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HomeMy WebLinkAbout0036 BLACK OAK ROAD - Health / v - o y D2S / LO..CAT ION SEVAGE PERMIT G0. VILLAGE I MST A LLEWS WADE b ADDRESS GUILDER OR OVOER DATE PERMIT ISSUED � DAT E COMPLIANCE IStUEO a�: SL, �� �� ,. ��, .n \ � �- ., � � i ' ,��, No..........1:'_.2 S Fxs.....:. .`....`.......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town Barns tabl e ...........................................O F.................... ................. A#p iratilan for Pispnstt1 Works Tunstrnrnnn throb# Application is hereby made for a Permit to Construct ( x) or Repair ( ) an Individual Sewage Disposal System at: Lot #51 - Black Oak Rd. Yiarstons Mills :v RIA ................_....._._............... - •--- ---------............... ...........................................-..................................................... Capricorn Jfe&jt1§ rTrust 765 Falmouth Y�c�d�, Hyannis ._...- -•-•••---- .......................... _.......----------...•----....... ress........................................... W Steve Lebel Owner address a .......-- ........ Instal ler address Type of Building Size Lot............................Sq. feet �-. Dwelling—No. of Bedrooms......3...................................Expansion Attic (, ) Garbage Grinder ( ) e of Building ranch Other—T yp g ............................ No. of persons............................ Showers ( — Cafeteria ( ) Otherfixtures .----------•------------•------------------------------•----------------------------------=---...--•--- W Design Flow............5.5.................... allons per person P r6day. Total daily Oflow_.__._._____33______...___.__....___.__ p. WSeptic Tank—Liquid capacity...____.___. allons Length................ Width............0- Diameter................ Depth... ...__.. x Disposal Trench—No. .................... Width.. ....... Total Total Length.......... :.Total leaching area _ sq. ft. i Seepage Pit No...l_______________ Diameter........b......._ Depth below inlet................... Total leaching area.......2��..sq. ft. Z Other Distribution box ( ) Dosingk 0 1!d�edge Engineering .. 11-25-81 Percolation Test Results Performed by.............................................. .... Date........................................ a 2.0 I2' none enco titer• a Test Pit No. 1...............minutes per inch Depth of Test Pit....__._ _......... Depth to ground water...... _.___..____. r f. Test Pit No. 2__N..A.__..minutes per inch Depth of Test Pit___I.l._.A..___... Depth to ground water........................ e -•----•---�••--------------•......•----------------------•---•-----•-------------------------------- O Description of Soil.............O Of 2' i loam & topsoil x 2 _ i0 Tviedium yellow sand 10 - 12 med. white sand traces of graver no wader---at 12 UG"a ---------------------•-•--•--•••---.._..-----•-•••------------•------ ----------....-------------•--------------------------------------------- ----------------------•--••-------••----....... 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'U 5 of the State Sanitary Code— The unders• ed further agrees not to place the system in operation until a Certificate of Compliance h. issu d ba the QO f health. Signe ._ ............PreS ._ .O z Fcx Date Application Approved E f Date Application Disapproved for the following reasons:................................................................................................................ --•---------------------------------------------•------_.._...---------......--•-----•-•-------•-•------•-•-------------------------------------•-•-•----------•-------------------------•-------••----- Date Permit No.... - __.._. Issued..._ .. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ............... .............'---......OF.............................._.......................................................... Applutttion for Disposal Works Tonstrurtiott rrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: Lot #51 - Black Oak Rd. . Ylarstons Mills It 1 A ----------------___..._.__.........-------•.........._..........------•------------•-------_•---- ..................................•......................................................... :.. Capricorn IRftlt�FesTrust 765 Falmouth OT66V 3-, Hyannis W Steve Lebel Owner Address Installer Address UType of Building 3 ' Size Lot............................Sq. feet �. Dwelling—No. of Bedrooms.-...........ranch------....................Expansion Attic ( ) Garkage Grinder ( ) � )G p� Other—Type of Building ............................ No. of persons............................ Showers ( — Cafeteria. ( ) Q, Other 5Vures ................................. W Design Flow.............. ..... : 1C$.lions per person ��W. Total isy1 yy lP�5�# WSeptic Tank—Liquid capacity aIlons Length___. ... Width.__ ... Diameter._ Depth... ... x Disposal Trench—�No..................... Width.........._._._.. Total Length............ Total leaching area....._____Z��.sq. ft. Seepage Pit No...................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing t �rddge Engineering 11-25-81 Percolation Test Result Performed by............................................... T Date........................................ �a 0 1'2' none encounter 1_4 Test Pit No. 1... }'.. minutes per inch Depth of Test Pit..... __f _...... Depth to ground water........... ........ eC 4i Test Pit No. 2...N/.`�_..minutesper inch Depth of Test Pit.....��/-�...... Depth to ground water.._....���....__ P4 --------------•------•••--...-----............-••••......---•....-- O ----0•.-•-•_ ...r---------Toain-&- topsoil -x Description of Soil..••--•-------•��...._..1.0.a-•----TJiec�lLilri..yeTlOw...SariCi---•-•-----------------•----•--------•-----•----------......--•----•--- V ............................................. 1'0.t.._Z'1Z'"""med...... Rh to"'sand/'trace's---of graverfrio''water""at 12' '••••.._._....._ - 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 TIT II 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. )p/2 SI-eqPres .Signed..........._ .........................................................._. CA 'Gy _.._. Ql -C�.C. I FD tee A lication A roved B � T.`..` ^ Date Application Disapproved for the following reasons:................................................................................................................. Permit No. �ft--• !1- 5........................ Issued...... �D ..._,Date ate THE COMMONWEALTH OF WASSACHUSETTS BOARD OF HEALTH Town Barnstable ................ .............OF..................................................................................... (9rrtifiratr of Tompliaurr THIS IS TO CERTIFY, T t the Indio du 1 Sewage Disposal System constructed ( �or Repaired ( ) eve Le�el Lot # 1 - Black Oak Road Installer Marstons Mills , MA 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......Q..I=-�14......... dated-------i__O.._ ..r.1.9.9.............. 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 ' _/ Town Barnstable ...........................................OF..................................................................................... d J No......................... FEE........................ Disposal, Works Tonstrurttion rrutit Permission is hereby granted._ Steve L e b el / ................... .. ..... _ l to Construct ( r Repair a I di 'dual.Sewage Disposal System at No..........I'ot ..51 — Bl.... �a r:d. , Marstons_ Mills t MA --••.... ............. ---- -- ---- ---- --------•-------... •--------------- Street as shown on the application for Disposal Works Construction_Permit,.No..................... Dated.......................................... .......................................•----•---------•-••-----•----•------....•-----•......------.---- ,- DATE...... S. Board of Health FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS •.z z' 'T S/ Z t.) 0'D t? 5 N 0. Drs . prr 4 LU o . a _ �7 ONE /<F sort- 14 s z' TEST 3 0 ��' - E0 a y,i—"r-Al a✓T OF o`er A r :Ir H Ngsyg cm 3 ORSE v> No.10951 O ROF1C�T f. ,0 9�Ci Vl�tQry �w Bt�U%E LEGEND {3f'. EIDR FSSIONAC� v EXISTING SPOT ELEVATION, ®x0 �' sT ��o� / . ' EX119TWO CONTOUR --- 0 -_ 46 �; �� CERTIFIED PLOT PLAN F11*18HED SPOT ELEVATION L.o r S/ 3Ua c K v�1/< _ �o FIt,.SMED CONTOUR 0 ATE::"The location of any existing under-ground sewerage, w.el'.ls,,.or other utilities .shown .on this plan its approx- �N mate. only as d-termined from records and/or verbal .information. The contractor is responsible for,�the `�� ���lo � �3�.d ri ing locations in-the SCALE, r DATE I o %Z 5%8ve 7E E'NGINEERINQ COt IN F" ✓c.co �•. —•.- CLII�tY I CERTIFY THAT THE PROPOSED E(i1STEAE REGISTEdED " JQ® IVO, BUILDING. SHOWN ON THIS PLAN 4 CIVOL LAND CONFORMS TO THE ZONING LAWS E ® NE„ER RV DR.BY /, °.......,...7 OF BARNSTABLE , MAS ° 712 MAI N STREET BY! /6.23 �y HYANN I S� MASS. z _ SHEET, L., OIr ATE E<3. 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L F SEPT N GR.ot1ND. , cI7'ER:TA��E f /)t/LET 40..57Rj !lT/oN BOX' SECT/GJr/Y OF'* w r QcT�ETD3TicltaT/ONBX %AFT: V,.: o/�- > ':��,� T SE1Vi4t � / iAfSA1: SYSTII�P t�tLEr L ,�cNivG a �k ~CR/7'4EM f v' o tft t5/o�v 4 /1lUJYlSE'R- OF eEVI?DO/NS 3 D/MANS/4H �r�' `� 'F7- jvs r fiAR4G.ED/$POSAL UI1rlT IVO_TI�/E `SOIL LOG M TaTAE EST/Nf6�TED`FLOb�t/ -330 6.4. PAY SOIL TEST 0/ SO%L rEST#,Z SAIL"T��T iYUMBEA 0/=.LE`ACN/N�.. PITS f EYEK g�3 ELd�K Q 7 OF SOIL TEST P T� t3E:c%4 '/3/ S/OE.{EACH/NG PER P/T SY�'. .T /t LTS iV/T/VE✓SED:8Y SOTTOM.LEACN/I4 PER P/T -Ifs' SQ A�" o Z-0 A-11.7 � PEIgCOLATION RATE#/ L�� MI,IVVINCH TOTi4L.�E.4Ct+!/NG`,AREA Z G SQ FT �Ji'S Sv!L P!F/tGOLAT/ON R.4�'E!*2' Ml At f 1MCH. RESERVE LEACNIMCP AREA 2(a b SQ. FT. Y Z.O. Z' S � . H of Miss - &-sR.,�v. 7- AL 2- /pro /v`�j No.10951 O 1.1'RE ,o CrV1 �i ,� / �.0 �i$�� / M/M�j// •• .. GIST ��?�`' E/';'7.(0. 3 ?/'r�i .Mil!//1I -9-r., f{.y/!/Ff/,Vt.`�,.M�IFSS-. FSSfONAi=�a E� !sLjat`I ?�. ..Fi�1`4N ? 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