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
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/"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
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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
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SEWAGE
SECTION -
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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 +
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> �• 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
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