The URL can be used to link to this page

Home My WebLink About0078 JASPER ROAD - Health C� �c�s�x�Z �� °7- o �� Y`�G'c r s .l o n e T,�Z�l S _� OCATION SEWAGE PERMIT N0. 03 VILLAGE INSTA LLER'S NAME & ADDRESS A - lo Al B UKDE R OR OWNER ICIY7- g g s 12 co X DATE PERMIT. ISSUED — F - OAT E CO-MPLIANCE ISSUED S^ -3 7 � �I�t j LT5 i No......3.%......... Fss.... .�..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF............BARNSTABLE .......................... App iration for Uiipnnai Workii Tnnitrurtinn ranfit Application is hereby made for a Permit to Construct (x) or Repair ( } an Individual Sewage Disposal System at: Jasper Road Lot 458 _.........•....................................................••...... -•••••••-•--...••------•---•-••-•••--••...••••••--••-••-••••••••-•••-•••......•••..........••••.-- /Location-y�Address C 9 or t No. ��•'-•.•••._..�/ - 4-T lG.lsL!.. .................................................. 1 ner- ( Address W •..............••............... J..�.u�``... iA_'.:`.f.' ................................................. a Installer Address Type of Building Size Lot... 5-e-9 51-.......Sq. feet U g— ......................Expansion Attic ( ) Garbage Grinder ( ) Dwelling No. of Bedrooms..................... Other—Type T e of Building No. 'of persons ................. Showers — Cafeteria f4 yP g -----•---••---------•---.... P ( ) ( ) P4 Other fixtures ----------------------_-------------------------------------- W Design Flow..........55............................gallons per person per day. Total daily flow..................3 3 0................_gallons. WSeptic Tank—Liquid capacityl0..gallons Length V..-6 7.. Width.4-'.-.10."Diameter................ Depth.52.-4"- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......... Diameter.......1Q....... Depth below inlet U.-0"..... Total leaching area.' _.M......sq. ft. Z Other Distribution box ( x) Dosing tank ( ) '-' Percolation Test Results Performed byCape...Cod... urvey...ConsultantsDate....Jan_,--_-18-,--_197-8 Test Pit No. 1....1/2----minutes per inch Depth of Test Pit..... 2.......... Depth to ground water......none.... .-. Test Pit No. 2................minutes per inch Depth of Test Pit----_............... Depth to ground water........................ ------------------- 0" Description of Soil.......0-0................................' am,...........................................l,-_-3 .•0_-5 .0 medi v _____._____sand1 5 12 0 white sand with ight gravel -•-- =��P� ----_-- , ---------- -•---.......................................... Q ---R.ET4V�K-... - G V Nature of Repairs or Alterations—Answer when applicable--------- .. El............ m CHAPMAN ----------------------------------------•--•-•----------•----------------------.................-----•--••--------------------------...........-•--••......•......... ..-- ........................ Agreement: .A�No. 27654 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in the provisions of iITL �o p 5 of the State Sanitary Code— The undersigned further agrees not to e operation until a Certificate of Compliance has been issued by the board of health. "``'— Sign .._....... - .................................................. ............ Da.t.e........ � Date Application Approved By---`--..fir .----�•_... =------------------•---•--- ---/.................................. `pr Date Application Disapproved for the following reasons:-----•--------------------------•------------------............................................................ -------------------------------------------------------------------------•------•-------...--------•------•------------•-•...--------•----••-•-....................................................... Date PermitNo......................................................... Issued_--- , mw No.-••...3 � ....... FEs...............".....-..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN.......... oF............BARNSTABLE Appliratiun for Dispuaal Works Tonstruriiun Prrutit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: •...............Jasa=..mad....._.......---••-•--........_.....-------------- ....----------•---•-•---.............�t....45.8......................................... Location-Address or Lot No. .--....-4frj- r ........ .......... j.t._ _.—Address ..............................-.......... ...................... ti`„^ �}t, ...............••... a ........ ♦ T��t3I1 ,41*•z Address UType of Building Size Lot....2.0-F951.......Sq. feet Dwelling—No. of Bedrooms-------------------3_________----__--__-Expansion Attic ( ) Garbage Grinder ( ) 'PL4_l Other '.T., ype of. Building No. of persons.........fa................ Showers — Cafeteria � Other fixtures .-----•--------------------------•-•------------------.--•••- •----•••---••-------•-•-••---•-•-•-•-•----•---•----••--••.......---•-••--............_.. W Design Flow...........55............................gallons per person per day. Total daily flow...................a3.0_................gallons. WSeptic Tank—Liquid capacitylOD(l.gallons Length.$!.-.&". Width..41_-10.`Diameter................ Depth..V.—A". x Disposal Trench—No..................... Width..................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No....__..1.......... Diameter........ .0....... Depth below inlet.62=0........ Total leaching area....2fi7.....sq. ft. Z Other Distribution box ( X) Dosing tank ( ) a Percolation Test Results Performed byCape:-_Cod...S.ur ey...Consultc nt0ate.....►7a21.---18.....19_7.8 a Test.Pit No. 1..,ii2...minutes per inch ..Depth of Test Pit.....1,2.1....... Depth to ground water......none...... (i Test Pit No. 2.................minutesper inch Depth ofITest Pit............:....... Depth to ground water........................ x ......•------------------------------:......--------..............:......-------•-•----•.. _-••-•••----...•---........--•=- O Description of Soil....... AIUC __7.�tr�t�11.._.0_. --3_..f�.._slih, S�x.l.s---- _.�- ...5?.._nedi x sand-p---5 J.1712-.-0...wh3 tp--marx...*ith...1�ght...gravel---------- . . W o� . . --- -- �y ----------------------------------------------------•----.......----••------_........_......._.....•...... ...... ILK m U Nature of Repairs or Alterations—Answer when applicable.................................................................. v._._.CI�RP�KN y . ------•..................................•-•---------------......_.......•..-------•--------•-•--------------......--------------------•----•-•---•---.--•• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in ac A the provisions of TITL Es 5 of the State Sanitary Code—The undersigned further agrees not to plaqAVh operation until a Certificate of Compliance has been issued by the board of health. Slgn = . ......................................................... ..."vY1--- ..........Application Approved BY -- r - �.. Date Application Disapproved for the.following reasons:................................................................................................................ ....................•----•---•-----..........._.....----------..............--------------.........-----..__.................----•-----.....-----...--------------------.........-------•--•••••...•-•--- Date PermitNo......................................................... Issued_........................................................ Date w THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........` ...........OF..............:.' ............................... Tn#ifirate of f ompliana TH IS 0 CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by -•-••- ...... ----•--•--•••.•. •- � f: ----------•-•-.---- ------•-•---•-•-------.-•-------------------••-----------• n�taller 1 at T � � air --------------------------------------------------------- has �een Ir115talled acc (dance with t e p visions of f The State Sanitary C�odeAa�de Jribed in the application for Disposal Works Construction Permit No. ..................................... dated....__.___._._._................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS UED AS A GUARANTEE THAT THE SYSTEM. WILL FUNCTION AATISFAC Y. DATE............................................................................... Inspector......................................... THE COMMONWEALTH OF MASSACHUSETTS / BOARD QV HEALTH No......................... FEE....................... Disposal.Vorkii Tuns#rttr#iun 'permit Permission is hereby granted # ------------------------------•---•--•----------.........---.........-•--•-••.....•..-•--- J '. to Constr_uo. ) or Rep ( ) an In * i ual W osal System p7 Street �� as shown on the application for Disposal Works Construction Pere ---- Dated--- .. . ..... ............. DATE. ..- :::. Board of Hea FORM J2 HOBBS & WARREN. INC.. PUBLISHERS SOIL LOG v . • �XY>ii(U�Yi\Virov-,unle�r.,,`.�,,(l,_,��ey,A/�� l4a'7 2".PEASTONE LOAM B FILL 12"MAX. 1 �o _ — r WOOV- LOAVA !4O•G BOX I ° °° 0 °• °� °• ° o � s�b•S ,'t �3�•7 t4�lc. MIN. 1000 °o a 1000— GAL. d o o( n % � !36.7 GAL. o •. PRECAST OR SEPTIC 6'I° o• BLOCK°°, ° o°off S4.g) ° TANK I; ° ° SEEPAGE PIT ;• n ° I Ga•� 4 i 15'7 S� , ° �,✓. Gam'%�6 �y ° °' _ �q10 1/f 7- " 20' MINIMUM o°°°• �o ° J}": '� FOUNDATION ��`'/" I �� I %�� WASHED STONE o olara 10 PING. RATZ /�C.7 atrv� P;a Id Sk .s . 0"a Et c• 2 A ig"t 7 !i ✓/lc►'3/ `�f3G.� O. �a � TEST BY : N•P ► c ktr as or l �9-wta ccr,,ica mw5 00 } 1n� a.ts.uq i y »C.,•..tS. /v0 6Aff.AF d7ie1"0A9 TOWN INSPECTOR r�� c r�t�Rrs Ay fAA JW �awu o a A �w1 Sin l / ?+j/I SfS ��O �•� BACKHOE OPERATOR : TEST MADE ON : I S- 7B i sm n' i. yG rr ` • .,� ; ., _ .r.• �� ; •_;,,�. p,,,_.. �.,, ,- ,_ .pica ��.- ,1.< �.-. _._.. _ .�. _,.�..,.--a 15 Ito Af r �✓t1�F76 G ' a^ I 1 I4p• 14o35 , 7. � �•{;a��,•, Irk 13`) �4Z RENWICK ti� 4 CHAPMAN aii ELEVATION SCHEDULE PROPOSED SITE PLAN qp��0 2�oSa�°�� - f �F G�STE`� I. INV. AT FOUNDATION 140-44 �1� 1ONALILV, y� SEWAGE SYSTEM DESIGN - <: 2. INV. INTO SEPTIC TANK - - IN fi 3. I NV. OUT OF SEPTIC TANK na./(&i+ t:r°r i. 4. INV. INTO DISTRIBUTION BOX = ' � _ SCALE: I"= 20 . T?Se.. 19 7' j 5. INV. OUT OF DISTRIBUTION BOX = 6. INV INTO SEEPAGE PIT CAPE COD SURVEY CONSULTANTS . ROUTE 132 7. BOTTOM OF PIT �32.3$- F HYANWS,MASS. A DIVISION BOSTON SURVEY CONSULTANTS, INC. 8. BOTTOM OF STONE LAYER = � 1 f