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HomeMy WebLinkAbout0111 KETTLEHOLE ROAD - Health 111 KETTLEHOLE ROAD, W.BARNSTABLE BITTERSWEET LANDSCAPING 1 ° o L6+ qs' - Ke4+lt- We Rd LOCATION SEWAGE PERMIT NO. VILLAGE (� ►�� k cp IN TA LLER'S NAME i ADDRESS 8UILDER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED /� T r s � � ��,r CochZ� I' � SeiO k -- �- r TOWN OF BARNSTABLE —LOCATION // SEWAGE # p VILLAGE ; Y> � ASSESSOR'S MAP & LOT �Il INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) /:��wk4l F z (size) b NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER& BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 51j&L VARIANCE GRANTED: Yes Io le .27 M y • 7 3q Y, t b NOW '1 fie(rese�-� r DaNiOA No. ............. FEic...... ..................... THE COMMONWEALTH OF MASSACHUSETTS D � ��ell, BOARD OF HEALTH .................OF. G.Q.Irf.?SAU.�le Appliration for Btopviial Works Tomitrurtion ramit Application is hereby made for a Permit to Construct � or Repair an Individual Sewage Disposal System ............ at: .. iZ M0.............................. . 1.� Location L r Lo 0. . ......................... _I. ...... YfAle... Aaaa.- !. -------------------------- Owner Address .................................................................................................. ..............................................i................................................... Installer Address Type of Building Size Lott. ......Sq. feet Dwelling—No. of Bedro U oms............/ .....................Expansion Attic Gar age Grinder (4 Other—Type of Building ............................ No. of persons_-__________-__-_-__-__-___- Showers Cafeteria'�_ Otherfixtures ........................................................................ ............................................................................. Design Flow...............5S.....................gal ons per person pey day. Total daily flow------------�1.410....................go I S. "Z 9 Septic Tank—Liquid capacityl2.60-gallons Length._/O:-.�P.. Width-5.,70.... Diameter________________ -De —No......./........... Width___10.............. Total Length....31.q....... Total leaching area..... -76....sq. ft. Disposal Trench :?� Seepage Pit No_____________________ Diameter________-___-___..__ Depth below inlet.....__.........._.. Total leaching area..................sq. f t. 'T' Z Other Distribution box Dosin ta 64 Percolation Test Results Performed by-Ock _rhaa..... - as Test Pit No. I A4.-Z.....minutes per inch Depth of Test Pit------:YJ-co----_--_--- Date... -Z.... Depth to ground ------- rZ4 Test Pit No. 2Z 2-------minutesper inch Depth of Test Pit........)��..... Depth to ground top- - -----I------- P4 0 ....... ............ ...Z.......................................................-. --------- - Description of 1 - - YAA ............... ........ --- L -------------------------- .. ..... ................................................-.-.-.-.-.-.-........................................................................................... .......................... ..... --- ... U ......................................... .. -- -------- Nature of Repairs or Alterations—Answer when applicable................................ ........ .......... .............................................................................................................................................................. A L Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL I Ti LZ 5 of the State Sanitary Code e undersigned further agrees not to place the system in operation until a Certificate of Compliance has-been i y ther(11 eal ---------_------------- - --------------------------------------- Si ed. We ----------- y............... /D ApplicationApproved B P. ....................................................................................... ....... . .................. Date p Application Disa:p ed r e following reasons:................................................................................................................ . ... ......................................................................................................................................................... Date ---------------------------- ------ - PermitNo......................................................... Issued....................................................... Date - t No..r� _ !.7 Fss......r ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r. �n................OF.......G.ozns_� ..We Appliraation for DispatiFal Work.6 Ta niArnrtiun Famit Application is hereby made for a Permit to Construct `+< or Repair ( ) an Individual Sewage Disposal System at: ............. ................. ..'=�`--.... ------.. ...__....--------------------:.-.......:__ Location-Ac3�d s or L l_f't'�....................•---• �1 �r C .. :. r Y Owner Address 'V W PQ Installer Address Type of Building Size Lot 4_12X ......Sq. feet Dwelling—No. of Bedrooms........... .................................Expansion;Attic (� •Fj Garbage Grinder Q4D) a Other—Type of Building ____________________________ No. of persons __..___.,:._ ............. Showers ( ) — Cafeteria ( ) Q' Other fixtures -----------•-••-••-----------•-- ... . .tll :_._.....-•-•------.................................... WDesign Flow______________ _ ________EE.__.._..____gallons per person peI day. Total daily flow..........V ------..____.____.__:gallo s. 44 Septic Tank—Liquid capacityt-� I_gallons ength._/C,.�_-:�__ Width.5_'Q.._. Diameter________________ De�th._ :%s* Disposal Trench—'No......./_........... Width.../a.......... Total Length.......J............. Total leaching area__._.,5�6....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. - lsf3 _..i. _b10>__.Ca_______________ Date-__ :f_�__�'_ _1_.,&2 minutes er inch Depth of Test Pit.._..._:" _ De th to round water_._._._ _�__________ .Test Pit No. 1� _.::_..___ P P --- P g �- - Gz, Test Pit No. 2_Z_ __._.minutes per inch Depth of Test Pit__.__.__J��__..... Depth to gr _____________________ x �• __._..__... _ = OF D Description of Soil--- f ` r °�-••-- Y1' ' v' �c, CCiG'e_;5�_,'��i_VIQ XL' •------------- w ..._..--- •--•----••------•---•--•------------••••--•-• ---- �- -----•L ------------ x ---------------------------------------------------------------------------------------------------------------------------------------•--•- •- --••- -• -•-•-•• ---•------- ,� U Nature of Repairs or Alterations—Answer when applicable-------_............................ ___ _ ........... .............. Agreement: �OldAL E The undersigned agrees to install the aforedescribed Individual Sewage Disposal System In accordance with the provisions of TIT11 5 of the State Sanitary Code e undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i y the oarW eal X/ ` ..... / at ApplicationApproved R.. . .. •_ .... ---••----------------•-----...------._...-••••--.........--_------ _.. t--------•------ DateApplication Disapp llowing reasons-----------------------------•---------------------------------------•---------•----------------------•-•---_... ............................ ....... -...-•---•---•-------•--•-•--•-•-------........ ---------••---•--- Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ..........................................OF........ 2 ..................................._ C9rdifiraatr of Tuntpliaatta THIS IS TO CERTIFY, That t� ndivid 1 Sewage Disposal System constructed (� or Repaired ( ) b '' -•---------------•--.....------....:.....-•---•--••-----•---..._...............----•-•----- 4- -/ ns, Iler has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Cod asscribed in'the application for Disposal Works Construction Permit No._ ___________________ dated_ •.o ..,__c'__?z,...__.___.___.____.__ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------•--•---- -----•-----•••-------- 1-1 Inspector.... I ".................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH a/ .............O .............OF..:.._...,864_�A�klie....--•------......__...---•--......_..: FEE.. ! Disposal Ivor %fit Donntrnrt' unfit Permission is herebyranted.....................••-f/__�-'-----•---- -----------------...-----•-----••----........--•--.......---- g ����� to Construct ( ) or Repair (• ) an Individual Sewage Disposal System atNo......................./-`,..... ................ s ;... -•.••- Street as shown on the application for Disposal Works Construction Permit No________________/,. Dd:Bah DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS Date: 7 7b TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: L�iSW� L0_KksC_!L1_Ri PA BUSINESS LOCATION:_ lit Cu. MAILING ADDRESS: 13T l.� • �s b�.NLQ. s 2CaL 9 Mail To: TELEPHONE NUMBER:� o ) 3(.2 r q7 7 Board of Health Town of Barnstable CONTACT PERSON: P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: L Oo ^ %U -- 160 Hyannis, MA 02601 TYPEOFBUSINESS: Does your firm store any of the toxLP10-0 azardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline orcoolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine, Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS nsYair ---•f , MH Cover-to within PRECAST SEPTIC TANK /2"of Finish Grode ' Oo r r0 SCALE 1 z� COVER AfA7,!RiAL /2`/Mlh'. z„ ' A 4c IV NOTE /F THE LIOU/O DEPTH OF THE SEPTIC TANK /S --�„ 5`FEET, THE OUT LET TEE SHALL EXTEND /9 " SOIL LOGS ` BELOW THE FLOW LINE TP I T. P. Z T.P. 3 TP. 4 ��. `D 1 1 .7 1 r Ii�� z F ° / t i'r.� :✓ ,J~ .�L SV1!—X;1 SVQI/` �.,! �c�•,ne �x�,�t,�,� r� T G.. C..J'.'r G�:�'`i Cam. ;J{� . ..4 . •? i- � �' - _ /C1�.0 G G , 1 -�— N/}�Vr �C_y_,_)C. a�USUvs / '� ' !/__.- / ! �jl +U, SGf}L mneAlvv mFU}U` i ' ' JGCSe60 GY1g �hL r C) -� - O / PERCOLATION RATE OF L z MINUTES / INCH. 'RESENT DURING TESTS 4 i�—r f AGENT • ' x. use SEC RON THRU SYSTEM (NOT ro SCALE) /L 0, a o - _. - -- �— M H Cover to within /2 "of Finish Grade N/:I/_ _ r _ -//i. = rr _//r_.rr r/r/ern. (r_J // / i\ -T 1 L E r O L E 1�. �J .L y, 4"0 C r a,. sch. 40 PVC _1= - - . - —j — -- —( - - )�7 �,, SCh 4c:•PVC `v T _ 7 0 S L�7 C] C7 Q SEPTIC TANK /02•c) (MIN) �Q. -�Oc)_ i PROPOSED FLOW LINE GRADES BENCH MARK DESIGN CRITERIA INV. AT FOUNDATION j()7 �25If �,; > . _,� *c-�� BEDROOM DWELLING AT PROPOSED SANITARY SYSTEM INV INTO SEPTIC TANIr .I //0- .� ;c���.c- , � ,- ,t,�;•��� G.P.B.D. = G PD _ SOT 7' IN OUT OFSEPT/C TANK DRAWN FOR f Xenv)eA cj 1YA1;r �) [?t INV. INTO D/ST. BOX INv our OF DIST. .BOX Iw•�, i,> r ,.•;� A �� %(Zx ?,11 r �,Y x1�� 1 /-7C� �. VAUTR/NOT B WEBBY CO. Cof1NTY RD. PLYMPTON, MASS. I NV INTO LEACHING ?r. r (.�. .; O , GW.4WN BY r G. (-f� : `/ -- SHEET PLAN NO. BOTTOM OF LEACHING r},G,�.,�,r /C�,�� �c .� /o •x 3y - ?WATER TABLE y'o ��. CHECKED y /Sib APPROVED BY - PLAN DATE SCALE