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HomeMy WebLinkAbout0256 INDIAN TRAIL - Health 3 I T'1`ird 13ic-rw s . r vsn M 3am omovs e,.•r�,en,e!�9•,u� mfiSm" eu!mnog Pe!1No� %011NIA00 MWJJ I/k 031OAM MII M MItl Sns V ®Z� •O (jumviDuo nOA ONIdDA law3ws i I No21 FRic THE COMMONWEALTH OF MASSACHUSETTS BOARD OF -HEALTH .................. 0F..........................�.. ....................... Application is hereby made for a Permit to Construct or Repair an fridividual Sewage Dis'posal System at: -: 7 ............ .......................................... .........;P................................ cation dress or Lot,No. ................ ....... . ......... j Own o Y Address I .............................4- ..... ...q Installer Address -t Type,of Building Size LotA; .307 Sq. feet U N Dwelling.— o. of B6drooms....... . ..............Expansion Attic Garbage Grinder ( ) .................... Other—Type of Building............ ................ No. of persons........................... Showers Cafeteria ( ) Otherfixtures ...................................................................................................... ...............I.............................. Design Flow................S.SW.....ls-Obgallons per person per day. Total daily-flow.......... ..........._.....gallons. Septic Tank—Liquid capacify-T-----�.. Ilons Length... Width;41:�.... Diameter................ Depth.4. .�— Disposal Trench— Width.._.. Total Length... Total leaching area---;-'A; sq. ft.-111G� Seepage Pit No--------------------- Diameter........:........... Depth below inlet:7�:.'.Pff!�otal leaching area............_.....sq. f t. Z Other Distribution box Dosing tank Percolation Test Results Performed ........ Date..!!�V��!/2_,a.._...... Test Pit No. 1....<�L..minutes per inch Depth of Test.Pit...... Depth to ground water... .... GT4 Test Pit No. 2...�...I.:..niinutes per inch Depth of Test Pit...._ .......... Depth to ground water...�0N 9-:7...... PG ... ... ........ ........... ........................... ...........................*......... ............... m 0 Description of Soil.......e' ............ .. p ....................... .....................!!'!A........................ ........ ............... 44 7--A G��' )Lj ............................ .... .................................1�......rp.-5;;0 ......... .......... ......... U Nature of Rep irs or Alterations—Answer when applicable.....*........................................................................................... ----------- --------­--------------------------------------*.........*-------- ................. Agreement Z �d Individual Sewage Disposal System in accordance with The und signed a4ees 0 -11 the afore escri e In vi I 5 S. itary Co the provisions of ILITU o the State In d rhe undersigned further agrees not to place the system in k rs signk operation until a Certificate of Compliance has been issued 49 the boar of I a 04 d� -AA6 Isie;.........J9­1' S00-------"......... ..................................2X4.�. ............ Date 5.... ........ ..... .......................... .............. ,,__Application Approved By.........Z Date -4plication'Disapproved for the following reasons:................................................................................................................. --A ermitNo......................................................... Issued... tvl A . I -QjrAM —na AK No .�) (a FEs ,�� .. 4. � ........S . _ ,. ....._ THE COMMONWEALTH-OF MASSACHUSETTS "`- BOAeRD OF .HEALTH ............ ........... . . .OF........:.. .- ----------------- i - Applirtt#inn for Ui"asal Workli Tonotrurtinn Itrrmi# Application is hereby made for a Permit to Construct (w or Repair ( ) an Individual Sewage Disposal System at -^j • _ ocaton dress orLNo. �. d ................... ..........•••••-----------......................................................................................._............._..................... - Address Installer Address Type of Building Size Lot_+gz-x�'.Sq. feet V Dwelling—No. of Bedrooms....... Z Expansion Attic Garbage.Grinder nder _...... No. of'persons..............: ___. Showers —44 Other—Type of Building p ( ) Cafeteria ( ) Q44�,IOther fjtures ` . ---•-•••-•.......:........•••• •• -•-•-• •---- ... ............... Design F�� ... r � allons per person per day. Total d Iflow '4"��' d .. Ions. WSeptic Tank-Liquid capacl .. ......_ .Ions Length.. ......... Width 4` ... Diameter:.:::... ..... Depth i; x Disposal Trench—No. Width.....-.......... Total Length, -Z.S:�, Total leaching area.:: ::.. sq. ft.99 G�i � '.�, Seepage Pit No..................... Diameter...........:.,_..... Depth below inlet......... ...--.-.. Total leaching area..... .......sq. f't: Z Other Distribution box ( Dosing tank `" Percolation Test Results Performed by.....49Lw8Z�..: ��--?. : ��a 7 ... 'f� : Date.... .........� � Test Pit No. I.... 1 -minutes per inch. Depth of Test Pit. i ----- Depth to ground water. )..1aN 4. Test Pit No. 2.....Z-..minutes per inch Depth of Test Pit........ ....... Depth to ground water. �4i:W_25 ...... D Description of Soil....._c>c� 42. ..............3"l ..........1'sc......` -� 4Z-!3-L ._j_M�iJPu�• `r-c c�--J� t� U 3 S k/ .... .............. .............. ............................ ...:.... U Nature of Repairs or Alterations—Answer when applicable ... _........ .: y....., 777.................. .......................................................... Agreement: to ./ The undersigned agrees 1 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 the boar of 1 .. Si Ld --•--•---.... ............ .l 0 5 lication Approved B v^ :... .. ,. �_..:. j' e'/� c�a �w Date plication Disapproved for the following reasons � ... ----- -- --- "� ermit No.....-•- -•----•-• --------• .................. Issued.:_.�:�3.l: .ctq r�� n�,��;Vl����.�� =� ', �_.. ._ r i . ... . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ,`HEALTH �r � oF: .......................................... .: Trr#Ifirab laf Toutplittnrr THIS T CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by -- a �f'._.. . --..r •• ---- ••• --•••••... -- ....................................................... Installer at. )'7X.3......... • ......... -------------•------- •--•-•-•----•----- --- .... ........... has been installed in accordance with the`pro"visions of T Z,,,r�of The State Sanitary Code as described in the application for Disposal Works Cor?st tzac4lon,Permit No.. � . = 4 -- dated ...............•.........-----... .....:.. - nfy� .c, THE ISSUANCE OF THIS CERTIFICATE SHALL.NOT BE CONSTRUED AS A G RAN EE THAT THE:, SYSTEM WILL FUNCTION SATISFACTORY. - DATE... �° :.0 ~. $ �� ............ :..... Inspector.:. --.. ..... .. _ •- -a......;.e.u.e-.«c.«rs-.ri+a±, -.:_.�.o...w_...:.,.Y.e.., ..,.....+..«a.. ee• c .. . .-„ice .. _ " f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.""� ... ' .... �........ Map .6 1 urku I ffuttstrudian Vandt ti} Permission is (,, . �. -- hereby granted G" :... to Construct ) or Repair ( ) an Individual Sewage Dispo S stem �f S , at No.. Jh. ......°�" .�tl.�.. . �----••- .. Street yt as shown on the application for Disposal Works Construction Permit _ - oanl or il / lll2 f � + , e F DATE.....- ....... •� '.....(.a ralth r o 4 362-4541 926 main street yarmouth 4 mass. 02675 dOWO C4.Pe enfiaeering" civil engineers& land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys site planning May 13, 1985 sewage system designs John Kelley Barnstable Board of Health South Street inspections Hyannis, MA 02601 permits RE: Site Plan # 85-011 Lot 3 Indian Trail, Barnstable Dear Mr. Kelley, With reference to lot 3, Down Cape Engineering examined the soil conditions in the area of the proposed leach pit on May 10, 1985, and I certify that the soil conditions are uniform in nature in the area of the lot being considered for building and subsurface sewage disposal, as shown on my plan ir# 85-011 and that the test holes shown on the plan are representative of the soils at the location of the proposed leach pit. Therefore, I respectfully request that you waive the requirement t of a test hole in the exact location of the leaching area. To conduct a new test at this time would cause undue hardship in time and expense to my client, Mr. Neil Scholl. Thank you. Sincerely, • Arne, H. Ojala, P.E. AHO/kmk cc. Neil Scholl 4 r r ] 362-4541 926 main street Yarmouth mass. 02675 down cape engineel-ing civil engineers&land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys site planning sewage system designs November 12, 1985 inspections Barnstable Board of Health Barnstable Town HaZZ South Street permits Hyannis, MA 02601 This is to certify that Down Cape Engineering inspected the sewage on Lot # 3 Indian TraiZ, Cummaquid and it meets the intent of our design of our plan # 85-011, dated 7120185, revised 7/11/ 8.5, assshown on the attached as-buiZt plan. Sincere Zrg, W Arne H. Orja Za, R.L.S., P.E. AHO/kmk enc. cc: NeiZ SchoZZ 77, LA CY AL \ : .. 1.Q4:ACRES z 0co .4 1,70.00 3047 N 86*12 31 "W 525.00 r= AL i I � f CATHERINE B . LOWELL TRUST nti +-nK� 2/2�/63 �• T3M . ,rk: PLAN OF LAND lN BARNSTABLE , MASS . FOR BEATRICE H. MAGRUDER 50- 0 50 _ _100 DECEMBER 31 , 1982 _ SCALE IN FEET I°= 100 EDWARD E. KELLEY a. y -REG. LAND SURVEYOR �jt, CUMMAOUID MASS. ,.v. A . ,r s Y. + 41pMgL UNDER THE SUBDIVISION 1 t '� L LAW NOT REOUI RED. �. � -� � •��. coNTRo � `DATEjig . . . . . . . . . . . . . . . . . �/\J -34 fps 6,0 BOANSTABLE PLANNING BOARD W` MAP , 319 PARCEL 145 TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION /�L OWNNER ©ANDrINSTALLER INFORMATION ADDRESS: "! .mil MAP NO. PARCEL NO.tla,.'l''... OWNER NAME: !. ✓ /k�'��L/-��Ejjo VILLAGE: 61`.`IlY� / INSTALLATION DATE: BY: i ADDRESS: f/ CERT. NO. 36- - / TANK INFORMATION JV LOCATION OF TANK: _OAJ-DEje�3&0 CAPACITY TYPE AGE 210+ FUEL/CHEMICAL c lLFO L OIL- TESTING CERTIFICATION C ] PASS C ] FAIL DATE LEAK DETECTION C 7 CHECK IF N/A TYPE/BRAND n �} ZONE OF CONTRIBUTION C I YES C ] NO DATE TO BE REMOVED Witt, e'rA 0V FIRE DEPT. PERMIT ISSUED C I YES CX] NO DATE CUNSERVATION C ] CHECK IF N/A DATE BOARD OF HEALTH T G NO. I ]C ]C 1[. ] DATE, No -rAG boa VO-C -ice --:E9/y7aa - PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD ,�, ._..r ^� ..�a..M,+'�-rwr+•.__..-.__ ...... ...�,�..s_,�•f11��� ..-..�....n.•w�a,. .._......w.�-. .. • .ityWll4r•w,b-MYM4'+•M.' �w+M.flpYoi.w�....ew...._I•vtr .�.rWn_ r..�w..rnnnns•iM•w. _.-..,...•.,a..�..,._-.w... 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