ISSUED: I VARIANCE GRANTED: Yes No� _ �` i ^ r �-� V n_ �� • ✓ �� (f�, �^ � 4 V Y' �/� �i .� �'� � � � �. � � � � � ���� a G017 No.2 :1l�y�.. Fss..... ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..!LO04'-N.........OF........Q. ?:�N �"A.(3_ .. ................... Appliration lnr Roposal Marks Tundrurtiun Frruti# Application is hereby made for a Permit to Construct (►i ) or Repair ( ) an Individual Sewage Disposal 3 System at �. . L L� ..------ -�"p.. ...� .............................. TLocation• re s or Lot No. Owner ' A ddress ---- ----------•--......'9tS .....................,..�.... ................................ Installer Ad ress a 3 '�� , Type of Building Size Lot...._.___4.................Sq. feet U Dwelling�CNo. of Bedrooms-------..................... .Expansion Attic (P1 Garbage Grinder (AV) Other—T e of Building p, —Type g ____1-L--............... No. of persons............._._............ Showers ( ) — Cafeteria ( ) a Other fixtures_........-•--•-••-•-•----......-•----••--•-------. W Design Flow................ ........................ per person per day. Total daily flow.......3. d......._ ...._...._..gallons. WSeptic Tank Liquid capacity.l�4 gallons Length -4..... Width-5 .......... Diameter................ Depth..�-"....... x Disposal Trench—No....�............. Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No....C�_M_�.. Diameter......LO...... Depth below inlet....!�i!.......... Total leaching area.40C...sq. ft. Z Other Distribution box (%ol Dosing tank ( ) , '-' Percolation Test Results Performed by �..�!qco61 ....................... Date...... ./ /3 1 Test Pit No. 1.2Z.........minutes per inch Depth of Test Pit.....L4n...... Depth to ground water....M©.N Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -------- ------------------•----••••--................._..---........-•---•---•--..........._.._.........-----------------...----....-----••----...-•------ 0 Description of Soil...................... V --------------- •----------- -.......... ------------------- ---------------- ...._..-------------------- ........ -....... •------------------- •------------ --------- ------------ ------ •---•----------------------------------------------------------------------•----.......---••------------------------------------------••----•---•--------------------.-------------------------------- 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 TITI.I 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. Signed.... ....................d Date ee�� Application Approved By --- ---•----------------------------- � Date Application Disapproved for the following reasons-------------------------------•-----------•--••---•-•-------------------......--------------------••--.._.... --.....--•--•---•-•-•--••----------•--------------------- -------�-----•---•---•---......._..............•••------....•---...........•-•---•-•------------------•--..._____.... ........_...-- Date Permit No..........�----.:... ` Issued-....................................................... Date No.?iQ...11. • F:as............._............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ii- ... .:�`.�.--......OF........ - F A 13 L Applirttiion for Disposal Works Tonstrnr#iun rrrnti# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S stem at -- ... -.._, Location•A dress or Lot No. Owner Address Installer Address UType of Buildi Size Lot__ . �_� ._Sq. feet �. Dwelling.ng No. of Bedrooms.......3.............. .______.__Expansion Attic Garbage Grinder ( ) Other—Type of Building ____�_L�.......... No. of persons...... ................... Showers ( ) — Cafeteria ( ) 0.1 Other fixture,; ---- ------------------- -------------------- d W Design Flow..............._- f __........_gallons per person per day. Total daily flow....... _ .'Q___._____._____..__.___._gallons. WSeptic Tank"Liquid capacity.t .00gallons Length_ _...... Width........... Diameter________________ Depth... ......... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No._._ _ _ _._ Diameter......j_.0....... Depth below inlet...... Total leaching area._ _19_a....sq. ft. Z Other Distribution box (wo} Dosing tank"( ) '~ Percolation Test Results Performed by.... _.. *} ......................................... Date...... _ ...... Test Pit No. 1_. .........minutes per inch Depth of Test Pit.....�_��......... Depth to ground water.......... _ fT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 -------- ---------------------------•---------------•----------------------------------------------- ---------------- •......... -•-•------------- •••------ _.... 0 Description of Soil........................................................................................................................................................................ x U ---------------------------- •-------------------------------------------------------------- ----------- ........ -------•- ------------- ••--••------------------------ •---------- --------- 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 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. Signed : =' *- ...................................... ..... a--r•--........ Date Application Approved By........� ._...--•-----••............._ .---•-J---"-'.;Lj e'- 7 Application Disapproved for the following reasons_______________________________________________________________________________________________________________ --••----•-••--------••--•--•-•--...-------••-•-••-•----•-----...----•--•------•-----------••-•--•------...---------------------------------------••--------•--•......----------•--•••------•••-•••------- Permit No....-----. Issued...................... .......................a ..... ...._ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH V &/ ..........................................OF........l .. /�!`.. .. !A- ............... Tntif iratr of Tomplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by...... 'r2 � ,. . .::.y .Y'� .�✓ � -•------•--•-•-••---••--------------••-•-----............-----------------g---------r-r..._.....-------._._.._..... at--••�-'.6� ' .A. 4_ :.:_.: _$ ' + Inscauer —# has been installed in accordance with the provisions of TITIF 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.........��_-_//A/....... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL F��N SATISFACTORY. DATE.... �� --......... Ins ec ; ................. P -- _ - --•-...-------------•-•-----•- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 'ti' ?tt.✓..............OF...... i '�'-�.arss :......_......-._.......... .�.ry ( �[/ FEE..../K0 ;Disposal Vorks TNInsirnrtion rrnti# Permission is reby granted..._. =,` ...... ._ ..... ...:.. to Construct ( or Repair ( ) an Individual Sewage Disposal System ~ f atNo. .... - _...•-• -•-•--••--•-•...............••----•-•.__.._.............. Street ?z as shown on the application for Disposal Works Construction Permit No.___ _ ".Z_ _. Dated.......................................... .................................•--••-•-----•--•------------------.......__...__-•---•----•----•--_._._ Board of Health DATE................................................................................ FORM 1255 A. M. SULKIN•-INC.. BOSTON EL.= 87 0 mp or7mmmy �O CommCONCRETE COVER. �-_-- 4 �-7 EL.. o EC 4' ADM 40 P.VC(Q1 7) P� PEA �5 P ". LOW PJ7 5 JPJarCAST .� 4P� y E o — M OR zmjw 7 �-= 7 85.72 Arp� � 0 ZQWVArMff A 8 % - -- SM32V TA Der. Z� : 0 1000 GALLCVVS EZ.-- 85.36 BOX EZ= 0 0 43 � E[•= 85.52 E•=_85.26 EL= 85 6 0 79 — 0 0 �, 80 10' S' 0 EZ=79.0 /0= T II- —6•---1 Fes--- 10" `�• PROFILE OF _�,eo 0 83 SEWAGE DISPOSAL SYSTEM 84 — SOM LOG . NO SCALE WrrBESSBD BY DA TE 7128186 NUMBER P-5947 mmv a^ BARNSTABLE MUM aqW? 2357 BOW 10 =7 BOW IV' Dwme EL 873 EL - 10 PIT 111,01, \ 0 DESIGN DATA.• R 1 �0 O-2' T11.0" . L NUNWR OF BEDRO0119 p BOX 5 TOTAL SATED FLAW 330 GPD g, BOTTmm LE aMG AREA 78 SO. FT. T1C18 SIDE LEAamG AREA-- IN SO. FT. S TANK J� GARBAGE DISPOSAL NO NO 5OX INOM4SE 10 3 s.. TOTAL LFACMG AREA 266 SO. FT. 2-12' MED SAND PERCOLATION RATE LESS 2 KAIN. �9 G AREA PER PERCOLATION RATS op 8=_________- NUBBER OF LEACdG PITS m + -----=48_--_------=t'�' CAL S/D£ - 188f'2 2.5= 471 G.P.D. A O ---_---___ z _ __=_______-_____ � NO BOT 78 F (j,1 78 G.P.D. O ______-________-_= 86' WATLrR ENCOUNTERED JZrAZ TOTAL 549 G.P.D. O cn --- ----- ---- .......................... ........... �r ===__________________ . overt BR orrR ---- ---------------- -- -- - ----------------- ——--_-- ------__ DAM......................... ...................... 0 �A —— \ GDVML NOTES ALL PIPE 4" SCH 40 P.VC ' RI VE SITE PLAN . OF LAND L( LOT 18 t 0. v14 87 s, 6 CA TED I �l B�1 R,� .S T� BLE i =O trEST _ FEH. 7 1990 G• P� R e l RS TONS MILL S PL A N REF.' PREPA RED FOR PAUL A. MERITHEW ti PL. BK. 4.26 PG. 43 "° �9$ u111V SIVI TH ���F S5t4�P� GRAPHIC SCALE 20 '° '° YANKEE SUR VE CONSUL TAN TS x� 7 w , 14J ROUTE 149 P. 0. BOX 265 1 tnah _ 20 fL MARS TONS MILLS, MASS. 02648 FL 0OD ZONE "C" RES. ZONE.- "RF" JOB 1142- 18