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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