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. LAND SURVEYOR .
20.FT MlN. /1l07'E /F �/TNER THESEP7/C TAiVlC OR
1-1rACHI,�VG P/T AA& MORF 7WAJV I2",8ZLOW �1
aRA PF Al 2Q'p/AM ET�E�A' CO/yCR T1� CONE.P
t/AL L E B D N 7 To
S B R t16 G/�A ORS.�AN EXTRA
q'PYC P/PE
COA/CRCTE /'�EAYY CAST be OW Co{iER 5fI.4Lt DE USED
M/A/..P/TCH
EL 9 _0 COVERS �'PF,P FT /F//V DR/VEJ�t/.�4 Y
2 MiN. CO/VC&A TE
G of COVER CL EAM SANG ?
- R. • . . BAC.K�ILL
v1pul0 LEVEL
2*LAYFR77
I
AS ..
O B p, � v n o • � o o OF
;x M/IV:PITCH '; GAL. •. e • • • •• 1 A ee
D/ST. o yYASHEO 572�NE
%4 fet PT. SEf?T/C TANK s .e r . • • f 1 e
BOX • � 8 � f e.e• 1 . ► e
v
o h 1 eEf=FEC'T/VG' 1 r •i 314'
r ` '' i f e DEPTiI • e ' e .o STO//,f
•. 1�VAStIED
Z.v , .a 1 � • e' • • •• 1 4CP
O: 7,9
• a. 1 e • e' • s• • p •f P PRECAST.SEE.A�QGE .
GAL�Dl+y / ►o` r • i • e • r 1 a o P/7 -OR Mg/V.:
//V//i�� eLE✓AT/DNS 7�<T Cam+PAC17
JNYER7 AT 6!J/CD/NG 87.E FT
!HEFT_ .S,uPT/C TANK `�' •`{i7.' l p F7: D/AM. C( S TLuTION�
_ Ol! 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 ? QitTS ', v ;<2 $=.� �f;� c�a�n+t7 Ar��► �lveau�rrE�e
�LgLfI'`: _ /
V.X _-� �k .:art - �` ,� T ,,y� '`r.,E,'�; '�-`" "`s :.•,� a .x`"� '� .�', t f'�- a