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HomeMy WebLinkAbout0224 SADDLER LANE - Health 224 Saddler Lane West Barnstable .A= 175 —024 I ASSESSOR'S MAP NO. ss-a\s PARCEL LOCAT SEWAGE PERMIT NO. VILLAGE n ,�'' /5 A INSTA LLER'S NAME ADDRESS C—A � S UILDE R OR OWNER DATE PERMIT ISSUED �o Z,q DATE COMPLIANCE ISSUED L �� '� � L ��`��� � c �� �- -, � �- G +� 1 J� �\ y �, 4. A / ;7 � > �- ---------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH c� of Allpluation for rami# Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual.Sewage Disposal System at ................__. s a-c - '. -----••---: .. ..le i Location-Address ¢rt No J ' Owner - Address-- nstaller Address" � " Type of Building Size Lot.:.`.7 � .7....Sq. feet - aDwelling—No. of Bedrooms.............. .......................Expansion Attic ( ) Garbage Grinder aOther—Type of Building...........:.................. No.n of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ...:........•• ---- ........ ......-•-•................................••-•--•••---•--....._•-•-------•• d ..gallons per �� er , Total it ow... � ............... lon W Design Flow.-••••...--_.�.�.�...... .... g P , . V, •• - jj� N1 WSeptic Tank—Liquid capacity-1 Length _fn..... Width_!_�_.._ Diameter:............... DepthC'�f�... x Seepage Pit No...._...-. Diameter Width....................pTof Total ....................Total leaching area....................sq. ft. Disposal Trenic —No..__..... pag �.. ow inlet..__...._..:Total leaching area _ sq, ft. Z Other`Distribution box Dosing tank Percolation Test Results Performed by`wt .� 1 s._� L� __•--• Date._. .t ... ..a $4 Test Pit.No. L.1........minutes per inch Depth of Test Pit-1.-.X.. ...... Depth to ground ater. . Test Pit No: 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ _ .... :.. ---- .escrponoo .. ..... y -•• .... .......................... .......,--••-• ---•••-- 11 w •. --•• -- ............................................ ....._....._. ' L 5J•L--V-•_....... U Nature of Repairs or Alterations—Answer when applicable....................................._.....................,.......................I............. ............... .......... ............... ..`....._. ..............-----•---............ ........' ' y......._................._............. Agreement: The undersigned a re s to install the ,aforedescribed. Individual Sewage Disposal System in accordance with Im g g P Y the provisions of:ITI 5 of the State Sanitary Code— The un rsigned further agrees not to place the system in operation until a"Certificate of Compliance has be i u d b th oar ,o health. 1�. • Signed. — .....:: �:� ----.�../. • Application Approved'By.:. __ ate Date Application Disapproved for the following reasons................................................................................................................-: .....: Permit No.:... �, ..._- ............. Issued.._.._.........:............. Date. ........ .. ............----..._..._........ .............................•--...... Date ----- YT, V .............. No... F THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........0 1............................. ................ Appliration for Disposal Vork,s Toustrurtion Permit Application is hereby made for a Permit to Construct Q), or Repair an Individual Sewage Disposal System at: Location-Address No. ... = -—--- -- 0 Addre..7­7 ­---­ ... ....................................................... ................ ........................................ .......... .... taller Address Type of Building Size Lot.A!�&I'T' ....Sq. feet U Dwelling—No. of Bedrooms.............;�_�.......................Expansion Attic Gafbage Grinder 04 Other—Type of Building............................. No. of persons........_................._. Showers Cafeteria 04 Other fixtures ............................... i>;?Y11 i5" .......­­...................."...............*......... Design Flow............AAC2..................gallons per perasen er day. Total dail fl �=. ....... lons�j 10 ...................................(Z,-4..'Diameter.................. De ......411. Septic Tank—Liquid capacityll)M.P.gallons Length ..( .... V�idth . Disposal Trench—No..................... Width..__.. .... .......... Total Length....................Total leaching area....................sq. ft. i........ Depth below ...... Total leaching area Z6 D.sq. ft. Seepage Pit No...........I.......... Diameter...,1c.: ow inlet.....6.=.. Z Other Distribution box Dosing tank Percolation Test Results Performed ...... ate... ......71 Test Pit No. I-.e.4.......minutes per inch Depth of Test Pit.\ �!41 .. Depth to groundater.V 44 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................ . ............. .............. .................i....... ......... .......&........ ----------- .... 0 Description of Soil.. .6...T .......... ..... ... .. ......­ ......... 7............... .. .. ... ... ......... ............................. .......... ------------------------------------7..................................... .. ........... ............................................................. .................................................................................. ... U Nature of Repairs or Alterations Answer when applicable.........................................................................................*...... ....................................... Agreement: The. undersigned agr—�eAstoinstall the aforedescribpd Individual Sewage Disposal System in accordance with the provisions of T4I7LZ­ 5 of the State Sanitary Code= The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been'i' u d by the�#ffi.oardlo health. Signed..... ......... ...4 .................................... ..................... 4A. ............. e/D.t Application Approved By.......... ....... Date Application Disapproved for the following reasons:............................................................................................................. ....................................................................................................................................................................................................... Date Permit No.... Issued...................................................... Daft .............. .............. ......... ........... .................. ------- THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH ..........................................OF...... (Intifirate of Tomplitturr THIS IS TQ CERTIFY,That the Individual Sewage Disposal System constructed Q-or Repaired by................ . .... I--—------Z ........... 7.....Installer-...... -------- ------................r........................................... at.................. .............. .................IVI.........4#..La�........................ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code a5 described_ -in the application for Disposal Works Construction,Permit No.g...5 Z.Q.2.A......... dated..... ............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............................................. ................................ Inspector...........r....................................................................... ............... ------ ......4.......... ....... ........................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. .. ...................... ...........................................OF......... . Disposal Va7hs To`nsWtt Permit Permission is hereby granted................Y / e ---------------­-------------------------- ....................................... to Construct or 1�epair_( an Indivi( Sewage Disposal System )q44 ......... . .............. ..........at No...... Z:�.g. ........------------------- ...... ........ Street 74 7 --- -- ........ ...... as showrl�.on the application for Disposal Works Construction Permit Da I d,� -- ------... .....•--•.................. i ------............................. Board of Health DATE. ;k3- ................................................... T t ..,ax_. .x .gyp _r i ... rr fi .. r .r • Y .k ,. •. , <. },+. .. .. 5 .. e ... _J, r4 ... 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Wiz✓ �`(/ , y tq ,a c 3 1: •. r :,, dr. la 1'r" i V. ,(p 1,n 1 , 2 _ f WASHED S .ONE ` a.1f w 1 bo a DF T AoLE I TEST:HOSE LOG .��, - Eva .�.� TESTS WITNESS �a �j ,F { t =.� �, / •'" I TEST DATE DESIGN v ':.BEDROOM HOUSE a T.N: r 1 T.H. +� 2 t� ELEV.:Q+ II e, ELEV.._ Pj��•01Ll PERC ATE' MIN/1'N:! DISP08ER :aISPOSER• ' ! "� N / � O air Q (%�a 3 FLOW RATE'33�0(GALiDAY) S SEPTIC TANK " 30 (115)=` �I B(oab REO'DSEPTiC+`TANK'SIZE, ! �� Q LEACH-;FAciL.ITY ' SIDE WALL ,'O =.. (2.0. BOTTOMl�fZ)?rr '�. .7�,5 (d,& )"� 5r2 G/D: x S Il TOTAL' 2�7a d � A-S S i"j'lp ' f x USE: G�►�lE- LEACHING !7 pzF e-r F pE fi 'I t-� WATERENCOUNTEREO G(,LS�✓T� - DE.VE F_F DlAc-TIea P O F NOTES':°';dUNLESStiOTH,ERWISE: NOTED) ' ©I _ 'f 5 1.DATUM(MSL) TAKEN FROM 1,plw I G4 QUADRANGLE MAP 2.MUNICIPALWATER-- ., L� ._.----AVAILABLE 3.PIPE PITCH:16"PER,FOOT. 4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO. - -44 �� OF S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. wV - 6:PIPE JOINTS SHALL BE MADE WATERTIGHT 7:CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS: ARNE H Q� (� STATE ENVIRONMENTAL CODE TITLES ArT/(F S •`� LAN p I g. =rt�,5:Pi�.s worc,� o..,��C.Aw,O S•io���'C ' CIv' f _ �c� LOCUS. ►-tc r �E u � '-ate '7.Lo��rlf t_IuG -�r1+.�Ft.►V ' a, �o ARNE OCU g H. tEXIGIOEl EQ10C=QrlFY L CC�VbiTIC7fVS`T� A _ 9 q E�. u OJALA ' bE-rTH y'/ t3EL_C-d �7�M (DF IqC PC)SED RE r ENGINEER,; o #26348 o/ t }J 1!`j CT FAA2I U I 1i 9 o��.f' cis 0.0 REF.: 5 down cape engineering _ s% L ! PREPARED FOR: - CIVIL ENGINEERS + BOARD OF HEALTH LANDSURVEY VEYOR R ORS -- -- R. .• REG. U ' (EXISTING)---------. ��� -���r ���". O5 SCALE CONTOURS. _ It;, 5 (PROPOSED)__O_ -4 .< APPROVED DATE """ MA Y GATE