HomeMy WebLinkAbout0083 LIBERTY LANE - Health 83 `��beri-� L.o.��-
tau -�oa�l - otiz M• ��v�s
�9 TOWN OF BARNSTABLE
LOCATION �C�"f � �� � �� �i q SEWAGE # �4 ' 53
j da
VILLAGE sae 'ta sN S h1 u� S /� • �e _
ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. T.Sr
'�`SEPTIC TANK CAPACITY �OdO zj oy(W j
LEACHING FACILITY:(type) �tcic� (size) mt
`ENO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WAT�ER
BUILDER OR OWNER $,i S i k
DATE PERMIT ISSUED: cq C(l I
DATE COMPLIANCE ISSUED: -/
VARIANCE GRANTED: Yes No
l
40
P•
• �L
I
No..... FE$.......1.. .. ......
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
................[OW1J..........OF.......7e_>A.IA-� ..Ti? ........................................
Appliratiou for Disposal Works Tlw muurtiott Vrrmit
Application is hereby made for a Permit to Construct ( °')_ or Repair ( ) an Individual Sewage Disposal
System at: t
......... -----.......L.I.- LA. ... � -
...... .. . -_----. ...-- _--•--
Loc •r s o.
.... ..... ... ......................................
................ ................... ---........_..•--••............................._.
Owner "")jJj� A dress
a ............................................................ --•-----•--------------•---- .................................................
Installer Address
Type of Building Size Lot......I&I- -4:1.-Sq. feet
�., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures _____L.
___ __
Design Flow...........................�. ._______ _g_a--
llons___ per person per day. Total daily flow__._..._--__----------____-_--- ..gallons.
Septic Tank—Liquid capacity (?.gallons Length................ Width........_......_ Diameter.........._..... Depth................
� Disposal Trench—No_ ____________________
Width.................... ong Total leaching
Seepage Pit No- ------------1-__.. Diameter.__...__.___. . De t below inlet leaching area__.�R Q...sq. ft.
Z Other Distribution box (t/j Dosing tank ( ) r
Percolation Test Results Performed by____.. )�T' 7 ___.�__iJy ......_e0,C..... Date.... .........
a
a Test Pit No. 1....77-"..minutes per inch Depth of Test Pit.......40....... Depth to ground water--_-!t-------
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a --------------------••--- , --- -- -•- ------------------------------------------------------------------------------------------
---------------Description of Soil......... 7---------- Awx j..�ll�'���"'
---------------
•------------
--• --------M15D...........C
----------------------------------------------------------------------------------------------------------------------------------------...............................................................
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 Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Comp 'axe has been issued by the board of health.
Signe ..... ........ .............................. ....................... .... .... ........ ... 7 2
Dace
Application Approved By . 2 1 ` a-6 -----7-1.-
Application
Application Disapproved for the following reasont- --------------------------------------------------------------------------------------------------------------------------------------- -
---------------------------------------
Date
PermitNo. ��.�.-. �----------------------- Issued ------------------------------------------------------------------
Dare f
No......'U--- 3 f- Ruic ....r .P.......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH 1
.................................OF.....................................I....................................................
Appliratiun for Disposal Works Tongtrnr#iun "ami#
Application is hereby made for a Permit to Construct ( -",/) Or Repair ( ) an Individual Sewage Disposal
System at: % t
....
•-• --__-----._ ....._.... _ .................................................
f+a 4 ...Loca�oow r s � o.
yam✓ � �.---••--------------•----•••....... ......••--- -- ---- — —`---------------------------•--------_-----•---
°"`"'i (J . f Owner ddress
..--- --- .. -`-•--------•--•............................................................ .............................................. ;...
Installer Address
dType of Building Size Lot____..?.'...........:���._Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons____________________________ Showers — Cafeteria
a' Other fixtures,�_..
------••----------- ---------•----•-•-�----------------------•---------------•-------•------- - ----•--•-------
DesignW Flow__________________________`N_ gallons per person per day.. Total dais flow_.__._.______.____.____.______3 gallons.
g P P P Y Y ---
WSeptic 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 (1-14 Dosing tank
Percolation Test Results Performed by..._._�."':_�_i__��-t____d___': __.__. � ____ Date_.__ ____?.v_._____ r..........
Test Pit No. 1________________minutes per inch Depth of Test Pit.......�iP_....... Depth to ground water..._.-.-! ...........'
fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
----- ---•-----•---I....... - --------------•-•-•---•------•-------••------------------------------------------------------------
_ ______Description of Soil.......... ___ _ ............................
x r
---------------------- -----------x -------------•----------------------••----•------------------------•---•----------•-------••------- •-•-------------•------------------------------•---------------------------•--------------.......--
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 Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Comp��•a e has been issued by the board of health.
----------------------------------------- -- ------------------------ -- ------ --- .........------------------------------
Due
Application Approved BY ------:�-'' >^i - -�. ._. �.-»:.,. - '-Dve
Application Disapproved for the following reasons- ----------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------- ----------------------- ---- ---....------- --- ---...........------. --- .................------------ ------ ----------------- -----------------
Date
Permit No. ...............- •°�
�....................... Issued .......................D ate.......................................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR OF HE LATH
----------- ( {--.....- OF .j..+ = '
C�er#t�i�tt#e of CrumVltttnvP
_7#1 ,4S TR CERTIFY, the Individual Sewage Disposal System constructed ( `` ) or Repaired ( )
byfrkJ--,... ..r--- --- --- --------------------------------- ......................................................................-----------...----------------------------.............................
F ...+r ail eAr % ��a
at ....... "-...... L�" '� `. --------------------------7 f ..
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ....... .//-.----- �.. ................. dated ................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE?COipdu_ ED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE-------------------------------------------------------------------------------------------------------- Inspector ....----.........------. --- .... . --... ............---- .---------..-- ------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEA 6TH
OF
o... y 'N r FEE---- _.........
Ravos Nor u �uno#r ion anti#
Permission is hereby granted . - -------=.`....-. ....... ....
to Construct ) or R.......ep ire( )—an Individual Se. 'a e Ibis , s4 ystem
�................7.........................................................................................................................................
Street
as shown on the application for Disposal Works Construction Permit No._ ? Dated..........................................
•-----------------------•--•---- - ... --_-------------------•--------------•-•---__________-_
Board of Health
DATE....................... r --1------------
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
N DESIGN DATA
63.2
SINGLE FAMILY— 3 BEDROOMS
•• ,�
NO GARBAGE GRINDER
DAILY FLOW = 11.0 X 3 = 330 G.P.D.
OPEN SPACE _ �p •�- j'" SEPTIC TANK = 336 X 150% 495 G.P.D.
LOT 19 000 40 0� �. ..; a. USE 1000 GAL.
DISPOSAL PIT — USE 1000 GAL.
60.6 �� /�� So, "Z�5' SIDEWALL AREA = 150 S.F.
b1.3 62 0�� ,�'� 91, ,�� 150 S.F. X 2.5 = 375 C.P.D.
59.5 j 65.4� •� BOTTOM AREA = 50 S.F.
i 0, �P�� 64 1 50 S.F. X 1.0 = 50 C.P.D.
TIP TOTAL DESIGN = 425 G.P.D.
'�i A�' 'TOTAL DAILY FLOW = 330 G.P.D.
59.,9 6�2.6 . ��y �o
F l PERCOLATION RATE:
i p �� O`er J�°g 64.6 1 INCH IN 2 MINUTES OR LESS.
' �.0 •
o O
6 4.1 �0 O a
..
0O 64;9 l/ '—r RICHARD �!a, .y ��
A.
NO. 29733
OPEN SPACE Of
LOT 19 6 SF. LOT
Q
90,00� / 65.3
PLAN
7/18/91 . . . SCALE; 1"= 40'
P—7781
TEST PIT ELEY.=66.6
F•G.=65.6 70P` OF
_0 LOAM FOUNDATION
&
SUB SOIL F.G.=64:6 TER 1000 GAL. PVC• INV.
p1AME 63.6
/. -2 4 4-0 SEPTIC TANK
_ INV. =63.4
SCE-}>J. D1S'i. INV. =63.2
1000 GAL. BOX INV. =63.0
LEACH INV. 10.00'
MEDIUM PIT INV. =62.6. = 62.8
SAND WITH 1'
OF _
3/4"
?, TO
1 1%2"
WASHED
f STONE PROFILE
56.6 CERTIFIED PLOT PLAN
'• "
• f-- s.o' NO SCALE
�io= ELEV. sz.e LOCATION
NO WATER - LOT 6 LIBERTY LANE
MARSTONS MILLS
I CERTIFY THAT THE PROPOSED FOUNDATION SHOWN HEREON DATE:
COMPLYS WITH THE SIDELINE AND SETBACK REQUIREMENTS OF 772.4791
THE TOWN OF BARNSTABLE, AND IS NOT LOCATED WITHIN THE PLAN REFERENCE
FLOG PLAIN. L.C.C. 42122B
DATE: J R.L.S. BAXTER & NYE INC.
LAND SURVEYORS, CIVIL ENGINEERS
• OSTERVILLE,MA.SS.
THIS. PLAN IS NOT BASED ON AN INSTRUMENT' SURVEY AND THE APPLICANT:
.OFFSETS SHOULD, NOT BE USED TO DETERMINE LOT LINES. BAYSIDE BUILDERS