HomeMy WebLinkAbout0097 SANDY VALLEY ROAD - Health LO N AT10 EVY PERMIT .
C J Y /tie 1�C31A _G.E O
VILLAGE /
INSTA LLER'S n E ADDRESS
Tr.
3 �•`s� )-,vt. S k
e U I L D E R OR OWNER Cklif 1%) c )�Q yj t
t'S
DATE PERMIT . ISSUED
DATE COMPLIANCE ISSUED
t3 �
37
36 yZ
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
...................... ....................OF...............-.......... .-...........................
....
Appl r-ttriun for Uiipuuttl Workii Tonutrnrtiun ramit
Application is hereby, made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal
System at:
;,ot #%, Sandy Valley Rd. , Marstons Mills ; DIA
................................•--.................-----........-•----------------......•--.-••-• --••--•---...------.....................••--•--••-----....-•••-•------....--•-•-....--•-••-•••....
Capri .......................................................................... .....................................................................................-------------
W Steve 'Lebel Owner Address
..................................Inst'..'er.....---.--------.....................--- -••---------------•-----•-----.--....--------d -••-........._....... q:----
� Installer Address
Q Type of Building Size Lot............................S feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
No. of persons............................ Showers Other—Type e of Building ranch - 2
P� YP g --------•------------------- P ( ) — Cafeteria ( )
a' Other fixtures ............................
Design Flow........55...............................gallons per person per day. Tot 1 daily flow........3 �......................._._._ ions.
W Septic Tank—Liquid capacity1000 gallons Lengt i j, 1`� p east
1$ Widt15!..... • Diameter De tO.............
x Disposal Trench—No. .................... Widt ....._......._..... Total Length_...._ Total leaching area....-.. ... sq. ft.
Seepage Pit Nol................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( )- Dosin tank ( )
Y
Percolation Test Results Performed b Eldredge F,ngi...rieering. ..._......... Date 11. .-25-81
----- ........ •. .... ........... .........•----- ...... ............. ...
a 2.0 p p 12 p g� one encounte�-
,� Test Pit No. 1---- -------_-.minutes per inch Depth of Test Pit................... Depth to ground water;_._. ..__._.-------_-.
Gi, Test Pit No. /_A..._.._..minutes per inch Depth of Test Pif11IA........---. Depth to ground water. Iti.............. e
----•-----------------------------------•--•----.....--•---•---............_......_..-----•---------.........................................................
0 Description of Soil......... '_...-..2"._. loam & topsoil
----------•-•------------•-•--------------------------------------------------
x 2' - 10• Ty'iedium dell__ow sand
---•--•------•----....
W 10' - 12' med. white sanditraces of -grave trio wader. at...12'
x •-----------------•-•--.....------•-•---------------------...••---------•--------------.....-•----......-------------•------•---•-•••----------•---••--------------••-----.......-------•-••-•--•--.....
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 LITIIS 5 of the State Sanitary Code—The undersigned furtheragrees not to place the system in
operation until a Certificate of Complia a has n4ssued b the b ar health.
�Si ne . . .--•-•-----Pz'e.._. 2
9l_..../. .. ........
ApplicationApproved By...................` •. . .......... ..................................................... •--
Date
Application Disapproved for the f o i reasons-------------•-•-------•--------•----•-•-••--•-•-...........---•-•------....-•---•----...._I.........----•--•.....
--------•-•-------------•-••-----•-----•----•-----...---......---•---•-----••-------------•-••------......-----•--•-----.....-•---••------•--•---•-•-------•-----...-----=------....---••------•--•--••--
Date
PermitNo......................................................... Issued_........................................................
Date
No.. ._... .......� FEs..... �.. ...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
T ovm Barns t abl e
..........................................OF..........................
Appliration for Uhipoiittl Workii Tontitrnr#ion famit
Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal
System at:
Lot #36, Sandy Valley Rd. , Marstons Mills RIA
..........................•-•-•--....---.....-•---••----•---............._•--••-••-••-•-•--•-••-.. ......................-----•---..._...............----••--•---••-•-•--....--•--•...._......_•--••.
Capricorn R�ai' A `rfZst 765 Falmouth RcYE�IN :yannis
......................-.......................................................................... --.................................----•-•-•-----...-----•--•-••--....•-•-...........•--••---_....
w
Steve L b el Owner Address
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling— No. of Bedrooms. ........................................Expansion Attic ( ) Garbage Grinder ( )
Pk Other—Type of Building ranch............... No. of persons............................ Showers (� ) — Cafeteria ( )
Q' Other fixtures -----------------------------------------------•----•--••-------•-
w Design Flow..------55...............................
000 gallons per persQ i g�� day. Total�d iyflow........
. ........................... -p ;Pns.
WSeptic Tank—Liquid capacitI........_:..gallons Lengt ................ WidtH................ Diameter................ Depth...............
Z Disposal Trench—No..................... Wid V.................. Total Length.._... .1---------- Total leaching area.... sq. ft.
Seepage Pit Nol__.__._....,._...... Diameter.._..___.__...._ Depth below inlet.._............... Total leaching area..�.��.......sq. ft.
Z Other Distribution box ( ) Dosi n
.-4 1 Bak edde Engineering 11-25-81
Percolation Test Results Performed by...................... .... Date........................................
Test Pit No. 1.2 9 0._.____minutes per inch Depth of Test Pit ............. Depth to ground watepone eneounter-
/J 41,
y e cl
Gz, Test Pit No. ��!_A......_._minutes per inch Depth of Test Pitt..A......._.... Depth to ground water.__ ..............
...-•--•......................•----••-•---•----•---............s..---_..............._..............•••-••-----_._....•-•••--••-•-...........................
O Description of Soil.........0' _..?1 loam & topsoil
x 2 i� -------medium-y61-Yow sand----------------------------------
�, 12,------me6----whi te_-_sand/traces---o f---gavel/rio---water---at---12'
----------•---------------------••-•-••--•--•-•----•-•----•--------•------•----•-----------•---••-------••--•------••-•-••------•---••--•--•-------••-----••---------------........--•-----...--•-•---•
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 TITIS 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 board of health.
Pre: 9/22/8
Sign. .. :..-•---------------------•------......------......------•---....-- ........... ••------ .........
Date
Application Approved BY '•*_.-.' = -�-'� .
Date
Application Disapproved for the f o,.l wi reasons:-------•--------------•--------•----•-----------------...-----•------------•---•-----------------......_........
---------------------•--------------------•----••-•--...------•-•----•-----•--•-----------...•---------...---•----•------------------------------....----••--------------•-••-••---------••-•---•.._.....
Date
PermitNo.......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........To n..................OF.......Barnstable
............................................•------•--•----....
Tntifiratr of Tompliatta
THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed or Repaired ( )
Steve Lebel
Lot ;r 36, Sandy galley Rd. , Install
e{Rarstons Mills , I:,A
at.. = 1
has been installed in accordance with the provisions of T ,TIF r of The State Sanitary Cod s cribed in the
application for Disposal Works Construction Permit No3' ,7----------------- dated-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS . GU ANTES THAT THE
SYSTEM WI FU CTION SATISFACTORY.
DATE.... Inspector.... ..-- ..............................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
3 5�y� Town Barnstable
N ...._..._�... --.. ..........................................OF....................._......................... FE0/1- 10................
Difipwi tl Vorkiiion rnr#ion anti#
Steve Lebel
Permission is hereby granted............-....----------.........----•--•--�--.....----------•---------
•-------..._...._.......................
........
...._..--•---...._..
to Construct r Re id a. ewa Di osal S stem
C.<< : ) ' Py> fl '�'�i �, iVlartonsyMills , i;l�
at
Street
as shown on the a plica ' n for Disposal Works Construction Permit No___________ _____ atefl' �_t��*�...._.__........_..
� /2 �� � ................................ ----•. ............... -----------------•-•-••----
Board of Health
DATE../--------------------------------•-----•-----•---•-
FORM 1255 A. M. SULKIN, INC., BOSTON
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�l LOT
EXISTING SPOT GEl�EVATION Oxo .I ��—� a/ - C- EWTIFIED PLOT PLAN
„�. ���OF MIAWIN
EXISTING CONTOUR --- 0 --- ".`� spy\ /_.o7 36 s'l4NDY UAL�Y 7zD,
FINISHED SPOT ELEVATION ROSERT �� ��)f1rS-Tv �S M � L_LS
FINISHED CONTOUR 0 ��ucE
ELDRE /. Ln N
APPROVED = BOARD OF HEALTH
DATE AGENT " "� SCALES / " = 30 ' DATE, 912 �)13
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LDREDGE ENGINEERING CD. IN CLIENT r/?A-/yco i CERTIFY THAT THE PROPOSED
EGISTERE REGISTERED JOB NO. 9 3 2_SL BUILDING SHOWN ON THIS PLAN
CIVIL LAND CONFORMS TO THE ZONING LAWS
ENGINEER SURVEYOR DR.BY= A '� �' OF BARNSTABLE $ MASS'. -,
CH. BY= - ,•
712 MAIN STREET
HYANNIS, MASS. SHEET—/ -
OF DATE " REG. LAND SURVEYOR
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