HomeMy WebLinkAbout0156 SANDY VALLEY ROAD - Health C
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d'N S WAGE PERMIT NO.
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ILLAGE
INSTA LLER'//S NAIVE/ i// ADDRESS
d U I L D E R OR OWNER
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DATE PERMIT ISSUED f
-�KDAT E, COMPLIANCE ISSUED G� �y
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No. . ...":: + .i° Fps...... ��.........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD . OF HEALTH
Tovm Barnstable
..........................................OF...............::......................... .............................................
.
� S ApPration for Diiipoott1 Workii Tonitrnrtion "permit
Application is hereby made for a Permit to Construct (x ) or Repair ( ) an Individual Sewage Disposal
System at: Marstons Mills I-,!A„ot 7'16, Sandy Valley Rd. ,
..--•....................••-----•--•----•--......-•-•---•--...--•-•--•-•••-•----........---.....-- -------•---..........----...-•----•--•---•---•----............---••------...-----•------=----.....
Capricorn Rb °��'d�ust 765 Falmouth Rd'�;°•Hyannis
•--•.............•--------....................................._........-----------•---•-•..----• --...........-----------•--•---•---........-------•-•-••-•-------......------••----•-•---••--.....
w
Steve L bel owner Address
Installer Address
Q Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms._...............................:........Expansion Attic ( ) Garbage Grinder ( )
PL4 Other—Type of Building ranCl?.............. No. of persons............................ Showers (2 ) — Cafeteria ( )
a' Other fixtures ---------------------------------------------------•--......----•-•-------••-------------------------------••--------........._------...........------
w Design Flow........ --•••••••••••-- 000 gallons per perswq i day. Tota,�l 16 flow._._.....33Q........................5gZlons.
bit
WSeptic Tank—Liquid capacity............gallons Length................. Width_._............. Diameter._._......__.... Depth .............
x Disposal Trench—No..................... Widt r................. Total Length......- .1......... Total leaching area.....
_ . sq. ft.
Seepage Pit No l.................. Diameter..... ............ Depth below inlet.................. Total leaching area...���........sq. ft.
Z Other Distribution box ( ) Dosing�tandkr8de Engineering 11-25-81
Percolation Test Results Performed by._.....1411.................................. ... -_ ---- Date........................................
a Z.O 12' Inone encounte
04 Test Pit No. 1.... ...........minutes per inch Depth of Test Pit.... ............ Depth to ground wate .._____..._.._._._.._.. —'
Li, Test Pit No. .............minutes per inch Depth of Test PitTV A._.._..._.. Depth to ground water__rJ� ............. e
RS ------------------ -----------,.-------•-••-•-•-------•-•--•----..--....-----------.........----..........__......•---....--
O Description of Soil..........�T__ — 2, -.... loam & t0 soil
n ------------------------••--------------------------------..._...--•--.-----
x - 1(3 TVi&diiim ye -1--ow--sand
1.0.T...._. 1Z-1 med_:---white...sdniid/races 6f---graver/hd---wEf&r-at-- 12'
-------------------------------------------•-----------------------------------------...----------.....---------------------------------------------------------------------.....----------•------------
V 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance s been issu by he bo d o i lth.
.. .. fie s.• -------
Application Approved ..... - ...................
Date
Application Disapproved the owing reasons:..........................................•--•-.........------••----------•-•---•-------._......................
................................... •--------•--------................---...................----•---.......--•---.............................................. ---------... ..........._
Date
PermitNo......................................................... Issued......................:.............•--•--------•-------
Date
3 Fss......`2� ...........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
.. ............ ....................OF...........................--...-........--------------------....,-
A;iVlira ion for Uiipuaal Workii Tontrnrtion ranfit
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
System at:
Lot #16, Sandy galley Pd. gMarstons Mills 1+iA
.............................................. ----...--- -•-•-------...--------•-•---•-•-•.....-•----•----...----•-•-•-------••--•--•----............--•-•-
Capricorn Re°a y drust 765 Falmouth Road;°*Hyannis
:.......--• ................... ................. •---
W Steve Lebel Owner Address
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms..3.......................................Expansion Attic ( ) Garbage Grinder ( )
p., Other—Type of Building ;Z4nPh.............. No. of persons............................ Showers (2 ) — Cafeteria ( )
a Other fixtures --------------------------------•---• ----
Design Flow........53...:..........................gallons per person per day. Total dail flow---------IN...........................gallons.
WSeptic Tank—Liquid capacitvl.000-gallons Lengtl�_�.6........ WidtA..... ��_. Diameter................ Depth ...s.......
x Disposal Trench—No. .................... Widt .i.................. Total Length... �._...._.. Total leaching area=...... ... sq. ft.
Seepage Pit Nol__________________ Diameter--_- -___-___-___ Depth below inlet.... ............ Total leaching areax266__....sq. ft.
Z Other Distribution box ( ) Dosin $ank ( )
`-' Percolation Test Results Performed by ldredge Engineering Date.._11.-25.-81
Test Pit No. 1.2 a0..._._minutes per inch Depth of Test Pit..1`2............ Depth to ground watePone...e21COunter-
44 Test Pit No. ��A....__._niinutes per inch Depth of Test Pi . Depth to ground water_���.............. eaa
---------------------------•---•---•-------•------........-•--•-•--•----.............::.--•---..............................................................
0 Description of Soil.......... — 2' .---_-loam &_.topsoil.._____._
x 2; ---- 10' Niedium rello_�a sand
10 12 med. white sand traces of ravel no water at 12
W •••-••-•---------------------•---•••••••••--•••••••---•--•••------. g...................................................
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 TITL E 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-s ------ .. ----
-""r y� Sri . Z s od'3
Application Approved . --� •... ....... ...... .........
Date
Application Disapproved f he lowing reasons:...............................1..............................................................................
...................................... ..-----•-•--•-•--•--......-•••----
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town..................OF......Barnstable ,
..................................................................
Trrtifirate of Tomplittnrr
THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed (X ) or Repaired ( )
t e ve L e bel ---------------
Install
at........................ �r "'a�?d�_........le far s t..n s . i,�A L of '-- • Rd.., Inst•-•- ---o ...............l Millss - -
has been installed in accordance with the provisions of TI Ly 5,of T e State Sanitary Cod s,c • ri ed in the
application for Disposal Works Construction Permit No.__:.... ."j�_. ..._...____ dated_'��..,_�_'.. .... r� .................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTIO SAT fS-IgACTO.RY.
DATE.............................�� � ...................... Inspector.......---/`- ...........................................................
r
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
...........................................oF.....................................................................................
No. ...1..'. FEE................�.....
�i��o��tl ork� �on,�tr�rtion �Crrmit
Steve Lebel
Permission is hereby granted -•.. ..............•---•----
to Construct ' , or Repair ( ) an Individual Sewa a Disposal System
at No.....Lot '1 6� candy--iallyd. r._..... Varsaons Mills `''A-------- •---11 - ..........
Street
as shown on the application for Disposal Works Construction Permit No.._.... ated.�.���__.... .......
......
-----------------•-------•_-------- /f_-----------
••------------------•----------------
oard of Health
DATE..............................................
z.
FORM 1255 A. M. SULKIN, INC., BOSTON
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Fsc/�NALEw �C-C,'3 1978 BY
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41
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EXISTING SPOT ELEVATION OxO JpA��°EM�ss� CERTIFIED PLOT PLAN
EXISTING CONTOUR --- O ROB � sca,ir�y E� Zp.
FINISHED SPOT ELEVATION �"`� L_v7..
FINISHED CONTOUR 0 � ` aRucE /i7/� T�5T0 /VS /1?lG_LS
i;- ELDREDC�
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APPROVED , BOARD OF HEALTHrf �� ¢ �t •` �A
L) 51i
DATE AGENT '�<` SCALE, � = 3O' DATE , /0////,'3
lVLOREDGE ENGINEERING CO. INC? CLIENT47�A
I CERTIFY THAT THE PROPOSED
EGISTERE REGISTERED JOB NO. 93� BUILDING SHOWN ON THIS PLAN
CIVIL LAND CONFORMS TO THE ZONING LAWS
ENGINEER [SURVEYORDR.BY, '�" 'A '�' OF BARNSTABLE, Pv9AS$.
712 MAIN STREET. CH. BY, n '_ /-Z--,/-.j �� '/'��,j
HYANN I S, MASS. 3 ___.
SHEET OF DATE REG. LAND SURVEYOR
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