HomeMy WebLinkAbout0130 BRENTWOOD LANE - Health � � /� y� �
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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/
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No.- __..._ �N� _ Fps .... _.... .
C' & 6� THE COMMONWEALTH OF MASSACHUSETTS gppR®YEO
o�+ (0o. ( BOARD OF HEALTH l �tr.,--- ' •and rtrflc
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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
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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.