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HomeMy WebLinkAbout0060 BLACK OAK ROAD - Health ` 60lBlack Oak Road' Marstons Mills;P rill- ,, A= 101 -096 ' .Y. lob i7 LOCATION � SEWAGE PERMIT 130. VILLAG/JEE/ A I H S T A LLER'S NAME 6 ADDRESS .`Tr 3Y B U I L D E R OR IMPER l l S + DAT E P ERMIT ISS,U E D DAT E CdMPLI A NNE ISSUED z Z6 S Z 30 3`f 3S z s� �T AsBuilt Page 1 of 2 LOCAT ION �� SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME d ADDRESS .1a�ti Ice Tr "' BUILDER OR Owon C �✓ifv �n �t e�� OATS PERMIT ISSUED OAT C0M.IPLIANCE ISSUED c, �� . 4 �cK � r 176 � Z 30 3� % Z 1-161a �° http://issgl2/intranet/propdata/prebuilt.aspx?mappar=101096&seq=1 3/7/2017 i !n/- OqV No..f ...:.�d ..... ~ s Fss.. . ............ . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barn.atabl e............................. OF................................. D. Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Swage Disposal' System at: - --Lot # 47 - Black Oak Rd. , Vfarstons Mills 19 MIA ----•--- •---••- •- - - ..-.-----•----------------•-. . ........... - ------•--•--•----------•---•-----------•---•---------------.-----..--------- _ Capricorn Rea�'ty`rust 765 Falmouth R6radI °Hyannis ...._. .... ... ............... . ............. --•-•-•••-------•------•---••... ------- Owner Address a Steve Lebel ..........• •-------------------------•-•-•---•--...........-................................. •---...............------...._.....--•---........•--•-•-------•---........--•--------------•-- Installer Address U Type of Building Size Lot.............................Sq. feet Dwelling—No. of Bedrooms..3.......................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building r Z Qh.............. No. of persons............................ Showers (2 ) — Cafeteria ( ) 4 Other fixtures ......-••--------------------•........-•---••••----•--.------•--•-------••----•--•----------=----•------•---••---•-•-------...:.._---------------•-•-- w Design Flow...-....5.5....................._.___.___...gallons per person P�er day. Tot 1 daily flow__-___..33�_.__..•_•_......_...•_-._.. Ions. WSeptic Tank—Liquid'capacit,yl000.gallons Lengtlp_..�?........ Width....�!��.. Diameter________________ DepthS- ....... x Disposal Trench—No. .................... Width.................... Total Length...... Total leaching area___.. _ _ _ sq. ft. Seepage Pit Nol................... Diameter....6............ Depth below inlet....6............ Total leaching area..��5.......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed b Eldredge Engineering Date- 11 25-81 aTest Pit' No. 1.2.e_9..._..rninutes per inch Depth of Test Pit..12.�..-_.__... Depth to ground watepone encounte r ,,�,, // / _ ea 1�. Test Pit No. ark. _......_.minutes per inch Depth of Test Piti�...A....__....._ Depth to ground water_. !�ti........___ . Q+ -----------•--•---------------•--•---------•---;•---------- •------------------ O Description of Soil.........6_s.....-...2 1.........loam--&._to-psoll ------------------------ --------------------------------------------------------- v 2. - 10' Nledium_.ayellow_ sand w 10' - 12' med. white sand traces of gravel no 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 TI7'1Z4 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Complia as b n ifsu by the ar ealth. Signed - --------••-Pres.'.... -...22�_ 4 ......... t Application Approved BY ---------------------------------------•-•----...--------•---------•..•---- Date Application Disapprov f the following reasons:-------•---•----••-•--------•-----------•--------•-----•---•-----.............................................. ......................................... ............................................-.................................................................................................................. Date PermitNo.....................0-------------------------------- Issued........................................................ Date NoPY-.2.o v- r Flcs.. .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ...................................OF.......................................................................................... Appliratilan for Uiipnsal Workii Ttustrurtirtn thrrAft Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at:# Black Oak Rd. , iarstons Mills j, t+�iA ....._"ot ' ....-... .- ................. .............. ----.........._......• ••-•----•-................--------•---.... Capricorn R6A1 t Y'dTfust 765 Falmouth Ma�;°Hyannis •.. _ .......... ....... ... ------............•••• -•••-••--•---•----...._...............................- ......................... W Steve Lebel Owner Address -•----•------------------------------------------------------------------------------------------- -------•--••---------------------•-----...---;-------.------------------•--------------.------•-- Installer Address Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedroo ra.nCh.. .....Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures --------•••----••-......--• . W Design Flow..........5________________ O�Q .gallons per pers Kr day. Total qil ,flow.._ 33 .................g�lons. WSeptic Tank—Liquid'capacirY_..'........._gallons Lengt ............. Width._............._ Diameter._-____....._... Depth5...__..___._-_ x Disposal Trencf —No..................... Widt 'V._................Total Length...... _*......... Total leaching area..... sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet... ............. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosin a ,.. tPdrSd�e Engineering 11-25-81 Percolation Test Results Performed by........................................: Date........................................ 2•0 ' pone encountea Pit No. 1...............minutes per inch Depth of Test Pit.... Depth to ground wate ...._. Test Pit No. .... minutes per inch Depth of Test PiVA...... Depth to ground water.Nr�.............. es- Test a _ ------ -- -------•---.- O Description of Soil------ O-r-- -----Z -*....._loam:&-- �Opsoll................................------•-----...-----------........---•••......--••----•-- ------f yl-&dium W 1D- _---12r---• iKiy I.....white--saricift"races o . ..graver/rio water--a 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!Z- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Comp ce has been issued by the board of health. Pres. /22 8 Signed...................................................................................X. �! ,... ate ApplicationApproved ..•• ----------------------------------•-•----•-----------.....------------................--•-- lte Application Disappr a or the following reasons:-•-•----•-----•----------------------------------•------••------• --------...................................... .....................................1.................................................................................................................................................................. ' Date PermitNo................................................... --- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........Town..................O F......Barnstable............................ ........---•- Trrtifiratr of fanntpliaurr THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed (X ) or Repaired ( ) Steve Lebel by.................................................................................................................................................................................................... - Install at_..._.-_Lot : 47 - Black Oak Road,______ Intallnarstons Mills , 1:'iA .............................. has been installed in accordance with the provisions of TITLEY 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N V. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL OT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.-•--•-•---•....................•-----......`..)1- Inspector...---....1 _..S!.......................................................... THE COMMONWEALTH OF MASSACHUSETTS r/ BOARD OF HEALTH r Town ..................OF...Barnstable ................. ..........-•-- 0......................... .................... Disposal Vorkii Tuntrwti o tt antit Permission is hereby granted................. t eve L e bel ........... ......•-•--... . _ to Construct or Repair ( an Individual Sewa a Disposal System at No__;! ot...r#...A7....'... 31ac_-_Oak_Rd..1.........arstons Mills...� ir'A......---- •....- ----••----•-••--••••-•-- Street / as shown on the a ,pli tion for Disposal Works Construction Permit.__ _t.............. Da r'f j .. ?t t..................... v ................................................. Board of Health DATE.-�- --�a....�J.._._ FORM 1255 HOBBS & WARREN. 'INC.. PUBLISHERS 2�' - yS /22,00 � . A40Tl t rZ/tea Gri�I' o � � a 7y� N M � r s r• '� � , �� nor � �► e (off® S _ 36 ��, ,; =25� g y7-t a ±' �� g OF P l-Ack o m K 2D W I. EI�G U'�� ROBER'r o. 366 �` B{�UCE ELDREDH l� /yY��y� LEGEND CE FIED PLOT PLAN EMOTING SPOT ELEVATION OxO EXISTING CONTOUR ----- 0 --� /_07 V7 Z3,4i4ck OAA RO FINISHED SPOT ELEVATION FINISHED CONTOUR 0 ZINC ` � 1'� �,�Toovr v+1 BLS APPROVED BOARD OF HEALTH A e2 ICI DATE AGENT 3®Ifa'//S SCALEs / "= 30 DATE1312//8y: LOREDGE ENGINEERING CQ 'N CLILNT„62^'� 1 CERTIFY THAT THE PROPOS4 i EGISTERB REGISTL ZED JO® q0. 83� SG WILDING SHOWN ON TWO PL AEI' CIVIL LAND AlCONFORMS TO THE ZONING LAWS �N,GPN:ZER SURVEYOR DR.®Y� OF BARNSTA®LE, (SASS. 712 MAIN STREET CH. BY= - HYANN I S, MASS. SHEET_. . OF DA E REG. LAND SURVEYOR NO T1� /F E/TNL=R THE SEPT/C TANK OR 20 FT. M//V- GE�4CHI.IVG P/T ARE MORE 7 NAN 1Z"8040PV !0 Pt M/N. u'RADEr A 24'O/AMETER CONCA'.FT.=. COiYA'.e SMALL B.E AR006H7— TO 4 MAP Z. BAN EXTR/°+ GONCR�7,E q'PYC P/PF hrEAVY CAST /RON COV-",T SAI,4LL DE USE i COVERS M/N. P/TCN /F//V �DR/VZ=WAY ' /fig•/�E.Q FT A :a d AZ>& CO ►iE•R CLEAN .5AN-0 _ 9ACK,,=IV_L. 77- 4• LQUID LE VEL / 2-LAYER CAST OF.: I�ONP/PF 0O0 0 •oo µ ' ��4e i Igo-'�/6, MIN.Ip/TC/✓ - — GAL. b WAS a 1 • • • • • •0 • HED sm-lve %4'Pt/r PT. S,EPTlC TA/VEC D/ST, o • a • • � • • • • • a e . BOX a • � ® O • O •• • ••e� r li„ s a 1 • • • • • 314 2 :?.; • r • •• DEP .-H p• lV.4StdED STDi1(E r ,. a • o 1 • o o • •• • x Z.S �/�l G PD 'p �•S D PRECAST SE�4GE l� i s� • • e o o • •• • ••P i e• • • • • e • • • • a a P/7 OR EQLI/V. �7 5 nl� �pD 6 aT. D/AM. . INYLERT AT Bl!/LD/NG � FT. C SEE 7a9B1/L.4TJON� I/YLE7 SEPTIC Ti4/VK 7,3 FT l4 FT. O/AM- OtJTLET SEPTIC 7AN/tj2),-7-i _FT. /A/,lET DlST/q•/DI/T/OM ®OX 6� t7! SECT/ON 4F GROdJNO Jt(fiTER TitdlLE OtITLL`TD/STJ�t®IJTtON BQX C�.-7 '� IMLET LEACNIM40 /P/T ��•S FT. SEJ�/AGE /SOt��A. SY.ST�/�'1 Tel�IJLAT!®N P/T Z s JwT. SCALE : %4"' = t=0� DI/•9ENS/ON A DES/GM CR/TER/A /oN $ C FT• NLPIBER 0/° BEDROOMS 3 DIAfENS/ON C FT. ("I" GrAR6AGED/SPOSAL,UN/T ^'� SO/L LOG SD/L TE3F' raTAL ES'TI/44TEG FLOiV 330 O,ac./DAV SO/L TEST o/ SO/L 7.zrST#2 !(UMBER OF LEACRING P/TS_— ,`FLEY. 6`l b r-,ffLzrj DATE OF SOIL TEST - S/OE LCAGH/NG PER P/T 54A PT. RESL/LTS PVITNESSED BY BOTTOM LE�iCN/NG PER P/T S $Q. �T. 0-3 .. LUa PER COLAwoN RATE#/ L Z M//VINCH i TOTAL LEACH/NG AREA AFRCOLAT/ON RATE2 �- MIN�INCN RESERYELF_,4CN//1/6AiQEA ?G7 SQ. FT. N OF Af OF a,R����` p o=yam r�.�/r r /1/j./-�'2S�,vs v'✓J/�1�5� �116}� 5_ N r i.Iti i RQB-. T r-1 i�f P x Bi''J E 1 �� W 1. RG ELOREOG t 4 n o:366�Q EL.A EDGEENGINAVRING Cz�I'vc ST��G�,� GLc=ri 52.E 7I2 MAIN Sf, HYANNl9, MASS. oNat EN �. NO GROUND kV,47&R J-tVCOlJiNTEREG CLIENT: FZ �C�J D. 7- Q GRO tlNO w-4 TER' AT EL��! 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