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Home My WebLink About0024 SHALLOW POND DRIVE - Health 24 Shallow Pond Drive Barnstable A= 234 - 075 i t • 43 7 !y !g �Q.3 • �r O o o LoT mac%, 2i 01. � � � - �9 899� s•� cN 94 CA � OF q o� iT,4 1 F bOYLE,rrr No.33589 ` ISTi ERyp?- T ,yE,�E.c'3Y CE�r�Y 7�,47- TEE =o urv�.47ieiv L--)T ND, 2/ s W WC— MENTS OF 7f/� 20it1/N6 3 yLAh u Dry er 7?l�vi✓ Dry .Bf3.P/r�3 T�`1�G B. I TIF/EL) F Nb-77 01V OL-41V LOT Z/ Sh�IL�O,W r`�DN.D 1I�PlV� TOWN OF BARNSTABLE r it Q , LOCATION � SEWAGE# VILLA SSESSSOR'S MAP&LOTS "'-'7� INSTALLER'S NAME&PHONE NO` SEPTIC TANK CAPACITYLEACHING FACII,rrY: (type) a ��" /'�'� (size) NO.OF BEDROOMS PERMITDATE:* F" e-r F 3'COMPLIANCE DATE �- Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility.(If any wetlands exist within 300 fe of leaching facility) - Feet Furnished byy �._. .,_�-.. ,�®'� � , ,� � � ✓i� j1 �� p'� _- -- ... • -/ , Fss.......jfgo......_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF Appliratinn for Bijapnsttl Morks Tonstxnrtinn 11amit .-Application is her y ade for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System t: IV Lo�-mod. `Z/ r ,.fu dw AArb 'gw, le ........ ....�.....l.�..r.c..v. L__- --- .. .... ................................................... _.. ..o..........................S....�.....C..•-•-....._.�_.._/_../.c./..�_.l.../...D_•- ' ..l..v�. ssCBvBfbl�re G✓✓7-----------.•..... --- � �-••-�-••�..............T..�...B....L--- � Owner Address W Installer Address A Type of Building 3 Size Lot_.?-3J.g, 2......Sq. feet a Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a� ¢ Other fixtures .------•----------------------------•.... --•• --------------------------------------------------------•---..............---..........-- W Design Flow...... �� ........gallons per person per day. Total daily flow.....:5 o.............. ............gallons. WSeptic Tank—Liquid capacity/jafrQ.gallons Length.... Width-_ Diameter................ Depth. -,7!- x Disposal Trench—No. ................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.... ...... Diameter----/0-'......... Depth below inlet..../0............ Total leaching area..94..4.....sq. ft. Other Distribution box (X Dosing tank ( ) p '~ Percolation Test Results Performed by.... lU ......................... Date.... .............. minutes per inch Depth of Test Pit.`4 : ...... Depth to round water,-_ _.---14��, ,,`�•1 Test Pit No. l.._:�..,�<_._ p p p g Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' ?.............. - O Description of Soil--------------�--r/........_��°. - C!'�............................................................-•-----•------...--•-•-••-•-•--•--............_...... .........•.......-•----•---•----------------------------•--------------•----•---------•--•--..........••.........._.-•-•- --•----•----•---/ --•-- gt-// ........................ ----------•--•----•--•----•----•-•-•------•------- ----------- U P 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 iIT:iS� 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. Signed....................................................... ..........................••. ............................. Date Application Approved By.......... ..�jlr,.116 �+.�................................... .....�-.�6`--�-5 Date Application Disapproved for the following reasons:.............................................................................................................. .......-•---.....---••----......-•----------••--•-•------------------------••----•---•--•---------------........------•------------•-------------------------------------------------•••••••-•••----•---- Date Permit No.......-._ - yI.� + '=- - -••-------•- -------•-•------•---•- Issued.--------. �-�..::.��..�..--------•----- Date P�,-�:, �:�# ; .�-�ry-�!�•�14��lat�'.f a.��c'-. >+°^^' .� L;:a t-�„ ti y a., '� ;�Ff` n�s'� '+t.'d"�.K'- ` '• Ir No. ' THE@.CQ"bNWEALTH OF MASSACHUSETTS BOARD Of HEALTH ' t_ TOWN OF Appliration for Ditipos it WorkS Tonstrur ion rlerntit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: CZi LoT No, 2/ f1,1;414ZjW P,4,V6 .............. -----__....----.... -- -- ----•---•-------..............--•• -•---------------......_.......---••-••---•--•--------.....................------.........------•. Nib&a4 J Qai cat -ticjf3ress /, or i7 -� it iC `a v r t . ..................._. ......._._..._....._.... .................................. ............................................. ................................................ Owner Address W Installer Address UType of Building 3 Size Lot.. ,?_ f.2..._..Sq. feet �.., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of ersons............................ Showers — Cafeteria Otherfixt res .......l`..................................................\........................... --•-••-•--•- ................................................. W Design Flow......�1� aPtl' 1 .........gallons per person per day.'gTotal daily flow___._5..0.............................gallons. WSeptic Tank—Liquid capacity��Qd.gallons Length._.. ��_... `Vidth---%A.... Diameter................ Depth_.5-__7—_ x 'Disposal Trench—No. .................... Width.................... Total Length-A............... Total leaching area.............._-.-.:sq. ft. Seepage Pit No...A ...... Diameter----/p........... Depth below inlet..._' ..•........ Total leaching area.,Z .A.....sq. ft. Z Other Distribution box O Dosing tank ( ), �. .Percolation Test Results Performed by..__!�" YI �l�l��-C..................•._.._. Date_--..I-_ ' ?....__.._...... '�a minutes per inch Depth off Test Pit. '_S�..... Depth to ground water/Yp?.. ..✓.Ci Test Pit No. l:__�_. <_.. Test Pit No. 2--- ``._ minutes per inch Depth of Test Pit.................... Depth to ground water........................ a .. O Description of Soil----------- -0-21=-------ZOP SF%L�..........:......'...-----------= - - - - ................f_....., ..........I- u .......................... ---------- -----------------° .--------------------.----- `- --------- w ' � 2, s' A�esE_..62g✓E� W.................................' ----- U. Nature of Repairs or'Alterations—Answer when applicable................................................................................................ .. Agreement,r } The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance,with the provisions of TITLZ 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. Signed............... ------••-- ................................. Date Application Approved By--- (� ----.,�.-. --•------------------- Date Application Disapproved for the following reasons: ..............................: .., ............................................................ .... ......................•-••- .. ------------------•-••-•••----•-•-----•-............---.............-••--- . Date .-...._.._. ' Permit No.......l.`7_..:....r./.- ------_-- --•--- � Issued_......... �?�.r �.�.....�/'�............... Mate I THE COMMONWEALTH OF MASSACHUSETTS - BOARD\ OF HEALTH TOWN of YARMOUTH Trrtif irate of Tontphattre - THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repairedty -------------•---------•-----..-•-------•---•----.�........_...-•--....---••-••--•----•--------_... Instal er fat.............. .Q - r = C -2. ----•- -. r. --------------------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......E-3~-a._.'.;a_1............ dated_...; .a_ ,..$.�g_5.:.._....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM—WILL FU C ION SATISFACTORY. DATE....d t `-✓ Inspectore � - ----------- ------ ----- .....---•---- .. .... —... ------------- ---------------... ------...---.s ——— -------- -THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN of YARMOUTH ' No.... �..`. 1..7 FEE.... --� /.0�........ Disposal Works Toni#rurtion unfit Permissionis hereby granted----------------------------------------------------------------------------------------------------------------------------------------------- to Construct 06 or Repaiira( ) an Individual.Sewage Disposal Syst atNo........�.-�r.?' (� �' 4 i• .....P .....2 .Street----------i ......................................... as shown on the application for Disposal Works Construction P *t No9.__..W7-- ate ....................................... .44� _ �f --...-- ---- .............. Board of ealth /'e�r•,� DATE........ ................................0-------�--.--•----------••--- I SOIL I A 'pk4'1' _�-' -- I 1 ---- - 0 N 0 2 � f >— ( ; ----- TOP OF FOUNDATION EL. : s�.✓n 6 ~� I vr' ,•ems - • - 1 2 •,o fIN I • win•ry /2 F/,v: G IS4E0 i� RA0E —� 5 ,y G �, %' h/i 1 N. COVER •� IN I t �S.90 cli'7r/i✓/'.• f!N• 6iC. ) ''• .sue +- ":: ;_r--'b-r_ :r.,:, _ — 2 C0V '7R 1/8 318 4'�Ih� HED STONE—Tc _ � STONE- . IN EL .---a o . o.° , ° t �t/0 brf'GLi✓Di/ATEifG- Ur6 '�rVr 8 SUMP , • 3/4 1 1/2 WASHED TONE 3 di 4 LIQUID LEVEL ! • • • ,. wcauvrE, . � 1 �, I V • I I• • O O I DEPTH T EST RESULTS ° ° } PRECAST SEPTIC TANK WITH � • ,• •' ° ..a+ r ' PRECAST LEACI� IFlC P { TS Nria ; PA ' f : ! . AST IN PIACE INLET AND �. � �- J ---.- s ! P EL •• .,°.,� + °. • NO .: SIZE: �" i ?rESSED BY �A��°�' I ( OUTLET T P R T I T Bfl�f'/V IL�'LC R F HEALTH iS E lE V � � � _ _ BOA D a SIZE : iyvo__ G A L L O N S ., --,� - OIA '� OF STONE DATE : ' `1._ Pervious F fI LOh G x - %o � W I D E x _� - - D E E P l Material i� �'�� DIA -'' ALL AROUND ;? � f E L. OF Tw=T _ L I- iI PRO FI F OF PROPOSED SEWAGE Y S T E M I I SYSTEhi DESIGNED BY THE TOWN OF _ • r'�'�✓�%f�� REGULATIONS ANO LaT�o, STATE TITLE V FCR SUBSURFACE DISPOSAL OF SEWAGE . SCALE 1,'4 10 '2�\ -¢3, e99 rn I N 1 ALL PIPES SHALL BE SCHEDULE 40 P V C . SEWER PIPE 2 All PIPES SHALL BE SLOPED 1 '4 PER FOOT EXCEPT FOR THE FIRST 2 FEET OUT OF THE 0 / 8 WHICH SHAII BE LEVEL ` I 3. DESIGN FLOW �_ BEDROOMS AT 110 GALDAY PER BR GAL / DAY LjT'y I I SEPTIC TANK SIZE X -- =- S GAL S E Joao o�T U . GAL W : _ GARBAGE DISPOSAL L E A C H I N G SYSTEM U S E o�� /,y, X G "��f n�', Tr� ,,eEC.�sT LE,�c•v x �T ZG 1 `�� ' I A/T y✓/Z' QF /t/A.Ssv�L STOit/E .9,E'l�viVp. EFFECTIVE AREA . SIDE o� B 0 T T 0 M ff- ZX Ao - f-X ZsX Td �,•o ,� v ,,�' I v b '� v f { , TOTAL FLOW 4TifT8 = ��g �,�� LFw .o 1 L R 1 T 0 T 33o ii�T � � c�� S box ! I t EQ D FLOW X W/ - � (lAABAGE DI �POShI � z 8 SERVE F-L0W 22L GAL / 0 Y RESERVE � I N R -- b to E R I t C- PLANS IV Az- G / APPROVED BY : �0 5 BOARD OF HEALTH i r � R DATE . �-. ,- � (E� 9 pfgT �! C, 10V /y/c aur�v/.�� co. - I SITE AND SE- VVACE PLAN ' /N/T IF CY-All-1e/AV/GAT/ON: rr/Ny y ° FOR : ,.✓fC�: . . , f1G'/�o/.vG C� , Ti'f,6•EE 0E0A0CM SINGLE FAN' ILY 0WEL1. IN' C i ` �;.- �tN '.'• L O T : Ile)• 2/ S��L/GL O h/ f'G'/✓D l.E/t/E I I � 0 0 Y E ENGINEERI G ASS0CIATES , IN CAC RPCRATE 0 ' Cox 5L'5 - 533 T"onus R. LarGers Ro,-:c 'g". Falmouth, MA 02574