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HomeMy WebLinkAbout0650 CEDAR STREET - Health 650 CEDAR,STREET Wiest Barnstable a L O'Ck TI01X SEWAGE PERMIT NO. VILLAGE 4ti INSTA L ER'S NAME i ADDRESS 3 U I L 0 E R OR OWNER GATE PERMIT ISSUE 0 DATE COMPLIANCE ISSUED 7114 /9'// 3 a _ 11 .4 ., � ��� .. J �� �� "`+�/� � te N 22 o FimB_3.e................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . . . .. ................. 5Z 'rr ........................................................ OF... Appliratiou for Uhipagal Works Tomaurtiou Vamit Application is hereby made for a Permit to Construct (K) or Repair an Individual Sewage Disposal System at: 4 ... ............................................. .................................................................................................. �.... . ��7 C�f. Address or Lot No. l � yeE ......................... -------------------------------------------------------------------------------------------------- Owner Address ........................ ...................................................... ..........................W.... ---------------- -------------------------------------------- In t er Address Type of Building Size Lot. ;�_ lorz _3e ...Sq. feet DwellingXNo. of Bedrooms___.Ox—i..............................Expansion Attic Garbage Grinder (4b) 04 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ......................................�?-,e--------------------------------------------------------- ---------------------------------- W Design Flow........ .........................gallons per P� per day. T3tal daily flow.._...'? 777.7.......S-30---gallons. P4 Septic Tank—Liquid capacity-jfgallons Length_PA_4Ar-^_-0VAdth................ Diameter---------------- Depth................ Disposal Trench—No-------------....... Width.................... Total Length.................... Total leaching area....................sq. f t. Seepage Pit No------Z----------- Diameter.._./0------- Depth below inlet.......6........ Total leaching area.�A....sq. f t. Z Other Distribution box X Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date................__ Test Pit No. 1 C.. .....minutes per inch Depth of Test Pit-----/2....... Depth to ground water. .................. Test Pit No. 2................minutes per inch Depth of Test Pit____________________ Depth to ground water_._.._........_......___ ......... ...T............... ...... ...... X------7­-------------------- ............................. ------------V�' 0 Description of Soil---1/. ,�.............5V_1 -------------------------------------- X c�------�___ -_ 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 TLI-TLE 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 b board of health. :k*...........Signed--" ........... ................. ... ApplicationApproved ... ... ... . ... ........................................... ... . ........... Application Disapproved for the following r1easo s:---0.........................................................................................Da.te------------— ........................................................................................................................................................................................................ Date PermitNo........................................................ Issued....................................................... Date ..... C'90 3> 3o No................- Fims............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,O F. ��/S 7?9-/3�1 ............................ Appliration for Mipinal Workfi Tontratrtinn rrntit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ..... n..T ...� /--. �..... 2N5... ..............................•------------ ......................................... Jaye�bocatio �AdI s. / or Lot No. — ... ................�.. ...._........... /'• Owne♦r Address a ..................... ...... ._ l__.....------........_....._......._........ ..........------------....-----------......_..................------........_..................... In ller Address 3S a3.3 UType of Building t f Size Lot_._.__../................Sq. feet Dwelling L+C No. gf Bedrooms.........................=........._........Expansion Attic ( �) Garbage Grinder (A4 '4 Other—Type of Building p� yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Oth `fiures . --P ----•--------------------------------------------- '`` ,.� -----•---------- W Design Flow...........................................gallons per rson per day. Total daily flow............................._..__..........gallons. WSeptic Tank—Liquid capacity-_-gallons Length___�u.tii................ Diameter-_-----_____--_• Depth................ x Disposal Trench—. o..................... Width_. ............... Total Length.........._......... Total leaching area--------._.. sq. ft. Seepage Pit No--------------------- Diameter---_�_-___.__..... Depth below inlet............... Total leaching area. .....sq. ft. z Other Distribution box (X) Dosing tank ( ) z • ,! st `4 Percolation Test Pit NoRl silts Performed minutes err inch Depth of Test Pit................... Depth to ground water/�------_-- Test Pit No. 2................minutes per inch tDepth of ',rest Pit.................... Depth to ground water........................ Chi --------•-•--•--------------- x Description of Soil....... -...................y........ ......-........ ri ---Jam... y am: -----------------------------•----- U -----•---------•---•--...-•-----••---•---------------------•---•--•-----•-•-•----•---------------------------•----------------------------------•-•--------------------...---------------•-------------- W x --------------, _--------------...-- ---•-----------•-•-- ------•---..._..._....---...------------ U of a a' s o: 44 —Ar!3vg4j&4.apP --- -----4oA_ ids 4-ct+r.-. �A�w.�--------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE y g g p y 5 of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of healthI �. . �. Signed. --- .... ......................-------------. -=................... ✓ / .c` a'1 J Application Approved B / '� ' -^r""---- -•--------- i to Application Disapproved for the following rea s: . -- •--------•---•----. -•----------------------•------------------------------------•---•---------------..........-------- ------------------ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS / BOAR OF HEAL - --- f OF... (9rdifiratr of ToutpliFanrr k. THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) .... --_..e --------- . ------;� •---•---•-•-----------------------------------•----------------- by...........C ...._ .Installb{�I /,.� -�+^ at..................................................................................................................................................................................................... has been installed in accordance with the provisions of TI'- 3 Ql>e State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated-------------------- ___ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....................................2....-��11................. Inspector.......... !A9�................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 8 - l .............................. .... No......................... � FEE........................ �.�^�.a 'Zcr` Biquis tl r Haan rnnr uan anti -�.pl.,i 1n.r Permission is hereby granted.....---�='�-----------------------•-'=--...............................................................................,...__.._..z,:.: to Construct 4!�P)rogj pair ((2 ndivi Seu/die4bi'sposabt"m- atNo........................................................................................... ---- } Street as shown on the application for Disposal Works Constructi�itAo... .._ . ._._ ed.......................................... OF YO \ Board of Health ............................ DATE............... - if/�- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS _ NO. ,� - - _ N-� 2 f .PL=q- .;Es is( r /00 2 TOP OF F G 1LKA � / 2% SLOPE OVER LEACHING AREA 6 '} �/\ 6 __--� DIA. _CONCRETE COVERS )8" DIA . CONCRETE COVER j` F►Nc �• � -18 DI A. CONCRETE EX. RING 9 921 � s • : _ —� �_ ,. a. • T1, n ... ..- --. �UCOVER _ 8.� QO in el. Y�ASNED STONES 1I o , , - - • 4_ L!0'JID D B W 6"S( !P in, a !.: e • • E ii WA STONES 0 N ES o '�- �- l 5 • EL. rr 0 0" (o'EFF DEPTHati� / ' 000 O� e , . ' D / G Oo00 o A a +D -r PE RC RA. E _ '' - a64O eQ• , po+*0 l r is : GAL L ON PRECA %0 00vv•; l�� WHI TNESSSED BY - --._ _ --- - -- ST o0 o , . • : , :_, - ! - -90ARD OF H ALT SEPTIC TANK WMT4 CASs IN PLACE . ._R_ _ �— INLET AND OUTLET TS PER TITLE TI" a S !ZE : r 5,00 C�r �_ ,. ad�31A. 2 ' A L.L AROUND ►oo / Et �n �. ''-`ti �/i4C AN T LAUD 1 -. i f PRECAST LEACHING PIT - ►� mac , SIZE 75 iA `tiCr3`'� P049-/. � Cr PRDPOSE D SEkNAG YST�,/�� a MCA ! % 1 O VU ).a b J R SYSTEM DESIG-TED N F � aev) 5TABLF REGULATIONS40 i_ �►gip ►° -__. 1 . ND S7A TITLE FOR SUBS URI:AC E DISPOSAL OF SE WAGE NOTES .. �� �; 3px��� � . • I-ALL- -PIPES Srr'ALL BE SCHEDULE 40 P.V.C. SEWER . PIPES 2-ALL PIPES�SHALL BE SLOPED 4 PER FOOT MIN. E)CEPT �.4 i • L_ Imo. FOR THE FIRST 2 FEET OUT OF THE LYB WHICH SHALL 9E LEVEL w 3-DESIGN FLOW:-&BEDROOMS AT 110 GAL DAY PERBR -4(� GALD1 �' _ Mf SEPTIC TANK SIZE : , 4 0 X _t 5 -- = GAL ' USE 1 r�?�,�, �� CAR 3AG E GRINDER LEACHING SYSTEM - USE I - pj FFECTIVE APEA SID` �- ,v R 2. = 471 cva,4-D �,� B O T T 01�1 _ _ _ _._. _ • ,, , �� a t.o 78 c� TOTAL FLOW' TOTAL REOD FLOW: t 4 �. x� = 4- A , . /GARBAGE GRINDER e�,2.2 v, RESERVE FLOW: 4 1 - 4-a �IDAY a - PROPOSED HOUSE SE', ,� !_ , H_,. ,D - -- PROPAR T Y OwN R . "_ p<� 4-Z6 - - _ IAJ 67" N 4 - -- SCALE 50 sTaNG APPROVED BY : BOARD OF HEALTH S/7E & SE'y'AGE AN o U _ �a BEDROOM SINGLE FAMJLY DWELLIIVG ,<� . V7� WILLIAM. LIEBERYA-N= R,PE 1v' i. 2