HomeMy WebLinkAbout0085 ACRE HILL ROAD - Health 85 Acre Hill Road
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CERTI FI ED PLOT PLAN
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PLAN REFERENCE ,d �7�/ •�,v•
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0. 25100 ... . .. .. . . . . .. ..
I CERTIFY THAT'THE BviLZi: IiND� .•Cav •.
SAL U►NO SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
AS SHOWN HEREON AND THAT IT CONFORMS TO THE
SETBACK REQUIREMENTS OF THE TOWN .OF
.WHEN CONSTRUCTED.
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REGISTERED LAND SUFt�o.
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OCATION , f-3.92NSTi9gG� �,
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G TOWN OF BARNSTABLE Q
LOCATI N e �ll � SEWAGE # O�
VILLAGE C aesfake ASSESSOR'S MAP & OTC Y
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INSTALLER'S NAME & PHONE NO, II�O S
3 G2 3(p s'
SEPTIC TANK CAPACITY /t�EW
LEACHING FACILITY:(type) 51 - e lo-WeJ size)��Q
NO. OF BEDROOMS_�.PRIVATE WELL OR PUBLIC WATER dlc-
BUILDER OR OWNER OM,4_5 F L)Cl!w o
DATE PERMIT ISSUED: S ( J
DATE COMPLIANCE ISSUED: I l
VARIANCE GRANTED: Yes No
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
Appliration for Dispoiial Iforks Tnntrnrtion Permit
Application is hereby made for a Permit to Construct (14 or Repair ( ) an Individual Sewage Disposal
S stem at
Op ��s�S�" ...... -��� � ..............................
c lion-Address or Lot No
- ••- '�' --- - `NOD---------------------•--••. ------•----------------� 7 r ...............----
�) Owner „ Address
W
Installer Address
QType of Building Size Lot____.....�.........z......_..Sq. feet
Dwelling—No. of Bedrooms______________.....__________.______________Expansion Attic ( ) Garbage Grinder ( )
`4 Other—T e of Building No. of persons____________________________ Showers — Cafeteria
P4 Other fixture
W Design Flow................
---.........................gallons per person pe��day. Total ly flow----------- '_....�___._..__________-�lgps;
WSeptic Tank—Liquid*capacity./ gallons Length________________ Width______ .._ Diameter................ Depth_____..._C_J_.1__-
x Disposal Trench—No_____________________ Width.................... Total Length......____.------- Total leaching area....................sq. ft.
Seepage Pit No_________ _________ Diameter_______/__ _i_____ Depth below inlet-----.___........... Total leaching area__;, dsq. ft.
z Other Distribution box ( ) Dosing tank ( )
'-' Percolation Test Results Performed by..... .___._41- ,� _ Date_____�'f___g ! 9
vi----------------•----
Test Pit No. 1_ _ ......minutes per inch Depth of Test Pit___.Oq....... Depth to ground water.....
L
fs, Test Pit No. 2.. "_______._minutes per inch Depth of Test Pit...!.EK......... Depth to ground water______-—___________
.......................................................................................................
O Description of Soil......... �!'3G " l+cic�v> �__J-V��._54V C- 34
w =••-••••••••------------------•-•••-----------------...•--•----------•----------•-•-•-••••••-•-•••------•-••••••-•------•-•••--
U Nature 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed ----- - ------------ Q.-....
-------- ---------------------
Application Approved By --- ------------ ---_- .... --- --... ..: � � �� Date
Application Disapproved for the following reasons. ----`------------------------... ........--------..-...--------.--............................................. ......................................
.................................................. - -......--------...------------------ ---..--.-.....-----------------------------------
-------
Permit No. ...- ..- - -... Issued ......... '..
............. /
-...----- G .
Date
f
A �
No.
------- - Fps...............
} THE COMMONWEALTH OF MASSACHUSETTS
- BOARD OF HEALTH
TOWN OF BARNSTABLE
AV fixation for 14apusa1 Workii Cnnnitrur#uan Urrmit ¢.
Application-is hereby made for a Permit to Construct (..4 or Repair ( ) an Individual Sewage Disposal
System at:
\3''1� U" -./-7,►''1 ^ .. • i�.�.l.i.O.�.....2..�.../.•.S..a..�..9..�..3..G...... .•----....--•--•-------•-�-y/--�--•-•-----.........o_r...L_.o.t �/Z � ZoT
...................
Location-Address
Vle7V
-••--... ... 0 .......................................... ..........--------- ----.........................--•---.�
Owner '! Address
Installer l Address l''
Type of Building Size Lot--_-..... .G 2- Sq. feet
U Dwelling—No. of Bedrooms...............�.._..__......_....._.....Expansion Attic ( ) Garbage Grinder ( )
aOther—Type'of Building ............................ No. of persons..._...................... Showers ( ) — Cafeteria ( )
Otherfixtures ----- -------------------= -f ....................................................
W Design Flow......................�......................gallons per person per day. Total dailyflow...........: je............--......gallons.
Septic Tank—Liquid capactty.A .gallons Length__ .G_.._.: Width'' _. _.__._ Diameter________________ Depth. ....
P „ ..
Disposal Trench—No..................... Width.................... Total Length............A..... Total leaching area....................sq. ft.
Seepage Pit No.......... _____---- Diameter....... Depth below inlet..... ............ Total leaching area-_94.2_Qsq. ft.
Z Other Distribution box ( ) Dosing tank ( ) . If -'-' Percolation Test Results Performed by.....&�PWA7?—o — - kG'�-«/•_- 6,C7 /�7l`'Z-
----------- ------•------------ Date ...---..... ...-------•----•----'
Test Pit No. 1.�. -......minutes per inch Depth of Test Pit-__�.!�:...___ Depth to ground water.._.- :.............
Test Pit No. 2..G.Z-...minutes per inch Depth of Test Pit-_!. Depth-to-ground water.-----`%............
W .......................................................... -t`� ............
O Description of Soil....... -Sai
x -------------------------------------
•--------------------
.........................................................../S /Cf�f /_!t1.......:---..SLID-sa
W
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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed - ....- " ........... ............ '--'----- '-"'--"'--'-'--'a-----------_--- ..-"-"--"....I .."--------------
Application Approved By ...- . ,d...v�/.._ / --""'-"'- -,' ---------
U
Date
Application Disapproved for the following rearonr .... " ... " .......
--' I
----...'............... -------------. ------- . ... \........................................................................................
Permit N Issued ........ �V .......-... .l.�/!?�
..✓'D�ace..r........'...'--
t Date l E
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Tertifirate of (gantylinure
THIS IS TO CERTIFY, That the Indi*idual &wa e isposal System constructed ( or Repaired ( )
1
has been installed in accordance with the provisions of TITLE 5-of he State-E V-1"Onmental Code as described in
the application for Disposal Works Construction Permit No. .....r�I--.-..... dated ................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION
r-t SATISFACTORY.
DATE..-----'-"----- -------' / / "
-Inspector ................. ...:....---'---"---'-'--............--"
_ N a i---------------------------------
THE
'I
COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�' � TOWN OF BARNSTABLE io
No...................... FEE..... .._...........
l �1.u�n�#r- ,�n rir�tt�
Permission is herebyranted... f-_n �!._!........_..h. // l.y2....................................................
g
to Construct (t/)�or Repair ,F ) an In•ividual Sewage Dispos . •ystem
at No.. .....Y.. �.........��' 7�t� � 7�I 1/ ,�� 115?1 .....' .�. Y ��.�_._....j... .......:.:r........_�._;....t..s.._.,.......'- lF• eated.,.-A,-,
,�(\�\��///,/a/_.._.__..
Street
as shown on the application for Disposal Works Construction Per it N,o,..�-_v .---. -------.----•-.------•-•-•--../
/� Board of Health
DATE :/ ---------•---
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FORM 36508 HOBBS Q WARREN,INC..PUBLISHERS
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TOP OF FOUNDATION
CONCRETE COVER
CONCRETE COVERS
4"CAST IRON 12"/,- MAX.
OR SCHEDULE 40 4"SCHEDULE 40 PV.C.(ONLY) 12"MAX. '
P.V.C. PIPE
PITCH 1/4"PER. PIPE- MIN. LEACH
PITCH 1/4"PER.FT. PIT
PRECAST
o' INVEER a LEACHING
° EL.. P INVER INVERT o; w �? PIT OR
SEPTIC T/aNIC 94,36 DIST. _ EQUIV.
EL... .. .. . . . EL.....°�� >
INVERT ®OX ,. , —� .,.
o; EL 8'f¢-�3 GAL. INVERT INVERT 6 0a G' ::�; 3/4'tT011/2
ELF n ,. w w 0•
�� WASHED
w STONE
R-77 Bb ,.r •�
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6'DIA. --�
Noi I�
DIA. t=r/Coc��rt7t6�
PROFI LE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
NO SCALE
SOIL LOG WITNESSED BY :
DATE acTB l95Z TIME.��'O°�� TE7z�y �v�vN�^�G BOARD OF HEALTH
TEST HOLE I TEST HOLE 2 c��.c//�/zD �', � �/
ENGINEER
ELEV-1:94. 8o ELEV. .87 s. .
• • • • • • • • . . . .
WooDCoArj WooDGt�A�
DESIGN DATA :
NUMBER OF BEDROOMS
TOTAL ESTIMATED FLOW . . 33d• • GALLONS/DAY
BOTTOM LEACHING AREA 78"��. . SO.FT. /PITIC,,O,
96" �• 78 8v gL" SIDE LEACHING AREA . .�88•. . . . SQ.FT./ P I V 4713
C.P,A
AlE/h GARBAGE DISPOSAL (50% AREA INCREASE)
p TOTAL LEACHING AREA . .ZG?.�. . , SO.FT
PERCOLATION RATE . .?�t/o MIN/INCH
No .WATER ENCOUNTERED
LEACHING AREA PER PERCOLATION RATE '�98SQ.FT.leBL
OR/�
NUMBER OF LEACHING PITS . . . . . . .�T.Wi7ffI771 .
APPROVED . .. . . . . . . . . . . BOARD OF HEALTHY
DATE . . . . . .
AGENT OR INSPECTOR
LoT 3� EDq.At, '\ y� v�• Yc
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LLEY y C H L
/7c,ote---./T/�C�. .KO D �.: e- No. 26100 p No. 7
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PETITIONER SANRAR�a�
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