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HomeMy WebLinkAbout0188 CARRIAGE LANE - Health �- ��� �� �� 1 � i � � � � �� � � I� ► � TOWN OF BARNSTABLE ° LOCATION) ��}QQ f�Gr Ay�C SEWAGE # ! - VILLAGE I&Ns Vfiq ( ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY / too Q Q �. LEACHING FACILITYAtype) QQ( T/OaC(size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER cjf n� DATE PERMIT ISSUED: ) -j to - DATE COMPLIANCE ISSUED: - to - Q VARIANCE GRANTED: Yes No 1/ a3 � © ' 34 4q 9 f - . r ti —01 No.._ �....� � •-- Fx$ .......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE AVVftration for Di ipaaal Workii Tonstrnrtinn Prrmit. Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sys ... v--------------------------- -------------------------------------------- ......................................... Address or Lot No. .. . 1 ....� ................. Address GGG Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.............................. .. .....Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons.......i1............... Showers (a.) — Cafeteria ( ) a Other fixtures -------------------------------- . W Design Flow...........................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity/6 gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................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.......................................................................... Date........................................ 4 Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 �/= ODescription of Soil C?L ----------�C�t!t --------•-• -•---•---------------------------- ---- ------------- -------------------•--•---••--- x U -----------------------••-•-------------------•---------------------------------------.........--•----•-•-•---------------------------•---------------------------------•---------------•--...._._...... x ----•----••----------------•--------------------------------.----.------------------------------------------...... .. s U Natur Rep rs or Alterations—Answer when applicable..._______ _______________/___......._.__..._____._ __.._ ._.. � . -T--------------------------------------- ----------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental e—The undersi ned further agrees not to place the system in operation until a Certificate of Compliance een iss of health. Signed ................................................ -- --- --- -- !/ hZ �d .....------ Dace Application Approved BY . .......... Date Application Disapproved for the following reasons- ------------------------ -- ----------------------------------------------------- ---------- - ----------------------------- --------------- -------------------------------------------------------------------------------------------------------------- ---------------------- Dale----.- ---------------------------------------- C� D PermitNo. ----- ...................... .......... Issued ................................-..........-- ---..........ate..------ 1 _ G , THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Disposal Works Tonstrurtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual. Sewage Disposal ....................... .............................................. o n-Address or Lot No. �W�j zk _•/lw........... ........................................... Address........................................... Installer Address Type of Building Size Lot...............:...........Sq. feet 0-4 Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage 'Grinder ( ) Other—Type e g -----.._•------------------- No. of persons-------�z�. ...._...._.------ Showers (� — Cafeteria � yp of Building ( ) d Other fixtures W Design Flow......................................:.....gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity/ gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. 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........................ fs, Test Pit No. 2................minutes per inch Depth of.Test Pit...:................. Depth to ground water........................ R+' DDescription of Soil---.. 1 ------...•SC...f!t.....----•-••-------------------•------------------•.-------------------- ----...-----.....------.-•-•--. x c.� ------------------------------------------------------------------------------------------------------ .-----------------------------------------•----------------......----------------------•---------- ---------------------------------------------------------------------------------------•-----------•-------------- ..............A........................ Nature�of Rep 'rs or Al U terations—Answer when applicable........... ------/.__-----�1 r Agr ement: 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 ha been issue he .o a rd of health. ZSi ned . 5j-- ...------ �- ' Application Approved By ................... ..- Date Application Disapproved for the following reasons: .......... ..................................................................................................................... --------------- -------------------------------- --------------- -- ------------------------------------------ --- ---------------- ------...................................------------------- ------------------------------------- PermitNo. .---..7 ---,---- ----------------------------------- Issued ...........------------ .----............-------- Date------ ' Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertifirate of C araptianre /T�I�S Q CER TW-y Thatfhe/I�ivi ual wage Disposal System constructed ( ) or Repaired ( by--..V.... �/U.. ...... ll ........................ ........................................................:....------....------------......------..:-- .. //(]( / Installer at ...-f.....SSJ� C�J1 -.-..-:..4...... ^........ ............... has been installed in accords ce 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 .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH qC� TOWN OF BARNSTABLE FEE...... Disposal Works Tunu#rudiun. Vprrmit Permission is hereby granted.........Vn_,. ............._.................................. to Construct ( ) or Repair (,X) an Individual Sewage Disposal System at No...............l..R. r.......C--- 1................ Street as shown on the application for Disposal Works Construction Permit NO �!�.....�.f-.°.... Dated.......................................... ................................ �_.....------....••----...••.---....-•------•.............. DATE............ =,9.?................................. Board of Health FORM 36508 HOBBS&WARREN.INC..PUBLISHERS Jlfiv LOCATION _ SEWAGE PERMIT NO. 6: 0 cAr, 14,c- /-/,- 8 V I I L A G E ASSESSORS MAP N0: PARCEL NO--- I N S T A LLER'S NAME & ADDRESS JJF T(»/2c7 /1/t d5 .t-A- OR OWNER vL� J'o A,., S DATE PERMIT ISSUED 77- DATE COMPLIANCE ISSUED 331 ��, 64 0 33► �, �I 7� . . ..> .y. No........................ Fzcs..... . . f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Disposal Works C oUstrurtinn Famit Application is hereby made for a Permit to Co truct (K) or Repair ( ) an Individual Sewage Disposal System at: t----.i''A-...'.`- L c tion. ddress - Lot No. t Owner aV 3Z�� � S? �0 =.-.} �-�=:. ......C �\ .................................5 rc ��`t�Pti1 �\. �• Installer Address , Type of Building Size Lot--- �, ...Sq. feet Dwelling 3C No. of Bedrooms............ ...........•.•.............Expansion Attic N(� Garbage Grinder a`4 Other—Type of Building ............. No. of ersons__................_......... Showers YP g -------------•- P ( ) — Cafeteria ( ) dOther fixtures ..............................................-------•-----------------------------------------------------•-- ------------•-•-----------•--------• Design Flow.............N� ......_........-._.___gallons per person peer day. Total daily flow__-_-_------a .....................gallons. Septic Tank—Liquid capacity.!�0...gallons Length---)Q......... Width__......__.. Diameter________________ Depth_..._._..__..... W Disposal Trench—No................ Width......p---------- Total Length......... Total leaching area....................sq. ft. Seepage Pit No......I.............. Diameter........1431....... Depth below inlet...k............. Total leaching area..335......sq. ft. Z Other Distribution box ( ) Dosin ank ( ) _ �" Percolation Test Results Performed by._..__..__._9)"nR .......:.......�--�.,.._ �•... Date........ 1r. .� $.._.. ,aa Test Pit No. l�ilf+.A'16Mmmutes per inch Depth of Test Pit---- '..... Depth to ground water..... Z'q! _.__. r=, Test Pit No. 2................minutes per inch Depth of Test Pit....Al......... Depth to ground water....N.C* _. Description of Soil... .VL0AW\................... x 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 Sanitary Code—The undersi ned further agrees not to place the system in operation until a Certificate of Complianc e e y rd health. Sig ....... .................. -- ............. -- •-•--------------------•-- --- "� . .... J —Pat7 Application Approved BY ..... ---- ...... - Date Application Disapproved for the following reasons:-----•-------••-------••----•----•--------------------------------------------------------------•--------•--•--- ..............................................................--------------.......•----------•-----•-----•------•-----•--•----r-•-------------•-------------•••...---•-- 7........ —Date Permit No...................... - Issued_ ---•--. ........... Date ef No.. - ........... Fimic.*........................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................._.....OF........................................... Applirativiv fail..Disposal Workii Tonstrurtion ramit Application is hereby made for a P. ermit to Construct X) or Repair an Individual Sewage Disposal System at: ----------00-4-$1--% 4.....s.*---- - ------ -"......."...........­­...... Z - ---------------------ion-- ddre :�;WEST Ko-9M Vtt i\ AV� S�4!x\% N --Zo ws 4. .................... % .. .......... ---- ........ .,,,,,Owner ^C_ � ........................................................... ------------------------------------ ............................................................)------------------------------------- Installer Address Type of Building Size Lot_...I-Se.).a Sk...Sq. feet U Dwelling—No. of Bedrooms._...._....I............................Expansion Attic NO) Garbage Grinder NO 04 Other—Type of Building ............................ No.,.,of persons............................ Showers Cafeteria 04 Other fixtures .......:-----_------------------...................................................................... ..!4 \O c 3 �*----------------­--*------- W Design Flow.._...._._.....................f...........gallons per person PFr day. Total daily flow---- .......................................gallons. 04 Septic Tank—Liquid capacity..�! ...gallons LengthAq.......... Width...5.......... Diameter................ Depth................ Disposal Trench—No. .................... Width......#............. Total Length...._ I-------- "'.3... Total leaching area .......sq. ft. .1 Seepage Pit No____I-------------- Diameter_____—_�a....... Depth below inlet... ............. Total leaching area ------sq. f t. z Other Distribution box Do"*,Kark!( Date............. q .V 1.-q 'a Percolation Test Results Performed by-------------------------------------------- C. -------------- 44, -- Test Pit-,,N io-0------ Depth to ground water_._-------, -P. 4JInr..;Vminutes*per inch Depth of Test Pit--- --------------- Test Pit No. 2................minutes per inch, Depth of Test Pit.................... Depth to ground water---YN4 --- -------------------------------------- ........... ------------T#........ ------S... ENE AND ................................W�....................6-P........................................................................................... 0 Description of SoiLe V '*-------------------------------------*------------------------------*-----------------------------------------------------*----------------------------*-----------------------------­*--------------- ............................................................................................................................................................:........................................ U Nature of Repairs or Alterations—Answer when applicable........ --------------------------------*---------- ........................I...................I................................................................ ...................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT 112 5 of the State Sanitary Code—The un wined further agrees not to place the system in operation until a Certificate of Complianc a issue y _rdli health. Si ...... ........... .. .... ............................................. App lication Approved By... .. ..... .... ... -- -- ---- . ................... --- Date ...... Application Disapproved for the following reasons:.............................................................................................................. ......................................................................................................................................................................................................... Date Permit-�o........................................................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ .............OF........ ................... eT S TO C TrrfifiraU of TI-Impliattrr .ted ��) or 4RTIFY, That the Individual Sewage Disposal System construc Repaired by.. V_.�� .......... ...... ...............................:e....... ....................................................... n taller ---------- • at.. ................. ...... ............................................. ------------ ...has been installed in accordance with the provisions of f The State Sanitary Code as described in the Jqapplication for Disposal Works Construction Permit NrV......:........................... datedl- _2,Xt-7f,* THE ISSUANCE%­0F THIS CERTIFICATE SHALL NOT BE CONSTRUED.AS A GUAR NTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............ ..........7... ............................................. InsDector—,-,---�� .... ... ... .......... THE COMMONWEALTH OF MASSACHUSETTS B_ 0ARD/§):F HEAL ................. .......f.. . .. ....................................... ............................. No........................... FEE........................ rkii otr tt firrmit Per�n s reby gra Per_. ranted ------ ........... .................................... ..... ................................................... ;t to ons uct epair ivi(144L Se e Disposal S atNo . .............. ....... ........ ............. .. ....................................................... C Street 77;7 as shown on the application for Disposal Works Construction /7 &21 f ...... .......... ----- -i.ad of Health Z Per 0'/ ... ...... ................................... DATE---- ... ...... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS 2Go.oo EL• /oz• l . tZ,/o3.a 30.46. /tZ•rfB.Z.� �sr Hoch' 2. ® ® J- P.# Ez.97•¢ r�s r A2.9B,Z A*4r a,998 - - ---- pox °� SEPTIC � T 31. 24o SQ,GT q� Ec.99. 8 �o M "t Ez,97 3 lrm,-Z) - o �+no,v_ 42,99,it a ge,9 \ Et,99 9 \ �H EL,/ao. 3 EZ.99% / C/q,e�e�/�►G E" L,4/I6 .&.97,8 Pe V. woe- /VOTE-45&-V,9'T7vA..J.5 BA45,C'D On/ %,SSurl Co I�oq TL.y CERTIFIED PLOT PLAN irk LOCATION ljj42Ns7�91�1,,�" MAs s. LDWARD E. I,: _LEV y. . . .. . . . . . .. . . . . CUMMAQUID4 MASS. 02637 SCALE . ?:�. . . DATE olua. z'?.!976 PLAN-REFERENCE .4F47,V(;. . T 4.5- E'DWARD E jam' 1 /N. . AL. .,i. 100 1 0 Ll ... . �kp SIDRd�'y I CERTIFY THAT TH � . . .. ..,. SHOWN ON SS TED ON THE GROUND AS THAT IT CONFORMS TO THE LeT'# �v� SET IREMENTS OF THE TOWN OF WHEN CONSTRUCTED. -pAv/D 4. DATE PETITIONER: 147 lz,194vlz LA,/t . . . . . .. . . . . .. Q�rLwsT�AGE M�5 S REGISTERED LAND SURVEYOR SNE�T .2 of ,Z S<•✓EZ�T S L. /o/..eO. .. ... . TOP OF FOUNDATCON CONCRETE COVER CONCRETE COVERS . e 4' CAST IRON 12°MAX. 171r 12"MAX. " T3/4 �►PIPE. (OR 4"ORANGEBURG(OR EQUIV.) EQUIV.)- MIN. PIPE- MIN. LEACH PITCH I/4"PER.FT PITCH I/4PER.FT PITSTINVR7 aNGEL.• INVERT INVERT . . oRSEPTIC. TANK 9 8/ DIST. 9 w IV.EL...7.•. . . . . EL..7 , >_INVER o BO.. .. GAL. INVERT p EL.97% 8. EL•�7�9 INVERT `° ww 0: 11/2�ELAZ. ,. u-c aED.w /o �o . PROF LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE [pnoLd00� SOIL LOG WITNESSED BY DATE R .�;.i978. TIME_9%3o A,�!!. P,quG , MueQA'/ BOARD OF HEALTH TEST HOLE I TEST HOLE 21o.yAs , ENGINEER ELEV. !�!•.��. . . . . ELEV. /oo i.� . . . Eow�eo E; ;LEu�y� BLS, wooaGwry wnaD[aAy un DESIGN DATA SSI&W,46-Sol NUMBER OF BEDROOMS '3 PEW. TOTAL ESTIMATED FLOW 33v GALLONS/DAY. BOTTOM LEACHING AREA t!ii", SO.FT. /•PIT riNE �Nt SIDE LEACHING AREA ZZ6./!�' SQ.FT./ PIT SA+vD SAva c _ GARBAGE DISPOSAL .No. . . 4•`.—. .(50 /o AREA INCREASE) TOTAL LEACHING AREA . 319. ?9• SQ.FT 144'' PERCOLATION RATE .�H!''� 25SEC, , MIN/INCH LEACHING AREA PER PERCOLATION RATE :WW%4 SQ.FT. Nv .WATER ENCOUNTERED NUMBER OF LEACHING PITS THOMAS E.KELLEY CO. • ' APPROVED . . . . . . . . BOARD OF HEALTH F '°i� S�'� E ENGINEERS - -SURVEYORSDA/144.(- SID", 346 LONG POND DRIVE 'DATE. SOUTH YARMOUTH,MASS. AGENT OR INSPECTOR o2664 • �����.�OF M,�ys9c THOAAAS Z oT j ��le/A6'� G.9i✓�. . ��� r'f?`HARD E• E. KELLEY •�Ay�a �9. S,vEsKELL a , ISTEQ` F'�SroNAL�a6�� PETITIONER i• ��•��;;erg,