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HomeMy WebLinkAbout0100 INDIAN TRAIL - Health ---- 100 Indian Trail A 014 Barnstable ji7 i I No. .._.!....!'3 ; Fas. THE COMMONWEALTH OF MASSACHUSETTS Job �` � BOARD OF HEALTH l ®/fc..'rOY`k: N...............OF......�U 1�NS�T}.........Z .. .............................. 226 Applira"Lion for Disposal Works Tonstrudion Permit Application is hereby made for a Permit to Construct ( ) or Repair (f/) an Individual Sewage Disposal System at ........................... Location-Address or Lot No. ......... . G. .• S ,rw\:e, •-•... ....................................... ........... w wner • `...-i .-'•^ •Addr .. ess ................................. .----............................._................ ►.� Installer Address Type of Building Size Lot.150,5.3 ....Sq. feet ., Dwelling—No. of Bedrooms............4.....------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building .. No.. of ersons....................... Showers G4 YP g .........:............•--- P ( ) — Cafeteria ( ) a. Other fixtures Q .................................•-•----................................----•-•..........................---................ W Design Flow.........11_0..........:.:........:.....gallons per-p n per day. Total daily flow...........�Q.......................gallons. WSeptic Tank—Liquid capacityZ5. .. ...gallons Length./(?.,�v...... Width...5'8.� Diar�eter�_--... Depth............ x p Length . Total leaching area....................sq. ft: Disposal Trench—No.____•............... Width...........-.--..... Total Len _.......---........ 3 Seepage Pit No....z............. Diameter.........?f0...... Depth below inlet.....�0-........... Total leaching area.��. 1i.0-.sq. ft. Z Other Distribution box Dosing tank ( ) 1 4 :. Date.....S- Q_g Percolation Test Results Performed by...__-�-.f.0.!-�'-•-. ................................ (......._..f ,a Test Pit No. l._&.:<....minutes per Inch Depth of Test Pit........ Depth to ground water..... ...... fit Test Pit No. 2................minutes per inch Depth of Test Pit...._... z..... Depth to ground water.....P014e...... a0 .................. ..........••--................;.....--•-........................---..�............................................................. Description�of Soil_l .�.,�..(?�:'C?:�..�OC4rra_. �� 24 s 2q"-3(,'-S-i 1 sari __...-3(p;•••.84 »s 1�( W 'R� :I�:'-ls° lo�mr�`'-Z�t• ,�sol.�-t 4-C�y:` a► ?�. eS cf sij�.l.�vv-;84 i-I. E s nN� A. ', 141 U Unef Repairs o Alterations=Answer when applicable.. {. ................. - Agreement: �n t� W� � ac The undersigned agrees install the afore escri ed Individual Za g e Iisposal System m acc: nce witH the provisions of iI',L� 5 of the State Sanitary Code— The undersigned further a rees not to place the system in operation until a Certificate of ompliance has been issued by a board Si ed. .... ......... ._••-•_..... ......... ..........................,6 ` : ..... e ae Appli ti n Approv y.........._. -::...._.... -.A��'.��..... ---• -• .................. ., . ..� Date........... Application Disapproved for the following reasons:...............................................:.......•-••••••................-•--------•---............»»» ....................................... .....................-------------- Date............» PermitNo..... .....»» Issued_...................................................... Date .r) N 362-4541 926 main street rt 6A , yarmouthport mass. 02675 down cilpe en00117leer/17 civil engineers& land surveyors structural design Arne H.0ja1a P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys site planning sewage system designs November 4, 1986 inspections Tom`McKean Barnstable Board of Health permits South Street Hyannis, MA 02601 Dear Tom, As requested by you and Capeland Sanitary Service, a perc . test was performed on Lot 1 Indian Trail Road, Cummaquid, on October 21, 1986. The perc test was performed at a depth of 3.0 - 4.5' in 36 -84" silty sand, stone and hardpan soil layer, as logged in test hole one. A Title V perc test was performed and a perc rate of 3 min- utes/inch was obtained. Sincerely, Michael F. McDonough Down Cape Engineering MFbi/amp 1 VI t i 362-4541 926 main street rt 6A ' yarmouthport mass. 02675 down CdPe enfflineerinor civil engineers& land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys site planning October 27, 1986 sewage system designs inspections Barnstable Town Hall Board of Health South Street permits Hyannis, MA 02601 ; Gentlemen: On October 23, 1986 Down Cape Engineering inspected the installation of the sewage system on Lot 1 Indian Trail and find that it meets the intent of our design # 86-176 dated 5-8-86 and conforms to Title V and the Barn- stable Health Regulations. Very truly yours, Arne H. Ojala, P.E., R.L.S. Inspected by Michael McDonough AHO/amp No.,:A ..7-,7 Fas. '" THE COMMONWEALTH OF MASSACHUSETTS -. ` ..-�' BOARD OF HEALTH ........i.� ...............OF..... .1 1 - .............................: ... ... .. Applirtttion for Disposal WorkS Toustrwtion 11rrmi# Application is hereby made for a Permit to Construct ( ) or Repair V_) an Individual Sewage Disposal System at• FF �7'� n ........... 4? _1� ;�,Gii(ay .,_A..�` �.:�.. ,vvt(,^�)_1 „( {,%(fir-ttSG.:�J4.. ......... __ Location Address l or Lot No. ........ ��-�•-�••- wner ..........1.—�-�'-•.�._..... *.."�+'r."1•—� .....��.,�.1?.:..�-`..::.:: ................•---......._.•. Address ......-.......-....!.................._. af-.._ .. .�... ......................................................... Installer Address Type of Building Size Lot.5 .-_`�--�.a .--.Sq. feet U Dwelling—No. of Bedrooms........... .....Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QOther fixtures .-•--•-••••...................•••-•-•.i....Y.................................................-•---....-----•--•-----•--....---...................... W Design Flow.........ll.0...........................gallons per person per day. Total daily flow...........�Q........................gallons. WSeptic Tank-Liquid ca.pacityZ!W...gallons Length!(a_o-'-.._. Width:..... .� Diameter................ Depth... � .... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..-.2 ............ Diameter........ ...... Depth below inlet.....62............ Total leaching area.t!al.:0.sq. ft. Z Other Distribution box Dosing tank ( ) ~" Date......:_. I t n Percolation Test Results Performed by......�1:. a.......�.. `i Test Pit No. 1..-�`�:,:.....minutes per inch Depth of Test Pit......... Depth to ground water.....!A91? ...... 44 Test Pit No. 2................minutes per inch Depth of Test Pit........ Depth to ground 04 .-•-•---••...•----...-••................••............................---•-••--.........:._... .._. ..::... . O Description of Soil.-rt4 -1 a_ G'�-• :!. � � ...<,-Ir _,� ,S.r�.�Cl-1 r�,._,8q'=•! 2Prar� mPr .SUr�_ _ 11 �5�;_' 1�r� �r._� tS'G'��� =. t y U ZAt`J,�,pi �4Y(sU' 4[rr�t� 1-iryr,CeS [ .�',{ Lov B��Sj1 S ?rs S4`�?� W "...................................l' Un m:�....:........... ' r t; x ..... U Nature of Repairs or�Alterations-Answer when applicable . '!�!{_. .9C:. C. As.rr �l \ .-' ��.�..... �c. 7-ram\...... t` � . i a, c� A Bement: c3n (n kA3r.��`a=,,c't13M 1 s ) e�C eel e2 The undersigned agrees to install the aforedescribed Individual Sewagebisposal System in accordance with the provisions of TITLZ 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 / jh............................„e board,o_f_.®healltth. ..........................Si ne % %�' . Date i Application Approved By..........^ . - ��/...... r Date ,- Application Disapproved for the following reasons:..:......... ...........................................•-•--.....----...-----................................. ................•--................................--•••----.....--•-•---••--...................---....................... .............:............................................................ Date Permit No. ..�� 2.----- - �� --__ Issued........................................................ _-- fly- THE COMMONWEALTH OF MASSACHUSETTS { 17� BOARD OF HEALTH ..............'CJ�/U.I ...OF..... ..._..............�.... .�: ........... t Trr#ifiratp of TOMphaurr b --TH,� O TIFY, That t ndivid�_-Sewage Disposal System constructed ( ) or Repaired ( ) y- �. ............................................:�a4g��iu................................................. _ ...........-•--.............................. at............ ..... J ,n,�r `.......... _ 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...... ... .... dated........-��� �'� .................... THE ISSUANCE OF'THIS-CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. nn '' DATE................... ��.` . ................................. Inspector.................................................w.... ................ THE COMMONWEALTH OF MASSACHUSETTS ---L--+-� 1 BOARD OF HEALTH (,�) .............OF........... .(;�\,_ , ..................... No.:�.r?...q.73 .... .... .. ... ....... Disposal Works onstrud- at ��ernti# Permission is hereby granted........---=:._l Q ..:.sS ........ ......... .... ... ......................... to Construct (�) or Repair ( ) an .ndivfrl al Sewage Disposal System at No.....1 .........f_......_ ?a..: ..... I.G .... ..........r.a��r..... G 1.:u: ............ ...... Street [ as shown on the application for Disposal Works Construction Permit No. ... Dated.....'�� � � .. ................. ........... ......................................................... A (L� Board of Health DATE...... ................ ..........................VYJ LOCATION _ SEWAGE PERMIT NO.. L®T I7 _L l(,,iOIAJV M i1-1- RI) VILLAGE a INSTALLER'S NAME & ADDRESS OR OWNER DATE P ERIAIT ISSUED121 DATE COMPLIANCE ISSUED ' /®00 4 !{t Faa.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliraa#inn for Uiipnnal Works Cnnnntrnrtinn - rrntit Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: -Z- �.7. �1L�1!�.. !�4 X� / �z ,ti�= ' �'F--------------------------------------------- r a� ocatio - d ess - or Lot No: a�w�4� - 1--=- ap.d .....-•---••--•---._.....-•............. ...•--------------- Owner Address ---------V�j`od1i�T-p...- f3 ��.....-- '''' ------------------------------------------- G� Installer Address Q Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms_____________ _.--.Expansion Attic ( ) Garbage Grinder f��� U aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) a Other,fixtures ------------------------------ ------------- W Design Flow................. .................gallons per pet-son per day. Total daily flow.......... ................. .gallons. WSeptic Tank—Liquid capacityyw�Ugallons Length................ Width*--------------. Diameter................ Depth..-_._.___-----. x Disposal Trench—No- ------------_--_-. Width----:--------------- Total Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No_____ ______________ Diameter.l�-�.__-�q9v_ Depth below inlet ....... Total leaching area........----------sq. ft. Z Other Distribution ox ( ) Dosing tank ( ) Y��- PC — i,1-2S=7e:� aPercolation Test Results Performed bY.......................................................................... Date-------------- ------------------------- Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ f� Test Pit No. 2----------------minutes per inch Depth off'�Tesst_Pit.................... Depth to ground water........................ Descripti n of Sotl __ � °'� q4�t: .J T u o - _ j - _ .z U ----•-•-•---� --~- `.�-?-- -- ----- to �= !'� w _ -. - ------------------ UNature of Repairs or Alte ations—Answe' when applicable---------------------------------------------------------------------------.-------------------- ------------------------------------------------------------ - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has/ issu the bo rd of health. Sign ----- Gu--- .------------------------------------------- Date Application Approved By......... •--- ...... .... .. . �--- - � - ---� ---------• D ----------... Date Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------------•----------- ---•-•--•---••--•--• ------------------------------------------------------ -------------------------------------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued...... e •�--_--_--- Da r, No............. .......... FEE... ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _... ..... . ................OF.......................... , rC.._ .................... Appliration -for Uii asttl Forks Toaritrurtion Permit Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: -------- ' '-�.....••--.••... ----.�A_44? 11 ....e4 ............ ............................................. ly e s r ocati r... .. or I... No.....................................•..... j l Owner Address Installer Address d Type of Building Size Lot....... ...................Sq. feet U Dwelling—No. of Bedrooms-------------3---..__..._-_____-.-__.--__Expansion Attic ( ) Garbage Grinder A-10 aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QI Other fixtures -•--•----------- ----•-----•---__ W Design Flow................ ...... . gallons per person per day. Total daily flow------------- _G o__--____--.-..-----.gallons. WSeptic Tank—Liquid capacity/ -gallons Length................ Width................ Diameter---------- ..... Depth................ x Disposal Trench— o_________ ...___________ Width-__-.-_--_ ____----_ Total Length_--_______-______--- Total leaching area.-_.- ___-..--__-_sq. ft. Seepage Pit No.___�......____. DiameterbP_ A0_. Depth belo inlet-.p .................. Total leaching area-----.............sq. ft. z Other Distribution box ( ) Dosing tank V;_ J00 r1A S_'7C Percolation Test Results Performed bY------------------ ------------------------------------------------------- Date--------------------------------------- ,� Test Pit No. 1----------------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-_.-..--.__---.-----.__. fYil.._. - 7 ..... , , -------------------------------/--------r •---- Descripti n of S il--':___Q-_� - __ --- Ir -- 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has/ is the b rd of health. Sign -- . I .. ........ --••-•- ------- --------------------------------------- Date Application Approved B ---I_G/ _2_-_1 _.7_C__________- Date Application Disapproved for the following reasons:---------------------------------------------------------------------------------------------------------------- ........................ --------------------•---•------------.-•-•-•------------ - Permit No.................................................•...... Issued........ Date ® s � Date THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH d1..............OF.. .... :... .. . c ............... (9ertif irate of Tlimpliaurr THIS US TO CERTIF , That the Individual Sewage Disposal System constructed ( �r Repaired ( ) I; by G� -------------_-----•--•-•---......•. �f Ii s ller at = U... --- ---- � - -. -. ....•---- �----- -- ' - - -- ' has been installed in accor& ce with the provisions of Artlela XI of he State Sanitary Code as described in the application for Disposal Works Construction Permit No._'-.76__S__!4_.:',�.................. . THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WIL FUNCTION SATISFACTORY. -&-' .f 9--•-----•-----------•----.......•--•• Inspector-------� THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALT of.......... - ---------------• --- -------.- No. -� . FEE./ 0 Bi_sVo n n itrurtion Permit Permission ol'-f=is hereby granted---- ....T J ------------------------------------ - - -----•-•-••-------••------•------- to Constr v '.r,`kepair (/ ) an Indi�du Sewage` isp,sal Syste f at No. V = � �-� ! !/` �� c -- •------- r , treet 2_ / � / as shown on the application for Disposal Works Construction e it Dated_____�............................... DATE..................................... --------•-•.............................. Board of Healt FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 'Sip FT . 0 '•� :c�: •sTr��u ail . Lc�-�%6 xc Knsi¢ti srox' AST WAY din 19 AVA o f Al. 134 GS kk F. i' !` ;S/,bWN CAI t� LG.Cl9'T'��A .ON Y7�Fi G.�QtlNla AS' ,�iC�'WN' -AI C �s �y r r � :sue�--r : c 'AE'F •- �Ts Wn/ o` QA,e?S7ABGE'. TOWN OF BARNSTABLE LOCATION 1-LT I KTi RVV-CM L QD SEWAGE # —4g— 2> VILLAGE `ASSESSOR'SS MAP & LOT 1p I� INSTALLER'S NAME & PHONE NO.PCV6!�:V a SEPTIC TANK CAPACITY tSOC� G9'ct-[COtJ T �� LEACHING FACILITY:(type) 2 10W&16L Ptrs (size) JCCO V-2 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER -- �5 DATE PERMIT ISSUED: DATE . COMPLIANCE ISSUED: ' r VARIANCE GRANTED: Yes No X, O d y`O 6R1_ Scerr TF\NK 2) 1cco v ► "P12C-cv T Pt75 SECTION - SEWAGE --RE PA t R S 4i 1 Z -SEPTIC TANK - 9 '. _"D..BOX - I O -LEACH TOP OF FDN ..2"OF i8 STONE N / WASHED STONE � 7<a- LL OUT• A ; IN 1N• OUT• IN e ' / 1 t. .per. ' `'- SEPTIC cq TANK i \ ELEV. ELEV. ELEV. �:3 G ' �\\ ELEV. r g5.57 4 > Q _ oRY 47 ELEV. ELEV. EtDDI IlO t OFi4"-hh.. S WASHED STONE 1 T IRS i. COY VJINDQkI 't3ofToul of G1,L nI,1 ; M E I2I U M IM 17 TEST HOLE.LOG aXV 3s.3o v�� ,R)�p= so, TEST BY PfAIRoAkiK P-�. TEST DATE Jr-lO-S& WITNESS F- .. DESIGN �BEDRooM HOUSE T.H. * 1 T.H. # 2 A�1 6, 95EB 0�" E NO 3 IV DISPOSER DISPOSER 21' U13vlt�wpc zq" q3.6 PERC RATE . �S MIN/IN. J� 5 G'FY FLOW RATEI_I:O_(`�) (GAL./DA-Y). O D►J 84 It, 39.$ SEPTIC-TANK- j4f0 (1,6) I Al2P REQ D.SEPTIC TANK SIZE G $q•, E-DI11�I► c K S _ � ! o stV LEACH FACILITY 1 I 132'' �RDv fJ 353 199" 33,� SIDE WALL( io =37699(X 66) 25. 80 G/D. is6" 33.3 BOTTOM _ls-Ta ( r ) w Ill,S3 G/D. ! S I,TY 5 N 3t 3 TOTAL S3.4.07 5 USE: Tkl o t'2) LEACHING hI 1 s f 10 EF'F PiA. X /a EFF DEPtN _ _Qo WATER ENCOUNTERED NOTES: (.UNLESS OTHERWIS/E� N OTED) I 1.DATUM(MSL)+TAKEN FRC�M �p�Jy� :-__„„»-gUADRANGLE MAP �j {.�Jl�IQ.L`/�► 2.MUNICIPAL WATER-_--_J__2`„____--•»------_.AVAILABLE ��7 ( itti� Of\I�f 3.PIPE PITCH:W"PER FOOTt��',,.° tt. 4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO- I .44 5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. 6.PIPE JOINTS SHALL BE MADE WATER TIGHT ; •'1 r I Cj 1,®E I rj` cI GRA17E OF SF PT I(_ SY<E" 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. i, SITE PLA STATE ENVIRONMENTAL CODE TITLE 5 ^ti s' aC� I�I �y u�aa,f g'(�IIS PL J Foss PROP06eq I j(2g C C*jLe-412 G-IOIJ p n'' �' � � ��K 0 Locus: r\l0 C �.USED FOR PRO LI►.l� �st�Kl tJC� 9• P5MOVE UK.15UITAsl.E MAURIAI, FoP_ 10' AROUND ` _ -�= C1_��N1 QUID REG PROFE5510 L ENGINEER I I.CAGFWQ& Af2r/�To Et� _K 5 Ak1r7 1ZVr AGE WITH I Obi REF: -- 15AN 17IUM 5AK1D. do ca a eetin �, ;`L MF n p engin x *^' +� PREPARED FOR: _r CIVIL ENGINEERS LAND SURVEYORS ._._.._._. BOARD OF HEALTH I i � REG.L�►ND;6t1•R'VEYOR I� � I (EXISTING)- 26 � S ( SCALE -1 _ CONTOURS (PROPOSED)-O�-O-O- APPROVED DATE �JGL'_LJGEL MA Y HA SCAL — oU/ — 17LY