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0418 SANTUIT-NEWTOWN ROAD - Health
418 Santuit-Newt(o wrx, Koo Marstons Mills A= 030- 131 1 B a - -;2 6 S LOCATION E IN A G E PE R M I T NO. VILLAGE N S T A L L E RAH:N AVLJ�: KHOE ADDRESS R �50,Walrnit Sir@^a -West Barnstable, Mass. 02668 8 U I L D E R OR OWNER 0 -e OA T E P ERMI-T ISS E 0 DATE COMPLIANCE ISSUED L r THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .................... ---•-----...OF..._..........................................------.._...----------------------•-------- ApplirFativaa for Disposal Works Tumtrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal ,#4ystem at S.r�!x�.r�.�:.r..-,r✓e.c�T w�✓........��1 =----- ....................................... ----------------------------------�-.---------- ' `� R....'``.!i I g Location-Address or Lot No. T...�. .�.�.....�.�P_.�.:L?. ...��__ ,r �.�9.,�'./x......�aL:----�19..T Own Address a ...................... .. ------------.............------....-- .................................................................................................. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms___....................................Expansion Attic (NG) Garbage Grinder (Yl) pa., Other—Type of Building -------- No. of persons....X%................... Showers (/ ) — Cafeteria (M) 04 Other fixtures ------------------------------ -- . W Design Flow.........3._q........................gallons per person per day. Total daily flow.... _ ....____._._._______._..gallons. WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---_--------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.--•---•.................••------•--•-----•......---...------------•--•- Date........................................ aTest Pit No. I................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........................ 04 ----•-----•-•---••--•---•--------------------•------•••---------------------.._..---••-•-------...._......................................................... 0 Description of Soil......................................................................................................................................................................... x V .-----------------------••-------•--•-----•----------•----•------•-•--•----•-.......-•---.......-------•-•-•-------------•--•-------•----•---------•-................................................... W ----•-----------------------------•------•---------------•--------------------------•---------------------••--•--••••----•----••-------------.......................................................... UNature of Repairs or Alterations—An�wer when applicable................................................................................................ ............................... .....1 _--------------------- ............................... .............................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITx!Z- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een issued by the board of health. igned. = _ . / to Application Approved By.... ...... ....... ....t7.-_a '.. Date Application Disapproved r t following reasons:................................................................................................................ ..........................•-•---------•--•---------------------...---•--.....----•---------•------.....-----------------•-----•-•---•---••-•-.......--•----••---••-•-••-------......................... Date PermitNo......................................................... Issued....................................................... Date No.b .. S ... FEs. ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................ ... ... .....................O F..........................---...............----------------..............-----........... , pphrFation for Uispwi al Warks Tnns#rurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ��........Rd...... ....................................................................._........__.................. Location-Address W Owner Address ,., -•------------------- .... .... ..................................... ••-----•--•-••------•--••••----•---•------..........-•.---....---...-•-•--•-•---------.------.---- Installer Address UType of Building Size Lot............................S q. feet -� Dwelling—No. of Bedrooms._....��.................................Expansion Attic (NG) Garbage Grinder (f''II 44 Other—Type of Building ._W_Q-_D._--1 ------- No. of persons.... ,?.................. Showers ( ) — Cafeteria (NCB 0.1 Other fixtures ................................................= ... W Design Flow.........,,, .0........................gallons per person per day. Total daily flow...._ .r.. gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... 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........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+ -------------------------------------------------------- •-------------- -------- •-------------------- --•---------------- ---------- ------------------•-------•. 0 Description of Soil.................................................................................................................. ..................................................... x V .........---•-•---•--•--•-••--------••-•....••------•-•-•--••-•---••••-----------•-•........................•-•--•-•---••-----••---•••---•--•-•---•--•---•-•------••---••-•------•---•--•--------------•- W 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 iITIZ, 5 of the State Sanita Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een issued by the board of health. } ti r. _fined_. . '--r e:-r, t - --:..... "'7 .' e . Application Approved BY.....,..---•-�-•�. c=s�------•---------------------------------•----...-----......--- -----=�----�":r��1:��"'-------- f Date Application Disapproved f 'nth f ollowing reasons:----------•---•---- --------------•-----------------•------------•--•-----------------------•--••-•--•---------- ....................................................=....................................................................•-•-----•-•------•-•---------•-•••-----•--------•-•-••--...-------•••-•------•-- Date PermitNo...................................... ................. Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS . BOARD OF HE LT; ./0"M..........................OF.....G!'��...... .............................................. f Tatifiratr of Toutpltanrr T %S� TO ERTIFY, That the ividual wag isposal System constructed or Repaired ( ) by.. ` ....... -------- .........f- ` •. -----•------•.....---•----•----------•----•••-•-----•----•-------•......................... Installer has been installed in accordance with the provisions of TIT1Z 5 of The State Sanitary C�/d s d seed in the application for Disposal Works Construction Permit No.___ .... ..._....... dated.._ ....................... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................••--......_....--•---•--......-----•----------...------...... Inspector..................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BQAR OF H ALOT r Gt�titi� r �s4........................OF................................... .......................�. NO..A..N............... `` FEE........................ Roposat orkiiinn rt Ilan anti Permission i _ ereby granted -tem ------------------------------------------------ to Construc or epair ( ) l In iXi'dua Sewag > po ys � ...at No.... --.....4 ...... . Street �/ f/ as shown on the application for Disposal Works Construction Permit No.�a__�SDated............ . !.. -....... A,;t:;a•.. L y --�...- ---�----fir----.�- ---- -- -------------------------------- DATE --------- � % r of Health --------•••---•••-•-•-••..... ��•�1 ................... FORM 1255. HOBBS & WARREN. INC., PUBLISHERS * F K Of 3 S 4 5.F' ck TAC eEf P_ h - o sum /a bti A a 9 ,V' C7 y ,4 cz s oG TEST - �� ` /35 + a p :cb P-° &ACH. N510 S ,SOD 39 LEGEND ,1I19YING DPOT ELEVATION 0.0 :,., ��c� OFMgs CERTIFIED PLOT PLAN �19TING CONTOUR -- p — ���. snLa 6 _ o ti / 18HED• SPOT ELEVATION . � .�. . ALBERT 7 sA/V O T �NISHED. CONTOUR — 0 o A. A4,1 R 5TO /s /41 OVED BOARD-- OR- HEALTH �Fc,sTE�� ��� - IN -- , NAL DATE - AGENT SCALES / _ _-40 DATE, )?EDGe ENGIAIEERIA/Q CQ -Fl-.v o p CLIRNT �__ i CERTIFY THAT THE PROPOSED �18TE REGISTMED 82c� Cldtl LAND O® N0. 4.2-07 — BUILDING SHOWN ON . THIS PLAN 13VDR,QT� �_, CONFORMS TO THE ZONING LAWS : OF BARNSTA E, ASS. 71-2 MAIN STREET,. .. CK 1:_ HYANNIS,, MASS. 05 9. SHf�ET OF ? DATE 0. LAND SURVEYOR 2Q' FT MIN. n .1r'OTE /.� E/ TNSR :sa:=S=�.�O -qN. OR. /_E�4Ci,�iNG P/T ARE MORE TNA:`/ /2' BEL0P) /D•RT:;MIN tl . I s.RA OE, A 24 oV 1A W E TER Co VCR E TE C'O 9P ( APOU GNT TO 4,TA DE f,jSiALL BE —CCNCRtTE i V� R/pr f h'EAYy CA ST /RO/Y G�l/ER SN-� !_ [3E US E LONERS � �9 PER PT. '' S} I F/N DR/✓E JwA y f A�'.a _ �RA o E BAST 5 a o :�'' �= •�`°�� � ire --�-B lRaw PipE /p 4919 G,�1 L r • . . . . /►fjAl.:Pf7.lr#1. O/S7'. o r e jyASHFO ST✓NE t t V4 1,Pta fT SEPTIC .. TANPX , b • • « • . . r r ,�. . ASOJX o • r •18 • • • • • 1 • • , ' ♦ b r ► •EFFECT/VG � • • , 3�4 - � r2 e 1 • • O�`PTH • • • • o . WASP-FO STO,YE . 31-7 'G D • e• • r • • • • • • • r b ••a PRECAST SEEPAG E • •• r • • • • • • r o ?/7 DR EQU/V. lNYGRT CLRVAT/ONs 78:5 x 0 s:3 �5 G/p • s EL- 9a,o -a F4c5TT- INVERT AT•"1AJ)pVev - OFT Prr cAPitc Irl 442 G/'D G D/AM. • /� FT O/AM- � C(SEETADUL4TJO.N, OrJTLET SE*PT/C TANK 9f3.6 Ft INLET D/STRlBtlTlON_sa 4'F7 SECT/C/V OF GROUND ) tTER TAaLE ! 0V;1. `'TD.I37 o/T/ON mx 9 ' FT INLET t&ACN JvG .FP/To FT SEWAGE O/SPIO�SAL SYSTEM. . Tip 9UGAT/ON L E.ACH/NG P/T . 3 SCALE,:. D/MEN.J/0/V A I=T. DESIGN CRtTERI.t: DINFn�s/ow Nt11NDER.OF-BEDROOMS' ' '3. D/MFNS/ON C—�FT. �"'�" I G�'rRa,4GED/SPOS.4'L'Uy/T N LNG SOIL LOG• (SEE t�6J � FaTAC E.=TIMATEO'':`:FLOHI 3 G.�L:�DAY. SO/L ?EST�M'/ SOIL TEST 2 SOIL TEST �YUMBER:G�'4_oAcmimc- Avrs— L ECEY /4 3-1 ELfY, DATE OF SOIL TEST. SIDE LrACHING PER P/T .S4t .a,T. S EDTJY f O 3 RESULTS i�//TNESS 9oTTOM LFSICi1/NO psx ................7�'. f'ERCOLAT/ON �IRTE / LGsS LoaF �►-► ,* ^2I/v,/,wcx TOT.44 LEAC/t�//1�G �RE/�.: Z 6 SQ FT,. AE.lCOLAT/ON RA E 2 Tf '� r� I+�/N, INCH Sv/3s'0 /G: RESERi/EGF1�G`i/INQrAREA .SQ FT....777 3�-� �� �IaIE:,CotSf' T TO C7�AvPtT� Fbu� FEET M C� I (C3/✓1 OF IEACHItJh PIT t k1suQE tii0 62cu0 Q 1 tM� ��HOFMAs. SIN'>� Aft 7-0 7- .?its, . +♦i�' �F,� s♦� W i Eft P E ti►r L 0 T { /zS7lc�n/s SE� No.ios5i' o�e EL ORE©GE ENGINEERING CO,/NC. ♦�I>,T.t��!' o� G r s T E� 7i 2 Mil/N S T. , y YR�clNiS, tity�r� . l 1 :' Ap:sY^'" Fss_/ONA1-,�' Q NaG�OfJNJ: YY�QTC�4 E/VCOUiVTE'R�o CAAFAf : Fl-LoOo DArE� �s /9 8 Q GI�.O:U/VO 1Y�i.a 7ER AT ELE✓ _ 106 /1/O,• g 2 U 7 2 .SNEET OF -Ij.......... 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