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Home My WebLink About0086 JOE THOMPSON ROAD - Health M.k L L %(4 $TOWN OF BARNSTABLE LOCATION o\- , o �, ,�SE WAGE # "' T VILLAGE _ f��"q ASSESSOR'S MAP & LOTI�� ~ INSTALLER'S NAME PHONE NO. Kati r SEPTIC TANK CAPACITY i ®®® a i LEACHING FACILITY:(type) (size) 6 0o cad 2ac� �NO. OF BEDROOMS �j PRIVATE WELL OR UB T 1 I BUILDER OR OWNER �\, n ��s DATE PERMIT ISSUED: DATE . COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No Li r 00 Luc y" I C�i cr rr L 00 O 4e.G No... ....«.��.�2 FicB...../.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH BUJ. ...........0F....... �A Appliratiun for Disposal Works Tonstrudinrt f rrmit Application i hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Ito J .... . .._«WNr_ctz 1 Lt_ It W.....�ARNs��L� ----UOT *-..82:.... ................... .....Lebe l»� So ia.•Addre s................................... f / or Lot No ..............«.«.».«..... . '• �•n'G,� AddTGSS aw ... �C.' ......nz�/ T................•---...... .......----•• !�!. .1....... .... ........... .. M Installer Address �y•` ��- V Type of Building 3 Size Lot......f...................Sq. feet a Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder kyZ' p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) atOther ur s .----- ...................................... . .............•-----................ W Design Flow............... I l ..gallons per person.per day. Total dailyow............................................� lon . WSeptic Tank—Liquid capacity.I.WO.gallons Length.2 �.... Width;..5(.._... Diameter................ Depth...Il.t x Disposal Trench—No..................... Width..................... Total Length....................Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.....................Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0-4 Percolation Test Results Performed by...................................................... Date........................................ ,.1 Test Pit No. 1.' -...minutes per inch Depth of Test Pit....!5 ! -. Depth to ground water.... Q NC—.... 0-4 ► 4 Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ a 9--••.................•••.. -- ...... ...... ... 0 Description of Soil. \L!`n�..-__-.-1\ ._._ .....dad �� 1._.... .._ � U ..................................................................••-•--..•-• w ........----•-----•.................................. . . f....... ...........-�--•-.... V 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 AI':LZ 5 of the State Sanitary C he uc ersigned further agrees not to place the system in operation until a Ce, i15 of Compliance has been/ii ue• b -t e/b a Q�of health. A)4_ '. ��►• Signed.. /%� ��- ......................•..................... ......�•--• �. .. Date? Appl:5�tionfi'�"�Lpproved ed By------------------- ............. la .............�- Date App for the following reaso :......... ......•-••-----•-----------....._..........---._.............-•--............................»«.. Date ---------------Permit No..........�� ..�.....<.�..._......--•-•--•.._.....--•--........Issued......................................................»....... Date j No... �'... �.77, ? �y THE COMMONWEALTH OF MASSACHUSETTS __ .. BOARD OF HEALTH ------......Ca.l1J..................OF....... :NTAl ..........:.:......... Appliration for Disposal Works C9onstrnr"tion Vern fit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal system at: �»��.�•--�� iN �ARNs��a�.� LoT_ � 82 LelOet —� \ Location Address .... ...... ..... J... •-A---*----------o�t No.. .. ........................... ._._. _ >>c vim. .................................. . ....... . �l ••-- ......... .......... Installer Address Type g 3 Size Lot.__:_._.. ............• Sq. feet T e of Building L1 ., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder aa Other—T e of Building .............. No. of ersons._...._....______________.__ Showers — YP g -----•--.:.._. P ( ) Cafeteria ( ) Q Other fixtures ------ -- ........................ Design Flow...... ..?...6._gallons per person-per day. Total daily flow................... 5 ...........gallons. WSeptic Tank—Liquid capacity.1.00...t?_gallons Length.n.!?.... Width:..:ti!!:j__ Diameter______ ________ Depth....: x Disposal Trench—No..................... Width.................... Total Length..................... Total leaching area.....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.................sq. ft. z Other Distribution box ( ) Dosing tank ( ) " aPercolation Test Results Performed by...........................•---.............--•--•---...I................. Date........................................ Test Pit No. 1.._'��_-.2-___minutes per inch Depth of Test Pit.... `-�. _rr•_ Depth to ground water.... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.___.___......_......... ............................... - .. �: ...... ............. 0 Description of Soil........_:_Fc,^at 1.l`FY� rnv r J .....................•------------=-•-----.._..._..--- ..............................................- 1,. 1 Z74,ll Uw ................................. 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 IL 5 of the State Sanitary Co e_ The ui ersigned further agrees not to place the sy tem in operation until a Certifi'ca-e of Compliance has bee i led b� of health. / /fr ;}/i�'1 Signed..__ -- .!i: .1.. ,,, :::.�:."�::--........... - � � � Date•�'� ApplicationApproved By..............vd :............................................................ ................................c -Date r, Applca`tionDisapproved for the following reaso(s:......:......:..................:......•---•--....__._.....__-__.___.___................ ........................................... .....••---..-- �...._.......--•......__..._.._......_......---•--• ........................................... Date..........._ Permit No..........�..i: � ---=.... .----• Issued......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH I�.�...wl. .............OF......: ,....... ,� r ' ............... (Irr#if iratr of Tomphitnrr THIS IS TO,,CERgFY Th he I d6yidual Sewage Disposal System constructed (Repaired ) by..................IL l..G: L�......... �'/t�.t�.�... ---.._........................ -------•--.... ........................... Install- at �- _ ... ` { .....0--Z.. ........... .... 7_r� -✓--_..._--- !�`�...'... ......... --- has been installed in accordance with the provisions of TIT-I- 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit ........ dated.......L`_�.-...�I_.': ............. THE ISSUANCE OF THIS CERTIFICATEL SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. Q DATE..............�'........`► f... ...................... Inspector_•_. i` :.............. -'' ..................... - .__ -.n N w.�w r.a�u.:w+.e...u r.w q...r e.r%- iq..•N n✓_N n+..•a•a r N P,..N•... .i. .w r..r w..s u.•.... a r.•A... �...r a r M g p i rv:.- .• - �r e .n.a....s.. n.i. i. ... i u r e n n n..,.w�... b''__4HE COMMONWEALTH OF MASSACHUSETTS- - p ) BOARD QF HEALTH EALfH� !l`' 1..........OF....... '�:.1�...! ..._.... ................................. 1.1= 1 FEE........................ �i��rosttl r o on .trud n rrmit Permission is herby granted......... � � 0..... to Construct ( R i ) dividual S .w� its OFa ystem �j� JI e, at No.......��/14) ..... .....$u .:.....:........�....��.-1--...jl` ? 1_/... ......--•---..1�4/:.._.._ _ /�................ ' - �Street _ - as shown on to application for Disposal Works Construction Permit No �_:_�_�._?zDated__�_v_ _3�__-_._�_ � r .........................1_�1�xiv,.I'A -t l� e .-------- --- - ............................... Board of Health DATE,.:-•---•--------•------•---•.............:..................................... / TOhIN 0FWA/S7A55E550R5 MAP' , ISI LOT #82 139.01 / i OF HUM 2 HILL. a 20 MIN. 21 'PEKTOMG ZONING : TOP OF 1+ __ - $ETBAGKS= FRONT ��SIDES IS�REARm IrJ. i r:ovNfl_ SEPTIC TANK O15T_ BOX. IEACHINC� FAClL17Y _. 137 / 136.9.1 �s9,5b yd° 1 '�zi V pV+V ✓' ME5 �37.tb °.10oOGA�. 13�1,<, (33,Qo 2} 28 6 a/ To SECTION- SEWAGE q NASNEL) 'STON5 +.... FLOW UFFMC < �_ �"`®'•..�. :.,,,�.''""ram, .„,r;�. ----�._.��' TEST HOLE LOGS DEIGN FOR I •, _:. _ .,.;> .�. :t 3 T83 TEST 9Y• DO 4�Ali PERC,RATE GZM/N.//N. � ti DATE : C7 E BC FLOW RATE . GAL./DAY 33Q WITNESS: IDM MckEfl N 5EPTIC TANK 5'Z 0 (1.5) `1`I 5 t RL -REQ'D.SEPTIG TANK 11= CAL LEACHING aCIL I T Y .""`, -♦- ►, --�"'.. �41.© 61t71=watt_ 28+, Z= D (2.S ) C8d,0 G/� _ 60TTOM 2 -22�I,Q ('ISO):22sI�.OG/D - O TOTAL 96A gF �444,0 G/D as I }` MFuM - S ?H RE E._.,,.'FhOW.-A1 FFySC--'RS WITH :TWO f� i U5E 2 i FT '3My4G ' A•L' u�►'D NOTES 1. DATUM(M5L)f TAKEN FROM �II.1N 1 lQUADRANGL6 MAP 2. MUNICIPAL WATER �Gf AVAIL.ASLE _ 3. DESIGN LOAOIN6 FOR ALL PRECAST um/T5.AA5NONIl10.44 Q 4. PIPE LIOINTS .SHALL'BE MADE"WATE R TIGHT.' /j ' ICJ :I>Jj ( 5. CON5 RUGTIO 4 DETAILS.TO BE IN ACCORDANCE WtTN COMM.OF MASS. STATE euv/RONMENTA[. Cooe TITc e Y c `501 :. I Co. THIS PLAN FOR PROPOSED !,lORI(ONLY AND SNDutO NOT -• -'-- `TQ�- - SE USED FoR PROPERTYg. LN. STAKIAte ., _-- VA OF or ARNE H. o� ARNE yc ND OJALA H. I _-SITE ..A ENA69 PLAN. _ . a CIVIL `^ 5, •OJALA H CECIEND _ Locus :LOTS. ' �N Na. o�ac�n Cape ehq/hee�ir�q _ 82 �r �� q� A Eo CIVIL ENe,iN:.ERs CoNTouEs (ExIgT.) ENCE: i4E�,rc� FER tl r fps/ a Atl u � SAND SURVEYORS _� CONC:BOUND ® .CB �- - ATE ARNE Al A,PE.., q2� Main St Yarmouth,tla •5p LOk�/- .(...' (. TEST NOLE: -WF�L- L `7 boar of he4lth .SCALE: / DATE 719A J08 NO. APPROVED: .-. y. M . 4 ¢, . IP ..