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Home My WebLink About1473 MARY DUNN ROAD - Health at � 147,3�Ma,y Dunn Road u �P Barnstable` .. �^ A= 335-005 n LOCAT ON SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME i ADDRESS . /�-/ "do<*-.f e _ wt5 -7 Y.Q1116 4 d U 1 L D E R OR OWNER r DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 7,31. Pa�`�7 0/ . 30 a N� 3n� . . No.-........ ��... h Fizs...J�o................ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH To W n/ ,(3 G ...... --- oF........... rz�1- i �.B ... Appliration for Disposal Works Tonstrn.rtinn Prrutit Application is hereby made for a Permit to Construct (L--) or Repair ( ) an Individual Sewage Disposal System at c..v•v 6. 7 9 P �'' — Address or Lot No. ... . ................................. .......- ` f....... ........................ WW1 A OZ.er Address •-•---...-----•----••...............• . .................................. ......._........................ -----------•............-••............---- Installer Address dType of Building Size Lot...7-7._ 7-<>......Sq. feet ZL Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type T e of Building ............... No. of ersons..............______.__.____ Showers — Cafeteria a YP g ------------- P ( ) ( ) 04 Other fixtures ----------------•------•------•• . W Design Flow......................�'-�'.�-._............_.gallons per person per day. Total daily flow........ ___._...........gallons. WSeptic Tank—Liquid capacity.t®RP___gallons Length-B.6 Width.46_��.... Diameter................ Depths '2?.'/_ x Disposal Trench—No. .................... Width........_........... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......./----------- Diameter......lz/...... Depth below inlet...;L .._. Total leaching area..Z`t,.s....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by..... !�`!Aa?-o_...L :. u.................... Date._. z �__. .)./�� Test Pit No. l.L..?-.._._minutes per inch Depth of Test Pit.................... Depth to ground water____--_____-_------_--_. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_._-______-•-_---__-___ •---------------------------• ----••---...-•----....---.....--------..............._.__...----------......................................................... O Description of Soil------a��= .r-• W oOr? ... ..S4 3--Sa/----•-2,4 .-" P ..._S�.b W 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 TIT L- 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. S-------- Application Approve eefollowing -----•-----------.......-•-•-------------.....-------•----•---...._..--•--- Date Application Disapprove reasons:------•--------•....................•------------------•--------------------------------------•--_..........-- .....................-................................................................................................................................................................................... Date PermitNo......................................................_.. Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........T y ✓�.----.....OF.....133ArvsT�I,B« ---------•---------------------------•---•-........ ApplirFation for Disposal Works Tonstrurtion ami# Application is hereby made for a Permit to Construct (i) or Repair ( ) an Individual Sewage Disposal System at: �.0•v .. ..._......: ........•Mhfl. _ram..... - / 'L Location-Address or Lot No. 1p yOwner Address ,�..- ---.. --- --•----•- ---------------------------- -•--------•---.----•----...._.. Installer Address d Type of Building Size Lot..Z ..� .......Sq. feet t Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures W Design Flow............................................gallons per person per day. Total daily flow____.._....Z_.....'.._...............•..gallons. 04 W Septic Tank—Liquid capacityloRP....gallons Length_e.6......... Width`4.6...... Diameter................ Depths'8'' x Disposal Trench—No..................._. Width.................... Total Length___....•_..._.......Total leaching area.................... ft. Seepage Pit No......1_........... Diameter-----/.7.......... Depth below inlet_.3r�--.-._. Total leaching area.z��. .....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ''' Percolation Test Results Performed by.... �`' ....&r.:_'`'�`l e�'%............. Date.�;2?�!6 -f- /ye4t ....71------------- -- Test inch Depth of Test Pit.................... Depth to ground water........................ G4 Test Pit No. 2�.....___.._minutes per inch Depth of Test Pit.................... Depth to ground water........................ W •-• ------------------------------------------•••••- Descri�ption of Soil......o z,4` iNo ......S•v. .�- ..------•---------------••......------• ----••••••••••••-••••--•--•-•-....._.....---•.._.. x ---..-84�---CL.4 � / �'�A1/G"Z. /o Z " /sb i'14 P_ .S,4""o V { ---------------------------------------• ---•--------------------•----------------- - ----------. ---•-- UW • ----------------------------------------•-------------•-------.----•-------.----------------•---------•-------------------------•-•----.....-------•-- 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 State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has 6 en issued by the board of health. Signed ...................................... . ..... e Application Approv . _ Date Application Disapprove or a following reasons:.---------•-----------------------------------------------------•--•-•--------------------------••-------....._ ...............................••-•••-•••-•••-•-•-•••-••--•--•••••••---••--•................................ ......•-----•. Date PermitNo......................................................... Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........../OWN...............OF......8 .... �G.�J.................._........................... Trrtifiratr of TontpliFanrr THIS IS TO CERTIFY, That the I 5 ividual Sewage Disposal ystem constructed (ao-) or Repaired ( ) by ---- --- ---- :....� ` .:: ...............••-••----....------•-- Installer has been installed in ac 0orks e with the provisions of TT he State Sanitary Code as described in the application for Disposa Construction Permit No.. ...............�. ............. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU D AS A GUARANTEE THAT THE SYSTEM WIL4: FUNCTION SATISFACTORY. �i� � DATE._... ...................•-•----•-----••-••••..._.....•.-•_. Inspector. ---- ----------••••-----••------•---••-•-------•••••---••-••••--........._...... f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 , No......�........ FE>3...a ............ Disposal Nurks Tons Ir ion r anit Permission is hereby at ...................... /.t. .. ...... .. ................. _....-••---•-••---•-•-•••-•-•-•-....-•-•••...•••...............•••••• ...e.j.. to Construct ra epalr an Indi 1 Sewage Disposal System _ .. ... Street as shown on the application osal Works Construction Permit ..... `............. Dated.......................................... ............... .......... .......................^.................................................- �l Board of Health DATE..•...............•f`.S Q:.��..:._.. FORM 1255 A. M. SULKIN, INC., BOSTON 7- AA- AV 21' �3,5 �¢ �47,15 �q3.3 a� � i P1 7- J o P�oPosca DIVE q3•-7 LOCATION SCALE DATE !`? j! .4 V. PLAN REFERENCE . .:667;1^ic LoT CH OF p, .Si�/-OLVr/ Dom/ RZ/.?-� 4 EA X E. Gu+ o ELLEY `�+ lt�� No.20100 v,� AND SU PVEv � CERTIFY THAT THE , .. ..... ... ..... SHOWN ON THIS PLAN IS,LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE : . . . . . . . . . . . . fZ, �D�`JZ Lo T— REGISTERED LAND SURVEYOR • S//G T Z of Z sNrz�5 TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS G,y3' 4'CAST IRON 12"MAX. 12"MAX. ° OR SCHEDULE 40 4"SCHEDULE 40 P.V.C.(ONLY) P.V.C. PIPE PIPE - MIN. LEACH 1J, PITCH 1/4"PER.FT PITCH 1/4"PER.FT PIT o;e PRECAST o INVERT a LEACHING ° EL....4! °7. ... INVERT INVERT PIT OR SEPTIC TANK d DIST. qo 111 a; EQUIV. EL.. . . . . 9 . EL....-4- ' : >s r NVERT /ood . ., GAL. INVERT BOX S�F a .°. 4o,Bd -5�5/ INVERT c� 0' ::�: 3/4"T011/2 a EL. EL......... k W q EL40,10.. �. WASHED ,' e /�' � / � —�- •' Ez.3c.to :.'.' STONE A 6`DIA. '6 E• 1 PROFILE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE f 3z7¢ SOIL LOG WITNESSED BY : DATE!!n?!c2S/9P TIME. 9-3o �� JbN�v ScoB� 2-s• BOARD OF HEALTH TEST HOLE I TEST HOLE 2 LDWfl G. lfC �y ENGINEER ELEV. . /i WaoD�La A'�7 I.vaoDLo Rrj S�e-S°� spa so. DESIGN DATA PnorccD NUMBER OF BEDROOMS z D CG /SA*,o \\ EZ 41•46 78„ 0*71x71V2e TOTAL ESTIMATED FLOW GALLONS/DAY INC�z39q�Lz BOTTOM LEACHING AREA �/3,� . SQ.FT. /PIT/G;�D. �oZl 6 �L �08` SIDE LEACHING AREA . . . SQ.FT./ P IT/,93o L2.37,Co GARBAGE DISPOSAL N. o!`�`�-`. .(50 % AREA INCREASE) Hb'A/Cv.�nsrr rf[�D. 5q�p TOTAL LEACHING AREA . SQ.FT S�o /GB� 3Z Go PERCOLATION RATE Z1 Ss.��. TWO. MIN/INCH G?Z. LEACHING AREA PER PERCOLATION RATE - . . SQ.FT/C,PD. I✓o. .WATER ENCOUNTERED ON8- A17- W1771 NUMBER OF LEACHING PITS . . . . . . . . APPROVED . . . . BOARD OF HEALTH � 'ZT OF �Tan/L e Al LL . . . . . . . . . . . DATE . . . . . . . . AGENT OR INSPECTOR '!H OF ��a�1N OF rygsssc -p�pp P . . . . . . /Or. O r � v J'KELLEY Ti 1`,,9?a No.26100 C a� pST s % SANRAR\P� U PETITIONER /Z. 8 7-