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HomeMy WebLinkAbout0130 BRENTWOOD LANE - Health � � /� y� � � � � A �/ .. TOWN OF BARNSTABLE b LOCATION Lai I SEWAGE # < Z VILLAGE cvh• w_ Q"' r ASSESSOR'S MAP & LOT ,_3 4S5-6o INSTALLER'S NAME PHONE NO. Fi JA" 77-r-33S,7- SEPTIC TANK CAPACITY /GGO �' • LEACHING FACILITY:(type) /pw Sol- /d (size) /000i '#4- NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER A&lc' BUILDER OR OWNER 147 •f/yl'w. DATE PERMIT ISSUED: 9-/I `1Z DATE . COMPLIANCE ISSUED: �- VARIANCE GRANTED: Yes No e/ t� � 1 /off 43 9 5 f_ No.- __..._ �N� _ Fps .... _.... . C' & 6� THE COMMONWEALTH OF MASSACHUSETTS gppR®YEO o�+ (0o. ( BOARD OF HEALTH l �tr.,--- ' •and rtrflc � p2 N�Co �a� ►Nt�,i4 TOWN OF BARNSTABLEA� Appl ration fur Disposal arks Tonstrns�to uti# � Application is hereby made for a Permit to Construct or Repair ( ) an. Individual Sewage Disposal System at: (,T0 A1Q..eJt�- �/zeNTL�/o�, Location-Address or Lot No. €!�Stf............ ,..........' G✓iNon�� � o�,¢t s?4-------................... ---- ---- Owner Address W Installer Address � Q Type of Building Size Lot...�'T.G.7.3---Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ........................:.. Q W Design Flow.............. -r.........................gallons per person per day. Total daily flow.........................................e......................:..gallons. WSeptic Tank—Liquid capacity 4oc5.0._gallons Length.-AK"... Width.4.i!�`___ Diameter................ Depth S"8':__. x Disposal Trench—No. ......Z.......... Width......A.......... Total Length_...ZO. ...... Total leaching area..... 3Z...sq. ft. Seepage Pit No..------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.... e!9 o....... :... x..........•. Date2��_./G. raj Test Pit No. 1....-' .....minutes per inch Depth of Test Pit-__-.-e�....y'.. Depth to ground water..__.....-"............ Test Pit.No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ---------------------•-----------.•--•----•-•••••••••..................---•...-•--••--........................................................ O Descr tion of Soil._.a/--¢8"---woopCa ____- _.rv/3-5oiG ,48y=./08 i " �✓ S.!�-�v® 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 de—The u ersigned further agrees not to place the system in operation until a Certificate of Com a ha een issued the board of health. v � _ Signed - ---------------------------------- --------- .. �- �In DazeApplication Approved By ------- .....Z. I- .. - -- ------------------------------------ -------- ---- ---`--� g �` te Application Disapproved for the following reasons- ------ -------------- ------------------- ---------------------------------------------------------------------------- ------ ------------------ ------------------......----------------------------------------.............................................................. ------ ..... ------------- Dace Permit No. /....a �`� ---------------------------- Issued . Date 1 r el 517) No.../' :1 5 Fss......1. `......_ X t CONS' THE COMMONWEALTH OF MASSACHUSETTS � c roo2(00� BOARD OF HEALTH NG�oVv4M"CVO j;4 TOWN OF BARNSTABLE ��� ,�lllp iratiDn fur Uiipnoal ,arks Tonstrnrtuan amit Application is hereby made for a Permit to Construct (V) or Repair ( ) an, Individual Sewage Disposal System at: (,To n/Q V IC�%f� Location-Address or Lot No. JC /ui!Vlu N W E�s�i. =.. o Gvrn/o�vAocNEsr2,- N� (7.. ... _........---- - •..._ ---- Owner Address W ` Installer Address ��,�� Type of Building Size Lot.._-4T__G7.3...Sq. feet Dwelling—No. of Bedrooms............................................Expansion-Attic ( ) Garbage Grinder ( ) Other—T e of Building ............................ No. of persons............................ Showers — Cafeteria a ----------------------------------=--------------------•---- W Design. Flow.............Other ��es _---- -_..._gallons per person per day. Total daily flow............................................gallons. R; Septic Tank—Liquid capacityA ..gallons Length__8`._...._ Width._4._ __._ Diameter................ Depth.4.'8"_.. W Disposal Trench—No........ .......... Width------- .`...... Total Length......°._- ...... Total leaching area..._.1¢-4t---sq. ft. x Seepage Pit No.--______-__-_-_- Diameter.................... Depth below inlet.................... Total leaching area........_........sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by._.. !!!! -..._._6:.__!494!9� Date. Test Pit No. I................minutes per inch Depth of Test Pit------ Depth to ground water............_........... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -----------------------------------•--------•----------.---•-•-•----•---•--------•------•------•--------.----•-------------------------------- O` Description of Soil -o�.- 48" woaa..a.4?y "5�.!/3-SaaiG. 8"=../�8i� -_.S ,yQ tV /`--------- --/3�- Si r........... �----'SA.....o--------------------•--------------•-...... ----.......................--•---. `W �. U Nature of Repairs or Alterations—Answer when applicable...................................................................................:........... It Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental bode—The ndersigned further agrees not to place the system in operation until a Certificate of Compliar3ce ha'ss beev6s ued y the board of health. Signed ...................�.--------------- ------------------------------•-- ..... ' /' ��'- Dace Application Approved B --- ( J-- --------------------------- ------------------------------. -----& /0--'--`-?2 PP PP Y �_n � Dace Application Disapproved for the following reasons: .. s �� i 'Date Permit No. . �. _ _ Issued ... Da- 1 te THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ert-fiftcaz#e of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( &el' or Repaired ( ) by--------------------------------------------------------------------------------------•---------------------------.....--------------------------------------------------- .................... Installer .- at . D ....---y c - has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. --..;.;�....... ...... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------- (.....-- -------�. C . _---------------------- Inspector .........�...t�--- ---------•---..-.. ............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.........:. ....... L TOWN OF BARNSTABLE FEE........ Dispasal Works ('11.19-no#rnr#uan rrmi# Permissionis hereby granted.............................................................................................................................................. to Construct or Repair ( ) an Individual Sewage Disposal Systern atNo............---..e. . .1.....- ,......1r.C�:z-:....---•---•---- -cam: .......-•-----••------------------------•--.....::.... Street q / as shown on the application for Disposal Works Construction Permit N g s.. Dated.......................................... .................•..•••-• -....------------------------...-•---...-----............... �j_// Board of Health DATE..................... ....-lf.-.- a'..............:.................. t FORM 36508 HOBBS&WARREN,INC..PUBLISHERS 4 lam, ys' 30 / i — ' ' EZeV. 7bp of no' \ /L' Iva ~- 77Z&wcW � i �-�S. FIST• -SE�J]� E 'w.. --- .y _ / �fn//G a m'` .,� � t:-;s -. .=`% •. L07 j �` ��� / :' �..► .,RA / N o J 10-7,6o CERTIFIED PLOT PLAN LOCATION Bilj?!! l-�G�- �'u�s►!� ¢�v!a� SCALE . //ram�.�. .... DATE PLAN REFERENCEi!�f r \\ /� "'"o (ELLEY Fr, N. 2S?OrJ � I CERTIFY THAT THE Pf?oSE7� :fG:�/i✓� 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. DATE . . . . . . . . . . . . . . REGISTERED LAND SURVEYOR EL../dG, oo ,Sy�'9— L off-• Z s-I�f��S TOP OF FOUNDATIO14 ' �.° CONCRETE COVERS •o mTr��n.• 4 CAST IRON 12"MAX. OR SCHEDULE 40 4°SCHEDULE 40 P.V,C..(ONLY) 12"MIN. � A P.V.C..PIPE MIN. PIPE- MIN, LEACHING TRENCH (.. REQUIRED) y -- PITCH 1/4 PER.FT. PITCH 1/4"PER.FT a . I/t3' - I/2�nASHEDPtSTONE` `L�� n n „• n Y� n n e n i INVERT INVERT ram_ In n _ ,in ri f�i_i l_1 i-ice it �� ',a EL../.o3;6 f�' INVERT DIST /Z SEPTIC TANK EL/n3,PZ BOX EL?A-0 FLOWDIFFUSORS ( � 1 ,.. INVERT INVERT GAL.. EL�UA 9,Z' INVERT INVERT EL/off./ EL............. No�/E PROFILE OF • =�'� /a- G3BZ GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM TYPICAL CROSS SECTION LOG - . SOIL LEACHING TRENCH• f NO SCALE �-� M�Q•, //;oa�3 NO SCALE' GATE . .. . . . . ....... . TIME . .. . . . . . . . /. . TEST HOLE I TEST HOLE 2 ,o�,,� DESIGN DATA : ' ELEV. . ELEV. . . . . . . . . . . 12"MIN. .. . . . . . WASHED NUMBER OF BEDROOMS STONE Woo A� u �r / S�B-•sb�c. TOTAL ESTIMATED FLOW . . . . . ..n Z . .. GALLONS/DAY �'� EL./oZ,/o BOTTOM LEACHING AREA SQ.17T./TRENCH%/9.L Ga" SIDE LEACHING AREA . . . .',r�. . . .. . . SQ.FT./TRENCH/�I 9 P�xc L C.P.D. Z3/4 -I I/2" GARBAGE DISPOSAL . AREA INCREASE) WASHED STONE NONE TOTAL LEACHING AREA SO.FT. ¢I �I PERCOLATION RATEVE' M�^/•, PER. INCH t3 ' .SiGT LEACHING AREA PER PERCOLATION RATE SQ.FT./C.RD. GROUND WATER TABLE 9-5', APPROVED BOARD OF HEALTH ,• ,,Z ....� cz.. /a . . . . . . . i ,/✓o. ..WATER ENCOUNTERED DATE . . . OF !qs AGENT OR INSPECTOR EDWARD �,� F go WITNESSED BY : E z RE BOARD OF HEALTH T �� KEI_Li No. °6f(C�J O �C ` � ENGINEER '\�'`:� `STER�O��c"''• ../. �G/�� /�7�I D �-/I7 •. ��`���^t',`�C'r�•c^7� SA NIT A0.\P�a 1,a. . . . . PETITIONER �',t/G/•V��� �, �..l��v.tT. Cq.