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HomeMy WebLinkAbout0012 NEW LONDON AVENUE - Health 2 New London Avenue . i A= 103-018 p Marstons Mills _ D TOWN OF BARNSTABLE ✓� LOCATION IC)(46 ,t?, ,/C�cIJ SEWAGE #n d �'S VILLAGEl�sISA,& MASSESSOR'S MAP & LOT 3 -Olt ('KINSTALLER'S NAME & PHONE NO. ����� 114 4)tQ L` `o EPTIC TANK CAPACITY____/4 jJ0 LEACHING FACILITY:(type) d ('1 Q [ (size) ` NO. OF BEDROOMS- WELL OR PUBLIC WATER BUILDER OR OWNER cf9���/C �� t DATE PERMIT ISSUED: /- DATE COMPLIANCE ISSUED: ix VARIANCE GRANTED: Yes No �A �Alu 1 �{0 No.]E ......I Fini THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ . OWN......OF.......... dS v ._... Appliration fo.r Uhip ual orkg Tonstrttrtiurt 1rrumit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at• � • N�-w c��oea� �a cI� t3 Location-Address or Lot No. 1--�-U --- •-••----•---- ------------------------------- ..... ................1:2( ----- ••- Ow / ... Add ess W � q pq Installer Address V Type of Building Size Lot.... �r4'�.�.......Sq. feet Dwelling—No. of Bedrooms.............. .....................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ........ No. of persons............................ Showers a YP g ----•--•----.......- P ( ) — Cafeteria ( ) Other fixtures ..................................... Design Flow..............LS.O..........._........gallons per popsea pfr gay. Total gilt'flow.......... .................... W . W Septic Tank—Liquid ca.pacity.j�S�__gallons Length...�.ka W.... i d th:�'. ..__ Diameter................ Deppth. . s. LC? r._... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area........._..........sq. ft. 3 Seepage Pit No..........t.......... Diameter......LO......... Depth below inlet........ Total leaching area-Zh s.P..sq. ft. Other Distribution box V-1) Dosing tank ( ) Percolation Test Results Performed by....-. W '�... ................. Date....�1�_� 8.............. Test Pit No. 1.....`.._.....minutes per inch Depth of Test Pit....._.� a__ Depth to ground water...l-3.O.hl ..... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ O ........... -------��--•---:L}k-•_•--•--•--- .......................................... .. ............. Description of Soil.....0. L7r...... 5��c ---•-•----- ----- P-.................x ---------------------•--------- ------------- ------------------------------....-•-••-•-•-• - �:---- - -- - ..................................... ... w ......---••••------••------.....-••----••-••......-••-•----•--•-•-• V 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 TITL; 5 of the State Sanitary Code— The undersigned further a rees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed. .... ......_.._. /i�� / 2 1Datf Application Approved By........ .._••--...... ....--•....................... •------ d �......�._.1.� Date.............. Application Disapproved for the following reasons:............................................................................................................_.. ...........................•---••-------......--------------.............•......--•---..........................--------.....--------------•---.........--------...........-•-•...•••....._•-----•....... �s �� Date PermitNo.---------•--•.....----•-•.............••-•••--•--•...... Issued.....---------....-------------•--•---..... ........... Data ,7 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ .....OF c.-7. - .L: ................._. Appliratfun for UWpaiial Workii Tonutrurtiun ramit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: L.D"t i l I..........................................................�v .................. Location-Address or Lot No. t ---------------•--- -.................1 & -�.)-r-.--....--.........---...... ....... .----........--------•----------- -- Own2, : .... _.. vzress ...l?�! fiA Installer dress / Type of Building Size Lot....�»�:� � ..._Sq. feet Dwelling—No. of Bedrooms.................5.....................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of ersons._:._...':.................. Showers — a Other—Type 1g ---------------------------• P ( ) Cafeteria ( ) Otherfixtures -------------------••---•-------------�e...--...-•-----•--------.........-•---------•---.....•---------•-..............................-----• W Design Flow..............1._�_ ..._._..__._........gallons per person per day. Total dailytflow......._._..��U...................gallons. WSeptic Tank—Liquid capacity.5) gallons Length...`C'�?. ____ Width:Q_-I C�... Diameter................ Depth.___..... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. 3 Seepage Pit No.......... .._..____. Dia meter......1.La........ Depth below inlet................ Total leaching area.L:b�:.U..sq. ft. Z Other Distribution box (�,) Dosing tank ( ) {{ aPercolation Test Results Performed by------- .................. Date....1 L...14184. _ ............. Test Pit No. 1....... minutes per inch Depth of Test Pit........ Depth to ground water...N v.!J _.... GT. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O t .q................. •--�- ................... -..... Description of Soil -•---�Z......-•�u-�..tt_ .�' 1 4�F ------ (.4�•... cr'-¢aNQ--------------------------•-•--•-•----- W ------......•-••.... .•••....................... ...................................................................................................................................................... ...........• .... ......•••.••.•..... ---------- .. ......� � ::::::......--------.--::::......--- UNature of Repairs or Alterations—Answer when applicable................................................•....._............................._.......... r •--••--••--•-••-•--•-•-•--•-••..........................•--•--------•----•-.......--•--...._.......•-•...........-••••----•-•-•••-•-------•---------•---...-----........._._._.......................... Agreement: ! The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of AITL: 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.... , ......... !'!.G( ......... _ --` Dat Application Approved By-•••.•-• : ""........... 2 /,,� l ............. .. . .............. Date Application Disapproved for the following reasons:............................•-••----•---------..........--------------------•----------•---•-•-.............- ........----•--------------••---•-------...--------..........--------------•--•-•--------.......----......._..............--•------••------•----------------------•--•-----------------••-•---•-•-....... p, Date No..........�..................................... . i _� 1� .. Issued_-------••-------•---------••--------------------------- ----- •---•-••-- _ Date lam------so'rr---------- ----wM----1 .....................nY.r................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. ....................OF........... T..l. lU. JL L Trrtif iraft of Toutplittnrr THIS IS T_Q. CERTIFY That he Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.................. �S /�1.1 ... r ..........--•-•--------------•----•------...-•-----•-•-------••-•------............------................--•-----..............-- ... lnstal r has been installed in accordance with the provisions of TITLE 5�of The State Sanitary 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.............. ........................................... ^� .. _ css.n®--..�Ps vvwwa.s.•s..ao+s.uwm«�...,..... .. -- *rTm..s+e•_�_------------ THE THE COMMONWEALTH OF MASSACHUSETTS BOARD Of� HEALTH OF..................................................................................... N0......................... FEE........................ Disposal Varks Tunstriulm Vrrmft Permission is hereby granted. -- v� .(`t..G.-.='.---------------------------------••--•-------•-••--•-•-------•-.......................... to Construct ( ) or Repair ( ) an Individu 1 Sewage Disposal System at No.............•-••••----� l l 1 PCW C .................•--•-----.....•-----•--._...- ----------------------------------------------------•------------------•-•--•----------- PP P .. Street ^ 5 —�9,C 1 2- '/ as shown on the application for Disposal Works Construction Permit No.__................. Dated..............................le- as ;.7........... G���------___ iYl .................... ... ------....-. / y Board of Health DATE r 4 -------- SECTION - SEWAGE i Z -SEPTIC TANK- - "D"BOX - O - LEACH TOP OF FDN �• •(MSU• -2"OF JOB TON" o� WASHED STONE qO,O ffl I e j iN• OUT• IN I OOD OUT• IN�1 '9 9 TANKG DPfl.q-G ,� ELEV. ELEV. ELEV. ELEV. V (o i _ELEV. ELEV. ELEV. - O I�[l E� (E♦~ ` I�oI�Fi UP IOpGb�If..f e"7" n 0 o4T(.ETit� id'- o� �>=t�•ST Z'of t�IPE. ZO �� f �% ✓v0.f OsT c. t/a �Ak - — .L:- OF116"-1W" �?>✓ (�dE� 4,O WASHEOSTONE TEST HOLE LOG `� 2ta 2 r _— - .. .' o. ti r C. TEST BY LOkl A►1D WG[.11:e GI FFD I.O. I 1 TEST GATE 11 1 lbo WITNESS DESIGN BEDROOM HOUSE " !b T.H. 0 2 T.H. . 1 ; � g ELEV. II. O ELEV._ NO 12 SIIF�o: _ CIO,C) PERC RATE Z DISPOSER DI OSER MIN/IN. _ \ FLOW RATE 110 (GAI--/DAY)/Ec SEPTIC TANK -J'2a (1.0- LOT- t REO'D SEPTIC TANK SIZE 0=0v LEACH FACILITY SIDE WALLS IaB.�_ (?� ) �!� i , Z G/D. � /✓ `� ' r 1GHMD1'_K BOTTOM lc l,o ) 78, G/D. j / TOTAL 20,D ELr. 0,00 19 ,0 USE: Ot`1 C• t' EGlaSK LEACHING }�(Tj � \C/ ; U t o i i �� ��T \ WATER ENCOUNTERED \ • 'p y NOTES: (UNLESS OTHERWISE NOTED) (I is �'� \Q) A. DATUM (MSL)_TAKEN FROM�AL IJ__—QUADRANGLE MAP 2-MUNICIPAL WATER IS eVA1LASLE �t Q S`.:�� �?s M la� 10 � FOOT ].PIPE PITCH: "PER A.DESIGN LOADING FOR ALL PRE C SSo AST UNITS:AASHO• �' 10 -44 S� �AfLC�EL !.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT- b.PIPE JOINTS SHALL 13E MADE WATER TIGHT ARNE H. \ - 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. c�a ll,,LA �''�� ! �o►lEp 1`i!,1/ \\ SITE PLAN STATE ENVI RONMENTAL CODE TITLE S CIviL i N l LY VD 51-1�J1�-D $� ,F� o0� L E � �►VC� .09 �P Ec" 1 #• �� -�' LOCUS: S LOT III td� ' Lo�JDo�-R 4.\ • R k Y ALE G,q' e f' ;•I Ii E F: FLAk J eCOL- Z 14- WOWQ cQ a �,°� �� .. p engineering T' p :Ig . , PREPARED FOR: ELI�-IGGI�2STUNI-- CIVIL ENGINEERS LAND SURVEYORS BOARD off __----- , Y?lSivinBL Ds13AV R " 2 IZ II g1 f HEALTH CONTOURS (EXISTING)------ APPROVED _ DATE - �!STG�; MA (PRoPoSED)-0--0"-0-o SCALE_ I' oA E