HomeMy WebLinkAbout0016 SUDBURY LANE - Health (3) I(� Su dkn laxt¢, Wannts
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No..{:� 6. Fxs...:9C..:......_
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
...........Town ---------------OF..........Barnstable
........................................................................
pphrFatilan for Bispuiial Works Tonstrnrtinn ami#
3
Application is hereby made for a Permit to Construct (R) or Repair ( ) an Individual Sewage Disposal
System at: /
.........Lot # .ra..... � /..G ��'...r.. Hyannis,._- ........--
-----------------• - .:.
Capricorn f �`$�ntyddrust 765 Falmouth °Road' H nnis
• --.......... • ........................................ .......------------------......-••---...... ! --• .......... ------
W Steve Lobel Owner Address
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms_._,......3................... Expansion Attic ( ) Garbage Grinder ( )'
.............. No. of ersons............................ Showers 2 — Cafeteria
a Other—Type of Building :ranch p - ( ) ( )
Othertures ---••----•---•--•-•--•--•----••---•-•--•-----••-....._•--------------•-•--•-•-----••-•-----•----••---••------------•---------........:.....:....
W Design Flow............ ........... .... .....gallons per perso day. Total d y flow.............. 30...................... ons.
WSeptic Tank—Liquid capacit} -.gallons Length ..; ��..... Width_ ._ 0... Diameter________________ Depth. .�:..
x Disposal Trench 1No..................... Widt ....:........_._.. Total Length..._.. .__._..___ Total leaching area............... sq. ft.
Seepage Pit No..................... Diameter.._q...:_.__..._. Depth below inlet......._..._....... Total leaching area.....266....sq. ft.
Z Other Distribution box ( ) Dosin tank ( )
- y--.1ldred e En ineerin li 25-81.
a Percolation Test Res O Performed b ...............•---�.---.._....g..____----'--------.�--•----... Date__.-.------- .....-------......-.----
,� Test Pit No. I...... •.. minutes per inch Depth of Test Pit....12....._... Depth to ground water nOn@ @21COLint@r-1
j e
Test Pit No. 2....... ._._minutes per inch Depth of Test Pit_NI..A......._.. Depth to ground water-_-.� ....... .
---- ---- -..-•--- --•-_---- -•-..-----•--------------------------------------------------------------------- s
O ,.Description of Soil.........---...... — 2' 10am & t0 _8Q i1........... ------------------•---•------•--------._.._...._.
x 2i i0' medium ye low sand
-------------
--............................................
w _ 0 - 2' med. white san traced of water_-water.at 12'
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 TH':z,- 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.
lgne ....J��.. ..
Da
ApplicationApproved By �--- -------------------••-•••••-------------------••--•----------------•-•------•---••-. -•-- ° ....... '
Date
Application Disapproved r e f ollowing reasons:-----•----------------•--------•------------------------------•--------------------------------.............._-
....-•---••----------•--------------------------•-••-•-------•------------...---.........--•---........--'------------------------------------------------------.....----------------------••-------•••--
Date
PermitNo......................................................... Issued.......................................................
Date
i
-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
......................... ...............OF..........................................................................................
Appliration for Disposal Works Tonstrnr#ion "rani#
Application is hereby made for a Permit to Construct ( x) or Repair ( ) an Individual Sewage Disposal
System at:
..........Lot # Z6 .......................Hyannis-,---�....-----•......--•----=
Capricorn ltyd` ust 765 Falmouth"AStad, Hyannis
-
.. ._........... ......• ----------__-•----.......
_........
•--------
•---------
••---------------------•--......__..._.......__••......
- -.... ••---
Steve Lebel Owner Address
w -
Installer Address
dType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms..........3 _.___.____Expansion Attic ( ) Garbage Grinder ( )
rane-h- • No. of persons......................... Showers — Cafeteria
Other—Type of Building ___________________________ p ___ ( � ( )
a Other 6;ra ures --'--'--'--••-•--------•-'----.._._..-•---=---------••.•-'•--•-
Design Flow.__..__.._.�7_.......__ gallons per perso & ,day. Total 559............... ns.
w I OOII '� 0
1:4 Septic Tank—Liquid capacity.........,..gallons. Length................ Width................ Diameter................ Depth_.____:..___.__.
w Dis oral Trench— o Widt Total Length......... Total leaching area._._________._. sq. ft.
Seepage Pit No--------------------- Diameter..................... Depth below inlet....6............. Total leaching area._...266...sq. ft.
Z Other Distribution box ( ) Dosing nk (
0-4 ��ldred a Engineering11-25 81
a Percolation Test Resylt� 0 Performed by•------•-•--••--'-..._i.........--•- •• Date... --•----...............
,-a Test Pit No. 1�_\\._ :�e�__ minutes per inch Depth of Test Pit_. �?�._.__.. Depth to ground water...non. ._......... e�-
Test Pit No. 2____ __A_._minutes per inch Depth of Test Pit._N._A_______._ Depth to ground water..____.__a__.._.._._.
---•....................................:....
.O Description of Soil................. �.___-_..' y__....loam & t0 80 it
x I medium yellow sand
+J •------•-•---•-------- -'•----•--•-••-----; id.--- 12T ...med...... hi;e sari....traced of --ra.ve' -no orate ------ - ---------
W ------------------ -------- grave -no-•-•---•--•--------.._.....at 12
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'I:'LE, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issu -by he board of health.
Signed-�� - _����%���,,•-- --•---•--•
lJoltlowing
DatApplication Approved By.. ' -•-••---._........----• - --ley, -
Applieation Disapproved .orjt reasons:............-........................................................---------•---------•'---•-'----•----------
...........................•.....................................................................................----'---•-------------•--'-'-----•---------------------•-------•-•----------•--•--------
Date
PermitNo--------------------------------------------------------- Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
................Town............OF...........Barnstable......
Trr#if i atr of Tout rliaurr
THJ51 IS B OLebe1IFY' That the Individual Sewage Disposal System constructed ( X) or Repaired ( )
by----------------_-__--/---------------------------------�__----------_-_----•----•-------------------------------------------------r---------------___--------------____-_-_--•-------___---------
7Y Z� Installer---•-•-• H nnis
Lot -.�b
at -------------------- `1G 3 ..__..._.._.......
has been installed in accordance with the provisions of TImIy. j of The State Sanitary Code �cribed in the
application for Disposal Works Construction Permit No. --- ________________ da.ted_../� . F?_.__.____._..___.____
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL UNCTION SATISFACTORY.
DATE.........��.. �� -------------------------- Inspector.....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
i
BOARD OF HEALTH
Town �F Barnstable
No.S?� f ..................... _....._..._-......_.._..__....._..•••--••--.._...._..._........
._' 2. ... FsE., S1 .......
Disposal Works Tplantr i.on rrmit
Permission is hereby granted.......... teVe-_Lbel..__.__._____________________________________
to Construct ) or Rej air, ( n. Indivi ual Sewage Disposal System
at No......... t/= ------•• - S
-----------•----'-----•Hyarmi1 yj-
--- •:
Street ,
as shown on the application for Disposal Works Construction Permit No.....� ____ Dated_.Ip/ ��__�/�_______________
--
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--- --------------------------•- ------•-•--•------•-
DATE of Health
� '' it`"-----------------
Board
FORA 1255 HOBBS & WARREN. INC., PUBLISHERS
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CERTIFIED !PLOT PLAN
LEGEND 4�\{DF Iy ,
EXISTING SPOT ELEVATION OxO
EXISTING CONTOUR --•--
FINISHED. SPOT ELEVATION
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FINISHED CONTOUR 0 " No.10951 .0 IN
APPROVED , BOARD OF HEALTH � ��o�:��� � ► �
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DATE AGENT
SCALE _ DATE IOU /4``' 32
L tEOt�E E/VGI�dEERING CO IN CLIENT I CERTIFY THAT THE PROPOSED
EGISTERE REGISTERED JOB NO, 8�1,2-05 BUILDING SHOWN ON THIS PLAN
CIVIL LAND J.P.E. CONFO CMS TO THE ZONING LAWS
ENGINEER SURVEY R DR,BY' - OF SARNSTAS E , /MASS.
712 MAIN STREET CH. ®Y= AAA' s '-�'-
N YA N N I S, MASS. SHEET! OF DATE Rai. LAND SURVEYOR
20 FT. M//V. I NOTP /F E/TNER THE S=P771 TA,t/.rc OR
E� E.4CN/NrT PIT ARE
/0 FT. M/.V. MORE T ti rq, /2"BEL O iV
24 ",0/AMETEK COyCRE�-E COf/ER
4wPVC 0/PE S/�ALL BE BROUGHT To G)YAL>.=—` , ; `
CO/VCRETE
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V44'PEA fT SEPTIC TANK D 5 77 WAShFo T--:yE
;a..•, BOX o t e 1 t � B • r • • • � �. •e e•I
I:::<, ' � p o t t •EFFECT-/✓G'' � ^ • � •• 3/4 - � i/2 I
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INVPRT CLEVAT/DNS - s • • r • • • s • • • t e • .0 P/7 OR EQU/V
(�78. 5 X I . o - 78 Gi C � � a
INVERT AT Bl//LD//VG 97 c FT. F r cAFA�{rt' : 54�i Z. /C 6 FT D/Al 1.
INLET SEPTIC TANK 9�•8 FT, 10 FT. 01AIV
OUTLET SEPTIC -rANiC `�G•Co FT, • — C SEE TRBUL.dTJON>
INLET DISTR/BUT/ON BOX `fib' FT. SECT/ON OF GROuNo kVATEK rA,61-
0UTLE7D/STi4/BarloH BOX -9�-.2 F7.
INLET LEACH/MG f'/T 9 C.�. o FT, F.FPVACe O/SPOSA t SYSTEM
LEACf1//VG PIT 7A46411-ATlO/V
DES16M CRITERIA scAL_E % " _ /'- o" DIME/KS/ON A S FT.
+✓ D/.►fENS/O/V $ G FT.
.NUMBER OF BEDROOMS 3 D/MENS/ON C 4
GAROA6ED/SP0.S,4L 41N/7- Luc SO/L LOG
TOTAL EST//rlATED 0.44.1DAY SO/L TEST 0/ So/L TEST*2 SO/L TEST
NUMBER OF 4Gf-4CHlv-- PITS_ 1 f ELE�! 98.0". ELFY. PATE OF SOIL TEST oS• 2� 82
S/DE,C1`ACH/NG PER P/T 1 88 SQ, FT. _
30TT•OMLEiAC/•I/NGPERP/T �� $Q, Fr. " LOAM RESULTS /v/TNESSED BY ���G����G
TO TAG LEACH/NG AREA �L SQ, FT. -18 -roPso� L F'�`RCOLAT/ON iIRTE,�E/ LESS /.f//yr//NCH
PF,lCOL.4T/ON RATE/�2 T�-!Ai..J /+.f/N.
.7ESERt�EGEACN/NG AREA 2�� SQ; FT. � ,
OF MAss�� 4'•',P���'� •- � • (8'_��! TPACCS
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SURV (f °���'�� �i NG G/eOC1N[7 vNi4TER E/VCOU/VTEREO
G•2O11N� Lv<1TER AT 6LE1/ /EIVT: ;q.f>co DATE : I� ��r-eL
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