HomeMy WebLinkAbout0006 BLACK OAK ROAD - Health �3 i�.� o�.� � .���,-
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LOCATION SEWAGE PERMIT 1l0.
VILLAGE - -
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B U 1 L D E R� OR 0W94 ER
D,A T E PERMIT ISSu D
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DATE COMPLIskCE ISSUED
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No.9..f--=��, ' Fps.. ..........
THE COMMONWEA.1,TH OF MASSACHUSETTS
--.
BOAR® OF HEALTH
Town: Barnstabl e
.. ............ O F............................_.........
Appliration for 11iiposal Works Tonstrudion truti#
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at:
Lot # 53 - Blank Oak Road,Ylarstons Nlills , lP,A
......... -_--._......... -• - -..... ........................ .....................--............................................................................
Capricornea 1 f ............................................-----------..: ............----•----------. -----•......... ......--------- - ------......••--
W Steve Nebel Owner Address
...............................•------------•------•-----•-••-•------•---•--•---......•---.....-•- ---•-----------...------.......................... --
InstaCer
Address
Type of Building Size Lot............................Sq. feet
1-4 Dwelling—No. of Bedrooms....... ..................................Expansion Attic ( ) Garbage Grinder ( )
a4 Other—T e of Building ranch
yp g ............................ No. of persons............................ Showers ( �— Cafeteria ( )
dOther fixtures .-----•--•------•--••-••--•-------- ---•-•---•-------.--------------------••-••-••-•... ......----•------
Design Flow............55.......................... allons per person er day. Total aily flow 33
WSeptic Tank—Liquid capacity....100 llons Length............. Width....�_:10-'Diameter________________ Depth_..-5
x Disposal Trench—No..................... Width___ ....... Total,Total.Length..._.__.___ _r.....Total leaching area.......... _ sq. ft.
Seepage Pit No..-_1______________ Diameter............._..... Depth below inlet................. Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing t�k )
Percolation Test Results Performed by....._. .....................................d�edge Engineering 11-25-81
- Date........................................
,� Test Pit No. 1..___2 0 nunutes per inch Depth of Test Pit.__.__.12 i___._ Depth to ground water_._none eneounte
Li. Test Pit No. 2.._N_A....m_nutes per inch Depth of Test Pit....11�A...._.. Depth to ground water......`........... e
.............................................................. ---------
O Description of Soil.....•........g s._._-__2 @__ loam & topsoll
......•- - ---------- --
x 2 - 10 Tvledium yellow sand
-••-•----
.
W 10 - 12 med. t whie san traces o `...gr-ave.. no water at 12 '
VNature of Repairs or Alterations—Answer when applicable................................................................................................
------------------------------------------•--••-----•------•---•--••-----------•---•---......-•-------------••---------------------------------------..................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acc dan ith
the provisions of iITA U 5 of the State Sanitary Code—The undersigned further agrees n to the em
operation until a Certificate of Compliance s issued% the board of lth.
ev
Application Ap e B -••-•-----•-•-----------------•-••---------------------•-----.........--------•••-.
----Xe
-------------
f Date
Application Disapprove o e following reasons:--•-----••------•-•---•----•------•-----•-•-------------•-•-----•-•-•--------------------•-------•-•-----------
...._....-•-----•...............•---------------...----•-----•------•---...------....------•-•-----------...------•-------------•-----------•-•------•-•----------------...------...•-•--•-•----...•-•---
Date
PermitNo......................................................... Issued.......................................................
Date
No.- _._r.__.....~' Fizz..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OFHEALTH
Town Barnstable
...........................................O F.........................................--------------•-------------._._.............._..
App irati.on for Disposal Works Tontrnrtion "front
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at:
Lot #53 - Black Oak Road, Marstons Mills I, IPiA
................__..... ...-- ................................................
--_-...-•-•••-•----..........................................................................
Capricorn LPftj�ItyfeTrust 765 Falmouth °R'ALt Hyannis
.............. __ ---•--...........----•--•--•----•-•-•------•-•.._..---•••-•---•_._... ..........-•......................................................._..............................
Steve Lebel Owner Address
•---------------------------•-•-------- .......................................... ••••--•--•------••••-•----....-••••--••--..__......-•--••-------••......_-••--•-•---•--...-••••---
1.4
Instaier Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms.................................................................•.._..___....Expansion Attic ( ) Garbage Grinder ( )
pa-, Other—Type of Building .___ranch..._..... No. of persons............................ Showers ( — Cafeteria ( )
a Other f�tures ------ -----•-------------------------- - 330
W Design Flow --•---=-••---- Gallons per person�e�r fray. Total 4ijy1 p„� ------ ------•-----------•---�;on •
W Septic Tank—Liquid' 81
capacity___....._._. ]Ions Length................ Width................ Diameter................ Depth....5.........
x Disposal Trench 1No- ----------------•--_ Width__*.._._........ Total Length...........�T.... Total leaching area_.____._. b6_.sq. ft.
Seepage Pit.No---_--------------- D.iameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Other Distribution box ( ) Dosing tank Engineering 11-25-81
Percolation Test Result Performed by............................................... .. ... Date-_------_....._..___._._.....__...._....
1-� Test Pit No. I.____.. ' __minutes per inch Depth of Test Pit.. Depth Depth to ground water enCOurite5
T e
fs, Test Pit No. 2... ...A._._minutes per inch Depth of Test Pit....?�jA...:_.. Depth to ground water...._...7.........
..........---•-....................................................................................
Description of Soil.............. — 2r loam & topsoil
x P Z. _. I-O-' Itilediuiii yellow sand
W -- IV...._-12"-------med:--white sariclJtraces...o�` gravel�rio water---at 12 '
--------------------------------------- -------------------------------------------------=--------------------------------------------------------------------------•-•----••-•--•-•--•••--------_...--
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 TITiZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Comp nce has been issued by the board of health.
ned ._.� Pres.
_....
•-•--
Application A y
Date
Application Disapprov, a following reasons:--•-----••----•---•----------------•-----••-----•-••-----•-•--•-•-----------------------._........--••-•••--•---
..............•----------•-•-----•---•....._..__..:...------•----••---•-•-----------------------•--------- .... -----------•-•-•---••--••-••---•-•..._-••-•-----•---•---....--------•--.-••••------•---
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF' MASSACHUSETTS
BOARD OF HEALTH
................Town.............OF............Barnstable
. .........................................
Tutif iratr of Tompliaurr ,
THIS IS TO CERTIFY,. That the Individual Sewage Disposal System constructed ( or Repaired ( )
_ Steve Lebel
by ------ --•------•----••-•-••--••-----••----••----...-----•-•--------
Black Oak Road,
Lot Installer 53 - Marstons Mills , P,;A
has been installed in accordance with the provisions of T ,� he State Sanitary�Co Wa ibed 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. n
el-
DATE................................................ /j1,1�` y .. Inspector........1
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
..........................................OF ....---------.---......................_.........__...._............................. s O
No......................... FEE........................
Disposal Works Tonstrnrtion rrmit
Permission is hereby granted......................Steve. .........bel
----
to Construct or Repair ( ) n Individual Sewage Disposal System
at No......... ot._.i .. j...-._.blac tax ha , � Marstons Mil ir,A
Street
as shown on the application for Disposal Works Construction Perm .. ................. Dated..........................................
................ •..... .............•----•--------------••••--••-------....---------..............._
Board of Health
DATE...............................................................................
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
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LEGENDab# �;,u �;t , , k
� _ty CERTIFIED PLOT PLAN
a, EXISTING.` SPOT ELE VAT I 0i ON '0' k, of A
,EXO_STING CONTOUR -- p -- -` , ��� � ��� fK� SS�Cy r ,�' S 0AK rev
Fif .iSHED :"SPOT" ELEVATi';ONS ^R" G /''Io4/�ST I�S /LLS
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YIN ISNED CONTOUR 0--�--- `,,; a� � �.,> sRUCE �' �A IN
APPROVED! 'BOARD of NEAL"�Fo
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,. : RATE r. -AGENT - � �� ��r axe•:, °` SCALES, egg=30 DATE 7121E•'z
nrDREDGE ENG/�IEEI9�ONG
i CERTIFY THAT THE PROPOSED
alSTER•I t�EGf1. MR.' JC`y/�1�l6 t A a'� ZS BUILDING SHOWN ON THIS PLAN
CIVIL 'LAIdO CONFORMS TO THE ZONING LAWS "
E.NO 1 .OF 6ARNSTABLE MA
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12 .M A I N "S T R E7 Z A
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Pi Yi4 N N I S; NIA S: � kz, x a /.; Z ? / w
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6
NIJyISER OF�'DROOMS 3 . - - DI�?E1VS/ON . C_�FT_/fd//V`
GAR�.•tC.ED/SPO-SAL U/Y/T NOA/E.. SOIL. LOG , . SAIL 7_ �T - -•
TOTAL:E371m. CTEO FLo*v 33 O GAL./DAY SOIL TEST A/ $O/t 71FS7'02
N41/d9BZR 0�LG-,4GAflK4 o/rS / d^�"[EK 74.S -A-L-beOATS OF SOIL TEST
S/D,E L,EACH/NG PER 0/7- sg PT. 7Z� , O— Z E
T3 E J�co
f40TT0/tLr_ACN/NG �>ERP!T d. F T l3
LoA-M PERCQIATION R,4TAr,*/
TOTAL, LEAG'H/NG AREA 2(06 SQ FT ;° 5i /35or4 PEVCOL/47-/GNRA7W 2 Ti49INMIAI INCH
RESERYELEACHI/Y6AREA 96 Z': �- �
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`N OF MA v Ca2/Y�/EL
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BRUCE -+ 0 ORSE .,
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GI s rE .t'`` CL 6 Z.F� 7/2 MAIN 57:� NYANNl3, MASS
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