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0047 MAY LANE - Health
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No.....J.1.:-.f 60 Fzs......14!9 .............. THE COMMONWEALTH OF MASSACHUSETTS Ty r...-. BOAR® OnFn `HEALTH _ -•----- ---I0c�-O...-.....OF......B!"�K-%N-STQL..�.................... Apphratilan for Dispnsal Works Tomitrurtinn Famit Application �is hereby made for a Permit to Construct (�or Repair ( ) an Individual Sewage Disposal System at: I`r{A� C (o M�tP A-1 is �7(0(�o l ��................ ..[ C........._.------.--••-•-•---•--------... Lo anon- dress r or Lot No. �fT' er Address a .................... .. ..... .. staff------.....................--------......... ---- ---------------- � Installer Address Type of Building Size Lot... . &Jb�_Sq. feet Dwelling—No. of Bedrooms......... -----------------------------Expansion Attic ( ) Garbage Grinder ( ) pa., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ____ d -----------------•--•----•- ------------ -----------------------------•--------- --------------------------------... ------------------------ Design Flow....................._625...............gallons per person fr day. Total d Uy flow...............M--..................gallons. WSeptic Tank—Liquid capacity/4042-gallons Length- ._—�Q.._.. Width.. ..��0_._. Diameter________________ De x Disposal h ....�........_.. Width.../............ Total Length_._ .......... Total leaching area__ .......sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box A Dosing tank ( ) '-' Percolation Test Results Performed by..N0 1f�A�_,�.l�P l_�'�Y..._..�. ���8 Date. / ------------ Test Pit No. 1---Z--------minutes per inch Depth of Test Pit.../D.........._ Depth to ground water._9'6 . _._. 44 Test Pit No. 2... .........minutes per inch Depth of Test Pit___�.l___..__.___ Depth to ground water..//------------___-. O93-----o-�•---- -----•---------------------- ---------------------� �------- --•-------------------------------------------••--•-- ------------ Description of Soil---•-2...................3 �/ (/ SO U ---------------------- W 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�"IT rI�•� T IE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be ss d by the board oflhealth. Signed---• f��Jf/`�.` `j_. 2 3—�l -- - Date Application Approved By--••--.O �.1 ----•-------------------------- ......... Date Application Disapproved for the following reasons---------------------••-----------•--------------------------------------------------------------------........-- ----------------------------------••-----...--•-•........--------•-•----- ------------------------...---------------------------_..... Date rmit No........... � /-16tjo------------------ Issued........................................... Date TOWN OF BARNSTABLE y1 LOCATION 1-y7/G 414 , le / SEWAGE # 'NV ILLAGE Cg.!4h- ,t, l✓ ASSESSOR'S MAP & LOT' •INSTALLER'S NAME & PHONE NO. 10G,� SEPTIC TANK CAPACITY fUw `LEACHING FACILITY:(type) (size) NO. OF BEDROOMS '5 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER �G S�srae� CAS DATE PERMIT ISSUED: y_ 2,9- 9/ '�fs 23 DATE COMPLIANCE ISSUED: ` VARIANCE GRANTED: Yes No __,.._. _ �� _ � ��`',� �11 � ,�'� � � � � � �_� � � � � � � �' � � '� �_ �. '` �. �' � � - � � `��' .�. '� .�� •Gj IM.160 FEB THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH P.e- - IJUJ -------.-OF...... .�Z i���T,-�. 1_ L-.. ------------------- ---------- ApplirFa#ion for Disposal Murks Tonstrurtion "Prranit Application is hereby made for a Permit to Construct 64 or Repair ( ) an Individual Sewage Disposal System at: , ��j I.1 ( /� _- ..........°+-1 1`'`�..... - -�-�----•------------------- Loca:on-_ dress r or Lot :�io. ............... C. 1Y�...........--"- .......... ---•-•--•---------•-•-•---'---•-••-•••--- O er . Address W Installer Address d Type of Building Size Lot--- 1� 60ld--.-S feet U Dwelling—No. of Bedrooms..........._,d.............................Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P 1 Other fixtures .................. per person �r day. Total d #y flow------_..---._.���-J..................gallons. I W Septic Tank—)��quid ca actty fltllU.gallons Length__ ..:�.�.._.. Width._'��__.:�U... Diameter________________ De�th..�---._.__. x Disposal T h— 'o. ......_.... Width..1Z............. Total Length...:,,;«;(-'.......... Total leaching area..�.�.•--�.......sq. ft. Seepage Pit No..................... Diameter.............._..... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by.._�fU � ?.?: . ' .a a�f�1:<�ti 1•--.��....... Date..../__._.Z'f ......_.... 1_4rff Test Pit No. 1---'1Z........minutes per inch Depth of Test Pit.../,Q.._......_. Depth to ground water...; _-&............ (z, Test Pit No. 2....2_........minutes per inch Depth of Test Pit---//........... Depth to ground water--//.-()__...__.. .-•----••-• -----------------------------------•---•------- ... O Description of Soil-�..�...= a _ fir ; a .'. < )�� " , G , stir �� - � ��i" //�/)' `/ , V .........................t"•".__1� e%!'1'/.,r�/(✓�F ---- ''r�.Cl�:, -.......................................................................................................... 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 i T T LE p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beenliss#by the board of health. Signed..... "Jr'J t... . /� -"!fit'''--................................. ----y --................ ems} / Date Application Approved BY V '�_A,�.�x,. ................................ -- Application Disapproved for the following reasons:---••----•----•--- ----•-------------••------•-•---•--------------------•......-•--••. Da.t.e---- ------- ..............••-----------....------•---..............------......------.....--•-•-----......••••. Date PermitNo..•..... 1-- ---------------------- Issued-------------------------------........................ La'_— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF......................................I.......................I...................... TbrrtifirFa#r of Toanpliaanrr THIS IS TO CER IFY, That the Individual Sewage Disposal System constructed*) or Repaired ( ) by............................. .•...........................•--•-••-•-----••-----••--•--••----------....••---------•-•---------•--•-••-----........---•••-•-.............------•... Installer at------------� 7 .... - ,6�1� •--•----•--- -�-� -- ---••------•-----------------------------•-------------------- has been installed in accordance with Nk provisions of iI"" 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----- --...14..C.......... dated_.............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. �' 3 . --• Inspector...--- ....................................................... THE COMMONWEALTH OF MASSACHUSETTS / / BOARD OF HEALTH iVcl....1..40..._. (`LPG///.................OF......�.J..�F� �.�/l 1 �.................................. -/ ............. Disposal Workii Tonsirudion rranit Permissionis hereby granted....................6 -----------------------------------------------------............................................... to Constru ) or epat ( ) an Individual Sewage Disposal System at No..-I---l--7 ---- — --`�;'} --------.. c.�� tF! a--------------• d/ Srreet as shown on the application for Disposal Works Construction Permit ------- Dated.......................................... �? DATE.............................f.__ a. �.. Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS Permit Number: Date': Completed by: HIGH GROUND-WATER LEVE L COMPUTATION Site Location: 1 AX �-AN E , Lot No. ( (P Owner:. CEO z.ArU_1 Address: 'P.O. 60 X 5!q 140. FA-LMO UJ 4 Contractor: Address: Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. .............................................................._.............. .Date 4- IRS-a(i 1LO month/day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: OAppropriate index well.................................................... © Water-level range zone ..................................................... G STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to water level for index well 3-R1 month/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A),current depth to water level for index well (STEP 3),. and water-level zone (STEP 2B) 3 determine water-level adjustment STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) ............................................................................................................. �' 3 ----- FIRST FLOOR SEPTIC SYSTEM :PROFILE SOILS LOG & ELEVATION 50. T FIN. GRADE FIN. GRADE OVER FIN. GRADE OVER FIN. GRADE OVER PERCOLATION ,TES-�- TOP of AT HOUSE SEPTIC TANK DIST. BOX n FLOWDIFFUSOR FOUNDATION 48•� 45.0 47•-75 48.co ` ELEVATION A`�. °:'�,', Y t TEST HOLE I TEST HOLE 2 4�.o cy` ELEV.'ELEV. , _ _ 48.4 LEVELING RING TO WITHIN r INVERT at � ,� ; 12"-0F FINISH GRADE _ t/2„ 3„ of 1/8" TO 1/2" 'r-opsa►1.,. FOUNDATION o•,",'; a: a:�,e°ro:D;•:' �:a; °;6.,r; D PEASTONE "C�Soit_.I d� to '. . �. WASHED � ELEVATION _47 .oQ : ....., • `L� SUF�o1L. �•3n Soto D,. .0 Q' I o• _ 2" W °p (Q r �r°p Q'oU.O is y+��+ u �r�s I�"'' '..��.�•i' 460.7-1 O W e ��o.lpa 4(0.45 :.;:, Co.'ZS n0 "ob O a 3 y Q o, PRECAST, C.I. OR P.V.C. TEES o i- n # „ ,� ° DIST. BOX ( - � 8 -o' = 2 -o y. .3- 4s.1�- � ��M . ' 1000 GALLON T 'p 10.0: •�. o � $'-0" t=IJE SA►..Ir� MEt�tUM T'o SEPTIC TANK ; H 10 LOADING 0 ' WASHED --- --- — ---- ADJ BASEMENT FLOOR H- 0 LOADING " TO BE SET ON A CR - _- . ._ ...w. _ —_ -- ---- IN USHED -1 war�ai:t_' ELEVATION ; . ,. .. ...°;, ,....,..,,; :o.•.• ,•_,>: p. . . .p• ,•.o. b:. ,,. � - --. 4 41-� , ,, �, 3 .. o LEVEL 8 STABLE STONE r.•.P: �I,� G'-6" _ BASE - -( I ----I r I° ACME DB-3 OR �-�=�- _ O 3 ' APPROVED ,. ., �„ �. EQUAL �... —�-~ .: • TO BE SET ON A LEVEL AND STABLE BASE ( ACME ST-1000 OR APPROVED EQUAL ) I ; _., I_ s�L-rY sp►a,� to f Profile not to scale ) _ .+_—_ i� 35.d Q '3 PERCOLATION RATE: ` MIN./INCH 7-1 t - TESTS BY , NORMAN GROSSMAN P.L. TO BE SET ON A LEVEL AND STABLE BASE, WITNESSED BY : JF_RRY 000tdi lc-, -CC "'( ACME FD 4 X 8 OR APP'D EQUAL ) ¢ C5A2tJSTAaL,5- BOARD OF HEALTH. FLOW DIFFUSOR ApeIL ia, ►�)t 44�q� • DATE DESIGN DATA WATER ENCOUNTERED AT 3'7•d (4t.id,c .1.� T N. Z NUMBER OF ,BEDROOMS 3 G.P,D,/BEDROOM !IQ G.P,D. TOTAL DAILY FLOW 330 G.P.Q. GENERAL NOTES GARBAGE DISPOSAL NO LEACHING REQUIRED 330 G.P.D. I. ELEVATIONS BASED UPON INSSUMEC DATUM. LEACHING PROVIDED 5 2 G.P.D. 2. ELEVATIONS AND LOCATIONS SHOWN SON THIS PLAN Lc> 1� ARE NOT TO CHANGE WITHOUT WRITTEN APPROVAL OF THE ENGINEER AND THE TOWN HEALTH AGENT SIDEWALL AREA =, 80•&4s.F x 2.5 201.E G.P.D. 3. ALL SYSTEM COMPONENTS ARE. To BE INSTALLED I"v BOTTOM AREA _S41,0 S.F. x 1.0 '- f a G.P.D. ACCORDANCE WITH S.E,C. TITLE V ANO t_C7CAL yEALTH 3t��t�1r Arm„ 44 TOTAL PROVIDED= 2l•(- S.F. 542.Co G,P.D. RULES AND 'REGULATIONS. G.P.D. 4. ALL PIPES ARE TO BE CAST IRON' OR P.V.C. SCH.�140,, 5. THE BOARD OF HEALTH AND/OR ENGINEER TO BE - NOTE: EXCAVATE TO EL. �t-5.4 OR LOWER AS SOIL NOTIFIED WHEN SYSTEM IS COMPLETELY INSTALLED CONDITIONS REQUIRE TO REMOVE ALL TOPSOIL, SUBSOIL AND READY FOR INSPECTION. v oec -CLAY OR OTHER UNSUITABLE MATERIAL BENEATH THE Y 6. NORTH ARROW IS NOT TO BE USED FOR SOLAR �' 485 41 I � NLET INVERT OF THE LEACHING PIT FOR A .,DISTANCE ORIENTATION.... 0 (`1 OF 10' AROUND THE PIT AND BACKFILL WITH CLEAN GRAVEL HAVING A PERC . RATE OF 2 MIN:/INCH IN PLACE. " W - � 4�t...., � 4_i•� �9 t71r1El..Li ..� � Gd'f1' N � �,. 14-` � LEGEND 417. - hRo 11 x 31 p e / 3� C RGS. i 48.s 48.5 i 0 L..EA f-1 G FAC►LI 1 N I i ... ...... .._. EXISTING SPOT ELEV. 23x50 1 EXISTING CONTOUR : w----'-24 CIASTorJE 4g� I > ����--- PROPOSED SPOT ELEV. 24+7 -3. Btj 150.0 - --5 REV BY DATE DESCRIPTION •. N � � i �� 1 LOT Ito pRopaSED coN-rOUR 261 L5. E- • LPJ I .'` - a e I (�,OdB S.F TEST HOLE PROPOSED SEWAGE DISPOSAL SYSTEM .MIN. FRONT YARD SETBACK: 25.00' ` \ \�'` S� ►- �O �- p I a ! MIN. SIDE/REAR YD. SETBACK 10.00' �3 3 2�D.Ob I L= Col•32> U la �� �4 �� �� 1 LOT MAY LA I� a PAVE _. CEQTERVI LL C- C'. GROSSMAN MA. No. 12705 Ct`dR7_ APPLICANT: FIVE C- s v5u1l-�i►JGr 4.SSoG.. ADDRESS: Y o. t'SO X. Z4-G MAY L E fi �rS7E fto: Fo.LMou'T''L-4, : MA ENGINEER: - ''� NORMAN GROSSMAN P.E. ZONING DISTRICT FLOOD ZONE ELEVATION 226 HOLLY POINT ROAD Rc. _ CENTERVILLE , MASS. PLAN REFERENCE: MAP SEC PCL LOT HSE SCALE DATE DWN. BY t CK"D B`! 10L4N NC. BARNST. CNTY. t_.C.C. 4144r5A-2 SITE PLAN -SCALE I.. = 20' l �}--( Q'7?. bl� 4-7 AS NOTED APZIL. 23 Ig�i .iT�i � �� W- zi4- F