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HomeMy WebLinkAbout0069 MITCHELL'S WAY - Health (2) Ida (Y�rFc}elLs P1 No. 43501/3 RE 1 'LJJ� r O r Ui i �s - 10 010(&3 ® 0 ® 0 :.. j© N . �.. FES.......�..L ... CZ,— SHE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH H TOWN OF BARNSTABLE f —5763 5 7 63,Nplilirattun for Btspwial Works Tonutrnrtiun., Frrmit S Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: G�..t_�• �r!EL� ...�A.... '7,Yi91!(!✓1..`�.........: ......................L.dT.... S - Location- ess or Lot No. -- Owner Address Vj W Installer Address UType of Buildin Size Lot_?Z�l�••�-----_---Sq. feet Dwelling iNo. of Bedrooms___.-rq...................................Expansion Attic ,�o) Garbage Grinder ]) Other—Type of Building No. of persons............................ Showers C4 YP g ---------------------------- P ( ) — Cafeteria ( ) 04 Other fixtures -------------------------------- - W Design Flow...................>:7> .............gallons per person per day. Total daily flow........... .3_._ ...............gallons. WSeptic Tank—Liquid capacit 1�Ov.gallor. Len gth................ Width................ Diameter---------------- Depth-_4_�L! .kept"1 x Disposal Trench—No.___._ _ Width...... Total Length.._3�......_ Total leaching area..4-5— ...sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X) Dosing tank ( ) Percolation Test Results Performed by................................................_....... Date------------------- _.______.._..... a Test Pit No. I....2-------minutes per inch Depth of Test Pit.. .__13.... Depth to ground water__�a --EC G 4, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a+ --• . -•---••••.........•••........................................................ O Description of Soil b Z �� --��---��L _ = x -..--�.. - Co!IgsG---•- ..... c ..... .f_. .. _•SiyJ4cc Sl°NES U W UNature of Repairs or Alterations—Answer when applicable...............................................................•........._........_.._.......__. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental 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 -------------------------------------------------------------------- ................................. ........................................ Date Application Approved B PP PP Y pate ' = rI Application Disapproved for the following reasons- ------------------------------------------------------------ --- ------ -------- -- ----- ----------------------------- q Date Permit No. ----------TLtn.--- -------------------- Issued Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certifi ate of (gontyliamr, THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( 9) or Repaired ( ) by -------------------------------------------------------------------- ---------- ---- ---------------------------.....----------...---........-------------------- -- . ------...........---- InstallerIlf at ----------------b-0:7--15--..,�I..-----�L y ..... ---------...---......------------------------------------------------------------ has been installed in accordance with the provisionV/of ih L 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ........J?.Ly. �- --------- dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE---- ------------- ----------------------------------------------- ------------------------- Inspector ---- .----------....----------------------...----------- --- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �.0 TOWN OF BARNSTABLE Disposal Vorkg Tuntrnrtiun rrutit Permissionis hereby granted.............................................................................................................................................. to Construct (W) or Repair ( ) an Individual Sewage Disposal System at No...------ a' _`�. ••-- V Street - •----•-------•---------•............................ as shown on the application for Disposal Works Construction Permit No w-6�i'-- Dated.......................................... -----------------•-------•------•----•-------------------------------------------••••••••.....•-••.•--•- Board of Health DATE............................................................................... FORM 36506 HOBBS&WARREN.INC..PUBLISHERS THE-COMMONWEALTH OF MASSACHUSETTS 1 a -& -q`/BOARD OF HEALTH TOWN OF BARNSTABLE P -7 63 plirtttilan for Disposal Iforks Tongtrurtiun trrntit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: tiE r�.�.. w�!= </ r�,vn/i �......... .. L....T f'..5................................................... •... / ----------� Location-Address or Lot No. ----- --!`�.��_..l _Cl c>!! �.--•--2G�z 9 U_ � L//G..4_� --w.! . !�..... Owner Address W Installer Address Q Type of Building Size Lot._/Zy_L�?__ .....Sq. feet Dwelling X No. of Bedrooms-__------------------------------------------Expansion Attic 40) Garbage Grinder 6) p, Other—Type of Building __________________________- No. of persons............................ Showers ( ) — Cafeteria ( ) a'I Other fixtures -------------------------------------------------- - WDesign Flow....................5..�>...._._.._._...gallons per person per day. Total daily flow............ .3...U...._..••.•.•..gallons. WSeptic Tank—Liquid capacity.LQ-0-0.gallons Length........._.•.._.• Width................ Diameter................ Depth_._. .'L!�!_Dpp1`l1 x Disposal Trench—No..._.. ./_ Width-------!-2'_'... Total Length....-_--�_A_....... Total leaching area-_4.S.S...sq. ft. Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X) Dosing tank ( ) la Percolation Test Results Performed by...............................................z.......................... Date........................................ ,� Test, Pit No. 1......Z.......minutes per inch Depth of Test Depth to ground water._��Q .. _n/C fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-------_................ •-•---------------------�---•---•.-•-•- ------------------------- •------- -•••----------------------•----------......-----------------------------•---- D Description of Soil.......... __ Z.__...T U'•.•_�n x /L..•_••_•----,__ --------- •------------------------------- ••--•-------------- ---------------- jf�.!�--.� J..l�f ��uvy�� •Sryr9c�_.__ST_y _ 5 W UNature of Repairs or Alterations—Answer when applicable...................................................•.......__._...._............._..........__. ----------------------•----•---.....--•---•----•--•-------•-----------------------•-.......-•-----•----•---------------------------....--•-----------------......--•--•----------•------.............-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental 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 -------------------------------------------------------------------------------------------...----------- --------------...-------- ---.----- Dare Application Approved By ------------ J `C r._-.., ,, `, ----------------------------------------------- ---------?. Dare r Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------------------------------- ------------------ - -------------------------------------- ...........................------------ Date Permit No. -- --------------------------------y `---... --------------------_--- Issued -----...---...--------------.............- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Te>rtifioate of (fompliattric THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by------------------------------ Installer at ----------------/�..8...... /�g----- ��,..- f^� 4 .( 1���f---------qi _ _-:,_.----��.,------------------------------------- - has been installed in accordance with the provisionsdof TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .........`7.-1-Y_---__:%�--------- dated ................................................ THE ISSUANCE OF THIS-CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE----------------------------------------------------------------...........................----------- Inspector ..........-- -----------...---......--------•---------------------.. . ....---...------- -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.... ......:.. FEE....... _ ..... Disposal Works Tunstrudioln "prrutit Permission is hereby granted.............................................................................................................................................. to Construct (>,,) or Repair ( ) an Individual Sewage Disposal System at No /, a" _� h At . U)a. 1_ _ -- , (� U Street _ as shown on the application for Disposal Works Construction Permit No` �!..:4. ____ Dated.......................................... •----•-•...................•-•-•------•------•-------------------...........•--•------•--•---------....._ Board of Health DATE................................................................................ FORM 36508 HOBBS&WARREN.INC..PUBLISHERS SOIL LOG 4 _ f NO. 1 FL 2 O NO. 2 •i ..j f. 8 I O ? A ICJ h S U N S . ITE PLAN � if 00 G .�... �,d �,� do 23►Z 2 +' 2L.-L 3 Li>A(2,sff To 41 MEd 5Atum 3o rfe SMALL p , TOP OF FOUNDATION EL.: . 7�.. _ �. �,,�u , - -�-'� ' 11, Z g •.° L 2(., V �• 71J �C?l L 9,,sd {} (j Vt � � r7 , � ��}i�UG` Jt7r� »i! � �PO T�..{ � 1pj►2 — --- V . Y __ _._ 121 c,1 rJ f^l L ! ti D �{rJn L �2aU� •o, covice --- 0 �� r 9 • E t_ 1:5�,z 10 r -- -- i r -- N.E l. .23 -- -P I N.E l 3{45_._ 2 GIvEIL �8-�g 1 1 24 _8 }-- , -- ZA (�3 t, , • OO ® 6T�IJ E'er 1J o WATEIZ -- • I N E 1 ------ -- . L D/B W/ 6" SUMP � �� 22 ,24 �=N c. ,�.. IZ,z 13 14V, EL_: 14 4 LIQUID LEVEL ZvTbK)%7 o _D 6-5 23,2� �r,_ 1 '�i` W ASHcp _ • 4 V�hcer 5 15 • T-, F •. , . T z A �..L_ o M (� C rt vs d i-. p � / � S��x�� — PERC TEST RESULTS PERC RATE : - < z-,�!�ti,/!�-!�H PRECAST SEPTIC TANK WITH WHITNESSED BY : rv� IMcKt=01\1 ' CAST IN PLACE INLET AND OUTLET T 'S PER TITLE Y bir-rom dr -rF-sr Ho�.f 4 t t\e:a . �.,_. __._.- BOARD Of HEALTH DATE : z 7Ak _ SIZE : 10oo C� A L_Lo U `? v"r o r n .' D t1 ,c S -D ,-- ► 57 G 3 LaAL1A '10t, 5 f SEWAGESYSTEM � � ' ' �'PROFILE OF PROPOSED 3 f »j� ` I ' SYSTEM DESIGNED BY THE TOWN OF IkRVASTNOLE - REGULATIONS AND SCALE • 1/4"- 1 ' 0 "" I 34� , �1 ,r � �, Z3 r STATE TITLE Y_ FOR SUBSURFACE DISPOSAL OF SEWAGE . O 2 fir, dot l N . B . q " PE Al BE SCHEDULE 40 P.V.C. SEWER PIPE 1 . ALL PIPES SHALL 2. ALL PIPES SHALL BE SLOPED 1/4 PER FOOT EXCEPT FOR HE FIRST 1 FEET OUT OF THE 0 /8 WHICH SHALL BE LEVEL /r T �n► 3. DESIGN FLOW __3___ BEDROOMS AT 110 GALOAY PER BR. 33.0_- GAL/DAY Z OA 1b SEPTIC TANK SIZE 33-0___ X I_,_5_ = 495 _- GAL . � 6 _ 1 0o UT GARBAGE DISPOSAL �19 ° , ,N� �nlot�� �►� USE o _ GAL. W/a _ G RB _ (n \ + o a. N� A 21E h LEACHING SYSTEM : USE 3 - 4A, S 'FLbN DIFF� 50R_'� writ-•1 N 3 5-5���� 6'A 14 � s1Dc` Arun I 2 r rI-115 • �S3 q C,�D .75 �a { 137 . A QPzovID =n c►�2rEFFECTIVE AREA : SIDE - ANa (1 1 +34)= 4-5S0 t A BOTTOM �TAHILY t TOTAL FLOW 4554 � .-7S C-.1 �1 = 34- C,�fl D1�/C0-1�1C�J \ °? TOTAL REQ 'O FLOW -53 v X I-r n 33U- _ W/ o OT GARBAGE DISPOSAL RESERVE FLOW.- 4-1 - 33D - 1-I GAL / DAY -_.. __ ______ Lei 3 AT ID o' 1H 2 n►'! V VII L 012 F1 10r� Lr �I � REFERENCE PLANS : _yL_&� od 275 P9� - __ �� w����iv �� �5 F��2r - - N5 /�� � lot &Q A•PPROVEQ BY : 1: - BOARD OF HEALTH DATE AND 'SE WAGE PLAN �Q L IA1� _Lf L D� ESY /'1 L R/ _ ,` m� SITEPROPERTY OWNER . ---- --_ ___- _ , . : • rr, FOR: Su 5�('ia A1VD I)�o oizESBEDROOM SINGLE F MILY DWELLING�, LOT : 115 mi_tG 1-I E LLD AY ITMo29n a,�,z�LiLt- � {S G �� ��Q OAT E SA N 2(Q , 19 � 4. 9 y► So 01 E G\ \A// L L , ►i w L 1 9 E:Q M A el _ P, e ' l M A2'yTn 0 1 L_L S 4 M A, o 2&48 C Q 2_9 2�2 ) SOIL LOG - NO. 1 FL2 NO. 2 RcT77, .2 1 SITE PLAN b9. Al �'e � SOIL i L r n- 2 o u oc���er�o di?t)o G �J��U��i4 - ,T I� u Z31� 3 I>Af2si� To �FD SANt7 T (f( 1s (� Z. ^ t So tf 5-MALL 0 2D,Z 5 TOP OF FOUNDATION EL.. . 7 /y I°r Z 6 •ee �' '.. ;d.i ' .? �' >� ' c ` q'ill Ut L� O �', jfl�r� '�trr` )ems Qry'� -d , �D .h 1 STD►J�S { `+�EL < ' o c `a `� `u , � � oD� IB�Z ] --- , , y , M l7 Z B CvvE2 U12.I�-d0 FlL [ n�D �irJ Ok' �L Z4 , I, � ,¢ 9 — R L G&A -- c L Z5,7 Z ----- Y pp� IN,EL. _. ... • e A , -7—:--,—r�:T - - -- _-- ' .- n 10 _1__.• �x__ . IN.EL. -P� tL23,-M'' r I 'r ��— p r 23' I N.E l W y f � IN E 124.88 ©� ��F.l£'g 1Jy 1N117ER t 3, Z 12,Z - 13 - _. �• 4' LIQUID LEVEL � D/B W/ 6 SUMP �n1V. cL; : _. ._ 14. W P60 EU I)s jI A r 15 I n�S�t L_ L. o t�► ��' C R. � D 4 V L K L� 5 5Tor►� �� �.opd.' . , ..,.. , STORaE PERC TEST RESULTS PRECAST SEPTIC TANK WITH PERC RATE : < zIti,/!�, , a.� CAST IN PLACE INLET AND LC7 KID WA-�2 E►.ic., WHITNESSED BY : "CKE- N r OUTLET T 'S PER TITLE Y- �I-�ol� �r? A...r _ BOARD OF HEALTH � TTD� Get` T�St D ATE : Z_-7-0 SIZE 1000 C� /�L.L o na � , ­__u_.___.._ a-rar)n � 57(o 4. � r� � PROFILE . OF PROPOSED SEWAGE SYSTEM �. 'T13> - I SYSTEM DESIGNED BY THE TOWN Of _hkV_VIS_rN6�E_.___-_-- REGULATIONS AND z I a- 1 \� _- , \ z3 STATE TITLE V FOR SUBSURFACE DISPOSAL OF SEWAGE . SCALE 1/4"= 1 ' 0 " 0` rr � pt 1 p 1. ALL PIPES SHALL BE SCHEDULE 40 P.V.C. SEWER PIPE \ T, � w► �=� 2. ALL PIPES SHALL BE SLOPED 1/4 PER FOOT EXCEPT FOR 2�, 4° Igo v�A� ' \� � 'a,*'�,�� THE FIRST 2 FEET OUT OF THE D /B WHICH SHALL BE LEVEL 3. DESIGN FLOW —3.--, BEDROOMS AT 110 GALDAY PER BR . 330. GAL / DAY A liv Y' SEPTIC TANK SIZE 30—__ X 1,5 = 495 GAL . USE 100_0.. - GAL. Wl���`_ GARBAGE DISPOSAL M1 , .No W LEACHING SYSTEM: - USE 5 - 4 f, S FLb N D I FF0 5 O R5 Wi i-4 J ,� F 5-ToOC I� R C 1-1 5 t Dt AV ►� 2 ` 14.. \ - _. . 4� Iv - �5TaJc EA(-<I DNA AREA : ANP AR-E A PILo VI DED EFFECTIVE AR SIDE S ItZ,l1 ` ,S1n�c-�LE �3255 , - C_.I + t z� � C. i -i--3 4) — 4 5 � BOTTOM _ _ L a-r a 1l 1 4 5 5 .-7s 6/r) /4 3 4-1 G/D 6,A DVIC-LLItU a' � TOTAL FLOW TOTAL REQ'D FLOW __3.3 0 X .!_�_ u. _=_ .330 _ Vyi o �T GARBAGE DISPOSAL 2s RESERVE FLOW.._3 4-1 - 33D - = _ If GAL/ DAY LbT 3 � S i AKc 1W SAL? \. I AT I D O' µ tL o f-i V W L REFERENCE PLANS : _PL_C i odd 235 P69b Z� , z� r r 10I' i�� / L� 6 _ s I vJ�I k L FI C- V-,5-P I5 FL)P,7-p E le i AfPR0VE0 BY : - --- ____.__ BOARD OF HEALTH ,� DATE : ____ PROPERTY OWNER : o L C),eES VALOz f SITE AND S WAGE PLAN . w FOR: Su 5E�'ra A.ND o¢r=� -Di Lot BEDROOM SINGLE F MILY DWELLING L14,N, 69� ItEBER1AAN _ , Mg. 23971Q L 0 T : �5 F-1 N E LL 5 ' AY l7M-0 2>o rya 2 c�L l_ 155 } s OAT E . TA N 2� 19 � 4. .o F G E.Q 4``' - 23STII'i , c- Q �7I�c1JC Uu 2i 4 t M A�Z�yToot- i I l_L S +�. M A. o 2la 48 1 L`Z9-Z 91z