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TOWN OF BARNSTABLE p
LOCATION # �'�// SEWAGE
VILLAGE AR,JS�'A 61 A' ASSESSOR'S MAP LOT 33S b j I
INSTALLER'S NAME & PHONE NO Ris"f (" 7j7 d,-Dyy'f
SEPTIC TANK CAPACITY y oo GAL N-20
LEACHING FACILITY:(type) PRECAST Di cl-ysSct?S(size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER i,J.S
BUILDER OR OWNE C
DATE PERMIT ISSUED: z F/ 7 D
DATE .-COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH .
• .....................OF.......I s ,a L..E............---....................----
Appliratinn for Disposal Marks Tonstrudinn rnmi#
Application is hereby made for a Permit to Construct ( ) or Repair ( tan Individual Sewage Disposal
Systm at:
.... ..•-•-.•-----
Location-Address or Lot No.
o Owner Address
a /. i ,ti?..-.. .LS-6.. _a.......................................... .... ..T,�?,��.z... ds t�!._�, .....•..c .................
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms...........fA2.9.._...._.... .Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons............................ Showers — Cafeteria
aOther fixtures ..............• ---..................._.....-•------.....----••.. .
W Design Flow............L117.........................gallons per person per day. Total daily flow........... ....................gallons.
W Septic Tank—Liquid capacity.. 020gallons Length................ Width................
Diameter................ Depth................
x
Disposal Trench—No..................... Width...../f.:....... Total Length.._?.y ...... Total leaching area....../.gk-----sq. ft.
3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.................sq. ft.
Z Other Distribution box O Dosing tank ( )
Percolation Test Results Performed by--•--•......•-•---•••••••----•--......--••................................ Date.................................
$4 Test Pit No. ]................minutes per inch Depth of Test Pit..../. Z...... Depth to ground water......ex..........
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
ix ........................ ...........• ..............--..................................r........................................................
t Description of Soil.....--rC/o--� Sv.�...._.�.�' 1. .'..... ....'1 �.�1 41,1 ,�! ........"....fZ?......�
U ------ •-------------------•-------.---------- ------ -------------------...-------•---•---------------------...n ....
-•--....---•---------------------------------------••-------------------•-------------------------------------------------....----------------------............----.........._.............._..........
U Nature of Repairs or Alterations—Answer when applicable...lsl�, 1...l�?'��-... .s��Pl c...../avv...G.-r---H.-2P--_O.
---�ex...011----�to 5 1 �s+�,1 QiFi-✓v 4�...# .`20• f4cl.. 1 � �`` � � l��cs.� rl...1ta.ly1---------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iI'%LS 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 ealth.
Signed- �- 7 , ... ...................... 7 +�o.._....
ate
Application Approved By---••------ . — -----------•-----•------------------- •-••-..a at e------.
Application Disapproved for the following reasons---------------•------•----------------•-----.---------------------------------•----------........._..........__
pp�� Date
PermitNo.......F'o `.....-•�•.,-�-_-----------•.............. Issued........................................................
Date
• ,;w.:p,.- „j..yi`ti^t`l.^.^?•r i4-•..--..r..^^-ti•a.+-*-t"W-r't..N.'L�^r+• rysc:�r"*1rY'�r.- " 1�,y'3•-a.JKI'yM'"ti�`i*••�.lt'�b.f''�Y '��r"?1!'-,.!•�ti'
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THE COMMONWEALTH OF MASSACHUSETTS
t -
BOARD-OF HEALTH -- ~
' ...... o. ....................OF.......L3 RAbMALjr.-----.:.....------•---....._..---------•--.
Appliration for Disp,asttl ork� Tonsh-Winn rrrntit
Application is hereby made for a Permit to Construct ( ) or Repair ( van Individual Sewage Disposal
Location_Address ..............................
.I or Lot No.
-� -_ :LL.Y �.9.. !_!^ :??F. "l... ...! elm G.5T'
Owner Address
I A.� i s���J �' 9 rl r dJ.�1 Pi „ l.I 1 t �
_._ ........... ....�K --, ..0 --------•---------•--•--........_........ ..---•----•- ...... -..�'..�`-_---.R:..,....._... - = 41:.....----........
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms........... W®.......................Expansion Attic ( ) Garbage Grinder ( )
'•� Other—T e of Building ............................ No. of persons............................ Showers — Cafeteria
WOther fixtures .................:.....................................................................................................................................
', WW Design Flow............. /A......................gallons per person per day. Total daily flow....._.....Z- :_o...................gallons.
W Septic Tank—Liquid*capacity../gedgallons Length................ Width................
Diameter................ Depth................
x Disposal Trench—No.---_------------- Width...../y........ Total Length....Lt........ Total leaching area......Lp4.....sq. ft.
3 Seepage Pit No..................... Diameter................... Depth below inlet.................... Total leaching area..................sq. ft.
x Other Distribution box O Dosing tank ( )
aPercolation Test Results Performed by........•••---•-----•.........................•••••--.._......._......... Date........................................
Test Pit No. 1... :._._minutes per inch Depth of Test Pit..... _4_0'.. Depth to ground water......Q.y--..........
f=t Test Pit No. 2................minutes per inch Depthvof Test Pit.................... Depth to ground water.%......................
R: --------•-- '--------•---••--•................••-••••--•-•-••--...........---••-........_..........................................................
0 F Description of Soil.......r-. k0,A-. Syd...../5':`..- -/s'' ..— �1�� ._4 .�.�.�...- 9.E.
v -------•------ •-------- -------- - ------------ --------------------- . ------------.....-- ---------------------
-............
------------
•-----------
------------------------------------U Nature of Repairs or Alterations—Answer when applicable._: 1 �!__.�*:!.._.1_..._ 'F� .G._._.!?�ar..�s?...N �Q..Q.
box ,:0_ ...� ° ...>.......FLQ,� 1,tr-✓sAtm...#... ° �',a�` .��'. .rA� .,,gy�� /��n,�.�.�. ..L........
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT11 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.
Q
Signed_-..; �--"J------ --- . �2. 5��...712.....---
Application Approved By........... er ,� .�_� 9---,_-9 at?la
r.
l Date
Application Disapproved for the following reasons:-•-----------------------------------•--•--- -•-------------•-••-•--•--------•-•--••---.............---•----
7'..
Date
! Permit No.......F = Lj '' Issued........................................................
1- ....... . Issued Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH '
i...�, ...................OF..... j4.A.aj-� ..... .............................:.
Trrtif iratr of TontgRaurr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (:vj
by.................................. •.f�•-�.e.,R,t 7...--5-•-. s 1. 6-----••----......------•--•----..............-----•...................................................
Installer-
at..............•---•_...3 q. .....•.& ... A....A.44A2 1:;" ------------------------------------------------------------------.-----------------.-------------
has been installed in accordance with the provisions of TIT 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No--------.�?-n.... ....... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION-SATISFACTORY.
DATE........��. /'� �� `�.- ....................... Inspecto .....--.....-_ .--101"
r-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
....'Tn.sr? a................OF..... a s'T"r . ?. '...._.. 3 a o 0
NoFzz.... ................
Disposal Works Tonstrurtiott Vrrndt
Permission is hereby granted........ .P.t:A'—)...._C......., 5V.j:A2 r..................... ............................ ..................
to Construct ( ) or Repair (V) an Individual Sewage Disposal System
at No............................. ........•--•-.......3.9�f/ ��-....�if��JsT�_,�l�
----......�e ......... . �i.:............. ..........
- Street .
as shown on the application for Disposal Works Construction Permit No.�:��P.• Dated..........................................
Board of
DATE............. ........................................ Health
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APPROVED
OKHRHDC
I V E D
d 1989
I
j111r4r,lia. 20 FT. MIN.
r -TOP of FouNo: SOIL TEST
EL. _ . �L -S: 10 FT. MIN. �.•^"
E
CONCRETE WITNESSED BY
DATE OF SOIL TEST J4- P P�t:C P-738
COVERS 4� T
SCH. 40 P,yC PIPE ' GLEAN SAND WITN —�D 1/;VJv' C-="
MIN. PITCH 1/8 PER FT I PERCOLATION RATE < - IN. INCH
CONCRE T
1 E OBSERVATION HOLE I OBSERVATION HOLE 2
_
4" CAST IR N PIPE t2 COV(taS✓ _ 2" LAYER OF ELEV. _ - �+ ELEV.=
I ry- -
FOR EQUAL, MIN. ,- I/8"- I/2" WASHED
PITCH 1/4 PER FT. STONE
FLOW LINE. N �1 ,w�An,
r-- ip"
EL = MIN. 19� ACV EL.= J1.7
/oo, S� EL.-- Io o,3 OL
2V oe O C3 C7 O C7 G7 O g
EL LEVEL p O O C7 L7 O 0 o c�
EL= oo. / EL.: 4. o EL= 8„7 / r c c
p • • D o 4 p p ' • p p p p ► • /S7i "
DIS�. EL.= `19�7 a ° ! c o ° e 0
BOX o ° : o • p o p p 0 O WATER AT . EL.- WATER AT EL,=
0 o' GALLON EL.= e 7
3/4 - I I/2 i, J-4 °,� 14 x / ! DESIGN CALCULATIONS
SEPTIC TANK WASHED STONE
r z_' NUMBER OF BEDROOMS
~ � „`STc71y1F_ + GARBAGE DISPOSAL UNIT NoN
I 'v " TOTAL ESTIMATED FLOW
SEWAGE DISPOSAL SYSTEM PROFILE c GAL./BR./DAY X SR.) GAL. DAY
NOT TO SCALE REQUIRED SEPTIC TANK CAPACITY 330 GAL.
ACTUAL SIZE OF SEPTIC TANK //Oo GAL.
BOTTOM 'OF TEST HOLE ON
EL.s -�• r LEACHING AREA REQUIREMENTS
F p�_f c_ CPS.S Pcn L. S OBSERVED WATER TABLE( e / l4 /8f) EL.= zs SIDEWALL AREA 2_5 GAL./S.F
BOTTOM AREA 2, 0 GAL./S.F
LEACHING CAPACITY BOTTO + SIDEWALL) ' GAL./D/? J
LEGEND �4A14 X1.0)+.
RESERVE LEACHING CAPACITY ;.-
I EXISTING SPOT ELEVATION OOXO _'�.._ GAL J ors
o� Ja 4- EXISTING CONTOUR — —— -00— --—
\ FINAL SPOT ELEVATION ® NOTES:
FINAL CONTOUR
a SOIL TEST LOCATION 1• TIT SHIP AND MATERIALS SHALL CONFORM TO O.E.-3.
ALL WORKMAN
3 0 ',
E L AND THE TOWN OF t _)j'- q 3�E RULES AND
I \ \ UTILITY POLE -O- __.
+, TOWN WATER W ��=W
REGULATIONS FOR .THE SUBSURFACE DISPOSAL OF SEWAGE.
_\ •, `� I y CATCH BASIN ( ® 2• ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
Q I ) _ - WITHIN 12 OF FINISHED 'GRADE.
' I 7.THIS PLAN IS FOR SEPTIC PURPOSES ONLY. • 3• EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME.
NOT TO BE USED FOR PROPERTY LINE STAKING, 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE
OF WITHSTANDING H- 10 LOADING UNLESS THEY ARE UNDER OR
i°1 'I' `� '` j "�" �"" rr,i•.a. WITHIN 10 FT OF DRIVES OR PARKING AREAS. H-20 LOADING
�y Y SHALL BE USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING.
S. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE
SHALL BE MORTARED IN PLACE.
6• NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH
� ,\ i �XfrjTfNCy.
DEEDED OR ZONING REGULATIONS. OWNER /APPLICANT IS TO
• 2 Q�DI•'oojyt '
� 1 OBTAIN SUCH DETERMINATION FROM APPROPRIATE
ROPRIATE AUTHORITY.
APPROVED BOARD OF HEALTH
a„4:—
pf6' r , OAT AGENT
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�� ..r r.. I PROJECT LOCATION
j`fir• i,•'
1 .........,...�..._-_, .•.s.,.v..—._,.,...:c-..:.:.c 1. i '.-. ..,,.... .-_ _ '�
I 31189/h �t"s�i'wit`+ipy'. �`• ��� / APPLICANT+
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bbE1i/� . j c�/ LIMAS in'
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j TallC(i ESl'U;11111tElTAL CONSULTANTS
• , s ��srEP ,.� ,, �
\��ITAR0�a� "' P.O. 80X 615, EAST DENNIS, MA 02641
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pry 38S-24 25
;,�,., :• i i SCALE' .,o OATEN
'1f. s �' REV. REV.
LOCATION MAP JOB No. �a
,� � ~ 7 • a 3 i �- SHEET / OF
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