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HomeMy WebLinkAbout0183 WHITE MOSS DRIVE - Health %3 Wh ale OO1 )D— e— TOWN OF BARNSTABLE I LOCATION LM6Ss 0 SEWAGE # '97'18! VILLAGE Una,s y T�h s ASSESSOR'S MAP & LOT 3 j INSTALLER'S NAME & PHONE NO. -71 -36lb SEPTIC TANK CAPACITY 1 .o0o LEACHING FACILITY:(type) Leach (size) 1 ,006 91ttlayf ENO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WATER' BUILDER OR OWNER .. .DATE PERMIT ISSUED: DATE .COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No ,�/ r _ ��.� .r-- ___..r ..�� I ZS 1 1 i '�' ,t •i � 1, Cti a THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ./ ....................... App iration for Ili-nV.aia1 Workri Tono rurtiun Vautit Application is hereby made for a Permit to Construct (1/) or Repair ( ) an Individual Sewage Disposal System at: ... .2�1_... .✓�1�a5._: l.v . ........ ... !G( ... 1 ........................... 7 cation ddr ss r Lot - Ow r T Address t L---------------------------------- --------- -T. ------- ---------------___------------- Installer Address U Type of Building Size Lot-----Z2jAe!._Sq. feet ., Dwelling—No. of Bedrooms.....3--------------------------------Expansion Attic Garbage Grinder (0) :Other—Type T e of Building No. of persons........................ Showers � yP g ---------------------------- P ---- ( ) — Cafeteria ( ) Otherfixtures --------------- ---------------------------------------------------------------------- -------------------------------------------------------------- w Design Flow.........., ........................gallons per person per day. Total daily flow.............33Q...................gallons. 9 Septic Tank—Liquid capacity..M._gallons Length................ Width......._........ Diameter................ Depth................ xDisposal Trench—No..:.................. Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Result Performed by--- v L !� __ ! 1. 1t Date.... �1�f Test Pit No. I................minutes per inch Depth of Test Pit------/_�......... Depth to ground water.__..-d______.____. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ OD - --------- Description oo _.... •--- .0 ........................................ P ._ j------ ------ M�. --------------------------------------- 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 i_11 Ti LEE 51 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------.... • - ---------- ----s?... _� .... . D Application Approved By............. R ........................................ '�" �J Date Application Disapproved for the following reasons:----•----------•--------------------------------------••------•------------------------------------------....._ ....................•------...------•---....-•---------------•--•-------------•--------.....---------------------------•--------.......----------------------------------------------------------------- q Date Permit Date BOARD OF HEALTH ---------------- Application is hereby made for a Permit to Construct (/) or Repair an Individual Sewage Disposal System at: el Type of Building Size Lot_ 72,Z ....Sq. feet Z Other Distribution box Dosing tank - / k( / Test Pit No. 1.......4-------minutes per inch Depth of Test Pit----- Depth to ground water---- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT 1-14' 51' oi the,Stae 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. ly Date Date Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH grrtif ir AV, "i THIS IS,TO CERTIFY, That the Individu al Sewage Disposal System constructed C.4 or Repaired has een installe&in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. THE COMMONWEALTH OF MASSACHUSETTS BOARD—OF HEX&H THE COMMONWEALTH OF MASSACHUSETTS _ ' Permission to Construct or Repair an Individual Sewage Disposal System ' ~ Street- - us shown uothe application for Disposal Works Cons ioo6uo Permit ----------------- Board of a=uh } DATE........._----'-_-__- ............_-��-........... ' ' FORM mms xoaasaWARREN. INC.. pvauSwsns ' ` / � : t -..:- �� iNfY,nel�n.i' _4'.�MiGI_._Y _.._..-�..�� _�._.. �,..._..._•.-/:i.i...�.�. -m..+.w•M.wf.ri.a.e..- O �L A Mn� ,z 63, -gc a Flo© # r ( o > � O of hi OT 4.: 1 tl LEGEND ¢"�� f,r n s, , i 9 J EXISTING SPOT ELEVATION 0 C, -PROPOSED SP0T--ELEVATIOW%M ____� . �' DAVID P. MAR 4! � IANO. , H OF EXISTING CONTOUR ---0--- �°� ; ` 4sr PROPOSED CONTOUR 0 ,A No.l 11 15 G' BIN NOTE: THE LOCATION OF ANY UNDERGROUND �* SEWERAGE,WELLS, OR OTHER UTILITIES SHOWN ON t THIS PLAN IS APPROXIMATE ONLY AS DETERMINED ► o ,}} 1 y? x FROM RECORDS AND/OR VERBAL INFORMATION. ,- FGISTER�� THE CONTRACTOR IS RESPONSIBLE FOR THE Nqt �nao6°Q L .; VERIFICATION OF THE EXISTING LOCATIONS IN THE FIELD. '• ; . REGISTERED ENGIRM10 LEW a ELDREDGE ASSOCIATES,INC. OPOSM, ' PLOT. CLIENT *` ENGINEERS- LANDSCAPE ARCMI.TECTS. JOB NO. PLANNERS1032- - LAN.D SURVEYORS r G?R7J WEST AMAIN STREET CMtGD F M r e ,. . ••s�•d.. ti ., 71 .;a /VOTE IF E/THeR TNESEPT/C TAN/C OR M/N. LEitCN/wG P/T ARE /►JOKE TH�gA/' /2~BELOJ�/�- - ..� /N. . . 4 0/.9. !rRA0E,f1. 24'o/AMETEK CoNCR.�T� COVER' M ScI/F_ol/LE+,p SJNALL BE 9ROUGNT TD GRA L7E.�AN'EJIrTRA. CONCRETE / P•V.C. PIPE NA-,4Yy CAST IRON CD�/ER S%i)i4.0 L DE USED --/�.O.. MN. P/TCN JF/N DR/VElVA y {� COVERS r - _ B PER FT. C E"TE 2 MIN. .CON c a oo VER� CLEAN .SAN'0 BACA-,/Z— q __ A E_ Y R GAZ � • •a. o .. o �. � • • . .- . . � � o � WASHED S7t�NE %4.'PEIr fT. StPT/C TAN/fC • • • • ' ' , ° • • h BO.X i • • • • . • • • � .•♦ • f ,ttb 1 ,�• •Ef"FECT/✓L , a a • , •• DEPTH ' • ' ,. 0 WASHED STONE • O 1 9 • • a • •♦ / p o lop _ • v. �-• . • • • • r . p .,p Pi?ECAS T SEEPAGE T a =//3.Q 4jPL4 a 10 0 . • • • • • r. a a o PI7 DR EQU/.V_ I/VVZA-r EL E✓ATION S. • ,C.0. 90. `INVERT AT D[/ILO/NG 9S. 90 FT. JNLET SEPT/C TANK FT. �� FT O/AlY1• C SEE TABULAT7aN� OUTLET SEPTIC TANK INLET D15TR/45117/0N B0X9D 3 a FT SECT'/O/V OF GROUND �1/ TEK TABLE C O CJTLET DI STRI,B[JT/ON BOX S/a J-T 1/VI LEACHING JOI 0FT. SELVAGE O/5P4SAL SYSTEM: -ABIJLATID/�l LEACH//VG PIT - / OIMENS/O ,SCALE N A D.ESIG/' CR/.TER/A D/M--N5/oN B FT. ,VVH,3ER OF BEDROOMS -3 D/HENS/ON C.—FT GAROAGED/SP05,9L UN/T MONVAC SO/L LOG SOIL TEST TOTAL EST/M.�TED -40*/33 0 G.AL.IDAY SOI L. TEST �/ SOIL TEST#2 NUMBER OF LEACK/NG P/TS 97 9 ELEY, PATE aF SOIL TEST /// 8 E' ~ S/OE (Ei4CH/NG P6R P/T _S . • Q FT / p t-2' RESULTS h//TNESSED 2YY7 /yC/1' AA1 6oTTOM SQ. FT PE/Z COLATJON RATE / -2- ^IIAI INCH TWAL LEACH1ACr AREA 'Z SO FT. FL-'eCoeAT/oN RASE A2 M/N.1/NCN RESERVE LEACHJN6 fl RE/���S.P. F T. HEGivM COARSE ,' /.L 72 e ccii - c , SANo ciV L ,Ga7 20 �,/h</TE' /Voss Drf'J M = % LEVY & ELDREDGE ASSOCIATES INC. >' $89 WEST MAIN STREET CF.NTERVtLLE.MASSACHUSEI TS 02632 NO G lqO UNU YY.4 TER E'NCO TLrie E•O C L/ENT �i�EEit/Q�F/cam°_ O.I TE ~ (� GROUND 1N/a TER AT EL Et! l .IOB ND. 032 : SNEET�OF 2 � L