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HomeMy WebLinkAbout0031 STALLION WAY - Health M cr )i s ► D n s vv) L L S J jy3OF BARNSTABLE aP K/3 LOCATION - !3 L,3y% SEWAGE # �M / ms VILLAGE ASSESSOR'S MAP & LOT-M-00i.6 INSTALLER'S NAME & PHONE NO. 771- SEPTIC TANK CAPACITY I,OJy 5�44vw3 LEACHING FACILITY:(type) `���" �' (size) l , odd g.�llwv� NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER GAYs, . 01A Ca, DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: f, VARIANCE GRANTED: Yes No LJ nn � qv � • y� Lo4 l31 Y 1 No..{x/-.E.�.�» Fns.......jO ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ ----------------------------- Appliration for Dispaaal Works C omitrudiuu j1rrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: I - e --- .... Location-Addre � /1 t - '� p� o t o.�yy�/ •"� - ..............._........_...... ��£ ....bull�%` ..! �........».......»..._. .. ..... canpvfcef� A dr s a ......-•--•.......................J.,„�.•---- ---••-----•••--... ....-/ .....T a_K..kf5...---...........Insta AddresA Type of Building Size Lot- 2/.3.2=Sq. feet U Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building ............... No. of ersons........._..........._.._._. Showers a YP g •----•--...,- P ( ) — Cafeteria ( ) QOther fixtures ......................................gpt....................................................................•••......---....................... W Design Flow...........J..1.�?.---_--_-- •--_---gallons persen r 4ay. Total daoy flow......... 2�.f�................gallPnst� WSeptic Tank—Liquid capacity. Qgallons Length. .._(p..... Width.. .. ... Diameter................ Depth.... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......... . Diameter....._ Depth below Total leaching area.z'(Slsq. ft. Z Other Distribution box (N Dosing tank ( ) _ aPercolation Test Result Performed by.... ..r2....1e. :�.....__.,�................. Date.... _..g_7....... Test Pit No. 1................minutes per inch Depth of Test PitJ... Depth to ground water..kv106..... 1.4 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ... ---- ------------------------ ... .... ......--------•----------------------------------------- ------ V W ------••---•---------..............................•................................................................................................................................................... VNature of Repairs or Alterations—Answer when applicable......................................................................................0........ .................................•-----......-•-•--.•------------------•---.........................--••-------•-----------•-----------------------.---...................................•............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 41TL U 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...M.4). ! �r Date Application Approved By........ON V... ........ � Date Application Disapproved for the following reasons:.................................................•------•-----..---------------................._...._....._- ........ ......................•---...-•---....---•---------••---•--........-------••--•-------•-•-•...................---------•-•.............................••---...----.. . .....••••-••.. Date PermitNo.....---- l 1 ------------------- Issued.................... .----.......•--•............... Daatete fy FR •Y� t � �. r � '�` � -, �'.._.... Yip Y- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ?),l�a„)1 �....OF............L.''-1/.�-0J,!�JT •..... Appliratinn for Dhipoiittl Works Tontrurtion 11rrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage' Disposal System at: .. I?' . -•......-- fLocation-Address I/ ///� `f, J�/j,, 1, ��!G t I( Gt_( - /G7 ' c. ( ................G 1� r 11 � ; --------------•-...._._.__......1._. ..... - .................... •-----_-__- Owner / / A dre s •�•- W tfS�!?(1 ! ..r.• !`Tf/E' rs_f,_C-lt (.�...................... ............................... -.,...•-••--. ...........----....-••• Installer Address Type of Building Size Lot_./_7_/.3.z :..-Sq. feet U Dwelling—No. of Bedrooms.............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria ( ) Otherfixtures ......................................fit -.................................................... ------..._......_....__...----....-•----..... W Design Flow............1•. .. ....................gallons per:person per Jay. Total daily flow........... f;2...............gallrons;, WSeptic Tank—Liquid capacity.1/ llons Length.4e5_(c?._._ Width..�'..���.._ Diameter................ Depth..c_...L x Disposal Trench—No- •................... Width:.............._.... Total Length.................... Total leaching area.-_......_.... ...sq. ft. See a Pit No......._ .- . pag �..... ..... Diameter Depth below inlet.._�a C__`:?_____ Total leaching area.2-�_�...sq. ft.Z Other Distribution box (�;) Dosing tank ( ) 1.4 Percolation Test Resins, Performed by._..._..1.._.1r�:.....�a. _r Date..... !- /0, (/ .... ..................•-•-- ,� Test Pit No. I................minutes per inch Depth of Test Pit..,�.- � ..._. Depth to ground water. )l?�J ...-. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---�--••--......-•-•-----••-•--•-•--•-----•-•--••-•---•-----•••-•---•=-----•--••---•------•-----••-•-----•---•--••---...--•--...------•••. ODescription of Soil.........:...........•--- - ..��_.__..........................................------------•----------•------------------------•-----------..._.........•••-••••... W ..............................................................................................................................=......................................................................... VNature 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- 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. (70 Signed......-- 4b4d ---_--•--- -•------ •••-•-••••._. .... Date Application Approved By........ = ' _. ..�' - Date Application Disapproved for the following reasons:............................................................................................................_.. ..................•-••---••••-••----•-----•----••....••••-•-------•-•-••••---•----•-------•---•--•------•......--•-------•--•••• ...•--•-••--••-•-----•-•-----•----•------•••-----•-..............••---- �� Date Permit No..........7 1 Issued....................... - ....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ?.......OF.......... ..................................... Trrtifiratr of Tomplittnrr THIS ISTO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired y ( ) � �/ Installe at............Z" r".. JJt --- t r ..c---------•------------------------------------------------------------ has been installed in accordance with the provisi'oa�'s of TIT ti 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._- . ,�V-. _�4/....... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUN/CTION SATISFACTORY. DATE.......................... __ ~ �" -.._....._ ..........• Inspector , )..................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD( OF HEALTH C / L /... `?/� ec........OF..:...+i 3:Pa. n !!.......................................... F ]� 2 . EE.._...f . : Disposal Yorks Tonotrudion Vrrmit Permissionis hereby granted_. ... �f�k_................................................................................................. to Construct `(yC) or Repair ( )man Individual Sewage Disposal System at No......... /,:./�7.....� ............ %z�'1.....� t/n _.. L/ Street f as shown on the application for Disposal Works Construction Permit No.�ra.��.__ Dated...... 1-�:...��...... •--... .................................................. .....--•---.....••••••---••------•._...--•......._ . DATE................. �'�� �--••---...•_--.----- Board of Health•------ - 7" �7 s 77 PLA N APEA, SCALE: 1 30 T AA0 SCALEI��' FINXSH." DE to, APPLXCATXaV AV., PSM 1E SH F-TAIr-H 01DE ER TRENCALSS,-��-' 0 , oven .TAw 7 "J.-I 7/17' TOO Fm "";1el 7W ylllql dL OR -7 V/ 'NO TES; SCH 4 Pv 79.0 0 0.910 Nsr7may.",rws G600000 IONS BA SED ON ,A SS14 D DA TUM 77.50 LEVA T 8.k -2.7 n000 ,HAZA asm r FLR W ZONE �C :io I 1 .1 -- a 0 0 p 0 9'A T tLEV,' X, 0040 490 0 Got &I go 00 SAL. Ew.44LIZEAS ..3. TONAI WA TER 01,V Sr TE 1 4. SOL HORIZONS TO BE PERFORMED DIST, BOX CONCRETE X4PME TO BE JN A T THE TIME OF. ,EXCA VA TION STALL60 OAt A � *to FORE-.rAlS TA L LAI TTom AND, BE LEVEL,,'SrABLE BASE, SEP TrC TANK, TRENCH L ENS TH TO BE ZUSULLED ON A LEVEL STABLE BASE 0 VER, SYSrEM 'ABOVE OBSERVED -EQUIPMENT NOTE: DO : NO T RUIV HEA V Y OROUAV, JOA TER -SEC TION, L EA CHING ' TRENCH, TO ,SCALE, �SOIL ,AND PERCOLATIOA�,--DATA"" ' '�:',','�,,�.- , FOR FINISH GRADE SEE S YS TEM PROFIL E 'E PERC, RA 7 -BY 2"MIN. TA KE AAMr WITNESSED BY firmdAm AMU DA TE L MIN.2 118"-.112" '.J:qM*,D Arne PPE 4 mDiA rEsr ZLEV, IYA SHEU STONE NA TURA L SOIL- 'MAX.EFFEC T1 VE ON r -,DEPl7H_.­ 0 0 0 0 314 LIM.77. SHED S TONE 24 it HIN. '3.* rl 2 EXCA VA TED SIOEWALL E)�FEC Ti�E )VID TH 01 AL r rV. OR DEPrH ' 9LL ­7-EFEC TI VE WID TH. NUBER ,OF, 6�ENC YES 0 80 AV &q0lN*4 Tim 00, PAacaSED (Pj LEACHIA'S 7REACWS 4 lwrM VDEEP 28 11.OAAR ISEE PROFILE) SIGN" _DA TA ' ,,� DE zd S. F. SIDENA L L AREA GA L SISF 89, GA L S. ,,. NO.OF BEDROOMS DrspOSAL -AA2- 224 S. F. BO T TOM AREA GA L 'GALS. u LS. EST. TOTAL DAILY EFFLUENT-stso NK SAL. SEP TIC TA 480 S. F. TO TA L AREA ......... LOT 131, D 90XQ 70 &AL NERAL IWO T429 00 LO SEPTrC rAW M"COMPONENTS SHALL -:rlv 'NO TE.* ALL BE !NS fA L L ED �S YS TE 54 1 TAR Y, ACCORDANCE� WlTH� TITLE . OF ,,,ThFST4 EL E .71-0f!OR LOWER AS -REGUrRED EXCA VA TE TO - v ICABLE ,-, DA TED :�AIVD ,ANY LOCAL PULE5� APOI TO REO VE A L L D CLAY CONTA rNNO MARCH J995 HA TERA L BENEATH NE LEACHIA16 AREA.REPLACE, 2.: ANY CUA NGE IN THIS�PL A IV MUS T "BE,-A PPRO VED AOPOSED x aEDRoaq hSE pRiw. EXCA VA 7E0,',VA TERIAL wim CLEAN.�,CLA Y.FREE 'ORA VEL T, OARD OF:HEALTH, GAR. HE:- 6 �PRIOR : Rk L 8SN'T NECHANrCALL Y ,COAPACTEO IN PLACE -roAt is campL TED, BA CKFIL 3. "�.'MHEN cmsmuc7 TO LING :,�: NOTIFY, BOARD _04�­ HEAL 7H FOR,,INSPECTION TED -AlOT BE�� CHANGEb,��,WITIIOUY, 5. THESE EL E V MUS T 4., MD. EL E V.-HUS T, BE CHECKED, WHEN :COMPL 7q LOT 130 . .... L EGEND WE BOA Rb',�OF, HEA L TH A PPRO VA L j 6, 565-Sjr`�,:, 3. TION, REG,"D ,'WHEN.EXCA VA TEDz�­' ,lr OAD OF�'HEATHNSPEC_ rST.-S L E V. EX4 ROUM E 84- FZXTSR,SROLM EL E V.UAVERL XNED, .1,67. 77 SEAGE"DISPOSAL "SYSTEN s 10'03 155 7Jv prp INVERT ELEV. 7Z 74 PREPA RED &Oj9 TEST PIT LOCATrON �..'� �T 'S U OPEN, : SPACE ,,: 309 E IRE SEPTIC TANK THE N P 0 A Y 't�" rBurravax_� �:L,O-T: 130 �,:,;STALLI N ­ Cl DST RNS TA E, :4 PC X.0R,SCH 401P 0 4 PSI T.FIBER'Pi TIGHT iXINTS OF PROPERTY UNES­ :DATE y SSOCIAIES FERREIRA CODE OrS T 'scA e AS,SHOW NrN. A "Tas JVC. R.�Nj� BARS�':ROA D' ss'.' 070SM: f FALMOUTH- - X L*ED Vjl�tl 174 130 A P SEC PCL ]LOT. 0