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', �,a^ * s;,=aYou raregranteda *variance'`'fromtegulatioia' l5 d3 (7);=of ,Title 5,"pf.atheState' � �, x
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Environmental Code' tQ installa'septiealeachingtrench faurtee 00 fee'
r a dwelling, in-lieu `cif t]i requ zed,,twenty"(20) feet.,: at;132':;'Brealtwater=Shores Diive,*` fi ' xf
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sit , p Hyannis,,Twith the following condiCior�s v 3 A - w � * - ��� a 4 '
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�The,designing d6ggineer'must be onAs to;and supervise,,coastruction Qf the s stem' h
Y'and'`certify.In writing to"t%.e,oard of 1-lgalth' that t irdesigns has°=-been compl ed�` .">` .•_ ell
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No. / 1
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DATE
TOWN OF BARNSTABLE FEE
•w'� t" f� � OFFICE OF:.
"""`M
rya BOARD OF HEAL.HEALTH 367 MAIN STREET
. NYANISIM MASS. otepr !
VARIANCE REQUEST FORM
All variance requests must be submitted five -(S) days prior to the scheduled Boar& of
Health meet4ng. ,
NAME OF APPLICANT CDANCp yr TEL. NO. 17IS- 28Co
r ,
ADDRESS OF APPLICANT .3So �(k!✓i �eh �ag �rj�, � �i� oLlo 3 _ __ _
NAME OF OWNER OF PROPERTY
SUBDIVISION NAME DATE APPROVED
LOCATION OF REQUEST J•3-Z I r.eax k Uxy-krr, "re; N ue l u��,nnts
VARIANCE. FROM REGULATION (List regulation) Ln,. C-6.YJ 014,de o,� $(1a /)14"
VARIANCE REQUESTED ,(Specific request)_ ( ,.� .e i� ie&;wk s roa 'Q.re,
:_
CwAk n 5 ,pro kn s.
REASON FOR VARIANCE (May attach letter if more space needed) To Q ocJ r q it.
AJQ t ttri t c, -S V6te i
PLANS' - Two, ' opies :of plan must be submitted cleatly outlining variance requesaed.
VARIANCErAPPROVED
r NOZ,APPROVED
REASQN<FOR .DISAPPROVAL
f? L Robert :L`.. Childs, Chairman
Ann Jane Hshbaugh
DATE
TOWN OF BARNSTABLE FEE _
1 V
OFFICE OF
r�ua BOARD OF HEALTH
'oo aIIAY� 367 MAIN STREET
HYANNIS, MASS. 02601
VARIANCE REQUEST FORM-`
All variance requests must be submitted five (5) days priorFto the scheduled Board of
Health meet-ing.
NAME OF APPLICANT (2ANCO TEL. NO. '796--.2Boo
ADDRESS OF APPLICANT -36b mdm S" V,,o o F O Zlo"J3 — -
NAME OF OWNER OF PROPERTY ^EA Z'
SUBDIVISION NAME DATE APPROVED
LOCATION .OF REQUEST 3 ZrecR� �hoPe ��c�� } cmn�s
VARIANCE FROM REGULATION (List regu C°ovu paPt"s 7-p�e
VARIANCE- REQUESTED (Specific request) Fropos--d a: ,tp : or► -Qfe'
1
REASON FOR VARIANCE (May attach letter if more space needed) To-c2/ 1u)' Zlr f-P Ek-
ii,1 �z �ic� s s#evx to Ic'ln
PLANS - Two copies of plan must be submitted clearly outlining variance requested.
VARIANCE APPROVED
NOT APPROVED
REASON FOR DISAPPROVAL
I Robert L. Childs, Chairman
I
Ann Jane Eshbaugh
Grover C.:M. Farr:is h M.`D.
s- t
`- Lar i
' DAVID A . QUIS
�7 Qo
(ao� 4O
Pj
B.M.�TOP OF EXISTINLr Q
� PI FEE AT 1ADVSE=9,04' I
tit' (/� �% /J•. h'
F° -7�9 '
T
�Lf�vl D-BOX
? J ` LFACH TREt-:
` ,I?,L�[.r K'4.'l��� "*LOCATE EXIST 1 ti1G WA7ElL S,E.RVIGE Q
1 r3'•WIDE AND REWCATE 1F WITHIN 10' ,n
vi► OP L EACH I N Cs AREA
s
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154 LOT 1152-
L>.
--RI-PA, f
SITE PLAN
LOCUS: M AP Y Z04,
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REF:
dowo Cape entinee-rhu PREPARED FOR: bzl A VT I L ��` 'L.f"t
CIVIL ENGINEERS
7 LAND SURVEYORS main RED.LAND SURVEYOR; II I r, �-r--
tPZmainSt. - SCALE ,. J
vonsaw MA DATE ? ( 7
SECTION - SEWAGE
SEPTIC TANK- -"D"BOX - S LEACH
TOP OF FON
� t (MSL)• * —"2"OF�faTO "HI�rH WATER ALARM FoR P(�MIP was TO WE
CHAMBEP,TP BE IN-STALL€D it-4HausE
Zc►�.�pvG u4./���'*W'�S{,^�:'!7a;Lr_ 1 -1�'1-1�i�ti.L lo.�
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IN ti
OUT IN.µ _
fyU►gp OUT
ON.
V� R 5t SEPTIC
IC
@�Ev: ;�, t__., TANK 1. •= 'w,�_�i
ELEV.
EIEV... ELEV: b.O IL... ._.►
-..4' OFi4"-lV2"
WASHED STONE
L,EAC-H TRENCH =
TEST HOLE LOG ;
TEST BY
WITNESS
TEST DATE DESIGN BEDROOM HOUSE
T.H. 1 T.H. 2
__W ELEV. ELEV.
'NO
PERC RATE MIN/IN. DISPOSER DISPOSER
FLOW RATE 110 (GAL./DAY) _
SEPTIC TANK �X (1.4►=
REQ'D SEPTIC TANK SIZE ,-22Q
LEA
CH FACILITY
SIDE WALL �I.Z+9 2xq� IZotL(2,5� 300 _.._ G/D.
BOTTOM _T 12 " " 3 F-+ 1,0) - G__._ G/0.
TOTAL
USE `_'awl LEACHING
NOTES:' (UNLESS OTHERWISE NOTED)
l.DATUM(MSL)+ A.,,
TAKEN FROM.• ......-._:QUADRANGLE MAP
4 2.MUNICIPAL WATER
3.PIPE PITCH:44"PER FOOT t - ZN OF 1111 -
OF
4.DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO• _ 44
S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT.�~- s0 ARNE _ G � AFiNE yG
6.PIPE JOINTS SHALL BE MADE WATER TIGHT O
7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. p OJALA H.
STATE ENVIRONMENTAL CODE TITLE 5 �J CIVIL Qd.LA �^
No. 10792 48 ao�
�F fQSTEA
¢/OMAL E ' RE 'ENGINEER
° BOARD OF HEALTH
CONTOURS (EXISTING)
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