HomeMy WebLinkAbout0100 JONES ROAD - Health 100 Jones Road
Marstons Mills
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LOCATION SEWAGE PERMIT NO.
,!, S 96 � �f6 � 66� �
VILLAGE
INSTA LLER'S NA'M�E & ,ADDRESS
B UI'LDE R OR OWNER
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DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED N
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No. ..................... Fxs..- ........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
n- ,/v I .......Town oF......Barnstable
Appliration for Bhip i al Murkii Tnntrnrtinn Prrmit
Application s hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
System at: I V U /
JonesRoad V�b -Lot 32� ..............--•-----_.._.............. ... ..... . ---- •--•--• ............
Location-Address or Lot No.
n_•-.. ,�.y L x �� -------.jc.(2: nc----------------------------- ---------•- VAAfks............................................................
Owner Address
.N 'l �.l�. r.Q....................................................
Installer Address 2 1 ,
QType of Building_ G f_Afti Su H Size Lot____.3:z_657___-___..Sq. feet
V Dwelling—No. of Bedrooms_______________.................._ _Expansion Attic ( ) Garbage Grinder►� b�
Other—T e of Building No. of persons..............._------------ Showers — Cafeteria
iOther fixtures -----_------------------------------------------------------------------------------ -------------------------------------------------------------
W Design Flow.....................55__-_-_ -------__gallons per person per day. Total daily flow.......................
330.............gallons.
WSeptic Tank—Liquid capacit,�-.000 gallons Length8_,__-6___._ Width4_'__-IQ_ Diameter________________ Depth5_1__'W....
x Disposal Trench—No_____________________ Width-------------------- Total Length.................... Total leaching area______________.-_._.sq. ft.
Seepage Pit No----------I--------- Diameter....IQ_.......... Depth below inlet...... 1.......... Total leaching area......26�_...sq. ft.
Z Other Distribution box ( X) Dosing tank ( )
Percolation Test Results Performed by-..Cape___.4tQd_._S».r ey.--CS?lla au-11-?atIaate______June-•804
�-••1�78
a Test Pit No. 1......2.......minutes per inch Depth of Test Pit-------12 1______ Depth to ground water..... One........
(i Test Pit No. 2....._..........minutes per inch Depth of Test Pit.................... Depth to ground water........................
---•---•---------------------- --- --------------- -------------•----••--•----•-•---------•---•-----------•-•-----------�-
O Description of Soil.........Q=_Q_._5...I!o.ac-_.Ioar�------Q_•_5_-2,�Jr....QubeQ l------2-,-5-12_.O•-medl• P�SN OF41
U -...�Q-4,rae...aand...................................................................................................
a�� R�sEF7r 9cyc.
W ---•••-•---------------------------•-----•----...-----•._._._.... .................... f N
UNature of Repairs or Alterations—Answer when applicable_________________________________________________________________ _......DAY1.,ce... a,
----------------•-•----•----._....--•----------__._.._..-------•--•---•---------------------------•----------•--•----------------------••---•-••----••--••••-_••••• -••••• Ntl 23741
Agreement: i
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in ac
the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the n
operation until a Certificate of Compliance has been issued by the board of health.
Si ed ------------------
?file
Application Approved By...... � Date
Application Disapproved for the following reasons.................................................................................................................
------•--------------------•--------•----------------------------•-------------------------•-----•--•-•-----------------------------.•-•-•-------••-•-••----------•----• ...............................
Date
PermitNo......................................................... Issued.......................................................
Date
No.................------ � - Fxs............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
....................Tn n........... ......OF �ax�n �.b ::e . ...............................................
Appliratiou for Biipooal Works Tonotrnrtion ramit
Application:is hereby made for a Permit.to Construct (X ) or Repair ( ) an Individual Sewage Disposal
System at:',
Lot 3
- an s ° .............•-----•------••••-••-•-•..•..... --••••-•-•--....------......•-••--••_.... ..._._ ..... ._...........
Location-Address or Lot No.
Owner Address
a ............ ........................................... ..............................
Installer Address
Type of Building.. i `rf Size Lot_.___ �: 7--------Sq. feet
`w Dwelling—No. of Bedrooms___.•-_.................................Expansion 9ttic ( ) Garbage Grinder (A.)
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
P1 Other .._fixtures -------------------------------•----- ------- ------------------- ------ -------------•-
ons.
Design Flow................. ��. -.gallons per person per day. Total daily flow .__......_..... Q............
WSeptic Tank—Liquid capacitpP9 .gallons Lengtht_*61�... Width4*"'�?V Diameter...... ......... Depths !'!K1
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.,
3 Seepage Pit No----------I........ Diameter.... ial......... Depth below inlet.....6!.......... Total leaching area.....2�...sq. ft.
Z Other Distribution box (X) Dosing tank ( )
Percolation Test Results Performed by_ '...4%4?S __.r�?? T`4► ... Q - } ate.. �.- 9 .8
aTest Pit No. I...... .......minutes per inch Depth of Test Pit------22t...... Depth to ground water....0111''........
j w Test Pit No. 2................minutes per 'inch Depth of Test Pit____-_:-•-_...____-_ Depth to ground water_.____-_--_--
Description of Soil......... ra..5 _.wQQd_loam......0_..
V 4QAoA 0t ..t e � ROBERT, G
F.
W ----------•-------------------------..........................................................................................................................................
0........UAWOR v,
V Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------- .... .....No:-N741 o
------•----•----------------•----••-•--------•------•---••----•-•----•--•----.....................-•----....-------------•----•-•------------•••..................... ... . 'O fit ......
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accorda
the provisions of TITi
p 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 by the board of health.
Si edA_�Z' e _._..... Date
A lication A roved B Lr" �t �G�f ----------------------•-------• r.. -
PP DPP Y-••-•. f -• ••-
<< Date
Application Disapproved for the following reasons:................................................................................................................
...........-•-------------•-••-------........---•---------------------------------------------------------------•----•-------•---•-----•-----•------•--•--••--•--•-----•-------•-•--•••••--••----•--•---
Date
PermitNo............".:.......:........------------------•--• Issued........................................................>
Date
T,HE,-COMMONWEALTH OF MA5$APH'USET>TS �.
BOARD --"F HE T
........ . ...........OF...... ,. •.......................
y> ' %.&rrtifiratr of Tomplianrr
'4 HIS IS TO CERTIFY,,That the Individual Sewage Disposal System constructed (fie) or Repaired ( )
by-------- ! ._.._.. : ?. `f-------•--------------------------------- •----------•------------------------ '
Installer
has been installed in accordance with the provisions of T j.of The State Sanitary jodas described in t`he
application for Disposal Works Construction Permit No...............11.�J.�..._............. dated _.. �__kl..
THE ISSUANCE '�F TITS CERTIFICATE SHALT. NOT BE CONSTRUED AS ACCNTES THAT THE
SYSTEM WIL FUNCTION SATISFACTORY.
DATE........... (�•••• ...:;2- ..................... Inspector_..-1;�� .....................
kt 'Ysxxr;; ;�THE COMMONWEALTH OF MASSACHUSETTS
BOARD ,, HEALTH i.'kY,.
No. •. FEE.......` .....
Dio pan'l Works Sono rnr#ion �erani#
Permissionis hereby granted-------- _ v '........••-•.-•--------•--------•-----•-•-•---------------------------•-••-••-•-•----••-............ .
to Construct r O or Repair ( ) an Individual Sewage Disposal System
at No. - ---••--.cU :!�. d�............. # • ^_�+._i..L ------
f . , .
Street
as shh110
wn,on.the application for Disposal Works Construction Per o._ _ �._.. Dated,_._ `___�_� 7 ...
..... r- -------------------
DATE---. ............................................. oard of He
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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GAL. ; - -- --- o PRECAST OR
SEPTIC 6 io o ° BLOCK
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FOUNOATdON
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ELEVATION SKETCH r -- to' — -i plat. RATS „tea _ ti,,..✓.wru {,
TEST BY
` SCALE I 4' TOWN INSPECTOR . taA L a e c-A'r' _ A
' BACKHOE OPERATOR ^'�' 41,A'
T.E S T MADE ON
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ELEVATION SCHEDULE S`/'. ROBERT "F. PROPOSED SITE PLAN _
DAYLOR
I. INV, AT FOUNDATION - < No, 2Qt08
y 8EWA.GE SYSTEW DESIGN
2. INV. INTO SEPTIC TANK = y,` - IN
3. I NV. OUT OF SEPTIC TANK
4. INV. INTO DISTRIBUTION BOX SCALE I'i-8®' ...JilydC. 197g
5 INV OUT OF DISTRIBUTION BOX Iz '38 C-SA 7
6. INV INTO SEEPAGE PIT _ • �� CAPE COD SURVEY CONSULTANTS
ROUTE 132
T. -BOTTOM OF PIT _ It1. 60 HYANNIS, MASS.
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A DIVISION SOSTON SURVEY CONSULTANTS, INC. -
B. BOTTOM OF STONE LAYER = rt�•bo
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