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HomeMy WebLinkAbout0076 COLUMBIA AVENUE - Health 76 COLUMBIA AVENUE Marstons Mills � -1-4 Li7�i `5 TOWN OF BARNSTABLE ol LOCATION �� l� �4 SEWAGE # VILLAGE �� � y� ASSESSOR'S MAP & LOTS- D INSTALLER'S NAME & PHONE NO.&& w& 0 j SEPTIC TANK CAPACITY J ©d LEACHING FACILITY:(t1pe) y/�d®. � 7 (size) NO. OF BEDROOMS 3 OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE . COMPLIANCE ISSUED: VARIANCE GRANTED: No h ,� l� I��.`7�'`�GG�,.if"a,i'C'�'W" >�t' "� l�e�"�;J,�'`r.�zay� '::�� �w,SArc:i'.' �$�� � rr';="�f o ... •1� ,,:vtt,�, .,J� f.1�': .'�=< ` '4•;-+r-�.�+-4'fici!�W'w ; � ,\ - i k4 N,•�f. �� _�. �� � / AS,'WSSORS MAP NO: /0.3 aa 6 1 ZEf- 6 PARCEL NO.: No.....3.... ....... Fx$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® -OE HEALTH /vW'V ......OF....Q/�'!?.... ! S'7.... .... ...............................r ........................... App.liratiou for Uiiivaaal Works (foutitrurtion tirrutit Application is hereby made for a Permit to Construct ( ) or Repair (L j an Individual Sewage Disposal System at: _ .........__ --------•----------•...................... .....•----------•-••------•-------------•---------•------------------------•------.--.---•-------- ocation-Address or Lot No. vG,gcs/ .........�`1! ^� ............. ........................�� wr^ ...............................Address------------------------------------------- Installer Address Type of Building Size Lot..-2 y.930_.----Sq. feet Dwelling—No. of Bedrooms...................'�.--..--.....--..--..Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -------------------------------- - WDesign Flow...........:. ......................gallons per person per day. Total daily flow---------3 7.43-...............--......gallons. (x Septic Tank—Liquid capacity/0o..gallons Length.-e'6 4.... Width.�.'A'/... Diameter................ Depth..s'8. Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No-------/...----... Diameter........� .... Depth below inlet.........4....... Total leaching area-.!�/_Z_0.sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed b ��f/a'! ....L` ... �� ......... Date..NoY-_ - 7- ...-. Y -..... y Test Pit No. 1...!----minutes per inch Depth of Test Pit.--.�Bo�._.. Depth to ground water..... ............. rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.--................. Depth to ground water..--..-----.........---- 04 ---•-------•.......................................................................•---•------_..............._-•------....••--..._._.'__.._____._..._....... 0 Description of Soil.........a.��=-y4"----4' f" `S'v'a--soiG �4 7Z'� .S/a .. 4. x 7z"-13z o a4---j .SAD• �.3 z"—/ga'' ---.5�� rf ' y6�.....V ........ . W ------------------------------------------------------------------------------------------------•-----------------------------------•-------------------------------------------------------•-•------- Z. Nature 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 1 y 1 p 5 of the State Sanitary Code— The undersi d further agrees not to piace the system in operation until a Certificate of Compliance has b en issued by the boa health. Signed--' ...... . .......................... ate PPlication Approved By............. --- -------1.1..7 .. Date Application Disapproved for the following asons-----------------•---------------------------------------------•-•-------•---•------•--•---------------.......... ...--•-•--•----------------------------•---------------------....--•-•-••-•-•--------..........-----.---... ............................................................... Date PermitNo....................................................... Issued_....................................................... Date ij t No........................ FEE.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... ..............0F...G'/fi32y�.S;r- �3GC-r.._... ---------------•••-•-•-........ Applirntion for Disposal Works Tonotrnrtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair fw-) an Individual Sewage Disposal System at: 6,19 G c,ML?/ /t' /y/GG5 S�J` -...................... .................................................. •-•-•--••-••...--------•...---•-•--- ••••----.._._.._......-•-•--•---•---•-•-•-•--•---•••..... ocat,on-Address or Lot No. Ownc Address r W1 ................................. ._!:�. InstIr f st'al-= :. -..-_...... � ler Address d Type of Building Size Lot...�.7.. 3 ......Sq. feet Dwelling—No. of Bedrooms.................................................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures --------------- --------------- •- W Design Flow............S ........................gallons per person per day. Total daily flow.......3.30................_........gallons. 9 Septic Tank—Liquid capacity,�S oQ...gallons Length.8.'�......... Width`?-.`.�.".... Diameter................ Depth_.':5 `.16.... Disposal Trench—No. .................... Width.....................Total Length.................... Total leaching area--------------------sq. ft. 3 Seepage Pit No------- ............ Diameter........ 4....... Depth below inlet........4......... Total leaching area..'!7:A.sq. ft. Z Other Distribution box ( ) Dosing tank ( ) W Percolation Test Results Performed by..... `-? / z`a....`.:........ ............ Date. ! ._.3.................... Test Pit No. 1...!;�_Z......minutes per inch Depth of Test Pit__-�A ........ Depth to ground water...-!7?................. Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.___._____._-_.--_____. a' •-•••---•----•--------------•••••••••••••••---......•••-•--•-•-•---...........-•----............•---......................................................... 0 Description of Soil.........Fa 2`�-- 4�,,4�,....� `S`'��...................................................Sa/ 4 7z ..............................//=�� ' - U ••... 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 1 ..,,. ;of the State Sanitary Code— The undersigned further agrees not to place the system in- operation until a Certificate of Compliance has bee issued by the boards/f'health. /teeSigned--lw,. ....... ....._...... ............... I Date Application Approved BY ': :-------•-•.`'---••--,---•..I.........--•-••-•-•--••.------ ............ t v Date Application Disapproved for the following easons:---•--•-----••--••••--••••....••-•---•--••--••••-••••....................•--.................................. ....................................................-.................................................................................................................................................... Date PermitNo-------------------------------------------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ICIErrtiftratr of Tontlrltttnrr THiS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by - Installer at.......................................l u-I 7 () 1 U� %3 / J �\' .._.... has been installed in accordance with the provisions of T'LTUE ' Of.The State Sanitary Cod . as escribed in the ZLI application for Disposal Works Construction Permit Now .:..__ ..___. ............ dated-------_!_ _� _(�................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT 7HE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............I... �1.1.. ?. . C.........----•-•--•-•--.._.. Inspector......_f...:."...:......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (� / skin/ No... ..' -••--- FEE........."............ Disposal Works Tonotrudion rrntit Permission is hereby granted •---•---------------------------------------------•....----•- ->... to Construct ( ) or Repair V an Individual Sewage Disposal System at No.......................... �._ _........•' �•-k-------- . .....t�_!......................._..__.ti. ...� --••-••--------- --------------- Street kk / 1 1 as shown on the application r Disposal Works Construction Permit No�G....D ated_.. _.._./(___..._.._8............. Board of Health { DATE............... ------.--- -- ...•---•-.............-•----•---- 1 - , FORM 1255 HOBBS & WAR EN. INC.. PUBLISHERS i f /loll — — i Z7 9,3o Srp f1=� �•6 b 803e L` /�� F7tisn,vG �f j3 v- rip -r ep 4a'< Fv�:vam 70,0o I . PlrR&J"ve `gyp i Av C. b U/-I &/.,g /*v-h-A/U LOCATION BHl?^�sT,98G �.!96Ylzsron!s HiL1s� SCALE . . .� .... DATE U, /1q s,f /per ✓ / PLAN REFERENCE . .L3eFNG 6,7 S. ) ? ' No. 261,00 9. 7. . a� LLAN�� l . .. . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . CERTIFY THAT THE ..... .. . . .. . .. SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON; DATE . .. . . .... . . . . . . J.�vos GC/L.Acs/ — /��TiTivn��ie REGISTERED LAND SURVEYOR 4/ e-4--7- Z L. TOP OF FOUNDATION . , CONCRETE COVER O CONCRETE COVERS e o "4 CAST IRON 12"MAX. OR SCHEDULE 40 4"SCHEDULE 40 PVC.(ONLY) 12"MAX. ' P.V_C. PIPE ' PITCH 1/4"PER. PIPE- MIN. LEACH PITCH 1/4"PER.FT PIT PRECAST INVERT a :: LEACHING '° EL••�5�� INVERT INVERT o . e•; PIT OR o SEPTIC TANK EL• Gg,�8 DI ST. EL G3,.S, j= : ';• EQUIV. ,.c INVERT BOX , 4'4�'. .. GAL. INVERT INVERT G c�a °' ::�. 3/4"T011/Z ova ELT-�� e. WASHED w STONE s'DIA. —+� N - • DIA. �r,cp�,.r�alsa PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE .!�V•.3j/�8� TIME./0.30 BOARD OF HEALTH TEST HOLE I TEST HOLE 2 ENGINEER ELEV. . . ELEV. .. .. . . . . . . Z4p S`B�so�c. DESIGN DATA : NUMBER OF BEDROOMS . . . . . . . . 7z Ssh✓a TOTAL ESTIMATED FLOW 330 GALLONS/DAY Cvfh2S6� BOTTOM LEACHING AREA . . SQ.FT. /PIT/C,PD. SAS a z L3, 9 SIDE LEACHING AREA . . . . . . . SQ.FT./ PIT/,:57,8C,pD, 137, �•�'7o GARBAGE DISPOSAL .q4'�(50% AREA INCREASE) . CoA�ZSE SAD TOTAL LEACHING AREA 7 8 SQ.FT �8o G2Avez- PERCOLATION RATE 7W.o. MIN/INCH LEACHING AREA PER PERCOLATION RATE913,7. S0.FT./C,P.p .!`/'. WATER ENCOUNTERED NUMBER OF LEACHING PITS kVI7';! APPROVED . .. . . . . . . . . . BOARD OF HEALTH DATE . . . AGENT OR INSPECTOR o EDVG' '' v LLEY z CoLIJ/`1�/!9 �1/�7►/U E: �' ,gj No. 264,00 • /yG}�2•S7btJS .�/GL.S . �c�L';�, t�:��•+ SANRARIA� PETITIONER TOWN OF BARNSTABLE LOCATION( ' ` Zb SEWAGE # VILLAGE % ASSESSOR'S MAP LOT70 INSTALLER'S NAME & PHONE NO. 3 SEPTIC TANK CAPACITY / S O 0 LEACHING FACILITY:(type) /�n0 (size) U�U NO. OF BEDROOMS 3 OR PUBLIC WATER BUILDER OR OWNER - DATE PERMIT ISSUED: DATE . COliPLIANCE ISSUED: #; VARIANCE GRANTED: No ,1 r3