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HomeMy WebLinkAbout0400 ROUTE 149 - Health 0'7 C0 -7 1 / \ TOWN OF BARNSTABLE-" LC `_'AnON IlO® Rr /yci SEWAGE # W�;�ly -j VILLAGE Mcw5jatis ASSESSOR'S MAP & LOT ' INSTALLER'S NAME & PHONE NO. �o�ti �, �p�to SEPTIC TANK CAPACITY LEACHING FACILITY:(type) .'z = Ise,c4opi S"1,94919(size) NO. OF BEDROOMS 3 PRIVATE WELL.OR PUBLIC WATER BUILDER OR OWNER /�O t�,�s ;'�'o Ole DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: :z VARIANCE GRANTED: Yes No � s a. 1� 4 mow, I V •� Ilk 491 , / s 7�- 0-7 9 Fps..... ..... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE VAppliration for Eli_qpooal Workii Tonilrurtion Vatnit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ................ ® ....�. 71.�5.-----•-------------------------------- ------------------------...........-_......._ .....................•................... Lo ion-Address or Lot No. °<••••-••---..... 0.9 �Y. QY.�P.Sl� ... .......... ..._1 _../1 ��/, .....,l6. // caner ✓/ d� ij/'f!Q Installer Address d Type of Building Size Lot..-� .r�1..7Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ................:........... No. of persons........................---. Showers ( ) — Cafeteria ( ) 04 Other fixtures -------••-----------------------------------------•----------------------•-----------------------•---•-------------•---------........._.........._... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.&P!4..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length............._._.... Total leaching area....................sq. ft. Seepage Pit No..-!2.............. DiametenieO.....:........ Depth below inlet.... ......_._._.. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per.inch Depth of Test Pit.................... Depth to ground water........--.............. 44 Test Pit No. 2................minutes per inch Depth of.Test Pit..._................ Depth to ground water........................ ti a .................... -------------------------------------------------------------------•--•--.............................................................. O Description of Soil.................�'�!___-_�l .t /V .................•--•---•••-••-•--.......----•--•-•••....••--• --••-•••.......•-•------•--•------•••----•-------•------•----•-••••••-•--------••---••---•--•--....•--............-----.....--••---- W U Nature of Repairs or Alterations—Answer when applicable- _. -LQ-P!k'-..!-rP.lO..�� ' ........................ kl.G7..- .......------------------------............................ 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 Complia e h s b n issued by the board of health. Signed -------------- - ------------------ .. %^��- ......7= � Application Approved B .. .�� re t 'r+ r Date Application Disapproved for the following reasons: ---------------------------------------------------- ----------- ----------------- ---- --------- t -' V�6 f� / �� Date + Permit No. Date -- ---.��----------------------------------- ---------------- Issued .-------..--..�------------- No.- ............... F$s..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for 11hiposal Works Tnnitrnr#inn return Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at .................. / ....................................... ......................................_................._._................_......_......__.. - LOFAio..Add"s or Lot No. caner // Jam/Add S r/9j�� •-•-------.... C !^1.....11 .1 ................ ^' F U- � IhN s' �f L'�/�s G ...................... Installer Address d Type of Building Size --:�Sq. feet U Dwelling No. of Bedrooms.............................. ...._Ex Expansion Attic � g— __.___.._ p ( ) Garbage Grinder ( ) a Other—Type of Building ............. p ( ) — Cafeteria ( ) ............... No. of ersons..._._.__..______________.__ Showers Otherfixtures -----------------------------------------------------------------------------------•-------•--------------....•--•-.....----'---...------'-----•----•. W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacityX5�R_.gallons Length................ Width................ Diameter................ Depth---------------- x Disposal Trench—No--------------------- Width.................... Total Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No....!2................. Diameter.A ------------- Depth below inlet.-_4-.----------. Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by---------------------------------------------------------------- a --------- Date = Test Pit No. 1................minutes per inch Depth of Test Pit...-..--------_-__-- Depth to ground water........................ w Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water____----•-•------_--__-_ a --•-------- -----------------------------------------•------------------------------------------------------------------------------------------------- O Description of Soil................5`1.... :...........................•---•--.....----------------------------------•-------.....•..-------------------------------•--•'-'---- k U -----------------•----------•--•---------------- --------------•-----------------•----------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ U Nature of Repairs or Alterations—Answer when plicable....._411.. _v0----/ ......... /� -------------------- 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 y the board of system in operation until a Certificate of �Coa plianVsbssued b �^ `'--' 7-=---- ��-- - � ///�,/' Date Application Approved By <- !/. Dare Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------------------------------------- --------------------- ------------- ----- -- --------------------------------------------------------------------- ------------------------------------------------------------------------------- ---------------- --------------------- Date Permit No. � '' � Issued -------------- ---- -- .._.----.----_.._ Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (fer#tftrate of Compliance THIS IS TO CERTIFY, Th4t the Individual sewage Disposal System constructed ( or Repaired ( ) by----------------------------------------------------------�....`� A60 ---------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE f The to Environmental Code as described i the application for Disposal Works Construction Permit No. _�/ c__..........................�._ datedTHE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------- -/f-- ��`------------------------------------ -------- Inspector -----------------------�-----�-------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS ,� BOARD OF HEALTH TOWN OF BARNSTABLE No. ---------------•--- FEE...........-........... ���s#inln �rruti� Permission is hereby granted-------------'074h? ____/ ___.._G___l____ ___________ ------------------------------------------------------------ to Construct�D� or pair ( �'an Individual Seeta a Disposal System at No. --------------��P../5'j------�/Iu.--�_�3_./�/� L-------Af-4.= - - Street CC�� as shown on the application for Disposal Works Construction Pe . To.l___'� ' F`Rated--__ __. -------------Ln_ ---f� -=-- DATE. Board of Health FORM 36508 HOODS h WARREN.INC..PUBLISHERS f� OC 5EWQC4E PERMIT QO. / 079_079 1W5TQLLERS ► &NIE 6 . ADDRESS . - BUILDER 5 1.1 &MF- 4. ADDRESS ram- - - - - Dl.\TE PERNA T 15SUED 3_7-4- - - D&TE COMPLI &MCE ISSUED - w' T N J. Fs$..... .*4.._ o...... ... THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ...*ftm_..._ _VIO oF............... . ait/ /��--------------...------------ Appliration -fur Uispwial Workii Tnnitxnrtion Valliit Application is here made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S st- .............. ... ..... '�'L /�•Location- dress or Lot No. nor Address aI di..•-• -----....-•••-•-• ............................................................. I alter Address Q Type of Building Size Lot----------------------------Sq. feet U DwellingNo. of Bedrooms........... ._______. _. ---_-Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building _-_________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) lz' Other fixtures ---------------- - --- ----- - ------------------ W Design Flow_ _.___._.`0.......................gallons per person per day. Total daily flow----------__................................gallons. WSeptic Tank�Liquid capacityit_J_=_ allons Length________________ Width............._.. Diameter........._....._ Depth_._-_-_--- x Disposal Trench—No_____________________ Widtl)------------ al Leh...... _ .. _ Total leaching area--------------------sq. ft. Seepage Pit No-------- -------- Diameter..__ l Al ` Total 1 chiug are _.........___..__sq. ft. z Other Distribution box ( ) Dosing tank ( ) �/ �� Aft � aPercolation Test Results Performed bY----------- ......................................................... Date----•-------------------- ,� Test Pit No. 1................minutes 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-..--.-.._--------_.---. Description of Soil --_ ----y a" --4r---- .-fit-- . -- ----------------------------- W ---•--------•--•--. ........./--2------- ---- ..' .............. --------- ------------------------------------•----------------- UNature 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has*beeissueldl.by th oard of healtSig $ « .- 3"D tA lication A roved B /. ---- ------------------------ ------- ------ PP PP Y______ Application Disapproved for the following reasons:._. -•----•----.....---•-•---•-••---....-----•-•-------•...............................-- Date....•-••------ r; ... , Date PermitNo......................................................... Issued........................................................ Date -- - ------------------------------------------------------------- No......--................ Fly c .f.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF 1 HEALTH 1 , �¢ ., _.... ._ ...._..... OF....._..............-_........-._:..., ........I........... r Appliratiun -fur R.ipufittl World Tun,itrurtiun Vrrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at Location-Address i or Lot No. p Owner Address Installer Address Q Type of Building , Size Lot............................Sq. feet UDwelling f-fNo. of Bedrooms..........______----------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ...................................................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank L Liquid capacityl_-........gallons Length----------------I Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length-------�:'._.__..i Total leaching area....................sq. ft. Seepage Pit No........-M:--------- Diameter.................... Depth bel W inl,et.......-_..._____... Total leaching area--._.--.-.----____sq. ft. z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed by------- -----------------------•----•-•----•-••---••----•--••----.....-•-- Date........................................ ,r a Test Pit No. I................minutes per inch Depth of "Pest Pit.................... Depth to ground water........................ �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-----.-..--.-_-.--_-.._. 9 ----------------------------- •----- ......._ O ... ..escrpton o Sol-- _------.= .----------------------------- .....------......- ......-----�'---...... ...---- --------------------j----------------------------- x . --.. f / - .r . U -------•------- ---:-- # ........ ---------•--------------- � W -r UNature 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 Article XI 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. / _. . ...--•--------------- ............................... Date Application Approved By._... ,��'' = 1 d^G%P/----------------------- ...... Disapproved for the following reasons____________________ . ..................................................................Date----••-•------ •---------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued............................................•.ate....... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 101,rrtifirate of TlIm rliatta THI TO CERTIFY, at the 41vidual Sewage Disposal System constructed �or Repaired ( ) by" ...... 06_,I;------------- = i ............... -�------- .......................................... ____________________ __ ------------ ..........................----------------- at' ta,r .: 1L1 t.-4 has been installed in accordance with the provisions of Article XI of The State 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 FUNCTION SATISFACTORY. DATE.................................................................................. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD 9f HEALT / ' f ..............OF..-.. G No. FEE. -------------------- 4anIpaividual Permissio��i 'hereby granted -----e � 4to Cons C ) o ' Repair ( � Sewage isposal Syst at No®..... ---4..�i/�(.Lt''�'���J , ��� �a'�� ---------------------------------------- 7.11 as shown o the application for Disposal Works Construction r t tN __ _ _ _ Dated-..__ _'-_--3-"-..7G_'______-- i - ------ - —-- -- -- -- j ........ -. Board of Health DATE--- -----���.r_.. _�__�/_ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS _ 2° 7 : - - - -��/��.'��,r� r:�J:-•� �1 �� C...i-)fir��'..•r l�i � � .. _ - � i���»r- a•i .{=..,.-:. /:Y'w. Q+'��V-S ALAN W. JONES & ASSOCIATES CONSULTING ENGINEERS CARLETON DRIVE EAST SANDWICH, MASS.02537 TELEPHONE 888-3154 TEST PIT AND PERCOLATION TEST January 1975 To: Mr. Roger Derosier Personnel Present: Paul Murray Route 149 Norman Ayotte Marstons Mills, Mass. Alan W. Jones Re : Lot #1 Test Location: 95' into lot from Champagne Acres Route 149 layout Route 149 Marstons Mills, Mass;. 010" Ground surface 016" To soil Sub-soil 2' 6" Average Percolation Rate: 1" drop in less than 2 min. ' 6" Loose, coarse, yellow sand, gravel and stone o F. AN 1210" c 510 J ` No water encountered ;fib Water levels indicated, if any, are those observed when test pit was excavated and do not necessarily represent permanent ground water levels.