The URL can be used to link to this page

Home My WebLink About0139 SHALLOW POND DRIVE - Health I�G �hG,flmv 12 fed. . -- - -- - - - --- - - -- �' -1 �r \\ it it 1 �!,i 1 I II 1 (/ 1 37�h.4,6t-,, i Ii ftARNSTABLE it LOCATION4,g45-; hodl Pj r-0.� SEWAGE # NVILLAGE 2,9.f2 �� l ASSESSOR'S MAP & LOF 3INSTALLER'S NAME PHONE 4z6 SEPTIC TANK CAPACITY /,�l V. P <' ,.LEACHING FACILITY:(type) Ali / , „� (size) it� b.q0. OF BEDROOMS - PRIVATE WELL OR PUBLIC WATER DATE`P-EKMIT ISSUED: AZ`7 w t. / DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No .CFO E /t f No... Fivic...1...... ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............._......OF............. Appliratiou for Dhipasal Mirkii Towitrurtijan lirrmit Application is hereby made for a Permit to or Repair an Individual Sewage Disposal System& at 0, a F ,, . .........' cam:.Z/............................ ........................... ............ 0 F , ............ ..........&6� 6../r--- ----------- Location-Add re or Lot No. 'OV, . ....0 ............ X....... 4��..... ........Z...Q.:?............. Address 0 ............el; .................................................................................................. Installer Address Type of Building Size Lot-----!�.I.....3... ..Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers Cafeteria P4Other fixture ....................................................................................................................................................... Design Flow. ....-gallons per persoyper day. Total daily flow........?. --3. ...................gallons W , /10 —04 Septic Tank—Liquid capacity,/ft..gallons Length .. Width__Y �-'_ Diamet�f -------�Depth_4._��.Y./ Disposal Trench—No. ................... Width.................... Total Length.................... Total leaching area---------------"...sq. ft. Seepage Pit No._Aa ----- Diameter....In.......... Depth below inlet...4............ Total leaching area... S ft. ,97 Z Other Distribution box Dosing tank A-W OL-7 /*1 767u? Percolation Test Resul� Per-formed by...__.___4!V-Q.-' 7 'r 14 .7'/X.......................................... Date....._./ If .......... Test Pit No. 1 M---minutes per inch Depth of Test Pit.................... Depth to ground water_-___-_--__---_--_-:--_. (z, Test Pit No. 2................minutes per inch Depth of Test Pit.__............_.... Depth to ground water..__._..._....__.._.__.. - - o ............ .. .......-.-.-.-.-.-:-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.- . 0Descrption of Soil , U .................................................................... ............j---------------------------- ............................................................................................................ ............6�na..Vnt .................................... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ...................................................................................................w.................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T'!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. Signed-----..... ...... -------------_------------ .... D e Application Approved By.........0\Z, .......&.: ------- Date Application Disapproved for the following reasons:................................................................................................................ ........................................................................................................................................................................ ............................... Date PermitNo.......L%I.,:.... .. .0-------------------- Issued_------------------------------------------------------- Date S' No.__ .'. Fes$..../... ..---..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 100C/'f -.... --------- -OF............ .... Appliratioat for Disposal Works Tottstrurtioat Prrutit Application is hereby made for a Permit to Co t uct ( ) or Repair ( ) an Individual Sewage Disposal System at 1 I ... .. --�..... •-••-----..._ ......✓v¢ ''.................... '.C�. .... .. ............... Location-Addres (/ ., or Lot No. -: -•-•!0'_-tf`==r'n:.y --•- '................ !N�s R:-•----- `w" � g�g` / '+�'�J-7t /J` C67 .r Owner / Address .._._.. __ e --•-------•-..... �. r..:_.. .... .... ............................_.........................._._..._........ .--------------------------- - Installer Address dType of Building Size Lot----4/3_.4,5�`!W...Sq. feet V Dwelling No. of Bedrooms___ ...............................Ex Expansion Attic� g— p ( ) Garbage Grinder ( ) aOther—Type of Building ...........................• No. of-persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ----------------------•-•-• --•-•--•--••-••-----••--••----••---------•. ---•••---• ... •-•••-••...•-•---.......•--•-- W Design Flow...... f1�Y,'. ' '.__gallons per perso ,per day Total daily flow-------- gallons. WSeptic Tank—Liquid capacity d uty_gallons Length ':...... Width.. ��#` Diametef �Depth x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.....................sq. ft. Seepage Pit No 0-4._ '_____ Diameter....X.0'--_.___. Depth below inlet_.. -� ......... Total leaching area.K..(_ z Other Distribution box ( ) Dosing tank ( ) ey '~ Percolation Test Results Performed b ............................ .... Date.. Y = ,tea Test Pit No. 1 __-.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----------------------- ------------••-- --•--•-•-•---•••••-••--•---•--- --------------------------------------------------------------------------------------------------------- 0 Description of Soil.................... l _._.._� x ,p ------------------------- U --------•••••...................................... '" ..� is eC fir'+ r�Wi ------------------------- ------------•---------------•-------------------------------------- -•• -----" !1 Cim f .............6e, U Nature of Repairs or Alterations—Answer when applicable............................................................................................... --------•----------------------------------•---------------•-----...----------------........-•---------------------------------------------------------•---------------------------------------••--••••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with T T I'1 x--� the provisions of :i: E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issuedby oard of health. Signed Application Approved By.......... e �- '. �-............................................... .......6.. '!-----•--• } Date Application Disapproved for the following reasons:................................................................................................................ --------------------------------------------------------------------•---•-•---------.........--------•----------••-••--------••-••-•--- -•----••••-•-••-------••--•---•-------•---•-•---............. Date Permit No.---- ..:... _ _B).................... Issued------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4s1. .....................OF.................. '''- X Trrtifiratr of ToutpliFattre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) bY---------•-•------------ f " ry Installer�! I ............................V has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......... .`' __r_Lf. !.f ... dated....................... .._............ ._.__..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. - �DATE.... .?':��.:�!..�Zl'-•-•------•---......... Inspecto ..................................... ...r............ THE COMMONWEALTH OF MASSACHUSETTS i �,....• BOARD OF EALTH/ / O F............. .. �+t!s�l,.l....�.... 'v, No... ZC.w.0 FEE../4:x-.s......... Disposal Ivor Tottotrttrtioat Vinutit Permission is hereby granted..................... �C - to Construct (.AT or Repair ( ) an Individual Sewage Disposal System at No..... c�r,�7 ��F 4:, � �+''i .rOl,�!.r11..t-� I?t .............. Street as shown on the application for Disposal Works Construction Permit No.. .. Dated........ f-.....................................................- C' �' — U ......•..•.---_-'--.---.-- Board of Health DATE-------------------------------,�..-----•%- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS T I I • S 0 1 L L 0 G �a- ZNO. NO 1 sva Qr� 0 SITE PLAN 2 �` SAND 3 �L. GZ.Z _5 7ONE TOP OF fOUNDATION EL.: 7zs 5 'Id' N I I S H E D GRA•OE�9 - � a � wr�i•✓ /2" of ,��v, G.Q. v; IN El �� Ca�✓c �%sue co✓E.c I MIN. COVER IF It 653�5 Ih tt �s/8 �2 w.rN�,� �z o� �.•,/. c.P. I .�. 2 COVER 1/8 3/8 WASHED STONE I I I IN IL' s7 GSSi �• • • • EL.S4 IN ELS_,470 • '. • • ' 3/4 1 1/2 WASHED STONE ^'O G,POUNht✓A7R 3 0/ 8 dV 6 SUMP ° . • veeI/ v re'YED f 4 LIQU10 LEVEL • I � • . • --�' ° ° : DEPTH ° °.° ° PERC TEST RESULTS PRECAST SEPTIC TANK WITH w • ° • . •' �0 •� ° . • • ° PRECAST LEACHING PITS PERC RATE : I CAST IN PLACE INLET AND s . o : : °. • o °• °o •oNF " G'z�iA. x �'�� Th' WITNESSED BY 8.�'Qi4y El, 87 NO.. SIZE. OUTLET T 'S PER TIT LE V Z ' sti✓sT� F BOARD OF HEALTH SIZE : /000 G A L L 0 N S , s —DIA "I sr�E OF STONE DATE : 3-S- 90 - , 75 Y8 8G'• LONG x 4/ W 10 E x .54' D E E P ) Pervious %._DIA ALL AROUND ' Materia I EL. s¢•7o Z¢ 7 PROFILE OE PROPOSED SEW -AGE SYSTEM SYSTEM DESIGNED BY THE TOWN OF _ �A�/✓sr-�BL� REGULATIONS AND � � 7+,7 N STATE TITLE V FOR SUBSURFACE DISPOSAL OF SEWAGE . SCALE 1/4 *- 1 . 0 •• 2B A� +o\X��,00 � o. � i 1 . All PIPES SHALL BE SCHEDULE 4.0 P.V.C . SEWER PIPE 2 ALL PIPES SHALL BE SLOPED 1l4 PER FOOT EXCEPT FOR X THE FIRST 2 FEET OUT OF THE 018 WHICH SHALL BE LEVEL ' 3. DESIGN FLOW 3 BEDROOMS AT 110 GALDAY PER BR 3� GAL/ DAY SEPTIC TANK SIZE 530 X/s0% = `¢ s GAL USE /°Do _ GAL. W/ ov-- GARBAGE DISPOSAL 704 e LEACHING SYSTEM : USE ' o/vE ec- X �g OEf'Tt/ ",P�i�sT L cam'.'//i1/� •� X�000 w� ti//Z ,STONE' -4IC6 0 7;r EFFECTIVE AREA .- SIDE zn,��i,►-Z,s= 2XTix .s-x6Arz•s= -lt71 41 6 0 T T.0 M 2-9 2 x /,o = Tr X 2-52 /,o = 7B E�0 I TOTAL FLOW 471-r 7-0 _ ��Z c-I �-, TOTAL REQ'D FLOW 330 X AVY- = Y30Gp-P yylQ� OARBAGE DISPOSAL 4`'0`� s`3 s''c '¢'3 21, RESERVE FLOW -2--g9 330 L Zi9 GAL/ DAY .� ��a�: � J I IN RESERVE , ti Se"I o,T e 7, � R f E E R E N C C PLANS -v.0e Aso Z.O. '°"¢ 17, TP N I w x Gd APPROVED BY : BOARD O F HEALTH of �q�rysTAB�E i DATE ' SITE AN SEWAGE PLAN PROPERTY OWNER D: •�/�-��A3 f�U/L�/NG moo. - Hof - . '5--�.• Goiiyyyl�/NiGATifONs G✓�y p� JOHN 9fyG p0' I ,yy�+N�iS� MA. g `"-+ � i�EwMu►Ns 4c s= FOR : / Ct/LAs � Ice, P. V WA °o�� s� T SINGLE FAMILY DWELLING�9 N[I. 23971 L O 1 : GISTER�o R_ 9 ° " iVO. 33, SNAG[Oti/ � Dh'i vE qN SUM 90 ��' S EQ�'�� I 0 A I E . -lU,G Y 3 e /99¢ I FfSsr "4 "G\ DOYLE ENGINEERING ASSOCIATES, INCORPORATED Box 595- 530 Thomas B. Landers Road W. Falmouth, MA 02574