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Home My WebLink About0025 SADDLER LANE - Health �' iS ! J �. /� � n_ S M EAD KEEPING YOU ORGANIZED No. 10334 2-153L MADE IN USA GET ORGANIZED AT SMEAD.COM 4 * 6 LOCATION SEWAGE PERA('I.T No'. INSTALLER'S NAME ADDRESS N R U I L D E R OR OWNER , M DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED j� ` . i f 3� �6 �� `'o. � -- � G cQir �- � `. ;} a' .;� �� - J�P yr) .� ;� �� r. TOWN OF BARNSTABLE 1 LOCATION 7-5 <-qddler LM SEWAGE # VILLAGE Wof N(y d gW a ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY (000 LEACHING FACIL=: (type) ! (size) NO.OF BEDROOMS 3 BUILDER OR OWNER AIney R I rr'f PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �o Feet Private Water Supply Well and Leaching Facility (If any wells exist / on site or within 200 feet of leaching facility) ` 9 Feet Edge of Wetland and Leaching Facility(If any wetlands exist / within 300 feet of leaching facility) ` Feet Furnished by LOCATIONS LEACH O Plr A B SEPTIC I 35 It 25.5 It TANK 2 291 It 31 It ®2 '0 D-BOX 3 22 it 38 It g A EXISTING DWELLING # 25 J 2 H 3 _ SADDLER LANE NOT TO SCALE No ? t ,FEB.............. � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �"aIN�................oF... AP�t,.l` a' .I. .----......----.......---- Applirdtiun fin 19i ipwid1 nrkii Tonotr>urtuan Permit AApplication is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at k I►.�..�.`.- �-N..�nI t. . ....ram.. ..........L. 'i`-....�..................... ... t G Location.Address or Lot No. ..I}e f _.f..a. 7 ................!................................................................. ............. Owner Address a .............. ..1_Ll� ....... ................................. '..............:............ " -2+�/..h ................................. Installer - Address 2-. ,t Type of Building �� ...... Size Lot...(.(ei D.Q .Sq. feet- P., Dwelling—No. of Bedroom .............. ...........Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons........................---- Showers ( ) — Cafeteria04 ( ) Other fixtures = :.......................... ..... Design Flow:-.........1_ 0....._...._.•...........gallons pe . il per day. Total daily flow_.......--��.�.............gallons. WSeptic Tank—Liquid capacity.100Qgallons Length... Diameter---------------- Depth6!741.' x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.....................sq. ft. 3 Seepage Pit No...OL0-.... Diameter....jel....... Depth below inlet.............Total leaching area001J..sq. ft. Z Other Distribution box W..) Dosing tank ( ` ) Percolation Test Results Performed by..DOWU...CAM..54,16L................... Date....�P/ ........ Test Pit No. L....L minutes per inch Depth of Test Pit...14A..... :_. Depth to groun&water...."------ pT4 Test Pit No. 2................minutes per inch Depth of Test'Pit.................... Depth to ground water........................ O Description of Soil......06-� -_.�? ��. ��— t� 1. �_. �� LC - ... ......Z. _._ �?`1U1 ,. q....-'-144- .................... x ......-----•••-----------•-•-----•-•-.-•--•----•••••--•---------------------•-------------•-------•---.......................•......................................................................... V Nature of Repairs or Alterations—Answer when applicable................_._......___....___..........................._.................._.. . . .........................1;7 - . .............................................................-.....---•-------••-•-------••..•-------••-•...---•-•----•----••--••---.................. Agreement: The. unders gned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI T L:; 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee •ssued pbylh oard of health. Signed..•. v?� 1u ............................................ D Application Approved By.. •-•-•---...----------------------------------------- ZLO..f-�..--. Date Application Disapproved for the following reasons:................................................................................................................. . .............................................. ........:....... ..............................-•----.......---._.._..-----................................_._...............----•----•.................._ Date } Permit No................ Issued..--`--•------.......... .............................. Date THE COMMONWEALTH OF MASSACHUSETTS Yy BOARD OF HEA-LyT, H ro.MN.Q.................O F..,�yf�c � "1 L:: L.J.��-. .-----....._.._.......... ' pplirtt#ion for Biupuuttl Works Tonstrur#iun Permit . } Application is hereby made for a Permit to Coristructp( or Repair ( ) an Individual Sewage Disposal System at: .d -•Location Address or Lot No. r.. ... ................................ --•-•-------•............. .........•--------.._...------------•---•----------..............--•• t j Owner Address ,.a -----••--•---------------�_..... .---....---•---••---------•---. ...-•--•-••----------_.._. - n Installer Address Type of Building ! Size Lot...6nj_t�Q. .Sq. feet•' U Dwelling—No. of Bedrooms_ ?�___!__ �� __._.Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building No. of ersons____________________________ Showers — Cafeteria a YP g .. P ( ) ( ) a' Other Q fixtures ..................................j.._..__:_..___ t ...------• ..........................._____-__. _ . ...___•___....._gallons.Desrgn Flow........... _I ........................gallons per e cKn per1day. Total daily flow---.......:�. 5 Septic Tank—Liquid capacity-fa010gallons Length___ �_"r4 Width �-.� � Diameter:___-----� Depth_5!7: '.' x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.. I ..__ Diameter__._.e' . ...... Depth below inlet... Total leaching area��..X_l.sq. ft. Z Other Distribution box W) Dosing tank ( ) ,.- ' ` ' Percolation Test Results Performed by.. I)W&t...rAJ.::':P::_-.1 ..,.................. Date...�� .._._... . .. . ... ... Test Pit No. I.._..4:-Z_minutes per inch Depth of Test-'Pit �',___..:__ Depth to ground water.. . f� Test Pit No. 2................minutes per inch Depth of Test_Pit.................... Depth to ground water........................ ----------------------------•----...---•-••--•--...._........__.......---•--•-----••----.........---................................... x O Description of Soil.....nf i." ' `a�•_�-• ! ' ,ill_. .1� P' � I �1" — I �l�- ---------------------------------------------•-----..._..........._..------......... w ........................•----•---.... -...-----------------------------------------------,----------...-•---------------------=------------•------._........._._......_......_......._.._.....-•---••--- U Nature of Repairs or Alterations—Answer when applicable............................................................................._................ !, Agreement: The unders gned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation uiltiY a Certificate of Compliance has beeli�ss/ued M"hoard of health. Signed._.. = '� .......................... __...�3: d e Date ~ ApplicationApproved By---=.. ..........................••---•---........-•-......•--•---••---•-•---. ........................................ Date Application Disapproved for the following reasons:................................................................................................................. ......................:..•-•--...--------•-------•-••------......._...._.........._.......--•-•--.........._.._.._...----._...._......_.......---..............__........-•-•-••-•--•-........___--__---- Date Permit No..........--•........ `� Issued---....-•---••--•-- . � ............................._•-- D�._................. .._...... ..p..=. y "'�_ v ..+....r.......««r,. L.+•.«..+-...,,-F »...—... ------- -- w«,, ........ THE COMMONWEALTH OF MASSACHUSETTS ` BOARD F HEALTH ................OF...... ....f1c�it/S .. (Irrtifirtttr of Tomplitturr THIS IS TO CERTIFY, That the Individual ewa a Disposal System constructed �r Repaired by...................................................---_..�.f-C .......4 :.............................................-........................................ /Installer at.-••-•---•--•-•_._.__z�..---•-�--•--•--•---:��LC112 G�(/ i----•-•-........ ��/P,ri�7"�/�C has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code s/d5scrib3 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 FUNCTI ON SATISFACTORY. .. ' .' DATE................................... .. �.�.�' ._....._:. .:'.-------......... Inspector...........-) -----------..._-•------•--------•---._....__.._..----.._..........--- _. ................«. _,------------ THE COMMONWEALTH OF MASSACHUSETTS J1� BOARD OF HEALTH � ai ................OF..... ..4r,-S'7A,a,! -- C � Clrf�...... --..._....-----------•.--•------._.....__...._.--.--..___.__._..__....._.. No.......-•............... FEE........................ Diu �asttl i� ��kP Ton trurtion Permit Permission is ereby granted............... f - l f � � f to Construct ( qr^Re air .( ) an Individual ewage Disposal stem / f at No-------------------•• .C1_� --.....--= /4�1� ......................................... .. _f _..._ .... _.___ - _. _:., r__ _.:.meµ.. Street, 3r � tS i yl�F I[__. S as shown on the application for Disposal Works Construction-Permit No...................... Dated............................................. r� �.� Board of health DATE-----•------.�L.: ----------------------------------------- SECTION - SEWAGE �o I v ?- -SEPTIC TANK - -7' -"D"BOX - 1 -LEACH Iv I TOP OF FD,Nr� .�3 JwjY. (MSL)• —"2"OF ll8TO+h" WASHEOSTONE fiver i (4A IN- OUT- IN- OUT- ��I ocn,G IN- 0 I1, SEPTIC TANK 133.9s ELEV. ELEV. ELEV. ELEV. 1�3.81 133. �1 / ELEV. ELEV. v rIIACIS r/LAT� • M" WASHED STONE �0 , TEST HOLE LOG TEST BY FL• I Clt rL7Q>1�► ,C p e'1 �J.n .- I `\�O T WITNESS BEDROOM HOUSE TEST DATE �_,�1 DESIGN TA- 1 1 T.H. #.2 10 oANr'l AL ELEV. I ELEV. NO r I t PERC RATE G LMINAN. DISPOSER DISPOSER f / i, L �.o,6oX 138 Subs ' (3'Z-� FLOW RATE = (GAL./DAY) SEPTIC TANK (1,. 1= r- `I G rw REQ'D SEPTIC TANK SIZE , 1 o�C7 i 38 LEACH FACILITY p s SIDE WALL , -.� = 15 0. & (7•C) . c� G/D. BOTTOM del y-E, _ no, a (I.o ) _ �_.-,, G/D. J 136 N l �J / 156, TOTAL ?_01 1 - USE: 'a...l.f_' LEACHING "^ 0 WATER ENCOUNTERED MO NOBS:'. (UNLESS OTHERWISE NOTED) 1.DATUM IMSU-TAKEN FROM _QUADRANGLE MAP 2.'MUNICIPAL WATER VAILABLE 3.PIPE PITCH:'A"PER FOOT 4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO- -44 (it S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. /0�1 /' ��9n•,t 6.PIPE JOINTS SHALL BE MADE WATERTIGHT �nrd ;<• \ ,_�•� / 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. OJ =� ~ � — -� SITE PLAN STATE ENVIRONMENTAL CODE TITLE 5 A.,. 1 C14'! LOCUS Q y ! L.UT }: u�t�UlreL.C. t�rnr t?1n` =� v 1��tn•.le_� r.�,tj 'r_E l.a:.l._.. - I\i,-;'� ,' ;-ci: •_t P,,rr'�,_!r,_,C' ir-r ti�1C i-.•I. 11 REG.P � NEER ��a��, A,f; �E:/•r�. t'E` l-'.��: ./� . ' ( -� REF((--or rj)Nt'tNITEf?�11�1 LGP �7QJupI I yOwOl CAS E eft ®�1��I61 PREPARED FOR: --El3EC f� AA `c CIVIL ENGINEERS L�J" i LAND SURVEYORS --+— — — BOARD OF HEALTH �a`�ND;S EXISTING 9� mates SL A �.:; �' •i SCALE CONTOURS (EXISTING) APPROVED DATE MA `vas. ra DATE ��2�5 (PROPOSED)-O-O-O-O-