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HomeMy WebLinkAbout0036 BRALEY JENKINS ROAD - Health 36 Braley Jenkins Road Centerville A = 171 - 187 llll J�aEcvcEEO�oy� S � IN UPC 12543 'O+,�s�coHs��o- Now 53._L_OR HASTINGS, MN No.....g�'...� ..a Fps............................. R THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r & 77 ............. ..`�.� ..... .....................Zdl/ ...................... Ap iiration for Dhipaoa1 Works Tonitrnrtion .rr �I'7/- T Application is hVVnde. a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: A S E- f fo ....... .. � .... .._..... �.......-•----... r .. Location-Address l' r No. Owne Add�ss 14 M Installer f f C``�f A Address Type of Building rT 1 \l Size Lot_./��_�`�®....Sq. feet Dwelling—No. of Bedrooms.........�..............................Expansion Attie�j Garbage Grinder)' a Other—Type of •Building�_. �_� __ No. of persons.._._ ----------------- Showers- )'— Cafeteria•�-) -- p" Other fixtures'. ..._ Design Flow............................................gallons per person per day. Total daily flow..............._....__......................gallons. Septic Tank—Liquid capacityP� gallons Length______G._.. Width.. .. '__(Diameter________________ Depth..:��_.-__`.F Disposal Trench—No......1............. Width__L-2t!...._._.. Total Length.._t ........Total leaching area... 71 .sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq, ft. ZOther Distribution box ( V J Dosin tanker _ Percolation Test Results Performed by..._._ .T- :................ __...._...... Date_._.-----..,. _ Test Pit No. ... ..minutes per inch Depth of Test Pit.... ..: Depth to ground water..... .__'-.... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ..----•-..(........................... ODescription of Soil r �'• °�� _� c •? --ram t� �' /x --------- •--• ........... ... -------- -----------------= .-- .................... V -------------------------- ---------------------------------------------------------------- ---- ----- •----------------------- •---- ••----------------------------- --•--- -.---- W U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ------------------------------•-----••--•------ ------••------------------...-•-......... ---------------------------------------------------------------------------••----•••....... Agreement The undersigne ag to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued byte boar of.health. l�Zr% Signe -•-- -� .................. -------------------•---••-----------•- ------)...Date Application Approved By................................ . . ---- .................... ----•-• S ..... ......... Date Application Disapproved for the following r ons--------------------------------------•---------•-----------------------------------•----------------------_..._. .................................. -------...........-•-------...-•--•-.....--------....--.................................................................................................. -----••------- Date Permit No....... ----------------•-_._ Issued---------•-----•---------------•••-•---••--•------•---. ------------------•- Date t i � •1 No................_....... Fss.............................. a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �� 7 .. .. ..OF....3 �c?!✓Si r7 c .G Appliration for Disposal Works Tomitrurtion ramit Application is hereby made for a Permit to Construct ( )-�®r Repair ( ) an Individual Sewage Disposal System at: _ a — 1-5�L .Q7lar_"7s s t. Fl /,-Vj� _D e7 LF ds �j�?r(/✓� ..L ....L •----.....................---••-----••......-•----•......... -----..._... 1.._.,..--- ---J..T" 3 D e o. 13Z- (w .... .----••-•-------------•--•--••-•..................... •---------- ......................................................... wne 7,14 .......• •............ ...... .... •---- ............ ....:................................... .--•--••---............................................ �. .s Installer Address Type of Building H 1�� L�s Size Lot_. ....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic-t— Garbage Grinder-()` Other—Type of Building No. of persons......---------------- Showers--(--)-- Cafeteria(—)- dOther fixtures - W Design Flow.............:. ............................. per person per day. Total daily flow...........................2............gallons. W Septic Tank—Liquid capacity.ZgT?.gallons , Length_.. i._.L... Width...i._�.___'Diameter................ D�epth_----•'--....` Disposal Trench—No.......I............ Width... ........ Total Length___- Total leaching area___.47;_sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( P< Dosing tank(----)-- '-' Percolation Test Results Performed by � _..._.T.G_.7 Date /_.. ....................l l•� S Test Pit No. 1....L.?-._minutes per inch Depth of Test Pit-___�_.-Z-..... Depth to ground water.._..c.._:_........................ fs. Test Pit No. 2.._..;�.........minutes per inch Depth of Test Pit.................... Depth to ground water........................ W ...........................f........................................ --------- _—-•------------------ ----- -/-----.--------_.----.-- DDescription of Soil.....................................................................................................`_'_.":�...-•`5--�----�------------�........ .=�U--��---/----------••------------------ x W UNature of Repairs or Alterations—Answer when applicable._--............................................................................................ Agreement: }C v The undersign-e agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been(i sued by the bo,.r jof�health. Sig d.----•� - -- �� ��// / ------- i ,. � � � tee, Application Approved By------------------------•---- "`"'.....- --• . 1 ------------------ Date Application Disapproved for the following easons:--•--•---•-•••---•--------------•-•-------•--------------•-•-•--------•----------••-------. -----------------------------•-----•----•-------------------....-•----------------....------------------•--•-•-•-------•-••-------------•--------------•--•-........................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD j F HEALT- ...........��.'.t...............OF...l.-�.•.v�v3� .. ................................. TntifirFatr l f TontpliFanrr THIS ISOCERTIFY That the Individual Sewage Disposal System constructed ( �or Repaired ( ) by------------------- .�. ... Installer at..---.fps ..T--/ �4---.._�- O.t_EY-_._t .l� 1_c I."—e �'� �`���;[_�.12 tj --1 C L-­--------- 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......................................... . dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................1...... ................................... Inspector.................. --- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF.........---•----._............--•-•---...._......................................... No...�-6 FEE._. .. . '0 Co.�-- -- Disposal Works �Vnstrurtiatt. ramit . Permission is hereby granted......... --- _K i' '_�_: I l.............t k C ! ... ........ ...... . �... to Construct (✓) or Repair (� an Individual Sewage Disposal System s...._� .......... c2 LQ c__ C.............. Street as shown on the application for Disposal Works Construction Permit No..................... Dated...... •---••-•--•-•--••-----•------•------------- .......................... Q Board Hi At DATE 1 ----1------- -- "".. FORK 1255 HOBBS & WARREN. INC.. PUBLISHERS r cr nI I. Number: e7 a t e. ' Completed by : 01 .17 _SH Oft 7- HIGH ,GROUND-WATER LEVEL COMPUT•ATION� Site Location: Sgt, tZ y Tcn/I'c�.ys /ZD 4'e,✓T.-jz✓je[E- Lot No. N �'- Owner: 4). S.+)- )�L 4- Address: Contractor: Dr✓.Address: /3) 01.1> 1Zt4- /3Z }fyf,+•✓�✓is,M,q Notes: oC-)ls v US e STEP l Measure depth to water table to nearest 1/10 ft. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10//7 9� date STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: A/�✓230 A) Appropriate index well . . . . . . . . . . . . B) Water-level range zone . . . . . . . . . . . . 8 STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to water level for index well . . . . . ./a/6%6 mo yr STEP 4 Using Table of Water-level Adjustments for index well STEP 2A , current d�pth. to water level for index well (STEP 3) , and water-level zone (STEP 2B) determine water-level adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water t'i.8• level at site (STEP 1 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . To P a E� 4S, 8 wo � e.� FL 39,0 13 T-' Lec,ch 43 .0 M,..i. ci ni t Number 879 uate: %��--�[-- ` ConpleIed- b'y 0 .12q . SHORT�E . J HIGH GROUND-WATER LEVEL COMPUT'AT,ION Site Location: 13gepZ �D �'�,�/r��z✓,LeE Lot No. Owner: SMAL 4- Address: Contractor: SOLGO✓✓_s Dr✓.Address: 131 OLD jZte- /32 /cfyF��/�✓/S,if'!.9 Notes: 'On)- 1,S a USA° 2C-40'- LE77- s STEP 1 Measure depth to water table to nearest 1/10 ft. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ��//7 9� date STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: e index we A/1✓ O A) Appropriate 11 . . . . . . . . . . . . B) Water-level range zone . . . . . . . . . . . . 8 STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to water level for index well- . . . . . .ta/eS mo yr STEP 4 Using Table of Water-level Adjustments for index well STEP 2A , current dbpth. to water level for index well (STEP 3) , and water-level zone (STEP 213) determine water-level adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STEP 5 Estivate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water �i.8• level at site (STEP 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . m o p 64) E L Q S, 8 water- @ FL ,39,0 t3 T. L e a c 4 3 ,0 M,..i. OWN OF BARNSTABLE lr r- LOCATION �p� �Ea`� �;`O,\e`,- S SEWAGE # S6 r � VILLAGE 2 ASSESSOR'S MAP & LOT ' INSTALLER'S NAME & PHONE NO. -,SEPTIC TANK CAPACITY LEACHING FACILITY:(type) -V\p k-,- (size) ®NO. OF BEDROOMS 3 PRIVATE WELL O UBLIC WATE BUILDER OR OWNER @ ND QN ` .0 O � DATE PERMIT ISSUED: DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No Ko J 3g �d Rg 3g ' S sck > a D D 7L a WN'OFBAR15TABLB 1. s yQ�K� iss$wac . . 36=50 LOCATION ��� • �Ce►\�,� VILLAGE e '1 =— u a AS3$.430R'S MAP si LOT N3TALLER'S NAME $ PHONE a BPTIC TANK CAPACITY. : LEACHING FACILITYs(type) � ,,,a. tot5 (size) lON!X. OF BEDROOMS PRIVATE WELL OIMIE6LI WATE BUILDER OR WNER e�;e .,::'cj:0\� C�.I,.iS O DATE PBRWT DATE COMPLIANCE ISSUED; / L.3-- �Q' VARIANCE GRANTED: Yes., No M 3$ \O 3g � sck p a y1___._.__._.___.-.,----------_.___._.�.__._. s i i I i I i i I I �� �, � c^- — � � i i s i i I i /'� � � ' J � � � --- � � ���' -� r�, s = � o � o _ � � � �, � � � e i O � Cp � -�-_ . ._..,--------��_�� � � � � �� j ` iii i_ �.__.__-- _._...——---.....__. ..I .._......_.. I I s I ` �y> �. J ti .. � --— ..._.. .. . _., ._.......... _... .._. ..� I ——_.� _._.. ..�_ ._. ---- �-- ._ .� - � _ _9,_ ._.�. �_ _ ._.. .,.._. � r ,_ E 4 j i. � I ': i 3 { � m� _. _ ... .. _, .... . _ ._. __ ..--- --- --—---- -- i 's 1� � __ .�_._` � f,�G� - - __- � � __. �T t `��'a j i �._�,_.�.._._.__._.._. _....__ .. _ � f -----.._._...____...__._...-- ---__----_..._1 � _..__.—__—� --_--_----- �,S gCg y r�s I Q o i s i F-j i v� y m I � 1 S � 1 I I p l i r-- r 1 ► 1 l r i r Gs I i + � ! , � � � �' I I i � i z 1 , �I/V � �l j I i i r R �f c LOT 153 AIM 171-486 0J(F�ND) LOT 153Lwocus �•� 0 ASSESSORS �? `s6z• MAP 171--186 sue, LOT 154 AIM 171-187 15,OOOf SF o 0.34 ACRE - �oo• CENTER VILLE •o�� HOUSE ow PLAN REF 306-22 ASSESSOR:4 MAP- 171-187 ZONING.- ,.RC' SETBACKS: 20'-10'-10' DEED REF 14400-249 THE SEPTIC SYSTEM ,J WAS DRAWN FROM THE TOWN OF BARNSTABLE PLOT PLAN OF LAND SEPTIC INSTA.UERS CARD LOCATED AT.• / PROPOSED 36 BRALEY JENKINS ROAD / ADDITION / o° ►►°"`�.. CENTER VILLE, MA. ti� ��o♦ / � \ i �� QSTEPHEN `tea ♦ . J. N ► ss�s:r D0 59 .y PREPARED FOR.• �, you • WILLIAM P. THOMPSON ��0 • FEBUARY 22, 2005 REV LOT 155 `s�oo, REV AIM 171-188 (STA TE F'�O REST REV- AIM 171—002 YANKEE LAND SURVEYORS & CONSULTANTS P.0. BOX 265 UNIT 1, 40 INDUSTRY ROAD MARSTONS MILLS, MA 02648 TEL• 508-428-0055 FAX 508-420-5553 SHEET I OF 1 JOB # 53840 JF - .. .,� ,.r..,, .. _...il.,......,... -.�. .. ffi i _ 1 c , V _ dP - �r APPROVED BY SCALE: . `' _ t)RAMIN BY !� .. DATE: . REVISED OtiAVV1NCi NUMBEfI y J j SOI L LOG Cfi DATE: _/ -'r y- 2 7 ) Q o 7- Z 7 8 WITNESSED BY: � J ,•�. N Yam' -5U3 s0//- E"L 43, g 47,9 >/ ; ,. f � _.. /' HI' ,r✓ eta •w 7 \/✓/� Tom'/7' v I � I � �� \ • /off'' � >��. 3 4 S n, 2 L- --r� J Gott f. / L a 7 '`� �� ► ELEV. TOP OF MANHOLES FptNDSHED GRADE COVER TO . BUILT WITHIN FOUNDATION +r'F - U I N. 2l SLOPE tNtSHED GRADE ,,� . - � ,-' o �© ►��0 4•"CAST 1 RO 4.. { SEPTrG Mi ` - . 40 PVC SCH. 40 _- ;r, '••i. PITCH I�4 FT. ia'LEVELS �� r. �+ ,t RAIN. 2" LAYER 1 y / PITCH _ ./d'. , w <` 17jS ' ' t/2" PEASTONE I f FL 45.So I 4u gT ' '14; 44, 63 :. � Z'es 'IJo INVERT S.UC.1 INVERT DIST. :D t✓ �' '; I iNVER1' GALLON INVERT' o. 4a T � fb SE PT I C TANK R O X / �i► p CJ� d e � 3/4 _ Ir2 _ 75 NC E ,� �a r a•: a iI�VERT �� �~� /. U t`�. WASHIEDr'STON G f2, -" /7 INVERT ;'A® w04. ALL AROUND . f ^. a L"a r /S" j { I E I I ;: . =,►.+,ems �° -a v c� eD!L �~- t a r 2C?y "U a � 5'�, . GAR 13AGE MIN :6 t1, ELEV. BOTTOM LU I 7Z E M Q �!, �4 / s'J �A 7c c� V A/D - ., GRINDER _ �'`" :Ll' OF T� 'NCN ' 3. 1G -' • - - _ , ��� � � t �.", c N � 7Z G"•Q � ?� �..�� -: " .b, . 4'�- '� X 24:.,".�g' r _t ?'".�i° C ,� "'.�_ «„ C ©�!2 s . .S'.' .rv'T� _ L 7-,�• +✓C} rc H= 0.16' ELEV. _ �3 9, o PROFILE OF GROUND WATER TABLE SAN IT' ARY DISPOSAL SYSTEM 74•- (fie,- usC,S C"' w, Adj �st-_) NOT TO SCALE DESIGN DATA L )ct-t 7!" r 3 BE DROOMS (12 ' x32') * CONSTRUCTION OF SANITARY DISPOSAL SYSTEM SHALL CONFORM TO MASS. ' DESIGN FLOW 33Q GAL ./DAY - LEACH RATE •� Z MtN.�tNCH ENVIRONMENTAL CODE TITLE g (REVISED 7- 1 - 77) AND THE TOWN OF �3 ?. l�/ 7"r . '� PROPOSED LEACH CAPACITY : HEALTH REGULATIONS. 3 SEPTIC TANK, DISTRI-BUTION 'BOX AND LEACHING PITTO BE OF REINFORCED,' CONCRETE : 0 '4 GAL. DAY MIN. CONCRETE STRENGTH- 3000 PSI MIN. STEEL STRENGTH 2O0OOPSi C 472 S8 • r �,, H ! 0 DESIGN LOADING DRIVEWAYS N 07TO BE LOCATED OVER SYSTEM UNLESS H - 20 DESIGN LOADING IS USED. ALLPIPES AND FITTINGSTO BE WATERTIGHTAND TO BE OF CAST IRON OR SCHED 40 P.V. C. SITE PLAN S HOWIN'G PROPOSED CONSTRUCTION SH.� OF ISHS L 0CAT1 ON: �' ,s — ( G .A, V ) ,.ass 1. E G E (`� D — _ - r ! , - FOR : °: ,�.. ,5 c3,� a `� 'L. , '. APPROVED 19 SCALE: � = O . DATES - � BOARD OF HEALTH BUILDING SETBACK REGULATIONS PER EXISTING Ct� NTOUR t6-.- REFERENCE �- � «� �3%� fa t" ZZ BUILDING INSPECTOR OR BUILDVNG PROPOSED CONTOUR t6 - DATE AGENT COMMISSIONER . zc�NE RC t�' I N. FRONT SETBACK 2C� f EXISTING SPOT ELEVATION 17. 6 �r ow MIN. SIDE SETBACK j".Q PROPOSED WATER SERVICE Wcf�af � MIN. REAR SETBACK ! d ' TEST HOLE LOCATION SH r G T 27as3 t C . R . SHORT _ , f t' C . A PROFESSIONAL LAND SURVEYORS S ' ENGINEERS 1586 MAIN- STREET (RTE. 6A) EAST DENNIS., MA.SS. 02641 6119C , -- c s