HomeMy WebLinkAbout0376 WOODSIDE ROAD - Health 376 Woodside
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West Barnstable
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2101/3 BLU � cop, P4
lot iF (o 71'
LOCATION I WAGE PERMIT N0.
VILLAGE
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INSTA LLER'S NAME i ADDRESS
JOHN A. AALTO BACKHOE SERVICE
Nest Barnstable, Mass. 02668
BUILDER OR OWNER ,
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DATJ PERMIT ISSUED
DATE COMPLIANCE ISSUED �4-7?
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
......................:..............OF........................................--------------------....................._....._..
Appliration for.Uiipootal Workii Tonitrnrtion ramit
Application is hereby made for a Permit to Construct (1/�or Repair ( Y) an _Individual Sewage Disposal
System at: � ��
......... -�� ... .................................................._ �� ..........-•-••.....••-.•.•••..•.•••-• ... -•...................... ......
Locatio ,Add s- or Lot No.
..._lti:�.._. � /
A ..4 ......:... .ir.4:!�.---�...._.. �y!: -------------------•--------------___--.......--•--.s-•-...._.._.._.........._...._._.........
................
/ O .Address
r... _ ( •_ _' ------------------
Installer Address
Type o Building Size Lot_____ __a.1�`f�_Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic () Garbage Grinder ( )
Other—Type T e of Building No. of persons _
P4 yP g ---•-•......-••••-..._•-•-- P /---••......•-- Showers ( — Cafeteria ( )
C4Other fixtures ..........................-.............................................................................................................................
W Design Flow............—Er.......................gallons per person per day. Total daily flow__.___._.3_3.4Q.............__.........gallons.
WSeptic Tank—Liquid capacity.l_P0.o_.gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area---3_sP-9.....sq. ft.
Seepage Pit No......I........... Diameter.........6........ Depth below inlet....... -........ Total leaching area.3_;t.`j_....sq. ft.
Z Other Distribution box (�) Dosing tank )/ J
0-4 Percolation Test Results Performed by......................��/ `��'�_._... �1 :_.___..__......... Date._.._ZQ.`f_. ``�
Test Pit No. I......c?......minutes per inch Depth of Test Pit---A........... Depth to ground water..__;ZZ ....
G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
11
x Description of Soil...........0•--••-a---------- ,.,�.5.+:. far_-•---•-•-•-y- -------------------------•-------•----•- ------------------------------------
d ! ,•.
UNature of Repairs or Alterations—Answer when applicable_____'...:_�/�........................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syst, in accordance with
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further a rreees t to place the system in
operation until a Certificate of Compliance has been i d by the d of health. l
Signed_........( =-••••-- . ---•• • ............... ................................
Date
Application Approved By............ `•--------------------------------------•--.........._......_.......---•- ��__ -1r
Date
Application Disapproved for the following reasons___________________________________________________________________________________________.......................
• .............................................................. ----•--•---------•---•-------•----------•._..-----•--•--•--------------------•-----------------------------------•-•----••-----•.....•••-
Date
Permit No........A500........................................ Issued_...........
Date
7,�
NTo...._ a F�s.s ?} ....., "
THE COMMONWEALTH OF MASSACHUSETTS
.BOARD OF HEALTH
..........._.................:............O F..........................................................................................
�° �:Ets.���rlir�tti�an fnr �in�la��l lark, C�on�trnrtion rrnt#}4., -
A,gyheation is hereby made for a Permit to Construct ( f<or Repair ( ) an Individual Sewage;.Disposal.
Syste}n
.,
................_._..._....... .. �p...... --•--•.......n.. .T1........ G7t'rl................._^^__....... ................................
... ... ..
Locatio �Add r ...or Lot No.
...................... a.!!r�'Se.._.�! .... •+. :..._,� :.__..,,r� .. ........ ........................
�er Address
a •................•- ,: _ . . f..
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Address
..
nstaller Address
U ' Type of.Building Size Lot.....3r.f�: ..Sq, feet.
Dwelling No. 'of Bedrooms............................................Expansion Attic Garbage Grinder ( )
Other—T e of Building '.. No. of persons.............
a YP g;'•--------------------------• P �.............. Showers ($.) — Cafeteria ( )
Otherfixtures --------•----•-•----•------•---•------------•----......--••--------------•----------------.......................................................
W Design Flow............. +''.......................gallons per person per day. Total daily flow......... 30.._....................gallons.
WSeptic Tank—'Liquid capacity/00. gallons"" Length ............. Width... . Diameter................. Depth................
x Disposal Trench—No- ----------------- Width.................... Total Length.__....._ ..__..... Total leaching area...3c ` ...sq. ft.
� c
Seepage Pit No.......t,--...... Diameter.........�o........ Depth below inlet......" ......__ Total leaching area... vl!)....sq. ft.
Z Other Distribution box ( Dosing tank ) f
Percolation'Test,Results Performed b ...........!�. r t;l ................. Date.....lD
Test Pit No. 1......A-_---minutes per inch Depth of Test�it.._,lY......._.. Depth to ground water......
✓�!!_ !...:_..
r� Test Pit No. 2.....:..........minutes per inch Depth of Test/''Pit.................... Depth to ground water........................
----------------
O Description of Soll U"` *... 1'� o�
U1 cif / ^Y.................... f
4
U Nature of Repairs or Alterations—Answer whenrapp icable_.......... .........................................................................
............................................ ------------•--......:..---------••-----.....-------•---•---•--•---------•-------------------•-•...--------------------------•-------......._............
Agreement:
` F The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
;the provisions of i%TIL 5'of the State Sanitary Code t_ The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Jj Signed ,. ,......•...................................
..............................
c Date
Application Approved By.... 1 .....................•_..... ;.___ .':.�:_' ........
Date
Application Disapproved for the following reasons-..........................................................-----•--------- ......................................
V
-----•---•----••--........-•-----•-----------------•--------•-----------------------.....--•--•--------...---•-•-------------•-------------------•------------------------•-------. .....................
Date
Permit No.------ f ...... ... _. Issued-............ 1_-. ! ' .................
Date
THE COMMONWEALTH OF MASSACHUSETTS`
BOARD OF HEALTH
.................. � � c�.....OF............... ¢° !7 ..............
(9rrtifiratr of ToutpliFanrr
THIS IS TO CE IFY, That the Individual Sewage Disposal System constructed &-Aed
by---------------- e! . ._ 4me.�! .._....._40X/pi.-----.......�4_._ �?�.�r����_.,.. -_
Installer
..has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as descri ed in the
application for Disposal Works Construction'Permit No 1: ,,::------------- dated___ _._.// /K..:.._� .................
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THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILT FUNCTION SATISFACTORY.
DATE... 6d (f f1�lj
(� Inspector... .....................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
No........ 1.......�`� FEE........................
to trr l . ark ntrurtion rrntit
Permission is hereby:`granted---. =� ... .._.-------------•--•-------.........------------------......------......---••-•----------._....
to Construct ( ) or Repair ( n Individual,'Semwa a Disposal System
at cNo..:.-. .. t' ---- --- + i!. �-•---- .._.._. e //!� ,5t!
ry Street
as shown on the application for Disposal Works,Construction>Permit No... ✓�.._=__ Dated.._.___.1.1:_ "
-----•---------------
#' ..................•--- .
Board of Health
DATE --------- 7"_../ ...................................................
j4'3 FORM 1255 HOBBS.& WARREN, INC PUBLISHERS /
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z LEGEND • ��• >r
EXISTING 'SPOT ELEVATION > Ox0 ,,4�` �� CERTIFIED P._OT PLAN N
lE-n i.S?_I`r^ C`0 N?T0 I I p, �„� ,n� ROE-RT,
FINISHED . SPOT ELEVATION 0.0 4� L F `` " - i -= -
BU r,,►cis ��' % '
FINISHEO,,,C0NTOU.R — 0 --- 7 - f A
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APPROVED • BOARD OF ' HEALTH 9C) IETGQ ;� IN
DATE AG ENT SCALE :
DATE /
DEL DREDGE ENGINEERING CO IN
d7 f
CLIENT SM /Trl
I CERTIFY THAT THE PROPOS/ ED
EGISTEREC� /REGISTERED1
CIVIL I I LAND II JOB NO� D BILDLNG SHOWN i)N ' THIS PL'. 1N J�a
` : ORMS TO THE ZONING :LAWS
ENGIPIEER SURVEYORS DR. BY A--:� �1
C'Q :F,
- °------ - � - — QF B�ARVST BL , MASS.
3, NC MAIN ST 712 MAIN CT. CH. BY R-
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S0.' YARMOUTH, MASS. HYANNI S, MAS i. �- . > x - <;
SHEET__ ,, O.F _—_ DATE.- REG. LAND SU�RVE'l�t���, i,
0 , ' � i2 `� Tf av s� e,�Lo yv
coivc c®ve'
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yM ' .57 RV 'ON =I� 5'iGd.4LL L3Ai\'T
SMALL ��.,®1p®UCaN
CO VCR&7`� C P/PZ E.41iY CAST IRON
p P/TCN - IF N ,DR/VEw'f4 Y
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r .l O ile �g �F/� Fr. .' /
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L/QU/O LEVEL
OF
CAST C o p o
IRON P/PE i Q O O • D w a 0 • ® • • e o o a . o�-,�ca WA5HFD S7t7NE
A J JV.P/TCN ---- G.4 L. 4 a
%a PEJ� J'rT SEPTIC TANK D/ST. o e • e ® • • • e p' u q
BOX p v 0 1 1 9 e • • o D,o+ n r
a;'d o v 1 . eEFFECT/VE � '•; 3�4 - I /2
v WASHED STDNE
a o f /
�" a am c t • • • e • • . . Pi p PREGgST SEEPAGE;;_
° P/7 OR EQU/V.
ELEVAY/ONS
INVERT AT ffUILDING `} 3.9 FT. I��{ FT O�fll+'J I C(SEE Ts1dlJLATJON�
INLET SEPTIC TANK 43.E FT. —�
OUTLET SEPTIC TA/VK `r 3.Z-Fr., —"
INLET D/STR/dUT/ON BOX
4 z.9 FT. SECT/ON OF GROUND J�,�I�'E/� iBLE
LETD/STR/BUT/UN BOX 4 G• FT SEJ�4/AG� ®Ia5'Ivl��A L a���TEM
t INLET LEACHING O/T 4Z�SFT ?AaUL�4TlDN
LEACHJ'/VG 11=1/T
DJMENS/0 N A
4 SCALE �4 _ / - O .. O/lylE/1!5/aN 4 FT.
DES'/GN CR/TER IA
0JN1Er'l5/4N C F7T
/VUA9BER OF®EDROOMS 3>
SO/L 1-007 Sa/L TEST
TOTAL ESTIMATED FLOW 33 L GAL.�DAD' SOIL TEST JOt/ SOIL TEST 2 7`
NUM&C'e OF 4'-ACA!!NG PITS_- --77- �FLE✓. q"1 S �"ELE1! DATE OF SO+ L TEST
SIDEL.&ACHING PEi? PIT �1�SQ, FT. D _ r } RESULTS IV/T,NESSED dY
aoTTOM LEACHING- PER P/T S S4• FT D M//V�JNCN
3 Z SQ. FT �O A-M `� -PEI;'COLsAT/oN',R.4TE�2 MJNV INcH
TOTAL LEACHING AREA+
RE5ERVE'LEACHINGfa�4Ef►_ SQ. FT. - 2,r_4 -
J•
T.
g' p O D 51 D�- Tz J>
������� p�-,►rs� y = Isle T 1 A/S 7,4 /S L£
F P. ,- �;1 6 , _ 13 ,-
f BUNIKIS H I s 54�✓D $ * `:
No.22162 O Q. C�2 A✓EL- ELO �®`Y��N�T%/0/ �/�1/rs CO,ll1�G.
712 MA/N-9T 33 NO::MA//1/.5 .,
'gyp GISTS 6� 4 �L`.3Y�.S .',,.
FS`` g O UNTL�R�P LJIC
ANa'J3, MANSS.. .510• �'.4 RMOtJTH MASS,
C' 'rs'ONAL ,.. ® NA G/QOUND lNi4TE'R ANC7.
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