HomeMy WebLinkAbout0056 CHICKADEE LANE - Health 56 Chickadee Lane
A= 234-068
_. Barnstable
LOCATION SEWAGE PERMIT NO.
VILLAGE
I N S T A LLER'SNAME A ADDRESS
7 r 3K .;Z
-4A'V, 0WNER
t
j� DATE PERMIT ISSUED i 4,
DATE COMPLIANCE ISSUED
-� D>3ox
/BwlJ�r=�v.��2S
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........................--.--...........O F..........................................................................................
Appliration for Disposal Works Tonstr ion ]Jrrmit
4560 Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal
/System at• -2, i
nj .....L:. � �;1� .....:1... J.� � .... ---...._....f......l ....-•-------------_.................
Location Address or Lot No.
....... - ... ..............................
h Owner Address
�W 1� /?ALG/ .........CG4STkacT/`�.`..9.................. - -... •--............................. ................
Installer Address
Type of Building Size Lot...
��?.� � .....Sq. feet
Dwelling—No. of Bedrooms.........3..............................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
a' Other a ............_....----•................................
W Design Flow.......... ._.__gallons per person per day. Total daily flow........�.0......................gallons.
WSeptic Tank—Liquid capac ...•-:_--•gallons Length.... Width..1Y..:-6._... Diameter................ Depth---�
Disposal Trench—: o.... !. ..._... Width Total Length - Total leaching area
x P .�......•... gt g sq. ft.
Seepage Pit No....... .....:...... Diameter....... 2-..,._. Depth below inlet............... Total leaching area.;' ...sq. ft.
Z Other Distribution box (V1 Dosing tank ( )
aPercolation Test Results Performed by.._.. zav .....J.Rfv.p.r'I............................... Date..... 7 g y l'° ...
Test Pit No. 1'__-i..2_.minutes per inch Depth of Test Pit......L2:........ Depth to ground water...t� .......
44 Test Pit No. 2................minutes per inch Depth of Test Pit........:. Depth to ground water..-.---•.--.-.----......
Ix ............................1....•-•-.....••-•----•.... -•---..........--•o...........�...........................................................
ODescription of Soil..................... .:. -2 _:..---....1 _........�_....... 'f` ..................................
f-------•-•-•-
V .--- � - -i= 1 Z - i > --------.
x -••---••-•----•---•••••----•-••-•••-•-•---•-•••-•---•--•--•-••---••---••-•--•.........................•--•---•_......-•••---•-•-y---------........--------� -�..r...------------...------....
U Nature of Repairs or Alterations—Answer.when applicable........_�•--................................................................................. ,_,
l5.. ........-••--•----••--•--•-•----------•.....................•--•---•------•-------------
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 undersigned further agrees not to place the system in
operation until a er to of Compliance has been ' sued by the board of health. ,
-Signed......r jiO?Z, �. .. • .............. ........• •----•-•-........
Application ApprovdB t--- ,
...S..I.C: `�J `..`':`:::.........._ - ...........
.. Date
Application Disapproved for the f ollouring reasons-..............................................---=--- ...................... ....._ --------...__
.................•-----•-----•-----•----...---.......----------......-•------•---------................_.-----•--......------....---------•-......,............................................=......
Date
Permit No... �.......� _5. .............. .... Issued.-.:--------------•------•-•--------•--....
.� ..._._
Date
i
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
M A- F
/��C&L
DATA
THE COMMONWEALTH OF,MASSACHUSETTS
a_.. 'BOARD OF HEALTH
k -
�.. .... -
Ea: _
t , ppliration for Disposal Works Tonstrurtion Frrmit
1 Application is hereby made for -a Permit to Construct O or Repair ( ) an Individual Sewage Disposal
System at:
.T.:...- ..................
LocationAddress or No. -• -.__•--•-•--•.
----Lot-.� _
.. .._..
.w Owner
t - ` J .------. ` Address -
' ......y..- .. er... `�-
•,, � Installer ........... ......-- - .................
Type of Buildin Address
� -� -. g `"' ,,... Size Lot... �. . S feet
l� _
I?welltng—No..afi Bedrooms........-:+...............................Expansion Attic ( Garbage Grinder( )
a_ Other—Type 4,kBuilding ---------------------------- No. of persons............................)Showers ( ) — Cafeteria ( )
dOther r >fies ............................................•----.--•------.....---------------- -------•--- -----••--•--.............
Design, Flow---. �_. ._... t� ...gallons per person per day. Total daily flow_._.........................� ________________gallons.
Wy Wt p Lic uid paclty. ?'�!�._gallons � Length _..� � ' Width_;!_..........._ Diameter____--- Depth..................
Disposal.Trezlc :Va �- �?x; ._.__.. Width - ...___-___.. Total Length____________________ Total leaching area ----------sq. ft
3.- Seepage Pit No .. ,. Diameter .... Depth below inlet.._._ Total leaching area¢.,.(:` .....sq. ft
.....---
Other D> ti•ibut>on box ( 1:) iDosmg tank
Percolation. Test Results Performed by ' ��' t.?`:>.L...___•........................ Date.. . /3�' /`:` 4,
r :�,;f.....
Test pit No. 1.:.::..__"'.._.minutes per inch Depth of Test Pit......L ........... Depth.to ground water__^�'.??:k_......_.
„w Test Pit No 2.--.= •:_._minutes per,inch Depth of Test Pit .:-. ..... Depth to ground water.—.......................
per, ........ ......•-•-------- •-
Description of Soil !?.:..... t , f/a►z -
V ............................
.. .... . .......... t ..
.... -• _.. ....................
. --- ...... C- .
1- x
•------------- ...................--
U Nature of Repairs or Alterations—Answer when applicable....._.�.....................:.
a . �,1 ................. ........................................
••...............•----•----...---------........
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 undersigned further agrees not to place the system in
operation until a-Certificate of Compliance has been ' sued by the board of :i/�
Signed......:.Zsue .r
/^ y , ......
-- - ....... ..........................ate _...
Application Approved By.:-�,.._ ;-• air ----0 ----•-...... . . .-•--•-•------••---......---- .......�#fV-y� ...............
Dat `
Application Disapproved for the following reasons:.....................................................,................................_.. _
....-• . ;•.......................•-••-----•-•-----•-/--l-----......-^•-----.......---«--------....._.......-•------......-----...-------•--•----...------. t «
yy,�� 10 I'I? Date r
Permit No. ...t...... -----•-----.».... Issued-:......... ........... ....
r- Date'
- THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.,..1.......................................0 F.....................................................................................
�rrtif irate of Tvwpliaure
THIS S''T.O C That the Individual Sewage Disposal System constructed or Repaired
f
by.......... ........................................................... ---•I staller............................. ...................... _ a ......... .
{
at...... ,. c. -•c+? .......{�.�yq.;: --•----------•---------•---••-------•-•----------------•--
~ has been installed in accordance"with the revisions of TI' `p > of Siq tate Sanitary Code a��des rich d in the
application for Disposal Works Construction Termit,No..___ ._...�. J �
-- -- •----•--. dated- -------�-�._. .. ------ -----------------•-•-=�
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTE THAT THE
SYSTEM WILL FUN TIO??N SATISFACTORY.
DATE................... .. s. -�� .............................. Inspector..................... .. ---- .............
THE COMMONWEALTH 'OF MASSACHUSE S y
BOARD OF :HEALTH '
..OF...... r...... .... ....
.... ....
No FEE................. .....
Disposal u k� �ilriolt hermit
Permission is hereby granted --••...------•...-----:...................•-
to Construct ) or it ) n Individual Se�rage > posal System �.
at No.......... �..._...... Cr`' r l-
....... --- .-------- --
` 'Street ' (r1 .-. ........
as shown on the applictation for Disposal Works Construction Per •it NO__................ Dated._..._...._._............................
t
-� C Board of Health
DATE..................... .... .. ...3.•- ........................... '
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
r)
a r. .. <., .� /q•J.S d/W'L:Ty �� r12.f��'tif�llJe"�.�.. ,..
3, 7awN ~03y"owS }.
L'0 _r
p .D '
77
\\ CkU
Q �♦
. r. P(L6P&SGD r.
: 2 _ r
/ GAIN 1 0 ` �`/1 � � ' (y)
107,
X()
LA
p��25�Mrr•N. 1JU '/ ld. 0NTA6 � i
U 30
nD cA
el
T � � "` LA
o f pR�gaa�. F_.Goca a s v ORSE
41 �4a$
cam+ Fc+Z P►i ro; rt<� No.10951 O
��.G l V/t���i <v
1� Rtac's
�! F�T 1ST e�ocJ,?�vTrw . - l
NAL
E ND
ELDREL
EX19TIN0 8POT ELEVATION- 'OxO CERTIFIED PLOT PLAN
j EX'18TIId8 CONTOUR ---'0 `o<<,
Z` fiFIPllBHED SPOT ELEVATION , , [ �� U
&SU r;� fir, T' 3 cH/ci< 1 -
YIN]SHED CONTOUR 0 T r<= ✓ 7.-3 % !
:.
prt' 'The location of any existing underground sewerage,
IN
wells.;. or other utilities; shown on t"is:•plan _is approx-
t mate only as determined from records and/or verbal. �+ ��, ` A.9
information. The .contractor is' responsible:for the ,,,,�� �f G'
K .'verification .of the existing locations -An the•field., SCALE I` "=e'kQ DATE,/d �8
r LORE06E ENGINEERING CO IN c� r
t� CLIENT: I CERTIFY THAT THE PROPOSED
'd.. o6S-fl BUILDING SHOWN ON THIS PLAN
k EGISTERE REGISTERED JOB NO.. --
' CIVIL LAND CONFORMS - TO THE ZONIN LA
' A A- �4
t a'y F ENGINER R
IEYQRDR.BY� ' n OF $ARNSTABLE MASS
T12 MAI N STREET. CH.'BY�: ', `= G 8� - `
x / B --
� f ` HYANNIS, MA83, gH_EET OF ATE REG. LAND SURVEYOR
20 FT /�2lN. &/OTE !F TH4 SEPT/C TA�II�
Zt/AA/ /2 INCHES 8,=40 V 47R-40
EO, -.4. 24.,_ h. ►.
!OFT/+'/ice! >° INCH. DIAMETER CONC?ETE C YFR S15/At L
G2t r,. .4"RVC PIPE BF BROUGHT To 4;RAO6 <e4,V =XTKA rNEAYY
/v£s''s G07�CRETE ^I JN. PITCH CAST /RoN COVER-5,14ALL B�
PE
GRACE EDL/lVi4LENT GALLEI?7E5
9 . TO ,BE CUN/VECTEO
//y SER/ESAT EiYO k
`. � L/Qi114 LEfiEL ,�---• C!_.EAN S.4 NO
6CNEOUL- 4o i
ct a
GAL- a ;:,:` Q Q CI m Iv 3t OISGHATGE L/NE
M/N.PJTCN APT/C TA/VK
BOtC ar
tNV&3eY— AUST (�" la
a1 arry GEr4 Cf'F/MG GALZ-e4c ' $ k/ASNEO".STaNE
" SrDE /3 Z x z.oo = 2�o SECTION OF.. . GROUND 6NAT�RTR9LE FLE1/ �
G P.O.
BcrroM•Z B " 0.83 ._ .2.39 SEWA6, , OI SP05AC SYSTEM . �_ 7A811L�1T
i TaTRc, r So3 X D/MENsIom A 8,S FT.:
CA.PACT T Y 4P•D �•
,S'CA1- `t %4
p/MFNS IW N C 3Z FT
"TFS°T 7/Z6/sY
9 - S 3 u3�8 s
P-3zslo L LQ�T 1-If3r8
A7`E Of SC/L TEST y3! So/G TEST +9�./ SOJt?SST#2
i C3 J�4ua2 r� l +cvr l .
RESULTS.!•(�/TNEaS'SED BY L tZ 6Y./o_z Y ELE{/. 9� E
i Pg'RCCLATlD/Y RATE +4F.1 '-"_ MMf.�/NGft. _ —. ,
i PERCDLAT/GN RATE fi/2 3,5 �y/N.�/NCs/
. C'LE/iN LAYER OF �iM/LOSS/GN CCITCRIA cc,ay y 5cggY` .
' SA NO !°l�LYE'T/f�YLEwE
- KVM�ER'OF BEDRooiy,S —
OYt�R 2~LAYER
••,{ . Oi• - 3 N Gr4iQ46A0ED/SOOSSAL !J/✓�T - r , .
/ S►vE r• O C7 WASNA.S. ,yE; EST/NJATED' FLaW GAL�DAY I
jt.Q�44lM6 l A i i.•:.t ¢ t. .$/OE LEACH/NCB AREA
u ZBE? 62c Nv
A' T F% 3 N R LEACH/ A .F
BO TTOM G S
— G✓ Z�- t
TS
F r
.SE � _ TO TA L AR.-A' 4. � _.
C X w T/ N ..
Zo e•-e ,�,
x �
N. r,._ RESERVE AREq` SQ.FT: - �Z�.qo.�f " .Ez�.85,6 -
SCALE• 14 % -O Cl n/O GROU/VO hVA,TER ENC0Z1Nlr.ERED �.
/V VERT ELEY.4T/ONs G�zaunto WAreC AT. =L Ev. 8 �.
j�o,o GoT 3
tAA OF Mass /Ni/FRT.4T QUlL.D/NG_ FT
/ ALB�Rt��fu J, �. ROBERT /,V/-er.S.E.oT/C TilNK FT.
� � o OUTLET S�PT�'c TANi� Pr-,
U ORSE. ELDREOGE /HLEr D�sr��auT o�reaX 9&7 FT_ ELDJ4EDGE l NGINEEi4/NG CO:,/NC.
No OT:193 o
v9 �:�,w ''��; o0TCZ"rOLs'TR/BU.T/OKl3WE fT:. 7!2 N!A!l�IST,. NYANI1liS. MASS.
�rSTE
/;L Lb
P INLET FLDW�D/FFU50R' 96.3 FT CLI ?4'T �,aD.
.ION
a,
.g'f
114wS .
{ � G
-_ w PpoS , o
. F l` �" u�N waTErr✓ �"1 b 7
1,MIA $7..z
S
t (
`/lopnsa, T
f t ,-1�IJ 0 a .�rLvo�osr� _ \F ts4� 5nr$ p�c�
'3 �I Z �� �25MIr ' °: N r /:' (� F7 v/✓7AG E- .
(Z;
t`t ✓�� y�.®rW ' \ �`� "�4*,��` `. � �`:\ 0.• \l'
n 5oI pA N OF
A hq
.v` HyD '. r-N ut,� I `a:; ,Q
�9v O.. .Fc c ck-u F►aao Pa AL
v RSE O
► �u�v S (.�4Tt�Z No 10951 P►, e3 �,dl� c�nu i L ,p . �
sJ� �.C/✓/
Kk ��7J^�,la a�J t 90 G/ST6
rx BtiUG� r.ROSE
ONAL
LEGEND ELDRE :.
xEXISTING 9POT ELEVATION` 0A0 CERTIFIED PLAT PLAN
�J,10 4XISTINrGI CONTOUR --- p
lhM;i°9HE0 SPOT ELEVATION : , �No.su i- r7r 3.1 .CHIC -a G " .
i?�NfNRD CONTOUR" 0 /,3 Terj 5 7+a- / L
''S jt7t� ''The`location of any "`existing, undergi ound` sewerage`,
IN
{ ;wells:; .or other utilities shown on, tr�is plari is approx . `
irate on-1 determined from recoxds and/or .verbal SAMI iS I Lj LAt
�a.nformation: The contractor is responsible for the - G'/t'S
r, ;der" fication` of; the existing locations in the 'field'.. SCALE+ ="gip DATE / i 94
fi REDGE ENGINEERING 40
Ca IN c� ►
CLIENT:1r IJ'CERTIFY " THAT THE PROPOSED
* mot: �yo6S r9 BUILDING . SHOWN ON THIS PLAN
EGISTERE RE4ISTERED J08 N0.
' CIVIL LAND CONFORMS TO .THE ZO.NIN5�
ER R R,QY+ OF.. 9ARNSTABLE S .MAS9
s4 z g1, 712 M AI'N STREET, CH BY+ y.:8. '8� • , �1-�< -� �---T—""�
HYA NN f S MA$3. Z. .
� + gHEET.:.�. OF ATE . RE(3. "LAND SURVEYOR
20 FT MIN. NO?"E .' !F TNP SEPT/C TAAIK AT MORE
THAN /Z //VCNE.S BEtObv 4:7.4.44OZ,
ii
!OFT M/N. ' /1VCN D/.QMETEi� CONC/?ETE COVER SHALL �..
VI PVC P/per BE 6,000GN7 To GRADE �e4N FX7xA HEAVY
�d$ s' CO/gET€ /+91N..I�ITGH CAST IRON COVER,$/-IALL BE USED /F !N ' !'
COYE/4s "PER FT ,DRIV&k-/�Y Q
G
r—x FLDlr✓D/FIatJS�R OR �'
EOIJIVALEN7,,GALLE/Q7es t
TO �E' CUN/VECTEO
. .•.. .. .,.•.. /N SER/ESAT Z1YO �
i L/QlJIO - CLEAN Sr4 NO
•� 4..•O/I�- 1
Iv
SGHEDUIF4.0 _J -i Q d o. cs.. u Ce Y /I E •TO 4"
GAL Q Q Q c= �7 3�.: O/SCH.4TGE LINE
M/N.P/Tc PTiC TA NK BOX ..
�4' PER.FT.
ricll/e3Zf uST (3,
da W cc.,ay Zp'..L- AL_Le eY' 8 WAS NEV sTnWE
_ EA Cf�tn�G G N
'°.� SEC710N OF GROUND WATERTA$LE 6tEv 9b•8
zoo - Zhu (,P.o•
K i o,g3 = :2 3: •�EjV�GE Ol S�OSAL SYSTEM Td R�/�AT/O/�.
. gcTTCM:ZSB 9 D; ,. �x
` 7.OTAt CAPAC/T y° 503 4p�. lit 8� T
D/MENsIO
.SCALE : 4 -/r .O'' D/hIEKS/ON T. E
NSroK C' 3Z. FT_ p�ME
Zwr 4 2Fr S O/L TEST, P J 3�yd , 7�ia�Sy
} .. Rf�ESlJLTS./'Y/TNEaS'SED BY L-�- �,, C•�-''cam► -
. SO /Lp3Wo
OF Z•E PV3I 1-5-7-T' Y:!'d7 SO/ L Q G p:y3r a
SOIL?SST, *2
O'-ozEY./o_2-Y E,cEy 9
i PERCOL.�IT/DN RATE 4 1 MIM, -
1f�E TE - Sj o RGOL4T/GN RA rn - g ism
S,
DE.S/G/Y CC/7ER1A
7719 N CL E�iN LAYL=R OF ,
SANG PPoLYE'TrYYLEkE KuM4ER OF BEpROOMS
Z'LAYEA' Noorc T — C.4/.Co
• �t o f. OF '1 •• GARdA4qE 0/SPO.SA4 t/N/T r
/ "SLOE• =�' O. -•' W.4SNE STwE. .EST/NJATLrO FL Ori/ GA L..DAY
,Lt OAtK/ir6 ,•'a >t`. :•_:.•:• -all S/DE LEA CHI"CB AREA S 4.f T, GZ/�✓ - �, Es"
BOTTOM AZACH/NG.AREA. Z88 WA_
SE O 7V TA L 'ARE O FT
A S .
C T/ N X X
,; ,. '•.. RESER.VE AREA
SCALE.' 14 _ / -O Cl 11lDCsROUhIO lV.4TER ENC0U/Y7ERED
F
/NVERT ELEY.4T/ONs G�eounVo jvstr��e AT Ptw. 8b;s G
F btq�sr .EA�S� OF Mgss9 /NV/EiPT AT BU/L-D/NCF.
`c AL r . ROBERT yGs ./K.CET.SEPTIC Tit NK: r7"7.2 FT-
S'FP"C TAMA �'1 o PT•
tv(ORsE ' ECDREDGE OuT.e E. 4D14�DGE.ENCaIIVEEi4JNG CO:,lNC
,o No.iossi'.O ;� tvo 193G7`. o /hILET D/STi�IDuTIoN®� 9�7 FT,
941,.5. " 7!2 MA!/ 5 ., HY.�4JV All MASS.
Cis 1.�¢�tv=��, '��., �£ Rio�y�. ou7�LE7`.otsTRiBU.Tla,4o4oc .. FT.:..
C�S3E r-
�FFSc , ���'� s/PR�L l:�taD,�v /lS/LETFLO/YD/FFEISOR' `�ly 3 FT,.. , C'�lE�/4r�: T�DD • 8A7`�t '.� 8 8S' i:,
.lO�vAi �5�
;':r, , .� •.:i. +�: x F2 v, Cy'x'.[. ''y, k 2•p> i.:'�?,tG X .ey-S