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Home My WebLink About0016 STOWE ROAD - Health o,V� -- ci*? 7 � , »E loia rs 7-br)5 s TOWN OF BARNSTABLE LOCATION L% �� _ SEWAGE VILLAGE lrkP4Z_S, 1.S �+�� 5 ASSESSOR'S MAP 6z LOT INSTALLER'S NAME & PHONE NO. 't-liti_� .91� SEPTIC TANK CAPACITY l 00O LEACHING FACILITY:(type) ? IT (size) 1 �0 0 0 NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATE BUILDER OR OWNER 'IAC DATE PERMIT ISSUED: 2 4 DATE COMPLIANCE ISSUED: I VARIANCE GRANTED: Yes No r - ��-. . 0 1 - ��, r , ell .. li - P r ......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........e®vN/ ..................O F.......F l�nr .s.r, v4o7..------•.................................. Appliration for Bitipao al Works Tomitriirtinn ramit Application is hereby made for a Permit to Construct ()() or Repair ( ) an Individual Sewage Disposal System at: ......... _ --------------------------------------------------------------------•- -....-•-•---•...--- ............................... Location-Addres or Lot N Me r w r �Ayd�,dress y� r .................. -4 .Installer Address PQ -4 --------- ---------- .11� Type of Building Size Lot_Z-/__Z 7 a.....Sq. feet Dwelling—No. of Bedrooms....�R .....................Expansion Attic (}W) Garbage Grinder (#J®) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ................................. W Design Flow.....................................gallons per person per day. Total daily flow................................Z __gallons. WSeptic Tank—Liquid capacity AP®_gallons Length................ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.....1............... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...QW4 ._.... Diameter......B._........ Depth below inlet......4s.._....... Total leaching area..Z.P.0----sq. ft. Z Other Distribution box (VO) Dosing tank ( ) Percolation Test Results Performed b BA471M..-.4 _._ .......... Test Pit No. 1fkYa9!l2minutes per inch Depth of Test Pit._._.I�a,.__.__. Depth to ground water.......—............. f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .............................................................. ••------ ................................................................................... O Description of Soil---O' �� M,_ ye3,S�l�ro f�! '=/�z�.)".Q-_. 5.... ....----------------------------------•---•---------------• x V -•------•-•----•---•-----•--------------•--•---------------•---------•-----•-----•----------------•-•--------•----•----------------------------•-----•••------------------------------------•--------- W I------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 ............ ............................. .. ................................. Dne Application Approved BY U ------------------------------------------------------------------------- ----cam..^.1'. .-. �. Dace Application Disapproved for the following reasons: ...................... .... .. ------..........----. .. ..... -- --------------------------... --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- .....................------------------ Permit No. ----------7.0......y.�-........................... Issued -------.---- ..------ate ---- Dare Y. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH e/ , Appliratinn for R,4pnsal Works Toustrnr#inn auti# Application is hereby made for a Permit to Construct ( $) or Repair ( ) an Individual Sewage Disposal System at .... _.........• - ................................................ '-•--•--•-•--•-•-• ........................................................ 'X Location-Addyor Lot N - ...................................................... o�n�ri` Address a -•-•--...•--._.... Installer Address dType of Building Size Lot..... ....................Sq. feet Dwelling—No. of Bedrooms.... .". - .Expansion Attic (4p) Garbage Grinder (NO) Other—T e of Building No. of persons............................ Showers — Cafeteria Otherfixtures .-------•----------------------------------•--------.....-------•---------------------------------•------------------•----............_.........••.... W Design Flow.................................... . gallons per person per day. Total daily flow...............................3130...gallons. WSeptic Tank—Liquid capacity__`P gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..-------------------!� -_-_-- Diameter...... -------- Depth below inlet...... Total leaching area-..®q....sq. ft. Z Other Distribution box (voo Dosin tank ( )�a Percolation Test Results Performed by... A .51.4Y. *T�G .._......... Date.. ___ , Test Pit No. 1 %��/ � minutes per inch Depth of Test Pit ...��Z......... Depth to ground water ...................... Pi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------••••-•••........... ........................................................ D Description of Soil.._?.« , 'Eea i!ft Svl lG� ----- i-----9:--�--/ , r49-0 IS4.4/0 x -------------------------------------------••••---•--_••-•- V Nature of Repairs or Alterations—Answer when applicable..............................................._......___....._...............__............ x ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------..................... 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 Compliaoce has bee st sued by the board of health. Signed ------- 0_'j �'= ""'�---------------------------- .............................0 .......... Application Approved By -------- � Application Disapproved for the following reasons- ------------------------------------------------.........................------------------------------------------------------ ---- -------------------------------------------------------------------------------------------------------------------------------------------- ------------------- ------- ------- -------------------- --------- ---------------------------- 13� PermitNo. ----------91Q--`----e_. ......----........... ............ Issued ----------------------------.........---------------- [e------ Dale THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Gi'l OF '€ .............: (frrttft.cate of Q.�uxr� littr><ce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (�) or Repaired ( ) by---....... '{ s ^ L lns[alle, at -------------- ..... ------+ �r � :.---4--1------------------------------------------------------------------------------------------------------------------I...... has been installed in accordance with the provisions of TITLE'5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ......f .. ......- ...... --------- dated --_-._..---_--------_--.-. THE-ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUN ON SAT! ACTORY. P T DATE--------- .- .. ,1 - Ins ectc - % p THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... -,Utr.........OF................ Al ..t�! No.__.'_�Y�...... FEE..../ -.C)....... Utopnsal Works Tnns#rurtion Trutt# Permission is hereby granted......... ...:.......E. _____i_�ap_,_n. to Construct (y`-) or Repair ( ) an Individual Sewage D' posal System at No. L-- 3=f---------- ----------- Street C� tr as shown on the application for Disposal Works Constr _,__ � --- Dated-- � r" V Board of Health �----•----------•---•------------------------------- DATE FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS -DESIGN DATA SINGLE FAMILY -. 3 BEDROOM �� !y' ,' 37 1 �� k ; NO GARBAGE DISPOSAL 7 � 1, DAILY FLOW = 110 x 3 = 330 G.P.D. �; N - r SEPTIC TANK = 330 x 150% 495 G.P.D. ° �� USE 1000 GAL. TANK - DISPOSAL PIT - USE ( I ) 1000 GAL. SIDEWALL AREA = 150 S.F. 150 S.F. x Z5 = 375 G.P.D. BOTTOM AREA = 50 S.F. , N ° i �� '°' o h 50 S.F. x LO = 50 G.P.D. / MiN b TOTAL DESIGN = 425 G.P.D. h\ ,� .g / ti ,AZ) TOTAL DAILY FLOW = 330 G.P.D. PERCOLATION RATE : I" ;IN 2 MIN. OR LESS TEST HOLE # �Ati w�rNrr-3sc� gY n1r�.BA;zeY- 6'.0.N.TowrJo�f3AR�J. T z F.G.._ TOP FND.= 9 FG s / ///t///%//isii/eii� a I 727 i t / 8 / I/f• //C Vrl --Ille P.V.C. �i Sas4ic 4" SCHED. 40 1000 INV. 6' . . i 1000 GAL. DIST. INV. GAL. o LEACH PIT BOX 85.b SEPTIC 85,6 IN 0o WITH I' o TANK rnLyt> .3/4" TO INV. 85.Z INV,8.54' , eo 1 1/2" ° . j� —1.loT� , �V�2Ttci GG SWASH TONED ' E� v�suTar��e �1A7t iz =.\a� .,, PROFILE yy 6, �� {'14 1 , ., .i�w.i NO SCALE �b it PI J ;t '=! No.24 ISt ,�`/ EN CoUQ-rURZlD CERTIFIED PLOT PL A N 1 CERTIFY THAT THE PROPOSED FOUNDATION LOCATION MA��To�� I`ll l..0 M '- ss. SHOWN HEREON COMPLYS WITH _. .. SCALE DATE FEE g, 0 7 o THE SIDELINE AND SETBACK REQUIREMENTS OF THE TOWN OF PLAN REFERENCE BARNSTABLE AND IS NOT LOCATED WITHIN THE FLOODPLAIN PC,.R K-- -4 G`-1 r'G. (� DATE ; 9 i`i ° BAXTER a NYE, INC. REGISTEREDL AND SURVEYORS THIS PLAN IS NOT BASED ON AN $ INSTRUMENT SURVEY AND THE OFFSETS CIVIL ENGINEERS SHOWN SHOULD NOT BE, USED TO OSTERVILLE, MASS, DETERMINE LOT LINES. APPLICANT