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HomeMy WebLinkAbout0405 MARSTONS LANE - Health 0� �'t�rS�s �h � � �� r � - r'• - i?. .: � _ - � 4, .. f: ,, �. . �: � c. - .. .. .w .. �. K , _ ., � �c. � � - '� � �, .- .. .. � ss '. a :. _ - '. -. q �n � p a a ._ �. ., mow.- .. _ _ _ � 6 _. < ' .. e � `� °` .. .. ti: ,.. � c .: i - _, i .. -�. r . o ,. y, _ 4 � .t � .. t - � _ �. .. ,. � _ � _, .. _ a v ' .. - ,, ., - .. ,. .. �' ,: � :. ',. ..� �� •. � - ,. '. ,. a . .. N .. � .. - a ... [ a 0 i� ., _ _ - .. 6 {� . }/ V TOWN OF BARNSTABLE d LOCATION O �3 &,veSEWAGE # eR--,?dP N ILLAGE ASSESSOR'S MAP & LOT 3 19 '� 7Ln A I-);,)ie 9-R-J-Z) INSTALLER'S NAME & PHONE NO. J`t� SEPTIC TANK CAPACITY J � LEACHING FACILITY'Atype) Zlp _(size) G NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATER BUILDER OR OWNER C ke DATE PERMIT ISSUED: 10 3` -0 DATE . COMPLIANCE ISSUED VARIANCE GRANTED: Yes No U 3/ i7� � a ASSESSORS MAP NO: PARCEL K No FIZ11....... .........U....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........WiW^�............OF..... .............................. Apphration for Dispogal Workg Tonstrurtion rumit Application is hereby made for a Permit to Construct (L,-)r or Repair an Individual Sewage Disposal System at: 4�/Ve- ................................................................................................ .................................................................................................. Location-Address or Lot No. 161214-c-Iss .../ � , /7x�-s ................................................. X.......................................... ...... ..:7 .......................................................... Owner IdIre....................... 'y ......................................( ........ ..................... ....... .................... Installer Address Type of Building - Size Lot-4 41......_747�7----Sq. feet _j- Dwelling—No. of Bedrooms..............4.............................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) 04 Other fixtures ...................................................................................................................................................... Design Flow.............._63 ................._..gallons per person per day. Total daily flow.............. ....................gallons. .......... / I/ 04 Septic Tank—Liquid capacity.1rPP.gallons Length Width..��---q.... Diameter________________ Depth_.. .....8... Disposal Trench—No. .................... Width......-........_.... Total Length.__................. Total leaching area....................sq. f t. :Seepage Pit No......._..Z------------ Diameter......Z��:.../..... Depth below inlet......_.......... Total leaching area..1�7e�..sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by..._24�V✓ ...........................:::....... ...... Date__,T&,v4—_2-7 �78,9 �_l ................V---------------- Test Pit No. 1... ...minutesperinch Depth of Test Pit....e� t to ground water------:7=--------- rxq Test Pit No. 2---Z--.5/-.-minutes per inch Depth of Test Pit---/4t8.*.... Depth to ground water__________ _________ 04 ........................................................................................................................................................... 0 Description of Soil.........�. ..........L4100 D ....... ........................... ................................ U ........................................................... ...........................................................................................................---------- .................. .................................................................................................................................................................................... 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'TTIE 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---- . ... . . ...... ... . ... .. ................ Application Approved By..... ... . .. ... ............... / -Pl----------Dat Application Disapproved for the following reason ................................................................................................................ ............................................................................ Date ----------------------------I----------------------------*-------*---------------------------------------*-------------Permit No.... ---------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ./ ,,+ 8�r,!.' T7- .. -...------..OF..... - .--------- Appliration for UhipugFal Works Tumitriirtiutt rumit Application is hereby made for a Permit to Construct (E,,�} or Repair ( ) an Individual Sewage Disposal System at: ........-- ....-••••-•............................................... ...........------•.........-------•-•--•-•-•-----..........•--•-----------------•----•-----...-•-- Location Address or Lot No. t3izvc.� G,9c � - .... .... />/ Ss v /s -•----------------------------------------- Owner Address W Installer Address �A _7� Type of Building Size Lot_.7_`_.`.+,......._•_---------Sq. feet j U Dwelling—No. of Bedrooms.......... ............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ............... No. of ersons_....._..................... Showers — Cafeteria P, YP g ------------- P ( ) ( ) Q' Other fixtures _________________________________ W Design Flow..............:`�.._................._gallons per person per day. Total daily flow.__..._....:'".... ........_.._gallons. WSeptic Tank—Liquid capacity.l:_Q4.gallons Lengthlo_'.Q.'_... Width.__-�__!�!."'. Diameter________________ Depth..s x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No._---__.�__._____- Diameter......«_...... Depth below inlet......4............. Total leaching area.G74%.�..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by.... �-�w�y�....�.•......�_.�.... ...-.. Date._TuN�_ Z- -- ,aa Test Pit No. I...4_.'¢...minutes per inch Depth of Test Pit---- � Depth to ground water......"" :______._. Test Pit No. 2_.G.5�..niinutes per inch Depth of Test Pit---/AA....... Depth to ground water---_____"-----__---____. -------•------------------------------••-------••-•-----•-•-....-----•---------•----.........-----------•--------•-----••----•••• O Description of Soil.........0.�`34 � 36//—/S7 ----- ••------•-------------------------------------------------•-----------------------------.-- U ...._...----•-••---------• ...--------•••--•--••-•------•-•---••---••••--•--•-•---•••-••-••---------••....-••----.-.-.-.-.•.-.-_-.-.- W ••--•-••-------- ------------------------------•-•...-••-•-•--------•-•----------------•••••-•...-••--...-•-••-•---------•------.......3•--------••----••-•--•---•••-•.............•--••.............. UNature 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'T: .,,;. y g g p y 5 of the State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. Signed------••... ••. •�-'-- •---•• ......... --•-- ! eApplication Approved By.... ! Date Application Disapproved for the following reasonC/............... ............................................................................................ ......................................................................... Da t PermitNo.-- ° � .• -- ---------•--- Issued-----------------------------------------------•--••--- Dste f I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...../.G.INN.......OF......... /`�7 1t.v'�%�464 L At %Drdif irate of ToutpliFattre TH' I TO CER IFY, T th I :ivcdualSXV,ge Disposal System constructed (4,.)-�or Repaired ( } All at..........V' 1- - -r-.� " --^-- +.`.'T�, ""'.4.� Ins-..ltp ey A ./) ! - -----"°=. F_�...`.`-•'-'-'--i-•��---- / --------------- has been installed in accordance with the provisions of TI TIE} �t_of ThgStat Sanitary Code as described in the application for Disposal Works Construction Permit �o.__�._�y..._._.�-: ..' ..... dated________________________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE®,AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................................47.. ..::..�.�...-----....._. Inspector............... ................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .� ............../O Lc/. ........ ' NO.0 V'e................... FEE...... Dispos rkg Toth tern , r — � � `F Permission is hereby granted....... --..1:�'�l_ �'Z�.�s- ------------- �--- �-- -'----•-----•---------•--,©•..................... to Constru r -pair ( ) a Individual Sew e Disp sal ys em n f at No..---•- ......__ 11_.C. r ?/` _~ ._....� :.....1�.U � ( {f •-- .....-•-- = Street . /�., ��� as shown on the application for,Disposal Works Construction Permit No�._�1....._°_%Kated---I -_____--__�?_ �?�..... -----------------•-----------------••-------•---•-----•.-•--•---•-•-••••-•----•-•••-----••----...-•---•-- Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS S/7E PL sHr o F z sy -s o� LOCATION arl�n!5T81 �, CC��rsA �,} a��P4tN SCALE . . ... . . . . DATE 4� - U /988 y..LtEY PLAN REFERENCEtVo. 2S10o 74' �,► LET 78' Ar 3 � O 8 okk Lo7 .2 pp sr o ` Q 74 1K,p1 t �� a^'1�'";✓pGr 1`'S ! '. {. 1 ' dq "II 1 eat �.. P/alV. 8¢.� � ' S�lE�7- Z a,� Z S�1�T3 • Oo TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS 77MV7Wr q35 ,�0 4' CAST IRON 12"MAX. � . , OR SCHEDULE 40 � � 12"MAX. P.V.C. PIPE 4"SCHEDULE 40 PVC-(ONLY) -� � PITCH I/4"PER.FT. PIPE - MIN. I LEACH 1� PITCH I/4 PER.FT. PIT PRECAST o'o --INVERT o J LEACHING ` o EL..Bags INVERT INVERT e W PIT OR SEPTIC TANK DIST. EQUIV. EL...�.!�I. ELT�TJ. F. ; >x ,.o INVERT BOX , o; EL. 8q�4 �' GAL. (NVER EOYyo INVERT ;•' 6 ww o: :;�: 3/4"TO II& EL WASHED w STONE �— —6'DIA. --� DIA--►���r.•. n PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE NE ?j!off8 . `/L�/dy �l�.t!/V/�G , , BOARD OF HEALTH TEST HOLE I TEST HOLE 2 G�d✓�9%'�D L:. �EGGE�/ ENGINEER ELEV. . .8747p 3L„ s�g_s,,� 3C„ ��_� DESIGN DATA �Z g¢So -78.Bo NUMBER OF BEDROOMS TOTAL ESTIMATED FLOW . . . GALLONS/DAY �5.9 SASAr�o BOTTOM LEACH NG AREA ��3•�. . SO.FT. /PITIC f?v AT/D W i T}/ Win•! SIDE LEACHING AREA . . z��•.� . . . SO.FT./ PIT/¢SZ.Q F/Nt3 144-0 ez, GARBAGE DISPOSAL VO!`/C. .(50% AREA INCREASE) TOTAL LEACHING AREA . .`?�•. �. . . SQ.FT Fi N� SA�o PERCOLATION RATE 4-3 ZA411. '��10Z. MIN/INCH c5Z,7¢.57,-i i68' NZ 47 8o LEACHING AREA PER PERCOLATION RATE FT./C,PD No WATER ENCOUNTERED NUMBER OF LEACHING PITS . .T . . . . . . . APPROVED . . . . . . . . . . . . BOARD OF HEALTH ��-`� 7- DATE . . . . . . . . . . AGENT OR INSPECTOR OF o EDW°, a .'��, ��p1tN OF Mqs o LD T o T.�IEY /`7iGYlZST NS LL}�/� �D, No. 26100 �o% ►+ Q�STEA O PETITIONER 41NITARi