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��!
JO® NO. c` 3 GSC SHZX7 OF z--
8 e
iv
5e
T
�o �r
L b l-Ac4C OMC O �L� Tv
f
J Pr 2S TU+� S �-
clv�
kb \Cli
r a
r4 2" x t-Z c� L l v , N '3 �w\
�
M R rc:Ytu,�S yam► ` t S
s ,- FfDDI1. -Zo x i �
1�C'N