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HomeMy WebLinkAbout0055 LARCH LANE - Health CtAhrvijit ob6 i DESIGNING ENGINEER M1=ST SUPERVISE INSTALLATION ANd CERTIFY IN WRITING F 4 G THE SYSTEM WAS INSTALLED IN STRICT Noll ..� J �.. 'r'AORDANCE TO PLAN. Fmc...... °............. THE COMMONWEALTH OF MASSACHUSETTS j BOARD OF HEALTH 'o..VV ...OF......47 .R:iZ(✓S T 313 L E" Appliration for Disposal Iforks Tonstrnrtiun Pumit Application is hereby made for a Permit to Construct (✓<or Repair ( ) an Individual Sewage Disposal System at: ..-• --•--------•........•-------- .............................................................. .........------. Location-Addres or Lot No. ----------•--L�, ...�:..... v �a v..LS ,D = L .�.....o��iz7� l3 Z ........... ✓�/ls c •................ . Address w �}/ Cyr/--- ,-- 0 ��T—��2 ✓'/ L+L.G � � ----------- -- ----- -•----.....---- ................................................... Installer Address d Type of Building Size Lot...Z-9r 3. Sq. feet U Dwelling No of Bedrooms...............,..., g— . �_________________________Expansion Attic Garbage Grinder (c--)7-- P-4 Other—Type of Building l_.....' ... No. of persons.......Se.................. Showers —}-- Cafeteria wOther fixtures ------------------------- ••--.----••---------•-------------------------------------------. ---------•-•........ ..... Design Flow..................... s____..__gallons per person per day. Total daily flow____. �.©...................gallons. Septic Tank—Liquid capacity./�agalIons Length_9�..L.�._ Width_' .�.�.5?!. Diameter................ Depth__ ............ W ... x Disposal Trench—No..................... Width_....___ .___..... Total Length.................... Total leaching area...................... ft. Seepage Pit No..........I......... Diameter........ _©..... ;Depth belo inlet......4r.......... Total leaching area....L_7.sq. ft. z Other Distribution box (✓� Dosing tan ,�2► Percolation Test Resultts Performed by...__L.'_-__ .....J��1`'��T.................... Date....�Z./Z _.8�� .S'Z 33 a Test Pit No. 1....--. ...minutes per inch Depth of Test Pit--- 5....... Depth to ground water----j�0___ sJ�� f14 Test Pit No. 2..... iinutes per inch Depth of Test Pit... ...... Depth to ground water..._�_.�.._-__._--�__ ---------------------------••-•---- ....................... 0 Description of Soil...----C-9- 5LIn -M ..... '^ ....s_cc�z.�._.. a� er-s ✓�� �1?... J1� ...._ ------------- ------ U ............................................Y'.�r °�--•-r!- -`' �' F` --�-oE_�.� �..f^' "`�� ....................... ----Des.•.. T f -�--f s -z x ... V..'._ .. ------- U Nature of Repairs or Alterations—Answer when applicablePESlGfQ.EN(alJ� q._MUST._GERVISE: ------------------------------------------------•-------•---------------------------.....------......---iNSTALLATIQK.AIVD..GEATIFV 1r WlRtTENC Agreement: THE SYSTEM WAS INSTALLED IN STRICT The undersigned agrees to install the aforedescribed IndiviTtiaf-�rivageOlTiiso&Aal System in accordance with the provisions of TITI.E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beepe� . d by the board of health. C a Signed �../S`---- .... ---••Date c,� Application Approved BY •---................................................ _ ........... 't!.......--- Date Application Disapproved for the following reasons:----•-------•--------•----------------------------- --------------------------------------------------•---•..... ------------------------------------------------------------------------.--•--------......---------------------•--....---•----------------•-••--•------••-•--••----••-••-•---------------•---•----•-..••. Permit No....... -!!-� �. _.!-...--------------- Issued-..........................................Date------ Date p TOWN OF BARNSTABLE LOCATION v �\ Lc�c Gh SEWAGE # 976i VILLAGE e e \\ 2 ASSESSOR'S MAP & LOTS-77:�'r INSTALLER'S NAME & PHONE NO..\C .Nc c\<e - \a,96 SEPTIC TANK CAPACITY N o 0 0 LEACHING FACILITY:(type) B\ (size) k000� NO. OF BEDROOMS 3 PRIVATE WELL OR UBLIC WATE BUILDER OR OWNER S c, lam.G DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 21 f-71 VARIANCE GRANTED: Yes No of OS; V ,�6n ol 1� 0 9, L� THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA v/' r No. _....... Fps.. ...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - ...: '-........OF......... ............................................................................. Appliration for Disposal Works Ton.strur#inn Itermit Application is hereby made for a Permit to Construct (Vj) or Repair ( ) an Individual Sewage Disposal System at: ............ .. ...... ..................... --.............-----•.............. .......................... •... =-••-----•-•• - ........._...... Location-Address L^,' �L G - L L c� ✓`/J �L ✓ / .' )..... /or - t 70� = )3 Z /-/ -?:✓/r✓/� - ....... ...... -----•------ .......................... . --------........................--. ......... Owner Address .....---•--.........-ti= •--•--.... ••--•--•••••--------•--•................••••----•-...........••.................................. Installer Address pq UType of Building Size Lot..2---:�_..2 5.2.Sq. feet ., Dwelling—No. of Bedrooms.............:....--- ........•----.........Expansion Attic(----)— Garbage Grinder ()— aOther—Type of Building Z-.----�•?.`_'__-.... No. of persons...... .................... Showers_( -)= Cafeteria (--) Otherfixtures .......-------------------------•------••----------------------------•---•--------•------------------•....---....--•-------...------------------. W Design Flow....................:`.. ...L_...__....-gallons per person per day. Total daily flow........7_ ..........................gallons. WSeptic Tank—Liquid*capacityL 2'.' `gallons Length_�-....'r._.. Width-4--.-!.>_ Diameter................ Depth.._:__ g-. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.................._.sq. ft. Seepage Pit No.........I.......... Diameter......L.© Depth below inlet.....!.:.:.......... Total leaching area..:.._ ..sq. ft. Z Other Distribution box (-r) Dosing tank.(—)— Percolation _ a Test Results . Performed by...'-- -!.__.,.'7-1:.'..:.......................... Date...._/__... !�.: ��.!�� ,? ?3 a Test Pit No. 1...`..`f---minutes per inch Depth of Test Pit..:!-..w2._......... Depth to ground water..../. ....... 44 Test Pit No. 2.... .."....minutes per inch Depth of Test Pit... ......... Depth to ground water..../..!................ RI' -------------------------..........---------------------------•--........--•-•-...............•----......................................................... Description of Soil.............. • P � / / � N r-s ✓� Ci / + x W -.... ..--•---�•• ----.......-------------�......•-•-•--••---•--••---•-•- 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 Sanitary Code— The undersigned further agrees not to place the system in operation-until a Certiffc to of Compliance has been issued by the board of health. Signed---••... ............... 2 ate Application Approved By...............�� ..... •--- --�---�--......--....-- Date Application Disapproved for the following reasons:.............................................-•-------------•-----------------•---------------••••----••....._. ................. ..... --- PermitNo. -.................................. Issued....................................................... Date --•--- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......�. ✓I/.✓ OF.. :...�..r7 .✓',_, r} ? L.5 ........................ ..............................:................................ Tntifirate of Tompliunrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (---,)--or Repaired ( ) ....... . .................... -------------- •----------- ............... -•----------------------........-------- ----------- Installer has been installed in accordance with the provisions of TI _ qe State Sanitary Codg�as c�ecrib tk�m the application for Disposal Works Construction Permit No......................................... dated_....-.---...--_--.....(._..........----._.......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUN¢RO - FACTORY. DATE............................................--•--...•-•-••...........: ....•••... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............................. ri✓..OF.............................................................' •✓ r t,: ........................ No......................... FEE........................ Disposal Works TDuns#rurtiun rruti$ Permission is hereby granted.... ...._.....! ....= !..__._.C.__ r: _-J.!..- ....•••• .......................................................... to Construct (-- ) or,Repair ( ) an Individual Sewage Disposal System at No...l_..��7' --- • - a - r•�• l' r-, f. 7 ✓ •---......-•------•--•---•..........•--•-•...--•--•----.----••-•. ••--•• E treet )`. .. ..� as shown on the application for Disposal Works Construction P r it No._--_---j-._ -------- 4ated......................................... •-••••-- Board of Health DATE............................................................................... FORM 1255 A. M. SULKIN, INC., BOSTON ' December 11, 1986 John Kelly Health Department Director .Barnstable Town Hall Hyannis, MA 02601 Re: Lot 11, Larch Lane, Centerville File #1-520 D.E.q.E. S.E.-3-1443 This is to certify that I have inspected the installation of the septic system at the above site. For the record the primary leach area was installed at the proposed reserve area location. Also the septic tank was installed less than 25' from the drainage easement as I proposed. However, it is more than 25' from the actual subdrains and, therefore, meets Title V and Barnstable Health regulations. Otherwise, the system was installed per the intent of my approved design plans and meets the regulations. AAA Sincerely, OF`��� cGRAIG SHORT r, V 1111 NVIL Crai Short No. 27483 Professional Engineer A�vr 1S1ER�� FSS/pNAI cat/CRS cc: Conservation Commission _ SO L LOGs ` � ! J o Gs D A T E; _, " '`----- WITNESSED BY : T'A M E"S 2 w L o �,r 29• --- r < NO 7- ^ ter• .'` C: L�A � NAPS; .f/ C 1� / :.: �L t r�1Z H 4 L �T' C L��-)/✓ Mo'D/VM �,✓tIL�T- ` .O.v ;, - 131 S U TZ V Lc © I'Z- `6 .NCV Z S //OT/ 5AN(7� �4 � ss3.v � EL 2S,Z Sao ` tiv Vol .5.*t•.�7 EL / if -v ---� _ -33 - 47 E� LEY- TOP OF ANHOLES AND COVER TO BE BUILT WfTH ( N _ • 12" OF FIN [ SHED GRADE . -- J='r2apQ � o FOUNDATION ' VAR /; ✓ ,_ / e_ - F1 IS ED - LAIN. 27 SLOPE 3�S✓�✓ � ' r NH GRADE . by DK! `Et� r"� a �,^/ 0 4 CAST I RO 4„ PV i , \ / ` Z��- `7 \\%=% r �Y� f�r I fFj o PVC SCH. 40 � s`,.� PITCH 1�4 SC FT40 � 2`tLEvEL LAIN. 2� LAYER _ D ✓ o P2" 1 8 _ 1/2 P E A STONE � �r C,+ / L•- - 7 p. P i T F H � �✓ ,'Y,,: �.r 2 2 ,a, p f v V 3 / `` _✓ �, �4 T -) -j a " _�. _ -G' juMY F a. `� INVERT o: __.s:_ �� Zl GALLON INVER 'P DtST. INVERT' e. D N p _ �, D I A tNvERT BOX WASHED STONE S E PT !C TANK —` 9 .�J l�ry7 = a 3�4 l t�2 IJ 4', . :`_ - Y ► '.y tNVE RT /' �' y lJ Uti'. INVERT �'�d 3 �a; Qt7;� A �_ L A. ROUND !PINw `r a M �.a G R RR B A t3 E - --'� '. T 0 wA a � < m N ° r, ELEV !30 t ` � V � Y N � `G V (� \ ti, �' ! ' . ; 2 0' LAIN 2��- 6/0 D 1 A-�I 2 107 ,lit �,,, !T - \ Sy ' E L E V. /s . ✓.5' 3.�, JP, y 7r. / yf , L � . ,'�^ +1 " ,AIL. 7- O ;y, � ' R { F { LE CF GAOUND WATER TABLE ,,,,n 2 � f � ✓ �- :� SANITARY DISPOSAL SYSTEM cG 3 - 4 Z` 2 i 4 8 ? s � -r-Qrf�` �' ' �% �, � + L � � '' N !N � !� �F� � 2 �L•�")G<,- .r 4M , I vv r` F ro . TOSCALE DESIGN DATA „� `� l` , I \� • CONSTR UCTION OF SAN ITAR Y DIS POSAL —_ BEDROOMS DESIGN F LOW _GAL ./DAY t STl�':) Kcr� SYSTEM SHALL CONFORM TO MASS . ���Y����.� � v✓ � 2 � ', � '� } , LEACH RATE = 4� MIN./INCH /OUP P Er cE",e \/E ENVIRONMENTAL CODE TITLE V (REVISED 7- 1 - 77) L !/�S / T 5>� Lr--4C �_, F",=) AND THE TOWN OF �� ar✓-� �"-� � � PROPOSED LEACH CAPACITY 2 0 G 11'/ j a. rr'L5 HEALTH REGULATIONS. � r � � � ° Lar I p • SEPTIC TANK, DISTRIBUTION BOX AND LEACHING PITTO BE OF REI NFORC E D CONCRETE -4 GAL. D A Y J 0 MIN. CONCRETE STRENGTH 3000 PSI MIN . STEEL STRENGTH 2000OPS1 SL P'r H 10 DESIGN LOADING -� F' r t� iR "1'r'l �hi r �' , _ v /v • DRIVEWAYS NOTTO BE LOCATED OVER SYSTEM UNLESS H - 20 DESIGN LOADING IS USED. f3 • ALL PIPES AND FITT i NGS TO BE WATERTIGHT AND �c � ,r ,,, , 9, , r .s / .� �. 3©• � TO BE OF CAST IRON OR SCH E D 40 P.V. C. J� S I T E P L. A N S ROWING PROPOSE D CONSTRUCTION SH. _ OF '_ SHS L O C AT I O N : 3 �✓. rt"R.Z348 LEGEND �-- F O R - Z- z L.3 O R D A P P R O V E D __--------- 19 SCALE : / - = DATE : Q `c340 lecy 7122181, BOARD OF HEALTH BUILDING SETBACK REGULATIONS PER EXISTING C 0NTOUR - -- --16- --- REFERENCE_ !- ter- .� 1. H ✓.ff . , ,� BUILDING INSPECTOR OR BUILDING _ COMMISSIONER <_' "�r.iL-" � ' .� PROPOSED CONTOUR — I6 ---- � L'�'�`f �= � � '�•�- r�'�:; ?a DATE AGENT � EXISTING SPOT ELEVATION 1 7. 6 ESIGNING EN�..t��lcER MUST SU�'Li-:VISE i\/M I N F R O N T S E T B A C K = 'NSTALLATION AND CERTIFY IN WRITING M 1 N SIDE SETBACK % �% PROPOSED WATER SERVICE W THESYSTEM YTACCORDANCE T'O INSTALLED IN STRICT SUBJECT TO APPROVAL OF �t� OF BARNSTABLE CONSERVATION RMQ MIN REAR SETBACK / v TES 7 HOLE LOCATION COMMISSION - F C . R . SHORT, INC . � � r� -r _ �._ PROFESSIONAL LAND SURVEYORS L ENGINEERS ESS�aNtALE� 1586 MAIN STREET (RTE. 6A) EAST DE NN ( 5, MASS . 02641 r-.