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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 $ICf�TC64 r 10t pane.. RAQQ { U.vAK,1C .x,••,r�/rrG:•r� ^ SCALE: 1" 4' TEST BY: C G ,/ �..1� �fit..e� "•� � TOWN INSPECTOR: 60-4- ' BACKHOE OPERATOR ems'YAL-4°s �IAfmwl V*'em TEST MADE ON G �'r• f Gr.Gs'r 4 4� ��.•ti4'G f�- J�o�!� a kk RL 13 . .�•.-�- .CS _ Nc t �• '5&PTI R _?'IA N K lit • t' Alt. 49� � t � � � � �' _ 1*�• "�, r � + IOC � \�` •• � • . 1 � y��P'1`SN OF glAs �9 j f 41� REwtiVICKCHAPMAN � VJ . No. 27654,0 ' Spry BEN ELEVATION SCHEDULE PROPO-OIZO 81TR PLAW ( { 1. INV. AT FOUNDATION = 9$•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+ .S r., ,�'-....i'..af�",.t^' •7e'.�'...� .:T'.I7'R"y`'"s':'H'.'r';'�'•yi r _ -:.^ate.. _ _ - _ - •;� - .-- .... .. +a.._._+..