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HomeMy WebLinkAbout0445 RACE LANE - Health qq � mQrsTons — �, — 0'7 a o TOWN OF BARNSTABLE LOCATION SEWAGE # 9i✓�T 7 VILLAGE Il�'�'� D/1,5 i���S ASSESSOR'S MAP & LOT/Zv/-07/ INSTALLER'S NAME & PHONE NO.Ag®r l'O&h"i SEPTIC TANK CAPACITY /GOO LEACHING FACILITY:(type) /' ��) (size) 0 NO. OF BEDROOMS PRIVATE WELL OR BLIC �ATER BUILDER OR WNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 4qq{ Vl- 4f , i r / 7n�,o Sf P /L6 No.....J .-.s1 7 Fxa.. ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Biti-Vuuttl Murk,i Tomitrnrtiun Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair (P< an Individual Sewage Disposal System at: ........`� ------cam'- ------ ^1 '"�s ----------------------------------------------------------------- C3 Il-:,ddfe5 ......................_.................. ------............------...... -------- -----...........t.........-••---.................----------•--- W �y7O�w Owner Address ,.a ................•-••---............--'-�...------. . ...S.' 7 � 1 9 / ss�t, Installer Address UType of Building Size Lot............................Sq. feet ., Dwelling—No. of Bedrooms______________��------------------------Expansion Attic ( ) Garbage Grinder (--)A)a aOther—Type of Building ____________________________ No. of persons._._.._-_---____--._____--__ Showers ( ) — Cafeteria ( ) Otherfixtures -------------------------------•---•--------------------------------------------------- ---------------------------------------•-•------•------------ W Design Flow.............. .__....-.-_--_.gallons per person per day. Total daily flow.............._��__-76__.._......._.___gallons. WSeptic Tank—Liquid capacity®_gallons Length________________ Width---------------- Diameter----............ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.__-_____--.._{__-__ Total leaching area....................sq. ft. 3 Seepage Pit No-----------�.------- Diameter.......l _.__-_- Depth below inlet....... Total leaching area..................sq. ft. Z Other Distribution box (e/j Dosing tank ( ) a Percolation Test Results Performed by-------------------------------------------------------------------------- Date..---------------------------........... ,.a Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water...................... fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gd ....----•-------------------------------•-----------------------•--•-----•------•----•-•----•-•..........-•--•----•--•--•------•-......-•--............••---- 0 Description of Soil--------------------------- -----------------------------------------------•----------------------------------------------------------------------------•------•-.•-•-•- x v ----------•---•-•-•---------------•-------•----••--•-----------------------------•--•--------•....----------------•-------.._...--•-------•------------------------•--------------•--•-•-•---•-•--••... w x ----•------••------------------------------------------------- ---------------------------------------------------------------------------------------------- -------- V Nature of Repairs r Alterations—Answer when applicable------/AA.A .....I .....---`/-UQA..... ........ 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 Compliance be n tisued th board of health. Signed .......... ------ ------- . ............. - ---------------- ..... ................ Dare Application,Approved B PP PP y ............ .� .......... ... ............ . ..:a a.:- .5..... Dace Application Disapproved for the following reason.t: -----------------------------------------------------------------......------------------------------------------------------ - --------------------------------------- ---------------------------------------- Date Permit No. ----------�� Issued ........... =�:l --.. - .......... -y Dace j 7ti r.. t~,j L Z-6 o/ I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diinpasal Wor1w Tomitrur#tun Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair (K an Individual Sewage Disposal System at: GP' ......... '---•--•----••--•-•.......• •-- ......-'..+-/C,.........�s---- ...... ..................................... �. ca'on•�\ddress or t No. .............................-•--•--•---•---•-•. ......-- •---••---•• -•-••-•---•••---•------••;....................................................................... Owner � ^ a .J � �aYV 5 p Wi�11 � tb Address �/J r 41 / t Installer Address Type of Building Size Lot............................Sq. feet U I-. Dwelling— No. of Bedrooms............ .��_._--_----___-____--_.-_Expansion Attic ( ) Garbage Grinder ()p aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures .--•-•-------------------------------------------------•--...-------------------------- ---------•-----•••••••-•-----•--••--••--•---•••••...•..•••••. WDesign Flow............... - ---------------- per person per day. Total daily flow.--_-_._-___.�--7G.................gallons. W Septic Tank—Liquid capacity QgalIons Length---------------- Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..........f....... Diameter-------dG--_.... Depth below inlet.......6.--...... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date....................................... Test Pit No. I................mmutes per inch Depth of Test Pit--__---_--_-_--___ Depth to ground water.-___.-.--.-____---__--. ( Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_-----___-___.--_-___. 04 ._...-----••-•--•..............•--•----•---•--•----•---------•---••---•••....._•....__...._..__.............................................................. 0 Description of Soil........................................................................................................................................................................ w x --- Nature of Repairs or Alterations—Answer when a hcable..._. .fl______ .-_.....__/U Uo-••••• � 1 1 U P _ PP .�. ............., X .............................. 'r. ..... --------•-- .•--•---� � � t S , 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 Compliance has ben issued by th board of health. Signed Date 9 Application,Approved By ---------- x �- ,-.-.-. ----------- .... ..-./....5..... Application Disapproved for the following reafons: .......................................................... .......... -- ....................... ... ' .._..................... ................ .. ............__...........-'- . ........................_............ Permit No. --------��:`a ..��... ................... Issued ---------- ---.A.-.���— Dace THE COMMONWEALTH OF MASSACHUSE175 BOARD OF HEALTH TOWN OF BARNSTABLE Cfe>rttftett#e of �omltttrcce THIS IS TO CERTIFY.—That the Individual Sewage Disposal System constructed ( ) or Repaired (/4.) �S��✓L' "G. .. 7...... � 1�--.vc�iG "1 by .. - _..... Installer -� �'M--- at .--------------....._----------------------------------------------------------------------------- - >�---------- `M C C 5 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. -----7:$--------5_Lr.?....... dated -----Y3..- .~95: THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTTI�-ON SATISFACTORY. DATE ' 1it.L ..''" - . .._. ........... -----------------------__----- 071 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No..... ... ...� .. 7 FEE... 76. %tonal Workii Juno r�tr#iun �ermi� Permission is hereby granted---------------- /C-i:G (:U- -'------•--_.._.C; tI_/J_AS i•_(Ltl Gi_l&W4J to Construct ( ) or Repair ( --)-an Individual Sewage Disposal System atNo... ---------j -��- ��-I--------------� !/ 1-1_C-C.1---------------------------- Street QC� as shown on the application for Disposal Works Construction Permit Na/_ __S.t�._7 Dated....:3. ............. _ -•-.....•-•..._..•-•--••.•-•...•••�-,a •-------------•••••-•---••-•••......•••-•.......••- DATE_ Sce nt /•_ __-••-•-•------.____-••__-.-_.. Board of Health FORM 36508 HOBBS 6 WARREN,INC.,PUBLISHERS LOCATION .� SEWAGE PERMIT NO. Rasp Lane O�G 80-165 V I L L A G E MAPNQ AMUORS .' Marstons Mills, MA PARCEL NO.: INSTA LLER'S NAME & ADDRESS i A & B Cesspool Service 128 BishoLg Tertace Hyannis, MA 02601 8 U I L 0 E R OR OWNER Wayne Zervis Race Lane , MArstons Mills, MA DA T E PERMIT ISSUED 1280 DAT E COMPLIANCE ISSUED &VA4xtxx July 14, 1980 r d w O 1 F:ms........................ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -W/-.�/....._0F...... 3/QI`.,.A) A. i 4 App iration for Ub5pvii al ,ark, nnitrnrtinn Vamit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal Syst at .. . -• .......... r.. W - -------------- - ------..---Location-Address or Lot No. -..6L)4? ��l� ZE1-��/-/--S------------------------- /Y.Y�nll�t!.F................... Owner Address W - ----------��Rai?e----------------------------------. ..------•-•---------------.........------...-•-------•--.................--------------••-•-•--•• a Installer Address QType of Building Size Lot-�_l�------------:RSq. feet Dwelling—No. of Bedrooms___...-_..............................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type of Building No. of persons............................ Showers — Cafeteria Ga Other fixtures .................................. W Design Flow......... ------------- --------gallons per�ers�rr•pef day. Total daily flow............ ��_ .............gallons. WSeptic Tank—Liquid capacit/ gallons Length...... Width...Y........ Diameter................ Depth.... ......... x Disposal Trench—No.--.---_----------- Width................................. Total Length.............:..... Total leaching area....................sq. ft. Seepage Pit No------ _........... Diameter.___.A/'0A_ __. Depth below inlet... ®........ Total leaching area.�.Zjs.®sq. ft. orL Z Other Distribution box (✓r Dosing tank ( ) S� 7 ST• GsJ�G G E�7� '~ Percolation Test Results Performed by. °.��......................................y..._.__........ Date_._. x� �.... ,-� Test Pit itito. i.�._Z•..minutes per inch Depth of ,Test Pit---,�4�_�...�. Depth to ground water___��.�. (s, Test Pit No. 2._`c'._Z-minutes per inch Depth of Test Pit_ZC'._�_...... Depth to ground water........................ -- . Description of Soil zy.�_ rY�4l �� ..... .. .... - �9-Rio....--- -- -- ------ "� �7G.� cc' 9` �................ .. ` Q-a------------------ U ,%�--- ---- W __..../g _... V ----/------------------------------------------•---------------------------•--•-----------•---------•-----.....----•------ VNature of Repairs or Alterations—Answer when applicable............................................................................................... .......................... ----------------•----•----------•--------------------------............---------------------------------------•--------------------------•------------------------•••-------• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provision of i�- p J`or the State Sanitary Code—The under ign d further agrees not to place the system in operation until a Certificate of Compliance has bee is ued by the b o h h. Signed._. _ b L Date Application Approved By �11---_- _- ---_ - ------------------ •--.....---•-------•- i - 1_1A-90--•-- Date Application Disapproved for the following reasons--------------------------------------------------------•------•-------------•---------------••--•.....---------- •-------------•-------•-----------............... -----•-----------------•-•----------......------------•-•---•••-•---•-•----•-----------•-••--•-•--- ,/� ..... .Date...... Permit No.-•-••---........-•-------------•••--•------.......------ Issued-.__:.1...� \_ Date' r � r �Y No..Q. Fss..... .... a v THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. ,............... lirtt#iaan for Uhi wi al ork� �nn��xnr�alan r�ani� ;- Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal Systemdat. .ate � 47y, "V �i! rJ� ] i r.....--- ......................................................... j Location-Address or t o. .��G a 1�??.�lr............ ?'1d4v-&-t f:................... � / Address ....................................................040........................................... .............................................................. Installer t Address d Type of Building ,�, Size Lotfi "'.. _ '. Sq. feet ansion Attic Ua w-. Garbage Grinder ( )Dwen —No. of Bedrooms.._.....:=':...:W"...................... p QI Other—Type of Building ............................ No. of persons.........---.........--.--.g,Showers ( ) — Cafeteria ( ) a Other fixtures __________________________ _; -------------•-_---------------------•----------_---- r. , G. : .zcx ? des gn Flow.....__-Z:_�--�------------------------gallons per persvrr"peerr day. Total daily flow__.__..___._.___ _�__._______-__-gallons. :. W Septic Tank—Liquid capacity✓n? gallons Length--_.6....... Width..:!'.........- 01 Diameter________________ Depth � P ------. x Disposal Trench—No_ ____________________ Width....................._''Total Length.................... Total leaching area........_...........sq. ft. . Seepage Pit No------/------------ Diameter..-./,P-- .=;3... Depth below inlet: �__ ........ Total leaching area__ sq. ft. wrz. H Other Distribution box (1-) Dosing tank } . . .�"•.r .�'.._ Percolation Test Results Performed by.��-.:.-f._..,;.___ ............................................. Date--.. ........ .:.. '__ .-.. Test Pit No. 1- "._: .•minutes per inch Depth of Test Pit... _`.__ De h to ground wter.%i.$_, A/_.� Test Pit No. 2...'"_ minutes per inch Depth of Test Pit.Zc�..'�,e..... Depth to ground water....t.. ........... w----- ------.---- '- - --•-- --- ----------------------------------------------------- -:r O Description of Soi..........52 ,/�, �,�J, `. ,� Sar r i' �;.- ..vsin G = ,, f - ►�i C r ^4...../lixr s.s c.l� __�"�ti%_r .............. C at �' V .... ..... ........................ . U Nature of Repairs or Alterations—Answer when applicable----- °�,...._----------------------•--.--•-..._.....___.-__...._______________-_____•____-_. w ---•----•----•--------•-.....-----•----•-•---------••------•----•--------------a----------•--•--------••------------- .._._..-_._.•-_--•.........._._..........••..•.. _. Agreement: The undersigned agrees to install the aforedescribed Individual''Sewage Disposal System in accordance with the provisions of'21TLE 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 b r 'health. , Signed- .. -'� ................................ t Date - Application Approved B --- ........ --••••• . -- ................... -• ..................... -- tgy f' •------ Da e Application Disapproved for the following reasons-------------------------------------•--- ............................................. ..---•--•-••----•---••--•--•-••------•--•---••••----••----------•••---••••--•---•-••-•--•.......----•---•---•---•--•-----•-••-----•----------•---•-•-----•-•--••--•-----...-•••••••--•--••-•---•..._..._ Date PermitNo--------------------------------------------------------- Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . O F.... . .. ... ................... cv r,,t................. �' %r ifirtt n 'WIMP taanr� "THI S T.Q CERTIFY, That the Individual Sewage Disposal System constructed at� or Repaired ( ) . > �by-------------------------------------------- -•-------------------------- Install r at.-•----•---•----•-------••••--•-�- ••-•....................•--�--------•--� -------- ---:...� ..........I.................................................................... has-been installed in accordance with the provisions of TIT13 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N -"-=AKS----------------- dated_--------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SH4LL NOT BE CONST/05D AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFA TORY. /,V� ,/ ,� DATE..........--•-----•-�- ll�- ------•---•--••--- Inspector:. -------------�------r ------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH c A .'j 5;r_ 0e,4...............................••. FE Eljjipai a1 World T-Lnnitnr#inn amit Permission is hereby granted. - ....... 4~�#4r.............................. to Construct ) or Repair k ) an Individual Sewags Disposal System atNo.._ / --------------------------------------------------------------------------•-••- Street as shown on the application for Disposal Works Construction. Permit No--------------------- Dated.......................................... .... R ✓-------------------"---------------------------------- Board of Health DATE........ .... .............................................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS V APPLICATION FOR PERCOLATION TEST AND OBSERVATI N PITS 11GZ LOCATION 6- A• a CAMa72e4 Z NO. VILLAGE_ DATE // - 27-11 APPLICANT DO/J P/ew-s FEE JOO �tADDRESS ' TELEPHONE NO. (Non-refttndabl ENGINEER f W _TELEPHONE NO. 9131 DATE SCHEDULED // 3 6 (Applicant's signature) . . . . . . . . . . . . . . . . ., . . .�A2cv� . �. . . . . . .. . . . . . . . . . . . . . au �. . . . . . . . o . o . . . . a . e . . . . 11SSESSOR'S b1AP � LOT NU: SOIL LOG �� SUB-DIVISION NAME DATE A/a✓• 30 TIME 1/•'/; EXPANSION AREA: YES V"NO e,►&--e 4 4&r 1,VC ENGINEER:•? • ; TOWN WATER ✓PRIVATE WELL C_-6 H,4A?-,2,V BOARD OF HEAL ��� �-1►� EXCAVATOR SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) 4/41 `Q' H �c NOTES: -� iZkcr, L A• 3- 20 boo � 3 99•�� 3�c for 2o, Zoo �- a p N 4o,9oo r *+ALC�IT5 � g (Pc�2 a 6s c. w•CQor- N � 1 . fl �� O •r•+a P�zo ti� n� A ' e L noT Ns-rr .EZ a.s o P o tt�rs,p J/ ,\� � _ •, �� �C.yarCr-,1LS^cS�_.� /T>a.., . PERCOLATION RATE: IL M 1 N / i TEST HOLE NO: ELEVATION: TEST HOLE NO: E ELEVATION: 1 s / p1 �Q 1• — 'Z , O 2 P 245 Lit L-Lo t.4 5 3 9 4 +-A— -Z 4- 2 -+ P A4 6 6 7 7 L 8 9 S/ — l � � LA`yt�- 9 10 10 • 11 •sue p 11 0 G L 12 12 ,-e A 13 t.ro `ti►r-� c 1.` a 13 14 14 15 15 16 16 _ SUITABLE FOR SUB-SURFACE SEWAGE: . LEACHING FIELD � LEACHING PITS LEACHING TREN:CHEST UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: OA- NOTE: ENGINEERING PLANS MUST SHOW NUMBER• ASSIGNED .ON PERC TEST APPLICATION • ORIGINAL: COMPLETED IN ENTIRETY BY P E AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT i .•.. ..>,.. ,.. . ....x.,.. .-. „.... .... ..q: _ ., »e. .r . - -.rx' •nr-.-- . ,�"a-w•ir - .. .., - _..-+a^ -� a,.., ,w+r•.. - .a.,. - ,r _ _. :' ..^ _, -- ; .: -. ._ .. .. ,. -. 'Y*-"r, .. n . - Wit• ar+. ... _ . , try- .w qt!'3*... .,s' •r?-" .s'a. M s f oP o f fo Uf7 d. ' 74 7 be�- e 70 G z 6?4? - 1---�6/2-- -��--o o Dina d w1 Z ' �f - ------1--- � r /Nasl7e d 60 --�-------- __ __ —-- _ - — - G4 0 0 o 58 - --} ---- -.-- --- -- - -�- --- o ----- ----_ - _--}---_— --z 54 -�•- o —o—o—o-- PropoSGof c�rour�c� Pr-ofi/G h/ORI2 SGALE-: / _ /O S & C / 1 Q A.f o � 7� 5 C f-1 E O. 40 P V C. 02 - - -- ---F L O !A./ - - - -----�� i � EQUFIL To SEPT/G j4" Ger foot ) 2'17-_ nary- /L washed Storra71 m�n,rr�ur» BOX sump i lw �o 3 z 1 \ (pq F2 B� \ 4 w � p /OOa' 6AL. SEPT/G TAti/K � f 314 / - //� , . • , I 0 - — -- — -T H. 0, - i �? l� � l G9'$ �, SCALE : %~_ / �O•• � GEf� GH P/ T \ r i `fie! =G9.4 / X G A/ ------- �--�- S T fH O 4. D �O � //� \ �// OoM HaysE O� TE .' 1F d 7-E57- BY W67I-' L 5,0 0 /-- ) PEA- C. /BATE- - /v)1A.4 //t/CH w/ TtiESS G�9LS.�ORY L1 ��c�.�/e 8cl IX a f/eaff� i C- Tf7lVAC c�30 x / S 49S OATuM M•S.L t \ TE5T HoL C- V TEST H L Z NO � e.. U,SE . �OOo G,qL. Ti9�tJ� -- ` LEAGH F'/T' , /oa rn —� to soloy 24 e%- 7.4 ?4 O h� Ef-F OEPT,y lo•� r�7;yeo/ r77i?lea/ � S/oEK/A�L �� Q/ < S Sa n0 qO BOTTOM -GZ5�� 5 F. /. ; _ _ 5�. � f si/fL/ F Silky 2 o To T,q` _ ��� Gr9LS 'oA >-- � rQy \ I V USE I__ L EAC I'll 14=1i7- ?34 I �_ G2-`} 84., /e a r G l'e Q.r7 2.4 i 0 o ' o . 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