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HomeMy WebLinkAbout0081 CRANBERRY LANE - Health CRANBERRY LN CENTERVILLE A= 246-025 i i s i i No. 42101/3 ORA ESSELTE 10% (o 0 0 o 0 THE COMMONWEALTH OF MASSACHUSETTS - . BOARD OF HEALTH TOWN OF BARNSTABLE , pphrativit for Di-nipwial Warks Cnnttmrnrtiun Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ..... -----------------•---- --••-- •-•---- ••-•••------- --- --------•-•-------•-----------...----------------------- a w-L�ocation-Address Lot No. dO Aress or 7 c zy ' Installer Address Type of Building Size Lot............................Sq. feet DwellingNo. of Bedrooms._______3__________-_ ___-_Ex Expansion Attic — J - -••----•------ p' ( ) Garbage Grinder ( ) aOther—Type of Building Pf^! L_____ a!+_P__ No. of persons______-____________________ Showers ( ) — Cafeteria ( ) d Other fixtures --------------------------------- W Design Flow.....3.1.0-------Cx.P..ja_........gallons per person per day. Total daily flow---__S,P.......CA_b.........gallons. W Septic Tank Liquid capacity lr9?__gallons Length__1�......... Width---------------- Diameter________________ Depth_._.4f___...... x Disposal Trench—No_ ____________________ Width-------------------- Total Length-------_------------ Total leaching area____________-_._____sq. ft. Seepage--P.it No_____________________ Diameter-------------------- Depth below inlet.................... Total leaching area...........7......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water_---__--__-______-___-_. (.4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ -•----••-----•- •----------------------------------- ----•-••-••--•-•-•--••--•-•-•••--••-•--••--•••-•--••-•-•----•------•.._--••-•-•-•--••-•••....-------•-- Descriptionof Soil...........CL .................P'C ............... ?t --------------------------------------•----------...-------._.._..................... U --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-•--••--••--•---- W U Nature of Repairs br Alterations—Answer 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 Environme Code—The undersigned further agrees not to place the system in operation until a Certificate of Corn an-e h been iss d y board of ealth. Signed .... ------- . .... ..� _-----.-'... -------_--------------- ----------- Dace Application.Approved BY .............�J ...�--- ��,.-„- - ------------------------------------------------------------------------ ce Application.Disapproved for the following reasons: ------------------------------------------------------------------------------------------- -------------------_----------- ....._... .._.... . .... ...... ... ................. .._------------------------------------------ ------------------------------------------------------------ - Dare Permit No. ----- 15-- l 5- �-- ---� ------------- Issued .. ._...--....._�a 1------P ------ Dace " THE COMMONWEALTH OF MASSACHUSETTS -BOARD OF HEALTH'�-- TOWN OF BARNSTABLE Appliratilan for Di_nVo!3ttl Morkii Towitrnrtinn V&mff Application is hereby made for a 'Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: / ..................................................... Location-Address or Lot No. ON k,--� ryh_ .�y�}!-----------IQ-n--R----- ------ j Address -. Installer Address f Sq. feet U Type of Building Size Lot..__.__._�.............. Dwelling—N o. of^Bedrooms J_I_ F`a-„ No. of persons_ ( ) Garbage Grinder ,( ) a - Other—Type of Burldiug , p Expansion Attic Showers ( ) Cafeteria ( ) d Other fixtures w Design Flow.... 6-t.P_.1)._-•__--gallons per person per day. Total daily flow------&I_C?--__---CI A.:6___-_-__gallons. ' W Septic Tank Liquid capacity_(Sov gallons Length---lq__*------ Width---------------- Diameter_____-.._--._- Depth-___-4!.� Disposal Trench—No_ ____________________ Width-------------------- Total Length-------------------- Total leaching area....................sgft .;r -Seepage Pit No--------...-_---__.- Diameter-------------------- Depth below inlet....._.............. Total leaching area..................sq. it. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by ------------------------------------------ Date...................................... Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water......;._____----..--... Lam ` Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_._---..___-___:--_.-.-. fr --------------------------•-------•-------- - - Q Description of Soil q �� � - '�R ` x --------------------------•----•-•-----••-•-••--•••-----••-•---•--•--•---•--••--•--•--••--....... r� , w -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Y. U Nature of Repairs or Alterations—Answer 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 Environm7ra Code —The cundersigned further agrees not to place the system in operation until a Certificate of Compliance hag been issued by he board of. - ealtl`i. - i Signed .............:._ ----- ---------- ---- ------------------------p------- Dare 'Application.Approved BY �..�s�.�..e� - -------... --------- ----- �e Application Disapproved for the following reasons: ..--------------------------------------.....----.._.......-----------......------------....-......-----------------._....----- ------------------------------------------------------------------------------...-..-----------....----------------.------------------------------------------ .-..---- ........................................ ^'7 r� Permit No. ....... ... �3----- -/5- /.�------------ Issued .......--------- ........ , Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE l'1-E1tifiratr of (01ampliante THIS IS TO CERTIFY, That th Individual Sewage Disposal System constructed ( >e) or Repaired ( ) by --------------------... .. (--'- ---------- "vim� at -------- . ' t�,aue�I�TLZ......has been installed in accordance th the provisions o 5 f The State Environmental Code as described in the application for Disposal Works Construction Permit No. ... � .--..../T._Z),... dated _.�_'_. :. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------J I ---" -- �- =5 -----------. Inspector ---------- -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No... ___..r)... FEE_._.._! Bispoti l Works Tomitr uan "amit v Permission is hereby granted------ -----------•-----------------------------------------------••---__--•--- to Construct (�e or Repair ( ) an Individual Sewn e Disposal System at No. ----------------------- - - - -------------------- ' �% D I-M ¢. Street _ -y as shown on the application for Disposal Works Construe ion Pfe�'it/�o� ---4_4 /. �ated--------------I� .._._...__........ C _... ��l-'�------- "G_1 DATE. --•--•---------------- Board of Health �' FORM 36508 HOBBS&WARREN.INC..PUBLISHERS Iv, (> TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP LOTJ— -- INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY /�,;OIL LEACHING FACILITY:(type) //A,,,l� a , ,,A ize) NO. OF BEDROOMS PRIVATE WELL OR P BLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED_ VARIANCE GRANTED: Yes No �cK ���A�'gG� �cud p� }{�, u s E �-� a�� � i � ��Gf �� �� i 1 I d TEST HOLE LOGS ENGINEER: — r �'"' ' ` jo WITNESS: C — DATE: i PERC. RATE I , , I ' 0, 01 LOCATION MAP ----- ------ w -1 CASSESSORS MAP PARCEL ,Z y �i FLOOD ZONE BUILDING ZONE: _ , .4 5 t ; SETBACKS: FRONT 70 / 1--A r�r:� Wit.«5E{ r 10 SIDE — 10 / '• i a„► 9 ��, c� es �- i tea,,b ~y j REAR _ { C { i NOTES �. ,1 I �, r 1 c t;� 3 / 1 . DATUM IS -- I 2. MUNICIPAL WATER ;S ` 3. MINIMUM PIPE PITCH 70 BE IT PER FOOT. 4. DESIGN LOADING FOR ALL PRECAST KNITS TO BE AASHO—rr ___. J / �r—; �{ �� � ,< / 1` 5. PIPE JOINTS TO 8E MADE WATERTIGHT. •-�i I / SEPTIC PROFILE 6. CONSTRUCTION DETAILS TO BE ;N ACCORDANCE WITH MASS. ENVIRONMENTAL CODE TITLE J. LA 4-Ed, �_ �." ,, ' � (NOT TO �� 7. THIS PLAN 'IS FOR PROPOSED WORK ONLY AND NOT TO BE ' USED FOR LOT LINE STAKING. T.O.F. AT EL I �I SYSTEM— _ _�. 6. PIPE FOR SEPTIC TO SCF+. 4"n �-4 P°.'C. ti-`} .,-v' r.'' .'to: _ �j,.. :...::+ L!!7`11�-(►� , t� ,:.'tL.:r,� w_... ✓v.' �{ i(:� .�. 0 t i+ri P"��`4t� t- �1r�rc.+J J h1 .. ._a.. �ti / ,r `-r'� 1 CJ+v r ,� f ,,'`.,. .h: �,'� ! `'r � v;I'Tt.,'. r,1 ;r Q G !►�:.s.." i _. � dre f' / � � f : e=• I 3 I WOO" OVER PRECAST ;T UN PIPE EV L j, r . —. 1 .. IF'drfc64[.�E, hJF�t.l.7�.t?, ' ' ir<. 'F5S '�-�- m'::.� ��~~. ,,.t rrROR FlRS' 2 �1 J - '. ,!'Q i I K.GI..t-Y ia•t+'Y,. 4A- P rL•1 Ir ) • . .... Li i , 1 Dd• ,' C ..a f-,`i-St...r W^^ K,li.)S.. i I " .... •.,y I � � . � :rw�gp : .,�' i i+ ., I "�--"� ___. �---- �, "'T?�ffii""• a rk . . . Q t041 -5 '- , c� ,; •.G- , W/ --.-_!_. I .7'T' _ _ .7 }L "I� _ � t;•iSFfY '.°lR� .1'4' ! ; I 1 �. -. r g x. ."ems. — _.' { 1 $ 3 L �° t j ' { * �,.-..1 F"�' , SIN ✓ .- DEPTH +l► �i y, /o , ���J`j it•s �aFt.,. iNLET DEPTH a J 3/fr TO 1—l? , ',N H ,. �.. JtS ED STONE r UX SLOPE) iL% SLOPE) (_t SLOPE) !r t OUTL i DEPTH a L t 1,04 FOtJIVOAT;ON - - %_o --- ---- QC:-T-C -ANK - _ �i _ ._ 0' 90X -r - _____— '_EACHING- _ FACILITY �.�'`i-�,r1✓� 11.: ._4's......t 1�P•� r. '^t ",L.1P..'l"'�}J✓t✓k- :✓{_J�'E"•.t,.�.r:.,d:.• w IT _ -iE Kati 1 Jr3S!il- 1.ir r '�t1�:r7i,�n1iG� t7Q. f34 rscsti".s Ta c.or''E ,-fA 'r�4i, rJ ,-'t.0�.. Fce.- t.1' t b%► t f.. t�•C:µ ,` l!!a tli� O F G..✓.i,.. - aj4 x..- :;;7P+.-� C r tT1..3r.� 7C 4..-.•,;1F M' .?c r �;��`.�`���. � ��..��.•������,�M,���r �.,�. ��- _ �_ SITE A N I) SEWAGE P I A N M' ; I� '�'�rGNI cC.x.A �,.4C-Vtr f�fi 5fO`�t� + >rL�+�G-r'•' �-t.� t .d". e � _ -. .._:T _=— . ._.______ . ____.___ ._-- __\.._,_ __. ._.._._-_ ___, - 1 1�l SL.LwO"`( w p� ,_s..1't'" fir.,�."' .`' ,: .�..`��. © r::s� •aS�. �i e- _�• .. i SEPTIC DESIGN:- ewa4GE DISPOSER :S i,'L ant w- ::?r+ hl!r �•n� fj£t1,a � "" _�..._ •; �-3„r�,G 4 DESIGN FLOW: BEDROOMS (-i GPD) — 1�PD N I THE TOWN OF: _ 1 USE A _'_ark GPO DESIGN FLOW J�-n r�J. fi� ,r.}Y��Sr"1 f1.'�.y. r� r rr i 4 , , �'1•:-L 1 ' ` ��.J„ -i�G-.. . �r .� 3 � SEPTIC TANK: GP 1 ( GALLONS USE A GALLON SEPTIC TANK PREPARED FOR: LEACHING: S 4&E - _---__ __ _�_f. _��. ----- _ — .�t BOTTOM: '____ ___ {�,� :� . GPD = =-=---s - --'- -- BREAKOUT: _ 1" 4 TOTAL: _h 'S.F. 3?, - GPD `T�"j�..� SCALE: 1 �-lC DATE: (150%) a FROM ELcm : - } SYSTEM IS FROM EL down cape engineering, inc. CIVIL ENGINEERS f r„ LAND SURVEYORS PHONE 50a-362-4541 FAX 5M-362—OW HOARD OF HXALTH AR�ti'B H. UJALA, P. ., P.L.S. DAT$ %`> _ 939 main st. yarmouth, ma APPROVED _DATE- -- M"