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Home My WebLink About1357 MARY DUNN ROAD - Health 1357 MARY DUNN RD Barnstable A= 334-002 No............... ...... > FicB........... ....-.. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH �s ----------------------"-- Applirattion for MaposFal Works Tiandrn.rtiun Famit Application is hereby made for a Permit to Construct or Repair ( } an Individual Sewage Disposal System at: 1391 • •Loc t'on-A dres or Lot N _ Owne Address �1........ ...................... �'' _ .......................... Installer Address Q Type of Building Size Lot .......Sq. feet U DwellingNo. of Bedrooms........._ _Ex Expansion Attic Garbage Grinder — P ( ) g ( ) '4 Other—T e of Building No. of persons............................ Showers / — Cafeteria a Other fixtures -------------------------------• • . W Design Flow............3` ................. allons er erson er day. Total daily flow......d. . g - - g P P per Y• Y !�........................gallons. WSeptic-Tank—Liquid capacity%k,?pd.gallons Length.._ .._.. Width-_-d.._..... Diameter................ Depthd.......... x Disposal Trench—No. .................... Width.................... Total Length..............:...... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.......6......... Depth below inl t..... ....... T_ot 1 leaching area.,A!64.....sq. ft. Z Other Distribution box ( ) Dosing tank �' � aPercolation Test Results Performed ....... ...... Date...-�Z ........ Test Pit No. I................minutes per inch Depth of Test Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test ... Depth to ground water........................ Ra .................. --.....-•--------------------------------------------------------------------•........................................................ �IeO Description of Soil-----� 6).�dC'.� Q_,V�-------------•----------------•-----•-------------...-•----•---...._...........•....-•---------------- V . ....-•----•-•----------. . .....•----•--��1�.� .t �Z��S�.---------------•--------------------..•..---•--------•--...........---...----•-••---.•...... ---------------------- , .0,� �t�'� ---------------....... ._......... •-•------•--- 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 TIT�.;,.. 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. Sign _.. � ...- ------ --- ....---------•---•--....-- Date Application Approved BY--:.' �� -- •................... p c.- Date Application Disapproved for the following reasons:................................................................................................................. .......••••...........................•--••-•._....-----------------------••-••----------------•....•-•-------••------------•--------------------------•-----•--•-•-------------------------........__. Date ----_. Issued.---y.�1_....". Permit No.-----•---------•--------•------•-------------- Z ..�-q....-•-----•-•---...-•--- Date 747 ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7rC7.CaJfit/................OF..... 1'c 1Y< • Appliration for Disposal Works Tonstrnrtiun Frrutit Application is hereby made for a Permit to Construct (,••') or Repair ( . ) an Individual Sewage Disposal System at: .. .�I�rL. ....::- �!f✓. 1....d .l ....................... ............................ 0 - - --......... ••----- Location-Address or Lot N -= --- ! ✓ .. .......................... Owne Addres a --..__..._•-- Installer Address Type of Building ' . Size Lot��` .....Sq. feet U Dwelling—No. of Bedrooms........... .............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ______»_ No. of persons___.»___:_»___».________. Showers / — Cafeteria 0.1 Other fixtures --•--•------------'---------------------------•_..._._..__ .. ------ Design Flow.___._...._�,.�i_O_________________gallons per person per day. Total daily flow...... . gallons. WSeptic Tank—Liquid capacity-.-, + -.gallons Length.ZQ.___..__ Width.._ ___._.._ Diameter________________ Depths_.___..__. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter..._._6......... Depth below inl ........ T6WIleaching area.-1 ....sq. ft. Z Other Distribution box ( ) Dosing tank ( )14 � Percolation Test Results Performed , 4,5 ...... Date___ ........ a Test Pit No. l......:...::....minutes per inch Depth of Test Pit Zd.0........ Depth to ground water........................ Lt, Test Pit No..2................minutes per inch Depth of Test PitZ—,Sd....... Depth to ground water__...................... ,F O Description of Soil.. '� -1 Cif G1 SJ .�. f3.f`7...................___............................................................................ x .......... ....------------------------ ':...... C .Y f SCE Q✓ •--•--•-----._.._..---•---•'-----------....."•--------------.._._..------....--'-•--------- ...---•----•---....--•'••••••--•--•••-•-•-- U Nature of Repairs or Alterations Answer when applic,Oe................................................................................................ Agreement: The• undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI& , rj,;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. Sign -- _ ...................•-•----............•-•-••••---•..._•-•-•-•._._._ ............ Date A Approved PProved By Date Application Disapproved for the following reasons:-:'------------•-----•-•---•--'-----•---------------------------'-•----'--------•--...._'-'-•-'•-----.........» .......................................................='.................................................................-...................................................'......................... Date PermitNo........... �-•••---•-•-•---=•-•-••--••--...----»----» Issued.-------•-•-••••-••-•-•-••-•=---==-•-••-------------- Date THE COMMONWEALTH OF MASSACHUSETTS • BOARD OF HEALTH ��'�" �� ' • ' ......OF......... ... ........ ..................... _. �rr��f�rtt#r ,af ��ant��i�anrr THI P CE TIF - That'f1Individual Sewage Disposal System constructed ( or Repaired ( ) by e'� !' �' ..... .......... ......................................•--- - ------------.....---........----•----••-- at /! � �/:l nstaller y-�� ._ i_'________ _ _ __ _ _ _ _ has been installed in accordan e with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated__-.-sZ___-"_-7__`_'79'2�............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISPACTORY. Inspector._. .................. 7. ~ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT �`"G$ i.. .. CIF..-.-.:-.-. y ............ .. - - No......... ._.1.'..••_. FEE. ................ Disposal arks onstrurnion rjn Lt-f—& t ~` a�Permission'-is hereby granted----o/4'_,t ----- -: ,:-•------------ ..... to Coil( ) or epaLr ) an Indio dual Se a isp tem ( � Sys j /... ................. Street _. as shown on the application for Disposal Works Constructi Pert No Dated 7,�............ Board of,,Health DATE.......... ................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS "' /J�F /�J<rr✓[iEZ ~vim J27 - Ez. o.e es t 2 - � �#� la o P/r J razr i � DUST. tZ 477 Gq� Fri-.ems i o N �o 00 F2opost-� Ez 4j z iV"ry Ez.•�6. i �4z•4 n/or�= �z�✓.�rn��s � �� CERTIFIED PLOT FLAN s,-, LOCATION . . . . .. . . . . SCALE . '= DATE •. �. !7 7i. EDWARD E. KELLEY PLAN REFERENCE O,,;-MMAQUID, MASS. 02637 5 ��,✓�✓ c�✓ .9 T�G�4?✓ , Io2 VV 1y -F i."f eta ``E I CERTIFY THAT THE 4T!%7/�✓G. . ✓Nj��7O/J SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE `E r�r c•a � SETBACK REQUIREMENTS OF THE TOWN OF sr G'H??!✓�`rLE. . . . . . . . . WHEN CONSTRUCTED. DATE PETITIONER: B�pJ✓STFrBLE� ��J.955, G �%' £ - � REGISTERED LAND SURV R � t . L. . TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS e; 4'�CAST IRON 12 MAX. ' PI PE (OR 12"MAX. EQUIV.)- MIN. 4"ORANGEBURG(OR EQUIV.) PITCH 1/4"PERYT .PIPE- MIN. LEACH PITCH I /4 E .FT PIT PRECAST ° o � INVERT LEACHING Q ` e EL.4'=.Zo SEPTIC TANK INVERT INVERT p o W �: PIT OR 4Zoe DI ST. INVERT EL... . . ., . . . BOX ELF.='¢ ' : >_ ;.; EQUIV. 4Z ZS /oo.o.. .. GAL. INVERT;. ►_ `� e; EL............ �/S INVERT v a O' ::+: 3/4"TO I I& EL...r.<,. ww ELF:?!? �� WASHED w °•. STONE WD IA. —� �' Ya DIA.---� PROF1 LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE D4-q- !i 197$ TIME.!o;3oAll BOARD OF HEALTH TEST HOLE I TEST HOLE 2 ENGINEER ELEV. .4-7,35. . . ELEV. 4:�,40. . . � . . . G-a e wrnLo �- /l�zL�� G..5_ �j� �oorJLa�-rj ��, waoT1��R� DESIGN DATA �Za \x\ \ 3 NUMBER OF BEDROOMS _ l Sv Sai G- ;� �si TOTAL ESTIMATED FLOW ,33o GALLONS/DAY BOTTOM LEACHING AREA 78 S . . SQ.FT. /PIT SIDE LEACHING AREA . .�f'8.'�Q. . SQ.FT./ PIT �irv��H Gegvtz Ss p GARBAGE DISPOSAL l`19:'<�'. .(50 W AREA INCREASE) TOTAL LEACHING AREA . . 067oo SQ.FT PERCOLATION RATE «S !` •7G!o, MIN/INCH LEACHING AREA PER PERCOLATION RATE �. . SQ.FT. WATER ENCOUNTERED 1 P/T W17;V Tlvo• FE�7- NUMBER .OF LEACHING PITS . . . APPROVED . . . . . . BOARD OF HEALTH oF 's'D�� '�• ` � S/D _ /.S� TGNS _�" of . . . . . . . . . . STT.^lE Ac�Z• P/T THOMAS E.KELLEY CO- DATE . . . . . . . ENGINEERS='SURVEYORS AGENT OR INSPECTOR 346 LONG POND DRIVE SOUTH Y 2664 OF AyAs THOMAS / /�/�=•� •�(J/�//f .�p0 "',✓art i; , ., tf }. 6 N i � G/STEO'��`� PETITIONER �✓Y,�'�'� J�// ALE- NA55 '/ • # t� FSS/ONAL�a� LOCATION �- SKEW TE PERMIT N0. VILLAGE r INSTA LLER'S NAME i ADDRESS C,ZL IF iI-0 s 6, G BUILDER . OR OWNER v DA T E PERMIT ISSU ED DATE COMPLIANCE ISSUED -;y_ � 7_ 71,. +� L S3 'a , / 7 �I