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HomeMy WebLinkAbout0011 HIGH POPPLE ROAD - Health 11 High Popple Road W. Barnstable r �4. No. 4210 1/3 BLU T �oea 10% (5 o 0 0 0 6-3 LO CA. 10 it EW A G RMIT NO. c.imap IOY'-00-7 VI LADE f 6V� A�9�7 IN.STA LER'S NA & ADDRESS ,Bt`0 R OWNER DATE PERMIT ISSUED . DAT E COMPLIANCE. ISSUED ._...__. �� + ��� �i i ''� ,� �� � `\ ��� i � �� �\ • \ k ' + \ 9 No ......... Q THE COMMONWEALTH OF MASSACHUSETTS BOAR® 0HEALTH <: NA v po r r......-.. OF........... ............................................. Appliration for Uhipati al lVorks Towitru.rtivai ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: J.1.......... !% ....... cro?-n.......&C)............................... .......................(.!k r---------•-7-----------•--------•---....------------..........-- / Location-Address . ! or Lt-No. V....71S L.............................. � Pl ...... O Address 0� .............Mff 4........ ...................................... � Installer Address Type of Build' Size Lot............................Sq. feet Dwellingng No. of Bedrooms.......3.................................Expansion Attic ( ) Garbage Grinder (4M) Other—Type T e of Building ............... No. of ersons............................ Showers — Cafeteria G.� YP g ------------- P ( ) ( ) Q' Other fixtures ................................. w Design Flow......... ........................gallons per person per day. Total daily flow---------`g_3 d-.....................gallons. WSeptic Tank)(Liquid capacity/j.o.QQ.gaMs Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width—................. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..._._I........._.. Diameter.................... Depth below inlet.......... .. ... ota 1 ch' P � , sq. f t. Z Other Distribution box (�() Dosin ( Ad 0-4 Percolation Test Results Performed by._._ . ...-,,.,-..-ft, _ _. _ a Test Pit No. .. .__minutes per inch Depth of Test Pit.................... De th.to ground water----Ap (� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ xa� ........................ _ •4.... O Description of Soil.....®'V.A.!_.. Doc - 0 �__1!; .. ....... . .-••----•-•••••---- 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu d by the board of health. Signed. �/ = - 4 +.................... ................................ Date Application Approved B _----- - ----- -----=--- =---�- �► PP PP Y �------------ s �''' ' t . -� Date Date Application Disapproved for the following reasons:.............................................---••--••................................... ._......___.._ -------------------------------------------------------- •--------------------•------------•-•------------•••-••-•-••-•-•--•--•-----•-•••---:----•--•-•--•---••---••---•--•---------••--••--......••••- /"' •/J Date Permit No......................................................... Issued- ' � �f -��----------------- Date �. �l'- �.nw.i,. k,It - � .. •�'.,.F,. �:;t No ....... ._.....�e y FEs.. _.............�. At .,; se THE;COMMONWEALTH OF MASS,ACHUSETTS BOARD O HE .0 LTH. OF. Appliration for Mir usa1 Vorkfi Tonitrn.rtinn •ernttt y Application is hereby-made for a Permit to Construct (' ) or Repair; ( ) man Individual Sewage••.Disposafl " System at Lcafi n-Address s * or Lot No. ...........nmAa L....•..�. 16M.,-------- •----_. � ....G?a pto%_....._.R'a....Q..:.ce.4 ,4 rw 1/ft. r� O er Address R!...r.............................. --•---._ _________...-----........ -..............------------ ............_^• Installer 't Address Type.-of B'uildin Size Lot............................Sq. feet V Dwelling No. of Bedrooms........ ....:.......j____________________Expansion Attic ( ) Garbage Grinder (AoOq pa, Other—Type of Building '_`7!.,,,__ ________________ No, of persons............................ Showers ( ) — Cafeteria ( ) . . Other -fixtures •- ••--- --------------------- --•---•-------•-•---•-•••----•-•--•-------................................................... W -,_Design- Flow.........V A__________ _______ gallons per person per day. Total daily flow_._.a� ��_ ...................gallons. WSeptic Tank#Liquid capacity e�0 gc�s Length________________ Width ___._.____•• Diameter_____:__.:____. Depth................ x Disposal Trench—No____________ ______ Width.................... Total Length......... Total.leaching area...._...............sq. ft. Seepage Pit No------!---------:_.. Diameter Depth below inlet # otal leachi g ar sq. ft. Other Distribution box 4. Dosing tank tw . �' Z (x) (' Date. _ 4' Percolation Test R salts Performed by. x --- ,. a aest Pit No. `_ _ymmutes per mch Depth of Test Prt___________________ Depth to ground water _ A" est Pit No. 2........... _.minutes per inch Depth of Test Pit_________............ Depth to ground water........................ 7 + _______ Oc Description of So t ad• x f - � " y :� '..*.................... ---- . ..---...-•-•- ---• ------- -------••-------•--•-- �yyYY W ••--••--- ------•----••••• ••••----•---•••-•----- ••----y.—••-- ...--•-••----- ------------------------•--•• ............... U Nature of Repairs or Alterations—Answer'when applicable.................................. ._..._:_. ................ ._____.__.____.__...__ ___._,_.,_._.______________._. Agreem tit `e undersigned agrees to, install the aforedescribed Individual Sewage Disposal System in accordance with th .provisions of TITHE 11" 5 of th�State. Sanitary Code '.The undersigned further agrees not to place the system in operation until a Certiflc�te of Compliance has been issu d by the board of health.- .................... 1 ' '.Signe . ... X - - c� ' D : ate - Application A roved By....'..' . . • --PP PP - `" D7 at Application Disapproved for the following redsonsi_____----•-=--_______-•---•----=-•-•--.r.......................................................i---------------- Date PermitNo.....:.......... ....................................... Issued--•------------•--•------------- ......_....._ Date THE COMMONWEALTH OF MASSACHU$ETTS BOARD .OF HEALTH .............OF.-.....4f ' Tatifinat of Tou Banc 4 � THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) b /t�11,tra---_-e5 14-A--•--••--•--•---•---....-•-=• --•--------•••- at.___.._ .•_ In taller ,l�tcY st . •••---�y^'u3 -.___-------_- lslr� ���1��R.,.. i74-- - +t• has.been.installed in accordance with the provisions o�T 1Z 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No; __ _••____•__•___•_ da.ted _ _ _ ..'"" ._ PP I THE ISSUANCE OF THIS CERTIFICATE SHALL NOTIBE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION.SATISFACTORY. 1 _ �r.L.- f � ..,Y............................................. Inspector__.. . -- THE COMMONWEALTH OF MASSACHUSETTS ;. BOARD, OF HEALTH eIke ,yl� ,�..#� ..............OF.... y,_.o. _.....� ...........:....... . r N ...... FEE ... ...... --•-• • - �i�����t1 nrk� �.�n��rnr�Uan �[�ernt � �-- .Vi,ermission is hereby granted.......................................................... ..--•--••----•--••..................................••--_... to Construct X) or Repair ( ) an Individual Sewage Disposal System at No..... _�c.-4 �./-----•--' ------------- . -•� L st•�v �b/Q. Street s as shown on the application for Disposal Works Construction Omit Now ___._______ Dated _!t_ __ Y c awx o offea7tg ti �;. ..._.._... DATE................ ----•--•------••--- t .l FORM 1255 HOBBS & WARREN. INC.. 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I fir. i }-f 74 Y L y t fig` � ,t•' `/ _�� J /.5.S:c� E� ,` _I ,� \, { •�qq } lI 1,Av yyam�M` ` r O� R09ERT P i _t, ` � }u4 i r a OUNIKlB a E: a B41s0 No. ' Jt� . �' !q 010TO4 4, r f F♦ 1r Ya tS F}3..4.3y5 ,5,. f�-<- ^��.S(�t. �n_, ftd %. c tT+I.Y� +r•i.;t y ti w,# +1 x , j ` ` E TffiIO 'SPOT' ELEVATION—, Ox0 CERTIFIED PLOT PEA ` t EXISTING CONTOUR --- 0 -- ` FI.NISmED ' SPOT ELEVATION -"f� •, 40 r '7X I=fNI« l6b CONTOUR- 0--_ A OVED't'-BOARD OF : HEALTH AS DATE AGENT SCALE' 0ATE'a ..8 E'W ENGINEERING G� IN ST s CLIENT_�v.sE i' CERTIFY THA"'r , THE7. .®RR 4 : 0lSTfERE REOISTE-095 r �70' 4. BUIL®INO;j.,;SHOWN 01§l THIS' .PLC. w. bfrYlL LA6bD -74 CONFORMS TO THE ZONING. + 81HEER SURVEY f "-i OF, BARNST ®L fE MA S �. 3s"!V0 M1!►JPV` $T 712 MAIN 3T. CH. BY t �• I SOl YARMQUT'H,MASS. ,rWANIMS, 'I4IASS. , HEET_ t_'OF. - 0"ATE RE A— ® LAND 0su e+�r9/.,,¢. 4 � ;✓Z 1'_ ;may, t .. .. .. - v +,;4 �., '� �F. - :. � •-. - • � D YL' P/PE '� CLEAN SAAI s. Al/Al. P/TCN _ e /Op �D --:covERs /e , n o1�.Q FT CCDYE E �` L.EVEL z LAYER ` IRON P/PE= � ' of 11B -'J/e" t'd Al. vercN fo©p fy GALi o •e o -- °o 0 1 • •: • : e • e1 1 p o V4 PER PrT SI PTiC :} TANfC }, o l s T. o ti 1 • • • 1 1 n a WA S H1=0 S7rJNE- �..: - � w BOX a . e $ • e. s • • 1 e°o •4 ' - rt _ a'. � 4. M .._.. o v n • • EFFECT/VE ' ` , b •3�4��- I %2., ;g: _ :: o • ° 1.1 • p.EP7W • 0 1 • • o o WASHED STONE oa • - a _ -- - 0 10 • • • • • e • I1 v o - - - _ ,� _ - -- a v. • 1 • o • e • •. 1 0 o v , PRECAST SEEPAGE � 1A1V4vAT e,4RVA7YQ/V5 P c .° 0 1 ° o • :o e 1 1' a ° o P/T OR E0411V:• p - /NYERT AT BUILDING FT _ 6 FT. D/AM: I INLET :SEPTIC TANK FT. C SEE T�IBULATI /V> I _ OUTLET SEPTIC 7'ANK 96,6 FT, __ ------= --- ---- -- ; INLET D/STR/�!/T/aN BOX 9 6• F7. SECT/O/V O/� GROUND NIfITER.TABLE OUTLETD/ST!?/®�JY'/ON BOX J-, .4 F7 /NLET.SEEPAGE /CMV T _-�G , ! !cT .SEWAGE 015RO.SA L .S KS 77,6M - . _LEACAOV V& P/T - TABIJLATl�N ' _ DIMENSION A FT' DES/GN•.CRITERIA � • 5C.4 L.E . /,q. / - o" - -. = OIAI.ENSIGa _ _FT. _ N"VMBER OF BEDROOMS- �� _ '- •• j D/MENS/ON Ci q~ FT �/�'• G,aR@AGED/SPO,SAL (/iylT - TOTAL E.77/M.4T.-,o FLOb(/ E�O GAL..�DAY '. SO/aL TE.�T _ '4 ,z `9 77 S/OEGPAGH/NG PFiZ P/T 6 RAT — E aF SOIL TEST A yG. �, SQ. FT. :SOIL. LOG• BOTTOM 4C-ACHING PER P/T 78 SG• F7- TEST P/T #/ TEST P/T#2 gESULTS iVITNESSEp 8Y R, f- u�✓�A -" PERCOLAT/DA/ RATE TOTAL LEACH//YG RITEA SQ. FT. ��� 981� ELE{AT/ON � M!/V�I/NGH RESERVE LEAG'NlN6 AREA_� `�"S4. ;FT. • -ST A44j,s9c •Svd.s �_ 7 R ROBERT �c ' P. ^\�' - !S �iIIOE-5 C" . L1� P.N ?/� °!, _ r .o ,9 ft 22162 O 4 G./STSP��`� ` " x ' 7— �117-P 'rs'ONA4 � £z 4 _ 71 Z '"A/N_S T NO MA31V ST. HYAI%rlvla MASS. - ' �70