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Home My WebLink About0046 COBBLE STONE ROAD - Health 46 t Barnstable A= 316-056 l i ,66.0 e 6ton-e— ,WAGE PERMIT NO..� �G 73 . Li 3 3 fG INSTALLER'S NAME&ADDRESS BUILDER 0 OWNER DATE PERMIT ISSUED DATE COMPLIANCEISSUED ry i i r ASSESSORS MAP NO: _.._.-,,� OL PARCEL NO: ___ __ _ / D _... KJ i Fims......./..._....._..No... • THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH try ` 5)eTOWN OF BARNSTABLE tiun for Diapnsa1 Works Tonstrurtlun Permit ApZat�7 eby ade for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal' Sys em ....... .......... 5 --••-•--•--••-•-•••••--...--•--•� �� J?/ -Location-Address !T or Lot No. ...�.Y..ol. �?�G� C�Z..................•-------•-- --...........•..-......-•--------- =�........-------------------•--------•-----•---...------ �Owr.E�_� ae"JJ�� _�... / Address Installer Address Type of Building Size Lot_.37 7z3------------------s q. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building _••_....__.... No. of ersons__.-•___--__-_..-•_--_--___- Showers — Cafeteria a yP g -------------- P ( ) ( ) Pa Other fixtures -----------------------------••. - W Design Flow............. �-�7...................gallons per person per day. Total daily ow...............3 36 .............................. 04 Septic Tank—Liquid capacity_!_ .gallons. LengthA ..... Width..'!......... Diameter---------------- Depth.4s ---- Disposal Trench—No. .......4._........ Width......!�Z....... Total Length----- Total leaching area..!ft4-------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.-- .ik! ....�W.. .�°_`r.�,�-•�--------Cam•-•--•-•. C- 2B Date..l ._......__ Test Pit No. 1.....8_......minutes per inch Depth of Test Pit....../Z.... Depth to ground water-----" .............. fT4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water...___.......•.......... a ••. --• ---•••---- _---•- -•-.....----•••-- . _ --------------------------- Descriptionof Soil ® Za ................................................................................................................. ��H..--/4 "-----•�-1-N........................................................... -------•-------------------------•----------•--------------------•---------------.--•-••---- UW --•-•-•--•--•-----------•----------------•••--•-•--•----•-----------•-----•••----••--•-----••-•--•••----•-•••••••-••••.....-••--••--•---••-----•--•--•-•-•--•--•--•••-•-••---••----••---•-•---••••••--••_ 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 Complian e h s bee ued the board of health. Signedo------------------------ ...... � -----�--- Application Approved By .. . ---- --a--....... -- .......-- ...................... - Application Disapproved for the following rear .............................................. ----------------- ...............--------------------------------------- --------- ------------------- ....... ---------- --.--.----.-.... - :.............Dare Permit No. �„>-------- ...... Issued ..... ce � . _.- -�- THE COMMONWEALTH OF MASSACHUSETTS p BOARD OF HEALTH �(,, )TOWN OF BARNSTABLE Ay liratiola for Disposal Works Tonstrnrfiun Permit \ode for a Permit to Construct (�r/) or Repair ( ) an Individual Sewage Disposal Application in s her System at: Location-Address r Lot No . ..../VG/�/.1-_».»J=�/�2��?7CTG ........................ ........... ��T/Ni S r _.... - ............... Address al Installer Address .J Type of Building Size Lot-______.�__7L3._..Sq. feet f U Dwellin No. of Bedrooms.............."3........... _-___Ex Expansion Attic� --------- Dwelling—No. _.__...__ p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------------------------------------------•------•-------------------------•-•-----------------------------•----------•---------- W Design Flow..................�-�__.....................gallons per person per day. Total daily flow___..._....._.....3�3&-..........._...gallons. WSeptic Tank—Liquid capacity.-/gallons Length..8.6"-.- Width-__ Diameter................ Depth_.5..5�!'. x Disposal Trench—No........./_........ Width....... Total Length.._ Total leaching area...'¢7Z......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..__Z_w__._-�Kl!V��-47z f_--Z- 'C__...____ Date..�G:.ZB__...9 .. a Test Pit No. 1___-.8......minutes per inch Depth of Test Pit....... Depth to ground water------------------------ Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ------•-•------------•----------------------------••---••---------........------•----•--•--••-------......................................................... 0 Description of Soil....0"_7-4" Go4-1i t -Svc Sail Z¢ "- 96/ ------- --------------------••------------------------------------------- .---------------- •-------------------------------•--------- x 9G /49� f-�.v� s�v®_.��..r� Ct�-y --------------------------------------------------------------------------------------------------••--------------------------------------•-----------------•----•-••---------...----------------•••---- V 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 Compliance has beeennAsnued b-y the board of health. Signed ..................................�. Application Approved By ........ -------------------- -----> -- Application Disapproved for the following reas4 - ------------------ -------------------------------------------------;i;--...----...................................................... -------------------- .........................q .......... r.. --------- ------------------------------------------------------------ Dace Permit No. J --------- V/---------------- Issued ..------ ..G�.. ..-( .------. ...-= w THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (gertiftea#e of Cfuntlatiarta T hS S TO C fY hat t Individual Sewage Disposal System co ................................................ nstructed ( �r Repaired ( ) �� -------------..............- ----------------- ----------------------- f1�,{/Jl�'L/� (�(\////) �///1)�� nsraller •///.�//��/�/) ---- ............. ................ -5........ ............ has been installed in accordance with the provisions of TITLE f jhe Sta�en ronmental Code as described in the application for Disposal Works Construction Permit No. ...�.. ......... - ..`T�/ . dated ................................................ It, THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............................. ..........) - `- 9.. .. .............. Inspector ------------.-6------ .....------ ....................._.. -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / TOWN OF BARNSTABLE No...... .....--••-- � FEE•• -•-(�t-�•••. Disposal Narks Tunstr wan ermit Permission is hereby granted.----R,aP:�.'/�;% ------------('' ----•...................•--------....--••----.......-•---..................... to Construct (M��,�.or Re air ( ) an Individual Sewage Disposal Sy tan / at No....... e 11-._-.�. �.. Street � L as shown on the application for Disposal Works Construction Permit No._1?2__ZNDated.......................................... --•-•-•-•---•--•-----•-•---•----••-----------•-••--•...............•---.....----................-•.....» Board of Health DATE................................................................................ FORM 36508 HOBBS Q WARREN.INC..PUBLISHERS LOCATION SCALE . ,30�. . . ®ATE �G. C/ �3 OF PLAN REFERENCE `N �Ass� ED d 6LLEY No. 26100 CISIO ssdQ�AL LR�� ---- IN vi Ila- A0 kkzl ,-- 10 f � � {— TOP OF FOUNDATION O v �., CONCRETE . COVERS 4"CAST IRON "12 MAX. OR SCHEDULE 40 4"SCHEDULE 40 P.V.C. (ONLY) P P.V.C..PIP£ MIN. PIPE- MIN. 12'MIN. �, �3'�.,iic/• PITCH 1/4"PER.F-I: PITCH 1/4"PER.FT LEACHING TRENCH (....REQUIRED) ® i/2" WA^^SHEDn STONE EL o INVERT L n INVERT INVERT SEPTIC TANK DIST. Z BOX EL/o/, FLOWDIFFUSO_ RS ( 3 :. INVERT /c�tJO GAL.. INVERT INVERT INVERTo� EL...�....... pis I / PROFI LE OF F Newt-G7yCnu�.r�E� Y GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM TYPICAL CROSS SECTION SOIL LOG o ,. NO SCALE LEACHING TRENCH DATE ��:?;�7� TIME ....... . .�: . NO SCALE TEST HOLE I TEST HOLE 2 /03', z� DESIGN DATA 12 � ELEV. . ELEV. . . WASHED I/ I I 3is 4iN, 77777., f- 71 NUMBER OF BEDROOMS SONE } 1f�N Srrrj SoiC- 3-7 TOTAL ESTIMATED FLOW . . . . . . . . . GALLONS/DAY ' BOTTOM LEACHING AREA .... ...c SQ.FT./TRENCHC,P,P �"a'� SIDE LEACHING AREA . . . S8'.o. . . SQ.FT./TRENCH/�P,,,, Z GARBAGE DISPOSAL �/a � . ..(50% AREA INCREASE) t WASHED STONE 94 EL,G4572.a TOTAL LEACHING AREA . .�'/7z:0.. . SQ.FT. �/ 6 i/x: PERCOLATION RATE CT6f,LT !�J�N•/ PER.INCH /Z� I LEACHING AREA PER PERCOLATION RATE 3��? SQ.FT/G,QV " G'7VCv v"T�_A�.�D CL114, GROUND WATER TABLE ' ! " "" c z 9/,Zo APPROVED . . . . .:�:,, . . . . . . . . .. BOARD OF HEALTH ...WATER ENCOUNTERED — — — — DATE ... . . .. . . . . . �``' } AGENT OR INSPECTOR `ZN OF 'v4s WITV ESSED DY BOARD OF HEALTH T� . . .. . . . . . '" '! kk 7 f W�2� ZrVC a LLEY "' '•. ENGINEER CdR G w / .gji p, 2otO0 TE S R° ;✓ > .;.L L / PETITIONER --