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Home My WebLink About0046 GREAT HILL DRIVE - Health ---------------- / 3 '7 TOWN OF BARNSTABLE Lo( A,NO r SEWAGE #AlGa f9Z VILLAGE % � 1 ASSESSOR'S MAP & LOT 9 INSTALLER'S NAME&PHONE NO.��1r/1`J`i Cays�rv< o,i 5(.�8-g9�L SEPTIC TANK CAPACITY LEACHING FACILrrY: (type)� (size) 9 JC Wr r'X 6 " NO. OF BEDROOM 3 BUILDER OR R 61- PERMITDATE: /�yL3 �- COMPLIANCE DATE: Separation Distance Between the: (l Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 7 Feet Private Water Supply Welland Leaching Facility (If any wells exist �^ on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist �- within 300 feet off leaching facility) Feet Furnished by �ovr/ �gdt L-'n ,-«�•y� tn, A6"'0142) jD ,. �t , �6� 3�' r'�' � ® . . �, 4 �� G� �� . �, � � , 1 � � �o� ' . � V � .. � 1 1 � . � yG W P R M T N . LOCATION SEWAGE E 1 O Ul VILLAGE U I N S T A LLER-S N ME a ADDRESS rX S• ,5c.� el `icy, 'Q U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE I S S U ED r� ._ �� 4 ssue`` �v � '+�,►ter n Vt ILI y.3 N c� �a :t v - i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Application is hereby made for a Permit to Construct ( r Repair an Individual S waAe Dis osal .................. 0!1� .................... ..................... ...................... 0.X . . ....................... Owneg% Address Installer Address Type of Building Size Lot...Y 7r 174 f...Sq. feet Other Distribution box Dosing tank ( ) Performed by... Test Pit No. I..... *55minutes per inch Depth of Test Pit......?..............D�_eplth�_o ground rwa�ter-------------f. -----''-------'----'---'--'-----'----------- ' g -_-_-. The undersigned agrees to install the aforcdeocribed Individual Sewage Disposal System in accordance with ' the provisions of TIA'I14, 5 of the State Sanitary Code The ud igned further agreeknot to place the system in � . operation until a Certificate of Compliance has been issued b the board f h�r f___1 Z ................. . _. . ....... ImKlflt/ Date Application Disapproved /�rtmx ��o wing reasons:................................................................................................................ � -------------'---------------'----'----'---------------''-------------------------------------'---- Date ~_.-A Date � --~--------' --' — J No......................... FEa.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH to y .._.._. Allp irtation for DiipnsFai lVorkii Tnatstrnrfinan ratnit Application is hereby,made for a Permit to Construct (,, � or Repair ( ) an Individual Sewage Disposal . System at: t o -31 � . j .m ....ti, .. ,/ ...._____ Lpcation-Address R r Lot No 4 j/�'�y,fir/�,, / � - , .....-----•-----------.��.„�-•--- _. ........................ .53�=E-;. •-----------•---- ` y.d�1..-•---_ ..C. ......::... .....••--•---- Owner.� �' ll Address .......................... r Installer Ad ress Q Type of Building y ;:f Size Lot__ . 'E. :S.......Sq. feet U Dwelling—No. of -Bedrooms .......................................Expansion Attic (fit-�)a Garbage Grinder �Ce� a Other—Type of of ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q -Other fixtur --- Design Flow___.5,C.__ _:.�_____________ _____gallons per person per day. Total daily flow.................... _ �_.�_____gallons. W • / WSeptic Tank—Llquld capacity____k I_.f D_gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) , _ Percolation Test Results Performed by....................... - s`:t�`� ` Date._____, e'. ___ _C/ Test Pit No. I..._____ minutes per inch Depth of Test Pit._.__ _p p Dept to ground Water.____.__. ._«_„S" fs, Test Pit No. 2...... ___minutes per inch Depth of Test Pit---/ `?......... Depth to ground water__.______E .__S` •-•••-••-•------------------••-•-•••••••-•••__.__________...._...._______- ......................................................... Descriptionof Soil................................................... f _S _t--- ------ ------------•......______--- -•--•----•------------••-----------------•-------._..__.-------------•-----._...._..---.....--••--••--___------••_------•-•------._.•----__.___..-•-•----.............................................. 0 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 TITLE 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 heal, gn� ..___•_ ...f 4f _j_r.. Date ApplicationApproved By. •_______________•-_.._....._____--•••-----••-.._..._.._..._...._.._..........._.._•--- Date Application Disapproved f o the f Mowing reasons______________________________________________________________________________________•------ ---••--------- .._.____-•--••--••---•••-•..................................••-_-•____-__-------••-•---•--.._..--•---•--•.___..._-•--••-•----------------__________-••----------•----------••---•-------__.__---...._.._. Date Permit No.........it-- ____la 4_5................. Issued------ --------9 �'`� Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......�7...(� 'L-fi.......OF............../�,.Z..-.4. ............ Tatifiratr of T,antpliaanrr THIS IS TO CERTIFY, That the Individual Sewage Dish /al System constructed '" or Repaired ( ) .t� Inst I er �' "-- l has been installed in accordance with the provisions of TIT fjrol State Sanitary Cg�d as described in the application for Disposal Works Construction Permit No......... - �a¢_..6.46 dated___..___: �}..�.�.�_______________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT A-1NSTRU AS A UAR NITEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......... � �...................................... Inspector-- __ _ -•-- --................... THE COMMONWEALTH OF MASSACHUSETTS „ram BOARD OF HEALTH �...� No......................... FEE......................... Uispos al Works Tonotrudiou rrmit Permissio�A� treby granted - --------• • ='.-/�a,.F -• ......................... r Re air an Individual Sewa e Dis osal S to Construct p ( ) g p , ...� - rro -- Street as shown /thhepli ion for Disposal Works Construction Permf __________________ Dated___._________._.____..____._..____........ ••--______. -•-•-•-- ••. - ••-------•-----------.--•-•_________________•-•-------•--•-•-----•y Board of Health DATE--• _-_/• ................................................ / FORM 1255 A. M. SULKIN, INC., BOSTON -r",4/V /2 :.NC--4FS DE1-o1iv GR. P-6, A 24 /O FT. M/N. /NC/-4 .01AJ�9ET�h' Co,yC""7TG COVER -6' L L•� dEBROUEHT TO �4)V EY. Th"A /,'&AYY CONCRETLr M/N• P/TGH CAST /Ro/V COVERS///4LL BE Z� COVERS DR/�/L�YVAY L . Ol _7 J� o: 4"OOu6LGr 0 2�/y l/V. Co RA ICE j PER,-2�I�77ErG A , � PYC P/PE �: CLEAN SAND - L/Ov/D LEVEL _ :a 4"CAST - -- /ROJV P1PE /0o D GAL. "`'' "' :� • 1�-I/w P17c 1 SEPT/C C TANK- o/sT SEE ti /4. PER FT. BQx c TiiQUL4T/O/Yj LEACPI/VG F/EL D a _ 6 /.1- Al^X. SECTION OF GROUND WA.'rFi?' TABLE 1.6 f((l�(G,LA-), ' EL4/i4CE O/.SPOS'�L SY6 rffI l Ti4B[!Lft7'/ON . a a •6r,� rnax wG _ L�f�� LEACN/IYG F/EaC.O �y o/�I�Ns/oN A " SGALLr �.° s !.�- O D//�IE,YS/ON $ I _FT. 3 FT. 6 FT_ O.C. D//LjEN.3/ON G 4,rFT• 2'°AYER 4~oOUeLE. so/4 TEST SOIL. 1.OG pF / g= 3/®" PERFORATED so iL. resT P-34 7 7 Sn/�_ TEST /. .SOIL TEST 2 '? 1N.9S EDSTON.r PATE OF JO/L TES S S ¢ E1 Eti S4 tV. XE5VL75..;V17-A1eS,5L°D Py CL A/V; PERCOLAr10A1 R4TE Al Liss M/N/I NCN � ` �/3 S`�� Lost-- � i t SA/1/O: -••,eai�••.�3r . s t cDa_..� ` -. .��••: �. PP COLAT/ON ')e47L /Qt 2 T ZN-04_n/ /►//K//�Y-C/I: �I',M CRITERIA ^ Q /Gl A8/SDN aD NUMaER OF SEDRoOAfs 4"DpUst VODD 37AXES /L"� _ _ _ WO nr E -t : P,-9F0AA7r8'l 1MASJ/�D STONE SET g FT. G4R ,Z D/SAL UNt7' /t� wRT�/_ 33 J GAL. DAY PVC pl PE ON CENTER ESTIMATED'FL,OW LEACHING AREA .SQ. r—r a sECTioN_ X_x ,r,ESGR✓E AREA 4 5o SQ.FT 9.4 CL ,=Sk7 ., NOGROC;/V.0 WATEiz FNCOuNTEREt SCALE : Af � GftOUI�',D YVAT.ER AT ELFV. INVE L� T RT EL 7 /L L e�vE o•F o 3 5'' C�2 c--r`e� /-f D Miss INVERT .47 BU/LD/NG G �.4 �/ �- L E �T i a. �, ' INLET SEPT/C TANK 67 Z FT.. • E� o KKR` MORSE v, � QII']'(„E'T SEPTIC TANK FT A p n �s}�o ? 1/yLE7- D/STR/8UT/ON BOX G G S FT ELOREDGE ENG/NEER'1NG CGt,/Nt 9 FGISTE �`` 7I2 M.q/N ST.� f/YANN/S� MASS_ �` � oFFSsroN��E�c. DlJTLET DISMdUTION BOX G 3 FT DATA ZG it j ENO Of L EACH/NG F/EL� FT, c.z c-C-+✓�3 i? JOB NO, F 3 Zy JHEET L�'F z Permit; l:unber. Datc Compl e.t ed by t HIGH GROUND-WATER' LEVEL COMPUTATION Site Location: �� 3/' Kk� ,. Gfl/�C. �2t.�'" lot No. Owner: �' /�,�lb'h.r Address: Contractor: Address:- Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. . . . . . . . . . . .. . . . . . . . . . . . . date STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: �DW A) Appropriate index well B) Water-level range zone STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to 77�� water level for index well :mo..yr STEP 4 Using Table of Water-level Adjustments for index well TSTEP 2A , current d&pth. to water level for index well .(STEP 3) , and water-level zone (STEP-2B) determine water-level . adjustment . . STEP st ate depth to high water by subtracting the wa'ter-� level adjustment (STEP 4) from measured depth to. water. ' level at site (STEP l ) . . . . . . . . . . . . . . . . . . . . . �� p °� r, • y\ S 4 017 AID xn i �lx ?' b S �b! IX n S 's? \k Up ,c N � 00 /7 /r �' �,�7I =Z j,� �I• 7p'Q 7 2?c,°ss Z Nu 66 fo it / C F4Un1T,) /-i T Ora �r�U i 5�2r� yCjr�G.w. Ju M ,!J T 5 ,6 i " �F c,� 3'r�.== ?� �•'��l. <- �� ,-�.. •�-r,rs ,,;F' . r�nri✓r,�r..�Q;.s _ n.� \CI ,:.., ��) " ''k i l f r77, /SO Cu. Z'OS k / cJcx�D Ghl t('S ! D/2. CG v4�T2�� c�nN *��N OF M,�ss AL E o MA. ORSE No.109 G/ Q I a v/I kr (Jv AO�� ST i FrS�ONALEa i LEGEND 3 EXISTING SPOT ELEVATION Ox®- CERTIFIED j LOT PLC EXISTING CONTOUR --- ® --- ` " FINISHED SPOT ELEVATION ' FINISHED CONTOUR O , I NI APPROVED I BOARS OF HEALTH 5Tz-1 Z3 2- ss, DATE AGENT „ h is SCALES /"— 10 DATE , --- WENS' j '" !� ;.RO:E3E`RT I CERTIFY THAT THE PROPO A k EGESTERE REGISTERED J0� � � 3 Y " '�° BUILDING SHOWN ON THIS L%. U F ll,CE �. , :.CIVIL ;':LAND r,.rr t E , �Oi#E .� CONFORMS TO THE ZONING Lr..,. A a ENGINE R r Q�l• � �� Ysr .� OF ,Z3)Rd,5 MASS. t F 7 12 loll A I N` T •E ETs fi �',sx * ° .•"z ., ,. `�,,�� r �'Y �. �.�� a�`<'`l��t'3 mow. `` a . 'f .cKk�3;' :wX �r »'y >.W ,3, ;a4 a e• 4ATE 7 S REG. LAND R