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HomeMy WebLinkAbout0036 CAPTAIN STUDLEY ROAD - Health _ _ �a����� C TOWN vF BARNS tABL " LO.C-ATICN rcl ' stwlk-E40F'7-659}- VILLAGE A►iSESSOR'S MAP Q LOT INSTALLER'S NAME & PHONE NO.��,'G�f C�H`Sf 60 _ 7 SEPTIC TANK CAPACITY LEACHING FACILITY:(tVpe) Are CGsJ- ��- (size) /000 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER (a CLa k DATE-PERMIT ISSUED: DATE.'-,CCZII'?{IANCEa'SS:.JED: ` Y VARIANCE .RANTEv Yes No i ' a No.:�. .... g� Fps. cz THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ----TAW4......................OF......� (L1 S ` ------------.....----.............-----...-- ApplirFatiun for Disposal Works Tons rurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair (,Q) an Individual Sewage Disposal System at: .. A f nk f...--......:...............•---..._------ Location-Address or Lot No. �6 C..i��(LcttlL� Owner Address Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 4 Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures -------------------------------- . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ 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.......---.............. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..--__----..-_--.------. a ----------------------------------------•-........-•----•-•------------.._..........--------•................................................................ 0 Description of Soil........................................................................................................................................................................ x V ---------------------------------------------------------------------------------------------------- •--------------------------------------------------- •-------------------------------- ----------•-- W --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable-.---VM>..----....b 10A......�voO......................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with �.'1T l`1..-.� the provisions of i T IE 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 Ithe board of health. P—_ .............Signed. ..... A e , _.. `_Y _.__. Dat ApplicationApproved By------------------------------ ------------------------------•------........... ---- r. tl ���°° Date Application Disappewmd for the following reasons:---.11/, Q ��,� y�' - Z-- ............................................. :. --- ...... / !, ------------------------•---------•----------------------- -------------------------------- Date Permit No. ..........................C..?�...------- Issued..............l� l..... ---------- e & No ._. r? Fm3...........................� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH To..w ►......................0F...... v, �� ..................................................... App iratiou for Uiipoiitt1 Works Tottstrurtiou Urrmit Application is hereby made for a Permit to Construct) ( ) or Repair an Individual Sewage Disposal System at: ....36 c r.....sC o�c .....--------- --•-----•-•••-------------------------------- ----•-....------•--..._..............----------------•...-----------------------•-----•----------- Location-Address or Lot No. ...........c� Owner Address _ C'e ....................................................• =• --•- -- Instailer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ...-••----------•-------•-----•• - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. ZI 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_-_--.-_.-_._----.._..-. G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ---•-••------•----------------•---•-•-•-••••--•--•---•----------.....•-••-------•--•-•--•-------............................................................. 0 Description of Soil........................................................................................................................................................................ x U ....................... •--•-••--•----......••-•-•••••--•••-----••--•-•---••---•--••-•---------•----•.....•---•-•-•------•-•----•-•---••-•--••-----•---•-•---••--------•-------•---------•----••-•••••--- w UNature of Repairs or Alterations—Answer when applicable...... �._---------b w �,o Da �-4 �_� _ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTr1�^.T:l of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued bv the board of health. Date Application Approved BY - /1Z -----------•-------------------=-•-•-•-------•---------------•-------= _ ==- •-: ----- ----•-- -� ----------ate ons:....Application Disapproved•for the following reas . ... ...._... _ -^� ------- Date C, Permit No.... . --.__/_--.._.. Issued_.......................................................� � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 'WY ..................oF....` :R W`'�.t�'�c'r..................... Trr#if iratr of Tootphattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired .....--•-•----------------•-------•--.........-----...-------------------------------•----------------.---------------•--- _ _ Installer at- `•.....---.----- ...-P-..•-•--•.-=....uOL C...•..... -----•••. has been installed in accordance with the provisions of i I i i,C; 5 of The State Sanitary Code as escri ed in the application for Disposal Works Construction Permit No._<_=_�______________ G �T dated-------- .f -..�..� .. '� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAit NTEE THAT THE SYSTEM WILL/FUNCTION SATISFACTORY. DATE._..--ZI .. jC" --•------••------------------- Inspector-`.............................................................." THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7�� .......................©F...3�.R(CW Sr�.�LF NO......................... FEE........................ Dioposal Workii Ton rudioxt pamit Permission is hereby granted........HLCK..C%C \Q �-5�........ ==......• ..................................................... to Construct ( ) or Repair ()C) an Individual Sewage Disposal System %` at No.....Z�'........... APB_....... `�OLIE S�.c�....- �`'``t4 TarJ 5 =-� Street as shown on the application for Disposal Works Construction Permit No.-�.... Dated...�._�_�-f��.. C ..........................-- ..................... ---------.... Board'of Health DATE........ / -------------------------------------------- FORM 1255 HO BS&WARREN. INC.. PUBLISHERSq L01ATION SEWAGE PEA T NO. VILLAGE laG S� 1N S T A L.LE R' NAME & A D R E S S J. CRAIG MEDEEROS Trucking & Bulldozing 142 Corporation ree Hyannis, Mass. 775-0828 B U I'L D E R OR OWNER D A T E PERMIT ISSUED DATE C'OMPLIANCE ISSUED � ,� /V � 1 C� rr � del No.-. .... FEs........ J�� THE COMMONWEALTH OF MASSACHUSETTS' BOARD OF HEALTH .......... 'v , r*.,I ,gyp iration for Uhipasai Works Toustrn.rtion Vantit Application is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal St ----------------------------------- ------- ------.-.----.----_------. .-.-------.-.-.--------------..---------- ation; ess or Lot No. Owner Address a ........... .... ... l.��C ......................................••. •..................................................._.....................................---^--- 1 Installer Address Type of Building .� ) Size Lot_•..__._.._................Si, feet ►., Dwelling—No. of Bedroll s............................................Expansion Attic U Garba a Grinder pa, Other—Type of Building No. of persons... ................... Showerst3) — Cafeteria Other fixtures r - W Design Flow......... 3..0......................gallons per person per day. Total daily flow.............................................gallons. WSeptic Tank—Liquid capacity.100..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. ........ ..... Widthll................... Total Length.................... Total leaching area_..__.... __``.....sq. ft. Seepage Pit No........;.----------- Diameter......l,�Z.......... Depth below inlet.....6_........... Total leaching area.Z.�_�?...sq. ft. Z Other Distribution box Dosing tank ( ) Percolation Test Resg�tss . Performed by.......................................................................... Date........................................ aTest Pit No. 1.... per inch Depth of Test Pit...........•......._ Depth to ground water... O�`_`_. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.......... R+' ............................................................... Le "mil '� ' O Description of Soil......•_...0 C-lL6 G -.--- _CGlrtit G �................... s ......................... `4 . ------•--• ° °----------- ..------•- W ----•••--_-•-----------------•...-•-•-------•---------•-••--•------•••--•---•--••-••---------------_--------•-••---•-•------••-•---•--_---•-------•••••-_•••----_........---•-----•-----•--••-••-•-•-•-- 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 Sanitary Code—The undersigned further agre of to place the system in operation until a Certificate of Compliance has been is y the boar f h t 0 Signed ,-.................. .. .... 6.� ------------ Date Application Approved. By-----------10,--�L-----`-----................._----__-_--_-••--•----_-----------_---••-_----- Date Application Disapproved forte following reasons:...........................................................................................Da.._.............. --------------•------ ,--------------......._.._...........-••---.....---•-•---.......--•----••-•--------•---•-- Date .......3 Permit No....._...._.�.....•-_•---••••-•------__•----••----.. Issued........... .. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... -------.............OF........ , /..c�r r, : -ion or Disposal Works Tonstrurtinn Wrmit Application is hereby made for a Permit to ,Construct (V) or Repair ( ) an Individual Sewage Dis_J, l stem t �... •..................... ......... .•..--• --..............: .......__........ ---- _..-• tion t ess or Lot....... No. . •- - — -•• ..... ............................................... wner O Address ....�►. �, � .......................................... Installer Address d Type of Building Size Lot............................S . feet Dwelling No. of Bedroo s... .._..--••---------------- --------Ex Expansion Attic a g— p +(,j) Garbage Grinder'1) 44 Other—Type of Building �r No of persons .,-C ..........••-•-• Showers 0) — Cafeteria�t7 Otherfixtures . l-. 7 ! ................................---•....--•----•--•--••-------•-------••...•--....--•••-•-------------••••-...•-• W Design Flow..__ ..1.3.0....... gallons per person,,per day, Total daily flow............................................gallons. ' W Septic 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 O Dosing tank,('') a Percolation Test Re &2 S Performed by - Date........................................ A,,#A. e ,.a Testyit No.. 1.... __�mmutes per mch Depth of Test Pit.................... Depth to ground water..«.__............._.. Test Pit No. 2................minutes Per inch Deal of Test Pit.................... Depth to round water---_-_---- - P P P g .+�-f-A..-- ,., x :.. �r O Description of Soil - fc ....................................fir' ' r .•. � U .• -•-•-•------------------ -------- W ' UNature of Repairs ors Alterations—Answer when applicable....... ..................... .....:... ....... ............_.,._.............. Agreement: ,The ,undersip"i ag ees to install the aforedescribed ,.Individual Sewage'Disposal System.in accordance with the provisions of TTLL� 5 t the Sta e SanitarySCode— Theunders gned.further are of to,place the system in , «, �-'� :, •. �. yr a... • �.,.::; . operation until`s a Certificate of Compliancie 1 as„l7;een-is : ythe'.'bbar f h theO Signed ` ..... `' ............. ................................ �Al Date Application Approved B '�4 Y` PP PP Y-----•-•-- ---•-------'-•--•---•...;..••••-•••--•-•---•----•-•-••--••-•......... .......•-•• Date Application Disapproved-for t e following reasons:-----•--------••-•-------------------------------------•---•----------•-----•-------------.........-•••-•-•••--. ---------••---•------------------•-------------------------------------••----------....----•-------------••--•-------...-----•--••------•-••----•-------••-----•--•------•--•--••-•----•--•----•--••-••. -�Date Permit No.:......................................................, ` '�► .. Issued-..............� �� � -----•-• - ----- Date 4: T E�ICOMMONWEALTH OF MASSACHUSETTS �T BOARD OF HEALTH OF. THIS IS TO CERTIFY, Th t the Ina vidual.Sewage Disposal,,System constructed ( ) or Repaired ( ) L=C�/ .f .. Installer at......... .... ..--•--- E. ? 'C'-•-...... �-Ad..----•--- =-4*// has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._.........3:A.'t--_•__-.`---. dated....... "•., - .................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. �. DATE... �. ... .`..... .f F r .....--•-••--••-•---•--...--- Inspector - u ...••...... r . t�3 v� ,-vN',t � �!i`i is}�. �•y_M� F.t � .�,`�•',tr''7�'�s- pIftx THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTHa ............. .... .......................-•••••-•••••......••...........-•........ No.... .�......... . FEE.. .S_....�.�. Disposal Works Tons rn.dion firrutit Permission is hereby granted............ /.............�' r�=./�/ S. . ------------------------- ------------------------ ........... to Construct (-A) or Repair ( ) an Individu Sewag�Disposal System . _�• Str a �%L/" ...... .. as shown on the application for Disposal Works Constructicfri�Permit No. .' ... Dated......... ,.? _ ..... DATE...... . ../-rd(- / Board of Health FORM 125S HOBBS & WARREN. INC., PUBLISHERS r' wK.. �Y'�,r. -"�fta:.,b•#Ji ftl„y f.. :iF�#.n �G rE��_.,_,!S•a?r�`..T3�;�.�'.t:.Ci .... '11� 1t j 157 3 0 0 E _ . /t 5-.. y. /00 .. 1 13 6 j' f Q) �` . `/ a M is �;. " 1,7 41 CA P7. ROB \�• �.' r .. -EL'td i K l$ A No.22162�0 �s4"ONA1.ENG LEGEND _G-E-R T I F I-ED -_P L-O'-�< P A'ld , . � EXISTING ^SPOT ELEVATION Ox0 tx EXISTING : CONTOUR -- - 0 - - - `' LOT b CAP.r57,u0`E 2f_ 5 FINISHED SPOT ELEVATION 0.0 FINISHED CONTOUR 0 { IN u APPROVED = BOARD OF HEALTH �s`• DATE AGENT SCALE: / _ 40 DATE 1- LDREDGE ENGINEERING CO. I�NG� ' T'4 /LOR' _ --..--f CLIENT _— I CERTIFY THAT THE PROPOSED.t EGISTEREC� REGISTERED 4Z6 BUILDING SHOWN ON THIS PLAN . JOB NO.Z` _____._._.. CIVIL LAND CONFORMS TO THE ZONING LAWS . DR.BY ' � _q_ ie ENGINEERSURVEYOR OF BARNST BLE , MASS. F, x 33 NO MAIN ST 712 MAIN ST CH. BY: _ r° DSO. YARMOUTH MASS. HYANNIS MAS . T S 7- .:? SHEET OF D TE REG. LAND <SURVEYQR P1 /V07IF /F E/TNE? THE SEPTIC T.�1NK OR 20 FT. MIN'. GE✓gCNIivG P/T AMiF MORE '77HAIV /2«BE401ot/ ' V /D FT. M/N. GRADE, fa 24"O/A/�7ETER CONCRETE COVER SNALL BE BAPOUaAf T TO 6/TAOE.(AN EXTRA 4"PNC P/PE ' ~' GONCRCTE t/EAVy CAST /RON,COj/.ER SHALL 19E USED M/N. P/TCN EL�V. /0 D COVERS I F//V ,O/?/V.-WAY - _ p •. �9 f�FR FT. • ' �: �- 2 J• a1/N• CD�NCRE•TE .'a. G7�ApE cp VER CLEAN SA NO 6AC.+ll=I LL it 7 LIQUID LEVEL .:.• z 2 LAYER 4" CAST OF 1/e jV8.1 IRON M N. �TGN 0 p GAL. o' a I o • • • • • • • a o4o WASHED 5727NE V4'PG=m �T. SEPTIC TANK DIST, o , • • • . . • a 0 o c 1 1 •EFFEcrrvE . ° 4 / /2 o / • • 1 ° 0 1VASHEO STONE „ .,... .,• o DEPTq a 0: a i / • • o • • • • 1 v c ° G e v a t • • e • • • • • D e p PRECA5 T S-,Z4A61,! . !N!/eR�' ELEVATIONS • t e • • • e o P/7 OR EQU/✓: /NYERT AT BUILDING 9('•0 FT. INLET SEPT/C TANK 9 S S FT -FT. O/AM• j I G SEE TfIBULATION� OUTLET SEPT/CTi4NK G S FT. I--� ` INLET D/STi4/BUTION BOX 95.0 1=7 SECT/ON OF- GROUND W,47 '' TABLE 0U7LE7D/57)?/BUT/0N BOX FT y ` INLET LEACH/NG P/T 94 1 4 FT. POSA L SYSTEM TABULATIDN LEACH/NG P/7' SCALE %4 < U/MF./VS/ON A ¢ FT. DES/GN CRITERIA D/MANS/ON 8 FT. MBER OF BEDROOMS � D/M�NS/ON C ¢ FT. M��• "—%WAZ;Zr'V15RO.5Al- UNIT SOIL LOG 2 $OIL TEST TOTAL E,STIMATEb FLOW 3 3 u G<4L.1DAY SO I L,TEST Al SO/L 7E'S7 �2 _ NUMBER OF :,0ACXhV4 P/TS_ � E"GEY. �� O EL�Y, ,DATE Of �iO/L, TEST S/// /� `7 S/D—=4,-ACHING PER PIT FrSQ, FT. �O —(o RESULTS WITNESSED BY R P• 8 U//�K/S a0TTOMLEACH/NCr-,>ERP/T $Q. PT. L-IO•°l1''1 PEZCOLAT/ON RATE / L�� M/IV�/NCH TgT4G LEACH//YG AREA _Z.(2 G sa FT. _ z�_( '' 'PEhCOLATIO`N RATE02 RE", tacRVE GEACNlNG AREA .�.1� SQ. FT. Sv BS o zf - /o TAyzon �N A CoAQi �C)T CF 1 DEAlsE '�S9 Ss+�✓v CAA✓ L_ STOA/ �o R0BERT,P. In BUNIKIS /T� O Cl) Lt/SA�o EL DREDGE ENCr/NEER/NG C40,1 A/C No.22162 . x ._a - 'O.p�F`G P•� i�'� _,. -, EL,, �¢;Q• , '• ,X 7/iy MA//y Sr. -. 33 ND. MA//V ST. O� 157E �� NYANN13• MASS -:SO. YARMOg7-H MASS,. GROUND' Yt/i4TG'R ENG'OCJ/VTL�REO (� G/�O UNO N/ATE.Q AT 6'LEL! JOB'NO. 7 0 Z SHEET?OF ��