The URL can be used to link to this page

Home My WebLink About0132 SHALLOW POND DRIVE - Health 132 Shallow Pond Drive Barnstable A = 254 022 ;1 \ �l5� fir: pr _3�TOWN OF�ARNSTABLE LOCATION O�- SEWAGE # - /S "VILLAGE MAP&LOT INSTALLER'S NAME&PHONE NO.&'r f�: SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �e,'-addL. (size) _ v44 NO.OF BEDROOMS BUILDER OR OWNER Ih PERMTTDATE: 8 - >S COMPLIANCE DATE: 'N 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) �j,/� _ eet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) /—.t 4-7 Feet V Furnished by ry JL r . t FiEcit /40........— THE COMMONWEALTH OF MASSACHUSETTS 1 7.5- BOARD OF HEALTH TOWN OF AWA YX9,&c. Appliration for Disposal Works Tonotrnr#ion ramit Application is hereby made Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: / for --..........L�Z...... o / S�`� / h'r�,a � ..O&W ................................................'..... .............................. .........------.._... ,,��ff cation•Address or Lot No. l".! ._.. ._... ..._.. l�iirlT �� 11�11W/C/�T14' s .._. •►z�,. ......--- -----•-- Owner Address ........................ .:2......._..... .................................................. :.........---•----•-----•--••-•--•---•-------••--•-----.._...--•---------............------------. 1.4 nstaller Address Type of Building Size Lot-_�3/. g6._____Sq. feet Dwelling—No. of Bedrooms.....,�..................................Expansion Attic ( ) Garbage Grinder ( ) '04 4 Other—Type of Building No. of persons............................ Showers — Cafeteria Q, Other fixtures ••••.............................. •. . Design Flow..... 6 S&ORI`�______-_gallons per person per day. Total daily flow....... _4........................gallons. W _-_/Septic Tank—Liquid capacity/40__gallons Length_.. 4-____ Width---- Diameter------------- - Depth_...5-7.... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.... ------ Diameter.....M......... Depth below inlet......16............ Total leaching area_.Z4 ...... ft. Z Other Distribution box O Dosing tank ( ) q Percolation Test Results Performed by....... v'/ ._ 1 .6 ..................... Date......1...........f:®............ Test Pit into. 1.<:. minutes per inch Depth of Test PitJ z_ ........ Depth to ground water./I.a............... Test Pit No. 2................minutes per inch Depth of Test Pit............-....... Depth to ground water........................ -•----•-•-----•---------••---•••••........................•-•------•-......................................................... 0 Description of Soil......0_...1.._..T 1° SvD50/L......................•.._ U x �"/ i d 1..... !? .•-•----•-•-•••.................•--•-•-••-•-•--•.....-•-•-••-•----•---•--------------..._--------------- U Nature of Repairs or Alterations—Answer when applicable....---......................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with Nthe provisions of iITL 1E, 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 rd of health. '11Signed..----- �. ? -------- --- ..................... M Da f Application Approved By........ + -_- ------•---•------------------------- G�� - -. ,�._._... Date Application Disapproved for the following reasons:........................... ..............••---••----•---...._._._-_-...............••_..... .__......_.._ ....-•..............................................••-•-----------•--•--------------•-------•---•-------.....-•-----------------•-•--•••--._.._........-----•---•-----..__...-------•-•-•......-•---_... Date Permit No....... .�_..._....�.��................... Issued-........... --- �' i Date r'•'--' _3'..�y.j' "Y. ' . .-ni.'Pt�r'M''_, „f >,h�...v� Wl -. - .r . ,w4•. :ytr.3`*y„,�.r:4**Si�7?""�'s n-'� ✓ o FIcs..../,�,...... THE COMMONWEALTH OF MASSACHUSETTS ' P 75 BOARD OE HEALTH TOWN OF Y�-U . $�.�NS7fIBL C_ - Apoiration for Disposal Works Tonstrnrtion ramit Application is hereby.made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System it:- /21X a - ---. ....---••••-------- --- ........................... ••--- ocation-Address or Lot No. Ul t.n i.�IG C'� 11!vlT:.. C'D.r?�111�r✓i cy/. ! s.._W!Y y.:.................le , --- Owner Address a ......................... ..--•••-....-•---••..............•••-- --••••-•-....-.......-------...........--•....... ......-•---••......•• --------- .........•--•-•------------•--- nstauer Expansion Attic Address �3 age Cinder feet d Type of Building Size Lot..___-..._ _ q. Dwelling—No. of Bedrooms...._ p ( ) g ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures .................................... -- ---- ! 1 �' .� W Design Flow.._..�.d �tA _.___...gallons per•°,person day. Total daily flow_.._..._ _ ............................gallons. W isTrench 9 No.--p•--•••-� d hf• . __: g ;To'al en th { # h .Gd Septic Tank—Liquid ca acity_ _._..__. allons Len th ... �_._ Width_ 4/�-.. Diameter................ Depth---- sq. ft. x DIs osal t t L Total leaching area M f . 3 Seepage Pit No._.. .N ..--.. Diameter...... ......... Depd1 Uelow inlet......�� A........ Total leaching area_ j��....sq. ft. Other Distribution box k Dosing tank 1` '-' Percolation Test Results Performed by - vy..�_. � �.'`��..................... Date..... a �: ,F .. Test Pit No. 1_.<._�-_..minutes per *h�� Depth off Test PIIt!!M._-...___. Depth to ground water_/Va.r 9 . . 4 Lz, Test Pit No. 2................minutes per 3richf Depttht-of Test Pit.................... Depth to ground water.......................... GY ._ - ) --------------------------------- ------ ------------------ •------------•----••---•--- ODescription of Soil-----4 ................... -----••---------•-------•••---•-•--•••••.............•--•••-•-••--•-•-••-•--............._.. l -.. ...0,04 ::t'Gy STD ------------------------=-------- ------ x .....................-............4......1Z......./11-a/tJrll - ..------------ ...---------------- ,l U Nature of Repairs or Alterations—Answerkwhen applicable ...: H ................................................... C 4 t f_ Agreement: gr f The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITA LE 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 th�b .rldl of health. t Signed.._...... �` .............. .APPlication Approved By .. .................................. �-5 ....... Date APPlieation Disapproved for the following reasons: 7-.......................-................................................................................... - ---.-.-•----..-._.--•--•••----------------- ------ -----------------•---------.:.•••• --••• •-- ----------...•••-------••--•••••--•-. . -- -----•••••------•- Date Permit No....... -5- -71-55--------------------- Issued--------- -.......... Date ------------------------------------=—; ------------------------------— r. THE COMMONWEALTH;OF MASSACHUSETTS BOARD OF'. HEALTH TOWN of YARMOUTH 'Tatif rats of Tomphaurr THIS IS TQ CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-------------------------- -----------------------•---:-;-----..--------Installer.-..--..------------_-_-----------------.---------•--------------•----------•--•------------------------- e � at............. ----------- ••- - • ------------•---•----•-----------------••-•-----------------•------------.........••-•-•. -- 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-------Z�__-_ 77_1_5...... . dated........ -..-a.8,... v4'........... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. f DATE . Inspector. ----- ---------=--------------------------------------------- ---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN of YARMOUTH No....7.5.::...715" FEE.... ..00........ Disposal Works Tonotrnrtion '"unfit Permission is hereby granted............. j to Construct �) or Repair ( ) an Individual gage isposal System at No.: s.7._..I.. _ .- cal. Street q as shown on the application for Disposal Works Construction Permi �95_7(-_5-.. Dated.,...................................... L� 13-,YaKdof Health DATE........... ................ I I' S ^ IL L 0G u � NO. ] 0 14 C 7 I T E PLAN { EG, 7B J .t3sG r j I I l s TOP OF FOUNDATION EL. : { {;; CCNc'. .P/SER/ccEc Tel �✓llHVI412 % FIN I S P,` E G GRADE MIN C 0 V E R" . 'a.✓�•. ,�' .:�.�/ct, E.� 1 � t-----••� . .r .►' ♦ . I O - I wci TN/.tl /z I� El 2 COVER 1/3 3✓8 W;,.; HED STONE EG. ago I a I i j � � � NII INEI.'6 - ' � • 1 .'� � ND G/POUND r✓iVTEit' 'I 1 0i8 ►N / S SUMP �� 3/4 1 1/2 WASHED STONE ' 3 • ENCfX/NTEic'EL� ' 1 f 4' LIQUID LEVEL .� • n °• I ' °.°i DEPTH ° . . ° P E R C TEST RESULTS PRECAST SEPTIC TANK WITH i • . •• °° :<� I Lf� ' °• ° I PRECAST tEACNING PITS PERC RAlE : �`' ^' I • � a I j CAST IN PLAGE INLET AN1 Et - - °• .�°�� + ___.�°; •• ° p• ° NO.: SIZE: WITNESSED Bif � I OUTLET T S PER TITLE V 7z �_ � , _� z _1 BDARD OF }iEAlT11 I , I SItE : / ` G A l L 0 N S �;o�E { DIA 1 - ;�tiE'1 DATE : -�- � t I J OF STONE I j t LONG x 4�-�'� WID E x D E E P ] ' 3 Pervious /e 'pIA ---* ALL AROUND I MaterialI 1 i f - EL . q PROFILE OF PROPOSED _ T jSYSTEM DESIGNED BY THE TOWN OF REGULATIONS AND STATE TITLE V FCR SUBSURFACE DISPOSAL OF SEWAGE . SCALE 1,'4 0 • N . B . J 1 , ALL PIPES SNAIL RE SCHEDULE 40 P.V .C . SEWER PIPE � a� •!o l,� ti � X c�/cod; r� ,� I 2 ALL PIPES SHALL BE SLOPED 1/4 PER FOOT EXCEPT FOR �; l I THE FIRST Z FEET OUT OF THE 0 / 8 WHICH SHALL BE IEVEI Z o I � _ ?`, b � `-- c ✓E� I f Tarr.✓ I 1 i 3. DESIGN FLOW BEDROOMS AT 110 GALDAY PER BR s- GAL/ DAY �Ko� I SEPTIC TANK SIZE ->430 X%5o ��s GAL lr e � USE /�� GAL . W/��r GARBAGE 0 1 S P 0 S A L - 75' v"�p or 1 ILL .osr I l i LEACHING SYSTEM ; USE ' o�. G 1../r�, X � t�Tti n� �: � _�i�.v rox b II --_ _ �lJ �9• � / �/04G U• I I /N/2' li= WAtiG NONE - 1rC�7t/i✓� . �_ wAr-h' �EKvicr �. l sr�c EFFECTIVE AREA . S10E B 0 T T 0 M Trf 2 A el = 7T.r 2s / e = Ifs G�� xj i 10TAL FLOW i TOTAL RE 0 FLOW . X W/2�T GARBAGE DISPOSAL �� ► ; RESERVE FLOW `,¢j_ 2e` GAL / DAY IN RESERVE , I REFERENCE PLANS x x I X ,4;a. Al = I _ APPROVED BY : BOARD Of HEALTH I ' . _ DATE : ' � � r- � � � PROPERTY OWNER : %"<�//-4 ��%��„� �. �:�. ( SITE AND S r WAG PLAN -- � ' F 0 R ' /V/C-X411- ` Btl/L Ui/✓G C6. i i t tea,, �,►,: � � N1tLM4 sr� 8 E 0 A 0 0 M SINGLE FAMJL'f DWELJ. 1 'ti' G { 35Ei9 p A, ! LsE 10 T : /✓O. /s 23971 D 0 Y L E ENGINEERING ASSOCIATES ! NCCRPORATED Z3�yS Box 595-- 530 Thomas B. Landers Road W. Falmouth, NIA 02574