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HomeMy WebLinkAbout0074 SASSAFRAS LANE - Health q n t 1 TOWN OF BARNSTABLE V LOCATION Ii7--I:t-3 �c,-Sfct.P 5f L u4 v►-c SEWAGE # VII.LAGE &CvtCT J ASSESSOR'S MAP LOT .INSTALLER'S NAME & PHONE NO. rib-Pig% J, /J�y° I A c©jl/7 /7 7 ( SEPTIC TANK CAPACITY ( 00 0 t-9`a LEACHING FACILITY:(type) i (size) NO. OF BEDROOMS °� PRIVATE WELL OR PUBLIC o WATER'`fJlt,'c., BUILDER OR OWNER ) -JA,CS t S DATE PERMIT ISSUED: �! DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No .. �. I � I •�1 4 S......... No...,Cf..q::.._1.6 Flns.......7 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --•.............TOWN..............O F.....BARN.S.T.ABLE.............------•-----------.....-----••-•--•...... Appliration for Disposal Marks Tonstration ramit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: LOT 34 SASSAFRAS LANE ................__......_...................................................................... ......................-....................... ..............._... •-•-----........-•---..... Location-Address or Lot No. ........... ............................................................. ................ e..---....................... Owner Address W ............................ T. l'.._ma's?4✓s ....................... & �>_.:q a Installer Address U Type of Building Size Lot2a,_000..k...Sq. feet Dwelling—No. of Bedrooms...........3..............................Expansion Attic (X ) Garbage Grinder (W '_l Other—Type of Building R5.5 No. of persons............................ Showers a YP g -------- - •'----•-----•................ ... ( ) — Cafeteria ( ) Otherfixtures .........................••••.... ..••••-••......•---••••-•••---••--••-•--••••-••-••--•-- W Design Flow.........................55.............gallons per person per day. Total daily flow.....--. Q..3. ..........................gallons. WSeptic Tank—Liquid capacity_100 Gallons Length 8.-.`5....... Width.4 t.6....... Diameter................ Depth...4.......... x Disposal Trench—No. .................... Width.................... Total Length-------------------- Total leaching area....................sq. ft. _ _ ,�_-Seepage Pit No..___ONE•••••-• Diameter.__.1��.......... Depth below inlet... �_`�......... Total leaching area... _R ...... ft. Z Other Distribution box ( X) Dosing tank ( ) a Percolation Test Results Performed by........UPPER._.QAPE..................................... Date..7/281. C........__......--. Test Pit No. 1................minutes per inch Depth of Test Pit.......--........... Depth to ground water........................ LL, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .............. •• . ............................. .... ---•-•......... O Description of Soil.... - T.��4 ,5._......_...Z.-.��..__L',CA 'r �l.z.....t"r --ry ..................... x 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 TI'L U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by the board of lth. Signed .. .. . ...... ... .. ------•- 9-13 - a ^ q_ Date Application Approved By----- --- --- ------- - •-.---------- --•----•-••------------•---------------------• --------•-•-/ 1 - -....... Date Application Disapproved for the following reasons------------------------------------------------------------------------------------------------------------ ---------------------------------- ---............. •----------------------------------- --------------------------- -------------------------------- .----------------•-- -- jK_7--- .....................................................Date „ Permit No.-- ........................ . Issued: Date —-------- ------------------------------ - - J 7S. THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH .................TOWN-.............O F.....BARNSTABLE..----------------....••••••--•••-...................................................... Appliration for Disposal Works Toustrurtiun Prrmi# Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: LOT 34 SASSAFRAS LANE ...........- _....._..•....................•--..........----•-•---•--•--•--...........••___. ..............................................-•--•-••-•-----.._...------...____..............---• T f17Lf Location-Address or Lot No. ...........JIM...Smul------------------------------------------------------------- ---------------------------------------------------------------------------------.......--_--- Owner Address W Installer Address Type of Building Size Lot2QitQ0.0_° ...Sq. feet ►.� Dwelling—No. of Bedrooms...........3------------------------------Expansion Attic (X ) Garbage Grinder (140 Other—Type T e of Building RESA____._._____ No. of ersons____________________________ Showers Cafeteria a YP g ----- P ( ) — ( ) Q' Other fixtures -------------•-------•---------- - W Design Flow.........................55.............gallons per person per day. Total daily flow...._.....330.........................gallons. WSeptic Tank—Liquid capacity...lallons Length_B3A_5______ Width._4_kC...... Diameter________________ Depth_._4_......... x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......ONR...... Diameter-----10......... Depth below inlet....3_a.r�J'_........ Total leaching area....18.7......sq. ft. Z Other Distribution box ( X) Dosing tank ( ) Percolation Test Results Performed by.........IIRPER...CAP.1. .................................... Date_.71 6/16_______..._....__. ,.� Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ fX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 -••----------••-----------•--••-•-•-..._......•••--••-•-------------------------•-•••----•-•----•---......................................................... 0 Description of Soil........................................................................................................................................................................ x V •..............•---•••-•-•---•-••------......__...........----•-•-•._...•-•-.............•-•.................-•--------••-----------•-----•--• ......................................................... W 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 TITU 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. Signed-- 1(c .............*.................... -------------------------- ---- ( Cr1 / Date Application Approved By------•�--= .::_.<-1 f{'�,.,_.s_S.5..._ .._.... *Y- 1 Date Application Disapproved for the following reasons--------------------------------------------------------------•--------------•---------------------------------- -•••-••........•................••........•-••-•-•-•------------••.......-----•-•----...----•-•--._.._...._......_...........•---•...--•--•-•----•----------•••-••--•-•---•--•-----•-....••--------•-•-•- Date PermitNo...... _�����-----------•-----------•-- Issued.................. ................................ Daatete THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................TOWN...........OF....BARNSTABLE................................................. Tntifirate of Toutplianrr THa IS TO CERTIFY That thg Individual Sewage Disposal System constructed ( X) or Repaired ( ) Installer at........ LOT.._.34..............SASSAFRAS...LANE..................................................................................................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......W=4l6-_2.............. dated_.tu�A/_RANTEE Tex-___________-_-__________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A THAT THE SYSTEM WILL FU TIO;N SATISFACTORY. ��`:✓ DATE........ Inspecto -_e.. �?�__ _ •-------------•--•----•. --..---ye____-----•-•----••------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF; HEALTH � rJ ..............OF...... ........ .._.. ... .. .. ....................... No.......(.....1..../.._.. FEE...... -Dispooal, Marko Tun: �luli_an rrm # �4'Permission is hereby granted........... P_. " . ... to Construct ..... (t_5 or Repair ( ) an Individuaj Sewage Di posal System at No.....A'0..�....Yoo...... 1 :. _, _ ! _. } ...... ._ -------- Street as shown on the a licatio for Disposal Works Constructio a it No....6.!___y� ated_._. _ . ..:............ ........ .... ....•--•-•-...••--__-- --•-•• .................... P�o DATE / ----•--•-•-•• __O Boar of �alth FORM 1255 A. M. SULKIN, INC., BOSTON , x' r 0 AL OPEN S i �MMR CO . 11 COMMM COM EL, f ��•`` Y� 4"6960 r 00 pv p vm//I"At7►fT �3 ��I aw to Btu • • 46 Slaw Ivvar NVlRT 'ra rj' EiGAtT IHVE7PT ... a S� i1ETAIC TAAK EL •67 �- 0T 1e c b 44 a- .• o lot w4-ow i vim~ �77 T a :; o ;M ws c AIr EL L9 PROFILE OF — NO Q%XM WA M TABLE , a SEP ITIC S YS TEM SOIL L OG _a n,77 , ,zrz y GENERAL NO TES r7T mxe • iz. c N 717--XZ � DESIGN DA TA x Mc�t are a000wat . :. TOTAL FLOW � � S fT. , - BOTTOM LEA AREA a } .. /j .,, _ t., E C 77.7 S�DIE''LEA C7ilki AlA SQ f L 0 T , , U� - 01 sox .foot. LOT 35 O AL LEA ARSA SOT T AfA1rID� PEJ'PLM A TXW RA 1F w wr_,,� �lnwROPOSE , {L r :.) <. v. :4#"4 .�..`..'xe.' Y� � ..7�::•CRA..."` 3 y=z J-•,..4 . HOUSE - 9 } ls.o .TOWN WATER IS AVAILABLE.ABLE � 6 S/7E` RLAIC OF LAND _ -0 . ... ...... .. . . ... . . 90.5 o L OCA TEA IN BARNSTABLE o gOx 1 _ MA S TONS S 3 / R ll��lLL ELEC Ft •Z BOX _ R�590 L 58.78 ` PREWA RED FOR 9 A4. ; .. 0 ECTRIC LINE fg J/M "o� E.T.W�.� � _ �QN JOtiN > PMJL A. CL 4 . : o I�AERRHEW v, - JACOBI Sal SSA FRAS L A' N , �' , Na 9e No. 814 �stgq NA T / E SS qi F . WIDE LAYOUT • NO RVE fALj C - TA A T� YANKEESUR VEY ONSUL - c 149tp,a. BOX 265) . . /43Rou TS' 4 o TONS , XLSJI+�A. 0260 20 40 6 ��RS • , 01 - C SCALE. 1 20 FLOOD ZONE. 8 / 23 / 89 .0 RES. ZONE. RF PLAN R��'�RENCE 448/88 DATE . 1142 - 34J A B .