HomeMy WebLinkAbout0005 CONAUMET ROAD - Health Cbrl c"m
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ION. do te7- ` �`YEW� G E PERMIT NO.
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VILLAGE
INST,A LLER'S NAFAE S ADDRESS
I UI L D E R OR OWN ER
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-DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Town .OF..Barnstable
.............................--..----.... .............................._......--------------..._........._........._......._._...
Appliration for Disposal Works Tonstrnrtiun Prrmit
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
System at:
Lot # 4 Black Oak Rd. aLrs ns mills !r hiA
......... __........ ...' ..... r...... ..... .... .•-•-•-•-••-•......• •--•-•--•••---••--••••-•.................
Capricorn Rea` `. y d �Zst 765 Falmouth RP3 $;°*Hyannis
.... ._. ............. ...................... ..._....-•-•-•..........----••....._......••-••---•....._.........••-•--•--••••-••-•..............
W Steve Lnbel Owner Address
a ........... •..................... ...
Installer Address
Type of Building Size Lot.............................Sq. feet
Dwelling—No. of Bedrooms..3......................................Expansion Attic ( ) Garbage Grinder ( )
� GG
04 Other—Type of Building Y'anch.............. No. of persons............................ Showers ( ) — Cafeteria ( )
da' Other fixtures -------------------------------•---•--......---------------------- .
--------------------•--..----�...............
W Design Flow........55................••1000 gallons per person�p&r day. Tota 4aa}ly flow........-33_.........._.........._...5gallps.
WSeptic Tank—Liquid ca.pacity.__.__.._.:_gallons Length-•.............. Width................ Diameter__.____..__--__- Depth...-.........._.
x Disposal Trench—No..................... Widt _�__...._._....._.. Total Length....... _r__..____.Total leaching area...... __ ., sq. ft.
Seepage Pit No................... Diameter..........._..... Depth below inlet..............._. Total leaching area..................26,6
sq. ft.
Z Other Distribution box ( ) Dosin k
14Er�dke Engineering 11-25-81
Percolation Test Results Performed by........................................... .... Date..._.............._.._..._..___._.__.._.
2.0 I2 r:_.._._.. rnone er�counte -
,aa Test Pit No. l.._>_.__...___.minutes per inch Depth of Test Pit..... Depth to ground Ovate _______ ______ ______ e
44 Test Pit No. 7�fA.__.__._minutes per inch Depth of Test Pit�J .A........... Depth to ground water._��`...............
04 •---......-•---------------------------------------•------......-.----------•---•---------•--.---•- ------••-----••-•..........------•-------..--.-----.-•---
0 Description of Soil..........0' - 2' loam & topsoil
........... ..Y• ___. _ _
x 2�...............................................-Nledi.umellow sand
W 10' - 12' med. while sand traces of- grave I rio'water"a 12 '
x -----------------------------•----•-•------------------------------•-------•------ -----................................................................................................................
U 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 TITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance s n issued by the bo.rd o ealth.
Signed. %�// Pre S .......
Date
ApplicationApproved By.......................................................................,................---------
Date
Application Disapproved for the following reasons---------------••-------••--••-------.....-----•--------•---------------------.....---- •----...------••-••-•...
-•••-•-•••.............•-•-•••-•--•---------•------•----•---••------------------.....------•---------------------------------------•------•--------------•--•--------------------------................
Date
PermitNo...................................• ----........•----. Issued.......................................................
Date
r 10 �
FBI.........................
f THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
............. .........................OF.......................................
.. ..............
ApplirFa#ion for Dispati al Works Cn imitrurtion' ramit
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
System'at:
Lot # 43 - Black Oak Rd. , Yiarstons Mills !e 141A
.........1......._„........ ........ ..................................................... .... ...................................... ..........__. .......................
Capricorn RbORI`t)�ddITust 765 Falmouth Rd' s
W Steve L e b el Owner Address
Installer Address
UType of Building 3 Size Lot............................Sq. feet
a Dwelling—No. of Bedrooms ranch................................Expansion Attic ( ) �arbage Grinder ( )
04 Other—Type of Building ............................ No. of persons............................
Showers ( ) — Cafeteria ( )
0.1 Othe xtures ..----•--------•--------•-.
d ------------------
W Design Flow................................TOt)0-gallons per persV,ppday. Tota441l64`ow.........................................581gns.
WSeptic Tank—Liquid capacity........_...gallons Length_............... Width................ Diameter---------------- Depth................
x Disposal Trench-No..................... Widt 'I__......__..._.._ Total Length................. Total leaching area..... ......sq. ft.
Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Other Distribution box ( ) DosingETWr6dke Engineering 11-25-81
Percolation Test Res is Performed by.........................................I Date........................................
a ---•--••------ -
.0 i-2 none encounterd-
Test Pit No. I..A_.........minutes per inch Depth of Test Pit_-y............. Depth to ground water.-
,/. -.........I--. e
(s, Test Pit No. 2............._minutes per inch Depth of Test Pitl�_._.`�........... Depth to ground water..�...`...............
a,
O Description of Soil..........b T _ 2''', j oaIA &..�OpSOlY ... ---•------•----•-•--•-------------------------------------------
x Z -------- 0 n-6 d is yellow s and
W .........................................1-0-0 12T "riled white sariditraces o gr"ave2fni5'"w �er' t 121
--------•------•--.........•-----•-•-•---••••...................•-•----------•-..................-------••-------------•------------------•-•--......_.•--•---•-............_.....---------•---•------
U 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 TITLZ 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.
Signed Fres• 1, 8
1 .
... 3 a4___
Date
ApplicationApproved By.................................................................................................. ........................................
Date
Application Disapproved for the following reasons:-------"""""-"-•""----..."""---•---"--"-"""------"---------"-"-••--------------=•----•_-•-•.....----------------
•••...-•••.......................•-------•••--..........-------------•--------
Date
PermitNo.......................................................... Issue<L.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH'
............ ................OF........Town Barn.s.tab.l.e.............................................
TntifirFa#r of Tomph aurr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( X) or Repaired ( )
Steve Lebel
- Black Oak Road Installer MarstonsMills , MA.
at Lot--•�..._..................................•------------•-------'---------------••--------------•----"--""--"-------"--------""-"--..•.......... -------------------------------
has been installed in accordance with the provisions of TIT Y r j QT�he State Sanitary Code as described in the
application for Disposal Works Construction Permit No......__----.__./..._..+__�............. dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. R
DATE....................... ' t .:._�� .............................. Inspector.........A.i-.��'--............................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town ...............OF.... Barnstable mod'UU ....
No..�y L�''f 0..•.. FEE........................
Raposal Workii Tralmitrudian rrmi�
Permission is hereby granted..... Steve"----------- •-----•--.••Lebel -
to Construct (r ) o �2epair�(1 � n�Incividul Sewage Disposal System
at No Lot•...�---------••---.....................................................aK Marstons Mills , MA
. •.... ................................... ........
Street
as shown on the application for Disposal Works Construction Permit No....._ ._......... Dated..........................................
DATE.-7---Z-- . v_..d.-.�-•--••---•--•-----------•----•-------•--•--.• Board of Health
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
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LEGEND
EXISTING SPOT ELEVATION Ox0 CERTIFIED PLOT PLAN
EXISTING CONTOUR -- O --- kor :y3 34ACk OAk _D
FINISHED SPOT ELEVATION Qom..] zaN /2�
FINISHED CONTOUR �
0 / A s-TaA)S m—/iLS
AckE IN
APPROVED , BOARD OF HEALTH `` /s ce,FRolur sA���,S.�,AS Lg,�ASS+
30/15//5
DATE AGENT SCALES / � 30� DATE : 3 y
LDREDGE ENGINEERING Co- 'NO CLIENT. cc I CERTIFY THAT THE PROPOSED
'REGISTER E REGLSTEREO JOB N0. 83 Z G BUILDING SHOWN ON THIS PLAN
CIVIL LAND CONFORMS TO THE ZONING LAWS
ENO NEER URVEYQR DR.BY OF BARNSTABL.E , MASS
712 MAIN STREET , CH. BY
oe
H YA N N I S, MASS --- -
SHEET-4OF .� TE REG. LAND SURVEYOR
NOTE : /F E/TNL•R THE SFPT/C TANK OR
20 FT. M//V LE,4CI'I//VG P/T .ARE MORE TN.9JV 1z"SELOW
/D PT• M/N SRA Oe�� ?4.p/AMETEK C0yC^W 7-.� COYEAP
SWALL BE BaOV6NT TO 6/�AOE.�AN ,EXTRA
-- CONCRETE i q'PVC P/Pr h+EAVy C/1 ST /RON CO{/ER .SH�4LL !3E USEO
COYERS M/N. P/TCN /F/N OR/✓EN/�4 Y
/* pZW FT.
2 MiN. CO/VCR'�C'TE
AD�e Cd ✓ER CLEAN SAND
A • BACxF'/LL ,
_ UQ[//D LEYEL
- z'LAYER
,. A • pe / 3
� ;i /ROJV P/TC/d D/S
Uoo Gj4L. s'• ' • • • . • • • • e •„' WASHED S72�NE •
M/IV. T.
%s PER/T. SePTIC TANK BOX • • s i B r .••�•
' ••• • •EFFECT%✓C • ,+ 314 - I V2
' WASNA P STONE
•._ •. s r • • DEPThI • • • • �•
47( G>'p ► d I • r • • • • • • • • o ••�, P/?ECa4ST SEE�PJGE
X � b c d •. • • • • • • • • • • o P/7 DR EQU/✓•
!NV4wApT L�LE✓dIT/ANS .S s �L,52.E
/NYERT AT ffV1 D/N6 �9,S FT r G,�,��rry �O F7 Oii4lrl. C��c�L.aTlow�
/N4E7 SEPTK TANK FT
OUTLET SEPT/C TANK 59- 1 FT. GRowvo x447,ER 7AALE
/NLE'T D/STR/B!/T/ON BOX ,9 Fl SECTION O F
o�/T1EToisTRietr7-ioN eo�x �� SPN/AGE O/SfsASA t SYSTEM
//VLET LEACNlNG /mil T FT. T/I�LL.4T/DN
LEACHING P/T omfEN loAl A Z,s KT
DES/G/V CRITERIA SCALE : %". /:D~ o/HExs/o/v 8 6.o FT•
D/MENS/OM C��FT. is 1�ATX0- I
NlJMDER OF 6EOROD/yS 345, r 15yeY
G.�RCirtGEO/SPO.S,4L UNlr �<= SOIL LOG
GAL.�DA'y' SO/L TEST AlSOIL TLCS7'*2
TOTAL S�' SOIL TE3�T
EST//r6�TE0 FLOAIV 33a i
MUMBE/P OF 40ACNIMS PITS fEtEK 5 j^-AM4jF DATE OF SOIL TEST .BAN 5 9��
f�f-S /rT.. xESI/L.TS WITNESSED dY
S/DE LL`ACHI NG PER P/T .L-_.SY� ,. �/� C..oAM
ooTTo/N Z.04CN/NG PER P/T 78•S S4• FT 6-Y Lb/"^^ o-2 Susso,j- PE�tCQLAT/ON RATE�1�/ L 2 M/N�INCH
TOTAL LEACH/NG AREA Z�� SQ. FT .S`x Prieca r47/ON RATE At- MIN.�INCH
RESERIiELEACNlN6AREA u'� SQ. FT.
e
l' G�'T A. GJK rT� Pi..�S MA25TdevSA�/ct._S
4 e,- Si?�JC-.is `1 „t�s i %Ff 1 \ _' _ l ✓,'�2 +RrV�
'`. . _ \ w` �s ; ELDRED6EENGIJ MMING CQ,lMG.
�:`... ::• v.43.9 712 MAIN -9 r., 14YANAN/9 MASS.
_ i emu• 4�9.3
' i�'i3 ^c =`�t4a r 6+ ❑. NO GROUND kV,4r&IW JWCOIJNTEREO CL/ENT:F� Cps D.ITE 3 ) �,Y
GRO[JNO J�/<►TER AT 6LEi! 3 r 9 .JOB /VO. SHEET Of Z