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HomeMy WebLinkAbout0080 BRANCH TERRACE - Health �ab -oa�- ooa mr��4-}�s / \ Ic L TOWN OF BARNSTABLE LOCATION FQ SEWAGE # 94- -;Ir VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE,NO. SEPTIC TANK CAPACITY /000 Q LEACHING FACILITY:(type) —�size) Opp ` NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATE BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r P 1 i ag� 5q 4it 4� r nt i4 , _ d ,�! 6 Do9 oar. F i c R 3. .)........ APPROVED THE COMMONWEALTH OF MASSACHUSETTS m ble Cnrve nt BOARD OF HEALTH OWN OF BARNSTABLE Signed Date Appliratiun for Di-ripuuttl Woritg Tunutrnrtiun runtit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System (aatt:: ..teof X.... J v ..................... ....�...._...._.__..._.......................... Location•Address or Lot No. •..... ..............................•..... -----......._...'---............................... W Own ddr -- .. . ...-- 5�.�. /Jr ul... . . � -.G ar-t-� -------------------- Installer Address UTuilding Size Lot............................Sq. feet Dwelling—No. of Bedrooms.-----3---------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------------------------------------------------------------------- ------------------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.......----gallons Length................ Width-.-------------- Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length-------------------- Total leaching area....................sq. ft. Seepage Pit No...------............ Diameter...............--... Depth below inlet.------------------- Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date....................................... Test Pit No. l----------------minutes per inch Depth of Test Pit..............--.... Depth to ground water........................ 4, Test Pit No. 2................minutes per inch Depth of Test Pit..-------.-------- Depth to ground water............---.-------- P4 ----------------------------------- •------------------------------------ •.................................................................................... 0 Description of Soil........................................................................................................................................................................ x V ------- --- ----------------•-•-•-'............ U Nature of Repairs or Alterations—Answer when applicable-----1�4Q. -- - --- ................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance as been i suee+d"naof health. / Signed .......... 4-.. .... .. ... .. ...�.1. �7 Dace Application Approved By ------- ...-- --- ------------------ ----------------------------. L ate Application Disapproved for the following reafons- --------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ------- g ^� Dace PermitNo. < ....:.. 6../.��'....... ...... Issued ............................................................ ------ Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH fy 9S/TOWN OF BARNSTABLE Applirttttun for Mil-Vaiial Works Tonstrnrttun 11rrmt# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System . ._ �?.. .G '1_ ..._1 �/ _.- ....... ............._._0 ......... . . -- / Location Address or Lot No. —.....----1.?��YY/.I—P----------------•-------•-•--------------- •-•----•---•----••--•----------/-•-•------- W Own i a •••... . 4--j �r ✓P� _ ! l1/Addres�e ..� _. Installer ? Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms-------2---------------------------------Expansion Attic ( ) Garbage Grinder ( ) a �Other—Type of Building ---------------------- ---- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) d Other fixtures ------------------------------------------------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Width---------------- Diameter---.------------ Depth................ x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area...-................sq. ft. Seepage Pit No.-----.__-_----___- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.........-................................................................ Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water-___---.-__-_-_-_-_-.--- ro Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ...... •••••-------------------•--------•--•----•-•----•----------•-•--•--------•-•-••-----..._.......--••--------•-----....----••--••••.............--...... 0 Description of Soil........................................................................................................................................................................ x U ••••-•••---•----•-•----••••----•••---•-•--...----••••--••-••------•-•-----------•--•------•-------•-------•---•••-••---------------•--•••-•-----•--•--•-•••------•--------••-•••-•------•-••-•--•••..... W ---••-----------------------------------•---------------------------------------....----------••••----------. x .......... •-------------••--------...------ 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance as been i,sued b the board of health. 1 Signed --------- ...... ....... 0.. (........................... ...�----- Dare ApplicationApproved By ............... ........ ...... .--------------- ----------------+--------------------------------------------------- ....-L- -- .0 a Dare Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------------------------------------------------ ---.......................................................-........................_---------------..............----------------------------------....----------------------------------------........ ........................................ Permit No. .........../.....�'/---'.---- ..1. Issued ------------ Dare -------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ILiertifirate of Gmylianr' e THIS I TO CERTIFY, That th Individual Sewage Disposal System constructed ( ) or Repaired ( �) by ....... ...........- �.C�. -------------------------- - _...... _............... m,aue JA at ...........- 1>....- ......�p-- - --- !j has been nstalled in accordance with the provisions o't TITLq f The State Environmental Code as described in the application for Disposal Works Construction Permit No. ._/.. --. __..'..__. dated ..._........__....._................._.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUMAS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....._................_.._... ...._.......... ... .:.................... - Inspector _ ,--/---" � - -... -.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �j - TOWN OF BARNSTABLE No...`1.y�3.�..5 - FEE (-).-------- Dispofial Wrmit Permission is hereby granted............ to Construct (N,)-or Repair ( an In victual Sewage Disp°js�al System at No,........:��-YD..-----1 �� -•--•--------------.. �`-� / - Street C��7 C as shown on the application for Disposal Works Construction Permit No._!. '_ �_S Dated-__---__ .-.._��/_..........7'L� ---------------------------------- Boa"rd of DATE................ ---�--.L.�!----•- •--------------------... U Health � FORM 36508 HOBBS Q WARREN.INC..PUBLISHERS LOCATION SEWAGE PERMIT UO. Lo—m � ►nc , 1 ' Aces VILLAGE if ► �� m ;� sIoNs n� Ls INSTALLER'S NALIE A ADDRESS � -� ia-�► chi �� ��5 .S P_ ��► ��'_, GUILDER OR OWNER m, 4 ; V\e- PC:> 5 � Am 41774 Nr F—Al r DATE PERMIT ISSWED - II DAT E C G M P L I A N C E ISSUED- egvet e t'I-S ° 3" J b6 �J No....... `j3� � F�$.... .. f.... i THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH �ow -- ------....OF....... ....-- . p2tJ S �3C ------............................................. Appliration for Diipniial Works (fututrn.rtinn Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. Owner „� Address a 01.9K...:�3�.?ALZI..�C.................................. ..•---t3 '�. 1�. MA ........................................... Installer Address PQ d Type.of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms....................Z ........................ Attic ('Jt-) Garbage Grinder ((do) p., Other—Type of Building ........................ No. of persons.....................:... Showers ( ) — Cafeteria ( ) Q' Other fixtures -----•-•••--•--•-•-----•. ... . W Design Flow.............11P.......................gallons per person er day. Total flaily flow__......_....._.2 2 .................gallons.: WSeptic Tank—Liquid capacity)P-Iqqt.gallons Length.. _�:.�.--'- Width..4---a-('�-.__ Diameter-_._-_ ----- Depth...."......... x Disposal Trench—No. ......^.......... Width..__.............. Total Length.................. Total leaching area......-s-.........sq. ft. Seepage Pit No--------I............ Diameter.....q.>r2....... Depth below inlet...... Total leaching area.................sq. ft. Z Other Distribution box (✓f Dosing tank a Percolation Test Results Performed by._.._..1`:.. . . ..... ...........Q ._................_... Date........... ....... .................. Test Pit No. 1_ minutes per inch Depth of Test Pit.................... Depth to ground water........................ fi Test Pit No. 2...............minutes per inch Depth-of Test Pit.................... Depth to ground water........................ �... O Description of Soil....................•. N S �� !� t � W - x -•------••••-•--•---•••----•••----•--•------••--------•---••••--------•--•---•••-•------•------•--........--•-•-------•----- ----•-•-----•-•-------•-- .................................. UNature of Repairs or Alterations—Answer when applicable................__.__.__.........._.._____._..._.........___._..__._._...._.......•.......__. Agreement: The undersigned agrees to install the aforedescribed I iv Sewage Dispos ystem in accordance with the provisions of iITLL 5 of the State Sanitary C r ' cu r agr snot 'place the ste in operation until a Certificate of Compliance has b n i u y e th. Signe -• -- ...�.. Dt Application Approved By...................... - ---------/` !�---------------------------- --•-•--- � s�- ......... ate Application Disapproved for the following reasons--------------------------------------------------------------••-----------------..._...••.......-------•-•--•--- -•----------------•---------••-•••-•-••-......•---•--•••----••-•-----•----••-••---------•--•-••--•------.._.....__....._..•-•-••--•----------••-•...---•---•----••-••---•--•-•••------•--•-••----------- Date PermitNo......................................................... Issued....................................................... Date No... F>cs....3... ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH « !. ".....�..............OF........!r�.e�rv�, .� ?.�. .......... , ppliratiun for Biupuual Workii Tunitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 4.0 T r`�h--.....fit-rc.e-.----------------------- 4------------..._......---------------............---- Location-Address or Lot No. ............ 1 ........ 'sti r s ......-•--•......................... ....Q:�`. 0 _._314.j..... S er�?c!�[;l-=`-a......Oa:.( S5'.-. Ow ez Address a ..............AK ....8.v __.. --------------------------------------------- ................ 11A A Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms____________A................_i--____---_-Expansion Attic (Nc Garbage Grinder (W 9 Other—Type T e of Building _..____....�fio. of persons.........._"............ Showers ( ) — Cafeteria a yP g --------•----- ( ) QI Other fixtures ---------------- ----•------• . . W Design Flow...............1 1.v.........._.,_....__gallons per person $er day. Total daily flow.......A a_4?_........................_gallons. W Septic Tank—Liquid capacity QgP...gallons Length.$_.:'.'�_. Width--_�_'`:.�^.� Diameter...........". Depth... .......... x Disposal Trench—No................... Width.................. Total Length..............-_ Total leaching area_._...._.-_:......sq. ft. Seepage Pit No.......... ---------- Diameter...... Depth below inlet.....G.::Q....... Total leaching area9r..la.n.sq. ft. Z Other Distribution box ( t. Dosing tank (— ) ,ova M c&P 1- Percolation Test Results Performed by._Rki"4... i��_an v.P__f.___£^ �^� :r, G Date...�.-Z i—$ aTest Pit No. 1._ miutes per inch Depth of Test Pit.................... Depth to ground water........................ fi ' Test Pit No. 2--j__'._minutes per inch Depth of Test Pit.___............_... Depth to ground water_.__._.............._... - --------------------------------------------------------------------•--.....................----•-------------------------..............--------- Description of Soil -- -`. .0 .-*.:... � r._5........: i.���-----------�e.kcx_ .o-Z S. (xj ---•--••------•----------------------------•---....-•----------•---•-••---•--------------------------------------.....................--------•------------- ...................................... 0 Nature of Repairs or Alterations—Answer when applicable.....__: ..................................................................................... --------•--------------------------••----------------------•------•--------------------..............---...--------------------------------•--------------------------------------------............... Agreement: The undersigned agrees to install the aforedescribed I idual Sewage Dis sal System in a dance with the provisions of TITiE 5 of the State Sanitary C n si ne agrees not ace the s stem 'n operation until a Certificate of Compliance ha n ' s y th ealth. Signe - .............. ............. ..... ... ................................ ApplicationApproved By............................ ... ............. .............................. ........................................ Date Application Disapproved for the following reasons-----------------------------------------....................................................•--•---------v .................................•--•--------------•-----•-----------------•--•-------- _ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH a - ..........................................OF.............................................. THIS IS TPGiERTIAPIA Trrti irtt#r of,Tumplianr.� &vidual Sewage Disposal System constructed ( ) or Repaired V- ( ) -•---------- ... �------•------------------------------------------------ at---•----------•----------------------------•---•--------•----------------------------------------•-•-------------•--•---••------.-------•---------•--•-•--•--------------•----------------•---------- has been installed in accordance with the provisions of TITL 2of 9I10State Sanitary Code as described in the application for Disposal Works Construction Permit No----------------------------------------- dated................................................ THE ISSUANCE OF THIS 'CERTIFICATE SHALL NOT BE CONSTRU A GUARANTEE THAT THE SYSTEM WILL FUNCP6nAATI.SFACTORY. DATE...............60 ..._ �Z_ Inspector.... " -- ----- THE COMMONWEALTH OF MASSACHUSETTS a•� BOARD OF HEALTH .7© ...........................................OF....................................-................................................ :f' ' No......................... FEE........................ t/ �tu�ru,� 'u�rtun �ernn� Permi - hie by g ed. j to Construct ) or Repai j^'9 lndivi4ud -Dispo ystey�PU atNo....................................................................................................................................................................------... ................ Street / as shown on the application for Disposal Works Construction Pp �__ ted. ,.:5 ____ ....... ------ ----------------- --- .. ---•-----------•----------...----..........._ IA// , . Board of Health DATE......--•------------------•--------------...---•---�-(+ --•---- FORM 1?55 HOBBS & WARREN. INC., PUBLISHERS � I r SECTION - SEWAGE F�17 ti - SEPTIC TANK - - "D" BOX - - LEACH . TOP OF FDN ��MCNtr ��-�Y t_tt.iSt_ItTAF:a� MW�"�.RJ..�� '�aK.- t- Z- - (MSL)# ct"_+TL tG� t�F- to T^'T. �1s_P+t-�r.�0 �ti.n'•vR.�,C'. 1.. -Att-a -2-OF t/aTO 1h" n rT' 41, -CD tZ1=_r t-c4 c.G- vJ t`T�-1 ct..F�^.i t CnA2.•�,G •=.j- ELEV. ASHED STONE -co w t-rH I rJIN '\IF _ t10 IN- OUT IN• IN- OUT--1d,C, /_j_L SEPTIC t\ELEV. Iq.ZS ! TANK `1�.0 . r �ELEV. ELEV. -ELEV. -' !oG � I OCo ' ��ELEV. I.o�- Cn.S'---�I.0 .'0_ OF 3/4"- 11 h" WASHED STONE . C g0 T.ta 4-Z ` TEST HOLE LOG EA 1 t { TEST BY t .I�tZFSa.��G t'•k �.�.Gc rYni2 .Z C+:#- \\ " ,r� WITNESS TEST DATE . BEDROOM HOUSE DESIGN �' °> T.H. 1 -1 6.uc T.H. # 2 F_LEV. ELEV. C>�"-- T NO PERC RATE MIN/IN. DISPOSER DISPOSER l p �Wt3t�ptt-- 7-Zd GAL./DAY ) 0 p %..ty ,Lt Z,40 �l `1 Cs•fi FLOW RATE ( Z'� ° � "` y5-�� Stt_-t� s�N'> -mil'• SEPTIC TANK 2.-.7..� (I.0)= -- -- Q �i_V REQ'D SEPTIC TANK SIZE Ste. -j Z'' LEACH FACILITY t j SIDE WALL � 66p�•S x It.� l = 4-on G/D. cv� ti >I►��� c�t> ' n, s��.��a BOTTOM isa&7z G/D. TOTAL = 4 SCo G/5 �� ~„`y '��� O J � ? 1 _ USE. � � f'" LEACHING - ( I ' _ _ � _ —_WATER ENCOUNTERED NOTES: (UNLESS OTHERWISE NOTED) i Ci.'�t w!t C_t— ' t 1.� � ``N.,•✓ J „�"t;� t'� " %e':Y.. �( ( viOp �F C.X3 'TAKEN FROM -------- Ca•4- 3. PIPE PITCH: 1/4"PER FOOT + / �.•ES C. JAMES 4. DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO ,--_-.__-_.-44 •' ly.,tsi M„ (�t• .( t" / 5. MIN. GROUND COVER OVER ALL SEWAGE FACILITIES: 1) FT. o�"' •t�'� - + —�--DISTANCE AS CERTIFIED 6. PIPE JOINTS SHALL BE MADE WATER TIGHT ,�., / L'w'� !,'y 1� z���Jp a. 7. CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. 'A / / I HEREBY CERTIFY THAT THE BUILDING SITE PLAN STATE ENVIRONMENTAL CODE TITLE 5 �Y y` �J.�•,,� SHOWN ON THIS PLAN IS LOCATED ON THE Tca GROUND AS SHOWN HEREON &THAT IT LOCUS: - � s%ON A! CONFORM TO THE ZONING BY LAWS OF THE TOWN Of — REG. PROFESSIONAL ENGINEER WHEN CONSTRUCTED. DATE A• t �"(`y 1 l: tit 1 �1��N - 3�1`1/ Z_ �I REF: dOW17 Cape en fineering PREPARED FOR: CIVIL ENGINEERS LANDSURVEYORS ----- -- - BOARD OF HEALTH REG. LAND SURVEYOR ,t} R 4-c)t � CONTOURS (EXISTING) - -- -- Yarmouth&Orleans,MA _ SCALE (PROPOSED)-O-O-O-O-- APPROVED DATE MA ze�I c)�•r--> 9 ! 6 Z DATE 6 �--•-� I `