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LOCATION Gff-/-9q y/ G4771-e-P 'Cc11— kk4Y SEWAGE # 7J
VILLAGE y Qv"o 011 SUS ASSESSOR'S MAP & LOT U71Q--OCo 0
INSTALLER'S NAME & PHONE NO. �/ya64�-r'
SEPTIC TANK CAPACITY /�0 .—(
LEACHING FACILITY:(type) /w/ </ � (size)-6 X/y
NO. OF BEDROOMS PRIVATE WELL OR RUBLIC WATE
BUILDER OR CjjjgE
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No i
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THE COMMONWEALTH OF MASSACHUSE
BOARD OF HEALTH
TM.V\
............
.............OF.... $�a6k_-P,.................................
Applirativu for Disposal Works Tongtrurtion
Fe ons rw or Repair an Individual Sewage Disposal
Application is hereby made forP C t t
�rnul 'o LIS
System at: ....U
.........................
or Lot No.
Location-Address .................
............................................
0 j .................................0. .......... ..Address...05..jF
Owner .............................
........... -_ 1 17 /IlZa
�E Le-77 .....e, ..........::Z�...... .......................................
...... ............. Address 4015-73 .....Sq. feet
..............•.....
Type of Building Installer size Lot..Garbage..Grinder
:3.......0...........................Expansion Attic ( )
Dwelling—No. of Bedrooms.*D* Showers Cafeteria
.I* . of persons............................
other—Type of Building ..... %........... No ...............................0................
........0.....................0................
Other fixtures .........................................................................................flow..._3 al&,Iy ..............i
< gallons per person per day. Total d, ...*0........ .......................gallons.
Design Flow... 5 5...................0............9 Length..XPJ�..... Width..5.,.!��?... Diameter..9/1%..... Depth-5,56....
L�' ............sq. ft.
�t Septic Tank—Liquid'capacity!56r?...gallons ................ Total leaching area .......
Disposal Trench—No.---Njk.r......... Width....................Total Length.... e,
P below inlet.. CQ-':�Q...... Total leaching area.. k7...sq. ft.
Seepage Pit No........I...:. .. Diameter.................... Depth
Oeher Distribution box Dosing tank ( ) Date...... .. .......b............
............11.61J.DX,
Percolation Test Results Performed by........ ......... _�en It .... Y.P.q� .......
..... . .V
Test Pit No. I....Z.........minutes per inch Depth of Test pi.t.....).:�n........ Dept to ground water...
round water..
Depth of Test pit.....k.1............ Depth to g .C
2................minutes per inch Dep
Test Pit No. ...............................
..............(................................................................ ...... ................
Description of Soil.....AP....AQ. ..... ...IQ
.....................................................0 .....................................
..........................................................................................................................................................................4..
nswer when applicable.......................................................... ...
Nature of Repairs or Alterations-A "..................................
.....I......................................................................................................
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—T d,Jxe un ersigned further agrees not to place the system in
(y th bo rd o�,.ea
operation until a Certificate of Compliance has been issued
........... .. ...... ..............
........ ... ...
Signed. . ....... ..........
issued y bo r ........ . . .. .......
.............7
Application Approved By.... .. .. Sl ... .. . ...........
Application Disapproved for the following re .................................................................... .......................................
.... .. ...... r....._B*.,Z;*,*0*
............................. ...... ........*'****,0**........ *4 i7/f 01-e
Permit ............. Issued........ .
No.......F(15.—
F
FEs.............................
No. _.. .• VV
.J.• THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
. ..............OF.... iCV� 1.�4�C.1!` ...................................;.......... ,
,� r lutttiun flax Btopoal. darks (junotrix tion 'V erutit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage DisposalAA
a �
system at: II ', r
Sse,5 Ar-5..A(Y I.L.2�o .. .................. ............4-p»
................» ._»..... •.••..• or Lot No.
Location•Address .•..• ».M...».����,»,�,•,,,,
............ .»LaC.R. .. i....�� A4...........................�..... `�..... ......... Addre.� I( (S,
•' �2 )L,ri%'� O�nG r.+.S..................� ....... .................................................................................................
.. •Addr4:5
Installer
Size .......Sq• feet
Type of Building Garbage Grinder
.... ..........Expansion Attic g �)
Dwelling—No. of Bedrooms......3.................................. ( )Other—Ty Cafeteria
of Building ..... � ............ No. of persons............................ Showers ( ) — ( )
Otherfixtures ......................................................................................................................................................
Design Flow.....55..................•....••....-..•gallons per person per day. Total daily flow.... A.0, „•• gallons.
..
Septic Tank—Liqutd'capac>ty1•`�SX?...gallons Length..14,ti?..... Width..,:l(a... Diameter.. l�..... Depth.5 �.•••
I Disposal Trench—No....4Px......... Width.......... ........Total Length.................... Total leaching area...................sq. ft.
T Seepage Pit No....... "'�...
Diameter.................... Depth below inlet.... Total leaching area............7...sq. ft.
Other Distribution box ( ) Dosing tank
Percolation Test Results Performed by........,................:.l-44 A1, �,,�?S, Ca�?.� Date....../. ./. .•.•••••••
Test Pit No. 1....Z........minutes per inch Depth of Test Pit.....).2......... Dept to ground water.. .............
Test Pit No. 2................minutes per inch Depth of Test Pit.... Depth-to ground water..>�.hsR�?W
p p ..........
�. ..............I.................v .... ..i.. �........ . t .. .:C'.. ..
Description of Soi1.....Q<v. q:A.....:rA..?.Ss�1,.... ..:4.�2...:�. a. .•. .It�.�ar}.S.avt�.... .:Cc�.A! �., ........
' ......................................................................................................................................................................................... ...... .
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—Tl undersigned/furth/r agrees not to place the system in
operation until a Certificate of Compliance has been issued y th o d off/ lfiJ
Signed.. /A.. 11 .. ^:r•
Application Approved By....................................... ..... ......�.. ........... Di. .............
. ... .......
.Date
ApplicationDisapproved for the following reasons:......................................................................i................. ..........»»..»
..................................... .. .. :;................................................................................ 'p y j• } !Data..............
PermitNo....... ..... .................. Issued................. .. j( .T..�.....)................D . .
THE COMMONWEALTH OF MASSACHUSETTS
_ BOARD HEALTH
.......,1 Gig .�...........oF.......... r...R•�,1,5 A-2 .................
Tafif irab of Toutpliana
THIS IS TO CERTIFY, ThaTRLInd�idua}�rS;ewage D`isLp9 b-4j—S yrsteMrr constructed ( ) or Repaired ( )
by............ .... ...
at..........:....... ............... ............................................................... ...... ....�............................................
.....
has been installed in accordance with the provisions of TIT r5oU C/SVte Sanitary Code as described in the
application for Disposal Works Construction Permit No....... ::�........ .�. .... dated...:............................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL UNCTION SATISFACTORY.
DATE....... . ^ r.h............. �-,
............� � .....�...».... ...... - Inspect ..
h 76 64 o
THE COMMONWEALTH.OF MASSACHUSETTS
OF HE/�L � � �................1U)#0ARD
..............O F.....................................................................................
No....... ................. FEE....................
MoVnottl �,k �u,,tnrnua�ri, ,�� �t d
Permission isiereby granted............................. .......» .. .. ....... s^ ^�
�( .. .. 1
to Construct os'Rep�ir/( 0 nfT1 iv du%S4-ageDisp411,15,q�stem
atNo.................................................................................................. ... ..................... . . ..
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as shown on the appI tion for Disposal Works Construction old...... ........ Pat'.....,t.. ?.i .............
QL. �•• B r of Health
DATE.................... .........,((( ......................................»
�_____ FORM 1255 A. M. SULKIN, INC., OOSTON
BENCHMARK-
TOP OF TAGBOLT #1296
ON HYDRANT EL=50.00.1000
vo
PAULAL
MERITHEW
LOT 40 1°° ������ p o. 2o98 y
SURVE���
I LAMDE S-CAI.ILEY t
\ ]F..
CIVIL ell
\ \ �_ rn � � Ns�:35101 .
\ \ ' EST
0`3 o ra erne N
\\ LOT 4-1 \� PROJECT LOCA T10N
49573fsf / \ � LOT 41, LITTLENECK WAY
/ \ MARSTON MILLS, MA
ASSESSORS NO.: MAP 76, PARCEL 60
6
� �
3$ VACANT LOT APPL/CAN • -
Alo i T. THOMA S F. KILEY
/ + _ P. O. BOX 265
YANKEE SURVEY CONSUL TAN TS
P. O. BOX 265
UNIT 5, 408 INDUSTRY ROAD
1 / MARSTONS MILLS, MA. 02648
0 1 1 PH.(508)428—0055 — FAX(508)420—5553
/ SCALE.' 1 =40 DA TE.' 12-30-94
REV.• REV.
1 ,/03 NO. 50615D SHEET 1 OF 2.
50.6, PROPOSED '
TOP OF FOUNDATION
20' MIN.
CONCRETE COVERS
2"LAYER OF
50.0E PROPOSED _ 50 PROP. 2'
GROUND EL.---- LEVEL CONCRETE COVERS WAS VED STONE
CASTIRb� �-7 47PROP.
OR SCHEDULE40 20"f / " ' " � � / / ice
P. V.C. PIPE / / ' ' ' ' '
4" SCHEDULE 40 P. VC 12»
S=0. 02, D=20.4' PIPE — MIN. DIST.
S=0. 02 Box IM
7
—7-7\ FLOW LINE , D=9'
5=0. 02, D=
INVERT 1 10'" PRECAST
LEACHING
MIN. 19 0 °S IT
4 7.00 h c
EL, INVERT g� o q EQUIVALENT
a8°S°SooSS 8 V
INVERT EL.= 46.34 CRUSHED _ 45.99 �°
46 59 STONE EL.------ °°=_46.167 ° 3/4", TO1500 GALLONS EL.=_45. ° WASHED SOSEPTIC TANK W
�� EL=39.8
LEACH PIT
2' f— 6' 2'
PROFILE OF
10'DIAM.-- �
SEWAGE DISPOSAL SYSTEM
NOT TO SCALE BOTTOM OF TEST HOLE EL=_ 2_8. 0_
ALL ELEVATIONS ARE ASSIGNED CPERC. TEST DONE] 39.0
ON 12-27-94.- J
J. LANDERS—CA ULEY, PE
WITNESSED BY: EDWARD BARRY HEALTH OFFICER
TOWN OF BARNSTABLE
GENERAL NO TES SOIL LOG 2 —
P NO. 8342 PERCOLATION RATE __ MIN./ INCH
1. THIS PLAN IS FOR INSTALLATION OF NEW SEWERAGE DISPOSAL SYSTEM. DA TE 12=27—94 A PERCOLATION TEST FOR THE NEIGHBORS LOT WAS CONDUCTED IN
2. PLAN REFERENCE BOOK 272 PAGE 29. SEPTEMBER OF 1994 BY THIS FIRM. DURING THAT EXAMINATION
A TEST HOLE WAS DUG TO AN ELEVATION OF 28.0'17 WITHOUT
3. THIS PLAN IS FOR INSTALLATION/ REPAIR OF SEPTIC SYSTEM '
TEST HOLE 2 TEST HOLE 1 ENCOUNTERING WATER.
AND NOT TO BE USED FOR SURVEYING OR ZONING PURPOSESr
4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO R E.P. DESIGN DATA.- :° LARv j`CAULEY cue
TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS
p' THREE (3) ���K�" cov�L
FOR THE SUBSURFACE DISPOSAL OF SEWAGE. NUMBER OF BEDROOMS r�o. 3�L
5. ALL COVER TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN TOP and TOP and "
101
12" OF FINISHED GRADE. GARBAGE DISPOSAL NONE '� s����o
3.5' SUBSOIL SUBSOIL
6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE
SAME, UNLESS NOTED BY FINAL CONTOURS. 4 TOTAL ESTIMATED FLOW 330 G -
�C 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE ( I10 __GAL./BR./DAY x __3_ BR.)
OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER MEDIUM MEDIUM
OR WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING SAND SAND WITH SEPTIC TANK CAPACITY —_1500
SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING. LAYER OF GRAVEL
UNLESS NOTED 11; LEACHING AREA REQUIREMENTS
8. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. 12 HSIDEWALL AREA 188.5 GAL. S.F. 188.5x2 5=4 71
9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH BOTTOM AREA 7_8.5 GALISIF 78.5xl. 0= 78.5
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO LEACHING CAPACITY (BOTTOM & SIDEWALL) 549 GAL
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
10. THE EXCAVATOR�CONTRACTOR SHALL VERIFY THE LOCATION OF ALL 'UNDERGROUND NO WA TER ENCOUNTERED UTILITIES PRIOR TO ANY EXCAVATION. THE WATERGATE WAS NOT FOUND, THE GENERAL RESERVE LEACHING CAPACITY 549— GAL.
CONTRACTOR SHALL VERIFY LOCATION WITH WATER DEPARTMENT. JOB NO.: 50615D SHEET 2 OF 2