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Home My WebLink About0312 CEDAR STREET - Health 3111 i u West Barnstable A 061) �I �I > 3 3 LOCATION SEWAGE PERMIT NO. X OT C �a- VILLAGE� O)C-5' INSTALLER'S NAME AND ADDRESS BUILDER OR OWNER l-'� A 1) U> i-oneg. Ei1`,C��1 Pad DATE PERMIT ISSUED p f � DATE COMPLIANCE ISSUED %� \J 'R�r j 0 s f THE COMMONWEALTH.OF MASSACHUSETTS YBOARD OF HEALTH IV ...................of.. 1 ............................ Appliration for Dispuoul Workii Tomitrurtion Prrutit Application is hereby made for a Permit to Construct (1�or Repair ( ) an Individual Sewage Disposal System at: ...... If�� ... !v, . ,� ,�'.. .... -- ........................................•-- ............. ...............................- - - L on-Address or Lot No s,tom // .yam, ST ......................: :... ...... C:�� Y.f.`c!Y.!^'.� O ner Addre a ..sa*f- ----------------------------------- :__1 5�1 ........................................... staller Address Type of Building Size Lot._�1.� ?� ...Sq. feet Dwelling—No. of Bedrooms................ .......................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Pa Other fixtures d -- •--••-•-••----•---•--•--•-•- W Design Flow............ Jr.......................gallons per person per day. Total daily flow............. ................_gallons. .r s WSeptic Tank—Liquid capacityll gallons `ength..... ......... Width._..5_....... Diameter__-____..______. De th_....._...._. x Disposal Trench—No.__..._.�__._....__. Width_____.._._._.___ Total Length.._.zr'_____.....Total leaching area.. 12! .....sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (✓} Dosing tank Percolation Test Results Performed by__._R... -.-l�-.G�.................... Date�; .................... ._. ___ Z--- - ,.a Test Pit No. 1................minutes per inch Depth of Test Pit------ ........... Depth to ground water...... _.._ _ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_-_--_____-__----____. a ...........................•-• ---------•.............••---•-•••--•--•.............--••--.............. O Description of . .......5/14 T Y&J__5 VIZ-* �? _`"44_.... 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 TI'PU 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 board o�th. Signed---------� Gl_: ... -•---------------------- r g Date Application Approved BY --- ,?7-,...�. ...................................... ...-- Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------•.... --••........................•----........------....--------..........---•-----•••---•---•---------•••••---•------•----•--•-•-----•••---------------------•-----------.....-----•-•••---•----••••-------- Date PermitNo........................................................ Issued----------......------------ No....�, .�.5 � '� ]FEE....... . Ic�..... THE COMMONWEALTH,OF MASSACHUSETTS f BOARD OF HEALTH ....................OF..f, Wig ........................................ Appliratiou, for Disposal Works Tonstrurtion Vrrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ................__...---_.......... ..--- •---•-•............................... .....•- T-•---�..`�.-----•--�� '�-........-----•------.......---...------ Location-Address or Lot No. .......Dc* . =h �-------...........--•-•----•------------•------- � 7...------Lie....................... W.Owner ddress w ----------------------------------- �.. c - ...................................... f� r Address e' �^ Type of Building 2 Size Lot__.-.________________________Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of.Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fiktures ••-••••--•-•-•••----••••---••••---•-••-••••---•-••-••---•-••--•••-••-••--•--••-••-•-... ............................................................. W Design Flow.......•........�._-5......................gallons per person per day. Total dailpy flow............ 4,n ...... ............ lons. WSeptic Tank—Liquid*capacityltX).O.gallons Length----_�---_._._ Width......P_.._.. Diameter________________ Depth... ±---_-- x Disposal Trench—No.........I_.......... Width.......2......... Total Length-----2. ...... Total leaching area....1.`�..........sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (A.,� Dosing,ankkL ) Percolation Test Results Performed by..... �1�1 K....._n.Et.............. Date.�/��..z .... �Z Test Pit No. 1.._..._3.....minutes per inch Depth of Test Pit....... ........ Depth to ground water-----------------....... GTq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ p; -- ------------------------•--------------•---------... D Description of,:Soil--- Sl ...............` ,¢ �• .-.....2 CT�-' ( V ----------------- -- W. ur. Q �.. - -�---------------------------------------------------- -------------------•--------.....-- ---------------------- 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 TITILE 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 board of health. Signed...................................................................................... .......................... Date Application Approved By... .. . Application Disapproved for the following reasons---------------••--.....--------•------------------------------------------------•--••--••-••••-•..........._.._ --•-----•-•..............................•--------------------•-•------------------......-----------...--••--••••---••••••••----•-••------•-•-••••-.................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................................................................................... (9rrtifiratle of ToutpfiFanre THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by--------------------- .................................. ------------......--•-----•-••-----.....--•----------•-•--......-•------.......---......-----------•-- Installer at. ........ e.. ........-- -.- has been installed m accord ance wit the provisions of TI 1 5 of The State Sanitary Code as described in the application for Diosal W rks Construction Permit No.-8�,, -.5AA----------------- dated___.____' =--.____--___------------••-. THE ISSU7F� E THIS CERTIFICATE SHALL NOT BE CONSTRUE AS GUARANTEE THAT THE SYSTEM WILL � ION SATISFACTORY:DATE.-•---•..It ..................................................... Inspector......................... THE COMMONWEALTH OF MASSPCHU TITS BOARD OF HEALTH _OF.......:'...:...............................•--..........._........................ Disposal Works Tuntrnrtion rrntit Permission is hereby granted..------. j -•-•-••-•-••---•••••••-•••••••-•-•.........--•--•.........---••••.....--•- to Construct (/f or Repair ( ) an ndivi ual�Mglle isposal System at No...... ....0..........-. - --- .... .....-- ; �. -ect� �i•94reet as shown on the app •cation for Disposal Works Construction Permit No................. .._.. Dated:......................................... / !✓ d df Health DATE 7 _ � .......... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS E ti SECTION - SEWAGE L. -SEPTIC TANK - - "D"BOX - - LEACH TOP OF FD//N.�� Q. •_V_ (MSL)* "2"OF U®TO 12" WASHED STONE ZOO IN• OUT• �� IN• OUT• O1 G IN8L.Q 81b 7E-A 79.Spf I ELEV. ELEV. ELEV. 7 -�q ELEV. SX7— ELEV. ELEV. Q ` 05 Nd-rE r`. . 4,N r um sUrrA�'5,Lc 0 hh--->z-- 25 1 ,r•?�. OFF" 1V2" —1 �� `� (� } MArGIZI AL-- Aft A Qi STf�&xF_ WASHED STONE ~ 4 tb` AROLksb OAT E L +F-44 � "•J � TEST HOLE LOG A2eA 4No REPLAe.E wrrH TEST BY �X, WITNESS TEST DATE Aet�I+.. 'n,, I DESIGN BEDROOM HOUSE `' (a„ T.H. * 1 "T t .#L T.H. + �r j .,� �� _44 _ ELEV. N O • ,` w �„�� f O M �Q,D �� •7r DISPOSER 1354i v{� Is,,, PERC•RATE MIN/IN. 7pn '7G�Z FLOW RATELLCJ iGAL.�oav> Z 2_0 I�--�'VAV SEPTIC TANK 27� (t45}Y G o �C �--~..•�..5 i"'� 4.ER t . REO'D SEPTIC TANK SIZEAAV 14 -44 LEACH..FACILITY $x �� . �, '` ,K,,"C7 p�e.`�`W �(P' iJ eLH 0 SIDE WALL Ta' (40) _. 9 G/D. .t C BOTTOM 2 f43�1 G/D. low , TOTAL = 2 6{(• } ; E• `r �`� . . _ ; 3, �. .-ti 3 { li 4 USE: UN LEACHING ��• 14 tbcoz. WATER ENCOUNTERED 1• 11 � p,.e•:,,. .. �.+ -"fir '`'*•.,,,,,` Z .,�"" .,,,!'�'.r - NOTES (.UNLESS OTHERWISE NOTED) � �� ,,,,,. �.-•'`� ..- �- 1. DATUM (MSL)}TAKEN FARA �-ry .�r v-. _._.._ .QUADRANQLE,MAP � \ r✓y,s - .... . . 2.MUNICIPAL WATER.......... U j$$ J' f V' �/ V' ,••^" i 3. PIPE PITCH: 1/4"PER FOOT 77. ( 4. DESIGN LOADING.FOR ALL PRE-CAST UNITS: AASHO- u 0 •44 \/ `�•" + �Q A. _ DISTANCE AS CERTIFIED "`-•--—• O' 5. MIN.GROUND COVER OVER AL1..SEWAGE FACILITIES: (1) FT. .-'`� „r r 6. PIPE JOINTS SHALL BE MADE WATERTIGHT D (�S p p 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. & �' "- 1 HEREBY CERTIFY THAT THE BUILDING V I 1- /'1N. STATE ENVIRONMENTAL CODE TITLES A) SHOWN ON THIS PLAN IS LOCATED ON THE M A t U _ L.+j} Cj �� S � GROUND AS SHOWN HEREON&THAT IT _ LOCUS: 7Y CONFORM TO THE ZONING BY LAWS OF THE 1. • ' -RIUL --------------t TOWN OF n I /j/� /.yl.,f—�. ryr � `� REG.PROFESSIONAL ENGINEER WHEN CONSTRUCTED. DATE �•t•� I� !/ 01� iy Iiw.. �L___.-Lam.__. REF: �f -.� ,r VU1.`f' Z l 7g ��r� •�(, down CIO engin��ring PR�PAAED FOR: 3 •�-" IC Qr,.c � MI'K )q I CIVIL ENGINEERS // . 'y LAND SURVEYORS ———————————— -,-- - BOAROOF HEALTH REG. LAND SURVEYOR f 1IZ CONTOURS (EXISTING)•------•--_- APPROVED MA arm MA SCALE I DAT-E � 1 Youth&Orleans, �c. (PROPOSED)—0—O-0—O— DATE• U 4� , A