HomeMy WebLinkAbout1416 MARY DUNN ROAD - Health . 1416 Mary Dunn Road
Barnstable _ a
A= 335-056-001
77
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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