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HomeMy WebLinkAbout0077 MITCHELL'S WAY - Health (2) �'`_,.,,� � - � e'er�p ' ` (" A �'1� � '�` ' _ � � "I � _ �.�....'' _� ._ _ _ ��-- l�- 1 -� 5 .. i. ' �i � �. �� � ,- ; . d _ � ., a .,' r o b , .. .. � 1 - _ V_ i. ,. � .. i ,,. .. .. _ ��. _.. q ,. .. ... .� ` � ,. � .. �� ., fl � � - � .. �. ,. t - - d . - ,,: ,. .. .. � _. � � ��� ,. .. i 5 �. a _ .a , Y � � e ' - � .A � .. �t �� � " i ... .� � } , o � .. e Oi.. .. - �' a � � � �. _ �F � b e 'i �. ... ; �� .. � � C �y 6� No..... APPROM FimS.......Le�........ �arnStJB �►►� HE COMMONWEALTH OF MASSACHUSETTS C - - 1- OARD OF HEALTH //y �- ' TOWN OF BARNSTABLE S 76 Z . .:_ Apphratiou for Rupnual Works Toustrurtiou 11muff Application is hereby made for a Permit to Construct ()() or Repair ( ) an Individual Sewage Disposal System at: \ I ................ �TG'r� L(,$--w, - f� �9n/i✓/S L V�-- .7.......................................................... .. f • ..._....... cation-AddressSow �t . E Df' ��o!�ZLo.t 5 N . f rjowv/S Owner Address W Installer Address U Type of Building ''rr Size Lot_._l Ol._V.7.._Sq. feet t-t Dwelling—No. of Bedrooms............................................Expansion Attic (/vt� Garbage Grinder (N� aOther—Type of Building ............................ No. of persons-........................... Showers ( ) — Cafeteria ( ) Otherfixtures -•-•------•----•-•----------•------•-----•------•----....---•-------•--•---------•----------------•---•--------------------------•-----...........---• w Design Flow.................. ..�......._._...___gallons per person per day. Total daily flow---------- Ions. _ 3 3 � WSeptic Tank—Liquid'capacity.�,040gallons Length................ Width................ Diameter................ Depth_.._..... x Disposal Trench—No. ........1......... Width_.. ......... Total Length._.-3`!......_. Total leaching area---¢S-�r____sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X) Dosing tank ( ) o-, Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit••-______--.._---_-- Depth to ground water........................ x , D Description of Soil......... x -------------------------- 1 .3 2s E 4n w VNature 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 t� Application Approved By ------- Application Disapproved for the following reasons' ------------------------------------------ ---.......... --------- ---------------------------------............................. -----I------------------------------- - ---------------- ---------- .----------------------------- --...------------------------------------------. ........................................ Permit No- --------------c e �� �........................ Issued ------ --------------------- ----------...--------.Date------ Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of CoxnyItttn le F THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by------------------------------- -- -- ----------------------------------------- --------------------------------------------------.........'ife. Installer at ...........L.-o-r .........w Kl.Ax---- -- ------------------------------------------------------------------------------------------------------------- has been installed in accordance with the visions f TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ......... ,4(...........-- 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.__. _. n . Y- k. ft---_..... Disposal Workii Tonotrurtion rrutit Permission is hereby granted -----------------------------------•---•-•-•-------...................-'--_.... to Construct (+ or Repair ( ) an Individual Sewage Disposal System at.No................. le....---- �Mr ... -- ---------•--•-------•-------------------•-•--........ treet as shown on the application for Disposal Works Construction Permit No Dated.......................................... ........--•----•--------------•--•---•---------------------------'••...-------••--•-----_....._---•_---•- Board of Health DATE------------------------ -•..................................................... FORM 36508 HOBBS Q WARREN.INC..PUBLISHERS No............... .......- Fss......./ ®........ 7,, � THE.-COMMONWEAL 7H.OF MASSACHUSETTS -_ -�/5/qBOARD OF HEALTH - �/�/Z�oEi s4 TOWN OF BARNSTABLE �� 5 76 Z Appliration for Bioposal Works Cnnnstrutiun 1rrnti# Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: . .�....�_�_.z.. .�i.....�.....�.1.... f �y... ......------L-� ---.....�--------------------------------------------------------- capon-Address or Lot No. l • - -..----- - .... ..: owner Address W i -- --- -------- ...........................................- instal -- -aller....----........_.......•................ ......-----•---......._......................Address......... ......--...................... Instt d Type of Building Size Lot....l_____�__7/7--••Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic (Al# Garbage Grinder (�J� aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ...................................................... Design Flow................... ................gallons per person per day. Total daily flow-----------3.3._s?........_.._._..dons. WSeptic Tank—Liquid"capacity.,�6Qgallons Length-------_------ Width................ Diameter................ Depth______ x Disposal Trench—No........./......... Width...ZZ._........ Total Length---3` ......... Total leaching area...--li._SS__sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ 04 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fi, L Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---_-______-____-___--. D Description of Soil--------- U ---.....-•--•-•-•--••••-•-•----- ......1? Cif rf � ................................/� --------------------------------------------•------------ 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 -----'----------'--' ----...-----'--'----"------------'-----'---"----"----'-'-"----"--'-'---'---'-" ........................................ �� s. .- Date Application Approved By --'---..(✓ iS a.� �- ---------------'....---------------------------------------------------------.---- �— "'f Application Disapproved for the following reasons: ......................_................................................................................................................ ..................."------------------'-----------------.....------....-------------------------...--"....----------------------------------------------...---------------------------------------------..---- ---------------------------------------- y / Date Permit No. ---------------------1 _(= .--'-"--"---------- Issued ...................................................'--"'---------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (ILIPe>r#ifirax#e of Tomplia are THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by --------------------------------------------*.". -------.............----......------------ ---- ......-- """''" at .-....� -.-.: *`WV... /rn . ..........h� Installer........................... .i..-------' '-�"-'�'- E- . 6—...........................-.-..............-....-....----........................-----------""'_'-""'-'- has been installed in accordance with the MvisionsfQ TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ......... .4----,�.............. 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 FEE....P)A.......... Disposal Workii Tuna#rnr#ian rrntit Permissionis hereby granted...................................................................................................................................-.......... to Construct (x) or Repair ( ) an Individual Sewage Disposal System atNo.................•.�a e4.••t"---------�:� - nA� /__..i m .............. ..-------•-------•----....-------•--------•---...----•---•--•••---•....._. Street as shown on the application for Disposal Works Construction Permit No.?.6/_:_ ,l__ Dated.......................................... ...............•--•-------...............----------•---•••••--•--••----------••--- ---------- Board,of Health DATE......................................................................•-------- f FORM 36508 HOBBS B,WARREN.INC..PUBLISHERS f t 34. - SOIL LOG SITE PLAN a� ,fibi�4bb4 4 > eehtb11 v�� �� g y ���' , �{� 5/tNn �" I"©(' ArJRTq SUr3��aiL - ?A 7- 2 I�! 9 " til -{�� r�'�` 22Z. 4 t4,� 6 f r - �- 5 TOP OF FOUNDATION EL.: ,3 6 ti , h til, aD ��A aTs hp e�P �� 4f7V25E T� 4 , , 1 �3 8 e.• {' M 1 co 001, 11U OL F1tJAL �2 1T3C' {� Mw z'o✓ER. t �� -���;' {1, 9 10 IN El. Z4, :,� IN Et 7q-� 11 �A � _Z4,75 - .._ _ , a , , w •d I N E t ti5 1 14, _. _ I ,Z 12 °•• IN Et _..__ '61 V\I A5(ALb STipdES ` ��. , fi Y - 13,2 13 - D/B W/ 6 SUMP rL IL z5 a , ►� _ 4 LIQUID LEVEL ' 1WV EL /4- ! l2 WASNeD {-z,2 14 Is• o r2.vZ DN"D IJ �� it'l- STo"E rr►`2 15 ^, �� s, . LO-65 rzs, r��a 5-rn E 4 PlI L S r DI PERC TEST RESULTS PRECAST SEPTIC TANK WITH PERC RATE . _� - � CAST IN PLACE INLET AND ELV 13.2 do vVA�t2 EN WHITNESSED BY : � 2t�STl�BL. E , OUTLET T S PER TITLE y 13oTTOrI v P TA A T ��. � -BOARD Of HEALTH SIZE : lobo DATE: -�-8r; k oY o o v o i= 4 D 0- 9 - T S to YZ STAor-) Ain O-Lo Lv6D /AJ& PROFILE OF PROPOSED SEWAGE SYSTEM SYSTEM DESIGNED BY THE TOWN OF :_BAsWIDT1_S3L-.t-- - REGULATIONS AND ' STATE TITLE Y FOR SUBSURFACE DISPOSAL OF SEWAGE . SCALE 1/4"= 1 0 2 ,00,ou 1t3 0. N . B . 1. ALL PIPES SHALL BE SCHEDULE 40 P.V.C. SEWER PIPE Iau�'rp L� 2. ALL PIPES SHALL BE SLOPED 1/4" PER FOOT EXCEPT FOR ➢'12 vWL THE FIRST 2 FEET OUT OF THE 0 / 8 WHICH SHALL BE LEVEL 3. DESIGN FLOW _y3__ BEDROOMS AT 110 GALOAY PER BR . 3.3.0 GAL /OAY SEPTIC TANK SIZE _ 33-0 X 1, 5 -_-495 GAL . D � l rf 5� i � I A�►�CE 3Z USE l 000 GAL. W/ o UT GARBAGE DISPOSAL L oT 3 a LEACHING SYSTEM: USE 3- 4K5 FLoW _DirFvs0(LS \Ahrl-I V « r 5TWE EH,/_)-I -6 , I) XND ,� ZG•' �5 _ . I ' OF SToWE CAL14 E )D 1 N i Aug R c LuiIZF-b 330UP IS 61D14 - �o � i Z EFFECTIVE AREA : SIDE _ rt1p x 1- �= 4- 5 1�2t*Q P�oUr�► � + I + } 1 BOTTOM _ _. t 1 Z� 3 TOTAL FLOW 4S!g x ►75 G/o/ _.= 3 �6/0 " TOTAL REQ'D FLOW _-33D_ X I_►_o -- W/P.u� GARBAGE DISPOSAL RESERVE FLOW---_3 4-1-33 a...__. GAL/DA1f L o-v , P� REFERENCE PLANS : __ k-ti B onrL Zl E P& �3L 2 $ APPROVED BY : 1 BOARD OF HEALTH SLALe �y"� z 0 ' 1 'NS7 3 � L DATE : SITE AND SEWAGE PLAN PROPERTY OW _-__-__ _- ------ r - - -_ __ _ -- ------ FOR : To s �. 1 1) A L 0 Z Of BEDROOM SINGLE FAMILY DWELLING Z740 77) No« 2397�a h LOT : 4 M i L N E L L 5 WA-1 (T, + 29 o , Pat c E L r s 4 ) 9ofscIS1�G�,�Q DATE . FEs l - <4 94 sto E v\.// L L i A r--i W., Z3s --//i,3Fe LAIUE -2-&4-8`7� sy2 �- ` qqF! it rr 344 - SOIL LOG LIP „ �� _ g, g�. � �� I , NO. 1 20,2 0 NO. 2 SITE PLAN b li� , md��a4eea� h �b�o't +'r �� P pt-v �n h 4 �c�-} 1� l�l� hard I.0 h 4' a Mo tin sb p�Jt,�,rj �j'ra/�'j �' 7`D A tJ t) S ll r3r_r r�I L r r� T 24� Z 2 4• /Z C TOP OF FOUNDATION EL.: - - y ° y� � ! ., 1 �, � 7 c b�P v-� �a d/ 6 I�� , �dUrz:SE iv , ; -� 2oa3 s t� b ���a!y�h b lam �, o aD p •,° 27, _, � � kh ° 4►�� n���n$�•,. n�° �a�'� ���b n n 4 . , � ,, I 8 ,_ �¢� •, 1' M tsl� ,,y 1 - A i �Lz� -�-�� 16,E 10 - . PA .e ti5�1 _� _. ---- __ -fl Q Q 8 8 IN Et IN El'24� a .`,J� 1 1� vU AF1tV STvnI�S • , ' .,`. 0/B W/ 6 SUMP tl 23 �2�5l 15,Z 13 01 4 LIQUID LEVEL 1I�v cL 3/a- /z'' wNr�r� 14 ( , IZ01Dt,)ouUP� _ IN57A15 �- Lo•�5 L2i;5Nfib 6TOOF 4 PL t�LF S — / o/ PERC TEST RESULTS l � rti1 tI ! PRECAST SEPTIC TANK WITH PER RATE : ---- CAST IN PLACE INLET AND EL 13.1 do VVATF-w-. EN C WITNESSED BY: Ln Mc OUTLET T "S PER TITLE Y �3oT rt,r 1 r T�T .E n,rz.rJsTAgL E BOARD Of HEALTH SIZE : 1030 CA Loot DATE; -�-8 Ro-roovo FD 0- 8 - D V 5-7G'L � TA ►Jh A U) IJLo LaADIAJC- L EmhL i 0 C-, S`/ ST EH Lo PROFILE OF PROPOSED SEWAGE SYSTEM SYSTEM DESIGNED BY THE TOWN OF REGULATIONS AND STATE TITLE Y FOR SUBSURFACE DISPOSAL OF SEWAGE . SCALE 114'"= 1 ' D., "�, '0 - �t 3� y „r 15,5/ To VOF W L to — �5 1. ALL PIPES SHALL BE ` SCHEDULE 40 P.V.C. SEWER PIPE r- iqu'Tn 2. ALL PIPES SHALL BE SLOPED 1/4 " PER FOOT EXCEPT FOR r2 ,s N wWl , FIRST 2 FEET OUT OF THE 0 /8 WHICH ` SHALL BE LEVEL ` 3. DESIGN FLOW 3--- BEDROOMS AT 110 GALDAY PER BR . 334 GAL /DAY a2 SEPTIC TANK SIZE 30 X I._5 =__ �--95 GAL . SI-� io Imo, 1 Fmi- THE AaA�E USE I 000 GAL. W/ o 0T GARBAGE DISPOSAL LEACHING SYSTEM : USE � 4,� FLOW DsFrvSo(LS AV ro 4 ' or 5TO�) t: Ek-A-I ' OF 5ToOE CAL/-/ LOD � ;' ��11L� Ai1,.F A Q c uQl2Ed 33ta /D �,lS / / AA-0-4rt "" C EFFECTIVE AREA : SIDE __ADDx� I+3a)v 45 5 � ACLEA P2oUr at 1 1 BOTTOM TOTAL FLOW 4S5 x ,7S G/d/.+. = 34-1_610 TOTAL REQ 'D f LOW __33_ _ X I� o =__ 3 3v _ W/ u GARBAGE DISPOSAL RESERVE FLOW^34.1-330 GAUDAY o_ L 7 444 130,E —�'" 10 7/7 REFERENCE PLANS : PLktil bOO14 2_ 1E P& 9t. APPROVED BY BURQ OF HEALTH � LALE Iwo � Z(2 r I�A E NSTla,65 t �7 DATE : - - SEWAGE PLAN N ___-Tos ;�nF a �� �`� PROPERTY OWNER : _ SITE AND_ _-__- _.__-- ._--- FOR : mLLIAM -- :- - - --- - - L*8FAMAM T 3 BEIROOM SINGLE FAMILY DWELLING Zi4d 77) NO. 239710 ti LOT : a# 4- M i H_Vt t L L �5 WA- (TM, ZA D , F.(_v2(_ t L I s 4 ) 9oF6CIStEQ ��'e DATE Fes / - l q �4 fssr� E G v\// L L I A t--'I L. r s 3 (Z M A-" 2� MAE S?vn1 S MILL -,, " -2- 4-