HomeMy WebLinkAbout0155 IRVING AVENUE - Health 155 Irvl,�c� �remu.�-� t-�omri�S'
No........,_Z ..... - ... Fps..... ..............
THE COMMONWEALTH OF MASSACHUSETTS
d
BOARD OF HEALTH
TOWN BARNSTABLE
............ ...............OF..........................................................................................
,� rlir�t#i a for Uispao al Worko Tanstrnrtion thrinit
Application is hereby made for a Permit to Construct (x ) or Repair ( ) an Individual Sewage Disposal
Systat: ....................................................
........ .........
.. .. ..
Lot 7
Location-Address or Lot No.
..........------••-----••---......_ c.. -Y. ..S.tx .� .........
Owner Address
W C-?TTe It', HLc� Barnstable._. ....._...
,.a .....................•-•--•----••-•••---••------•••--------.....--•--•--•------•-••-••--•--•---•
Installer Address
Type of Building Size Lot-•43_Z640.........Sq. feet
Dwelling—No. of Bedrooms._______....................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
a Other fixtures -----•--•-•-•--•-----------•-- ---- ------ --- ---
W Design Flow...............110__________.....______gallons per :.-.per day. Total daily flow.............................3.3.Q........gallons.
WSeptic Tank—Liquid capacity 10.0 Ogallons Length._$'-6"-.. Width... '1 .."Diameter-------....... Depth..5.:'4"._.
x Disposal Trench—No..................... Width.................... Total Length..................... Total leaching area..__.....--._.......sq. ft.
Seepage Pit No.____....1___.__-.. Diameter.._..10-.__._... Depth below inlet.._.6............. Total leaching area........2 6.1--.sq. ft.
Z Other Distribution box ( :� Dosing tank ( )
'-' Percolation Test Results Performed by.Cape-...God...Survey...CnnS_ult.antADate......DeLa --aa,---_Lg.7.7
,.tea Test Pit No. I....._2........minutes per inch Depth of Test Pit...l2__5.'.... Depth to ground water.....none.....
(i Test Pit No. 2................minutes per inch Depth of Test.Pit.................... Depth to r ........................
OF
Description of Soil ; S.Y�-� 1. I -•---•-•-• ---REN � ............
'' ...
W
--- = c am .............. CHAPMAhI- �
U Nature of Repairs Alterations—Answer when applicable____________________•--_____---___--_-__-_- �,. No: 27.54_q --
..............
Agreement: - si
The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syst 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 issued by the board of health.
Signed... ._? ...i % �Q 27/77
....-•---------------------------•-•--------•-•-- • ------
G -.&VY ��� Date 7
Application Approved By...... i _-. ?:.D
� Date
Application Disapproved for the following reasons------------------•--------------------------------------------•------•--------------------------•---------.._...
.......-•..................•------...---....-------------------------------------•---•------------------.-----------------------•----------------------------------------------------------••-•-----•---
Date
PermitNo---------------------------------------------------------- Issued_......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 9F HEALTH
�� ............OF................................................................................... ...........
Trrtifiratr of f omplidurr
TH.Y.S TO/�'CC I Y, That the Individual Sewage Disposal System constructed ( �or Repaired ( )
by.-.-----Gl F-,(2...... •x. ..------- --------------------------------------
/ �f in5caii� -----------------
r .
has been installed in �L
accordance with the rovisions of F of The tate Sanitar Code as described in the
P ?� �� y �a7- 77
application for Disposal Works Construction Permit No.. ._..__.._ r ............... da.ted_...Z ...._..________._..__......_...__.....
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. a
DATE = ��� Z . ................•------------ Inspector •--•----•-------------.-.-
1 .
r �
N - � .... FEs.......J�- ..._
THE COMMONWEALTH OF MASSACHUSETTS /
BOARD OF HEALTH
....................TOWN.........OF.......... ARNSTABLE
Appliro#ion for Uiopooal Worko Tontrnrtion ramit
Applition is hereby made for a Permit to Construct (g ) or Repair ( ) an Individual Sewage Disposal
System at:
........... .............. WO
.................................. ........................................ Lot.. ...------.-----.---------------- ----
. Location-Ad ess or Lot No. .
..:......... a --
A Owner ; re
............................................... -------------------- ----------------------I3arns-tabis �'f, .........-••---•-•-•---------------
Installer Address
Type of Building Size Lot..4-3—r&40---------Sq. feet
U Dwelling—No. of Bedrooms.........3................................Expansion Attic ( ) Garbage Grinder ( )
p, Other—Type of Building ............................ ,No. of persons............................ Showers ( ) Cafeteria ( )
P1 Other fixtures :--------•----- ••--••••------•-----------••--•--•--.............. .
W Design Flow.._„----------- .....................gallons per per day. Total daily flow-----------------------------3.3.0.......gallons
.
WSeptic Tank—._Liquid,capacity.10.0.Ogallons Length..8.,.6!!__. Width...¢s_}-0 at Diameter......._...... Depth...5-j-4 Kk_.
x Disposal Trench—No. ................. Width.................... Total Length.................... Total leaching area::_•-_---..-_..,.---sq. ft.
Seepage Pit No.......... = Diameter......LO.!...... Depth below inlet.....6.1.......... Total leaching area--••.--2467-sq. ft.
Z Other Distribution box ( '. Dosing tank ( )
'-' Percolation Test Results Performed by.Cap9-.1E0d... urvey--Qoitsu} .ant&)ate_-----Dec-;--.13_i---19_7 7
as Test Pit No. I.....2--------minutes per inch Depth of Test Pit-__12..,;.5.E... Depth to ground water.._..nonE........
T" Pit NW
/� mm e .`er,nT Test dt....... ......._... epth to ground ..................
OF
-• ---•--• ................... �t-
U Descripti �f 5oi1 - -•a t�:-g3��3�1 - 3 � . RENWICK Cm -
ellB. T
,W�, ....................;.f ,: v -----eH,APMAN------ ---
U Nature of Repairs or Alterations-Answer..when applicable...,................................................. .6 .gj.n�o,.2Ts54-Q . ......
------------•-------•-------------------------•---•------------........-•----•--•--.................•-------------------•-•••---- ---•-••----------
Agreement: s qi
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System an a with
the provisions of TITTIE "`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 the board of health
................'f!- -'.��c�.: .....-•-•-------------- ---..24�71.'7....
Date
Application Approved B _ ....
PP PP Y - }
ate
Application Disapproved for the following reasons-......................:...................................................:........................................
•-----•..............•-----...--•---------•-----...•----•••....--•-••---......----............•-•--•---•------------------------••------------------------------------------•••--•-•--------•--...._....
Date
PermitNo......................................................... Issued...........................------.......................
Date
THE COMMONWEjjTH OF MASSACHUSETTS
BOARI _' AL-'H
..... ............................... OF.........................a.........................1..............................vw
Dl�o. I ; -- Trrti 'ratr of Tontplianrr
Y, q I v' 1 e. ag pos}l�Sy constru .( ) or Repaired ( )
by.................... --• taller
at........._....`s---------- .......................................... .......................................................... ......................................
has been, installed in accordance with the provisions of TITLE, 5 of The State Sanitary Code as described in the
application for Disposal Works Consfruction l?ermit No____________ ___ _ dated_..:
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU AS A UARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
-=------•-•-----•-•---. Inspector.
THE COMMONWEALTH OF`MASSACHUSETTS
,- BOARD OF, .HEALTH
............ .... ..OF....... FEE.._
7 �1' . 46
Dispo�an
al orko ono#rttr#ion arAft
Per-mission is hereby granted .----------•-----•-----------•-------•--•--•----•-•------------------------------------ ----
to Con'str" t or Repair ( ' ) divid�Vq r"ge Disposal System
as shown on the application for Disposal Works Construction Permit No..................... Dated ....... .
:.............
DATE..........=.............................................................--------
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS y ""��
r , r r• •{',/ '. t-.Ja,� .« t - •• '9t �.: aw' ! '' +w.lw3 • "#• .`Ct +` t ,y,_. .. 1
•• #; •. ... sis' + ,1.`"", p'_,,- y `.= ...• _ v 'ram
y ,ii', f s d 1 - . III Oi 00 7-7 'IG
y. , s' . . 1 , .•. \slll(A�Li/►:Ve ni J/Al �:, ,wdv /t!x 99.7 "
.� 4• _ - 2"PtASTONE LOAM 6. FILL IS"MAX. rb 3t q.ty C�•$,"7 fi'
_ +-+�_.�. T ��"mod}'.•...
7-
of �
' 'T+V,�J' • , DIST. 1 �'• ' • A °� � ,S•Ip�C' rsi� ' t
s- .. BOX • 34, z
2."MIN, • 00 • ."7,,
�o 'Ie1N. 1000. I �., 1000— GAL. 001.
GAL. _ I� �.o PRECAST OR ° ° •I ` �.rvd
"r SEPTIC, 6I� i���r BLOCK
TANK_ " SEEPAGE ' PIT o
,. .. •. . goo 0 0 0
5 20t MINIMUM ►° •• v 0 0�
'Y"FOUNDATION ko. • •a a
stiJr�` WASHEDXSTONI=
SCALE
t , liLlIVATION $ICf�TC64 r 10t pane.. RAQQ { U.vAK,1C .x,••,r�/rrG:•r� ^
SCALE: 1" 4' TEST BY: C G ,/ �..1� �fit..e� "•� �
TOWN INSPECTOR: 60-4-
' BACKHOE OPERATOR ems'YAL-4°s �IAfmwl V*'em
TEST MADE ON
G �'r• f Gr.Gs'r 4 4� ��.•ti4'G f�- J�o�!�
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j f 41� REwtiVICKCHAPMAN �
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No. 27654,0 '
Spry BEN
ELEVATION SCHEDULE PROPO-OIZO 81TR PLAW ( {
1. INV. AT FOUNDATION = 9$•30 2
2. INV. INTO SEPTIC TANK _ �0 IN
3. 1 NV. OUT OF SEPTIC TANK _ F r/o�; 7, IRA 'Ave
4. FNV. INTO DtSTRIBUTtON BOX = `��• C> ��N7�ss/i6L�' ����
- SCALE: I°= 4/0' 19'7'7
5. INV. OUT 'OF DISTRIBUTION BOX = 97 3
• •� 6. +NV INTO SEEPAGE PIT = 97e O CAPE COD SURVEY CONSULTANTS (, ,
. ROUTE 132
T. OT,TOM OF PIT = 9/, HYANNIS,MASS.
A DIVISION NOSTON SURVEY CONSULTANTS, INC.
8. TTOM OF STONE LAY E R - q/,. 20 I 1
w r
9+
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