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HomeMy WebLinkAbout0070 STONEY POND CIRCLE - Health - - - - \ f'Y)G`P Tory o kvv:� - - - - - - TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE + + ASSESSOR'SM'APf6&' INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITYAtype) R (size) % NO_-OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER (y 4ZO DATE PERMIT ISSUED: ` DATE COMPLIANCE ISSUED- 43 st" VARIANCE GRANTED: Yes t No 3 l - », ,f �- C x � n iM^c y No........................ �/ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .. ................O F.......'.Peq ......................... Dr Dtavuiia1 Works Tantitrustuan Prrutit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at ... .... .. .........................' ----'---------... ,Emcation / r Ipt No. CMIf. 5rP --.. .. 12 MA, Owner Address W M Installer Address d Type of Building Size Lot. 0 .._..Sq. feet a' Dwelling—No. of Bedrooms.......................................Expansion Attic Garbage Grinder (�) p., Other—Type of Building ............................ No. of persons.....--.................---- Showers ( ) — Cafeteria ( ) a' Other fixtures ............................ W Design Flow........... •- `! .........gallons per person per day. Total daily flow....... ........................gallons. R: Septic Tank—Liquid capacity.:I allons Length...V Width.-5--a... Diameter................ Depth..4'36_ Disposal Trench—No. .................... Width.... .............. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------i........... Diameter-----1'3-.--.---. Depth below inlet.................. Total leaching area..Zr!�.G...sq. ft. Z Other Distribution box VQ5Dosing�nk (�0 W 0-4 Percolation Test Results Performed by.._. A)_XE _...---. ..._� �-_.__ Date..._��1,. 7--_------- a Test Pit No. I....Gz-----minutes per inch Depth of Test Pit...«.......... Depth to ground water--Vl9:T•Ei W-kTCM (%, Test Pit No. 2................minutes per inch Depth of Test Pit--.----------------- Depth to ground water..---------.---.-------. P4 ••-•------ ----------• ................................................ O Description of Soil.....D7 2---- ...... x 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia ha e issugrd by the board of health. Signed -------- ---- ------------------------------ Date Application Approved B ...........:..:.:..... ------ ------- -- - Date Application Disapproved for the following reasons- --------------------------------- --------------------------------------------------------------------------------------------------- ------------------------------------------- ---- .----- ------.------------. /, ... +� Date Permit No. ----?, �`��7� ... Issued r:. � .�- off .......... Date 1 r � 06'�> L. No.......::........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . C v.l ..............OF........ �-le.Ms`t 'CAC..... Avviir�ation for DiipnaFal larks amitrnrtiun ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: tt - ...... ..._.. ..............••-- •-----...._._.._.... .....------- ............ Location-Address or Lot No. ......................_.......................................................................... ..........-----•----------•--•-••--••-----........•••........----................................. Owner Address W Installer Address y Type of Building Size .....Sq. feet V Dwelling—No. of Bedrooms___...`.?..................................Expansion Attic (J�) Garbage Grinder PL4Other—T e of Building No. of persons............................ Showers — Cafeteria Pa Other fixtures .........................--••-- . d Design JZ 1 .50 gallons per person per day. Total daily flow......... �15.......................gallons. W Desi Flow-------------------•---- -•--•---•------- WSeptic Tank—Liquid capacity_. �M gallons Length__tU ___ Width__`.k ... Diameter-----._..._.._. Depth-5-1 _. W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area_______----_------sq. ft. Seepage Pit No---------_------------ Diameter_____ .__...._ Depth below inlet___.` ............ Total leaching area...4 n...sq. ft. Z Other Distribution box ( )� Dosingftank (�)) 1 `� --- .................................. -C" Date---- (_��_1 /.�7 Percolation Test Results Performed by.._._ !�.0 _� - '-� GZ p p K P ground r 1.1 c�i E�y( Test Pit No. 1................minutes per Depth of Test Pit_________.._......._ Depth to ound water____.._:...._........... (T., Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water______-----_--__----___. P4 -•-------------------------------•--•----------------•------..,.------------------.....-----------......................................................... O Description of Soil.....-� LOAt_/k -� Dur��+L_ 2- -' 1 U `5& l�D1�.. ................................. U -------------•-•--•--•----------••-•--------------------------•-•-•--------•------------------------------•-------•--------------------•--•---------------------------------------•---.......... 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 TITLE 5 of the State Environmental 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 { �! -- s.-r�............... -- ..... Application Approved B �. .... G Q•' ;' ... 1 �--..1 -----------j----------------------------------------- y == ......?. ...� l Dace Application Disapproved for the following reasons: ----------------------------------------------------------------------------- --------------------- '----- ------------................................................................. ........................ Dare Permit No. ....` - -_`- ---------------------- Issued ----------------- ----... r "---------''..��:� .......-- -- Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f.. �.�................ of ......�-���'.��..`�T�.�t�C= ------------.------- Trr#ifirate of CI-IImylian e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by................................ . ...................................... _...... ----- --------------------------------.--------------------------------------------------------------............. atICU { ... ..J 1Z1 ►..1_ _....-.- ------O.-l------ ........................................................ ..2................. --I`-'- .... 4 has been installed in accordance with the provisions of TITLE of The State Environmental Code as described in li the application for Disposal Works Construction Permit No. `; ----- --7,:e.... dated --_ "---• - `�.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................... -------------------------------------------------- Inspector ------- _ .-----------------------------------.-..------.-..-------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .... ��............. '-- i No :, FEES.. '!�:�r,U Disposal Works TwOnstrttrtion .rrntit Permission is hereby granted......................................................••--------••--•---•-----------------.........----------------....------.......--------- to Construct (X) or Repair ( ) an Individual Sewage Disposal System at No... I f--'---f-��1 �f�i`_"- N 0 ..6a �__. _. .Cr �..._ /.f :* �?tc11�ti _s ( Li. .............................----- --------...._..... J as shown on the application for Disposal Works Construction Permit Street ewo... Dated...............'... .i�............. "s ------------------------•--.....--------•- ............................................................ DATE..........=------------'----- Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS �t•�E.916N �/}Tq • - .'-��.TL • //y/aXi/>vHY ✓`�ts/c0 C��a✓nc/L�f['r S�nBlc Fwmtly •- 3 Bc�Slropm� is E/ •S�!'�OG>.:a.s. fir.,, �Er� wliy" �Strb•� GrirsaEr .-ey�o�� ..vr. c/vslr� so6�visiv�•� DAILY P'L.OW 110 x 3 XISO�• a �95 ------. 'SwPT1C•.T1gNK B ZO -K ZoOo = GGO Gz.I long,. Us4, Isoo Gea1{an Sep ►e .•Ti.nid DISPOSA..L Pi r ti U5c 1000 go.11c n sR6' cl P 1 r T. BOX T>E TR/L S 1VEwA►t1.; l�3 SF. • 407 690 /.vr r Z" • .. �80Tso�.�• ' 133 S�'' o�rc.�-T IS15 GDP 'TOTI—ALs I 6 . . . . .y-�-- COpD • 7 4 = 2 hAt /,VZ&r ; e-e— Wye&OF L SLos�� ok4 Of zpe •' � "'may o� RICHARD o •A. G�'1a PETER ' BAXTER NQ.24048 v SULLIVAN �FC► �� Sao No. 29133 STER CIS Z/-_2_-6/0 Z= , 7..):_ I. FSS��ALc -�N :;,� . 5 00IT PIT. -7115 `y -79•0 FG• a 75, o BYNAltG&Ill! �•l. -78.0 +:, TUaf.Yo,= "T30 i � FrG 2�sir 7 7,0 4 00..� �f` oisr. .�r.s�p sue) /soo .��� s •.'� /.sii 7 /,v �z,�ro 7lS�(o sEPr�c 7515 ,• 72.s � •r b /� • � • fDi"?O 4.0774 . crocy f'7os� Gi,'c% 'I 7 3 =_` tioT� LocQrrav �r/a�srb.-�s ii»,//� .4r3vvL - /"_ ,.-d. - /J.4T,E VLam/ 2p \per, 141 1 1 ✓1 IAI 5q � j-Py 90 . /E .'sre v Gd/lPGY.S W/r�/7i/E S/0 �,/ivE '//-o-e#67 %S�S/OT' AEG/STC�cIJ.G4N�.SU.�1/�ryp,�s :OCdT,E,p l t lrh'/Y r� h�t-tiv YAic�p __ _ �'Ta .k , t ,SN OF 41,1Gam- . PETER ' .:;..::.. SULLIVAN No. 29733 fk- sS/ONV < 0 134 I \ LO 7- 9 \ \ MND7 -- -------tom, 8za. 60 / 7 i Z —7o M 6 eA w., 5cru�cc \ r N O A_. \C \ \ \ 4 4 0 ssaTr_' - 41,2 \ \ \ \ Al lop — 78 4-- 76 \ 72 ,vLY ac� 1%,6o 4o T 9 �• STZLYEJ� Pvn/D iP0.9D /r/A/23Tt?AI S M/LL$ EdSc �� C ra n- � (�>387 Z/ 3 . �(mac.L '�EA'A i►aE�,S I h a OW4 s • 5 • •• Y • • v • g9•G3 OW-2 OM ` • 49 ®OW-3 417?-) s 3 .09 48 FIGURE 6: GROUND-WATER CONTOURS V%O ar,1ss PETER a� LEGEND SULLIVAN ® OBSERVATION WELL No. 29733 " --�52 GROUND-WATER CONTOURS o a-41. � �GIS7EA� <� DIRECTION OF GROUND-WATER O FLOW yq\, SCALE 1:1320 " •' ;;� i) inc. -7.Z0 S�-ICET 301r .7