HomeMy WebLinkAbout0110 SCHOOL STREET - Health LOT #6
110 SCHOOL ST. , MARSTONS MILLS _1
A�-046-003.002 I
1
c TOWN OF BARNSTABLE
LOCATION //a �c l e SEWAGE # q S,
VILLAGE ' ASSESSOR'S MAP & LOT(W3,a�
INSTALLER'S NAME & PHONE NO. ✓. J� `�� sc a t I 'd z 8- `l UbZ
SEPTIC TANK CAPACITY i 5 B 0
LEACHING FACILITY:(type) %A L; S (size)
NO. OF BEDROOMS PRIVATE WE L O PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
i
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
aw
FrZ o Nf pr} fig-" V
ASSESSOR$MAP N�,ry� •�
No. 2_ z5_-1,9r:F47 PAR CELNV: Fee `4
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01pprtcation for Mtg;poal bpztem construction Permit
Application is hereby made for a Permit to Construct(/)or Repair( )an On-site Sewage Disposal System at:
Location Address or Lot No. Owner's Name,Address and Tel.No. n
�COr G //6 �C�trU� . �iC5f:4c. ��apr��:s$ `1LAe •
�7arSfaxs 44 1/, �N/1 7'1/- 61771
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow S S gallons per day. Calculated daily flow 330 gallons.
Plan Date Number of sheets Revision Date
Title
Description of Soil d- 33 nor' 4 s�3 51LT coves 3 K -7 Mom). C,v4d str -7z' /zd "
c'Z Ate c z
p{C173
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensu a constructi d maintenance of the e described on-site sewage disposal system
in accordance with the pr vist s of it
5 of the En ' o mental Co t place the system in operation until a Certifi-
cate of Compliance has b n i , ZI �toard e th.
Signed Date
Application Approved by
Application Disapproved for the following reasons
IV
Permit No. �'�/ Date Issued
———————————————————————————————————————
w-' .+,... '' "�� r.. �f...C",,.�.ra.^tir.-�...vsy!'M'^'�"^`t ..y: ..r:'M.w+ �H'.r 1:, ..5 ��� _� 1.c..r✓�-.-. a 's�'�
✓ f �..sa � i Y Fee
SHE COMMONWEALTH OF MASSACHUSETTS,.• -
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
2pphratton for Migpool *p5tem Congtrurtion Vermtt.
Application is hereby made for a Permit to Construct(/)or Repair( )an On-site Se age Disposal System at:
_•, Location Address or Lot No. Owner's Name,Address an Tel.No. 91 r
Or Gr .�sl•fr 1 �.� %
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ,
Type of Building: 3
Dwelling _ No.of Bedrooms Garbage Grinder
f h . Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design,Flow - y gallons per day. Calculated daily flow �.0 : gallons.
Plan Date Number of sheets Revision Date
Title r
Description of Soil. 6 - 3 i 4 r' 4 S u�y S .c. (u f n 3 - "7 7 /14 C O. c v A
✓y'.' , { ., .rpn/t;E- 4 G,7n`s(-Y.. //� - - �/Z Slc , ( 4P 'ToP 4, S✓S
=Natur`e of Repairs or,Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensu a constructs nd maintenance of the re described on-site sewage,disposal.system
in accordance with the pr visi s of itl '5 of the E o mental Co t place the system in operation until a Certifi-
cate.of C ompliance has b n i d y L�oard lth.
Signed Date
Applic titin Approved by
Application Disapproved for the following reasons
,,. / �- � Permit No. Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Certittrate of Compitance
THIS IS TO CERTIFY,that the On-site Sewage Disposal`S tem installed( �)or repaired/replaced( _, )on
by � .h 3 r 'for
as / n Sc A 00/ S r s .,i/s has been constructed in accordance
pr
.with the provisions of Title 5 and the for Disposal System Construction Permit dated -
Use of.this system is conditioned on compliance with the provisions set fort below:
No. Fee
' THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Woo241 *pmpm Congtrurtton Vermtt
Permission is hereby granted to '"'`�� - `
to construct(�)repai ( )ari pn-site Sewage System located at
r1�.,.Goa S 11
and.as described in the above Application for Disposal System Construction Permit:The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
All construction must be completed within two years of the date below.
Date: `7` - '- C/y6 Approved by
41
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t
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AA
TEST "R LOGS'
OLE
SEPTIC, PROFILE
e4!5
T.O.F. 'AT EL
("m To sr,#m
TO
ACCESS (WATERTIGHT) ENGINEER.
"ACCESS WU TO WITHIN�'W 'OF FIN."r1c
OVER : y
WrMN 'tr.,01F FIN. GRADE ,l
_2X'SLOPE�REOUIRED'a,�`tR MINIMUM .75' OF COVER'OVER 'PRECAST WITNESS,
RUN PIPE LEVEL
DAT
7FOR FIRST 2' E:
GALLON -RATE
ml
PERC.
'TAW
p p
cog
SOILS P
-CLASS
#
V6(>
uji SLWO USHED,STONE OR MECHANICAL
2])
DEPTH Of FLOW' ' cow AcnoN. (15.22 1
cr
TEE . ,_� � :: , ,
SLOPQ ,
WES:
a% SLOPE)
INLET DEPTH
OUTLET D07M LOCATION 'MAP
7, 6� '
Z-
A
ASSESSORS MAP PARCEL.
LEACHING
FOUNDATION—
SEPTIC TANK D' 80
FACILITY.,
FLOOD -ZONE '
BUILDING ZONE-
S 7*�' 4.M*j
SETBACKS:
FRONT
33
�SIDE��
REAR .
E
:PLAN
RLF RENCE
&4P_4�t
1c,
UAer
1. DATUM IS
A?e 9
2.. MUNIC R IS
SEPTIC DESIGN:
(GARBAGE DISPOSER IS
IP AL ATE
'3 INWILIM PIPE -PITCH TO BE. 1 le- PER rCrOT
M
DESIGN FLOW: BEDROOMS . GPD) GPD
4.
DESIGN. LOADING, FOR ALL'.PRECA,S S TO, 13E 4kSH
GPD DESIGN� FLOW T� UNIT 0 H.I .
USE
5.'-,PIPE JOINTS TO BE- MADE ,WATERTI'GHT. ,, :'
ANK::'
SEPTIC'�, S TO 'BEIN ACCORDANCE �WITH M GPD
6. .CONSTRUCTION DETAIL
N SEPTIC,, TANK' ' ENVIRONMENTAL :CODE TITLE V.
USE
.7. -.THIS IS' '
FOR PRO OSED ,,WORK ONLY AND NOTIO, BE
P
STAKING.
USED �FOR LOT 'LINE
LEACHING,,' ,,
'tEp C ,
S DES.
t, to
PD
8. PIP R , TI SYSTEM SCH. 0 47 PVC. � -
7f
,j�
7,�
OTTOM GPD'
INSPECTION: -HEALTH AND PERMISSION ,
:GPD
,T0TAL S.F. BY BOARD OF
BE ' A
8 CkFiLLED O' R' CONCEALED .WITHOUT
A'
.,OBTAINED, .
H
FROM BOARDJOF HEALT
;> 00
I&
G PLAM, OF
SITE ,AMD� A Er '
IN THE, TOWN OF:
BOARD OF XMTH
PREPARED FOR-
APPROVED DATE
DP*TE#
engin e eirl ng Jn c.,
14
down Cape.
'CIVIL ENGINEERS
D N -SURVEYORS
PHONE 508-362-4541
. 939 , main jyarrnouth, ma A H, OJALA P B �'P.L
RIVE,
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