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'//
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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