HomeMy WebLinkAbout1371 MARY DUNN ROAD - Health 311 own .
I;ql000il
0
^ _ r
c
,
1:3`?/ /PApiy/Mw i/04 WN OF BARNSTABLE m
LOCA—.0N DUyl✓I KJ SEWAGE # 9Z 5
moll
VILLAGE Cun4 to-JUld ASSESSOR'S MAP Cz LOT
INSTALLER'S NAME & PHONE NO., CQSS�G, CO. -f nal•
SEPTIC TANK CAPACITY 1000 g0-//1lft)soy'5
t'kY
I EA.CHING FACILITY:(tyPe) F�t t (size) 36 X ��
NQ. OF BEDROOMS 3 PRIVATE WELL O UBLIC WATER
BUILDER OR OWNER ee 4a. 1
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: 2Z-3 Cy"—
VARIANCE GRANTED:. Yes No
�. , _
fl --G 32. S
�- � 99- .
A
6 - D �03 6
a. � o
6- c 5a
��
---=
'.s
90
NO.... V Fim _Q........
THE COM ALTH OF MASSACHUSETTS
BOA ® OF HEALT
TOWN OF BARNSTABLE
Applirttiaan furinu1 Works Tonstri -
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at:
/`7 �fiNN /�v/�?j C�ci•�JH/3Gp�./D Gm7 /s
Location-Address or Lot No.
,ems ��j L.zP wG�T �c-�,�t s ..
Owner ( Ad ress
---------------------------------•---- . a1.._�1
---- --------
Installer A dress
Type of Building Size Lot.. .��3 Sq. feet
.......
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
p-, - Other—Type of Building ____________________________ No. of persons......._.................... Showers ( ) — Cafeteria ( ) ,
Q' Other fixtures ......................................
W Design Flow...............� 5r 3�n __- ..._-------------_ganspe .pesnpeay. aw____._....... : . .. .......--......gallons.
Septic Tank—Liquid caPacity_!MP..galons- Len h._8� � Width_� � Diameter._.....___.. Depth-'5
7'16-
Disposal Trench—No. ....../----------- Width..... JI_._..._ Total Length_.__3t'. Total leaching area....M"-:_ sq. ft. r
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by..._L�W "!zP..__.�..- __4�.����!........._. Date.. !?"G n/o 19.9,1
ay-----------------
Test Pit No. I...G.__��._---minutes per inch Depth of Test Pit---- ��-.:- Depth to ground water...... .............."" '
LL, Test Pit No. 2.._L.. ...minutes per inch- .Depth of Test Pit--- . ...... Depth to ground water_-__--•_-_---_____-
Q+' ------------------•-----------•-•-----------
O Description of Soil,__._a��-3`" I.c%aD�o.9 -�_-_ .��6-Soi G - 6"— 9L" Z-4 --aF A14& .._-_.
-------------------••• ---------------------------------------------
."�' S'O�'ND l ... . y� D �/^�c`_ .SAT/ .........��¢'•_/ '!.62 'V
U -------------
W ------------------------------------------•----•--------------------------------------------------------------------------------------------------------------------
•----------------------------------
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
..............................................
----......................................................................................................................................................
Agreement:
I The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
III 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 Compliant as been issue the board of health.
-----
Signed --- --- -
e
Application Approved By ............. -.c w►w,. �-�-------- ---- ------------------------------------------------------------------ -- . -9 ..........
Date
Application Disapproved for the following reasons- ...................................................---------------------------- ------------------ --------- ------------
- ------------------------------------------------.....................................................------------------ -- . ------------------.----------------
Date
PermitNo. 7a- 5-------------------- ........... Issued ..----------............................--------------------_--
Date
' �- % FEE
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH F
TOWN OF BARNSTABLEI
Appliratilan for Uiipuiitt1 19orks Tonstrn.rtt#n Frrutit
Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal
System at:
MArLy Z>O A/ni
.............. . .............-•-••-....-....D...- ...---------------......... -- ... .......--- ----•...--•--.......
Location-AddressVV& or Lot No. + S�A� ' l
Owner Address
a �.n_l C S _4 ...................................... - ----- l4_..�_rS.l �. (Q r u>�� C ...
Installer Address
Type of Building Size Lot_.. .��3 . Sq. feet
---.---
U Dwelling—No. of Bedrooms.,............................... .....Expansion Attic ( ) Garbage Grinder ( )
`PL4L4 Other-T e of Building No. of persons............................ Showers — Cafeteria
Otherfixtures --------------------------------------------------•---------------------------------------------------•--------••----•--••-•......---•-•-••---•-•--•--
W
Design Flow...............:`.-.'�r.........--._.._.._..gallons per person per day. Total daily flow__._.........330
............................
WSeptic Tank''Liquid capacity./?;p.gallons Length._BG...... Width..'¢."6'�.. Diameter------:......... Depth...??_.8...
x, 'Disposal Trench—No......_:.0'._._._._.. Width._.__eG ....... Total Length.....3F....... Total leaching area....!M.!?.....sq. ft.
' Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. c
Z' Other Distribution box ( ) Dosing tank ( )
'-' -Percolation Test Results Performed by........D..... !L..........I.......?e�; 1.......... Date...RG C.
Test Pit No. l...G.3...minutes per inch Depth of Test Pit----- -�`z......_ Depth to ground water------- "_-__-.......
(Zq Test Pit No. 2................minutes per inch Depth of Test Pit.... ..... Depth to ground water____----_____________
xr --------------------------------------------------------------------------------------------•------------........---............_.....
O Description of Soil......o.'!-3G" WoaDLoASe�B=Soi.L �"_ 9L" Lizs.................................
"� L" ��v �rv� .SLI-�vO •gt:; /5Z" G'/Il /�L
........... ...................................... ... ...... ...................
W 1
------------------------- =
7 ,
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 TITLE 5 of the Stame Environmental Code—The undersigned further agrees not to,place the.
system in operation until.'a' Certificate of Compliant has been issue by the board of health.
� t _ /
i Signed � ... .. � .D �.L.3.-./..
Application Approved By ............. . / f?g_9 --------
C�
Application Disapproved for the following reasons:
----------------------.............-- ------------------------------------........----------...----...----....---------------------------------------------------- ............... ................ --------------
. q .r-.._ Date
Permit No.=. -- -1- - �� Issued ------------------------------------------------------------------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
F Ceztifiett#e of Comyliance I
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( -Vo�or Repaired ( )
by........................ - ... K
t
Installer
at ............1 .�.'T_! �!- .� = Q------------------- -.¢C-�7TeJ1_ r..._.....-... ------
has been installed in accordance ith the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ........... - .......... dated ................--------.......................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM-WILL FUNCTION SATISFACT]OfR . OV
j / "I CJ Inspector
DATE ,;;�-----���7..._�;. ........................�--- spec or ........... . �...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE //�
No._. .�� FEE.......c! I,,.).....
d..` ....i........
Disposal Works Tunutudilan rrrmit
Permission is hereby granted.....------- ......... �tr�_0•�t•.............................................................................
to Construct (V*") or Repair ( ) an Individual Sewage Disposal System
�- 1� >� ........ ".--------of .._.:at No.. ._ �._.. ,.._..,.47`o_r_k,sC'onstruction*
X
Street pp n
as shown on the applicatio for Disposal ermit No...rl��:. ... Dat�^......... .....................:....Q
���
.......... -� 1 �
Board of Health
DATE...................----- .... �•'
FORM 36508 HOBBS B WARREN.INC..PUBLISHERS
TOP OF FOUNDATION
CONCRETE COVER
CONCRETE COVERS
/�'.Dy t 4"CAST IRON 2"MA�� ��T 12"MAX.
,° OR SCHEDULE 4� 4"SCHEDULE 40 PVC.(ONLY)
P.V.C. PIPE PIPE - MIN. +err7
PITCH 1/4'PER.FT PITCH 1/4 PER.FT PRECAST
• INVERT
-INVERT INVERT / i L�F�soK
SEPTIC TANK EL.. . .'.'. .'.' DIST. EL.....'."x �3'' 'I (;; ( , .1)
INVERT BOX / ��
=. . . .. GAL. I oNVERT 3/4"TO 11/2
•% EL. - EL... EINVERT {L. — WASHED
3¢ '� STONE
A.0
o.
PROFI LE OF GROUND WATER -TAB-LE—
SEWAGE DISPOSAL SYSTEM! -' "'r `"�` '`��•�
NO SCALE
/ 1g ® p n BE K6:HuV&Xl qWf,
1 /eC-1 t4CAW .�•f3/ CLEsh i
n b
R_
7i-''� SOIL LOG WITNESSED BY
DATE �. / !1.y./ TIME. v/. . . ! . . . . . . . BOARD OF HEALTH
TEST HOLE I TEST HOLE 2 E N G I N F c R
E L E V. .l•
A6,ee,"i _ �,r s �__o,e- DESIGN DATA
34' cz.t�
J
no ,
\ h i ; f�i o / y< ecs �t \ L/ayt7�5 a� NUMBER OF BEDROOMS
.,�RD
I ti \. v" TOTAL ESTIMATED FLOW ?�� GALLONS/DAY
a c y n�xr ,` z4�r o
BOTTOM LEACHING AREA SQ.FT. /PIT/c, Pjj
f
SIDE LEACHING AREA . . lg�? . SO.FT./ PIT/
1Z57 A6,Ee GARBAGE DISPOSAL . N4^!4 . . (50 % AREA INCREASE)
r7 3-of- TOTAL LEACHING AREA .r%�`v SQ.FT
L 0 T
. — PERCOLATION RATE � MIN/INCH
� �7.3R
LEACHING AREA PER PERCOLATION RATE 4?. . . SQ.FT.
WATER ENCOUNTERED
NUMBER OF LEACHING PITS r . .
� � ` � , �, ' �.� D►ST. � - 1,%� r��o�_.._ �, -�. �I-IA�,C=f° /�'-�-7- O�
Box APPROVED . BOARD OF HEAL H
7840
DATE
7- ' AGENT OR INSPECTOR
j 4
I � I
7�rrA6� ♦Q _'tea
78J-`7 - - 7�335 . j� of �F. . ,v. o���yjx OF
0
a J�nC o E o
E. v.. w 6 527
1 v ELLEY
731377,44,40-A/'t No. 26100
es
Q 9
7e 3f ' ° d3pyAL I.Rr� SAF1n�'
L-77 L/ry l Fe'15&A F& -r =NO ,
\ ` �•� _\066
r /
Ali
l Q,
V ^ �
2r/9Z-7y 4Z7,>_
/✓orc'�.'-- C-Z6t/AT7p•�'s ��SEz> o�/ /9iSvr�E7� Dsy�-v y �ii�-f�.ic�d u ita, �'1sT�S .
.41 Z roc: �d$4