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0096 BLUE WATER DRIVE - Health
q 66 Q Cv,a wotf Dr 039 5 M E A D® KEEPING YOU ORGANIZED No. 12534 O 2IA-153LOR fORO MIN.RECYCLED INITIATIVE CONTENT109oSCBNfiliF ourclnp pOST-CONSUMER.nwvsfiprogrem.wp SFW1290 p/�Ap MAD �VSA M ORGANILGY A WYIGl 41M TOWN OF BARNSTABLE LOCATION J)Lj e ��- ��/(j t, SEWAGE VILLAGE s�� ��� ASSESSOR'S .MAP PLO v� INSTALLER'S NAME & PHONE NO. P SEPTIC TANK CAPACITY EACHING FACILITY:(type) I` (size)0, u/(J o NO. OF BEDROOMS PRIVATE WE L OR BUBLIC WATER BUILDER OR OWNER PO DATE PERMIT ISSUED: C�, ��, ZM DATE COMPLIANCE ISSUED: VARIANCE GRANTED Yes No �/' � �� �� s �.�. -< < ... ,: 1 a No... _�2....... Fins.....1 _G............ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town... ....OF.....Barnstable........................................................ Appliration for Bhipas al Works Toustrurtiun Famit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: _ _..................................................lue Water Drive ' Lot 4 Assessors_Parcel 35 --� .......... �_ 1. Location-Address or Lot No. _._,_...„Theo Construction Co.,_,. Inc ,._,__._•_______________ 24 Great Pond Dr. S. Yarmouth,.MA-02664 .. --. ----------------------------- -------- -------------------•------ W Owner Address ,-a --••--------------------------------•-•-------------•-----------------------------••--•-----...... .....•-------................-•----------......--------....------•-•--...........---•--..----... Installer Address F UType of Building Size Lot �._I__---- feet Dwelling—No. of Bedrooms.............4.............................Expansion Attic ( ) Garbage Grinder ({46NE Other—T e of Buildiii a —Type g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ---------------------------------------•--------------------------•--•---•-------------------------------------------•••......---•----...........---• W Design Flow.......11.0:.............................gallons per person per day. Total daily flowA40x1..5=66 0..................gallons. WSeptic Tank—Liquid capacity..15.00-gallons Length.1.0.-''.76". Width.5.'.-6"... Diameter---------------- Depth5..-.8...... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No....2............... Diameter.12'.-.erd... Depth below inlet....4.............. Total leaching area489..gaJsgait. Z Other Distribution box (X) Dosing tank ( ) Percolation Test Results Performed by. ,r..Bl ��}ge..& Wagner Assoc-, Date..3/28/89..................... _a Test Pit No. 1------L2.....minutes per inch Depth of Test Pit---1-2..Q...'.... Depth to ground water.1.2..-Q............... Li, Test Pit No. 2.......Lt2....minutes per inch Depth of Test Pit.-.11..5....... Depth to ground water-1 1-,.5'............ C4 t ------------------------------------------------- --------------- •----------------"---------------------......-------•- •----------------------------...... O Description of Soil.'I'P1_=_0-2.0' Top _& Subsoil,_ 2.0'-5.0' Med/Fine Sand w/pebbles! x 5.0'-7.0' Med............................ne n , 7__0'-9.0' Gravel w/stoner__9.0' 12 0' Med/Fine Sand, V ---•--------------------------------- W TP2= 0'-3-.0'_ Top__& Subsoils 3 0'--5 0' Fine Sand, 5 0' 11 5' Med Sand w/Stone UNature 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 TIME 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.= - Date Application Approved By------- •--------------------------------- ........../- ;.).9'?'d-- Date Application Disapproved for the following reasons---------------------------------------------------------------•-------------•--•--------------------------.... .........-•-----------------------------••---•--•-•----------------------------------...---•-------•-----I--•••••----•--••-••-••-•----------------------•---•---•--••-••-•----------••-•----------------- Date Permit No...---- . .......................... Issued_.................... Date No...................... FEs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -------- .Town--------------------OF.........---Barxlstahle,--------•--------------...-..------....---------.. ApplirFaiion for Dispas al Works Tontrnriion Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...-•- Blue Water Dr Y.- • ........................................... •-LQL--4.....4Assessors..ParceL #_ ._... Locat n-Addr s or Lot No. Theo Construcnion o., Inc. 24 Great Pond Dr. S. Yarmouth, MA 02664 --•-----------------•--......-----••........... ..........-----•......----_-_--......----•-.... --•-------------- W Owner Address Installer Address U Type of Building Size Lot.....�P..1�a 1. Sq. feet Dwelling—No. of Bedrooms........4.................................Expansion Attic ( ) Garbage Grinder (Ke)WE Other—Type of Building .............. No. of ersons............................ Showers a YP g -------------• P ( ) — Cafeteria ( ) d Other fixtures -----------•------------------- W Design Flow...............J.1 Q......................gallons per person per day. Total daily flow.440x-1 s 5=66©.................gallons. WSeptic Tank—Liquid capacity..1.5DQgallons LengthA.Q'.-6" WidthS-_8!-'..... Diameter................ Depth.5.1_a!L.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......2............ Diameterl2.'-ea........ Depth below inlet....4............. Total leaching area.4g9l_ga1.Aeft. Z Other Distribution box ( x) Dosing tank ( ) aPercolation Test Results Performed by.Le.Vy.,...Eldredge..&..Wagner..Asrsoo.- Date.....,3/,Ug 89------_-------- Test Pit No. 1.-L2.........minutes per inch Depth of Test Pit----1-2-0.1...... Depth to ground water.1.2-0!---......... f%4 Test Pit No. 2..12.........minutes per inch Depth of Test Pit....9.1...5........ Depth to ground water.-T'1...5.'.....--.... P4 ••-••-••-•-•---••••........-••••-••-••-•-•-•-•--•••••••••.................•••-•-.........••_--....--......................................................... D Descripption of Soil..M-0-&9.'..TQp--&..E1bsaiL,._.2_D.'.-5...Q.'.... ed/Fine..Saud...w/.Bebbles,------------------------- c4 ................ Med/F n�.:. x1d, �..Q.:.-9.._Q.:...Gravel---w/Stare..---9...Q_'..12..D'..Med/Fine...Sand; W __-TL'-2----0'-3.()' T°p--&--S"bsoi �---3.Q'.- _Q-�---Eire--Sand►---5_D.'--1.1_5-'...Eed..Sand-m./Stone-------- UNature 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 TITLi, 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. 29-9D ---------- ---•-----....------- Application Approved BY ... ate --•--•-••••-•-•-••--•-••••---........•--•-----_•--•-----•-•-........•_-•---•----. D Date Application Disapproved for the following reasons----------------------------••---•----•-----------------•------------------------•--••-••......-••••........... -••-•---^••---••---•..............•----.....�G_..�.�.......-----•------•--•-••-----•--•-'•--------.............-•-----------•---•---••----------------••--------...-Date-----•----•--- PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ), ._.• I - ..........................................OF............................................................................ ......... Tnrtifiratr of f�ont�rlittnrr THIS ISIFYj�ndividual Sewage Disposal System constructed ( ) or Repaired ( ) by ..... a. .......................•___•---_---•-•------•--•-----......_•-----...--------_---. nstallez at.............................................................................. ,.••�•- has been installed in accordance with the provisions of TITLE rof The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUA CE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED A A GUARANTEE THAT THE SYSTEM WILLfTtT� SATISFACTORY. DATE........... ---••...................•-••-•---•_------ Inspector...•--•-------- -• --- -I. •.•. ••....................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.......... FEE........................ Disposal Vorko Tono#r ion unfit Permissionis hereb ranted----•--•-----•-------------------••--------••--------•----••-•-------•---•--------•--------------••---------......••_••-•..................... to Construct ( ) orVW'0C( an Individu 1 Sewage Disposal System atNo........................ ••-•..moo........�!Y......----•-.---.... . . - = --��•--•---------------------------------------- Street as shown on the ap 1i do�for Disposal Works Construction Permit No..- ;:iFDated.......................................... i � - a Board of Health DATE. FORM 12-55 HOBBS & WARREN. INC.. PUBLISHERS �^ --- BREAKOUT CALCULATION: PERCOLATION SOIL TEST PRECAST CONCRETE RISER, AS REQUIRED Np7 G"p "v _)e{�ItJeE Ak P�S DATE OF SOIL TEST 10' MIN. SEE NOTES 2 de 3 f7'J5 .1�.Q9,h t 4" SCH. 40 PVC PIPE awHttO 6,0 WITNESSED BY -- 4.,, .JZ•,� ,!> -%. r+• PERCOLATION RATE MIN./INCH MIN. PITCH 1/8" PER FT. L = C �(�.Oj I�y`+ L% i2- 10p BACKFDist :D 15v o,oy 7. &f' � . T� T T.O. FOUNDATIONCLEAN L WITH T- 7 7 !r2 r TEST PIT 1 TEST PIT 2 O 8" MIN. CLEAN SAND kGT, �t7 = � ELEV.- 4 ELEV.= ,'�_ j► � ,� 'Tt�P s?:tea H".moo!t.. -ts'i P r JF ::t, �kf' ---- `,, D' Fl r•I Fi �' PITCH 0 1/4' PER FT. iv / jV'�FsL." O.WL>`( � �. i -7 0` �G L S HeU. FLOW LINE __ --- r - 2" LAYER OF --- --- ---/ 1/8" - 1/2" WASHED STONE 2.p r�AJf+ai�'. �" ., -I', �-� �.� .- T, r L J i < WATER LEVEL ADJUSTMENT: DESIGN CALCULATIONS : LEVEL as 4'-0' `� G y o \ NUMBER OF BEDROOMS -104-- LIQUID pp3/4" - 1 1/2" TEST DATE __-4�'z� r� 1 WATER LEVEL GARBAGE DISPOSAL UNIT LEVEL LEVEL o00 WASHED STONE I TOTAL. ESTIMATED FLOW DISTRIBUTION '- W P1 '' !'% INDEX WELL ._ ( 'i.i GAL/BR./DAY X BR.) rf GAL. /DAY BOX �✓ WATER LEVEL RANGE ZONE REQUIRED SEPTIC TANK CAPACITY 44a GAL. d2,p DEPTH TO WATER LEVEL FOR INDEX WELL ACTUAL SIZE OF SEPTIC TANK 1,:-,L_RGAL. FOR THIS MONTH LEACHING AREA REQUIREMENTS SIDEWALL AREA �__� GAL./S.F. WATER LEVEL ADJUSTMENT — BOTTOM AREA GAL./S.F. 11j00 GALLON SEPTIC TANK II �j r 1�, I LEACHING CAPACITY (BOTTOM + SIDEWALL) d3� GAL. .� DEPTH TO HIGH WATER �-3 - 'LtT (r"�s,) 4, 7,-`1 t -rr����'-r, . , ' nL, X RESERVE LEACHING CAPACITY �`�©GAL. SEWAGE DISPOSAL SYSTEM PROFILE NOT TO SCALE BOTTOM OF TEST HOLE_ . 1 coo,7 NOTES: LEACHING PIT -- � �- 1'� � q• - ��� f�,:; r`' S�'J A.c ri . 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E. TITLE 5 AND THE TOWN OF :fy', : � ., :, _-,— RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 12" OF FINISHED GRADE. 1 3. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. J J 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING `_ _i uR / G A i Gl1vAgm RfiRKMlP9Ifflvffl%5. H-20 LOADING- o' 5. HORIZONTAL AND VERTICAL CONTROL, SEE LE'!Y, ELDREDGE & WAGNER FIELD NOTEBOOK # 6A �� LEGEND: to t, / �.. ._. v' � ,S _ _ +. A-V_ � �`�'�, " r R� � � EXISTING SPOT ELEVATION OOXO Ap. � � EXISTING CONTOUR-------00----- ,�1 l.0 ''`f�`.' d~'- ' " t �sr:_ jai _' ` „k"i " �J�� \ c5 FINAL SPOT ELEVATION �r o,7D I `�>> �., ,, — ,M w g�` ��°¢� FINAL CONTOUR — 43,`/2�} F. +JFL�riC --- -__` �- .a•-- „" ° ttdt� 6 �t1 , �y�¢>rE% SOIL TEST LOCATION s� .�-- "' 9 ' X-1 TOWN WATER SEPTIC TANK C� DISTRIBUTION BOX ❑ v� \� PRIMARY LEACHING PIT RESERVE LEACHING PIT ; T r— INITIAL ISSUE LVf P i �. mow ► _..... �d �� o . \ __ r N0. DATE —_- -- _ ---- DESCRIPTION BY OAlt. Ft L / rat".A14-*, \ ! SCALE: A. 1 y or— APPROVED, BOARD OF HEALTH - LEVY, ELDREDGE & WAGNER ASSOCIATES INC. DATE AGENT ��'� ��� ��'� pl�i� � ��I� LOCATION MAP _ 889 WEST MAIN STREET CENTERVILLE MA. 02632