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Home My WebLink About0313 CARRIAGE LANE - Health 313 Carriage Lane Barnstable r A =297—030 052A R { TOWN OF BARNSTABLE 4 s► LbCATTON 03904 Cc,rr sex esP ir. As_P SEWAGE # S2G VILLAGE &As+A[e Ccts#,-.LXQ%b,. A{ASS SEESSOR'S MAP & LOT TA INS LER'S NAME&PHONE NO. qLS_ kt tJ ,_00 SEPTIC TANK CAPACITY rc GiC.� LEACHING FACILITY: (type) _iT C,11aW 4V&15 (size) 3C�0'S NO. OF BEDROOMS ` c)65 d BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Pf C-0 Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) See RaJ Feet Edge of Wetland•and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by - 41 f6' `` �Zool B ``Sww I Ca- S t:W at 2o'A't30X 0 y .. O � o `3 TOWTV OF BARNSTABLE c LOC',ATION SEWAGE # / 3 � `-ILLAGE1s �� ASSESSOR'S MAP LOTt--�' -0-74 INSTALLER'S NAME 6i PHONE NOl��rTiLO�i7r.��i =tit , SEPTIC TANK CAPACITY / ;,ao LEACHING FACILITY:(type) /J/7 ' ze) NO. OF BEDROOMS PRIVATE WELL OR L1C WATER �DERR OWNER �,�� / W4,i C S' DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i' ��. tir �-,.. . �,�. � � �_ ` `4, -. 9r THE CO MONWEALTH OF MASSACHUSETTS B AR® OF HEALTH �) WN OF BARNSTAB e- I . 4• s S 1:.:,'-'tANEER MUST SUPERV Applira 1 for Diripaiial Wurlui C o Ing�� V� IFY IN WRITIh;C . ANCE jp Iq LLED IN STRiG, Applica ' 's ereby made for a ?ermit onstruct (�) or ReP-it ( ) an IndividIANewage Disposal System at:-or �Z C Q GVA ............. .._. ....... �...�......•-- --------� i-- -------------------•---------------••------ Lo - ' �- ddre-s or Lot No. �reu 6�re✓ W vr& ice.. 1&S-{ : �ar5 eST� O fier Add e r a •- -- •................ •••---•---•-•-••••............................._ ----- --. .......................• -•-•-----.....................................•.. Installer dress d Type of Building Size Lot.._.-�. �........Sq. feet U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ------------------------------ .... .... ........ W Design Flow........... ....................gallons per person per day. Total daily`flow-.--__----- ��e......._........._..gallons. WSeptic Tank—Liquid capacity QQ4 gallons Length---- Width-- ..... Diameter---------------- Depth..g-....j5.... Disposal Trench—No. .................... Width.._..._._. ...._._.. Total Length ................... Total leaching area.................... ft. x II Seepage Pit No....L............... Diameter._lo__� Depth below inlet...._.�✓'✓r"..-_- Total leaching area._18 _�..sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Z Performed by-.-D9 ---C-A�k.._- rr_ _!'-�'t" Date...... ' :. .... a Test Pit No. 1----------------minutes per inch Depth of Test Pit-------13------- Depth to ground water_-__ . ...._. (s, Test Pit No. 2.... v...minutes per inch Depth of Test Pit........1.?J....... Depth to ground water.......rY 1A...... a ................................ .......................... .. ............................................................................... Description of Soil o.�L` T 2 „ !Sl' :.. --�---- Yf--------••--. vt1t.. `f -:+-5... ----- ----------------tom°„------------�......`!t-h== W -•••-•-•-••••-------------------•-•:..-----------•-•--------------- ...................................•-----•-•-----------------••-•-•--•----••-----•---•------••••••••--•••••......•••...._..._...... VNature 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 Complia has beer ued b th board of health. Signed ........ ,��l .j'� g D. .................. �.............. ............... a ......-- Dat Appl`icatio—n Approved'By:.... .. ... .. = _------ ® `. .. ... ----- ----. ............. — -- ------ Date Application Disapproved for the following reason • ............... ... .......... ...................-- . ............................................................. .............................................................. ......... . .... .............................................................................................................. Permit No. Issued .............. .../ .... e ................ Z '- ........ 0�q No...... FE:z............... COMMONWEALTHr THE OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ( Appliro.1,11-f-fivar Dirivaiial Works fouptrurtion remit Application-is hereby made for a Permit to-C&-istruct or Re an Individual Sewage Disposal System at: Z' (Allf ............ . .....q.Z(."..)...../� .... ........... ... ........................ ......L.A-eel.A-e-, !��.i.Z�........................................... Loc;il,io V&d,;0!5 r _'o No ................................................................................................. ........................ 0..... ?/;---------------***------------ 00her Add e.6 . /Lo Installer Address Type of Building Size Lot__43. (.......Sq. feet U '5 Dwelling--� No. of Bedrooms............................................Expansion Attic Garbage Grinder Other—Type of Building -......................... No. of persons-_-._.__..__...__...___.___. Showers Cafeteria Other fixtures ---------------------------------------------------- -------------------------------------------------------------------*--------------------------- Design Flow................ ....................gallons per person per day. Total daily flow---------:?21:?�__2....................gallons. 94 IPaq-gallons Septic Tank—Liquid capacity Length---- -Width. Diameter................ W *Disposal Trench—No. .................... Width,.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..J................ Diameter.-1q .k�:) Depth below inlet...... Total leaching area.. ft. Z Other Distribution box Dosing tank ( ) _ - .... - - -1--6r- Date...... ....... Percolation Test Results Performed by...Df��__(.A9f-. ............. 1.4 - 11 1- - Test Pit No. I................nimutes per inch Depth of Test Pit_______ Depth to ground water__-_ ........ 44 Test Pit No. 2...4""...minutes per inch Depth of Test Pit--------J._5...... Depth to ground water.......6-JYA...... 04 ............................................................................................................................................................. 0 Description of soij.71-A.,Q •..... 0-2-4 .............. ............................... .. ................................................. ...1.4...* g;r,,.... ...:Z A,--j k.-;, ------------- .. ....... ............... ..... ................... ........................................................................................................................................................................................................ 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 Complia has been-is?L d b th board of health. p ;c.7. A,d Sign( -------- .......... 0 D --- ------------------------------------------ --------------------------------------- ApplicationAp 3 4 proved By ......... ...... -------------- - ----------------.................... sir-----------...... ........ ........................................ Due Application Disapproved for the following reasons: ........................................................................................................................................ .................................................. .......... .... .......................................................................................... ................................... Permit No Issued .................................... -------- ------------------------------------I--------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ge�ifiratjc of Tompliance i THIS IS VI 7 XIFY, That th-I-- ndividual Sewage Disposal System constructed,( or Repaired ------------------------------- I............................. ------------------------ by ................. ..............?""** at ------------ /V ............ ..... ... ..SS�7.................................... 7r�,_5��A-- -/" /7 has been installed in accordance with the provisions of TITLE 5 f T e State Evironmental Code as described in the application for Disposal Works Construction Permit No. dated ........................ ............... THE ISSUANCE OF THIS CERTIFICATf SHALL NOT BE CONSTRUED AS A GUARANTEE THAT TIIq� SYSTEM WILL FUNCTION SATISFACTOR(. V-12...... Inspector --- ......;_....... DATE................................................. f/ -- --------- --------- -------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH D--•--��/W TOWN OF BARNSTABLE FEE..... ................. at jkrmit Permission is hereby granted------_--- ............................�/2--- ................................... or ReRair in 1* Seat: D' al;Z.. juviduaage, os Sy to Construct ( ),- I ? (�_ r"s! XMW r 12 �D at No...... 7....... --�-��.�� .....Z... .. P— 7 VVStreet as shown on the application for Disposal Works Constructwi)ft �'_epmit No -- ---- atedn........................ ......... A DATE_._................... Board o f f Health -/.......7- -------------------------------- FORM 36508 HOBBS&WARREN,INC..PUBLISHERS i E � ' too`°' � TEST LOGS z / ^—��, ' �;,� ; LOCATION MAP (NOT TO SCALE)\ N L t G E.NCINEER: - — ---- ---- / -_7T WITNESS: DATE: z q q 3 BUILDING ZONE: K s - o� SETBACKS: PERC. RATE: K ` av \ FRONT = o SIDE _ d & i '� l REAR = s c� t ,N� ___� - \ o�° J '• � �7/ �] ASSESSORS MAP -7 PARCEL ';5') FLOOD ZONE c� '6-1b 4 _ ,,ace \ aA� sa.an NOTES 4 \ \ 1. DATUM NCVD TAKEN FROM 2. MUNICIPAL WATER IS 3. PIPE PITCH TO BE 1\4"/1t Jy.r£SS OTHERWISE NOTED. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO-HOle n . r10-+ '6GT ;ia.vv' '�" 5. PIPE JOINTS TO BE alAL'E WATERTIGHT. b r - ,ai ►-Ia - v 6. CONSTFUCTION DETAILS TO BE IN ACCORDANCE HASS. / ENVIRONMENTAL CODE TITLE V. ( `�4 SEPTIC _PROFILE_ ____ _ 7 FOPSLOT LINE STAKING.N FOR PROPOSED 1i0P.K ONLY AND NOT TO BE USED ' t (hOT TO SCALE) 8. SCH 40-4" PVC TO BE USED THROUGHOUT SEPTIC SYSTEM. 1 \ � -j E'_:.a r-F E:.-..._ '!< .mac',. t a'1 '- ,. -Y. .:.t <, .r� �. (r-�• ( � : --- _� MINIMUM f' Of COVER 0{')j"n PABCAST ti i pppppOCl�:_2 IQQ G n.a p p TEE SIZES: 1 INr T DF,PTH = l o'' M7N. 6" CRUSrT?D OUTLET DEPTH STOATE U.NFOR 1 I _ D' BOX I FOUNDATION --- SEPTIC TANK----- - � - ----- D' BUX --- _ _-- �.� _--- LEACHING FACILITY ; k ,t S ' PTIC DESIGN: ` ►!a �o.Kaa: ,>< �. ,�� a.t. � ''�« _ •�o.Uo _ D V1%r4 FL c�-4 _ BDRMS 0 _.I CPD11iR _ �� GFD I AND-- t -- —=�— �' S, T.,rA CF PL_�.,'`i' SITE CPD X _4� ! -_ GALLONS IN THE TtfWN OF: z' d wn e ap e engtine Bring, inc. ,;:_��: I Go J_ GALL 0.r TAIJK t ` CIVIL ENGINEERS yM' LAND SURVEYORS A r..... ', T-1 t. ,� s 4 a P h.'I A 4^JD FOR: Rte 6a, YARMOUTH, MA _JsE • 3.5' t,�� - t,ta � �l p1G' .! �� _ ... , ��n,\\ f ----- - --`—TiJ�� . L_4 a rrc�,_�=-`-`-=- ------ - -- � ►i r'i l+ty '`. r?i �fi �-�'o N1 �� — t C BOAR.^. OF HEALTH MA SC :�`• CJ".TE: f S ARNE H. OJALA, P.E., R.L.S. DATE APPROVk,D VATE — . b�+1,`-. , .. `2 .. ",av+�'f�'•� w1. yYi • s ♦c. r 's x '!`A Y ,]u Lof t. 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