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