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HomeMy WebLinkAbout0044 THATCHER HOLWAY ROAD - Health 44 Thatcher Holway Road Marstons Mills A = 149 - 079 4141 7-4 r�( 14 o 13�T#4- ffoME pe D FFcc.�' �ntld L. ......... f • t Afo i. i qq Ttl6rc�4E�. i-�ac�,ow1 � rvAR?-sV*3s MAWS i AT T3E poi -bAi� (sSt A, At-44Cr->.) C Go S LA 6fb�t5p� i i i o1� Id TOWN OF BARNSTABLE I;OCATION X/7 [r/!4 SEWAGE # VX.LLAGB 11h, ASSESSOR'S MAP & LOT - d7 I.NSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILlTY:(typepj2 `C _ (size) ,d f NO. OF BEDROOMS PRIVATE WELL LIC WATE �`p BUILDER OR OWNER 42--, DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED; --�o VARIANCE GRANTED: Yes No Aw u 5Y 1000 / 0 APP ROVED I G - EWJ%Wb:afAw.wvation Department Fizz............................. �\ THE COMMONWEALTH OF MASSACHUSETTS S—=`RBOARD OF HEALTH Signed Date TOWN OF BARNSTABLE Ap'Phration for Dirpimal Works Tomitrurtion Famit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at, . L pion- drcss or Lot No. -----------• ---- ............. W � �-- _Qrncr y- n ddress a ----•.......... ....... `�� �.� Installer Address d Type of Building Size Lot.................... .....Sq. feet U ,.. Dwelling—No. of Bed Garbage Attic ( ) Garbage Grinder ( ) 404 Other—T e of Building No. of persons____________________________ Showers — Cafeteria a' Other fixtures ---_----------------------------------------------------------------------------------- W Design Flow.......... 15 _____________________gallons per person per day. Total daily flow_.. .......................................... Design WSeptic Tank—Liquid capacity............gallons Length________________ Width................ Diameter.-.............. Depth................ x Disposal Trench—-No. .................... Width_._`._.__...._._-. Total Length-_____..j_._..._._ Total leaching area....................sq. ft. 3 Seepage Pit No.-__. _. .-_-__. Diameter....IJ.--------- Depth below inlet..4b............. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ 4 Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water..................... GZq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ._...----•-------------------•---•---------------------------•------------------------------._..._._......................................................... 0 Description of Soil.............................................................................. •----------------•-------------------•--------------------------------------------------- x U .---------------•--------•-•----------•------•-------•----•-------------------------._._.......------------•--------------------------------•-----••------•--•-------...._....-----------------.._....... W •---••....................'---------'------------------------......---•._.........--•--•------------------.._..---------.....---...-------------•------------ U Nature of Repairs or Alterations—Answer when applicable._..-....� .��!11.r_ _ . ._.�_�_...��....................... 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 Corn lianc the lioard of health. 77 f� /} Signed ....... ... ... ...... �� . - Dare Application Approved B �. IW4'111c ...................J -� ............_............. ........--------..........-.....-.........-....-... gte -- ---•�. Application Disapproved for the following rearonr: ......................................... .......................................................................................... ...................................................... ' ................... ' .......................................... ......-...-..................-........ -. Permit No. �..1..`..--.. l �"".._ F t,. 2........................ Issued ............... � -�-�. -- - .- Date 1'w.. :�l�y.-"�Ly""`+'�...-r-�.-,.-^�.:,.`i-"-"t.:r.si�.-..w\,+n,...+���--..�ayy.-..�-.vvr'v v�v'+-�.✓�v-....,4�:.,.v �:.,.. Me wy-. ......:r���"r .y�u......r-t'.e-�`+-.-�y�r" v � ..-v....�v'ti' v_rv..-.: Sr... No................_....... Fas.. -..1 ✓. THE COMMONWEALTH OF MASSACHUSETTS _..RC6BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Diri.puuul Wur1w Tunutrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (f an Individual Sewage Disposal System at rt'j� hit/ �tp l!�/N'�� Location- \ddress 1, or Lot No. ..................7 1�_� f�T'_J.�.....v...---------------.... t�'J �. (( �Oqwner Address --------•... ....................:............... ---------------------- ------•---- --.-- Installer i~ — Address UType of Building Size Lot............................Sq. feet ... Dwelling— No. of Bedrooms-----,3-----------------------------------Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) al Other fixtures ............................... . . W Design Flow........... '{..................gallons per person per day. Total daily flow",..........._...__.__.................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area................. ...sq. ft. Seepage Pit No.-__./............. Diameter....IIJ.(------- Depth below inlet_47f.......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil........................................................................................................................................................................ x w x ..•••••---•-----------------•-----. ....-•-••-•---...-•--..._....--•-........--•--------•-•-•-•-•-•----•-----•-----•----....._.....--••----------•--•-•---•. U Nature of Repairs or Alterations—Answer when applicable.....4_a;�---��•r .��� T__C� � _ .-•�r .'. =-•-•-••-••------ .ir1. ?: �......�f..............T��r�?cam,........ ....... 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 as-beelf issued.by the board of health. 1 Signed - �?.._``.......... ./ t......— >.......- :. .... - .�`�...:.-' Dace Application Approved B� � -- . . "t�.:/"_._.JI C Dare Application Disapproved for the following reasons: .. . .................... .. ............................................. ......................................... ...................................................... ... ...................................................... ....................................... ... ........... ---........ ----- ...................................... Permit No. ,1n '..".... .1��........................... Issued ...............f�..::........................ ------ Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE O�er#ificato of Oulomplinure THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by ............................................. ��:..rnL----- ... .L r Insrellcr at . �1` ...... r`"Z .�" '... �Cu- �-f... - ...................... ..................... ... .................................... ........ . ... ......................................... has been installed in accordance with the provisions of TITLE of The State Environmental Code as described in the application for Disposal Works Construction Permit No.� _m!------ dated ��- .��,... t. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UR EI AS_ A GUARANTEE THAT TH SYSTEM WILL FUNCTION SATISFACTORY. DATE ..._........_..._/��........... ......(J... ..... ---_- Inspector .......... ._.... ..... ,-:_:............... ....---------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Disjumal Vorkv Towitrurtion "permit Permission is hereby granted I ..t/��.....� -t...=_......-•-•-------••............... to Construct ( ) or Repair � ) an Individual Sewage Disposal System atNo............................................ '/ = �" 1 �-�_.... -- 4`.,f...... street as shown on the application for Disposal Works Construction Permit DATE........ Y Board off Health C� FORM 36508 HOBBS&WARREN.INC..PUBLISHERS LOCATION ��� # SEWAGE PERMIT NO. VILLAGE s INSTALLER'S NAME AND ADDRESS WILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED • r F8, N .........Y(/- -= F ......... . ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH __t./.-. �....OF.......... .. -.-....'.................................. Allplirafta t for Biiiplo iial Works Cron.5txurtion rami# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: }. q.q .................... ....................... Location-Address or t No. itp`P/�`�]■� /gypqq�. ,�P�, ��{1n' .. �..5 T:.. ... � .�..j ................................................ ...J..1T._.. � _•_ .�.... .V. Owner Address iiVV\\ w ka Installer Address � dType of Building Size Lot_�.31.0.0.C?.....Sq. feet U Dwelling—No. of Bedrooms--------- .Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ........... No. of persons___-----3---------------- Showers (2.) — Cafeteria ( ) Pa Other fixtures -------------------------------- - W Design Flow............. ._` ..................gallons per person per day. Total daily flow----Z.3.P..........................gallons. fYi Septic Tank—Liquid capacity/ V.00.gallons Length---------------- Width................ Diameter---------------- Depth---------------- Disposal Trench—No. ............................ Width................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......�.-...(on box - --'------- Depth below inlet.__7._._ otal leaching area3J7#.3X.sq. ft. z Other Distributi � Diameter--U(9 Dosi tan��k11 ( ) 1. ��'� Percolation Test Results Performed bx_ �---tom= t^ -1A.C�k°e.................................. Date.... ..... . ................ `4 Test Pit No. 1 L- --_-_-minutes per inch Depth of Test Pit._.. Depth to round water____fWY_'C_._ P P �-------------- P g -- (s, Test Pit No. 24 .._minutes per inch Depth of Test Pit...LZ�.._:...... Depth to ground water_.__-'19�:-___ a ..---•-----.�.._.... ... --- O Description of Soil -- ..- s� f-✓'t�✓l��ti`..% ..........�f' ............... x � �w�,Q rM, - .. ----- ------------------ W -- 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'T`:L p 5 of the State Sanitary Code—The undersigned furtt.er agrees not to place the system in operation until a Certificate of Compliance has been issued by the boar of health. igne ----------•--• ::Sp. ..� .. .............. . D to Application Approved By-----. ----•------•---•-- ----. .. ...... Date Application Disapproved)or the following rea ons:.... ..g............. ' L i Date PermitNo........... tl...,�.... ......... r..... - __.... Issued------..k-.......................................... �/ V 0 Date r.f o.._._._..... ....... Fis............._............... THE COMMONWEALTH OF MASSACHUSETTS ; BOAR.® _OF HEALTH }. � rs ,Nop iration for MiVaa al lgorkg Tonatrurtiun lerntit Application is hereby made for a Permit to Constt'i"uct ( ) or Repair ( ) an Individual Sewage Disposal System at .....wo -:: . ....... ............. ---.---...----------------....... •'location-Address or ., Ow r Address Wa�- --- --------kAD..................................-............... ....------••-•-------------•-------------•----.................. In to er ' Address Q Type of Building Size Lot............................Sq. feet TDwelling—No. of Bedrooms........ _____________________________Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building �o0 ffAIA.CNo. .of ersons..........YP g p -----•--•---•-• Showers (� — Cafeteria ( ) PL4 Q Othep.,QUares --------------- ------------------------------------------------------------------------------------------------------------------------------------ W Design Flow...........................................gallons per person per/-day. Total daily flow......73.3.0......................gallons. WSeptic Tank—Liquid capacity 002.gallons Length=___-,f= : Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width_--_... Total Length_......____ .__.... Total leaching area....................sq. ft. Seepage Pit No tI �______________ Diameter.._..�0_. ._..... Depth below Total leaching area.311,. q. ft. Z Other Distribution box ( ) Dosinr ton�( ) Percolation Test Results Performed by.... x ......�.4.�1 (.: ._...._ --•---_---. Date.... ._. .............. a I Y s Test Pit No. ....minutes per inch Depth of Test Pit___�I"2i.......... Depth to ground water... -`:....... 44 Test Pit No. 2_nZ ..._minutes per inch Depth of Test Pit---L17 1........ Depth to ground water----ky�.... . a ...........- ?.............._. ............% ....................................... ............................................ I WO Description of Soil........... f...... '� ..A9 A �- U -••...:•••-•••-•••••.....----•---••••--•-•••••••••••--.•-----•--••••••.•••••......•-••••-••••..---•-.-•-•-••........-- ------------------------------------------------------------------------------------ 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'T`:� p 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 bo of health. Sig -•-•- ----- ----- ------------------•------- ----- -= Application Approved By_�_�.._ �•= Date Application Disapproved for the following reasons-...............................................-----------------------------------------------------...._•••--- --------------------------------------------------------•--•-•-•••....•-•----••--•-----••...--•---•.....•••--•-•---•--••-••-••-•-••-••••••.=---------------------------•---•-••-•-------••--•---•---- • Date PermitNo......................................................... Issued.... ?--•-.----------------------•---------•-•------- Date THE COMMONWEALTH OF MASSACHUSETTS `R BOARD O HEALTH ..................................OF...... ..... ....�.... ..................................., ...................... Cwrrtifiratr of ToutpliFattrr T S, S TO E T That the Individual Sewage Disposal System co trusted ( ) or Repaired ( ) by ------•--- ... - at -- -••_........• ......-- •..•.... •--- . ..................-•-----•---------•-•---- •-------••-•••-•---•-•-••..................••-•- has been installed in accordance with the provisions of ,ofi e State Sanitary(�o_leSas_�c4ed in the application for Disposal Wbrks Construction Permit N -_--____-.... ............... da.ted_-----_------------___----_---_-._-----_-_--_--- THE ISSt1AN ;JE"OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS 1 UAR TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....� : 2—:i3 ........................................ v'. Inspector..-• ...........---•---- THE COMMONWEALTH OF MASSACHUSETTS ",, .BOAR F HEALTH add G� o.............. .._.. FEt ................... ROM jar ii urtwu amit Permissioereby gran ed.........�... ------ r....................... ............................=....-- ..... ................................... to Co 'tct or Rep Ind'v' al .vie s tern atN ....•-•-•---••�............•....... .. ........ ............•••••.--.... ......----....------......•• ?!/.. Street as shown on the application for Disposal:;lWrks Constrct p Dated..._ ._i it N ..--•---- -•---Board of Health --- .--------- • -. DATEa......•------••••----•-•---••••••....••••••-•---......... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - r i SITE PLI- A N i YPCAL PROFL E h ; SCALE NOT '"C .SCA L E `�-- t " ; ;�04. J``� . . - �-� f8"STD. C. T WGT C.i, MH COV£R 4"C i PIPE 4„8/T F/BE,R -'/PE ?'GNT ,rUINTS -- 1, JOIN _ - - F t Ow !NE �.S � TL LEVEL rj -_ DWELL ,IVG ' I4 45. —_ { '010 - _ i _ _ - _ y b x , Lj 7 r TANDARn GA A Qr _. _�,� CONCRE TE/aaD L N U L ,z� SEPTIC LANK O/STRIB!'TION 60IX i { T OFVEL ,l E 7 ,5,ABI E 8A E.L tt SEPTIC TANK ! TD BE /NS rA L L EC ON 1 i E✓FL , A B .E- BASE .5 r1 i T I/8" TO lJ2" WASHf_D PEQSTONF 4'"_ PI T B�S A 7-00 BE� L£VFL ALL ARC.`UNJ f.REE DF /RUNS' fI.NES ANC dU57 ;IV PL A0,C BRICK•8 MORTAR COURES 314" -0 I-1/2" WA SHED III'RtJS.H£i1 AS RECUIREV TQ 8RIN(i „ 4`� S"ONE At 4? FREE G)r ARQL'N , CO✓EN TO ;RAC}£. 24 C, 1, MH C()VFR IRONS,. FINES,GNO OL'�5T i./{i F'L4CE A NO FRA ME -- T4., _ -- _ ^ _ ' ` LEACHING PIT 5EC TlOIV----- � le. - North W f_INE } . i, CONC,RETE `0 8E 400Q PSI 28 OAY$ , 2. REINFORCFC WITH G.. x o'` I0.6 Ga VV.WM.sl._ 2' ANU 4` SECTIONS ARE AVAILABLE FOR GREATER 00� 1� { { } I ` DEpTH REQUIRFMENTS. . + C7P0wNG WlrH 4 //p # ► _ 4 NUMBER GF PITS REOUIRED0, ou7E R DIsiM£TER Q\ i NOTE; EXCAVATE, TO €L EVA IC}{U .37.% \ \ 3i4 IN5l4E DIAME-T£•R ( T C?R LQ'rvE R ASREQUIRED+ TO REMOVE ALL LOAPA AND CLAY BENEATH JI PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN GRAVEL TC _DESIGNED GRADE EFFECTIVE DIAMETER (NOT TO EXCEED 3 T1,iIE5 EFFECTIVE DEPTH) WATER TABLE44 SOIL /VD ;�_ERC. 0A r,� GENERAL Nth7 S pEG. AE SIN. /SN , NG HEAVY Et1UIPM£NT TO RUN OVER 5YSTEM. SEPTIC TANK, DISTRIBUTION BOX , LEACHING PITS TO BE STANDARC BY: PRECAST REINFORCED CONCRETE UNITS. WITIaESSED BY "f' _.._ .:i-' _ > yr .� < _� t -� ALL SYSTEM COMPONENTS SMALL BE INSTALLED ICI ACCORDANCE ,. T4 REVISED TITLE 5 QF THE STATE ENVIRGNMENTAL CODE,T ST PIT GR EL :, :7,it DATEMINIMUM REQUIREMEN?S FOR THE SUBSUFACE DISPOSAL OF $ -"' � © TEST PIT NQ.t TEST .PIS NO 2SANITARY SEWAGE EFFECIVE I JULY 1977. --- AN A ES THI P� AN MUST --__—__. .__ _ .�_____ Y CN G YO BE APPROVED E3 TME �D N S Y BOARD OF HEALTH. .� AT COMtiET1t?N OF CONSTRvCTIQN PRIOR TG 9ACKFILLING, THE;Ait T� ._F" l °'` BCARD QF HEALTH SHALL BE NOTICiED FOR INSPECTION. PITCH ALL SEWER LINES /4" /FT UNLESS INDICATED 7 ,_ tl ,;r�)E 1i t ti icy : �ESiGN o,a rABEDROOMS ____��. DIISPOSAL_.-_,_.-_._ l EST. 'a')%AL DAILY Et-F ,, __._-GALS.C�L ��IVCJSEPTIC TANK _._ ---____ GALSiDEWALL AREA ____. - GAL.,./SQ. FTBOTTOM AREA _�6Al.:.jBQ. FT �^ 1f+ ��} (�'j� Y�^ j /�//.�xdC EXISTING GRADE LEACHING REvUIRED._l_E_- �`c� 50.FT_ .. EE YAC7E D ,5 O�AL S/ S Eli'`,ZONE' _k ACTl3AL LEACHING AP.EA1'�.tl' � 0 ov FINISHED GRADESQ.FT. FOR/^1l I I J L DOMEJTIC WATER SOURCE • L� r.; V`I �Lps. NLIL2 . INWERT ELEVATIOid.. � PR0PERTY L NE' WARWICK & WILKIE .`. �-, of _���ANREFERENCE t " ' '' c3 r HersP MEAN NIGH WATER Registered Pro#essiw�na� ERgi, $ * � � ; SCALE, AS INDICATED DATE and Land Surveyors '9ENCN P,",ARK UATUi =�:r., .�;; SL_"� %c'� s - , MARSM 2I3 Old Main Road, Box Sd1 M W-4 bWICK 8 ASSOCIATES YVM RSOX 801 — NC7RTH FALMOUTH �o Falmouth, Mass. 02556 fi AWASSACHUSE r TS 02556 IL i Y _ _ _......._.....__---.._._. ...._..... 7_