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HomeMy WebLinkAbout0083 MITCHELL'S WAY - Health (2) '� ���" lv3- 4 �. l :, ,. .. , � .. � ,� a 6� Y o p .. - � �. ,� �. - � .. ` .. L ,� � ... � t, �. L �� 1� �r .. �. - .. ,. ... h �y � � �, � " u �. fl � 4 r A� �' O a .. �� ,. O Cr o � .. ' .. � O � �� .. .. !� 4 ,, it ,. a � - c � �. � .. � u� - � .. - � _ �: #+ „ �, � n � Y 1 � 153113 RED 100/0 P4 I No--- FEB.....L...®. ...... THE COMMONWEALTH OF A M SSACHUSETTS � .2 _^^�^^�•�•1/ B O A R D OF HEALTH �''� Z Deto OWN OF BARNSTABLE 576 1 -7 Apphratiou for Disposal Works Tunstrurtion Vrrmit Application is hereby made for a Permit to Construct (X,) or Repair ( ) an Individual Sewage Disposal System at: # 8 3- M , � W � wa/ I Iteration-Address t L or Lot No., _•-•-tD o .._Q i'�k ..... .A.S...c1 --------•--------------- oEL(r 5---•-• w fy Owner Address W .. Installer Address QType of Buildin ,/ Size Lot....d f.".3----Sq. f et U Dwelling�No. of Bedrooms.........`3...............................Expansion Attic 4-0) Garbage Grinder (VO) `4 Other—Type of Building No. of persons............................ Showers W YP g --------------------•--•---- P ( ) — Cafeteria ( ) 04 Other fixtures ------------------------------•. . W Design Flow------- .........-`r__�tr___---___gallons per person per day. Total daily flow--------3-3-q.....................gallons. 94 Septic Tank—Liquid capacity_1.4 QOgallons Length................ Width................ Diameter---------------- Depth_-----Lsq_N-P Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------1---------- Diameter................ Depth below inlet.._..-......... Total leaching area..Z.G�...sq. ft. Z her Distribution box (x ) Dosing tank ( ) Z I o FL` 7'0AJ c' a Percolation Test Results Performed by.............. .L--..L-.(A.y`_'!-....._...�E/Q���.... Date.....z.-7-g-G.__...__.... minutes per inch Depth of Test Pit.....1.3-_-__-- Depth to ground water Test Pit No. 1.._.__2..._._ - fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground tx� y = GO S£ -- water er______------.---•-_-___. a ............................................. . ODescription of Soil---•-©•-•� �0 • ....i , Q .. of - - ...��M ---------------------------------- .---------------- 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 By ------3�follo�wing ------------------------------ -...................................... ----- Date ApplicationDisapproved for reasons- ---------------------------------------------------------------------.......................... --------------....------------- ------------------------------------------------------------------------------ .-..----------------------------------------- --- ----------------------------------... ----- ------..------------------------ Date PermitNo. .. ....... ...1........--- ----- --------- -------. Issued -------------------------------- --------------------- ...... Date THE COMMONWEALTH OF MASSACHUSETTS 4 BOARD OF HEALTH TOWN OF BARNSTABLE ' Ce>r#tftca#e of G Catkin e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( K ) or Repaired ( ) by---------------- - ------- - ---- -------------------------------------------------------------------------- Installer at .............. Q 3 .......... i -----Wo - - -- - - -.----------------------..... has been installed in accordance with the provisions of T- LE 5 The State Environmental Code as described in the application for Disposal Works Construction Permit No. . f .-.- 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 Disposal Works Tnn#rnrtilan rranit Permissionis hereby granted.............................................................................................................................................. tb Construct (x) or Repair ( ) an Individua Sewage Disposal System, Street as shown on,the application for Disposal Works Construction Permit No.ftk.S.'_3... Dated.......................................... ........................................................................................................ Board of Health DATE..................................................................... FORM 36508 HOBBS&WARREN,INC..PUBLISHERS IS ' t No...G4-i-- L-5'7 F�s... . .................. THE COMMONWEALTH OF MASSACHUSETTS ABOARD OF HEALTH T; Z 3 4�7 `� TOWN OF BARNSTABLE 576 1 f 5�� ! Appliration for Disposal Works Tonstrnrtiun Prrmit Application is hereby made for a Permit to Construct (A) or Repair ( ) an Individual Sewage Disposal System at: 8 3 M �l WA 6/g,, vN/< L OT # 3 • ............__ ............................................... .,--- --...--•--......-•-•--•--•-•--...---------•-----------•--•-----------------------.............•--- L- tion-Address or Lot No. ,/ D U t_ ...... . -J A ........................M �C /E L L...� .....w_A.:� A CNN/S ••. -----...-- ••. •-----... f......�!!....... Owner Address Type of Buildin...... installer _......... SAderLot.... �_L ....Sq. feet Dwelling�No. of Bedrooms---......`.................................Expansion Attic (/vo) Garbage Grinder (VO) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a -=-- - ---•-------•--••------•••---•................••3...•-v------•......................---•- -----------------•-- Ions. W Design Flow------- ____ -----gallons per person per day. Total daily flow-- gal Other fixtures . WSeptic Tank—Liquid capacity.--•--.•---.gallons Length---------------- Width................ Diameter--.-----.----.-- Depth-4.-'L6".17 j0 . x Disposal Trench—No.---••-------------- AAidth.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------1---------- Diameter----6.'--.-.----.-Depth below inlet......:e.�_. Total leaching area..2.6�...sq. ft. Z �- Other Distribution box (X ) Dosing tan�'( ) � �LTntfc Percolation Test Results Performed by...................... .._ •--- Date....____________._._______.____._.___... Test Pit No. 1-...._a......minutes per inch Depth of Test Pit-----1.3....... Depth to ground water..lVe.Nt.. ...... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-------------........... •-------------.....--------------•---........... ----..... Description of Soil U;- � J n........v_!3..moo l .......................................------- ----------------------------------- - v ..........2...- ��� G°/��S� f� Mt� ��iv�...... 5 n,�................. - 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 ............................------------------------------------------------------------------------------ ---------------------------------------- Dace ApplicationApproved By ........ - ---- --------------------------------------- ------ ------------•. Application Disapproved for the following reasons- ------------------------------------------------------------:---....................--------------------------- .......----...--------- --- ---------------------------------------------------------- --------- --..-:.....-----.:.:.....----...---.........-------------------------------------..................................... ---------.............................. Permit,No. . ----------- Issued ........................................................Date...... -- Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C9erttftrtt#.e of CgoxttyltttnE THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( Y ) or Repaired ( ) ' by-----------------------------------------------------------........................f.. .---------------------------------------------------------------------------..._..------ ------ � at ......:_ 'ara .....�-'-----( �� �-------�t it�r�� U--) �C . . <,E t��� ........ - has been installed in accordance with the provisions of TITLE 5 6f The State Environmental Code as described in the application for Disposal Works Construction Permit No. ...__'....... ... .......`� ' .... dated .............................._................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE----------- ------------------- ------------------------ --------------------------- ....... Inspector ---------....----------------------......---.....................-- ---....----- -- 1 E THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE -' Disposal Works Tuntrudion "rrmit Permissionis hereby granted............................................................................................................................:................. to Construct Q( ) or Repair ( ) an Individual Sewage Disposal System atNo........- r'f.....' .....$ fiu". y'dsr .--------------•-•-----....---.....-------•--------....-----...----•-..... V Street as shown on the application for Disposal Works Construction Permit N _�I.... Dated........................................%v, 7 7 Board of Health DATE................................................................................ FORM-36508 HOBBS&VARREN.INC..PUBLISHERS - SOIL L011 NO. 1 L. N0. 2 pI T E PLAN 6AfJ _ -o pd 508 �6DI L Zs S z ,s 2 - ' Z ,S 4 TOP OF FOUNDATION EL.: 8. S`_ Mira 5 n- P hND S o , s' 6 --- _ e• L Z� (o L_ (► I r J 5 0�"')i= .5 M A I L 6roVE7 � r� _ • �7 �8,s' B 1.)1ZIL-)wAL A &J n F/,VA fdb /Z f*c n e= f` MAY C�vt,tL 2� 7r s -- 04 vv .., IN,EI. _2_S • e 1 - I M11J : �v ✓E2 f r �.�0 l . -• •r INJL. r -�` ANAL Z 4 w �, _ . EAIG -12 IN.EI. - tiS ,L 2 :OVER T16 ALB , WASHED STONE Y .0 L u I.N. EL.?�A..�.:. ° ed °rid ¢ - * a:.a .,4 � ,� ,�. IA•.\/IN L, l �� 13 D/B W/ 6 SUMP b e° a , 314 1 Ill . IASNED; STONE 4' LIQUID LEVEL �.� a n 14 e C (T VEFE. DEP�'Ilb 1S II /j + -r-II �.T" --I.-a• T i, .• �` 1.� ��� '" rj ��.v e ,{5 RESULTS PERC TEST PRECAST SEPTIC TANK WITN °�a �,.`ro 2 MAN/�ti�N D +� d PRECAST LEACHING PITS PERC RATE: CAST IN PLACE INLET AND EL. j8 oo b N0.: �L, SIZE ��FF H_ WHITNES,SEO BY: _TdM_ri 1: OUTLET T 'S PER TITLE Y o`bIA . Lc� A UitUC-, 1 _ _ BOARD OF HEALTH SIZE : I ODD C, I� LL L7fU �� DATE: Z 7,_ SC�- - EL 1;oTTDM o r TE STi�"� - s, ;� /p/ PR FILE OF PROPOSED , SEWAGE SYSTEM �� �� � � cl JIWA �► .. # i SYSTEM DESIGNED BY THE TOWN OF ��QS��a �31_ �.. REGULATIONS AN � .� � l STATE TITLE It FOR SUBSURFACE DISPOSAL OF SEWAGE . SCALE 1/4 1 TB 1 1 i { Ll Loy I 1 . ALL PIPES SHALL BE SCHEDULE 40 P.V.C. SEWER' PIPE t, 2. ALL PIPES SHALL BE SLOPED 1/4 "' PER FOOT EXCEPT FOR { I THE FIRST 2 FEET OUT OF THE 0 /8 WHICH SHALL BE LEVEL �, L. _ � OF 3. DESIGN FLOW 3 _.__: BEDROOMS AT 110 GALDAY PER BR. 33 v GAL/DAY ` SEPTIC TANK SIZE 33_d__ X V,_5_ =.495_ GAL p _ jj USE _oto o GAL. W l d� GARBAGE DISPOSAL R. 11 LEACHING SYSTEM : USE ; 1 P l_Ft'�T Lr=r.c ��r� �, 'i - 2 ' 1 i �1 i 2 ' ; Vj � 1 �l 4- -7 I EfrEcTIVE AREA : SIDE ►!. �u �` (� -2 --� _= _�`1I L��O.__L.Lt313�) I� � 2at'G`5 �C�� t� BOTTOM _ X iu _4_ I, U--__78_G / __.� S 2�(� G2A 1' . � M ► L r TOTAL F L 0 W____��.�._. ___-_5 4.9 71 6�/P 1 TOTAL REQ'D FLOWa3n X !-' _-____ �3 �� �1 . W/a � GARBAGE DISPOSAL 1 RESERVE FLOW_5.4)_J l 3 3_0 .= 2.I � ?GAL DAY PL1.4t� � 00L '2- 1 REFERENCE PLANS : - - _ LOT 3 APPROVED BYE OARO OF HEALTH s� far_ E i - -2_e) ' _ DATE : � _4.��__.. � --- �� SEWAGE PL�,N lam. 0 L0 a_F_ E• U A 0 -� ,53ITE ,�, ND PROPERTY OWNER : -__.__ __ _ w d P FtIR �D�� 7 BEDROOM SINGLE FMlY DWELLING (0,1.1 F3� - _� t ._1� i LOT �'3 M I �.� `�t �L�.� tNr�. � ,� .,.,, �_ -� ..� s3 DATE . i-AN) uAV y Z (, , �� 9 SSrDHn E .' I 7 z_- -._ rs� K. �'1 i\r,_) F', E, V^t M l`�fZ. TD14J`� HILL-, IJA U -z& P, t�A2_9- 2 `a" Z soil Lnr NO. 1 0 N0. 2 I T E PLAN 6A" 71 1 • 27 4 i Ga A IZ S r= To •• TOP OF FOUNDATION EL.: z8.s M��n 5 ( r� NND ► 5' 6 - FL 2-7, L Z-7, 3 yw 5omE �mAt_t.. 6nofs , " 1�, 7 02IL-)lfJAL A sJ n F,into► i 17 I N. EL 2� to i � Ief �0 _ Gt) V E S •_ t_. IN.EI. Q .IN El 2 4� u ---- 2. ` . . a o .. 2 -.:COVER 1/8- 3/8 : WASHED .STONE � r�l� w t�r�.�, �x�c. . , �+��.�' 12 ---_ IN.EL a z s . _._ 0 es a . `� _ IN.EI. //�� N IN. EL.?,a,� 13 4' I UID LEV 0/B W/ 6 SUMP `°e eno s ° a 3/4 r-. 1 1/2 WASHED STONE L Q EL . °a ° - . ° 14 ' i • ti . ; 91FF. DEPfiTI a°� �'" 15 — _.d_Tt�..�.�.a1T-..II=._ �.'_��•_° • El.'l.o l`�S ��.._a n.�.b ea� p - .. PERC TEST RESULTS _ .� - ? rid i nt CG PRECAST SEPTIC TANK WITH �d •� p '• PRECAST LEACHING PITS PERC RATE: �. ..< 2 MIAJ _ a CAST IN PLACE INLET AND El. l NO. �1__ _: SIZE .�'�71A -..�`���� WHITNESSEO BY: _2d�-, BOARD OF HEALTH OUTLET T 'S PER TITLE Y Ld tir�uG - SI1E 10 D o G /� L L v o b1A . �> DATE: -...Z..,.::] _8 - 5 / EL I "JI Ll " b t oTTDti D t= TE 5T �i L.1 > \AJATE 2 E" G "t t 5� ;� It I P b r PROFILE OF PROPOSED , SEWAGE SYSTEM �� ,�� � 1 IWA -�� � SYSTEM DESIGNED BY THE TOWN OF ��5!a13L � REGULATIONS AND 2 _ 1 m �s STATE TITLE 'T FOR SUBSURFACE DISPOSAL OF .. . SEWAGE SCALE � IWO= i r . N . B . �-. ._.., J 1 ALL . PIPES SHALL BE SCHEDULE 40 P.V.C. SEWER PIPE 2. ALL PIPES SHALL BE SLOPED 1/4 PER FOOT EXCEPT FOR ?. , �2 p 1 THE FIRST 2 FEET, OUT OF THE 018 WHICH SHALL BE LEVEL :; .. Lp• 1-,11�-�' r� of 3. DESIGN FLOW 3.__._ BEDROOMS AT 110 GALDAY PER BR. 33 (). .GAL/DAY - ? t" 1__..I rya r SEPTIC TANK SIZE __33b__ X l_I 5_. = 495_ GAL . 0 , RA USE I o a co _ GAL. W/ n_u_-�:_ GARBAGE DISPOSALZ3 LEACHING SYSTEM: USE ; - f . ��t�T Lc_&cv4it4 Lry I=�' 07 A- t - EfFECTIVE AREA : SIDE . ._►!. _1� � �_ _2--_,_� �-`11 C/o _ _L1,09-4) �� �� ,� 2n 'c �n ,,,)rL�-��� _ 60TT0M _j(n_ Iu��'� 4 It _78_C� AD _�:7S s) 2�(� _ �� , ` 2 A TOTAL FLDW ._. . = s'49}-7:1 6- 4 �aS r✓ Z3 I TOTAL REQ'D F LOW _I 3 o X ! --__= 3o 6 P. W1Q�' GARBAGE DISPOSAI. RESERVE FLOW_54') _"17- 330___.= 2.I9, �GAL/ DAY . rnJ V REFERENCE PLANS : pL ,kl'�.J M0oV- '2_45' 2 ---� LOT'� 3 _ APPROVED BY 3AON5TABLC BOARD OF HEALTH selF\LE: � - �_<? DATE a L e IL_F E, v r� ,__u -a 1 T E AND SEWAGE PLAN PROPERTY OWNER _ _ _. -_-__- . ..__ _ —___-- °` F Q R Doi la A L 0 ;�, 3 BEDROOM SIWGLE FAM4LY DWELLING (�1 ] P3) LOT rt3 Ml l fVVA DATE . j-AN) -v z ► t< - '�r FS t 'o,Pp I#!� W I I.L_ ! � t L..I ri L h r� -r a�{� M I LL 1` A y -z 2_2- 2- 5