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Home My WebLink About0048 CARDINAL LANE - Health C1 r S�v r� 5 ►'►'1 7 �`-��1 d/? LO CAT IO SEWAGE PERMIT NO. V1 L L_A G E �y n r 7 I N S T A LLER'S NAME a ADDRESS-. Vo SUtLDER OR OWNER- C D-ATE PERMIT ISSUED ZZ1z 9 D-AT E C0MPLIikNCE ISSUED �3 h � o- t? �/ i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ON -- J17, .................. .... .-..........-....-.oF.......................-. -..._.-.....---------------------•---------._.............._.. Apli iratiun for Dhipaiial Workii Tome rnr#iun Vrrmft Application is hereby made fora Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sys - !�9L * ...... 1-�- - 0 �.5ex................... ocatio - ddre ws r Lot a ��c .:�� .._° � T/�-- -------------•--------------•- 'fir��1?'It' .......---•--••---•--•-•-•_..._ Installer Address d Type of Building Size I ` JO Sq. feeti V Dwelling—No. of Bedrooms__...__ Expansion Attic ) _ Garbage Grinder (�/9 ............. Other—Type of Building No. of ersons____________________________ Showers Ga YP �g ---------------------------- P ( ) — Cafeteria ( ) a' Other t Design Flow............_ __ 6_._...__ _gallons per person per day. Total daily flow--•-.... _............gallons. 04 Septic Tank—Liquid capacity.0100gallons Length................ Width................ Diameter................ Depth................ w Disposal Trench—No. .................... Width ............ Total Length.................... Total leaching area................. ft. x Seepage Pit No______ __ _______ Diameter.... Depth below inlet...... Total leaching area___�`�,j...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........................ P4 -------------•------••-••--...••--•---•---•----•--..................------......._•••-•-•--••_--•-•-......................................................... 0 Description of Soil........................................................................................................................................................................ x U w UNature 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 TL ITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i e by a boar ��hh gne __.. .. . .. --••--..._.. - Application Approved Byfe'-- ----•••••......................••--•.....-------•--..._•--•--.....••-- � 61Date Application Disapproved fllowing reasons:............................................................................................................... .......................•••••---•-•---------•-•---------•-•--•------------------••-•...-•-•-••----•--•--•----•--------•--•-----•------------------------•---••-_.._..-------•----•----•••--••------------ Date PermitNo......................................................... Issued-....................................................... Date Nb.y J..��S FRs... ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.......................................... .41ifiration for Di,ivoottl Works Tonotrnrtion V�rmif , . Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: , _._ ..,,.40r. ..... _- -•................ ................................. Locat�o eLo pAM V I/y ,/�� t • 0 ` ,�+ ^�I`..+!.. ........ S � ---------_•............. Installer Address y� d Type of Building Size Lot �j0Sq. V Dwelling—No. of Bedrooms....... Expansion Attic j Garbage Grinder -1 -------------- aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherxtu= ..... .--••---•-•---•-•-•...•.............................•-••--•---•---•. •---•- •••--- W Design Flow..._.... ._ *....gallons per person per day. Total daily flow....... Ions. CM ----•--•-.1 WSeptic Tank—Liquid capacitv_4ff®gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area................... Seepage Pit No.-_-•--F.-.......... Diameter:_._ Q_._.._.. Depth below inlet..__..(p........... Total leaching area___.717f_...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ p" --••-------•------------•---•--------=-------------------------•---•.......-•---•---••-----_•-_-----.......................................................... 0 Description of Soil....................................................................................................................................................................... V --••---••-•---•------••-•---•-•-••-------.... ........................................-................................................................................................................ 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 agrees not to place the system in operation until a Certificate of Compliance has been i by boar i h. d . _---- Application Approved By ....... ........................................................................ .- --............ Date Application Disapproved feasons:.......................•--------...------------......---•----•-•-------------•--•-•-------- •.......---.•... -•...............•--------...........-•-......__....---------............------........................--I•--.....•-••----------------••----•-------••••-•------------•-...---------------•-•----.....-•- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Tirtifiratr of Tomplinurr T 1 CE IFY, That the Individual Sewa e Disposal System constructed or Repaired by....... _.... ... ...... -•• --- --_--__-•.............•....•_••--_--- -•_ •_-•---.....•..--•- nstaller at..... .. • _ (� ----- has been installed i accordance with the provisions of TITLE fL�e State Sanitaryi�� a ribed in the application for Disposal Works Construction Permit No._.' . ............................... dated.-. _............................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® , GUARANTEE THAT THE SYSTEM WILL U v TION SATISFACTORY. DATE........i --V_T......-•----•--•-••--------------•-•-------•---- Inspector... THE COMMONWEALTH OF MASSACHUSETTS: BOARD OF HEALTH'; .........................OF............................................................. Q f� l FEE....f....-•_-•-_....... Billp a nstrudion Vamit Permission i!,klreby granted---- ••--• ::..,:. to Construct, x_R ( ) div- al Se ge System �p d� Street as shown on the application for Disposal Works Construction Permit No................ e ------ .. .....,.................. •-------•--.........•................ -------- ....................................................... ................................................. B rd of Health DATE------�---��---�•.1- , FORM 1255 A. M. SULKIN, INC., BOSTON ;:. Lc=>T 3Ca VACA 1T ) VACAt,.►T ) I ( VA r-A 7 / 37 ° o6 '3s-" -a ��ytN Of a Ac 390 su ' > 125, Pam.- sumEb P'Lt�7C.1 6 w 4 G.'x Io' ' L C7 T (/> t �+ I.000-C-AL. Wfkl`F—C F- c— PEn.�P.—� , STL t.�S't- r c o V, N N FND EL4 °ram qn"/ 0JI �y MORSE ci 1N sue/,, 1^ j Q T.8 M.@ Q No.1U951�O a 1.1 ��r T � M 3 I Cf3PND A'P FGISTbP \° /c�44l 99•. b �y q __._CUCi;_ �_/,r, (� T'.q✓G:,M)may,,�, \....� -., �. LEGEND LAkJEF EXISTING SPOT ELEVATION Ox0 CERTIFIED PLOT PLAN EXISTING CONTOUR -- 0 Lc,-r '-i�14'1 Loa- . 60 C�,.��✓� �.� FINISHED SPOT ELEVATION' .' �)� /�'J�l s7--0A,fs' FINISHED CONTOUR 0 IN APPROVED , BOARD OF HEALTH DATE AGENT (VACAWT) SCALE] » DATE ' -DREDGE ENGINEERING Co' IN CLIENT I CERTIFY THAT . THE PR,OPOS:ED EGISTERE REGISTERED JOB NO. � BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS '`! ENGINEER SURVEYOR DR.BY' OF 6ARro81'ABLE I MASS r 7I2 MAIN STREET CH. BYE HYANNIS, MASS. 5' I9,13 SHEET-! OF 2- DATE EG. LAND SURVEYOR 2O FT. MIN. E/TNER THE SFP7 TAN.IC OR �EACJ4,.,VG P/T ARE MORE TNA:V /2"BEL0W !B P7. M/k l,4AOE, 24�L?/•+1 M ETER OONCRE7 COVER SHALL &.,F 9000GH7' TO GR,ACIA—_ ,.v EXT.?-g CONCAq&,rC, IIm.AITCH P/Pe NE.avy CA ST /�E'O/Y Co vER SfVAL L C3E uSEO M/ P EL t01:5 COYEJe.S o s /F/N OR/VE�VAy v�• /�► .P�FT 2 . MAN. CD/V C,,C L AEr - G .�off cv VER CL EA--V .SA/V O *. Arl BACAF/LL .�.� Z*LAY-R IRQN �'!PE / O O IN. i'6,�itTitCllf' GrAC:. � !f . . . . • • . > A SHPO S7t7NE _ D/ST.. o . .. . • . • • . � / • s • • s• Ti4 BVX � . . o AV: :, tr .. Ems- • 3fa !D/2 • e t• e ®�PTH • • r • • r W.9 Sh+ STGX E UIL • Q • • e ♦ • • •• ( S o n f ` .. f g@ z S . 7 D: • • t► s e s r • • o p PRECAS T SEE..PAa, �� IAri • � s • O • i • • Oo p Ez : 4i� L� • y. • • . • • • . r+ o •o P/7 OR Eva1 v l,vYWa�'r Zd EYA7r?o.Yg p 4 ,.CF'-4 c/7 At //1PYEId' .4T'Bvh.D/N6► `��7 F,T r / �C� SEF T.gBUL.d1TJON T TiaC::T:4,Ve�f �t7 3 F _ FT . ( r`Y: O6fTET$�iiF'1G a"AJyf� a GR®LIiS/D it1ATER 7A4W,C w INLET O,/STR/AIFOOI10.�"Ye t o z, -ols rf�rrrfof t - ' fig. ^r' SAil4 � �ASAPASA� 5Y7'AWM.ir>V r ' JULATIDIV �ES/GAt! CRlTEI�I� Dt��.vslow ' �T• NII'tldhi� OF 9EDA00^!.S j...: , ' ®/NlENSBO�I td�_FT/;'t!^!• GAROAGEDlSPOSAL UNIT .nr� v� '50 L. 1 0 TOTAL EST1AIXrFD Rory 3 3 d 19.44.1OAY° SOl C. TEST A/ .70/4 �ST02' S®d1. ?'E.gT / /IluMBER Qfi LfAC/ltNG' ,ol7Z / f-e►ce�Y 9 S. ePt�Y, 997 OATS OF SOIL TEST 5" 9,! 3` , S/OF L1*AEHING PER P/7 PT. _ z ' RESiJLTS 1V/TN€SSFD BY✓'�� `�Q Ca73 BOTTOM 4,G4CN/IVG PER P!T — SQ. FT L c��-w� PERCOLAT/ON /LATE At/ Ts M!N/iNCK TOTAL LEACH/NG AREA Z6 �' S!�" FT �� S f fCERCO LA77/ON RATE IkZ �Z' M/N�lNCN .eESERi/ELEACN/N6AREA tHOF� ��.P�'CHOFM{S. Lpy 0' � !2a/r/. ? :. $ a ORSE ., N No. p A � '. �L DfiE®G�LNG/NEER/�YG CO,/NC. O DO �G/STE� c cV 86 S - 7/2 MA/N ST. HYANNiS, MASJ, • CL/EMT: Goo v'E D�ITE 5 r 0 �yo S/ONA�E ® NOGITOVNO kV,4TCR ENCOUJ/VTfR�O SURD r', •� LINO(� GRO NO J VA TE.Q A T ELE1/ a JOB NO: c 3 v �� SHEET z OF �- r� BARNSTABLE APPLICATION FOR PERCOLATION TEST AND OBSERVATION PIT:: LOCATION Lot 44?-Cp�rdinal Lone E Mars=_�;n�: Mills �d"� ✓ �� VILLAGE DATE / APPLICAI�TT.7clras �:nd I`IcGra�::h, Iric . FEE 00 .00 � _non refundable) ADDRESS 200 I,j sn 'S i'CI. 201f,='F_ Imo�i.:h, MA 025�E0 TELEPHONE NO. 508-56-8=35,5A ENGINEE3 same as above TELEPHONE NO. , DATE SCHEDULED /e# .F/"- �✓ BY: . Applicants signature 4 SOIL LOG SUB DIVIS1014 NAIL DATE �Z� TIME EXPANSION AREA: YES ITO Yw c++r4v-,Z. ENGINEER TOWN WATER �/PRIVATE IiELL "F-� �1R�� BOARD OF HEALTH A L�� EXCAVATOR SKETCH: (Street name, etc., dimensions of lot, exact location of test holes and percolation test, locate wetlands in proximity to test holes) NOTES: 60 PERCOLATION RATE: L vv\+ -' t fJG t'b TEST HOLE I10- xnr.F mn-_,-_Ft,FVA,TI`ON: DEEP OBSERVATION HOLE LOG NO. 1 & 2 OTHER SOIL SOIL TEXTURE SOIL COLOR SOIL (SYRUCTURES, DEPTH ELEV. HORIZON (USDA) (Munsell) MOTTLING STONES,BOULDERS CONSMCY,x MVEL) 0" 4"" O 10,. A SANDY LOAM 10 YR 4/.3 24 1 LOAMY SAND 10 YR 518 NONE 132 C MED. SAND 10 YR 714 NONE i . HOLE.#1_ HAD AN IMPERMEABLE LAYER FROM 5' TO 6' DEPTH 10% AROUND PERIMETER. HOLE #2 HAD AN IMPERMEABLE LAYER FROM 5' — 6' DEPTH 25% AROUND PERIMETER. I SUITABLE FOR SUB-SURFACE SF.IAGE: LEACHING FIELD/LEACHING PITS LEACHING TRENCHES UNSUITABLE MR SUB-SURFACE SEWAGE. REASONS: 140TE: ENGINEERING PLAI]S MUST SHOW MIBER ASSIGNED ON PERC TEST APPLICATION O;:IGINAL: COMPLEPED IN MIRTETY BY P.E. AND R TMID,ED TO BOARD OF HEALTH COPY: RETAINED BY APPL13AN"A"