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HomeMy WebLinkAbout1416 MARY DUNN ROAD - Health . 1416 Mary Dunn Road Barnstable _ a A= 335-056-001 77 i t F n ,-"'iyleetin h ouse Way, > y L O CATION SEW-4--GE PERMIT NO. F11geCY Ire Ass VILLAGE '— INSTALLER'S NAME 0 ADDRESS 1,1 TO/e/A-o f lzto� c 4.4 ® UIL0ER OR OWNER DA T E PERMIT ISSUED DATE COMPLIANCE ISSUED Q -- IS o .. ~,. No.--...--- l ...... Fps. ............... THE COMMONWEALTH OF WASSACHUSETTS BOARD OF HEALTH .L/..-- ---. --OF......�j� /Al /� ................... �iration for Uii niial Workii Tnnitrurtion thrutit Application is hereby made for a Permit to Construct V or Repair ( ) an Individual Sewage Disposal System at: ��.QL .......................................................... Lo ion- ddress or Lot No. r --------- --------- -------- -- ----------------------------.--------------.-- Owner A dress a � V.0........................................................... -- „{,47 .' -------------------.-•-----•----------------------- Installer Address ,d� UType of Building Size Lot_Z/e-----------Sq. feet Dwelling—No. of Bedrooms._.___.__..___________________________Expansion Attic ( ) Garbage Grinder ( ) P4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) A4 Other fixtures ------------------------------ - W Design Flow.___.........?�?,O...................gallons per person per day. Total daily flow---------- P --------------------- 1:4 Septic Tank—Liquid capacit)A0=..gallons Length................ Width---------------- Diameter---------------- Depth................ W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No----------_--------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (_V� Dosing tank ( ) Percolation Test Results Performed by........ --...••-••-----------•------•---•....................••---••..... Date........................................ Test Pit No. I_9.s nTin%te�-per inch Depth of Test Pit.lSCSC:J--__ Depth to ground water_A�___-___- fs, Test Pit No. 2....6........minutes per inch Depth of Test Pit.,.,<�. ...... Depth to ground waterA­qV.�§....... P4 -......--••--•-------------•-•••-•••--•-•••----•-••-----•.....•••••-•-••-•-•---••-•-....._.._...••.......................................................... ODescription of Soil----- 6,...... —--------------------------------------- ---------------------------------•------------------- ------•--------------------------------------------------•-----------------------------••---••--•---•---- 7• yJ 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 L-: p 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 he lth. Sig d---- •. . ............... t Date Application Approved By....... - - -- - -�I ----------------------- -----------------• -4J•------- Date Application Disapproved for the following reasons------------------ ----------------------------•---------------------------.........•---•.......---- ---•-•-•-•--••-•-••••-••......-•-...---•-••--•-•----•-•--•-•--•--•-----•--•••-----•----••-•-•-•----•........••••-•-••••-•---•-----•••------------------------------------------------------------------- Dat Permit No. -_..... Issued----1=-1 -41 ....----...- . e ------ Date - k No......... Fzcs.. ................. THE COMMONWEALTH OF MASSACHUS TS BOARD OF HEALT . V..............OF..... Appliration for Uhipoii al Workii Tnntrnrtinn ramit Application is hereby made for a Permit to Construct W/ ) or Repair ( ) an Individual Sewage Disposal System at -Lo i ion-Address.1 or Lot No..................... ............................... --...--............................................. Owner A dress 0• l�l�aGir/-�L'll.. --•---•-••................••............................... . .................................................. Installer Address �► Q Type of Building Size Lot-�+ ee ...--......Sq. feet U Dwelling—No. of Bedrooms............ ...........................Expansion Attic ( ) Garbage Grinder ( ) pal Other—Type of Building ............................ No. of persons-_..___-____-___--_•-___-__- Showers ( ) — Cafeteria ( ) Other fixtures ............................ a W Design Flow........... ---•..... ........gallons per person per day. Total daily flow..........�G.�-O.....................gallons. WSeptic Tank—Liquid capacity di*..gallons Length________________ Width................ Diameter_-___-_-____--- Depth................ x Disposal Trench—No..................... Width.................... Total Length----_............... Total leaching area....................sq. ft. Seepage Pit No---_--------------- Diameter.................... Depth below inlet.................... Total leaching.area..................sq. ft. Z Other Distribution box V) Dosing tank ( ) a Percolation Test Results Performed by-•----•---••••••••-----••••••-••••--•••••----•--...-•d......--•••-•--••.. Date........................................ o Test Pit No. 1 inch Depth of Test Pit_Z$,..'.e ..-...• Depth to ground water� ......... fz, Test Pit No. 2---- ........minutes per inch Depth of Test Pit .___ --6--_-_•- Depth to ground watere! c? A9....... ...... --••-••• -----------•---•••......• ........................................................ O Description of Soil------�_'f"".----- 'fie--_. _s ol -----------------•------. V ei H -- --------�" ......e,01 ......................................... 2 '�.�?, ,,, } VNature 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 i T: y g g p y 5 of the State Sanitary Code—The undersi ned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the kard of P�I lth. r') Sig d-- •------ ` '+fi "{ � --••- / Dat aa Application Approved By.... ' w --- .. .................... C Date Application Disapproved for the following reasons---------------------------------------------------------•--•----------------------------------------------.----- -•.............•••••••-••----•---••--••-•••---•••••-•---•••••-•---••--•---••--•••-•-•••-•-•-••---•...•••.-••--•-•--•-•--------------------•-•--•-•••....-•••---••••••••••••---••----------••---••--••--- Date PermitNo...................................................._... Issued....................................................... Date 4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF 1EALTH ........... ... ........OF............. . t'. -''..........:......................_....: :-:: �rrtifirate of ToutpliFanrr TH S 1S,T0 CERTI Y, That the ndividual Sewage Disposal System constructed ( or Repaired ( ) byaF' � '% ---------------------- 7 f Installer has been installed in ac dance with the provisions r! a j of The State Sani ary Code as descrbee in the application for Disposal Works Construction Permit , .................. dated.....r ""_/'� . ............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................... •--------------- Inspector.... THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF IAEALTH _,,, i. ....OF.................aP '..................---.........._....._................. No.......�.. FEE. .. f Disposal rrntit Permission 's $reby granted.._._, _.. Id..._. J to Construct %or Re,� ( ) an individual Sew gf Dis osal Sy. at No..." P " ` 2 - ` r - ------- StreetLl l .................................... /f as shown on the application for sposal ��Torks Construction Permit✓ o.... ... ...:.: Dated•__�_.-//.. ..t................. Board of_.Health DATE-------------------------------•-----------------------------------........... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS .y r. _ � SffE�`T Z of Z SNITS TOP OF FOUNDATION CONCRETE COVER ;,•' CONCRETE COVERS 4'I CAST IRON 12°MAX. • PIPE !OR 12"MAX. • EQUIV.)— MIN. 4°ORANGEBURG(OR EQUIVA PER. PIPE- MIN. LEACH PITCH — •° PITCH 1/4"PER.FT. PIT e o PRECAST NVFRT a LEACHING • EL...7. ... ..,.. INVERT INVERT ? w e.�' PIT OR °'. SEPTIC TAX DIET. 51 EQUIV. e INVERT /coo EL.44 La BOX El.'! •.'o •� > e; EL.�X►�?J.. GAL. INVE�FjT INVERT v va $: :;i: 3/4°Toll/2� � EL... ¢7 •,• W W aIL✓f s u. �: J•.: WASHED W STON E /0' DIA. PROR LE OF GROUND WATER TABLE SEWAGE ' DISPOSAL SYSTEM NO SCALE p R E L1 � .X ' LEI SOIL LOG WITNESSED BY : GATE SEP7!,077.. TIME. 39. '1 C- . !�'e' BOARD OF HEALTH TEST HOLE I TEST HOLE 2 4-. /fit'. ENGINEER ELEV. . So,.' . . ELEV. w.gr�o E; Cow 4( FJ48 .spa-sate- -saw DESIGN DATA : P"C. NUMBER OF BEDROOMS 2 p1mc SsM.v 30" Spa TOTAL ESTIMATED FLOW . .ZZO. . GALLONS/DAY BOTTOM LEACHING AREA .7. . SO.FT. /PIT Gal�ve►t, a�sc SNP S•4w.a SIDE LEACHING AREA . . .�B S*. . . SD.FT./ PIT lobM GARBAGE DISPOSAL .A/6—#' (50% AREA INCREASE) CoAlz6d LiiNE Sll*.D JA+vD TOTAL LEACHING AREA . . . . . . ... SO.FT trA&crri B sse. PERCOLATION. RATE '' :"Z. s?�4MIN/INCH .� LEACHING AREA PER PERCOLATION RATE .4;�"0.. SQ.FT. NO. .WATER ENCOUNTERED NUMBER OF LEACHING PITS 4,9i77 w17N.*1a !i-7c APPROVED . . . . . . . . HOARD OF HEALTH GF � off/ S/ 3•,= /S`rDNs t` O,C DATE.. . . . . , . . . . THOMAS E.KELLEY CO. �, +f L AGENT OR INSPECTOR ENGINEERS—SURVEYOR Vl 346 LONG POND DRIVE > SOUTH YA.RMOUTH,MAS• P�,tH pp A Vi flF b 02664 0?�� THLEY cy� ED 'T FY No.24260 sO/STE `�/ONALE NER PETITIO T ` 2 .0oo /VoT� E?�Fy'7Gdvs �a ow ASS�serD Z1ATL�j CERTIFIED PLOT PLAN 1.=T'loN SCALE . .�.��=' ?�. . . DATE EDWARD E KELLEY PLAN REFEIRENCE CUMMAQUlD, MASS. (12A'>!-► s,46&v v ®iv i¢ tp OF M4g., ;F�Ost� � iti )Ce. B.C. 338. EDW ARD E. PG'.. 8! . . . . . . . . . . . . . . . . . . . . . . . . EY 231 I CERTIFY THAT THE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND 4 QISTV- �o� AS SHOWN HEREON AND THAT IT CONFORMS TO THE Su�:`I`t SETBACK REQUIREMENTS OF THE TOWN OF 419A-t;y7-?9'e4. . . . . . . . WHEN CONSTRUCTED. ►h//l.G�.4,-� F. Sy�/j��-- DATE .�.!980 PETITIONER: BR�,NSTr98G�/VJ,gSS. n REGISTERED LAND SURVtYOR 2 / Nis Job �PaY 7W /✓oT E �TOwS .&9Z&a Ow AsS&I-M&D CERTI FI ED PLOT PLAN LOCATIONe..!sr . . iss-.. . . . SCALE . /.*: ? DATE EDWARD E. KELLEY PLAN REFERENCE BV•vG. 6'o7- CUMMAQUID, MASS. n2A .� i—E ZH�1 a ,� WsG-/,4" F SW/� A*7, i,p /N ED E, EY � , Jc . . . . . . . . . . . . . . . . . 231 1 CERTI FY THAT TH E t`Tfi 577N 40 SHOWN ON THIS PLAN IS LOCATED ON THE GROUND s-r AS SHOWN HEREON AND THAT IT CONFORMS TO THE su ��' SETBACK REQUIREMENTS OF THE TOWN OF, ae�?�`t �. . . . . . . . WHEN CONSTRUCTED. DATE `%.$.144PP /f. PETITIONER: REGISTERED LAND SURYtYOR TOP OF FOUNDATION [ CONCRETE CONCRETE COVERS 4's CAST IRON " � PI C T 12 MAX. 1! "MAX. 4��ORANGEBURG(OR EQUIV.) EQUIV.)—NMIN. PIPE- MIN, LEACH PITCH 1/4 PER. PITCH 1/4"PER.FT. PIT PRECAST e. J LEACHING s, NVERT LEAC G OR- EL. ... INVERT iNVER 0 0.'. PIT OR SEPTIC TANK DIST. . ! �_ EQUIV. INVERT EL.41l.�Q . . . BOtt EL'f� 4 _ �000. .. .. GAL. INVERT f- 0 EL:4%,77.. 4�* INVERT .ww 3/4°TOII/2� EL... LA. a �. WASHED • STONE . aoil —F o --- �o' DIA. " PROFI LE OF —GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE rl SOIL. LOG ' WITNESSED DY :- DATE TIME. .` '1 � C. BOARD OF HEALTH TEST HOLE 1 TEST HOLE 2 Ttrb! f� E. �CE2LE�I At.. ENGINEER ELEV. . So.¢o . . ELEV..¢3.80 T, .t �' � � DESIGN DATA : NUMBER OF BEDROOMSP �.o 3e" Graf TOTAL ESTIMATED FLOW GALLONS/DAY BOTTOM LEACHING AREA 78 S_ . SQ.FT. /PIT Gai�IbZ Spa SIDE LEACHING AREA . . . . . SO.FT./ PIT N GARBAGE' DISPOSAL .Na•� (50% AR EA I NCREASE) CoA'lr6! Fiv6 _ TOTAL. LEACHING AREA . .y. . . . SO.FT 70srti.cr i B sse. 4N N PERCOLATION RATE�''�:"Z. ??xr!�+G MIN/INCH LEACHING AREA PER PERCOLATION RATE .440.: SO.FT. NO__ .WATER ENCOUNTERED NUMBER OF LEACHING. PITS 1.P�T W/T.3/ 13✓c . 7- APPROVED . . BOARD OF HEALTH OF3Yl.�n! aavtlr.S/LDS,-,/S`7`D.vS aF tROmAS'E.kELLEI'C®. DATE . . . . . . . . . . : , . . . . . . •AGENT OR INSPECTORtINEERS—SIJR�IEYORS I V 46 LONG POND DRIVE SOUTH YARMOUTH,MAS OFtijgS 0_564 PETITIONER: 8AQ/vSr�98G� M.5�s5, s� 1 j '!V REGI5T61tu uMnv