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HomeMy WebLinkAbout0301 SANTUIT-NEWTOWN ROAD - Health c v/ L&CAT ION -� WAGE MIT N0. `l lam oU/ 7� 147 VILLAGE _ aYsi INSTA LLER'S NAME & ADDRESS B U I'L D E R OR OWN� R 4 I/I rat 6z 4r t/-� DATE PERMIT ISSUED DATE COMPLIANCE ISSUEDC f s,. d �.� �a .�! �. a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT ..0.. k._.....o F a.. .. -------- Apphratinaa -fur Biiiposal Works Tomitrurtilln V, rrufil` Application is hereby`made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: , .............................. aT-�/oX....................................... L tion.Address p; or Lot No. ------ - � _�E.�z��:_._' �+ Owner �����Q>c'�'�p Address a A�iPft°..... �..�1s% .................................. ........................................... o u�¢ r1 �--� d l� `: Address�i���'G �C�Installer "L J Type of Build' Size Lot._ !..e,_& .....Sq. feet U Dwelling—No. of Bedrooms------i. .................... ..._.Expansion Attic ( ) Garbage Grinder ( aOther—Type of Building ...... No. of persons...:a..................... Showers Cafeteria ( ) QOther fixtures --------------- --------------•---•------------•----•----------.--------•---_----- ----•-------•-••--------------------------------------. ----- Design Flow-_ -_-__ �..........................gallons per person per day. Total daily flow...... 0._!-.................----gall ons. W Septic Tank t—Liquid capacity/-OOdgallons Length................ Width................ Diameter ------- Depth.__..-__--__--- xa Disposal Trench—No. :.................. Width.................... Total Length--_______-___--_-.- Total leaching area--------------------sq. ft. Seepage Pit No...._...../-........ Diameter__Aa'o---_- Depth below inlet....... ............ Total leachin area.---_-.-_-.----.sq. it. " Other Distribution box ( ) Dosing tank ( ) — �,fj� G /t / — 74 a Percolation Test Results Performed by---•----------•...............................••••...........-----•--•---. Date----•--------------------------- d Test Pit No. 1----------------minutes per inch Depth of Pest Pit------.............. Depth to ground water...-- ------ f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------- --_Ix .. ..... .......................... . —/ l- xescrtptio` f Sp>1--------�-�..--- ----- -- ------- --"'---•-//---� ------ - --- --�•--- -- -- --------------- --- ------ \/ if �awp) ature of Repairs or Alterations—Answer e...__._______--------------------------------_____________ __ ______ ______________ __ . o --••---•-------------•----••----•-•-------------•--------•----------------------_-----•---•-----•-----•-------------------`--------------------------•-----------•---•----•------•-----------..---... greement: e The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with ° he provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the syste in operat on until a Certificate of Compliance has been issued by the board of health. ^ROT irJ via Signed. Date PPlica 'on Approved By---- . %, •y 1 '-7....................-----•-•--- _- Date plica 'on 1a/ \7 .. ••_. .. .-•--••......-"...... "".... -- -••----- •-----• ...................... ... .... --•-- ---.y^;-Cc. ---- - ate--•--••-•---- 22 t. Permit No...............................................+...... Issued........................ Date 1 .......... FEs............... ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . . . .....,.OF..... . .. ... ..f............ . � - � .���lirtt�iun :fur �,�-i,��lau�tl ork� Cno�t��.rixrtiuu �Prmit Application is hereby`made for a Permit to Construct ( ) or Repair' (' ) an Individual Sewage Disposal System at �._.1 --------—!-'------Q,--`t! . ...................................................�e7Jl. ------------.-...------••----------. ` L n-Address N �7 ._�� _j*V10..... ---------------------------------------- � ..... el ..r4_ • :..---- Ow ner Address W ----�'-4�='-=-----c,�tsTut�c:r-�u_tir-----------•----------------------- .................................................---------------�".v""E,rcvsLd.�'......................-...................... Installer Address d Type of Building Size Lot.% -ACA-e------ feet U Dwelling—No. of Bedrooms----- -------------------------.Expansion Attic ( ) Garbage Grinder a —Other—Type of Building __,14p!�C_____-- No. of persons - - Showers. Cafeteria----•---------------- (�„) ( ) a Other..fixtures --------------- ------------- W Design Flow_ ..._� _________________ gallons per person per day. Total daily flow...... G?__9-- .-____-_:-..--. --.gallons. WSeptic TankV Liquid capacit��.__ gallons Length________________ Width---------------- Diameter-------.-------- Depth................ x Disposal Trench—No _______________ __ Wili-------------------- Total Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No---------;1 __ .___ Diameter_ _ Q'a______ Depth below inlet___________________ Total leachin are t.._.._.__ ____..sq. ft. z Other Distribution box ( ) Dosing tank ( ) w 0 j ,e' -:- J-4— /7 _ 7 aPercolation Test Results Performed bY--------- -----------------------------------------•-----•-----------•---- Date--------------------------------------- a Test Pit No. 1................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........................ --• r ---f� -•---•--•----- 10----y— / .f_ f .v �^ ---- ` ----------•- - 7 of Sp;----M'- '# ' . _,,�, G (� ''�'a^ At#tGt'. ' -� #`-mar---- . - --- Description U Nature of Repairs or Alterations—Answer when applic le......-----------------------------------------•.........._ .__r..____...._.._.____.____.___... ----------------------------------------..........--...........................................................----------------------------------......................-•------------ ------------ 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 issu d by the board of health. � ' - Dac Application Approved BY f `-' --- .... •---._. .--�---....---..•.--•.----•----•-•--- ---�p ---- ate Application Disapproved for-the following.'reasons: :... ------------------------------------------------------------------------------------------ _..._...••-•••-•-••-•••-•-•••-------•-•••-------••----------•••--•••-•••- ------------------ Date PermitNo......................................................... Issued........------------------ ............................ Date THE COMMONWEALTH OF MASSACHUSETTS '401 Y ��� w BOARD,�F HEALTH w-�d 4 f......a?...... ........OF...... 1. G.t �; .......................................... ...... t 01rdif irair of f�umpliana . TI�--S IS T E YhFY, Tha lfht Individual Sewage Disposal System constructed ( '�or Repaired ( ) -by ` � f - == I---- _ ----- --••------- .ns ller r � at_... - f �} �` ° '"�;d /�1 t sy, r G 1�L-••t---_ # l_fj _ has been installed in accordance with the provisions of . rtle XI of�Tlie State Sanitary Code as described in the application for Disposal Works Construction Permit No.� ° .._.; , ;? _____________ dated°:..__ :__�, :-- ----_-_ THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUE© AS A GUARANTEE'THAT THE SYSTEM WILL F CTION SATISFACTORY. DATE - Inspector__... ------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD�OF" HEALTH } ............. ....."'�`.. .,... ..OF '"... &r""c No. FEE./ .�».. • �i��u,�tt1 urk,� � � u��rur��uit �rrmif s= ------ Permissionhereby granted ... !!`== f + ------------------------•------ to Construct ) or ep r . an ndividual Sewage Di�'ossplj System .� at Street as shown on the application for Disposal Works Construction Perm it Nor.._-_ ____ D ed-_ ---- .�_.__ .... - --•• ..= * -mot Board of Heal h DATE.....-------------------------------------=--;-------------------------------.._. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ' It .42 0.0 jT ' q OG �t i00% � � fr � `✓ f 7 y Icp � 15 i9 `DU : �y, � ��Q V�� J' .28• � 10' �' u5 F U�� L� f ar 00"� 14 :.�I! /�/f�/ YY —'`.`.-�k .P�^ � $.•5 -'s:a i '_. to .'A 66 .w ;I,I/4 CERTIFIED PLOT PLAN .SA OT lw.4,. ) /� /�A, 2,5`/1 ROBERT LQ7'" -/p�r"L./'7/Y BK- P6.2,9; NEW CONSTRUCTION ONLY BRucE , ELDREDGE H IN TOP OF. FOUNDATION ISM FEE •` ABOVE- LOW POINT OF ADJACENT �F�� �.�°� S.�8OM �S A c del S ► tiw. E ROAD. tgNU su�"`'i� ,l SCALE: ; =S0 DATE y/1� -77 s ELDREDGE ENGINEERING MIN CLIENT 60!/� I CERTIFY THAT THE x SHOWN ON THIS PLAN IS LOCATED" EGISTERED REGISTERED JOB NO.,e5889R ON THE GROUND AS INDICATED AND, CIVIL LAND CONFORMS TO THE ZONING LAWS { ENGINEER SURVEYOR DR. S•J OF BARNSTABLE ASS. 'Y 33 NO. MAIN ST 712 MAIN ST. CH.BY _ VD �� SO. YARMOUTH, MASS. HYANNIS, MASS. SHEET�OFF A E EG. LAND SURV YOR'"I ,E lik -P�..� .w. :1:.. .' n ._ SAa ++�.-1'�.:fdT�i .:.Y 'i♦ 4 r3n'" ' a".'..x .'. ... rr. s . .h•..: fu. :'1.iv. �... h.: +YG :T...:`: e.�•:a ,.. ,v�Yn< .1Sw .F:. .Y- Yc.r !'s RUYi? '.I�'. ..:3ii ..:+w. :' __ t ,-. :,'. -x..'. . +:•.r,.... ,.. i r"':.., d.�.:,a. _ 4£. _d:�' _ .z +c .,u i;'-o.. «fir-o^.'.>' .z:— t- .,�"."#;.' -�. .. a. -.. 7..,.. „-.. , :,n... ,,.y..�S.,,u.: _.,g, r*•.:�xP'. .;� ,�*':.- �.�.. e.., � .�-.: . t ,.,g. x 20 FT MIN: a 10 FT_ MIN. - �Gt�.o . 4" .PVC PIPE CLEAN SAND CONCRETE MIN PITCH — F COVERS i/8" PER FT / CONCRETE7 . 10�� fCOVER t . A °. .. ,4. - �. LIQUID LEVEL 4 4s,.CASr r, ,. ii , ,, �.� . 2 LAYER OF 1/8 — 3/6 �.� IRON PIPE , � � �` � � ,�� • .4. . . . � °° ° WASHED STONE a MIN +ITC}� ° o • .I. . . . • ° ° 0 ° SEPTIC TANK DIST. !/4R Fr. S BOX s ' • •I EFFECTIVE' ' 3/4"— I 1/2" 0 too DEPTH • . . . ; ° WASHED STONE too 0 selfPRECAST SEEPAGE .. d o • • ! . • • • • o. . PIT OR EQUIV. . 1 PINVERT ELEVATIONS ' _ .; OIA. _7T r .. ,3,. Ip Ft p}A C {SEE TABULATI0 INV�' AT @UILDiNG .:AFT 'I INLET' SEPTIC TANK ,9 FT. _ GROUND WATER TABLE OUTLET SEPTIC - TANK FT. SECTION OF' lI !N T- DISTRIBUTION BOX �Cu_r_fT. x; T DISTRIBUTION eox (: FT SEWAGE ,> DISPOSAL ,r SYSTEM OW �ET 'SWAGE PIT 6.�6 FT. SCALE: . l/4 = / —D TABULATION DIMENSION . A 3 FT DESIGN CRITERIA - DIMENSION B 0 FT NUMBER OF BEDROOMS DIMENSION C—AFT GARBAGE DISPOSAL UNIT SOIL LOG SOIL TEST ; TOTAL ESTIMATED FLOW 300 GAL./DAY NU00itR OF SEEPAGE PITS t ELEVATION DATE OF SOIL TEST SIDE LEACHING PER PIT l$$.SSQ. FT. RESULTS WITNESSED BY 1 BOTTOM 'LEACHING PER PIT 78.SSO. FT. PERCOLATION RATE MIN/INCH Q TOTAL LEACHING AREA 267 SO. FT. RESERVE LEACHING AREA 2 b 7--SQ. FT. �QT�+ Rom. 49 # { RDBERT ► SRUGE WE"ERG rEL'DRED.GE i` , r Mo, �66 a ELDREDG_E ENG1MEERING�CO. ING 0 33 NO. MAIM ST 712 MAIN ..ST. MASS(i> T tiYA IS MA 5 YARMOUTH 3Mr , �.� "wi JOB N0�- $,,q1q SI°IE�T�Q!= � r♦ - -Y. - l.' y.._,p a 'AGy' - rj,.'. 4'"' .ti. ti;4...t .:¢.•.. T1 •44 -:�` - 1 aai - '.t:. ryr _:^y R;� p•y'tir•" yiy,�. �^`':wtF .t:..�.�, "�..+, :VIFY .'r rd 3- �. +.4 a a . �{�l Tr'vs:.�„�."ors."'.._.. T s ,2'�y`Fr ..,r3• t ... .. ..{y-..±r .. .. .. TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION s ADDRESS: U1 t,tJ c t/ MAP NO. 03 PARCEL NO. I 1 U OWNER NAME: ze. q- < < !/L` VILLAGE: 10),eJ 101VS /�nAl— .S INSTALL•ATION'.DATE: t"'"� / dJ' ! l '? BY:� ., ow h t/A."? t' ADDRESS.: , r ,_CERT.NO.( Y I 1 D` " - / TANK I'NFORMAT IVZ ., LOCATION OF TANK: i s 4 b lit . _ ri. t CAPACITY UC.�L7 �s4(TYPE CT _ AGE r/s�r i UE . L/CHEMI AL TESTING CERTIFICATION C ] PASS C ] FAIL DATE x. LEAK DETECTION C ] CHECK IFTYPE/BRAND7 ZONE OF 'CONTRIBUTION. C),(] YES C ] NO DATE TO BE REMOVED ��!Z:" FIRE DEPT. PERMIT ISSUED C ] YES C': ] NO DATE,,- ^' CONSERVATION C�] CHECK IF- N/A DATE BOARD OF HEALTH TAG NO. 0 ]C ]C JC ] DATE -. PLEASE PROVIDE; A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS. CARD ,x r . -•_,.s- -.: ...._kr✓..m. .^,�'..,. .{t .,. i ... ... :.:«.u.ML:4,.. .. k n..,._.a�, k'.___...., t. . .•a s,- .E ..., r. ... - ....... ,. .. . ._ .n _.. ^k:'. . _....-. i ---� r � �