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HomeMy WebLinkAbout0026 CAPTAIN LUMBERT LANE - Health 26 CAPTAIN LUMBERTS LANE CENTERVILLE A - k Omrford. NO. 1521/3 ORA f7 ............... .. .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD..,,p F S7 ............ ;-Va.T.-H...................................... ..... ... ......... .................... ..... Apptiratiou fittDhip,viial Work utw1rurtion unfit o Application is hereby made fora -P,Omit to Construct 7r Re an Individual Sewage Disposal System at* .................... .... .. ......... ...0 0 ... ....... ..... Id Mati�n- dr s .......... .. ..... . ............... .. ......... ..............10......... . ..... ... ................�_­?r� i---------- ... Owne Addro X...... ...... ............ Installer Address Type of Building Size Lot....iZZY51.Sq. feet U Dwelling—No. of Bedrooms...........3---------_--------------Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons.................___.______. Showers Cafeteria Other fixtures ------------_ ------- -----------------------*------------------------------------*-------------------------------------------------------------- .. Design Flow.................... ..:7_57...._...gallons per person per day. Total daily flow............:33 ?..._...............gallons. 1:4 Septic Tank—Liquid'capacity/AIX7P.gallons Length................ Width__.............. Diameter________-______- Depth................ Disposal Trench—No..................... Width.................... Total Length........._....._._.. Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter.._......___.__...._ Depth below inlet.._............_._.. Total leaching area. -",sq. ft. Z Other Distribution box Dosing t ................... Percolation Test Results Performed by_______ .... Date.... Test Pit No. I................minutes per inch De th of T6t P*it----------_-------- De t /alter p t to grounA Test Pit No. 2................minutes per inch Depth of Test Pit................_... Depth to ground water_-__._........_.....___. ................... .... ... . -------------- ------------------------------------------ 0 ........................................................................ Description of Soil................0 U .................................................. .................................................... -------------------------- P-9- __ !........................................--------------------------------------------------------------- 61_...t_W---&!:�#�--- sw U Nature of Repairs or Alterations— swer when applicable............................................................................................... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TMI LF, 5 of the State Sanitary Code . The undeKignd further agrees not to place the system in operation until a Certificate of Compliance has been e by thy, health.L �Xeened gned..... ... ...... .... ... ................ .......................... ....X------- ApplicationApproved ... . ...... ................................................................... ......... Date Application Disa rov for the following reasons:................................................................................................................ ................................... .... ................0............................................................................................................................................ Date PermitNo....................................................... Issued....................................................... Date S..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD,..OF A TH ------- -r10— ............0 F._.�.KA It------------------ ..........-------Appliration for Mipviial Work omitrurtion Frrutit Application is hereby made for a Permit to Construct or Repairj ) an Individual Sewage Disposal System at, ................t...0................... .......... ...... ....... ti 7".dr ............... . ......... ... ..... .... ............ ........... Owne Addr)41/415k' ........tftJ._A .............. .... ........ ................................................ Installer*- ------------------ - Address Type of Building Size Lot.. .........).ZV3.Sq. feet U Dwelling—No. of Bedrooms.............3........................ ic Garbage Grinder Expansion,Att 0 04 Other—Type of Building ............................ No. of persons. w.............. Showers Cafeteria 04 Other fixtures .......................... ............................................................................................................................. . .._...gallons per person per day. Total daily flow____-__------319!::�.................gallons. Design Flow__________________...... 7 211� 9 Septic Tank—Liquid capacityA%?P_gallons Length---------------- Width................ Diameter................ Depth.............. Disposal Trench—No..................... Width.................... Total Length__......._.._...._.. Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter.._................. Depth below inlet................... Total leaching area.._......... f Z Other Distribution box Dosing t . .................. 7 Percolation Test Results Performed by. 7 Date ..._____........ .. ..... ... ............. a r to ground ater--- --- --------Test Pit No. 1................minutes per inch....Depth o fi)�Tt Pit�t 7;e rx, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ................ /..... ...................................................................... 0 ............................................................... Description of Soil................J6 -;, ................................................... ....................................... U - --- ------/.................................................................... .... ....................................... U Nature of Repairs or Alterations—Agswer when applicable.................................................................................................. ...................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code The unde i7gn further agrees not to place the system in y , f I operation until a Certificate of Compliance has been Code The by th 66a; Kf health.or 4. Pned...... .... ............... .... ................ ......................... ...... Application Approved BY9 .... ........ ................ ..... --------------------------------------------­-------- ---- --------- Date Application Disap following reasons:............................................................................................................... ............................. ...................................................................................................................................... Date PermitNo...................r..................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS ...................BOARDAf"F HEA YT ................ ...OF.... That ... or Repaired Turdifiratr of Toutpliattrr THIS IS T ERTIFY the In Sewage Disposal System constructed by--------------------- L-4- ............. 0 ----- ---------------- ------------------------- - ---------------- - sta at.................... ....... --- j�r ----- ..............7...................... -------------- has been installed in accordance witli the provisions of TLITIZ 5 of 'Ehe State Sanitary CodleY -cribed in the �(Wapplication for Disposal Works Construction Permit No.-I-2-- 517 r Y .2 t -- - - -------------- da t-------------/--------------................... THE ISS7UAE OF HIS CERTIFICATE SHALL NOT BE CONST E AS A GUARANTEE THAT THE L I T'SYSTEM WILL UNCTION SATISFACTORY. .DATE..... .............................................. Inspector...._... ........ . ....................................................... THE COMMONWEALTH OF MASSACHUSETTS CHU BOARD-7 H E T ............... ..............OF......./,) ....................... FEE.��' ................. Bispos"orkii T i4nulion rutit > . Permission is reby granted..... j.... yvAo-y.....�Xr..44-ex.................................................................. 11e to Construct ' or Repair jan at Z Indjivldu�11_Sevjage Disa, al S stern AL.No.... .................................. -------------------- Street as shown on the application for Disposal Works Construction Rermit o.I�W?------ Dated___ ...14Kk................. ............. ........................................................... Board of Health DATE..................................IR FORM 1255 HOBBS & WARREN. INC., PUBLISHERS L I�r j v J 1 rN 4\ OF MA o `.JO u $Lug H co/ P�`�� \ .p No.p8814�0 IST SUR Qj / w b' 2 ?iy" J/ 91, '-eee Tow Cc,.1se42vAno�l Cdvtna c�� c7ti1 FILE f- Jl �✓ LEGEND 1 �NOFly,� C.;-RTIFIED PLOT PLAN EXISTING SPOT ELEVATION x0 P� ss EXISTING CONTOUR --- 0 __ ALB T k L07- L. a.: FINISHED SPOT ELEVATION FINISHED CONT0UR 0 off. 0 SE No.10951 p I APPROVED � BOARD OF HEALT;I 9�FG,STEP��,;f`� � � �� o � � �,� `�ONAI Fl�� rim r=`�+ v .�. i and se. �:TRIO. � DATE AGENT ' SCALE DATE , /cal L R© EDGE EN66A'E�'WNG CO. llll �.--- --_— ---.�`cs.IENT-- � I CERTIFY THAT THE PROPOSED f'RiEGISTERE REGISTERED SOB NO. 81 Z Z 3 BUILDING SHOWN ON HIS PLAN i , CIVIL i LAND CONFORMS TO Th°E ZONING LAWS ENGINEER SURVEY R DR.BY 0 OF-'BARNSTABLF , MASS. 712 MAIN STREET CH. BY, 10 104 ,\ H YA N N I S, MASS. 3 _I--:- _..,.. - -- :--- -- ---._.. -- SHEET—L OF ATE ( REG. LAND. SURVEYO-R 20 FT. 14I/1/. /VOTE /F E/TNER THE -5-Fp7 TANf� OR E�4CN/NG PIT A.IE /"JORE /o Orr. M/,v 1reAVZ A 24 'O/AM ETER CONCRETE CafiER !t ---- S/•/A 1-4 BF S RO UG H T TG G ITA D E. CONCRFTB 9"PYC P/PE IyEAVY CAST /RO/Y CD{/ER Sf%4 L L 3E USED MIN.N I . PITCH /F/N DR/VElti/.4 Y ' 2 J. MiN. � CO/VCRE"TB le, .noE CUVER CLEAN SAND BACKF/LL 4"CAST �r 2*LAYER Zs /R01V P/PE a o �MIN.v/rc/+l 1000 CrA4. • • • . • • • • • , • %4 PE/t/rT SEPTIC TANfC D/ST, o • • • • • . • • IPA, e WA SHFO ST�iNE • b I • BMX A, r • • • e • . • • • � • � � p 1 � �F_P-FECT/YL �t ` . • 3�4 - J �2 �` _ • • • 1 • IS pEPT/r • • • o lY4S.'/ED STONE • • • • • • • / I o o • 3.2s • • '� • � • • • • . . . v o /m are NeMEE) Ezt�r,9s,3 ;v • • • At • • • . • p v PRECAS 7-SEEPAGE 3�-1 G�D a • • • . • . . • • a o 0/7 OR EQU/V. /NYER'T C4E1iA7'1ONJ 1. 0 /NYFRT A7 Ql✓/LD/NG 1 OQ-.3 FT 6 F T D/.�M. /NLET SEPTIC TANK 104. 1 FT,. PIT CAPRCtT`-( 419 0 G/D 12 0/AM. ,i C(SE8 TA8UL.4TJON> OUTLET SEPTIC TANK I FT, r r4t6l� 'r 1 /NLET 0/57R/61/2710N BOX 103.-I FT MAX. GROUND W,47-ER 7A9LE SECT/GN_O F WTQ C,c�t.t PS Ot/TLETD/STR/8[/T/aIH 90X.1Q3•S FT SELVAGE O/Sf�O�SA L Se..STEJN /NLET LEACHING /`='iT 103. IcT T- 84/1.�IT/ON L EACHIM6 PIT DES/GN CR/TER/� - SCALE = _ / DIMENSION A•1.5 FT. DI.•fFNS/ON $—4 FT. 1 NUMBER OF BEDROOMS 3 D/MENS/ON C�_FT. M I N (7ARdA6E o/sPOSAL u/vI r NONE SO/L. LOG TOTAL ES"TIMA"r'ED FLOW 33o G.4L.1DAY. SO/L TEST A/ SO/L TEST2 SOIL TEST" NUMBER OF LEACHING PITS_ ELE1! Io/L•-7 / S/OE LEACHING PER P/T ISO. 8 ,gQ F7! � tL� � f"ELFY, DATE OF SOIL TEST 3 l 1 AZ BOTTOM LEr9CH/NG PER P/T '13• I $Q,' �tT. _ - I i ioP�-0�L ` CRCOLAT/O/1� �CpTE D/8Y `JPfz C'lF��D Jo3,� � M/N•I/NGH Tore 4L LEACH/IYG AREA SQ, FT PeAeCOLA'rlON RATE A RESERVEGF,4G'NINGAREA 'L63•� SQ. FT 1 ' _ 1O' �MED �L O o fi CL- 9S.3 OF � S '3 V O` Mqs� �APT(n� .LuvlR( f-*-T- _/A,..: oy' �r o`er A E wa t�2 coe.aFs C1(�LV 11L� a � %o `�EL= -72.7� M•ORSE zi ,�.' tr .p� �Ribp o p No.10951�Q ti EL DREDGE ENG/lV.EER/IYG CO,/NC. 9o�'G/STS �ii' 7/2 MAIN ST. , HY.4N/viS, M.gSS. 4�o Su N4LE p NO 6RoVIVO J-Y.4TER ENCOUNTER.LM'O !14 7rrS I';� DRTE10 O4•3 OB ND,• SZl SHEET 0 OF 3 1 Permit Nuriber• Date: a Completed by HIGH GROUND-WATER LEVEL COMPUTATION Site 'Location: CAPT \i.J Lum aEP-T Ll i4EE- Lot No. Owner F?>WsibC—: BQC-n Address: G tTi=QV►I�� 11/)�1�5 �'L�3�j- Contractor: PAS A Address: A� '�dvE Notes: i STEP 1 Measure depth to water table.. • • • . . 3/ �-r/�4 i q , O to nearest 1/10 ft. . . . . . . . . . . . . . . . . . • - . . • . . • - date STEP 2 Using Water-Level Range Zone and Index Well Map locate site and, deterrni ne: FT, W 23 0 A) Appropriate index well . . . . . . . . . . . . B) Water-level range zone . . . . . . . . . . ... C STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to water level for index well . . . . . . mo yr STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A , current depth to water level for index well (STEP 3) , a:nd vlater-level zone (STEP 2B) determine 2 �° water-level adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STEP 5 Estinate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water level at site (STEP 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ---- Permit Number: Date: " . Completed by. - -. ---- HIGH GROUND-WATER LEVEL COMPUTATION S i.te Location: _APT71i�.1 LUM�aPT L> ^1 Lot No. ILL Owner: F3oWSIDI_ F3 Address: QVI!_!_� i A A!A'SS O2lo3�. Contractor: AS Address: -n.�avi✓ Notes: A water table to to a O Measure depth 10 . STEP 1 P • , . . . . . . rest 1 - - to nearest 10 ft./ date STEP 2 Using. Water-Level Range Zone ; and Index Well Map locate site and determine: A I w A) Appropriate index well - • • • • 230 B) Water-level range zone . . . C STEP 3 Using monthly report"Current , Water Resources Conditions" 3. dete rmine current depth to - 2 c.9 water level idex well in de mo yr STEP 4 Using Table of Water-level . Adjustments for index well STEP 2A-T, current depth to water level for index well (STEP ?) , and water-level. zone (STEP 2B) determine water-level adjustment • • • • • • • - • - • • • - • - • • • • • • • • ' • • • - STEP 5 Estinate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water' �' 4 level at site (STEP 1) • • • • • • • • • • • • • • • • • • • • • - - - • ' • • • • - ( 3 a F '. • Cxrc�f�E� I � Irig�Z