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HomeMy WebLinkAbout0376 WOODSIDE ROAD - Health 376 Woodside A=152-019 West Barnstable 4 t 2101/3 BLU � cop, P4 lot iF (o 71' LOCATION I WAGE PERMIT N0. VILLAGE w, D )g INSTA LLER'S NAME i ADDRESS JOHN A. AALTO BACKHOE SERVICE Nest Barnstable, Mass. 02668 BUILDER OR OWNER , la�-e s S� 1 t4 lf/ DATJ PERMIT ISSUED DATE COMPLIANCE ISSUED �4-7? /9£ ./� 1 .. � .� � , ::��, ,�z � �� i �� �� �� �i � ice' ,�� .J '40...... Fps:. . ...... 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.. �_f ---------------------------- 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..:.._� ................. p t 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 / PDT Z 4 3 ` Lt=%4 c H c, PiT k 4 { rT t r r. .1 /44)LG / > r '4 5� / �:Y PA�,S�O/✓ Q• s ` raw — %y. r S 41 s' 1F A 72— .30 ni P r% S �.o. 1 77i N. -. rh .. . f•. oop 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 p N o.,2162 C 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- J n3 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' Io Pr / Iw. z,. E US 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 co, n r .l O ile �g �F/� Fr. .' / r A 131_.4GE cc) CLEAN SANG 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. _3 FLEI/ 6. ?may P� -