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Home My WebLink About0164 PARKER ROAD - Health i ',I 0 YARMOUTH-BARN. TOWN LINE AKA"33 Simpson Avenue" Yarmouth Campground Assoc. Barnstable A= 347 - 001 i i I i 5 M EAD No.2-153LBE UPC 13034 i smaad.com • Made in USA ** LOCATION / `E\WACE PERMIT NO. l & L/ Ylll-A E I N S T A_LLS 'S AME i ADDRESS 1 4 R OR OWN ER va4 AR-111 if DATE: PERMIT ISSUED DATE COMPLIANCE ISSUED ::1 r1 a h A, Ny 1.l N �'._ Fps.f� ............... �ff THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH .........................----.---.----.....O F......................................-----------------•----....................._......_. Appliration for Disposal Works Tonstru.rtion Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System Pol� .. 7P � .. A.. .............. • •-•_• -•..................... ....-••••.............-••....---••........ ^�t -Locati d ess or Lot No. ...... ...... ..................................... .............................. Ow dress W ..... .... .. ....... .......... ....... ............................... --- ..........I...--. ... . .......... ..... _. a Installer Address Type o Buildin Size Lot............................Sq. feet U Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria 04 Other fixtures ..........................•---•..............._ 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 (Aj) Dosing tank ( ) a Percolation Test Results Performed by------------------ ,------------------------ •-------••----•-- Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.........•...._..... Depth to ground water--___-_______-__•__-___. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a 0 Description of Soil•...•___ilea---------- -----•-•............................•----••••--•-•-•--------------•--•--•--...---.....-•--•---•-•-••-•--•••-•-..........--•-•---•--••---••-•- x W -•••....._..•••. x ...................... W5�' U Nature of Repairs or Alterations—Answer when applicable..l®0d__Sf�t.._�"_-_�........................... . . .......................•--..._...........•--._.._._.._........_.............._.._..•••--•-•-.........•-••-•...........----------•••.....•-•........._._.............._......._....._....----._....._.... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the prow 3ions of TITLL 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 e board iealth. ............ ........ .. �.----.................--••• •-- • ------ _. •.. -•• . D Application Approved ._ .•... • •.... ` �'- y--- ate Application Disapproved for e f ing reasons: •••........•••.....................•--.._.._... ....................••...•---••••----........ . .........••--••••••.....•••-•••••...-••-.....-••-•••--•................._.....--•-------...••.. 5 Date PermitNo......................................................... Issued.................-••••-•-- Date --------------- N&............:............ FE$............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH! ...........................................OF........................................ Appliration for Uispoiial Works Tomitrnr#inrt "anti# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: . y � . ............. -_...-;--------- •W .&` ALo-c ation-Address ........ .... or Lot No..*------------- --------------- -...... ....----.-.--.------- ----------- •.......... ... ................................ . - -----------•-----•••- ._...... ........----- . F 4Wfde ' ----- Installer Address Type of Building .� Size Lot............................Sq. feet f—`�Dwelling No. of Bedrooms..: '......................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons............................ Showers Other—Type g ---------------•----._.....- P ( )--- Cafeteria ( ) dOther fixtures --------------•......................................----••---........---........---•-............-------•--------_. .---....... W Design Flow............................................gallons per person per day. Total daily flow...........................................•gallons. WSeptic Tank—Liquid capacity.f-'.�4}Ogallons 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 (jw) Dosing tank ( ) Percolation Test Results Performed by..................................................................:1- -•-- Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil••••-= �` ` . .� ..................... - - - - - - -.........- x t., ------------------------------------------------------------------------------•---------------------•------------------•--•-•-•-------------------------------------•••-------------------------------- W ....................................................... ------------......_..._..--•-•------ •-----... -------- -------- U Nature of Repairs or Alterations—Answer when applicable_/.O---�....................................................,.. =. - ..••----------------•--••-••--•-.....----------------•------------------•----...._...------.........•---•-------•--•------------•---------------•••----------•------•----•--•-----•...-•-------•---•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT 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 erd iealth. aZ .'°� ' ........ -•--••---------.�"................................................ ....... ...... ....... Date Application Approved . ....... ...... ....`...... -Date Application Disapproved for e f ing reasons:--•••-•-•-----•--------•••---•----••---••---•---••••-----•-...•••••----•------...•----------------••----------- .............................•---•-•----......i_____--•- ---•-••--•-•------------••------------...--•------•-------••--•-----•-----•-•••-----•--------------••••••------------•---•-----•---------- ,,,., � ,! Date Permit No. .. Issued :.. ...--•----------•--•- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF........`:...:......:..:.................::...:..:................................... urrtifiratr of ftuntpiiatta TI gs ISM r CERTIFY That the Ind-vidual Sewage Disposal System constructed ( ) or Repaired -}-,--- - V7 Installer -----•......-�-•-- ...t... - -----•-••-------------••-••••------•-•-- -- •- --- ---------- has been installed in accordance with the provisions of T !,,� fk 'tre-State Sanitary Co a�. scr'bed in the m r ! T application f r Disposal Works Construction Permit No.. ................................... dated.__.f_ _l;._._ __y ___.._...._.____:__ THE I SUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED A GUARANTEE THAT THE SYSTEM VII L F ACTION SATISFACTORY. DATE._.� ;...Q.f�....................................................... Inspector-•-- ---......................................................................... THE COMMONWEALTH OF M SSACHUSETTS BOARD OF HEALTH IV �,, OF.................... .............................. No............. ...... FEE..:.. ....... -... dii Tnntr iatt antic �..., Permission is hereby granted -....--••-•••------••••....................................................... to Construct ( ��/ o Rep r -n Qdiv' ual Sewage Disposal System atNo. jf = ........... --------------------------------------------------- Street as shown on th/app don for Disposal Works Construction Permit No ______________ Dated__._:_..___:_._.._.....___....____..._.... .............:"— = •............Bad-•-- -•-•-•-----•.._......----••---•------•----•DATrG__ L --•--•-•-•-••---•-----......-••••-.......•... o r of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS f i i 1 i 1, L p -------- ""1, �,.�.,,fir r- ,r'• s'`.. 7. I "!Y/\\\\�. , j/ VA A � � •. � -, ✓ : � ;ti� ,A#0" 1GI � t. 1. / } _. � F FOUNDATION 5 ►.- �' ��y tax,. , TOP 0 CONCRETE COVER �sr•aa : .:..._.._Tar' -------� —�- < � ..- ,. �/ tN�'Zk* ,,.. J`,�.y _._----""'._ .• " �, .. � / � NOTE - �2Gx1/. rez f? s ' s' CONCRETE COVERS {� r N6 i.L to e'er ta'2� ' o o, .✓. G P� �+yt oo� �� of / I "0 4 CAST IRON 12' MAX. 12"MAX J ZoK 9�sr�lY' ° ° PIPE (OR <b hc� 4s I 4 ORANGEBURG(OR EQUIV °�1 D , EQUIV.)- MIN. _ �a u r Pzs r 0 pG / t�11' PIPE MIN. PITCH 1/4"PER.FT PITCH 14, PER.FT '!�h''wT�+ < o� 2 _,• } o INVERT z o INVERT �.-:� INVERT ° w I TANK,------ DIST. SEPTIC T• NK- .z Z./G sx y o EL.: EL.? .,...... EL t I BOX +. n INVERT /oo0 INVERT 2/.G'/ �7 Z oT� -' f1 G vrtilSuiTf1 l+'!�J"Z� {?/AG �3 3 GAL. ax INVERT `° ww :�: 3/4"TO11/2 ZF.So w o WASHED /�.t Ti�/E`• /�'r7c.� �t:�trs�i .�a-A.to P 23.38 zz,n/ EL. LL_ . a'8 pA/D 7-0 6,-- RZ-WaVeZ> . rvL' °. , Z1_¢L ;" w; STONE -{— •.. .v `I'`/ IL Gee - } -- z� -•� Tv JAY . �, PROF LE OF GROUND WATER TABLE i A%rc L7- sysr ,s SEWAGE DISPOSAL SYSTEM� ��•� .,2csv, NO SCALE } SOIL LOG WITNESSED BY DATE .9�Z L�E?3 BOARD OF HEALTH TIME . . . . �. TEST HOLE 2 ST��7So../ 2. h�ALG k';5 , TEST HOLE ! ENGINEER ELEV. . 2.Z•.Zt>. . ELEV. .Zo �'. , . _ . . ; r DESIGN DATA % •SCR e2:7-0.7b Z'f NUMBER OF BEDROOMS 3 TOTAL ESTIMATED FLOW 330. . GALLONS/DAY 5�+r„� wFr27z 80TTOM LEACHING AREA moo. . SO.FT. /PIT S r 1�' ✓�'�f/ e�G� SIDE LEACHING AREA . . . . SQ.FT./ PIT &Z iC.9d GARBAGE DISPOSAL . //o .(50 %AREA INCREASE) ltloV6-7--fee G /+lam g nF v TOTAL LEACHING AREA SQ.FT lool 8Z7G'✓L1.4" �. /� ZZ1 5 � PERCOLATION RATE 4 Ss MIN/INCH .14,zo 9c cz.!z 96 LEACHING AREA PER PERCOLATION RATE SQ.FT. c� �rs? �iD MA ss, Y&7-.WATER ENCOUNTERED F 4' NUMBER OF LEACHING PITS / fi t- Lcw DiF/-C'so wiTJl 7�Z4e-e- 1Ezs7- ol= CAIc""74/E✓ ,� ? �8"✓ �.. APPROVED . .. : : BOARD OF HEALTH S'7"Dn/L� D�'/ /1 GG• S/T>�'S i DATE . . . - hL .2� 'L. ✓ 66 et,A-- .3S`� f?�3 Cam' Z £3 AGENT OR INSPECTOR Nr�? - ?�/is ,�L�.• AsoAe ca PETITIONER i I