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0015 STOWE ROAD - Health
15 S7OWE �4 d .._ A-043-077-004 1 4/ TOWN F BARNSTABLE LOCATION kr SEWAGE # VILLAGE tlk-M S_Nc 'S ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. ikQ(J kr Om S"T CO , a.W L SEPTIC TANK CAPACITY k4OCO h LEACHING FACILITY:(type) r (sue)�"'>0 0 IQ.,NO. OF BEDROOMS 4 PRIVATE WELL O PUBLIC WATER_ BUILDER OR OWNER DATE PERMIT ISSUED: `L�l`( b Z/DATE COZIPLIANCE ISSUED: �Z VARIANCE GRANTED: Yes t No i �+ 1 �� � t��� �� r� I� �� � �� Vr^ � �� .'�� l M � 1 No.--- Fxs.....1© .. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ....................OF..... 75 ApplirFation for Dhipoii al Works Tomitrnrtiun Famit Application is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal System at: ... _ __......... -------------•-•-------••------•--•--- ....................................... PT..4....-----------.......................--. Location-Address or Lot - ® ate.. tl .. ............................... W er 6 Addres Installer Address e• dType of Building 717 Size Lot__I_.---��------._Sq. feet aDwelling—No. of Bedrooms___...1_R _..................Expansion Attic ( ) Garbage Grinder (444 p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ---------------------------------- W Design Flow..................................S_X.gallons per person per day. Total daily flow.........................3 1.a-....gallons. WSeptic Tank—Liquid capacity_A!gCkallons Length---------------- Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.___4*A i6___.. Diameter----------S'.... Depth below inlet....... _......_. Total leaching area...Z!q?�P..sq. ft. Other Distribution box (� Dosin tank ( ) Z Percolation Test Results��//��__ Performed by.... /�5_710L,(__�;.-C,.:................ Date..:P(M:_ �.970__.. aTest Pit No. l42.lt4"Ininutes per inch Depth of Test Pit_______I....... Depth to ground water.......®'_----------- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ...-••••-•-------------- -••••-----••-•--•-............•-• ••-•-•-•--•_---. .. ........................................................ O Description •• o ptionof Soil------ . -•------a �a,�'� L.Q A V .----------------------------------------------•--------------------------------------.._...------------------•---------------------------------------------........................................... W •--••-••-----------------•----------•---•-------••-•----------------••--•-•------------•- ----•-------------------------•--•---------••-•--•-•-------•••--••-•-••--•---------•-••-••-••-••---•--•---•-•- t 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 Complian s been is the board of health. Signed ............... ...... —% ..... w.................................................. ........................................ Date Application Approved By ................. .. .. .......----------------------------------------- ......ems• Date Application Disapproved for the following reasons- ..............................................----------------------------------------------------------------------------------------- ....................................................... ... .. .. .... .... ......................................................... ................----- --------..----- ........................................ p...o Date Permit No. J .- � Issued ......... .... .... ....................... .----.. Date No.--. � 1 FEB �-- THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ................OF.... .1314 4-----------..._..............._..--- Applirafion for Uhipas al Works Tnnitrnrtiun thrutit Application is hereby made for a Permit to Construct (�/) or Repair ( ) an Individual Sewage Disposal System at: ................_........_...................................................................... ......................................k�A......----._........................------ ..�� Location-Address or Lot.: o. -t�---�_ - _----a�'� . �i.u��..... .��...........-•................... 0 Addres .-••- --C- ..................................... ....................... g.s-... .!_�l_ ........... ----- ..................................... Installer Address dType of Building Size Lot_!-q-� =a --------Sq. feet V g— .___.Expansion Attic ( ) Garbage Grinder (W) Dwelling No. of Bedrooms..............4L' _..._._....__ aOther—Type of Building __________________________•- No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ........................................................ W Design Flow..................................S70__.gallons per person per day. Total daily flow--------------------- _5.Q.-----gallons. WSeptic Tank—Liquid capacity./®4qCLallons Length................ Width---------------- Diameter---------------- Depth.....___-_--__-. x Disposal Trench—No..................... Width.................... Total Length..................... Total leaching area------.............sq. ft. Seepage Pit No 0N��___- Diameter---- ..__ Depth below inlet.......(P. ....... Total leaching area...6.CD..sq. ft. Z Other Distribution box (v/) Dosin tank ( ) a Percolation Test Results Performed by..._..��..7a.' ,._..._._. .................. Date__ t4 Test Pit No. 1199_AO_Aminutes per inch Depth of Test Pit..... 4'"!----- Depth to ground water-_-------- ---------- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --- . q....... •--r•--- R r- ----! .. ._. = O Description of Soil---- --- �'3L: x W ......••--- --------------------------------••-----------••••••..........----.......--••-•••-••-----••-•--•-------------------••--•••-----------••--•-•----......•-----................---------••-. UNature 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 Complian s been is by the board of health. Signed ------- ----=^. -------------------------------------------------- ---------------------------------------- Date Application Approved By ..............CJ „�.-a f --p�..� e-�,.-r.�� Application Disapproved for the following reasons: .................................................................................................................. ---------------------------------------------------------------------------- --.------... . ---...._..----- ---...----...............------. ----.................................. ---------------------------------------- �j Daze PermitNo. ✓ �' - ------------------- Issued ........................................................... ....... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH M --------� ------------- OF --------- . ..... .--........................._. C6.er#tftctt#P of 010mytia cce THIS IS TO CERTIFY, TI t the ndividual Sewage Disposal System constructed ( y. ) or Repaired ( ) by .......................I t --•-- (( r ..................�.. ----------...------------.......-................................................------------------.--................................................. Installer at ... Dj -/.. = ...............a---------............. ----------------- ---------------------- -------------- has been installed in accordance with the provisions of TITLE 5,Qj The State Environmental Code as described in the application for Disposal Works Construction Permit No. -- 7--- ..^'. .J�+..�............... dated ................................---......--- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCT ON SATISFACTORY. DATE -------------- ..... .: ..... -5�....................... ... Inspector -------------------------- THE COMMONWEALTH OF MASSACHUSETTS / BOARD OF HEALTH/� .(-. OF........... `' ............................. /a FEE.... Muplas l Work.6 �vn nr inn rani# 4 Permission is hereby granted........ c"� ` to Construct) or ];Zpair ) an Individual Sew pa Disposal System -- Street ` as shown on the application for Disposal Works Construction Permit N- -- - _ Dated..'Z��_�!(_.c�U................ lBoard of Health DATE..............2 ------------------------•--------•-----------------•-- FORM 1255 HOSES & WARREN. INC., PUBLISHERS t .. -- DESIGN : :DATA h 3 7 SINGLE FAMILY —' 3 BEDROOM c4e / °NO GARBAGE DISPOSAL; DAILY FLOW = I10 x 3 _ 4 1; `t c r } SEPTIC TANK = 330_ x 150 00 49.5.G, i I� P.D.. 1000 GAL TANK USE . ., DISPOSAL PIT — USE ( I ) IOOO, GAL, SIDEWALL AREA = 150 S.F. I TM u4 .clap 150 S:F, x 2.5 = 375 G.P.D. : V) BOTTOM AREA 50 S.F. 50 S.F. x 1.0 = 50 G,P,D.. -- TOTAL DESIGN = 425 G,P,D. TOTAL DAILY FLOW = 33.0 G.P.D. 4 PERCOLATION RATE : I" IN 2 MIN, OR LESS J_t s 76.t 19�SSS.F __HOLE TEST # t 4sz3 W ITN EsSb-b 3Y .NYE, LNG �so ., �:A�-Y B:o-�I. rw� of _ �? Lo � �w.�srA�tr� T' 3 Cz. 9Z, 7 F.G. = �Z,S F.G. = Sz.S - ' TI)f r e / - s /r �/ _ ° TOP FND.= 9¢ LOAM' g9 Z S�BSOIC. oo. 3s 1000 GAL. 4 SCHED. 40 1004 P.V.C. INV• qo' INV, OX..DIST INV, GAL, INV. ° EACH PIT � 8'3 BOX' ►»�p °° WITH I' g' SEPTIC! SauD 3/4" ' TO ° TANK 8 INV.89,z INV,8�4-' °$ 1 1/2 3 , N T� WASHED o 0 S �{V�izT To STONE L o�� �NsU,r MA PROFILE �U '",V NO SCALE 4. z ,.,3 1 ,. ../J AY St No.240 a e" 3 ; y�C�1V/JT�tLtrD ., � � :,��.°rl.�j-�,• �t-x-�:. �.. CERTIFIED PLOT PLAN RTIFY: THAT THE PROPOSED FOUNDATION LOCATION jwN1EREON COMPLYS WITH M•aK.s- ,�� IU•�C 1_: i e:t ;SIDELINE AND SETBACK SCALE ?UIREMENTS OF THE TOWN OF �o DATE INSTABLE PLAN REFERENCE AND IS NOT LOCATED HIN THE FL00DPLAIN. L.T 4 c�,` P G. 3 BAXTER $ NYE INC i'PLAN:IS NOT BASED ON AN • REGISTERED LAND SURVEYORS RUMENT SURVEY 'AND THE OFFSETS 8 SHOULD NOT BE USED TO CIVIL ENGINEERS ERMINE LOT LINES. OSTERVILLE, MASS, ' APPLICi4NT � Htv � ��� ;t ag�y�en mo 0 yo a $ t4 CL 0 v � 7 0 � p c } o I ----- OL I I I I I I I I I ' I CparWG110rIC aPPIae u I I I I v�u I m,,rva Pale eprsTN4 uwHc.Foorf I ___ _ ___J I I 0` rw ' 1 b _ W Ands±75. togs ' - '�7 — - to - - r.o.x•-t I/e•r a�-g I/,• _ W. _ -4r 1 Gpoi'IN4 O�NWa/WfGH�-H. � I I b � ._.,. •m.�_OP O00 l0 1 1''B"X 10•_9. I $ '_ C ...L. N.E_ . ______________________________ ______ L _ _ � MIAE E�.. A v aOFYn. 35 p �°'yN 1L m�,n_�a-- 0 0 uu Q f� E� " � DRAWING TYPE: ' Pirs+Ploor Plan SH •11LET N�fI MBER, Oil 1 r _ A 2 00 f ' • r 1 y t .. I tj. �!, y A ;3 , ' ' ,;a Ire ( .,`a. P v •, , , }' ,F,; _ 1 ? 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