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HomeMy WebLinkAbout0066 MARSTONS LANE - Health 6 arstons Lane` Lest #2 350-011 .002 Barns table/C'umma9 uid o D ' � 0CA .r !oP# GA9 SEWAGE PERMI ' NO. I I L L A G E ! MSTA ,LLE 'S MAME A AGGRESS 5 U ! LDI R ON G adER 0ATE CU -YPLIANC ISSUED ��� �i, �� ` _ � �� .4.._ - _ _ . _ i .�.--_ -,_ 4 r THE COMMONWEALTH OF MASSACHUSETTS OOP BOARD OF HEALTH � 0 �� Q ............R�Wn/............OF....-��.9 !vs7�E` 4.6 .................................... 35 / Appliration for Uiovoiial Worko Tonttrur#ion ranfit Application is hereby made for a Permit to Construct (,,-j or Repair ( ) an Individual Sewage Disposal System at: ...M sue.,.s L � .... .................... Z Location-44,dsess _ or Lot No. -- Owner ii Address WL�j�� ....._.. --------------.�...................................................sr.................................•......... Installer Address ¢7 Z Type of Building Size Lot.... �.......... .....Sq. feet f Dwelling—No. of Bedrooms..............�.........._.._..........Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ---------------------------------- W Design Flow_______________________'�__--•-----.-....----gallons per person per day. Total dailyflow...............ZZ .-.....-____-___..gallons. R: Septic Tank—Liquid capacityZOeq..gallons Length.8 K...._.. Width. -,.��._ Diameter _____________ Depth.s'8�� W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No....... .......... Diameter.....4?..._..... Depth below inlet-•_-3: ......... Total leaching area...... ...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) _ Percolation Test Results Performed by..L _w P.____.__.G: _ Date..�C..�� --�8-� y ,tea Test Pit No. 1..4.Z minutes per inch Depth of Test Pit---t3�"....__ Depth to ground water_._...--............ (i, Test Pit No. 2...�._Z....minutes per inch Depth of Test Pit......A,?.Z��_.. Depth to ground water.......-............. ........................-........................................................................=••......................................................... 0 Description of Soil........ "- S z " Woo Gos�?�-i 4 asvBsoie- ,rZ"—// ------ "MGD..i......+/� UNature of Repairs or Alterations—Answer when applicable ��C�l�) ___. = Jlv. i�?:. T' Agreement: �S �At� =��U a -E�3;r2Lc—r T.D e(—, V The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLL 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......-- ----------- ------------------- ate Application Approved By..... �- . .Q•. _- � � Date Application Disapproved for the following reasons:...............................•-----•-------------------._...----------------------------------.........••••-- --••..............................••----......----•----•-.................---•---•-----•--••....----•--•--•-•••-•••-•-•••.........-•--••-•••••---•••••-•-•--------------••--•--•-•••-----•--•••-•-•-•--- Date PermitNo..... _ ------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............T wn/...........OF.....-� n'ST/�. 'Z App iratiun for Disposal Works Tonstrur#ion Vrrutit Application is hereby made for a Permit to Construct (,.,f or Repair ( ) an Individual Sewage Disposal System at: .../-119;0.5TZ­i s -/�4- Cc.+ Z. .........««--•---•---•-•--... .. ti�A• % ........... .......................•-•-•--...--•-•--•-- .......------............................ -•Location-Address or Lot No. ••PC�j�c ..r?:. �Gu ................................................... . ...........Ci.�is�/�-¢!�.:a ........«...................... ««.«............. + Owner j Address _-- a _�, t `mod 4 Installer .�i!3 . ....................... ^•• .....«Address-_-_--_------.............................. Type of Building Size Lot.. 8 z 9....Sq. feet Dwelling—No. of Bedrooms..............Z._..__._._..__........_Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building No. of persons............................ Showers YP g ..........................•- P ( ) — Cafeteria ( ) Q' Other fixtures --------•........................•_.-•-•--•-•-•---........_..... W Design Flow....................�� -------.....----.gallons per person per day. Total daily flow............... Z v ...--_-_-------gallons. WSeptic Tank—Liquid capacity.Lonn-.gallons Length._8_�G."___ Width.. `_.`G.,-. Diameter................ Dept h..`S._8._.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No..................... Diameter......!.��........ Depth below inlet.....:..:s........ Total leaching area...24s,....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by... '^! ' G. Date... ._..Y,../�................ ,.a Test Pit No. 1..4._ ._._minutes per inch Depth of Test Pit.... 3 ....... Depth to ground water......"':............ LLI Test Pit No. 2....!LZ....minutes per inch Depth of Test Pit....... Depth to ground water.......':............ pd .-•-•••----------•--•-----•...._......-•-....---•...............•----._...-•-- 0 Description of Soil.........a_ Z " S3 Wov�Go6+x7 #' _ _50/e .S'Z MZ_/iZ v/0C rhc AS" S o .............•-----•----...---•--....---------•----••-•---•-------.............._..---.......---•-----•-_••-->l••-•--....._..................... V ..................................................••------•--•-------•••-----....... ------ ..---••---- ...................................................... U Nature of Repairs or Alterations—Answer when applicable .......... ! l7Lw . Lc x....:+`�`a.ZALLAZtY----•-- _..P'.�7?l3 f ...... .. M Agreement: } t Y1J`F [` t �rJ� r .tA t r ! ! c ,',.} c •T'� iL1�l/ The undersigned agrees to install the aforedescribed Individual Sewage Disposal .System.in accordance with the provisions of T I IL LE 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..................................................................... .......................... - -, f•Z f fd Date Application Approved BY :....,:.:. ,:c�::_{,.:f.:.: I�;;.a : __--•---•----•---•-•-------- f{ _--------•-- / Date Application Disapproved for the following reasons:........................................................................................................«««« ........_•••-------------••-••--•••-•.......•----••......._...-•••.........._...---••-.......••--•-....«...•-••--••••--......•--•--.....----................-----••-•.....----..............._....._... Date Permit No.......... JJC�C�..............«..« Issued...........................................«....... --- Date THE COMMONWEALTH OF MASSACHUSETTS ..1��/�„ BOARD OF HEALTH �T�r �:av 70V/ OF........c3/�?Z�!STA/3G� ................................................ fardif irate of Toutpliaurr THIS-ES TO CERTIFY, That the Individ%al w, a Dis pr S stem constructed for Repaired by .. ._.P .. .... II Installer at .. -------------------------•---••--------•--•-•-•• ......r _01............... ^?'�C't .......................................................... 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....... ._tom..__...... dated......�. .'�___.a.�_(c:.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU ARA TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. � DATE...........................j-•- l .............................. Inspector.........................►•••o....1-•--•••---......--•........................ THE COMMONWEALTH OF MASSACHUSETTS � 1 +�M�F_7 / 7/ v r,— BOARD OF HEALTH 7�w^f OF.. 41'lLn1�5 T�7f3 L - No.. �....1 �_... Fa ........... - z �- �iu�rnuttl- urku �unot�.r#ion � ,ut - Permission is hereby granted.............. to Construct ( w4 or Repair ( ) an Individual Sewage Disposal Sy tem at No...._..._ a a=t(:..:: ....... t •---------••-------•-------••-•---...--•-----•-•----•-••................... ..--- Street as shown on the application for Disposal Works Construction Permit No:�C.:1.4?____. Date ... ................. .............................. .'. .:_�...C`.......I..... �� Board of Health DATE--------- -•- • -- .......1._.:_ FORM,1255 A. M. SULKIN, INC., BO'TON' SNE�T / o�- Z :sNE�Ts ,i Lora/ -- go , �1 4 Lor z /, oy6 9oe� q11' � Lor�'zr" I4l �1 N �tiv � I Aje`�► N 1 �44f S I WAfM L/NE PJGG^�o 00 T va �.yti off' Qoo QeSeR..vE a�a 46 �yl, Zoa.oz I 'ear All ppapp ^/oT — L°Z�✓A770NS 9404-D 9PAJ LACATION B�,P.�/s�BG� CC�!!1�'fA¢�✓iaJ �9ss ►En Doti. SCALE . . . DATE .z4. 3 �}BG PLAN REFERENCE LoT„Wz E ELLEY N I CERTIFY THAT THE No. 26100 SHOWN ON THIS PLAN IS LOCATED ON THE GROUND S SHOWN E THAT ETOM � THE SETBACK REQUIREMENTS OF THE TOWN WHEN CONSTRUCTED. DATE . . . . . . . . .. . REGISTERED LAND SURVEYOR TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS 4"CAST IRON 2 1 12"MAX. OR SCHEDULE 48 4 SCHEDULE 40 PV.C.(ONLY) P.V.C. PIPE PIPE- MIN. LEACH ' PITCH I/4"PER. PITCH I/4''PER.FT. PIT PRECAST NV ER LEACHING T � a :. : eke EL..49..6y •. SEPTIC TANK INVERT DUST INVERT P . T. �? s: PIT OR EL.. •30.. EL. 10/ EQUIV. e INVERT BOX _ /aoo GAL. INVERT ' 35~~ �" 3/4"TOIV2' EL..`�l`,¢g EL`y/B INVERT ;' ww EL '3° �o WASHED w .�'• STONE DIA PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM Ne'�- "�� '`'�� AI llt 4WD /N 7H� GG�iCN AfLd'� ADD NO SCALE in i Btyo vD 7D 86-9010vry ogtlD RdlXAc" wort/cta?T" n TL"3T /�mGE 3 S40a (Jh�R96rD S01 L LOG 3oa eo, ti� �oEr WITNESSED BY : .� . {��rlgS TIME. /0:3o qr� do /`/a cc� BATE .TT.Asy s Ca�La�/ BOARD OF HEALTH TEST HOLE I TEST HOLE 2 ENGINEER ELEV. . 74 ELEV. MOM INo�+DLo%ry7 ��' IMooDGala•w► DESIGN. DATA : St' �E,a,45737 St" EL 45-47 NUMBER OF BEDROOMS 'G "evllrml ''�� TOTAL ESTIMATED FLOW . . 22v. . . GALLONS/DAY SAr/D Sq-ivz> BOTTOM LEACHING AREA . . . SO.FT. /PIT/,�;P,D. ioz,. bZ 4/.3o SIDE LEACHING AREA � . . SQ.FT./ PIT�3%rj�c/'D E"Z 46,37 n/��/E o GARBAGE DISPOSAL . . . . (50 /o AREA INCREASE) PA '�D TOTAL LEACHING AREA . . z' ��. . . SQ.FT c G�3Si19� 7Ja/o PERCOLATION RATE . . . . . . . . . . MIN/INCH I3Z EZ, s8_7o _ _ _ LEACHING AREA PER PERCOLATION RATE 'S .!`!O. .WATER ENCOUNTERED . SQ.FT/C/?D NUMBER OF LEACHING PITS 7�2�� f LET Of" ST17�/E' a N /-EGG S/D6=3 APPROVED BOARD OF HEALTH DATE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AGENT OR INSPECTOR OF OF ED R 4J c fort 11 ,HA 0 5 ti . . . . . . . . v ELLEY No. 25100 rclm- �o Ao PETITIONER EDWARD E. KELLEY REG. LAND SURVEYOR CUMMAQUID, MASS. 02637 TEL : (617 ) 362-2266 Town of Barnstable Dec. 30 , 1986 Board of Health Hyannis, Mass. Ref: 86-18 Pearl M. Kelly, Lot # 2 Marstons Lane , Cummaquid The sewage system was installed in accordance to the approved plan. All impervious material . in the leach area and ten feet beyond was removed and replaced with clean 6,and. It meets all requirements of Title V and the Town of Barnstable Health regulations. OF dlgss �© ED RD KE LEY 0 0 y No. 25100 - R. IT I *Al. Lh� Reg �� ia:n Reg. Profe°s-sional SAN!1A&\p� Land Surveyor