HomeMy WebLinkAbout0040 SHALLOW POND DRIVE - Health 4 i Shallow fond road
Barnstable
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INSTALLBRI NAMB a PHON13 NOS
UP= TANK CAPACITY
LHACHMO FACILITY;(
N0. OF BBDRop PRIVATE WE OR PUBLIC. WATB
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D -:ATS PERMIT t38tTBACV
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No.53589 .
SUB`
_ - •war �JA d-�qt J�aJ Ys/1:JJ., t:J7t�/�
TOWN OF BARNSTABLE
LOCATION, o7- cam: S���ccd�./ FZ A/SEWAGE # /,S ;7/6
VILLAGE �J.jb� �� ASSESSOR'S MAP & LOT
N INSTALLER'S NAME & PHONE NO. A/ �
ICE
SEPTIC TANK CAPACITY (�
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS PRIVATE WE OR PUBLIC WATE
BUILDER R OWNER
DATE PERMIT ISSUED: 3 Z�
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No `�
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THE COMMONWEALTH OF MASSACHUSETTS
75 BOARD OF HEALTH
TOWN OF H
Appliratiun for Diipuuttl Workii Cnunutrnrtiun Prrutit
Application is her made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal
System at:
rf
La T No-24F -WM-1e-w f'0,10 Z
L°cation•Address -
• .... 1. � ............................... ........
Owner Address
,Wa •---•--•--•-•-•-•--•--- r` ...................................................
Installer Address
Type of Building Size Lot.�.'.`__��______Sq. feet
�-, Dwelling—* No. of Bedrooms_____---J................................Expansion Attic ( ) Garbage Grinder ( )
a Other—Type of Building a yp g -•-----------------•-•.•..-. No. of persons............................ Showers ( ) — Cafeteria ( )
d Other fixtures j
W Design Flow-------��0_��l�'Pn'►........gallons per person per day. Total daily flow...... s3Q_
...........................gallons.
WSeptic Tank—Liquid capacity_/Q0_e.gallons Length___8'_t�._._ Width._._'/O _. Diameter________________ Depth_.S.`7"
x Disposal Trench—No_____________________ Width.................... Total Length............. Total leaching area_._____-.._.____....sq. ft.
3 Seepage Pit No.......Q Diameter.....It-i ...... Depth below inlet......96........... Total leaching area_._ZA 6.__sq. ft.
Z Other Distribution box ( )() Dosing tank ( )
Percolation Test Results Performed by.... ______________________ Date_-�_4_'9 -_______....___.-.
Test Pit No. 1___,<_._Z_minutes per inch Depth of Test Pit----/Z_.__._____ Depth to ground water_t4/®7............
fs. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-------_................
O Description of Soil_._.Q_:_/..'.._ 4p. fS��L
x ---•-••-•-•--•--••••-------------•-•-••-------•••-------•------•--•••-----•--------.._........----•--_.-
v ----------------------------------1.... ... �- _`S o ° ........................................................................................
---------------------------
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 iITI L� 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has een issuedl_'by the board of lieWth.
e
Signed -•--- ....................... ..............
Date
Application Approved By.. a � �— -------------------------------------------
-------
Date
Application Disapproved for the following reasons:_...-----•------------------•------•-----•-•--•---------•----...-----------..--.-------••---•-•---............_
......-•---•----------------••----------......--••-•-----•---•------•._.._..-------......--•--•--•---••--••--•-------•--•-------•----••••-•-••----•----•---------••------••-•-•-•-••-----•--•---._..._..
Permit No.... -• / -* --..................... Issued.......�__-_a_ .—.y,.�.....ate......
Date
74n
�. :_/6 THE.GO .MWEALTHOF MASSACHUSETTS
„.75 '�" S BOARD OF H%EALTH
TOWN'.OF ,H
•,BA��JsT�9Bc E-
-Appliration for DhJgp ottl Works, Tonitrnrlton ramit
Application is .her made for a Permit to Construct (�/) or Repair ( ) an Individual Sewage Disposal
System at_. •• - --•-----
L a 7 No 70 f/.art La W f'o.�� 1)iQ..tt� �l LG
'. Location-Address or Lot No.
............................Co UN.......... ....1Y.. !C!97/..P .�!1�;IV......
--
owner Address
a . t..._.._.__..• ...-•-•-•.....................................•• -••......-------•----•--•-•----------••••-•--•-•-•-•-•---•.......................................
JInstaller Address D
¢3 6--�------Sq. feet
Type of BuildingSize Lot.•__•-._�______
U Dwelling—No. of Bedrooms......_J................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
' Other fixtures --------•------ -•-•---•--•-----•--•----•-•-••---•--•----------------------•-•---•----------------••-------•---------•-••..............----•---•---• '
W Design Flow........ j! ../2,_lgAl ........gallons per person per day. Total daily flow__-__-33q...........................gallons.
WSeptic Tank—Liquid capacity./4.00.gallons Length_._8.�"._. Width. .fQ(�.._ Diameter________________ Depth...SIe_T.'
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No....._..0 Diameter.....14. Depths below inlet...... Total leaching area... ._sq. ft.
Ii Z Other Distribution box Dosing tank
a Percolation Test Results Performed b GLV- - 4h/gcA_ ......_ --- Date_ —4-
Y - y p-------------•-----
Test Pit No. L... __. _minutes per mch Depth of(Test Pit.._. Depth to ground water.NO T- i�C
(s, Test Pit No. 2............�I minutes per inch Depth of est Pit.................... Depth to ground water........................
O Description of Soil....4.=_/..�...�0�3v{ DSO/L
--------------------------------------------------------------------------------._---•------
v "-5 •-wfSTo v -
- - ---•---------------------------••-------......._......•--•------
w ------------------- �.�"�-Fi!✓ .. .._ v.sTo -
x ...----r--------------•---.......--•-----------••----
U Nature of Repairs or Alterations—Answer when applicable._-----... . - _7�` _, �..................:....................
'.e.--".'� .
IIF Agreement:
The undersigned agrees to install the aforedescribed Tndividual Sewage Disposal System in accordance with
the provisions of TITLF� 5 of the State Sanitary ode f The undersigned further agrees not to place the system in
I'E operation until a Certificate of Compliance has been,_issue b the board of he th.
YSigned............ ------ ---------- ---- ....................... .............. .................
Date
Application Approved BY= --.-.�....................................... .
Application c -g.^._
J
5 Date
Application Disapproved for the following reasons:............•--------•-•---•--•••---•--•----•-•---------------•-•-----------•-.....------_. ---•--•-_•-••-
----•-•.....................................•------•-•--•------------•----••-----._._........--------...-----------------------------------•----••------------.........................................
Date
Permit No.... -r, ........................
-- ---••••••-•-•--••-_. Issued-.......a=0..g-----1s`1----------------
Date
f -
—_--- -------—---------------------------------------
THE COMMONWEALTH.OF,-MASSACHUSETTS
BOARD OF HEALTH
TOWN of YARMOUTH i
`
Tatifiratr of Tomphttnr,, ,
THIS IS TO-CERTIFY, That th8kIndividual Sewage Disposal Sys%tem constructed or Repaired ( )
by - t. -•-----•-•--•-----•--•-•-.................... ....................... __•-
I I/ Installer 1
at............lr-.CCU.(... L� -l1 ... _�C-� •--------•--.....-----•-------------------------------•----... ......
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.....�.5.-____']'_ ...... dated....... ._—..'a, _-.�r�,'-----
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
' SYSTEM WILL FUNCTION SATISFACTORY. _
DATE................... ...::�_f ........Y °� ........................ Inspector........................
------------------------------------------------_ —'----........................................
_
-- -- --
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
q TOWN of YARMOUTH
No...t�- 71k FEE....l.
Disposal lvoikii Tomitr ion ami _
Permission is hereby granted............�7--`_d ----•--•--------•-----•-- ----------•----------------- -
to Construct or Repair ( ) an Individual S " rage Disposal System
t� pp,�__ ----------•-•------------------•----------. ..........
at No.:
......... --I��
- Strcet /�7� c
as showri on the application for Disposal Works Construction P mit Norly___ _ Date
/�"�' �i,. Board of F ealth j
DATE `"J ..._._.. C/
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TOP OF F DUN OATION El 7 I {
•4 �✓/T,//N /2• c=���. �,�- MIN. 2 % 11NISHE0 GRADE
MIN. C 0 V ER aw�r�r� ��Fu
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2 COVER 1/8 3!8 W H S H E D S T O N E I
L {, IN EL' SUMP ;• I, , ° • ° TONE {
' UiB ►N / S • .. ,.� ° 3/4 1 1/2 WASHED S E/✓CCGNT�/t'E�
' 4 ' LIQUID LEVEINo EFF
; .a • : -• Qio l �,
° ° ° °° PERC ' EST RESULTS
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° °�
° DEPTH ° . °
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I 'I PRECAST SEPTIC TANK WITH • .• .� °, :�� �� ' °°• • •,° ( PRECAST LEACHING PITS NFAC RA iE : = ��/'t r �"•'� ` I
CAST IN PLACE INLET AND EL• - • • • . NO.: '�L SIZE: WITNESSED BY ( ,
�•9rY/v�r s��-t= B 0 A R D O F H E A L T f{
OUTLET T S PER TITLE V I i
SItE io�o G A L L O N S ryL7 DIA ' r.,.� i OF STONE 0ATE :
I : �
I ( ° LONG xti`/ WIDE x DEEP ) MaPerValus ( /° �DIA ---►1 ALL AROUND
---- -
II OF PROFILE PROPOSED SYSTEM I i
SYSTEM DESIGNED BY THE TOWN OF - f,,:- REGULATIONS AND
II
STATE TITLE V FCR SUBSURFACE DISPOSAL OF S E W A 0 E . SCALE 1;'4"- 1 . 0 #0
N .
1 . All PIPES SHALL BE SCHEDULE 40 P.V.C . SEWER PIPE ti
2 All PIPES SHALL BE SLOPED 1/4 '' PER FOOT EXCEPT FOR ,ees,c E
I
THE FIRST 2 FEET OUT OF THE 0 / 8 WHICH SHAII BE LEVEL
! 3. DESIGN FLOW 3 BEDROOMS AT 110 GALDAY PER BR Le' GAL / DAY _� Jt
1 f SEPTIC TANK SIZE =moo X/sa�/ = q � GAL P 46; ig' 13'
USE ; goo CAI . W/�'� GARBAGE DISPOSAL
li
LEACHING SYSTEM . USE
`/T yd�:=' �"� ,t/,4_ syF_-� �%D�vc f-J/YC''U/Ul.�, � W�.`1X �t✓EL/LNG �, I I
EFFECTIVE A R E A - S 10 E r�.Y.�X riT.r X _ -¢�: ^'rr� �� -,►r�T.►r x�o,ti o ;
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I 6 0 T T 0 M /7X -* /•o - TT zf-L-2
TOTAL FLOW -2f7/2` 7�' - r4y G �•v. �� ( ;' I h I i
i TOTAL REQ D FLOW X ia W/ OARBAGE DISPOSAL x ,�
RESERVE FLOW (I == v f 6Al / 0AY IN RESERVE
0a GX/ST/NG �q 6s91�E,vic v T �►ATC.'/ digs/iy'
RE E E RE N C C PLANS : �.:,� �- �,� - ����;� �.
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APPROVED BY : ��A�f : ,•.: • I
BOARD OF HEALTH
I DATE � �- I
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.,.. PROPERTY OWNER SITEAND SEz_ WAC ;7 PLAN
_-/y�% i`" •- 71/i,'/ i C ' ,:... ♦A . ;peg`-`�' � /V/111�/Ll .% �/� �//LC- [..•Q
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1 jH 8 E 0 R 0 C M SINGiE F '1 'Y' 1 ! Y OWE L1. 1NG
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1 ' ( OA T E 14 , 1;?rs-
i 00YLE ENGINEERING ASSOCIATES , INCORPORATED Ii
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Box 595- 530 Thomas B. Landers Road 1. Falmouth, VA 02574