HomeMy WebLinkAbout0042 ALLYN LANE - Health a ALtr tme,
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?" TOWN OF BARNSTABLE
'LOCATION! R1L N.al AuIE SEWAGE #
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VILLAGE ASS,ASS SSOR'S MAP & LO
INSTALLER'S NAME S� PHONE NO. �R,A:� G �srt�a�7,7S'-oqq
SEPTIC TANK CAPACITY loon Gs-'
LEACHING FACILITY:(type) P2cc-RsT- (sue) /ciao �cp
NO. OF BEDROOMS .J PRIVATE WELL OR PUBLIC WATER o,y
BUILDER OR OWNER j AA a kj oLAj
DATE PERMIT ISSUED: ® Iy 1 ci
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
Ll G c
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No._,� .-..t .. F$a....... �
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
T`'a Ca'r
Appliratiun for Disposal 18orks TanstrWiun 1hrmit
Application is hereby made for a Permit to Construct ( ) or Repair (./�an Individual Sewage Disposal
System at:
.....yam.... . .---. .....---. -� � .. .... ....................................................................
Location-Address or Lot No.
............................................ ......................................................................................._.-......
Owner Address
----------------------------------------------- �!1
.... ................
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms.._......___�__________________________Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ___.... No. of ersons____________________________ Showers
�W YP g --------------------• P ( ) — Cafeteria ( )
QOther fixtures -- ----------------------------•------...__....---.....----.....-----------------------------------._........--•••-•-------_-------------------------
Design Flow................YIP._.._ ________________gallons per person per day. Total daily flow............*33A.......................gallons.
WSeptic Tank—Liquid capacity..l_O_PQ_gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft.
3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by..............................................................-........... Date....................._..................
Test Pit No. 1________________minutes per inch Depth of Test Pit..............._.... Depth to ground water........................
f=. Test Pit No. 2..............;_minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ••--•-•-....-••-•-•-•••••-•--••-•••••-••••-....---••-••--•................•••••-•--_.....-------•-----•_....----•---•-------•••-:.......--•-----._......
0 Description of Soil........................................................................................................................................................................
V .......................................................................................................................---------.......----•---...._..........._...----............_........-•••----•-
W
______________________________________________________________________________________________________________________________________r___....___. ........._._......_._....._.........
_..........
.....
U Nature of Repairs or Alterations—fA nswer when applicable_.__..•% ��:_..P.J. °t'��
--laJJA....2 ,F�.aQrJ�., �a°z�!�ld------------------- .................................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITl U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of h lth.
Signed.......p:A..l�t`a'y/-1.1- C:.,_0 - ............. ................... ../P./ Up•••-•=--
Date
Application Approved By...... ...t,z ...... ----•-•-- ----•-
Date
.Application Disapproved for the following reasons:...............................-......................................................................-.........
.............................................................................................................................................-...........................................................
_ Date
PermitNo.......... ............. Issued........................................................
..
— - - - - -- - — _ Date
„ ..-x`..r^` s� - i'`+'���*'ti'i'�%✓'V�+i �'°"�""�`��^t` - "� "�- ..1]r�.�v�-rt`1r•irYt,
Fza.......v._.... ...
THE COMMONWEALTH OFF MASSACHUSETTS
BOARD OF HEALTH
TOWN•OF Y0_Ut-{f/e
A�#lirtttiun for Disposal Works Tonstrurtiun :rrmit
Application is.hereby made for-a Permit to Construct ( ) or Repair, (V'�an Individual Sewage Disposal
System at:
....Yz.., .�..�. .....L.� _........ � - --------------- - ------.......----- ..•................................------
-- .......---- ....- - -
Location-Address. or Lot No.
. .f.e�, ,.-a1?A ...........-............................
Wf. !4l .: �_lSf1 Owner✓ _... ... Address/ ......... ....................
a----------------------------------------------- -°..... �v!�..�!�4??�..leq,.............. !ir•...............
Installer Address 1-
Type of Building Size Lot....................... ...Sq. feet
►., Dwelling—No. of Bedrooms............ --------------------------Expansion Attic ( ) . Garbage Grinder ( )
`4 Other—Type of Building ( )
a yP g ------•-•------•-•---------- No. of ersons-------...-•---------------- Showers
( ) —
� Other fixtures .--.--•-------------•------------------•----------------------------•---•---------------------•---•-•-------•--•--•---------•-•---------.--..-..-.-- f,•'
W
Design Flow.................11.P.....................gallons per person per day. Total daily flow............33Q......................gallons. •”"
W .Septic Tank—Liquid capacity.,/CO .gallons Length................ Width................ Diameter..._......_..... Depth........., ._..
x Disposal Trench—No..................... Width......:.............Total Length.................... Total leaching area................ - ft.
—Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area...........!'.`....sq. ft.
z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by-••-•---------•......................,..................................... Date........................................
Test Pit No. I................minutes per inch Depth ;
of Test Pit.................... Depth to ground water..................................
f� Test,Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..........................
x -------------------------------------------------------------------------•----•••...---••--•.................................................................
ODescription of Soil.......................................................................................................--•---...........1
- -
W ------•-----------------------------
... ... ----- ------------- -------_---.- ; -- - .....
x ...................................................... ..............................................................................-................................................................
.0 Nature of Repairs or Alterations=Answer when applicable--____ .� ✓IIG�I"ea-�.... ...�.... o.VQ.60....
pl----------------------------------••--•-----------•.
Agreement:
The tindersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with .,
the provisions of..TIT1Z 5 of the State Sanitary Code—The undersigned further agrees not to.place the system in
operation until a Certificate of Compliance has been issued by the board of h lth.
Date
Application Approved By.............. .......... dam. - ...:...,
�4^�-^`^� Date
Application Disapproved for the following reasons:..................I...................................................... ......._...... ...._
. :.. -
� ✓ Date
Permit No..... ...... .---.._.
4 Issued. a`.-• ... �i.........................
— Date
d .;K
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'S! za
'`�""R.3„ .:, '
J
THE COMMONWEALTH OF MASSAC�H.USETT
BOARD-1EALTH �
(Irrtifirate 'a Tumplittnrr
THIS IS TO CERTIFY, hat,the Individ1l Se ge Disposal System constructed ( ) or Repaired (�
by...................................................�. 3 .a_...7.....1� ..........._....... .._............................................_._....._
Install
at ..f14��rn1....�e ..........................................................
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No...... ..... dated............ ...
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS AS A GUA NTEE THAT THE
SYSTEM WILLAFUNCTION SATISFACTORY.
DATE.:..:10.`,Q s, 7® Inspector
.. .- ..........................................................................
THE COMMONWEALTH OF MASSACHUSETTS
-BOARD OF HEALTH
G l!� �=` TOWN of YA� @. 30 p c�
No....,7�>..`7:_.... FEE........................
Disposal Works (tuns. nrtiun Permit
Permission is hereby granted........... .- C.
to Construct ( ) or Repair (y/) /a/n Indivi.ual Sewage Disposal
/S7�
J;......... GQ.Y�..._ c.......�I�+L-aiJ..,dt� et .at No.. ...... -----•..............................................••-•-................
Street
as shown on the application for Disposal Works Construction Permit No...IQ:7- _�-D'ated...........................................
.................................\ t-0....................................................
¢ C� Board of Health
DATE. �.�._ /�j.:./'�
=/GG4
0CATIONALA SE �JACE PERMIT NO.
vlllACE 61,
INSTA LLER'S PIAAIE m ADDRESS
L-g h
BUILDER OR OWNER
DATE PERMIT ISSUED
D-AT E COMPLIANCE fSSUED ����
C
' -
:� «� ~-
` -°���.............
THE COMMONWEALTH orMAssAc*ussTrS
^���K~��� ���� ���� HEALTH
|
~ ��=~^"" ~�~ �~" " "�~" ^�~ " " " �
.................. 0E-.
IL
�~�� �� ��
Applir« tmou� �� �wipo � Wor=ti Tonptrurtmm(Pautit
Application is hereby made for u Permit to Construct ()C.) or Repair ( > an Individual Sewage Disposal �
' System at:
L-CYT re�
-' ----'-_--~_------ ----'_-----' -----------------------------------------'-,------
tio
��� ----'' NJ �������lp_°
...................... ----------^------------------------ ---------------------------------------------'---'
Address��� ������� ���Y������\��� ������s
-~-~--_--^-.-----------------_------------------' -------_---------'-............................................................
z"st"�, Address'' Type ofBuilding Size ---Sq. feet
`
Dwelling—No. of Bedrooms-----"�k--__----_---Expansion Attic ( y Garbage Grinder no
Other—Type ofBuilding P58X�&�N_(,- No. of persons---'�2--'-'-- Sbmweru ( ) -- Cafeteria ( )
Otherfixtures .....................................................................................................................................................
~` Design Flow.......5 ............................gallons per person per day. Total daily flow...........3a.0---'
Septic Tank—Liquid0K�'-gallons Leucdz-'.ck........ Width....5 ....... Diameter................ Depth.....��'-.-
DiyyoudTcenob--No. ---.-----' Wilth-_-_---.. Total Length.................... Total area--- ............. ft.
~~ Seepage Pit No........I........... Diameter-----AA��...... I)coth below inlct--...^4~........ Total uroo .....sq. ft.
Z Other Distribution box ( ) ) �
Percolation Test Results Performed hy'A_RV.T ��-.. A.fT -=��' ..' --__-- Dat K���K~��c..� ________.
Test Pit No. l-----�2 minutes per inch Depth of Test Iit-A_Q;_-.5 .... Depth to ground water...�/����'..�����
~~ Test Pit No. 2................minutes per inch Depth of Test Pic.A1�------ Depth to ground water-����q�L....r,&�\�
_-'_-----'-_____'.___- .........................................................
----------''..-_--------'.----__-------__---.-_---_-----'-----------_'-------_--------_
~� Nature of Repairs or Alterations--Answer when uoolicub��---.---_-.'-------'_--_-_-----.---.---.--
'-----'--'--'----''------'---------------'------'------------'---'---'------'----'------
A�rcrnzcur: ~
' The undersigned uQrceo to install the uforcdeocrJe6 Individual Sewage Disposal System io accordance with
the provisions of'LZ�1'I- 5 of the State Sanitary Codc— The undersigned further agrees not to place the system in
operation until u Certificate of Compliance of ealth. "
Signed................................... ...................................... --�
Application Approved
� Bv-.--. ........................... -- -
^~
Application Disapproved for the following reasons:................................................................................................................
.........................................................................................................................................................................................................
---
� Permit
� Date
'
��'
No.. FE.B 3.,7�..................
THE COMMONWEALTH OF MASSACHUSETTS
i
BOARD OF HEALTH i
1v w►.�
. ..._. - .................OF..... .Al2 N7T/i...........................................................
ApplirFatiun for Diipusal Works Tonstrurtinif Frrinit
Application is hereby made for a Permit to Construct (y-) or Repair ( ) an Individual Sewage Disposal
System at:
................_.......4-•-••---9 ......--------.......---................... -----••-----------•-•---•--------.....-----................._......•............................
ion dre s or Lot No.
p...,.........-----.y........................... .............--•---------•--------------.....-•--•-------------------------...---.........._..----
a l9� l Address
lea NJTA CI� t. t,Y,
••--•-••--••_.._Y..._ ...__ ...............••••-•---=�'----._ ......----.... ----------......-----------•. A 55
Installer Address
d Type of Building Size Lot_. ..�_
%.... feet
U Dwelling—No. of Bedrooms___________ _______________ __ Expansion Attic ( ) Garbage Grinder
-----_..
Other—T e of Building No. of persons........�................ Showers — Cafeteria
Q' Other fixtures ------------------------- ..............................................................
W Design Flow........ 5..............................gallons per person per day. Total daily flow.......... = .....................gallons.
WSeptic Tank—Liquid capacity.10!?! ::gallons Length...5......... Width...`.ate.__-_•---_ Diameter................ Depth...._5.......
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.___...____.__......sq. ft.
Seepage Pit No.__.....1-------_---- Diameter.....)_ ....... Depth below inlet.....A:...._.... Total leaching area. `-----sq. ft.
Other Distribution box ( ) Dosing tank ( )
Z Percolation Test Results Performed by-_A_.R t�l`__-_.C%_s 191:R _______________________________ Date_ �_��1_�,�1�_........._..._..__.
,a� Test Pit No. I..... -....minutes per inch Depth of Test Pit-_)__`?-��..... Depth to ground water.. Ns_.._FPO
Test Pit No. 2................minutes per inch Depth of Test Pit..�_2.........._.. Depth to ground water..��!NIS......E_tv0
a •-•---•--------------------•-•-----••....•••••••••••-•-•••••••.......__...........--•---•.....--•_............................................................
D Description of Soil.......... •••••C:i r -•-- tc' +tip z ti� `' t ►t��� �(-.i�<.Ao5,k.....�•�u t T
••••
.t�Ar �,,- -�----•-----------------------------------------------------------------------•----------------
W ................-•......................................................................................................................................................................................
UNature of Repairs or Alterations—Answer when applicable------------------------------------...........................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
TITLE,
+�•.
the provisions of T_:1...• 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been sued yet board of iealth.
Signed........................... `-_...--- ------ �_ ....
/��' !Date
Application Approved By........ : Y/
)dace
Application Disapproved for the following reasons----------------------------------------•-------------------------------------------------------------.......---
Date
PermitNo......................................................... Issued_......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............1.....D.".Ar. ......OF...... A)Xdf........................•...............................
Trruf iratr of f'JumpliFanre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( Ll-*O'r Repaired ( )
by.............A_..........��/Srl� .............................................-------------------------•----------..........----•---•-------------...----•-•--•--•-•------------
Installer
at-•-•••.....4-aid` X----------,,eV X 4.>'A6....-•-•--•E.-A0_,----•--------XUAIV---------------------------------------•------------------------------------------
has been installed in accordance with the provisions of TI T I.r. j of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No..&..1 t/4.14............... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE...................................... ................ Inspector......."= �.`t_��...............................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF.....................................................................................
No...9 x!tal.. FEE.. f............
Utopos al Worko C�unitrurtiun rrmit
Permission is hereby granted........4i..........j'�d_.WA- -------------------------------•---•------------.........--•--•---•----•---................
to Construc ( or Repair ( ) an Individual Sewage Disposal S stem
atNo.. ..�_4 -••-•-0.-----------,fit.. `�i' , .I�k - ." -�.'-----•-------•---------------------------•--------.......
Street
as shown on the application for Disposal Works Construction Permit No...................... Dated
��C: �.
- _
---
'J �( Band of Health
DATE............... •------(/-..................................
.. ..
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
SECTION - SEWAGE
SEPTIC TANK- - "D" BOX - - LEACH __ S}!T
TOP OF FDN
(MSL)z 2„OF TO yz„ .
W ASHF D STONE
i
IN OUT. - - i
IN' OUT- IN -
'3 -•��} G /
,(�?�� SEPTICG]."�e� I� • I
_ TANK ___T _ �_ 1 .
4)/
ELEV. ELEV. ELEV. ELEV.
1 ,
14 o f
ELEV ELEV.— r��_� ` 1 1 M'- ��. -a►
e
WASHED STONE Y .►
TEST HOLE LOG01
.'
TEST BY A�'!�Z 01A W) , A WITNESS �� �.�,U C7 yF
EST DATE 7�7/ 2-- DESIC7N -`--�---BED ROOM HOUSE
T.H. * 1 T.H. 2
--K ELEV. . I ELEV. 4Z. lr. I b v G
Ll•.� +. tK' L, A..�, . NO ' DISPOSER
PERC RATE < -MIN/IN.
DISPOSER - I . .�
Nllx :a �3-_ 3,8. FLOW RATE (GAL./DAY)
SEPTIC TANK
REQ'D SEPTIC TANK SIZE
`5ci 1� D7u SAw� I 1 4G�� F;"
p C S��Jr�� LEACH FACILITY � „� 4 4t
I
SIDE WALL I-oys 150,i',u f2'� )_ - 'S�1'_Q. G UkL
. ��• ?.s�*�a++�cf-�'•� \.� � er'
BOTTOM � },1� - 1-3'; --1 ) 5 t 3. {_ G iD
1 , TOTAL �w�. � _ `}9f�. ! 9 ti . � ..« .- '
I USE: q�, ..1 ?�i �(•:� K rl LEACHINGt_ ._ _ k` j�1 �a .4 ' "--"� .y"" ..-.�_" �•�{� `fyf ,
._WATER ENCOUNTERED 1..•, �� ~\1,,, ��,
NOTES: (UNLESS OTHERWISE NOTED)
1. DATUM (MSL) _.-TAKEN FROM.. Z _.____Sl.I 1_____ QUADRANGLE MAP �i" �� D J, �
+ 2. MUNICIPAL WATER
_.._..) i> •_' '-------.......AVAILABLE
�.,�'�i. 5't
3.PIPE PITCH: 114"PER FOOT {a*'
4. DESIGN LOADING FOR'ALL PRE-CAST UNITS: AASHO I I --44 �l Pti; f"' y
5. MIN. GROUND COVER OVER ALL SEWAGE FACILITIES:-{1) FT. )y1 Q— - DISTANCE AS CERTIFIED o'�L P1T vt dt .
6. PIPE JOINTS,SHALL BE MADE WATER TIGHT Low 5- T��tGHt i2
r. `t�a` Iti
?,CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM,OF MASS. } s �+ p
STATE ENVI.RONMENTAL CODE TITLE 5Yfl. I HEREBY CERTIFY THAT THE BUILDING SITE PLAN
SHOWN ON THIS PLAN IS LOCATED ON THE `
v!< ^i ;""� GROUND AS SHOWN HERON 8t THATIT LOCUS: ` �_ � �-Y" �A�E-
. � CONFORM TO THE ZONING BY LAWS OF THE
TOWN OF
WHEN CONSTRUCTED. DATE _T_- _- T�� a.,, bout ►cry C>✓La �Z.
t � REG.PRO ENOINEE.R _
RE:Fe�-F s^7
0�✓jI CQ' !e engi '�el�Ig PREPARED FOR. -
CIVIL ENGINEERS
LAND SURVEYORS
L.Jo
BOARD OF HEALTH REG. LAND SURVEYOR
CONTOURS (EXISTING) ------•----- SCALE
(PROPOSED)-0-0-0-0- APPROVED DATE - MA �. Yarmouth&Orleans,MA
DATE' oz-1:6