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Home My WebLink About0042 CROCKER ROAD - Health 42 Crocker Road ` W. Barnstable A = 109 087 1 N� �- r\ �� / F U -v Uw-c, A 5 c X �lij Gfox G/8 GLASS SLIDVO ,0.001Z g�K i s a. 11 0 0 m l I i'I i 44 i 1f�la +II I S/o x G/8 F L 0,D 2• �� ;��I I 3 h - Q A.t L O A S GLOOM S'�i ♦V\� CO _ a ir = Q I A E N M ku AkI I, A' ,3° �5',_0 3•-0� 4" 4'_dam . l�'_Gl L O S C T I�I J LO '�li LOCATION SEWAGE PERMIT NO. L t)r-wea R fib, -7 1 -- (-11 3 VILLAGE IN TA LLER'S NAME i ADDRESS L % 4 t U 11L D E R pON OWNER / L oT L/2-- DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � �_-- �s" ^� '� -�,�_ � �. I, .. ,, f AI No.......... �3... Fss............ ............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® Cff HEALTH 1 I V ........ ..... .. .. OF......... ... a° /�/..,.................................................. Applira#ion for UhipaaFal Works Tamitrnrtion Vamit Application is hereby made for a Permit to Construct (14 or Repair ( ) an Individual Sewage Disposal System at: ',J �,� .....---- &,2.....Cl cicr...�cl.-lN:.-Zi"1.5 -ai!e-- ........................................... ................................................. Loeat* -Address or Lot No. . .............L ��l�Qr.2...... .f fa��/ter/�s, . . " . 1`.i. J�O�vner ... jrl'_-Q o' / t ! L!t�.$. Installer Address Type of Building Size feet U Dwelling—No. of Bedrooms.___.......3.................. .Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building _._._._ No. of persons............................ Showers — Cafeteria PI YP g ---•••-•••--.....• P ( ) Pa Other fixtures . Design Flow.............-9 ..................gallons per person per day. Total daily flow.......... _....................gallons. P4 Septic Tank—Liquid capacity./SQP.gallons Length........... Width-------------- Diameter---------------- Depth.-..,�..... W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No--------------------- Diameter.......6......... Depth below inlet......._...._... Total leaching area_._,Z./. ... ft. Z Other Distribution box (/ ) Dosing tank ( ) , I `-' Percolation Test Results Performed by._._�/ i-ec'�.e._,E.rz .tn_ee/,ct� ................ Date--_-. // � _ ______-- Test Pit No. 1__�.2......minutes per inch Depth of Test� .......... Depth to ground water------------------------ 44 Test Pit No. 2...-.2......minutes per inch Depth of Test Pit----n/2._'_...... Depth to ground water........................ D Description of Soil... _..Isl._site 1.......Aa.M.a:-sr/seez. .....-�-- U -s± '-- �f/sen.._3 rt ------------------------------------- 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'TTLE 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 hc4th. Sig . d-- -............. --- L /7 Application Approved By..... . �" ._... _.._ - •---•- ..... asf�a� Date ..... -- Application Disapproved for the following reasons-------------------------------------•-----------•-----......------------------------.....------•--........_...-- ...--•.......•-•-----•--•-----••....--•--------------•••------------------•-----••----......•------•----.---••-•--------•--•----••----------------•----------------------•----------•-••--•------------- Date PermitNo......................................................... Issued-----ll.---�-------� --7-----F.................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ........... ....OF........... ... ... :.... �rdif irFa#r of TIMpliFana TA(It IS TO C Y, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by....... ...... V� .......... - -- Inst ler ... 4_1 has been installed in accordance with the provisions of TIC 5 `f The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__�7 -__. 1..�'_•------------- da.ted__ _-a_ '. ��`.................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® A C7U ARANTEE THAT THE SYSTEM WV L FUNCTION SATISFACTORY. � a31 � .DATE...... Inspector.... ...•.... ...•---••- .._..... '� ..� w► a r i T. No........ ` .... Fms.....All .... +V THE COMMONWEALTH OF MASSACHUSETTS BOARD Qf HEALTH 4. . .414 L tl....OF........ .:a................................................... "Appliratilau fur Dhipasai lVorks Tomitrurtinn Prrmit Application,is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System al'r.,,, ..................'................................................................................. ......._....____.......__................._....................._..............._................. - Location-Address"—,,,,,,,,� or Lot No. y�]. Owner Address: W I 6,J-- .. Installer Address QType of Building Size Lot............................Sq. feet V Dwelling—No.. of Bedrooms...........,.-•____________________•-__ -Expansion Attic Garbage Grinder Other—'T e of Buildin No. of persons............................ Showers — Cafeteria a Other fixtures ........................ g ••-- -----------------------------------------------------------------------------------------------------------••••--------- 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_____._ ......... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed by-"-, •----------------••••••••-••--••--••-----•--•---•-•--•......-••••••-• Date........................................ 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-_______________.______- -------- -- ..-•-•••..................• ..... .._.............................................................. ODescription of Soil............................................................. ..........••-••-- --- ••----••••--••-••••-••-•••••••••-••-........................--•••- V _,.� .. ------•--- •••••--•••-•••••-•-•• ••-•--••-••••-----••---••-•• -•-••................•....... W ,� ----------- 1 K_ -------- -r-----� t.7-C,•---.. 7•-C i----------------------------=---------- U Nature of Repairs or Alterations—Answer when applicable______________________________________________________________________4___•-_______--__•--_.___. ---------------------------------• ------------------•--........................................................................................................................................ ::. Agreement: The undersigned agrees to install the.,aforedescfibed Individual Sewage Disposal System in accordance with the provisions of:T 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 board of health. Sig .d....... ------•..:..................................................... ate Application Approved By...... � ate Application Disapproved for the following reasons:--------:-'---------------- .------------------------------------------•--------•---------._D ----._..__..._ ---------------------------------•--•-------•----------------•-•-----••••-•••-••--•----------••-- Date PermitNo....................................................... Issued....................................................... Date THE'`COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ...._OF........... ... ... ......:t.... (Ilerrtifiratr of Tout litturr T,KIt IS TO C Y, That the Individual Sewage Disposal System consGd&it d ( _07 Repaired ( ) r b y ------------------- Instoler has been with the provisions of Sanitary Code as described in the applicationinstalled forDisposal cWorks eConstra Construction Permit No._�_7_ ��1„3. i dated--�'"'!�_�j-'_`"_7�________________•--: r The State K THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONS RUED Afr A GUARANTEE THAT THE SYSTEM WILL UNCTION SATISFACTORY. r.. DATE............ ........ .............................. Inspector.... ��• THE COMMONWEALTH OF MASSACHUSETTS r - BOARD. HEAL H ..........OF.......... I f TP � ...... FED ......---............ %poll , orks To rttdW Vamit Permission lwreby granted....... ••......• ••• .........• .? . . .......................................... --------------------•---• to Construct ( r it ( ) an I iv'd Se ispo Syst r at No...:n). ...... :::. � ' t1f�+•�. -- . .... ��------ .�+��'�l r r as shown on the application for Disposal•N�+orks Construction Permit Street, . _ ted_ r.- ' ___._.._. i s J J Board of Health DATE........ .:.w,...-•---•.-• ••---•............•- -- -------------•--- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS /V5t0 ��_./ —�rii "( � `.'F � » d3 `� r hi z``+�r{ R ^F� "-•,,f,d .tom �} < �v r � S 7 d�w+U�. � O - S JA, Y 2 R +� �. i .,�.akf r, s � � t • t p; .. k2 Q1', iR r Q `l Y}y a 5t S,.' rS �Y yi 7--,• y g 'F o h 1.0 n t P _ s t O rl c TA W\Ja' 1yy�f1v1 S8 r'`oOM r w x fL �•-; �1i O eG U. / , rR2 4 p y .I ; 78 rig f. { A r T : t, f w y�w { w•�4 �}�r j/ t Alt `'� p C� N1"'k. yk. S•* % OF r, s PR o C Ass�o ` s cl �o� ROBERf yc �# ` t S D ° /S' 0 0 " v BUNIKIS z a' i� p No.22162 O G/5T6 �FSS;ONAL��6\ (t �.}+ d � f�,- a ¢r. - - '.... ,r`} ��a ' � of?•r- :LEGEND EXISTING SPOT •ELEVAT.ION . Ox0 2 I CERTIFIED` PLOT PLAN EXISTING `CONTOUR .- - 0;— = .;....' FINISHED.-,SPOT ELEVATION 0 0 ISM :, 0.'; -- -- --7 FIN „ r �� IN APPROVED = `BOARD OF HEALTH r � . t s• SA ® A J1 N Aft - DATE � � • �� • AGENT ��' �r� e �� '� � {..`r� � �� SCALE;L E DATE�/"-�¢� � � S 7e? _ ' 6 " t-FIRLDRE'DGE ENGINEERING CO. INC CLIENT �'/LL= Y. - -- L. CERTIFY THAT THE PROPOSED < . mt EGISTERE REGISTERED 7KO2fr BUj�DIN0 SHOWN ON THIS PLAN JOB N0 • r CIVIL • LAND -- --- CONFORMS TO THE Z0N-1NG n.L_AW ENGINEE�t SURVEYOR DR. BYE . -- i� OF" BARNSWE m.33 NO. MAIN ST. 712 MAIN ST ' CH. BY ''' 12 S0. YARMOUTH, MASS. HYANNIS, MASS. / SHEET OF DATE SURVEYOR=:'_ ?HE:SEP,r/v 7-,4A4 G-. OR ` Y 20 FT. M/N. i EA CAI IwG P/T .4RE MODE TN9.`✓ 72"SELO1'V - - - r /D FT M/A/. fi . r G s rw CONCRETE 4-" S�JdA.I L L...BaE.t9 e?DuG. , TO'GR•4S 0 .. is N EX7-R E4HT C ST /RC ALL" 3E US 7PvC PIPE EYY L o R _ RA C'L E /V� A IV- A S AP w A =:: A L� FeBAc AYER 4"CAST .P o /�8 .-J/B IRON P/P/N.P/TGN A D 'GAL. '- rp/ST. aHPDSEPT/CTANK BoxsI LL tooEFFECT/VE I-�l o , 314 !' c n ore DF-7- / • • e m WASHED STOKE o ° v r •; o. a e.'® m r 1 oo o o so� r r el • • • • • •.•t o p o PRECAST 5S6EPAGE c a e c „� i • •� • o o e • • d cap P/7 OR EQLI/V a � o r �� o. • • • ► • e o /NYERT AT BU%LD/NG 9 b.o 6 FT_D/.4_M. f — -- C SEE TfIBULATION> I /NLET SEPT/C TANK 9S.S D/AM _fir DUTj�ET SEPTIC TANK //Vi" T DISTRI0UT/ON BOX 9¢'8 FT. SECT/ON OF GRDuNO W,�ITER TABLE - Oc/TLETD/STR/B!!T/0/V BOX 94,7 FT. y�•Z S��/�aGE O/SPOS� L .S�/sTEM - . • . //VL�ET TEACHING /SIT _ FT. , Ti4,6UL.ATLDN - L,EACH1 VG P/T . - w/MENS/ON A_ FT SCALE %¢ ' / - O ,5/oN 8=- ,� FT. DE.S/:G`N�Cfi!TER/�l • �/N D/IbJEN NUMBER OF BEDROOMS 3 D/HENS/ON G FT. GARdAGE0/SPOSAI- UNIT_. SDI L LOG SD�L, TEST TOTAL EST/MATED FLO*S/_30 O. G.4L.1DAY"' SOIL 7EST /4E/ ' SO/L' TESTy#2 ' NUMBER OF .i.EAGI/!/VG: P/TS_„ 1 ELEY. q-7,n r`-ELEY,-S7 O /SATE QF SOIL TEST 'S�/Z 7� S/DE Z,-ACH/NG PE/i P/T I�8._SQ FT I� RESULTS`dN/T/VESS R•P. I3 u N/K/S - t.oAn� 6� .'. ; ED BY OU.:TTOM LEr9CN/N_G PE17 P/T_ So. FT LoA-Al $ Pelt COL�4T/ON RATE S�/13 So/L -... . Z6 , Sv/3so/c hEftCOL 7—/ON RATE 1�2 �= MIN. INCH TOTA.C.IEACH/NG AREA 6 Z RESERIvE LCACM/NG AREA_Z%b—SQ. FT_. A � • _ . _4 /3/mac_- - Itk OF/ygss9c M ED d M LOT 9 11 SAtrO c� ROBERT, ti� sR�ro GRs>tiELEs�. BA R�STA/3 L P. BUNIKIS vi �Fc/z216��0�� L OR.EfIGE�NG/NEER/MG CO,/NC ONAL _ ST 33 O.+ O CIS1NA7��R E/1/CDU/VTE.�EO QNN 31 MASS SO..YARMOUTH,MASS. Nr �r- Z— Q Gl�O U/VO Y►./t•TERAT EL FI/.: " ,� ., — .JOB /VD. ` 780Z8 SHEET�OF ..• p .Q. - , H I' - 2 1 5: ,! r , t i 1.1 i 1 ,r1 1 � S , S r ' i� r . .1 , s i - OR tAC 0 9 ,may • �; '!/ ! f , - �.1