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HomeMy WebLinkAbout0050 SHEEP MEADOW ROAD - Health T1%][6dow'Roa4 Nst Barnstable. tooll r WN OF BARN TABLE LOCATION Jr " SEWAGE # VILLAGE AU,46 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and 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 of leaching facility) Feet Furnished by S' E r /"e TOWN OF BARNSTABLE LO TION SEWAGE # ���✓ \�� C�'Z2 VILLAGEcam,ScJ,�o`�Q ASSESSOR'S MAP & LOT f�q INSTALLER'S NAME & PHONE NO. �, SEPTIC TANK CAPACITY O 0 O LEACHING FACILITY:(type) R%� (size) \O O O a NO. OF BEDROOMS _PRIVATE WE L OR PUBLIC WATER BUILDER OR OWNER p�� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 7 VARIANCE GRANTED: Yes ✓ No Lo 1 '} ��or>v z r s -6� s� No....�__........_ � FLs..... THE COMMONWEALTH OF MASSACHUSETTS MAP j BOARD OF HEALTH PARCEL ...... ............OF.. ............................................................ oT Applirafilait for Disposal, Works Tonstrurtinn Vrrmi# Application is hereby made for a Permit to Construct (V�or Repair ( ) an Individual Sewage Disposal System at:' 60 J+ Location-Address 1 or Lot No ............. .. ...... ���V w Address a .......^................"__ ''L... . ... ............................... ......................................................... Installer Address ................ Type of Building Size Lot..;UU1, C 0. .._Sq. feet .•� Dwelling—No. of Bedrooms........ ................:..............Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building .............. No. of ersons.-------------._............ Showers p., yp g .............. p ( ) — Cafeteria ( ) a' Other fixtures ........................................_ Design Flow.............JJ.0.............__.:.._gallons per n�y. Total dail flow..........-_ ..-----......-----....,,,,�,,,,��lons. Septic Tank—Liquid capacity,�6U gallons Length. .�s...... Width:....;......... D' ................ Depth.5.�..... x Disposal Trench—No..................... Width.................... Total Length._........jj Total leaching area....................sq. ft. 3 Seepage Pit No...d!!\ ---..... Diameter.....JQ.1...... Depth below inlet.......Sf�.� Ja . .._.... Total leaching area...;::4LI4sq. ft. Z Other Distribution box Dosing tank 0.4 Percolation Test Results Performed by.... .. f ! b a.�. :............... Date.....57 .� Z.............. Test Pit No. 1.... .._.....minutes per inch Depth of Test Pit....l_.`.44_...... Depth to ground water..l4a KJO— .... GZ �� h[n0 Lz. Test Pit No. 2................minutes per inch Depth of Test Pit....l_ Y.____..... Depth to round water............_:e:..... rx �t��1 ..c�''.'.Z`_F'`:,t'...l.At�r!�:Z..S..�ps s?i.�-�►-- g.�... O Descrip ' n of Soil..........Ll ........................ 1}....2' �. ..rv., ....�z.a......a..,.l. j ...IF P.t^d..t......2; ... ------5 .................................. .._. ,h?----------------............------------------------•-••--_------------------.....------......--------...---.......--------•-------• U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ...............................•-----..........................-----•---...............•..........................------.................................-•--•----.....-•-----•---...................... Agreement: The undersigned a to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 2 " of the State Sanitary Code— The undersigned further agrees not to place the system in operation unt' Certi a of Compliance has been issued by the board of health. Signed.......................................................•-•............................ ................. ...•---.. ................ Application Approved By.._.._._ -C4e................f-----�. , --.-..-•-----•----•-_ .._..._(_� _Z�ate v" _ Date a Application Disapproved for the follow ng re ons:............................................................................................................... .......... ............................ .... . .......•----..............................._.........---------..........------••---•-•-.............................. . ............_ Date PermitNo...- —G.Z.............................. Issued.....-................................................. NO._.... .......Z V Gt�GL►�`�-� _ - Fins............ ..... THE COMMONWEALTH OF MASSACHUSETTS 1 � I BOARD OF HEALTH 1 _-- ti 2 2 _........1..c�c. . ............oF......�..Z.... . `....�� - ..�E' .. .......... r Appliratiun for Disposal arks Tonstrurtiun Permit Application is hereby made for a Permit to Construct (V�or Repair ( ) an Individual `Sewage Disposal System at:' . ..............sk��r�..��G.A1) L,a. _�c,_G_� . ;� ��,� Zoe .. --- ........ .. Location Address . - t or Lot No. ............. a�_�) �- ;��.,^; !�........................................... I-o�I aX f.no I J 5ro y�ta:;4V_ _ff 4 la z;?-1 W Owiner5 ---- Address ... ................................ ............... --••--••---^•-•----•- ---.....--•---................................ Installer Address Type of Building Size Lot...�LC,:??�?Q-...--...Sq. feet Dwelling—No. of Bedrooms........._�G_�................................Expansion Attic ( ) Garbage Grinder ( ) a Other—T e of Building ( ) a Other—Type g ............................ No. of ersons......__._.....----__------- Showers P ( ) — Cafeteria Q Other fixtures .------••--•----•---.....-•---••--••--........�- ............ ........... W Design Flow............................................gallons per-person per day. Total daily flow...... ......................gallons. WSeptic Tank—Liquid capacity,. %gallons Length_�5.. 4__.._. Width:._p_...Pa.. Diameter................ Depth..-_`�._.__/_..-. x Disposal Trench—No..................... Width.................... Total Length......_._........ Total leaching area....................sq. ft. 3 Seepage Pit No... nn........ Diameter....../�2......._ Depth below inlet....... o__........ Total leaching area....2(?�t�Iq. ft. Z Other Distribution box (✓) Dosing tank ( ) _ Percolation Test Results ' Performed by...��:r��� �y...cc"' h�•�e E-S'' `32- 1.4 -•-----...----••--•--•___----•----•-•---__•-_. Date......... ........................... Test Pit No. 1.....L Z ...minutes per inch Depth of Test Pit.... Depth to ground water..... e'......... 44 Test Pit No. 2.....G'..minutes per inch Depth of Test Pit.... Depth to round water..... 0"' ..... is o' - Z4" , lens., c s�bso I 2�' , �1� s•, g-1 sar.c! -------------- -----➢.................--••-------.....--•....._...._•--------- ............... Description of Soil........._f J s�a r cl... ._.C r t `=1 0 •----•--.....--•.............•-••---•----••----•----..........------.........---.................f �3. .. ' �' - Zq' IOa y. s �•�t�s.� � �,. , 7Z Si•��.1 s a �c� ............................ IPGti� ----•--------•---•-•.............. ..r.J ..-------•--.......................................-_.........-+•-------..............................................--•--......... UNature 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 Imo.L. �j of the State Sanitary Code— The undersigned further agrees not to place the system in - operation unti`l_a�Certifieati of Compliance has been issued by the board of health. Signed.............................................................•-•-----......._----_.... ..-- A lication Approved B /�n 4.!v-� A A�fiv�-. �� Z-�t o / Date Application Disapproved for the f ollowin��`ons:.................•----•-•------..........•-•-•-••----..........---.........._.......----•................--- ..............................•------•---.....•-----....-•--------.........---.......---.....---•-.......................___.........---•......_...---.........--••-------•-•---..................-•---- te Permit No.... .... ..... ? ..............................._ Issued......................................................- a .. •Date -,� -------------- .._-__..-------- ----- - ------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................... oF......... ..............................}�..................................... r r Trrtif iratr of Tuamplinnrr THIS"IS TO CERTIFY.-That the Individual Sewage Disposal System constructed �( or Repaired ( ) by.............t-A_;)0 ..... .... ......... --- ••---....... ----------------------....... ...........-....... .... installer at... .......................... ..•........................................am`:...........! ..`..t_.........................................t :....... ................ has been'installed in accordance with the provisions.of TITIL 5 of The State Sanitary Code as described in the Lapplicaiion for Disposal Works Construction Permit No......�.....'__ _ ___________ dated.......�..�..Z��. .. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. \ DATE....... .....:... :................................................. Inspector............ ...•-....`.. ..��. ::-•••--•........... .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - `�''"``'`� MUs 1 bu'--` -�-� J ,�, "' ��.L�I N AND CERTIFY IN WRITING. ' _ . ............OF...........__.l`T ,v�� ,R� pn-.VntAC- INSTALLED) 1T 11W No._,_....... _ •n DANCE TO PLAN.FEs........................ Disposal Works Tuns•trnrtiun Permit Permission,,,is hereby granted._......In._.............. ........,..;tee 't to Construct ( �') or Repair ( ) an,..Individual Sewag�/Disposal System Street as shown on.the application for Disposal Works Construction Permit No... _ �.b� Dated......... Z 3...... ......... N�� c ,� ....................................•------.---•-•....---------------.......•-•--.--.......---.-••....._ DATE. y Board of Health Department of Environmental Management/Qivision of Water Resources WATER WELL COMPLETION REPORT �r WELL LOCATION J 1 �t Address r 1, �'S' � ��'-r' J City/Town G.S.Quadrangle Map tf Grid Location Owner IN rf+ t'_V►tc Address�.���-�.,at �C:\ l n.� �"�f—�"•y+C�a,�1 �..h� i�t{ r WW-L USE CONSOLIDATED WELL Domestic 3 Public ❑ Industrial ❑ Type of Water-bearing Rock Other Water-bearing Zones Method Drilled C. t' 'C r�c�,� 1) From To -• 2) From To r Date Drilled 1 " 4 3) From Tc 4) From To CASING r I Depth to Bedrock Length Diameter LA Type J C UNCONSOLIDATED WELL STATIC WATER LEVEL Water-bearing Materials Feet below land surface l •.Z. Sand: fine❑ medium❑ coarse Date measured ti~ t Gravel: fine medium❑ coarse Or GRAVEL PACK WELL Screen: Yes No Qr Sloti\yy length fromGkn to!( 1 Split Screen (or 2nd screen) WATER QUALITY TESTS MADE, Slot#.V/it) length—from—to— Chemical Or Biological �/ Depth To Bedrock A4IA _ PUMP TEST _ Drawdown feet after pumping days hours at 0 —;GPM. How measured 7% 4= Recovery k feet after I hours. LOG of FORMATIONS COMMENTS: (On well or water) Materials From To (00 « tir,� F,o DRILLER m Firm ° a Address ` City Registration No. ` Operator's lgnature y e ase print rrm y /p BOARD OF HEALTH COPY 15M-2 83-176571 362.4541 926 main street rt 6A yarmotithport mass. 02675 down scope engineering civil engineers& land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P:E.' surveys site planning September 8, 1987 sewage system designs Board of Health Town of Barnstable South Street inspections Hyannis, MA 02601 Gentlemen: permits On September 4, 1987 Down Cape Engineering inspected the septic system on Lot #7 Sheep Meadow Road, W. Barsntable. The construction complies with the Massachusetts Environ- mental Code Title V, the Barnstable Health Regulations and conforms to Down Cape Engineering plan #84-090 rev, date January 15, 1987, prepared for John Sweeney. Very truly yours, Arne H. Ojala, P.E. Inspected by: M. F. McDonough amp/31 I AsBuilt Page 1 of 1 WN OF BARN TABLE �y LO(. ON "114 SEWAGE # 1 VILLA E ASSESSOR'S MAP LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any weUs exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by r tea. /Q ; v http://issgl2/intr.anet/propdata/prebuilt.aspx?mappar=109022&seq=1 7/31/2012 ' d SEWAGE SECTION - fi. m 5 O . -.SEPTIC TANK X - - LEACH.- BOX I LEACH JAL ,y TOP OCFF FDN (MSL)* ..2..OFt/8T04z•'_ •`r WASHED STONE T t z IN- � y:' �,i:Acrl?R' - OUT• / ^� r% xt' IN as 1- OUT• Ili p �f:�} �}' r I + F 1� : µ T > �• SEPTIC - -''�� TANK . ELEV. ELEV. e I { ELEV. ELEV. -e Et.6 V. 1 SS., _L ., •a _.f '� - , ' WASHED STONE - --- ---.__-_---- --- ------ � �°I• j vie, _ s t7 LE LOGh� 11 �� 4k� — TEST , 4;: } '. Uuo , f F/►t2g<w�;�E. A. GtPl=oftA� �+.o.H. lS - }>'. r5 �: TEST By - s _ - "WITNESS _ - � `- TEST DATE. DESIGN BEDROOM HOUSE T.H. �r.1 T.H. # 2, I ,• T, _t ■ ELEV. .+ ELEV. oo LZ NO _ t , : n .. i i 1,y1 .` '.'t �// CJ Cv LOAM Su Sots- t.>oApn ot� DISPOSER DISPOSER -. a ,.�`'., V- r .'; f . +. T'. ,. t114 • - PERC RATE MINAN. Zq" 49.04 Z4" 53.�5 FLOW RATE 12y3G7 (GALJOAY) 330 t Y x�` F ` t( ai�,> ,�) ►/ �I' C.JaH1JS oN "s+ s �. SEPTIC TANK 330 ltS)= 4,q 5 4 -oil- st s t.,�. - _:- REQ'D SEPTIC.T._AN_K SIZE ., �. tr `I 4=S Z ' l� : 1 _ LEACH FACILITY... :.; SIDE WALL G/D. � �-- : n �. ��v / =,� ;� �,� •,.; � r.°�:•-. � ° BOTTOM IaL ¢ _ -It's ( I.c7 ) `_ LSD G/D• r C'- ►,a TOTAL Z(o1 .o�.. _,T44 USE: C�►..tL- LEACHING ►�1T' I 3 �\ : i44=. 3q.o4 ., t4�-" 43 5 - CO P. e X 5 o ' d SU \�\ to WATER ENCOUNTERED NOTES: tUNLESS OTHERWISE NOTED) A \\AG' _ . :,- � �G'N\' \CND c� . - • y �E i.DATUM(MSL)-TAKEN FROM _-_--------QUADRANGLE MAP - f V ��'OF X \: S� - P 2.MUNICIPAL WATER _w�__ -._A AILABLE \ w - per(' -< ta1 ctQa C `� �p 3.PIPE PITCH:W"PER-FOOT �L.l�•j - � 4;DESIGN LOADING FOR.ALL PRE-CAST'UNITS:AASHO. 44 �T" '�Y[t Q� Ca y., r ARNE H.. G DISTANCE AS CERTIFIED Coibc�Q' sq•�'t-. 5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. (�. 6:PIPE`JOINTS SHALL BE MADE WATERTIGHT ARNE r� a� t OJALA Wit - %,r I H. `:CIVIL 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. _ :.� to `STATE'ENVIRONMENT,AL CODE TITLES` c OJALA H Na•'3�s�2~ SITE PLAN M. t 48 # .. .. LOCUS: ..^'�.- -fib.. :moo-. �< , ,r .♦ :,^,. ,..•+. '�. _lr- ,- >- _. ,-. r_ . a +�., « A �..,�. +{f f7�..,,.,.,... - - ..-. '! n `. fiv. 'iY. G`.�. S � T .... .....o_.... ... I'J- _Y Z. + v:. u, -.W*" •r+e•. s":riu:n ::Y. 1 - ,:3-c�1. ''4,+ti�'. ..,. ,..., $ .a .. ,. •.. .._ F,�,i... , .. 1, /,,rus4 . E .PR GI EER • yw _. - _. - , 'k.1-�^c5,.. 1s _ e'�-. - .. :..- 3 � ..a r .� •.-. ,r .,1,.,� +, �'R-_-r . .;32,. ^� .�• "s'k a?{' .i-. TW. ��yy , p H��� .. .. , �� a.. ?•1:l•. , s..,. 'E :.x. a .. ... ... ,. .n..a.. t. 4. , et •: .. w.. _ , .. ..w...,rl ,Y' - 2' � .-,-r,.. '«,,.,.,n., ..: _� �JP .... : $.•, :xr'. ry��..N'�`1-"... y x:..�k.,r d- �i,:. �. . : 3. q ,.. <,,,...ti�e.- .-T'y ,.r.r:.:at :. ler �� ! r+4; •� d -' '4 .,-,.�i• 'x' �7i2x. 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