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Home My WebLink About0312 COMMERCE ROAD - Health iL o 31 .COMMERCE RD,BARNSTABLE A= 318-025. 003 C a C/ No... - 1 n`� / Fins oU ................. THE COMMONWEALTH OF MASSACHUSETTS Ll ,' BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiou for Di-tipimal Workii Toustznr#ion ramit Application is hereby made for a Permit to Construe or Repair ( ) an Individual Sewage Disposal System at: • ---------•-------------••-- ------------•-- ovation or Lot No. �------------_-------------- I ------------------------------------------------ tit /Owner Address ------•---------------------••------•------- Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms._.......... _-------------_-___----.--..Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building -------------------------•-- No. of persons----_---.--_---------_--- Showers ( ) — Cafeteria ( ) dOther fixtures ---------------------- -------------------- --------------------------------------- ------------------------------------------------------------- w Design Flow.................. .........................gallons per person per day. Total daily flow-------------------------------------,......gallons. WSeptic Tank—Liquid capacity./PO.gallons Length---------------- Width.-.--.---.------ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width...... _--------- Total Length...;%0�___--__- 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........................................ Test Pit No. I----------------minutes per Inch Depth of Test Pit-_---._-______---_ Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water--.--_-----_____-__----. 04 ------•--••------------------•-------•--•-----•------------•........-----------••-----•......_------......................................................... 0 Description of Soil--------------------------------------------•-•-------•-----•---•------------------------------------------------------------------------------------------------------- x w x U Nature of Repairs or Alterations—Answer when applicable.---.---X _6e__p_L_Pj l�._---------------------------------------------- ..-••----•---.......-••-------•-••---•-------••----•--•----•-------•-----------------•------••-•--••--••-•-•-------•------------------......------------....----------•---------------..........--..-•-- 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 Compii e h b jised by theboard of health. Slgned , } i-------------D-a- ----------, �"`�� Dae Application.Approved By ----- - -------- - ---- —------------------------------------- Application.Disapproved for t e following reasons: ................................................_.C--�........................._ _ _ _ __ .................. _ .---..--....----. .--....--...- -.--..--- ..---....--. .......................... .......... ......... ---------............................. Date Permit No. .....L--5—------ c�---------- --- Issued ...... /V-'D� 7�------------ are THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Contylianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by ------------------1� ....... ---------------- --- ----------------- ---------*----------- --- ------11---------------------- -----—---------------------------- at ------------------------------------------------------------------------------------ �'e e Environmental Code as described in has been install d in accordance with the provisions of A?El-Wof�TheStat, I the application for Disposal Works Construction Permit No. . c;---,,. dated ------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS .4 GUAR HAT HE" SYSTEM WILL FUNCTION SATISFACTORY. DATE.................... Cry - ...1 3V 5�------------*- -- ---- - Inspector ........ ----------- ----------- --------------- -——————————— ——————————— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 09� ka 3 TOWN OF BARNSTABLE FEE..... Permission is hereby granted------- ...... ----------------------------------------------------------------------------------- to Construct or Repair (� an—Gdividua Sewage Dis"fal System .!sal at: No..------ -------- —------------------------------------------------------------ U Street as shown on the application for Disposal Works Construction Permit No.�n-/4-5-9 Dated--------7---�A—1 0.17 oard of Health DATE--------------- —(9r d 1169- 1 .......7-lu------------------------------- FORM 38908 HOBBS&WARREN.INC.,PUBLISHERS x sytt' r J 4 i• y� - No... -...//'2_3 7 A Fins - ......... > THE COMMONWEALTH OF MASSACHUSETTS LI `7 BOAR® OF HEALTH K' TOWN OF BARNSTABLE Appliration for Dio.poottl Norlw Towitrnrtion Vantit �> Application is hereby made for a Permit to Cor)struct ( ) or Repair ( ) an Individual Sewage Disposal System at: r Location-i\ddre s '-------^------_.'...................... Lot No:.. W Owner Address -------•-•----•------------------------ Installer Address Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms------------ ____-_---________________Expansion Attic ( ) Garbage Grinder ( ) A4 Other—Type of Building ---------------------------- No. of persons_--_:__.____-__--__.-.-.-- Showers ( ) — Cafeteria ( ) Other fixtures W `Design Flow--------------------------------------------gallons per person per day. Total daily flow.....................................,......gallons. WSeptic,Tank—Liquid Liquid capacity_/,,�4-2_gallons Length________________ Width---------------- Diameter................ Depth---------------- x Disposal Trench—No- -------------------- Width......`0---------- Total Length_.___?O(........ Total leaching area....................sq. ft. See a e Pit No Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed By............. ............................................................ 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------------------------ - R: . .............. O Description of Soil---------------------------•--------------------------..._..------------....------------.----•----------------••--•-•---------••---••---•-•••---------------••--••_----. w x ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-------- 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 4 system in operation until a Certificate f Y P Ce ca e o Com lia ce h eb en issued b the board of health. P�� Y Signed ...- .l - i, l f.�- -.... .- _------------------------------ -- •._ �.....--.. L N `ti j .Dace q Application.Approved BY �. nJ�(/I ice. ^� - r Application.Disapproved for t follo,ing reasons- ------------------------------------------------------------------------............................................................. ----------------------------------------------------------------------------------------- -----------------------------------------------------------------------------..--.------------_-------- ------------------..---------------- Dace r Permit No. -_--�� Issued / t' ..-------1 �- .............�..:...,.:: S Dare ' -FIR a o LO elf ON SEWAGE PE920IT GO• V I L L A G E ASSESSORS MAP NO: 3 G � PARCEL NO: Oa S -00 3 IgSTA LLER' �tl & ADDRESS 'R OR OC7q ER DATE P ERGJIT ISSUED J OAT E COMa_PLIAWCE ISSUED _j-- " 8Z . l II r l� � •aT"' �EVJ �vzyy C No.. 1:�tw�:� . . ' Fizz....r... ................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........................................-.OF............................................. ........................................... Appliration for Disposal Works Cnonstrurtion Vantit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .2.�.�. ?:�.. :.- ..... ......... '� ............................... lion-_Ad ress.' or Lot No. �% 1q f "" .... er a ddress- ..... a ....- Installer Address ® � .� d Type of Building Size Lot.. .......................Sq. feet Dwelling ONo. of Bedrooms.._....................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures .............................................................................................................-------- .-------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter----------------- Depth................. . Width.................... Total Length Total leaching area...__..._............s ft. x Disposal Trench—No. .................. g g q. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by ..---------••---...- Date aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... (i Test Pit,No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--____-.___._-_-..._-__: tx ------------------------------------------------------•------------------------------------•---....................................................... O Description of Soil ................... w -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------j-----•-------------- UNature of Repairs or Alterations—Answer when applicable---------- -- Dram------:- - --------•-------------------•---.......---•--------------....-----•---------•--•----................---•-------------------------------••-------...------------......-----------------..............-••. Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L ITL U 5 of the State Sanitary Code— The undersigned further agrees not to place the;system in operation until a Certificate of Compliance has been issued by the board of health.- Signed.............................T----------•--:------------------------------------------ .............................. Date Application Approved By......... �. ._.��.... � 57-/!_xti......... Date Application Disapproved for the following reasons:-------•-------------------••-.------------------------------------------------------------••---•.............. ....................•'•-----------------......-----•------...........---•'--'•---•-----------------.....'.-----....._........---•--•------------------••----•---••---••-•--•--•-----------•----•------- Date PermitNo......................................................... Issued....................................................... Date "L No....................._$ F�a.._.. .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. . ................OF:.................................._...---- ........................................ Applirattion for Uiopooaal Vorkg Tomilrnrtioal Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ..L'.r�a.. .�.««L........................:. ... ..........---____.....---......................._......_...........__........•--.._............--- Etwgion-Ad ress or Lot No. ---------••- .. ...--•-••................ ...........................•- O� ner + de s W a .. lr' . . Installer Address V�//�Type of Building Size Lot...I___ �G�.. Sq. feet ,., Dwelling No. of Bedrooms__. ___________________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.......................-..... Showers ( ) — Cafeteria ( ) Ga 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. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date......................................... a 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........................ --------------------------------------------------------------------------------•-••--•--•-......._....... ...... _........... •--------------------•---.--•-- ODescription of Soil....................................................................................................................................................................... x U -----------------------------•--•--••-.....---------------------•-•••...------------------------......--•---•--•••••--•-••••-•---------•-•---------•-•-••••-•---•-•-••----•-••.........---------------- V Nature of Repairs or Alterations—Answer when applicable . ` ' ---------- ....................-•--..................... -•••--•-••---------•-_....................__----------•------•--••-•--._.--------------------------------------------------------------------...-----. 9 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 issued by the board of health. Signed---------------------------- -----------____-__----------------------------- Date Application Approved BY �. ! .... -----•--- -••-----..............................."'/ D ate Application Disapproved for the following reasons:................................................................................................................ --•-•.......•-•••-•--•-------------•--•--.........------------....••••-••••••-----------•...------------.._...•---•-••-••-•--••-•-••-•---•--•••••---•-•--------------------------•-••------••----•------. Date PermitNo.......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... (Irrtif irattr of Tontpliatnr THIS IS TO E TIFY Tlae I i idual Sewage Disposal System constructed ( ) or Repaired ( ) b .................. _._.... ... Insta has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No,g2_-.?-'_S---------------- dated................................................ i THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. f DATE......................................... ..' S.� Inspector -s i 0. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - ,i .............OF.. -�, •.......................' ��, No.- -�---••----...... FEE Ramat Workv Tonotrurtion proof Permission is hereby grant Z '-'•"'- ----------------------------------------------------------------------------------------- to Construct ( or Repair ( ) an Individual Sewage Dispo al System ,/r^+_� / • Street as shown on the application for Disposal Works Construction Permit No_____________________ Dated.......................................... A Board of Health FORM 12554HOBBS & WARREN. INC.. PUBLISHERS a. ' x 2im 1K Vl r r s t' g �� , �, M IN f 2- n . 1 1 Alo 7Z7 4 ZZ 5 6-e_4--' N4 T4 ,e- 1A e- OV 77Yee- :��l - D 19 Al ,9 fV TCP OF FCUNDATION ETE "oj/oo" 2o 4?4 CONCR COVERS 4"CAST IRON 9 'A OR SCHEDULE 40 4"SCHEDULE 40 P.V.C. (ONLY) Z4_01 P.V.C. PIPE MIN. 9"MIN PIT CH 1/4"PER.FT PIPE- MIN.l. 36" MAX, PITCH 1/4 PER.FT. n___l LEACHING TRENCH (../..REQUIREr,) MINE .... ........ 4 INVERT 777r r ci, ri'Ll n 12 INVERT NVE R T SEPTIC TANK DIST INVERT E Rt - A ; ......... 1 1/2 WASH STONE: • E L. 13 0 X EL20-/H WASHED INVERT E 21. 11 . IN l GAL. VERl as INIIERT11 FLOWDIFFUSORS INVERT 4, EL20....... REQ. E L.. _EFON 7' 1PROF1 LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTENI TYPICAL CROSS SECTION SOIL LOG NO SCALE LEACHING TRENCH DATE . . . . . . .. . . TIME . . . . . . . NO SCALE TEST HOLE I TEST HOLE Z ��Z 2-3._5�/ DESIGN DATA ELEV. ELEV. . . . . . . 777777 WA.-CHED T3 IMAX Z07- NUMBER OF BEDROOMS 3 I J�aM� s TOTAL ESTIMATED FLrOW GALLCNS/D.A Y STUN.E 170k-AIS-4*�4 Ae ),e . t 807TOM LZ;4Cl-iING A��ZA p 29 SIDE LEACHING AREA . . . . SQ.FT./TRENCH '118,4 i SSE (; 3/4"-11/2"WASH GARBAGE DISPOSAL .1/'7"�.F. ..(50% AREA INCREASE) NE c TOTAL LEACHING AREA SQ.FT. -79 PERCOLATION RATE . . . . . . . PER. INC! 7 LEACHING AREA PER PERCOLATION RATE SC.FT. Q \ \ �r Af APPROVED BOARD OF HEALTHv . GRCUNO WATER TABLE Ll .. . . . ..WATER ENCOUNTERED DATE &AA -TOR 1 \ ; I I W •\ 1 ; , � F . WITNESSED BY ' AGENT OR INSPE,i 140 X BOARD OF HEALTH . . . . . . . . . . . . . . . . . . . . . ST 0 \ \ \ µ` l l rl ! ;' �( /" ENGINEER PETITIONER k Ll EVALU jv Aj q v IP o 7P 0 ?L 7Z� 1,,64z 41'1-- A1,64477f ra-17 A,06 4 'ire 2-'s-,e. t4l at & A.,Z, 31 67 47L I ';" 2 e, Z V At& c, 91 I ( S� ` � \ ` / � '�` ' O , -�-'��s ` \ \Ion Gr' \ ,, 4157. /7 2- lol 5, /ZO 4? 48, 7 c) r7jwc 1414.P. 0, e 7 Z4 7 _Z>WIC? R4D AcfL&Zl_,�fy S4oloeV,6y4vZ OF s o E WAR DWA,R E. No. 26100 A�e,4/V . IC RIO? Z; 31 9 ,Ml I L Z.: