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Home My WebLink About0071 ALLAN ROAD - Health Centervi Roadlle A- 194-001 - 005 I I s M EAD® No.2.153LOR UPC 12534 emead com • Made In UM K. 1. ............ ....... A5; Ficz THE COMMONWEALTH OF MASSACHUSETTS ,jVjaj � ryeI" <I 4-CAI-exgBOARD OF HEALTH ........40W. 4....................0F.....(LJ�I,/Yl.$-� /..___1.....---.......----------..................... Appliratilan for Digpniittl Marks Cnnnitrnrtiun lirrmit Application is hereby made for a Permit to Construct (X.) or Repair ( ) an Individual Sewage Disposal System at: .A...4. ._ ? ?... t. en. r uidle................................. ---- r............................... ........................................... Location-Address or No rrc r�bt^xc�_.._ u la,as rxra n CO a ................. ��®J ° ........................... Owner r Address ,a l�. ..... At%A ..... ...... /r157tlN 4�L c-5 .............. ----- - Installer Address Type of Building _ Size Lot..4.%.417_......Sq. feet a Dwelling—No. of Bedrooms....Eno.ij:.............................Expansion Attic (4/0) Garbage Grinder (Alo) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures .................................. d W Design Flow..................................95-_-gallons per person per day. Total daily flow..................._....'4 ........ga ll�s. WSeptic Tank—Liquid capacity.l�_gallons Length.l0�(o..... Width.__-+`� *.... Diameter................ Depth - ...... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......7lxt a--__-- Diameter..__-oQ. ...... Depth below inlet...... Total leaching area..0.7!�i4....sq. ft. Z Other Distribution box (X) Dosing tank ( ) aPercolation Test Results Performed by.._Pe_mZ(��,_.£GeI° .._.� �rlttccc%t �--- D ate..s.Zs? ._.1- . ._.. Test Pit No. I......—.....minutes per inch Depth of Test Pit.___J.,c3 .j.. Dep to ground water..__............... 44 Test Pit No. 2......9......minutes`per inch Depth of Test Pit....f. ..�a.... Depth to ground water_ ,` '...... O TP /) .°' .t ?R?.. st4t�el `—.,r`_• �_-- y--------------------------------------- " Description of Soil... ./ikl./ ............................... .....TP Z`...G1_-3.P =!<.. Scae-� q' STEtHE4 N.- V i �,f * r . At EYRI ro U Nature of Repairs or Alterations—Answer when applicable........................................................... ...... -ft-pr�& ... x .. -•-•----••••-•----•----•--•-•...................•---------- ------•----------•--.........----••---.....---------------;......•-••••......--••--.... g < ±r Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System I c rrc with the provisions of TITLE 5 of the State Environmental 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 .................. ........................................ .----..................---..... ........................................ Dare Application Approved By ............ .�.�..............'.. _----------------------------------------- ........................................ Dare Application Disapproved for the following reasons: .......................................................... .......................................................................... -------------------------------------------------------------------------------=------------------------------------------------------------------------------------------------------------------------- ---------------------------------------- Dare Permit No. ....... .2.... ........................... Igsued .............. �a`l:'L-.............t e Dare 1 C. ti t No................-....... COD Fss.................._..... _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........OW.4...................OF...... 17CI7 -.lc'6/G --------------------............................................... Appliration for 11iipnott1 Warkii Tonstrur#'inn rrrmft Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: .:. :l.u ._.l �sl. ... h. r..>t_il.�.e--------------- --•-�Q�' S ...... - - ........_.._.._.............. Location_Address or Lot No. ..�rrc ` v1�{afxr�axi__.... r.p�_-------------- Q'O.13oZc__-5/O_T...��n11s1114................ Owner Address w Installer Address Type of Building Size Lot...15 j..____I_?-...._.Sq. feet Dwelling—No. of Bedrooms.....F014f:.............................Expansion Attic (Ale) Garbage Grinder (Alb) Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other, fixtures ___________________________________ Q WDesign Flow.............. .:!________.____SS___gallons per person per day. Total daily flow.............................__..__gallons. WSeptic Tank—Liquid capacity_15�.gallons Length__IQ.":�o __-`'<.. Width_ L_,�I__ Diameter__.--_ :._. DepthS"6 x Disposal Trench—No..................... Width....._............... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..___..Vu-mm____ Diameter......&......... Depth below inlet.....G........... Total leaching area__4K-�.4....sq. ft. Z Other Distribution box (7..,) Dosing tank ( ) '-' Percolation Test Results Performed by... .___ /ns--r!y Date__SSvtts�___j_5F>!5„. Test Pit No. I_______":'.._._minutes per inch Depth of Test Pit_____/__�3______ DeptTz to ground water_.__""_._______... ►.. Y /•- fT4 Test Pit No. 2...... .......minutes per inch Depth of Test Pit... _.. Depth to ground water........................ W4 Tp a �j 3 e z , =su s /...�_3�-1. r...................................... *A O Description of Soil__ _.�.2Y/�s�-, "'' r' E/� iu.� �-� /.---------------------------- �W �A r�- .r_P_.?. _D-.3__... oG _.. _��zs r�- ---------------------•--------------------•------ YEPH ___. +. J•• i - > V /'f ' 3TEPHEPI * / .?'7rcr-_ tt _.So _ ... �.h.b.lc4. ......AMYN R U Nature of Repairs or Alterations—Answer when applicable..................................................... t_�_.___W{L-SGN_____- y -----...--••---------------•-----------------------•-••--••---•--..__...--•--..._.....---•---•--------------------------------------••••-•--•------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System Mgr afire with �Z5/yZ the provisions of TITLE 5 of the State Environmental 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 B .�' -- Dare Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------- --------=------------------------------------------------------------------------------------------------- ---------------------- ---------------------------------------- Permit No. ............t................. [.-----...---.................... Issued ............... .!..�.:j �... Dare r Date THE COMMONWEALTH OF MASSACHUSETTS i� BOAR (D^QF,HE VTT,�.� P OF . C A i I: (gertifira e d (fantplianre THIS IS TO CEIJTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by 4 ................ .....er.........................--..........................................-........................-..... y }} i 11 .......... 1 n f has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ........I..............11`..'.....�........... dated ..... !.�.�.:!�'. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------------------- --- ----------------------------------------------- Inspector ----....----------------.....------------------------------...---...--------......------------. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH G' ..........................................OF.........---........._.._._._....._......_...._._.._...._..._.._._................... No........:............... FEE....1.................. Eliopoottl Vorko �nno#rnr#inn ermii Permission is hereby granted............................. - ....... .. .. ..................................••---•--•-----------._...........•-•..................-- to Construct ( "�) or Repair ( ) an Individual Sewage Disposal System at No I `. Street as shown on the application or isposal Works Construction Permit No...................... Dated_______ ....... ...•--•••.......•--•--...-•••--•--•-• --- • -•-•-------- -:!A.!- _ ............ •-•••---•••--•-•---•--•••••. Board of Health DATE................._..---��-- ------•----� Form 1255 H&W) HOBBS&WARREN Publishers TOWN OF BARNSTABLE 1 LOCATION LOt J';q �`144 /�fk�� SEWAGE # VILLAGE le l ASSESSOR'S MAP & LOT gy061 '00 INSTALLER'S NAME & PHONE NO. TOAM - Aa /,14,1 SEPTIC TANK CAPACITY I_.?oo g y LEACHING FACILITYAtype) ;7`S (size) �pX� NO. OF BEDROOMS q PRIVATE WELL OR UBL1C WATER BUILDER OR OWNER 6;rt e ) DATE PERMIT ISSUED: 1- 3-, ;2, DATE COMPLIANCE ISSUED: `/_ VARIANCE GRANTED: Yes is, 20' MINIMUM OR AS INDICATED ON PLAN NOTES: 10' MIN. 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. MASONRY EXTENSION TO 12' .� TITLE 5 ; THE TOWN OF RULES AND BELOW GRADE ` REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE; BACKFILL WITH TOP OF FOUNDATION e• MIN. �'70. ;r 4 CLEAN MASONRY EXTENSION TO 12• AND THE REQUIREMENTS OF THIS PLAN. �- BELOW GRADE 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO I 124.=5 I = WITHIN 12" OF FINISHED GRADE. �� _ 4• scH. 40 PVC PIPE 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE r�MIN. PITCH 1/8" PER F7. N ' 4 PER FLOW NE 2- LAYER of SHALL BE MORTARED IN PLACE.10' TEE — 1/e" 1/2" 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE r WASHED STONE / OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR 3" MIN IX< 2'-0" L2_MIN LEVEL W LEACH WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING_MIN.. ._ / 4. PIT SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR ��kc M lb. -- WASH - 1 1/2' LIQUID WASHED STONE PARKING. LEVEL DISTRIBUTION F o, , Box 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED a—, RESTRICTIONS OR ZONING REGULATIONS. OWNER/APPLICANT SHALL I GALLON SEPTIC TANK OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY. LOCATION MAP - � ' _ __j 6. HORIZONTAL AND VERTICAL CONTROL, SEE LEVY, ELDREDGE ASSESSORS MAP PARCEL % - I & WAGNER FIELD NOTEBOOK UQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW LINE ` J BOTTOM OF TEST HOLE 11310 4 FEET 14 INCHES 5 FEET 19 INCHES OR USGS PROBABLE HIGH WATER LEVEL 6 FEET 24 INCHES CURRENT ZONING INTERPRETATION: DESIGN CALCULATIONS SEWAGE DISPOSAL SYSTEM PROFILE NOTE.' vfhou/W , '1v chr,isc t,//,c,i�,� be ncau�fC� mow/ •t he MIN. FRONT SETBACK C% FEET NUMBER OF BEDROOMS fir_ NOT TO SCALE icrrru.�ra/ a /O ' ZOc cfr'vu'74/ Aot /coc% �.�slsrc �du/ err/h.«c/ u..fii� MIN. SIDE SETBACK i � FEET GARBAGE DISPOSAL UNIT i, s TOTAL ESTIMATED FLOW MIN. REAR SETBACK i `. FEET ( dC, GAL./BR./DAY X _4 BR.) 4412 GAL. /DAY REQUIRED SEPTIC TANK CAPACITY tofie0 GAL. ACTUAL SIZE OF SEPTIC TANK /,LZCD GAL. PERCOLATION SOIL TEST (P-4577) LEACHING AREA REQUIREMENTS ' �a SIDEWALL AREA �5GPD./S.F. BOTTOM AREA �� GPD./S.F. DATE OF SOIL TEST S J�he 1185 TEST BY _ ,. In. it SIDEWALL 2IT( /D /2)(�)SF x�.'. � GPD/SF = t1 Z I GAL/DAY li P �Ihrtida� _ L►�VAioc r,>x� BOTTOM ?f ( .a /2)z SF x i. GPD/SF = _ GAL/DAY ASWITNESSED BY _J. �a�,/o�1 _ PERCOLATION RATE MIN./INCH cx�Zli �5d / 4 SF //OCR GAL/DAY t�. TEST PIT #i TES PIT # Z BREAKOUT CALCULATION: ELEV= _126,� ELEV.= 0.00 -0.00 ..oarn 400,/ Lr� T )*4oh u.n -/SiH c. /^ h, LEGEND : / / Cobb/rs EXISTING SPOT ELEVATION 00.0 X 134 �Nn �, �Na � K�J � EXISTING CONTOUR-------00----- FINAL SPOT ELEVATION 00.0 FINAL CONTOUR 4p \� / BOTTOM OF TEST HOLE BOTTOM OF TEST HOLE SOIL TEST PIT LOCATION 0 OR WATER ELEV. OR WATER ELEV. % % . . TOWN WATER W W .`i SEPTIC TANK _ _ 2 DISTRIBUTION BOX CJ WATER LEVEL ADJUSTMENT. PRIMARY LEACHING PIT O �. / / �. Z 6 RESERVE LEACHING PIT R` Y- �'' TEST DATE WATER LEVEL 000 .�" �,,,. /,� ,� ! 0wlo� � INDEX WE L L ,,.•�--""✓ 'f/ / 2 WATER LEVEL RANGE ZONE - �� _ .�- --- � �`� � 1 =� ..' ._ INITIAL ISSUE j '� .101 DEPTH TO WATER LEVEL FOR INDEX WELL N0. DATE DESCRIPTION BY �zI 000l / 1 z0�� FOR MONTH OF: WATER LEVEL ADJUSTMENT S-=TE F\"__ AN � jEP1-1C Cat=.. :.ate L O IT � A L-A N R O A o DEPTH TO HIGH WATER r Day. CORP, ;:a". APPROVED: BOARD OF HEALTH STKPI-IEN •' 9 ALLYN i a WJLSON N . SITE PLAN SCALE: z. - JOB No. ;��;� DATE AGENT LEVY, ELDREDGE & WAGNER ASSOCIATES INC. Rcum LowcIP8 acmT TS PUNM Un SOY mis PERMIT # 586 STRAWBERRY HILL RD. CENTERVII,LE MA 02632