HomeMy WebLinkAbout1339 MARY DUNN ROAD - Health /33 9
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TOWN OF(B�ARNSTABLE
LOi.ATION 3 3 `F'W T�� SEWAGE #
VILLAGE CV M JUfSESSO`1'°S)(Mk� IT6� LOT
INSTALLER'S NAME & PH E NO.
SEPTIC TANK CAPACITY kCk)0 li GAl. COX V1�
LEACHING FACILITY:(type) RP ) ?'kk g uo (size) U 3 'S
NO. OF BEDROOMS PRIVATE WELL OR PUBLI ATER _
BUILDER OR OWNER�,�
DATE PERMIT ISSUED:
/�,,
DATE COMPLIANCE ISSUED: /
yea L
VARIANCE GRANTED: Yes No
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No.....,L.j1 �. Faa ......:.1...�..�.............
THE COMMONWOF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Divi-poml War1w Cnon,itrurtion 11Prutit
Application is hereby made for a Permit to Constr(u'(ct )nor Repair � an Individual Sewage Disposal
System at: �Zj D �I'��u ID
.....,�, . .... .�. .. Dv�:�----- -----_--------- ------
ocat+on•Address - or Lot No.
`1.. ............................................. -----------•----Sr^nr=...-......--------------------------------------.....---------
,� Owner dress ,
��- -------------------------------------- -------' t --' �•�^�` Vixt-.----?... can f,�
Iustaller Address
Type of Building Size Lot............................Sq. feet
,..t . . Dwelling— No. of Bedrooms---------------------------------------- ---Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons--.---.--.--.-------.-.----- Showers ( ) — Cafeteria ( )
at Other fixtures ------------------------------------------------------ --------- ...
W Design Flow--------------------------------------------gallons per person per day. Total daily flow......-------------.........................gallons.
WSeptic Tank—Liquid capacity....10gallons Length---------------- Width...------------- Diameter_------------- Depth................
x Disposal Trench—No. .................... Width.................... Total Length....--------.-_--.- Total leaching area....................sq. ft.
Seepage Pit No-----t-----_------ Diamete<9X_Cr-..... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
a
a Test Pit No. I----------------minutes per inch Depth of Test Pit..........---------- Depth to ground water..---...................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...---..................
R; ......-•--••----•----•-•.................................•-•---•---------------......---------------.........................................................
0 Description of Soil-------------------------- ------------------•---------•--•-------------------.......-----------....-----------.....--------------- ....................................
x
x -------------------------- --------------------------------------------------------------•---------------- -r t
U Nature of Repairs or Alteration Answer when applicable.....� U ___-.( () .1.'±�.d-n°�1-....-... .x. j.....
. V.....--W---------'1•1A-----. --� v----------------------------------------------------------------------------------------------------------------•---
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliaj3.ce has been issued by ealth. �L�
Signed ----- +..'3............
3...-..
I Application Approved By ..........
Application Disapproved for the following reasonr. .............................................................................
. ........................................ ......... ................................ ................................ ..... . . . ........................................
Date
Permit No. .........'.... ..........�............................... Issued .... - ---� -°"..-�te-'...9.`..��-----------------
.` ;; 3 3 tr; 60 0
.No.. `? .. FEs...... r�..........
THE COMMONWEA TH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Uiti-Voiittl Vor1w Towitriirtion rrrmit
Application is hereby made for a Permit to Construct ( , ),or Repair *(�) an Individual Sewage Disposal
System at: CA N 010
.....�. ....r'�.��:- �►..: -�.�-- ------------- .......-----------------------•
MLocat4on•Address or Lot No.
Owner Address
Installer
�. S
Address
Type of Building 3 Size Lot............................Sq. feet
t-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons------------------.--------- Showers ( ) — Cafeteria ( )
dOther fixtures .......-..-
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity---N gallons Length---------------- Width---------------- Diameter--.-.--..------- Depth................
x Disposal Trench—No. .................... Widtvh-------------------- Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No-----I_------------- DiameteiG.X-Cr------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by---------------------------- ••-------•••---------•-•----•------•--------• Date......................................
Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
Lit Test Pit No. 2................minutes per inch Depth of Test Pit--.-_--..-.-..__.--. Depth to ground water........................
----------------------------------------•------------------•--------------------•------...----...............................................................
Descriptionof Soil..................................................................................... --------------------------------------------------------•---------......_--•------
x
w
x ---------------------------------------- ------------------------------------------------------------------- ............................................
U Nature of Repairs or Alteration Answer when applicable.-----� .C���.....-.�-----.�r(� 1........ n A L...--...�i
t.. ..... ----•-...I-..�4......e; ... --------------------------------------------------------- ------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Complia ce has been issued by :ard-ofaf-health.
Signed ---....... C.....�,/............ ........ ...... ......�..�--�-------- .
l
Date
Application Approved By �. I�-
�•-ter ��
Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------------------------------------------
.................... ................................ ..v--.............------.....---------- -----...............------------------------------- ----------..............----------..........----- ............................................
Date
Permit No. ........77.!' ----------�-------------------------_. Issued -------------!-- -�'- e?
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Grtifirate of Contylianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
by -- ��i --��c��.C�V�
-/ It„taue.
at �..3. ..��.----------M.htr..1 f.._.. 1 -.....- - (1 ......_/.1�,��.. .. .. .v�..C�. ' -' . . ......................._._.........
has been installed in accorda ce with the provisions of TITLE 5 of The tate Environmental Code as described in
the application for Disposal Works Construction Permit No. ..._2�"_-. ------------- dated .......-....------....._...._...------....
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISF TO
DATE..... ---------- - - - - - Inspectov
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
pp TOWN OF BARNSTABLE
No. •Y�... .. FEE S.........
Dioposttl Workv Tonotrudion rrmit
Permission is hereby granted-------. ------------------------------------------------•-----------------------------
to Construct ( ) or Repair (V an Individual Sewage Disposal System
at No..... ..- -i•-----•.M� L1-1t!�------•- ��_ cl, - .��i1 P-----
Street
as shown on the application for Disposal Works Construction Permit No..---_-------------- Dated.--..--/...-"..�....
........................................
:-
.� Board of Health
DATE ----17 Lr ----------
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
1�'
LA CATION SEWAGE PERMIT NO.
VILLAGE
I N S T A LL f R'S NAME B ADDRESS
of & ,sffxg11� cin"x—
BUILDER OR OWNER '
0
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED 511718s
�� '��
4
�J
.,
9,4�
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`�� - �
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF -HEALTH
..c�i.J d�.........OF-....��LYZN.S.�...�`�3 t_-7t=
Applutttiun for Digpuuttl murk Tonstrur#iun Permit
Application is hereby.made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
:....L Address
� to.
/f2 _ .............._._.....
Owner Address
..,� � ................. ....••-- ............................................. ..-----....------....................._...........
Installer Address
Type of Building Size Lot...._.:_....�........ T.-feet-
U a Expansion Attic Garbage Grinder No. of Bedrooms...............:� • •
Other Type of Building No. of persons . Showers ea
Q, Other fixtures ...:..........................................•---•--...._.._..._._....._........_.:-------.._.._............_....---•-----••-...........--•-•--•--•-
Q •
W Design Flow.............. 5.._..::::.._-•-----gallons per person per day. Total daily flow.._...._.._�� ..._.:..--......gall
ons.
WSeptic Tank—Liquid capacity Ac":;�R.gallons , Length..... J.. Width:`�-.5;._ Diameter:............... Depth.."ar_._. >=s=-
x Disposal Trench—No.....:............... Width..........._..__._ Total Length.................... Total leaching area....................sq.
ft.
3 Seepage Pit No..... _.. Diameter....!'___.__.._.. Depth below inlet. �....Total leaching area. c :53?.sq. ft.
Z Other Distribution box (><) Dosing tank ( ) - .
''" Percolation Test Results Performed by..... ............................................. Date.........................................
,.4 1 •'
Test Pit No. 1.... minutes per inch Depth' of Test Pit. .... .. . .. Depth to ground water.._(.°^!�....
Test Pit No. 2.... 4...minufes per inch Depth of Test Pit..t� _ Depth to ground water-_.��.'.� tom`
........:........•'••._.__..._._...........' ....._........_..................................7...........................................................
O Description of Soil...:r- !..� . ...........................................,...._.._..... i
.. _3cv-- !�4 ...................................
........ G-/��'?�Et.o..! :T `!...'3�.-�SrZSr!�`is ...^I`..fJ�.U...j .T' ?_:_aZ_.-v_-
Ut...........
D�/SL? Sf1 G�19�.�LL-ILTH ��` . .}.t,ro ti47_
_._.
U . .._-• t .. pp -----------------------•---••---...._...._...........------......-_..__.................
Natured Repairs or Alterations Answer when applicable
.................................................•-•------...........---._.................----••---..•..__....._...---.._._...-•-------•------....._......_......_....__...._•--•......._.............Agreement: ,
The, undersigned agrees to install the-aforedescribed Individual Sewage Disposal System in accordance with
the provisions of.:ITLZ 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 j
XAplicati6n
"Signed.....MA.+ D,Approve By............. . l�-
Application Disapproved for the Dal
110 wing reasons:....'..........
-•--•......................................•----•--._._......._....-•----......------....------.................................. ...... ....................................................
Date _
Permit No...... s...:�s�., .._.... Issued....�.�....-.�.I......95.......... .. . .
Date
ONE
_v_ _ 1 y ,
No.`s----- {' A,f FEZ. ... ..°u...
THE COMMONWEALTH OF MASSACHUSETTS
" BOARD OF HEALTH
:u
_.._ l..» OF....... r tZ.N T3L.�.._ . .
4 Appliratildi for Disjp,asal Mark T anotrnrtuan rrrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
Location--Address or?Lot No ,s /
/ ;i'�y L %Y.�:_..s r✓? rr�i. S.. ..... .. .:.............. '.... .........------
f/ �y
ar1/Ire rrd >;x- �J' t<�c z�i �r��.� Address .. ......
M Installer Address
Type of Building Size P.......Sq-•feet::: .
ai Dwelli No. of Bedrooms.............. _..:. __._ .......Ex• anion Attic Garbage,Grinder
p,, Other—Type of Building ---------_ ______________ No. of persons............................. Showers ( ) Cafeteria ( )
QOther fixtures ....•----••-•---•--•------•-_... --•-------•................ .................................... ........
Design Flow............... ?...................gallons per person per day. Total daily flow....__.__.3�........... ......................gallons.
Septic Tank—Liquid capacity!�e_gallons Length _______ __ Width:___.;.:______._ Diameter......_.. Depth.ac..
._ � S 45
x Disposal Trench—No.,............... .... Width. Total Length Total leaching area....................sq. ft.
3 Seepage Pit No.....att- .. Diameter_ Depth below inlet.!l!T Total leaching area.Z -.5!.sq. ft.
Z Other Distribution box O Dosing tank`( )
Percolation Test Results Performed b
... Date....................
Test Pit No. 1._..f�%!' minutes per inch Depth of Test Pit.... 4`E. Depth to ground water._.N...
Lr, Test Pit No. 2....�:_�:.minutes per inch Depth of Test Pit_1 ' Depth"to ground water........................
x ............ ...............................................................:;,.....-----••--------.......................
O Description of Soil.:.. !-�..: : �..:.........................`�' -S ........... .ate s�� y- �'...`'�4 � r s� ..s 4,y .........
VNature of Repairs or Alterations—Answer when applicable� N.. .............
Agreement: ........_ .................................. ----••_....... --------..._....._.. .........._.._._.._-_..__._......_-....._............_.
The undersigned .agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the pro�-isions 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 by the board.of,health
A lication A rov B ...... `... .. ..............•• -••--...--- .._.......
Da ......
P PP Y....._•_- Dat
_.
Application Disapproved for the k,owing reasons:.,.............T_...--••_--• ..........................................................................
..... ........................................................ .--------•-- -•••••• ••-•-•---........................................................................._
D
• .L._ .............._._ Issued..:. ..1.._..................ae...._
. Permit No........ .... ..;,�.,.
Date
............................. ..............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
{ .........................................OF........ .................................................._.- .......
fffrr# f utter of f9lamPlittnrr
THIS IS TO CERTIFY, That the Individual,Sewage Disposal System constructed ( or Repaired ( )
by. ...........................................................................................__...........
. Installer' .
at..��........../ ..
has been installed in accordance with the provisions of Tl?'I� 5 of The State Sanitary Code as de- ribed in the
application for Disposal Works Construction Permit No:__-:� :!-:. dated..... "_.(:�..._'. S.................
THE ISSUANCE.OF .THIS CERTIFIC TE SHALL NOT.BE CONSTR ED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTO .Y----.
/^
Ikn f�sp�e',
.
...............................
DATE
..............
THE COMMONWEALTH OF MASSACHUSETTS
a<,
BOARD OF HEALTH
..............''2,
......... .................OF........ .....:................__............._..........-. ...._.._....... -
No. F ....�,, ..'
�tagall8orkii Tunstrurtinn Vrrntit H
Permission. is hereby.granted.... . ... i......................................................... _
to Construct ( ) or Re ( ) n Individyal Sew a Disposal System
Street _
as shown omthe pplication for Disposal Works Construction Per �_ 3 � t —
.
Dated-- .............
Board of Health
DATE............. . --_ .......... . . ..... .._..:. ..._ �.,�
i
SECTION - SEWAGE
— — ,
�� SEPTIC TANK - S - "D"BOX - � LEACH -P1T
TOP OF FDN
C
8Z.�
- (MSL)a 112"OF t/eT0 t/z"
4- /
WASHED STONEIN-
OUT• IN• OUT• �� /oot'
t1Q.� ' 19.ZS SEPTIC -naa_TANK �ELEV. ELEV. ELEV. ELEV.
r
ELEV. ELEV.
—- OF Ls"-lt@" .te?•,'v`r c-r \ A�
WASHED STONE
TEST HOLE LOG
TEST BY
TEST DATE
22C= i is > t9s3 WITNESS 7
DESIGN BEDROOM HOUSE
T.H. • 1 T.H. # 2
Do—aL ELEV., oQ.i ELEV. NO
fipp r16.8 0� �`�•P DISPOSER DISPOSER � v
PERC RATE MIN/IN. �-'---`� _ 1 ( % ! s _ �r(Lp
�T FLOW RATE 33Z=(GAL./DAY)
= SEPTIC TANK 33v
hs> REO'D SEPTICTANK SIZE 8z-
8`' \
LEACH FACILITY
t' `(
e SIDE WALL ) G/D. 6Et�c �� MA.e� �,
U.. ( CcoXwo��=18E3 = 3-t1.Ga
BOTTOM 1c'z �,/�i = �8.5( s GAS.C_ G/D. \8�
TOTAL Z�'l-c� S.f _ `�42..Zc��p 4�A.�. 5\1�w3r -,�
�% ,. C � Gam.. 8v ,c� •---_...._.., /
USE: �'�s`-= LEACHING 1= T `� Ico
14yc loco.a /
__Z WATER ENCOUNTERED
i
NOTES: (UNLESS OTHERWISE NOTED)
1.DATUM(MSL)+TAKEN FROM. L'��`�!`� _5 ---•QUADRANGLE MAP
2.MUNICIPAL WATER__•__..______________._____.____AVAILABLE
"3:PIPE PITCH:t/i"PER FOOT
4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO- -44
5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1) FT. DISTANCE AS CERTIFIED
6.PIPE JOINTS SHALL BE MADE WATER TIGHT A' ��� �„ei
NSTRUCTION DETAILS TO BE SITE PLAN
7 STOATE ENVIRONMENTAL CODE TITLE SDANCE WITH COMM:OF MASS. ���P\` blASJ9C f y
o� ARNE ti ° LOCUS: MA2�{ �utycU Z_ �
S H. ^,
OJALA N CI ����r�v�.�2�•��3�.�z1—�=�,—/�BL� M A
a #26348 p� p OF �SroN�E rGt R
o, '� "r n^ GO c!Z• .'e I REF:
\�Js CO TEREO JQJ'v: ,'
1 La�oS' 4 �`" r" ?i .,`� � .', down case en ineerinvp PREPARED FOR: T�TZ-
�bp� •'-':,': �_va I' CIVIL ENGINEERS ------------
C��' lC-�C—c_
i LAND SURVEYORS
BOARD OF HEALTH REG.LAND SURVEYOR
CONTOURS (EXISTING)------------- g( �NS�TP(E3�.E r IAli11 SCALE
(PROPOSED)-0-0-0-0- APPROVED —DATE IMA Ya�w�i�.l1MA
DATE',