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Home My WebLink About0039 BLUE WHITE DRIVE - Health �� 161vt wk;*rc br (t/%ff rv+pit 233 - 014 /// S M E A D KEEPING YOU ORGANIZED No. 12534 2-153LOR 000O FORSUSI AESWMIN.RECYCLEDINITIATIVE CONTENT10°kedRbersourcinp POST-CONSUMER wwwafiprapremarp SiW1140 � /��p�►A�ORGANMAADDE IN USDA W 1 ,/AT 41W TOWN OF BARNSTABLE LOCATION ,��/ �UGGG�m G � SEWAGE # VILLAG ,E/��' �f0�/LL ASSESSOR'S MAP & LOT 6 J� INSTALLER'S NAME & PRONE NO. &e) 0k P SEPTIC TANK CAPACITY /,.ADO LEACI-IING FACILITY:(type) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER ,BUILDER OR OWNER C� DATE PERMIT ISSUED: _ DATE COUPLIANCE ISSUED: VARIANCE GRANTED: Yes No �- , UN1TS Ile JJ - ite L/ No.1g3 Y,1 Fss...�1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..Gy!j'L-...........OF.......46?Ar!uAkle...................................................... Appliration for Disposal Works Tonstrurtion jArrmit Application is hereby made for a Permit to Construct (x) or Repair ( } an Individual Sewage Disposal System at: ..............................•----• sss ® 11r1 a .... r c 7::�............ ----. ------- -------•---•--- ® Location-Address or Lot No. ..��.zt3�.QY_off___---.f�!�1.��--•---.._..-^'---._...----•-------•---•------------- --1=r__GL_�F.?'eLe....�R..L�..�.�...��iCf�.i�aEa6---••----................. Owner Ad ess ............................................... ••-------•-------------------------- ------•---_.----------.--------•----------- Installer Address Type of Building Size Lot...-4- f;y8._459:...Sq. feet aDwelling—No. of Bedrooms-----MX!);4........................Expansion Attic ( ) Garbage Grinder (44) p� Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures .............................. .< W Design Flow...................................$_..gallons per person per day. Total daily flow....................—3.3._0...........gallons. i. W Septic Tank—Liquid capacityd15C.1 -gallons Length_!A-- o.. Width.- R... Diameter________________ Depth..5/-r..` x Disposal Trench—No..................... Width...I.?............ Total Length....�3,6�....... Total leaching area---4.52.....sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X) Dosing tank ( ) / old.. -fit✓- e� •-----... Date...`3d• �-----•----•-- a Percolation Test Results Performed by-��J. ,a Test Pit No. 1.............minutes per inch Depth of Test Pit----- .......... Depth to ground water....... ............. Test Pit No. 2....R-.......minutes per inch Depth of Test Pit----- ....... Depth to ground Waterp • , �a ett ............. C�—zfYtxSa.` '°a,._ a .:ar.._...... 0 Description of Soil....:' ..-£C`}_.Y chi ►�Ftrkc. ie��Q. ? f?s~_�_da. _r._l ._._1 __..G;.-al ........W :.. .__.... ...:• ' At ve $`y 0&d..J;UL4.._/sariIC4,8�:.dL. �AtA.._S ..ref �- .... ...............•--••-• - --Alt M.... "- UNature of.Repairs or Alterations—Answer when applicable...................................................: . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal yst m ' eeollice`with the provisions of TITLE 5 of the State Environmental Code—The undersigned further ag ees not to place the system in.operation until a Certificate of Comp 'ante has een ` su y e board of health. o� Signed ..... .. .. ......� ............ .....CL.'...� .'....1.. ..Dace Application Approved By ....... �M,e Application Disapproved for the following reasons: ............................................................................................ .....................................................................................:............................................................. ....................................................... ....................................... . - Permit No.. ..... --- ......... .... ��-- ` ./..................... Issued ..........................------•-,-----------•------------�e------ Date - 1 No................_....... Fitz........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............1..Cyw/1.............OF....... . /G..........---.----.....-----......__._......_.......... Appliratiuu for Di-spuott1 Works Tonstrurtiun jrrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: 17 iP/-crr l 74 Location-Address • or Lot No. ..Lc•n. � ._....L.ea>..ca..................................................... �G.r.�wr GZS J.f�!�.ScnearS-• ...................-- W Owner Address a --......• .......... ............ Installer Address Type of Building Size Lot...4�� ....Sq. feet Dwelling—No. of Bedrooms__'Ma.r.-e,�------------------------Expansion Attic K4) Garbage Grinder (U) Pk Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dPk Other fixtures ----------------------- ----------------------------- W Design Flow..................................5- --_gallons per person per day. Total daily flow--------------------.?-A°...........gallons. W Septic Tank—Liquid capacityl.5�gallons Length_4q.-.� -- Width.4� .`... Diameter................ Depth.;.... x Disposal Trench—No. .................... Width...I.t.t........_._ Total Length-....F4......... Total leaching area..'4.;�.....sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Other Distribution box (x ) Dosing tank a Percolation Test Results Performed by.l-j;��'__.,Vdtnc .f__ c#........... Date...3/� Test Pit No. 1.............minutes per inch Depth of Test Pit-----1.z......... Depth to ground water......--............. Lj. Test Pit No. 2.....�.......minutes per inch Depth of Test Pit-----?Z....... Depth to ground water:.? ........... ----------------- Description of Soil..... ._yYklc�tur��F.et+R. tzcD. �.P_�. .4Z_ .` �£�._.12___.�revc�t i 1— r 0 r W -."T !AZT--Q"Z- / z '�ul?,Fo i/ J 1�- `� �'ra •� K �-6- a ._.... �/� s,r.EPHEN .. ._ V Nature of Repairs or Alterations—Answer when applicable..... ................................................... •---•.............••---..........-•----•--...............................................---..•..........-•-----•-•---------••---••-------•••------.....-----••••--•• Agreement: The undersignedys {fit `:,b�'�?/I� agrees to install the aforedescribed Individual Sewage Disposal S ste n a c ,,�� '�g g p y q �ancel�wtth 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 Com ante ha been 'ssu b the board f health. Signed .... ........ .. .. .- .... �-� .'..�I Date Application Approved BY -------------- ?"...."-4':.J.....a�.t•�.,.•..,_-. e= .............. t........... Dare Application Disapproved for the following reasons: .......... ...................... ..................... ..................................................................... ...... ..................................................:........................................................................................................................ ............................ D. Permit No. / -�:..........1.1 '/...................... Issued ................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t_ OF -..-.....t.�...it 1.......l ...... r ..................................... ... ... Tertiftrate of Clomplianr.e THIS IS TO CEIJTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ...... .... r .................................................... ........--..----......---..........---- ..................... .. i Installer Z ic- at . i / -------------------------------------------I...............--•..---.............--...-..........---....----..........---.............---...........---........................---..----...---..............--------.---...--....... has been installed in accordance with the provisions of TITLE 5 of TheState Environmental 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.................... -.... .. ......"..----.. --tip)... .... Inspector ...--...--.--...--.......:........................--------.---.........---... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH • l r -- r . /`3/ t 9 No....... F$E.... �iu�uu�t1 Turku �un�trur#iun �rrutit ................ Permissionis hereby granted.............................................................................................................................................. to Construct ( �) or Repair ( )man Individual{Sewage Disposal System f . at No ' Street as shown on the application for Disposal Works Construction Permit No..................................... Dated.......................................... ........................••----..........-----•----------------------••-----••••-------•••-•-•-........._ ............................................................. Board of Health Form 1255 H:&W HOBBS&WARREN'" Publiehere c „ E /4" - 1-1/2" > mashed stone N 0 2" •peastone Polyethylene Leaching Chamber H-20 I 0 ' \\\///\\///tV//\\1✓//, tv" Yl // ,�\\// �,//�{�/ ..6" -J 4 2.3' �-»- 4 -- 2.3 �-- 4 2.3 �-f- 4 2.3 �-�- 4 --1 2 �- 4 6 35.5' - 36.5' effective leach area {��•u. .•^ PROFILE '� '4.; _S x,� :t.. no scale 'HE� �•s; K qt AU_YN WIL SON �• .�N 30225,,f r� A washed stoner 6------------- ------ ---- ---------------- ---- a al a a a _ I U U I U U U I I o+ o•I a rn � I ' L L L L r (� O N O IN a C4 O N S IS S 2 S , m o d d I C C C C c I X XI X X X I !:!Oe I J------•-- -------- I -------- -------- ------- - ----- Ln I ' A 4" PVC PLAN 3/4" - 1-1/2" no scale washed stone E Note: Effective width is 6" wider on all sides of the actual bottom area. a� C' °v 2" peastone 1 7 zG 9,3 INITIAL ISSUE ao NO. DATE DESCRIPTION BY °. PolyethyleneHe2cChing Chamber o�I ; , LEACHING FACILITY DETAIL ev. //\\\///\\\///\\\U// \ Bottom o f _.L a.r 6...____... ._ 0 system elev. -- Blua (. akl- L, Lcvir�c TTOM OF TEST HOLE 38,z NWT 3 USGS PROBABLE HIGH WATER LEVEL SCALE: ..None 1 JOB NO. /6 9.✓9. . contact. SECTION A-A LEVY, ELDREDGE• & WAGNER ASSOCIATES INC. ENGINEERS LANDSCAPE ARCHPPEC9'S PLANNERS LAND SURVEYORS no scale 889 WEST MAIN STREET CENTERVILLE MA 02632 PEo P(Akl BREAKOUT CALCULATION: PERCOLATION SOIL TEST 10' MIN. PRECAST CONCRETE RISER, AS REQUIRED 'La SEE NOTES 2 do 3 DATE OF SOIL TEST � WITNESSED BY 4' SCH. 40 PVC PIPE G MIN. PITCH 1/8' PER FT. PERCOLATION RATE MIN./INCH F 72 b4 0, FOUNDAT10 \ 8ACKFILL WITH s4 8' MIN. CLEAN SAND TEST PIT 1 � TEST PIT 2 ELEV.- ELEV.- 0 —0.00 —0.00 /z �4,ro PITCH M'EQ,f FIr1G 'J b ' / PER FT. / - 1 4" FLOW LINE r �( ,' v 2' LAYER OF 1`330 / �C 1/8" — 1/2- 49'F358/- 421,540 37S �JP� 3 i.• WASHED STONE T0 —J2-d r b a ,, 4q,� LEVEL / / ' , '� ' \, WATER LEVEL ADJUSTMENT:' N A DESIGN CALCULATIONS : UQUID a O 8. r / ' , o' �c' \ \ NUMBER OF BEDROOMS LEVEL �" �� WASH- 1 1/2' TEST DATE WATER LEVEL GARBAGE DISPOSAL UNIT 48,6 r J �' \ `\ x l\+ED sTONE TOTAL ESTIMATED FLOW DISTRIBUTION j f INDEX WELL (//0 GAL./BR./DAY X IL BR.) 33O GAL. /DAY BOX �'/ �, �', WATER LEVEL RANGE ZONE REQUIRED SEPTIC TANK CAPACITY GAL DEPTH TO WATER LEVEL FOR INDEX WELL ACTUAL SIZE OF SEPTIC TANK /-: Q22GAL FOR THIS MONTH LEACHING AREA REQUIREMENTS GALLON SEPTIC TANK WATER LEVEL ADJUSTMENT BOTTOM AREA `Q' GAL/S.F. I� J LEACHING CAPACITY (BOTTOM + SIDEWALL) GAL DEPTH TO HIGH WATER SEWAGE DISPOSAL SYSTEM PROFILE L RESERVE LEACHING CAPACITY 33_-Q.GAL. A"�^ -I 3 aNOT To SCALE BOTTOM OF TEST HOLE - �'� x i i sF g.G � n 4f Lo- 3� NOTES: R Fk R -rc> _z:)57'f IL_ 1. ALL WORKMANSHIP AND MATEgU4 LS SHALL CONFORM TO D.E.Q.E. / TITLE 5 AND THE TOWN OF RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 12" OF FINISHED GRADE. 3. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING. 5. HORIZONTAL AND VERTICAL CONITOL, SEE LEVY, ELDREDGE �VI & WAGNER FIELD NOTEBOOK #_ Q e� 6. W1`TL./1 PSI (? L-r. L�'"! n a.. r7 t! _ 11,4. - I -- 3✓Z A T> F-0 2 a L. H q c_t- o N 9- - 8 7. - ��e�� I LI�. -7 C f I i r -�,ti� / I/ ` ►� �� LEGEND: EXISTING SPOT ELEVATION OOXO EXISTING CONTOUR-------00----- /�/O TF. 5; ,�� \ / FINAL SPOT ELEVATION V - FINAL CONTOUR SOIL TEST LOCATION ,,c T TOWN WATER W W ' SEPTIC TANK (� �r,ac r / �F' may, _ DISTRIBUTION BOX D Graf „lryr <y/s �" �o`a PRIMARY LEACHING PIT 0 .�. /✓n !._!n�/r :;/,�// />rnrr�r.✓ ,,,�,,// .�> ��. ', a`� ''...�.. '' `\ .-_`._.=��-_ � RESERVE LEACHING PIT C'F �r +ire o� �cL•c/iPioail i! iS Jr r/ ` �� ® z%7C ,�� a?.� F UPtAr-fib 1 7 26 93 INITIAL ISSUE NO DA TE DESCRIPTION BY wF $rzo ` �`'•�, 0EQ E FILE NO, SE 3- ZI ? 0 Lo7 6 �' 0rctrr o>f Corcllhcns issue.,` Starr � LDT 8 , 'wf�Zl ��I✓ � V'�i�l, A� .' r.7 or wf,- II5.55' 00"r SCALE: I` 40 JOB NO. /69� � Os f q . 8TEPHEN ALL / WFft 40 .e WWI SON YN APPROVED: BOARD OF HEALTH ,, ' ,"o 30216 LEVY, ELDREDGE & WAGNER ASS( amC:;��':. / DATE AGENT BNGII= LUNAR OCIEM p1,ANNHRS LAMI SURYBYOR4 LOCATION MAP 869 WEST MAIN STREET CENTERVM MA, 02632