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0243 MISTIC DRIVE - Health
( 243 Mistic Drive "Markons Mills /',A'080 --001 / y 'v TOWN OF BARNSTABLE LOCATION �� LO.�a a SEWAGE # VILLAGE �, r', �•. /// ��///f ASSESSOR'S MAP & LOT - / (( / INSTALLER'S NAME & PHONE NO)fJ)C/,Sc r �2 21- MY SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Al (size) ae) e, NO.kOF BEDROOMS 3 PRIVATE WELL PUB�WATER--) BUILDER OR OWNER DATE PERMIT ISSUED: ) DATE .COMPLIANCE ISSUED: I VARIANCE GRANTED: Yes No F#�/3 Hitj5fz 44� J�L14 ASSESSORS.MAP NO: 7� Ea- 1 Z 55� . PARCEL NO,,: 5 No..�....._._..---- Fps........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0(1) 0-00/ ..............%dW/V.........OF....... �J / �T�� .................................. Appliration for Btopuittl 30nrki Tomitrurtturt Prrutit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at: -?n.Y5 T1C. •=�� - - - /Y1��ti �/ rr c[ ----.....---••...................... . ............................................ dres y p�or 't No. .....Local . .... .: ........ ....................................vJ.i.2._....... ... Ow er Address w r� !S�a ZSZD.r�s ?1: ,.� -----_.... ...._.... .. Installer Address Type of Building Size Lot..... y ......Sq. feet U Dwelling—No. of Bedrooms..... ...................... .....Expansion Attic ( ) Garbage Grinder ( ) —Type b No. of persons............................ Showers ( ) — Cafeteria ( ) Other—T e of Building .. � Qt Other fixtures �..........!................... w Design Flow......................J�..�............_.gallons per person per day. Total daily flow...............--'M....._............gallons. WSeptic Tank—Liquid capacity./!..gallons length.......--•..._.. Width...4..._..._._ Diameter---------------- Depth..... x Disposal Trench—No. .................... Width......_........ Total Length...../.9:......... Total leaching area....c?L6_V...sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY-------------------------------------------------------------------------- Date........................................ ,tea Test Pit No. 1..... .....minutes per inch Depth of Test Pit......1- ....... Depth to ground water....AV?� ._.. Test Pit No. 2...... .....minutes per inch Depth of Test Pit......4�........ Depth to ground water___NOe�&.... ---------------------------- .................. ---------•-----------•---..........----------------------------•---------•-----•-- ------ O Description of Soil_.Q�_�_ '...-f0 S 0�� - 3(�P� Q/ / �?. `S i O A/0 W ..6A AI-b.---._911112-11---------------------------------------------------- ------------------------------------------------------------------------------------------------- W -•--------------------------•----------...-•----•-------••------------------------------------•--•----------------------------------------•----•---....__...:-•--.....------•--.._...................... VNature 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 TL ITLi; 5 of the St anitary Code—.The undersigned further agrees not to place the system in oper n until a Certircke of Comp has been issued by the board of health. ined.-- in ......---- •-------------------••-------...... g . ... g Date Appl tion Approved BY fl ......................... .........•-- Date Application Disapproved for the following reasons-------------•-•--•------..........----------------------------••-----------......-----------•--••-----.._...... .........................................•----------------------••--------------•--------....-------•---.._...........--•---•--------------------------------------------••-----...•-•----•-----•......_ Date PermitNo......................................................... Issued---------•----------------- Date No....................... Fim................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ ........OF........Ad ................................. Appliration for Disposal Vor'ks Tonstrurtion ramd Application is hereby made for a Permit to Construct t4 or Repair an Individual Sewage Disposal System at: .....IPK.............................. ....... ................................. Location,Address or Lot No , 19.............. ,X0 ....... .1.5E........ V r Address !:)flZt5.00Z.Z .......................................... r ........4a-2445.............................. Installer Address Type of Building Size Lot... Y5'._9y3_..Sq. feet 6 -3 Garbage Grinder Dwelling—No. of Bedrooms......% ..................................Expansion Attic 04 Other—Type of Building alGVP.F No. of persons............................ Showers Cafeteria 04 Other fixtures --------•--------•----------------------------•-•- ----•-- Design Flow.......................5.5............gallons per person per day. Total dail flow..... W 7 -----------3:-.34.................gallons. 1:4 Septic Tank—Liquid capacity) ..gallons Length......._..__.' Width....4......... Diameter................ Depth.............. Disposal Trench—No..................... Width...... ....... Total Length...._ Total leaching area.._;_44.-/..sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) — Percolation Test Results Performed by.......................................................................... Date---__----."-------"-----------*-------`-1 Test Pit No. I......jA.....minutes per inch Depth of Test Pit...... Depth to ground water.... Test Pit No. 2......A.....minutes per inch Depth of Test Pit.......0........ Depth to ground water....lV9Z6E.... .............................................................................................................................................................. 0 Description ofSoil... ��Al �....3.1.—Z-7 ... ...... li...:;� ...... .............................w....................................................................................................................... ......................................................................................................................................................................................................... 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 T I T LE 5 of the St nitary Code—.The undersigned further agrees not to place the system in oper i n until a CertiSe of,Comp fahas been issued by the board of health. igned....e --f............................................. ...... .1�91?6 Date Appl ion Approved By.............. . 0 .. . 1 q .......... .......... ...... ... .. ............ J Date Application Disapproved for the following reasons:..........................................................................................................--- ....................................................................................................................................................................................................... Date PermitNo....................................................... Issued..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............TO ........OF.......... .............................. Tertifiratp of Toutpliana THIS I TO CERTIFY, That the Individual Sewage Disposal System constructed ( 4or Repaired by........�7._.Y.... .......................................................................................................................................... Installer I at..... ��/_3.........✓e) Y.7Z. ......1). 0 X................. .............0.0---- .................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.. ... .....Ca....... dated........ r.......;-..--_7_ THE ISSUANCE OF THIS C RTIFICATE SHALL NOT BE CONSTRUED As A GUARANTEE THAT THE SYSTEM WILL FUNCTION SA DATE.............................................. A Inspector................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 8 —12OUW....OF......... ............................ 7No...........6..............S Fn. -- ----- -- Disposal Works Tonstrurtion ramd Permission is hereby granted...... ..................................................................................... to Construct ( vf or Repair an Individual Sewage Disposal System at No....�LL)/-........V a---.....! 57k�ov ............................................ .............. ..- ....:;��.......... Street as shown on the application for Disposal Works Construction Permit No?-�G Dated...... ...t.l.t.6............ -------------------- Board of Health ................. �j - DATE. ................. ------------------------------------ FORM 1255 A. M. SULKIN, INC., BOSTON v d=' 47 I , i 15110 �! } fi 1 f �� 4 °y Lcrr 43 4i L.67 4 2 I 95, 93 5. F -01 Ins Iij N \. Ion \ e o 0 1.50 ' FR:)NTAGF- \ loo°►� 30,f 15, I/S1 S rd��1c \ O• R�SF.R�E�s� t opt �r'ry'• (o� ,U IooG. LuACA IL ON ' oil � av N sZ c�,0 IL 2 0 1 � p Icy ,� 22.c7 'G S \ � I 020 0 a 24,0 1U 1 p1 \ \ dl d) \ A 4-t44 qe S i/ C Z:) CERTIFY THAT THE PROPOSED BUILDING SHOWN ON THIS PLAN CONFORMS TO THE ZONING LAWS OF .t8ARAJSTq.6 , MA.` LE DATES / _ EXISTING SPOT ELEVATION 0 PROPOSED SPOT ELEVATION � ' EXISTING CONTOUR ---0 1� ��©�, q��� � � PAUL , PROPOSED CONTOUR 0 a��a DAVID P. �� � LEVY A NOTE: THE LOCATION OF ANY UNDERGROUND MARIANO lie . � No. lo6p y�� SEWERAGE WELLS OR OTHER UTILITIES SHOWN ON CIVIL THIS PLANTS APPROXIMATE ONLY AS DETERMINED No.31115 FROM RECORDS AND/OR VERBAL INFORMATION. "as tS-E���'�� THE CONTRACTOR IS RESPONSIBLE FOR THE VERIFICATION OF THE EXISTING LOCATIONS IN THE FIELD. EGISi T RED ENGINEER I T RED LA LEVY 81 ELDFiEDGE ASSOCIATES,INC. CLIENT: ,r�i PROPOSE® PL®1' PLC ENGINEERS - LANDSCAPE ARCHITECTS JOB NO..L , ��6�A ZOT 13 S /C � V '.PLANNERS — LAND SURVEYORS DR. BY. ,4, IN ' 889 WEST MAIN STREET CHKD.BY, V PM_ 819RAJ SJ q4:v E CENTERVILLE, NIA. 02632 SHEET / OF Z SCALE= DATE ii � 7-7- IV 0 7,4 .OR 24 FT. M/IV. G,cACNIwG P/T AREA' MORE THAN /2"BEL0/'V GRAOFj f1 24"d7/AM ETER CoNCR.FTl� COVER SCHEO�/LE 4,p .Sfl.�9LL ed� BROU �f/T TO 4RA C0lvCoRZ7'E C. P/P2 Ale-4VY CAST /Ro/Y CotiER SIyALL DE (/SE.D 4z /09. O. CDYEI�S "IN. PITCH /F-/N OR/VE1�VA Y 2 J MiN. CONCR-TE A * I. - G ADE CO NEfr CLEAN .SANG r BACtI�ILL L/gt!/D LEVELzOLAYER PE Ii M/IV.RlTG// %DO�' GAL. • •• . '. . • !r 1 ,e •„� %� P�Ir lt: S.EPT/C TANK DIST ° a e • • . ! ! . . I s . • 1'YASHPD S721NE t BOX P • • $ • 0 • •• I .°a • r a EFFECT/VE ° • ° • s / i • DFP7,14 • • e ' o WA$h6Ep STO/YE. R.:<'s /$/ X <.5= 3�7SCTPD ° • va I • • • f ! • oI •Do f I If . • • . 0 • I p ! -p Pl�Er-4 T SA--A!!-:RA G A!! e //3X/,o //3,.0�'pD sa�oe II • !. a • • I . e 'a P/TOR EQU/V /NY,CRT -w4-= /AT"/®NS . o Ar INVERT AT EU/LO/NG 104,/0 FT. INLET .SSf'T/C T�FNK /o v FT �� F7 !�/�►l+�I. C CSEF TABtiLArION� OUTLET SEPTIC TANK /03.76 FT. /INLET 4P137 /454rr1ON BOX 103-50 FT. GROUND J ,47EM TABLE SECTION OF' Ot/TLETD/STR/®!JT/ON BOX l a 3.30 FT ���AGE OlaSt�O���• .SYSTEM INLET LEACHING P/T l0 3,IO Fr '7`Ajl11-AT/D/V LEACHIMCw =/T L71161EN5/ON A 3• FT. D,ES16,V CR/7*ET1A NU/�9BE'.� OF BEDRoO/�9S 3 D/Mt4NS/ON G�_FT. , GAP8f8G,ED/Sf'OSAL UNIT S®/L L0G SOIL TEST 7-0TA4 E3T/MATED F1-0*V 49-44.1DAY SO/L TEST A"/ So/L 741=ST*2 NUMBER Q=' LLyACNlN2e PITS / f^EL2 . /0 7,0 EL Y /o7, ,oATE-Af' So/L TEST n 9, �9�G - -• SlOF LEACHING PER P/T 457 SQ, FT. J O,_3, T P-50/(- O,3 , 71> �& RESULTS H/ITNESSED BY�anw Lei BOTTO^f LZACHING PLR P/r sq. &T. �f PC RCO.Cs4T/ON /CRT / L 2 MIIV�I/NCN TOTAL LEACH/NG �4REA - SQ, F7: Sc.ffio`L C q SUBjO�L PERCOLAT/OA!RASE A L 2' M/N.�INCH RESERVE LEACN/NG AREA SQ. FT. , s� p- 6071 MFL>f U �+ DAVID P: K MARIANo }" IVIL ' D ' /t'lYST C A -� No.31115 LEVY & ELDREDGE ASSOCIATES. INC. - � •� .�G. �,5,Z - �L 95. � 889 WEST MAIN STREET CENTERVILLE.MASSACHUSETTS 02632 � /t� v NO GROUND Yt/ATER ENCOUNTERED E'L/ENT: �D� D,47E: Q GM0UNO fit/-47 AT JOB NO. //C G SHE.ET?OF 2 ..