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Home My WebLink About0229 MAIN ST./RTE 6A(W.BARN.) - Health 229 Main Street (Rt.6A) A= 134-016 West Barnstable 1 a U (to) LOCATION SEWAGE E RMIT NO. VILLAGE INSTA LLE 'S NA E i ADDRESS 6 / OR OWNIER DATE PERMIT ISSUED ;� d67 DAT E COMPLIANCE ISSUED `" l SgpNN �� pcdr pc.AN /Z �1 t � No.._....... �J.:' .. F��a.... D............... THE COMMONWEALTH OF MASSACHUSETTS C .; BOARD OW HEALTH 14A� ................ ............--.........OF.............. ::.. . .......------.................................. 3 Appliration for Diivo.4a1 Works Tontitrurtiatt Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ............. .. Location-Address or Lot No. ' ------------- ---------------------- ---- -------------- -------------- ----- Owner ! Ad ress = ��ry ...........-•--•............ .... D .... I n qtn er Address QType of Building Size Lot....... feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building •_______•________________ _ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ______________________________ ___ W Design Flow...... ............................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity �er!..gallons Length-__- Width......4.1__. Diameter................ Depth.'`....._...- x Disposal Trench—No. .................... Width......:............. Total Length................... Total leaching area....................sq. ft. Seepage Pit No......I............. Diameter.....t'V.`...... Depth below inlet_...4�. ..... Total leaching area.A47.....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percblation Test Results Performed . ..... ._ eO7 Date_� a Y /----------------- Test Pit No. 1 F!TY-5-minutes per inch Depth of Test Pit... .............. Depth to ground water------- ............. Gr4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ------"..&afkry €l Sr�s3�r�a L 2"- 79•• eo 6_ S4WI0.- c.,14vEr t, -- U Wt U Nature of Repairs or Alterations—Aswer en applicabl ---------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T:'I..= p 5 0£ 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 heQlaapallthh.., p Sign s - C C" '-� ...61 J30 ApplicationApproved By......... •� � • ••..................... ...-................................. Date Application Disapproved for the following reasons------------------------------------------------------------•------------------------•--•---•-----••---•--....... --••-•-•-•••-----•------•--•--•-•-•---•-•---•-•----•••••-•-•...-•--••-••-------•.....•-•--•--•--.........------•-•----•---•---•-•-----------------------•......--•--•---••-----•-...................... Date PermitNo......................................................... Issued_...........................................-........... Date ....... FFB ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD Of HEALTH ............... -—-----------------OF............. .................................................. Appliration for Uhipaaal Work,i Tomitrartion runfit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: .... ................................................. .................................................................................................. Lo tion—Address V0 V/~ ua�C wew't ..... ........0.4�e' ................................................. .................................................................. .......... V,4 Owner AAe b....................................................... ............................ ........................................................... Installer Address .-:11 Type of Building Size Lot.A.;F4CR&.3._Sq. feet U Dwelling—No. of Bedrooms.........'!..............................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) PL4 Other fixtures ----------------_------ -_ ------------- ----- ----- --------- -------- -------------------- Design Flow.....A747_............................gallons'-per'per'son"per-d'ay'. Total-,da,i,l-y,fl-ow---------30 42 _ ---------------------- 04 Septic Tank—Liquid capacitylq ..gallons Length___ Width......47.�--- Diameter---------------- Depth.!4.......... Disposal Trench—No. .................... Width___--------------_ Total Length................... Total leaching area....................sq. f t. * '4 Seepage Pit No.....I------------- Diameter----/V----...... *Depth below inlet...!..__._______. Total leaching area.?t..7......sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by.J . ..... Bt Date.!F Z'C /f7y 110_'0V #41............w...- Test Pit No. IV.* minutes per inch Depth of Test Pit-144........ Depth to ground water.............. ......... Test Pit No. 2.................minutes per inch Depth of Test Pit__-____._...__...... Depth to ground water------------------------ ............................................. .................................................i... --------------i4 w 7 4 -re------------------------- 0 Description , , ? JQ4VIC �. of Soil..0 .................................................................. . jZ4V&CW ................................ ....................... .... ............................................ ..................................................................... -------------- Nature of Repairs or Alterations—Answer applicab U ---------- Uen ------------------------------------------------------- .................................. .................................................................................................................................................................................------............---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTLE, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in 1- operation until a Certificate of Compliance has been issued by the board of health. A SignL. -".I....-.. ..... I ..................... .....e1n0........ �ja eAd Application Approved By......._ ...... ----------------------- ................................... Date Application Disapproved for the following reasons:............................................................................................................. .......................................................................................................................................................................... ............................ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O� E.A.LT.H ..........Y.. .........0 F................. . .......................................... Ae vwrfifiratr of Tompliana TH S CXTIFY, T at Individual Sewage Disposal System constructed ( "4r-or Repaired b] . .�--. -----• ..... ------------ --------------------- ............................................. .t........... .....at- 11%4 I.. . ......... ...... ..t....... ................ ---AV. ........................................... e Va y e as es has been installed in acco ance with the provisions of V.......-•••-•. he State Sanitary C d d criAed the ;L ,I- application for Disposal.W.orks Construction Permit NCU � dated--- -------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. /Lt A 6— DATE.................................V. 1.3.2v......................... Inspector.......................................................... ...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD O HE ALTH A..........................................................T&-ev ............OF........ U No .... .............. Disposal or n tr amit ....... ...... .. ....................................................................Perm s, n �ereby granted...----- ------ str t S t to Con or e air a divAual Sewage isws. 0 ..........at N /..... t...................................... Street as shown on the application or Disposal,Works Construction Permit No..................... Dated.._.. ................................... e air ion or ................ .............................................................. -.12 Board of Health .............. DATE...................................�// FORM 1255 HOBBS & WARREN. INC., PUBLISHERS Zoo tp tiv / O Ile Ioll c CERTIFIED PLOT PLAN _o� LOCATION WrJT,13 /?*k4 SCALE . . / Lo It . . DATE SP4 Z7/SB.o �r PLAN REFERENCEOF / EUWAR i'. co No 21-10D �I'v RNA{ t1 � I CERTIFY THAT THE ... ..... . ...... . SHOWN ON THIS PLAN I N THE GROUND AS SHOWN HERE CONFORMS TO THE SETBACK RE OF THE TOWN OF TF,p�3/ /`f. WtZC.Al, ETuX �. WHEN CONSTRUCTED. /�iLr NOD Is�A�a DATE . . . . . .. . . . . .. . PETITIONER: Soc'Th/ C'HZca-IA1411 Z 99Lo REGISTERED LAND SURVEYOR S14b'2T Z op= Z SL&Z-7.s TOP OF FOUNDATION , CONCRETE COVER CONCRETE COVERS PIPEA{pRIRON 4'MAX. 12"MAX. V"" • 4 ORANGEBURG(OR EQUIV.) PITCEQUIV.H — MIN. PIPE- MIN'. LEACH' PITCH I/4"PER. PITCH 1/4*PER.FT. PIT PRECAST o' N VERT L • a ;;,:: LEACH 1 NG EL.9?i ... INV RT INVERT P . e•;' PIT OR SEPTIC TANK 80X EL•?-C >= a INVERT EL.Y7.•0ZDI 9�.L8 w� EQUIV. /000 GAL. INVERT •. a 0: " EL..97.:�9.. $� INVERT Ww .,�. 3/4 TO II/2 EL`�. ..... 0' WASHED STONE /2' 6'DIA. DIA---►-� PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE Rno OMMARY SOIL LOG WITNESSED BY : DATE !f79 TIME. ��.��!4 P'4 Cr .w'e� BOARD OF HEALTH TEST HOLE `f TEST HOLES 7A(oo4ft E.edZ4A�y� !�.�'- ENGINEER ELEV. . 1Pz•O-P. . ELEV./7 =17.1 /oZ.Bo 'DESIGN DATA : mac ,. CoArest NUMBER OF BEDROOMS Sa a TOTAL ESTIMATED FLOW . . 330 . . GALLONS/DAY BOTTOM LEACHING AREA 78,Sc� SO.FT. /PIT -- 78,E SIDE LEACHING AREA . . .�88�Sd. SO.FT./ PIT 3'rw�Es GARBAGE DISPOSAL .No^lG. .(50% AREA INCREASE) �`'�• TOTAL LEACHING AREA . Z47 0 0 . SQ.FT SA,ua PERCOLATION RATE Z7 s� �^�� MIN/INCH LEACHING AREA PER PERCOLATION RATE .'�-�Q.. SQ.FT. !vo. .WATER ENCOUNTERED NUMBER OF LEACHING PITS 1.PsT Wi7N 71W o�r APPROVED . . . . . . . . . . . . . BOARD OF HEALTH r,,C ZM O 0"V-�''S1Df?' = /SG YbAlS 6 SMa ,&* Pr7: DATE . . . . . 'THOMAS'E:KELLEY'CO: ' •AGENT OR INSPECTOR ENGINEERS—SURVEYORS L 346 LONG POND DRIV SOUTH YARMOUTH,MA OF :�ll ` 02664 '(t{orly,�ss 9 ✓ �� THOAAAS O y . . . . . . .... pa . .�, .ct1 �`T lJ)C Y No 2310 U AI. PETITIONER