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HomeMy WebLinkAbout0019 PONDSIDE CIRCLE - Health /// S M E A D KEEPING YOU ORGANIZED No. 12534 2-153LOR OSUSTAINABLE MIN.RECYCLED FORESTRY AM INITIATIVE CONTENT10c/a Certified Fiber Sou POST CONSUMER www.sriprogram.org SH-01290 MADE IN USA GET ORGANIZED AT SMEAD.COM I (/� TOWN OF BARNSTABLE C, LOCATION ! CJ P)nC [c)(' C` Lo+ Id SEWAGE # c3 VILLAGE_ r21NVtS`1\\\.4— ASSESSOR'S MAP & LOT 8y elfj� INSTALLER'S NAME-& PHONE NO. 7 7Y 'So`ri SEPTIC TANK CAPACITY LEACHING FACILITY:(type) `rf h. rS (size) LtJ NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATER, BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No Gc r� A �o Qom 3 3 a p 4z (3 A-a 4 ko CJ C�o� Ce AQ, Alt �0� x`3 ASSESSORSmew. �y . y - PARCEL N0: No.��N� ( THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH %d.tmll----------- - ------0F.......��t rn S- it.5/t.._...---------------------- Appliration for Uiipnsal Works Tomitrur#inn rrrmiv/ Application is hereby made for a Permit Construct (X,) or Repair ( ) an Individual Sewage Disposal System at: 2/ iot a d �e.�oPs.44- C.,-•e./� sesso�s o� �a _ - >,• _---------- -------------------•--------•--- .... 1:.. 11? -23g., �a ....... .. Location-Address or Lot No. .................................................... i 0 S��IF+Rlnrf.�__�e�ta�cs.0_} 4e.�i Ylr! ._.�z�?�2�-•------- Own r Address N. a - ------------- Installer Address Type of Building Size Lot---- 4,•713_.._._.Sq. feet -� Dwelling—No. of Bedrooms---Four:.............................Expansion Attic (&/a) Garbage Grinder (41b) Other—T e of Building No. of persons............................ Showers a YP g ----•-•---•---------•------- P ( ) — Cafeteria ( ) dOther fixtures -------•---------------•--------••-••-•:--------••-•---•••------------------------•---- .._.......•--.....__....._..._............................... W Design Flow..................................5 ..gallons per person per day. Total daily flow.._..._..._.._________.._._4.4-0....gallons. 04 Septic Tank—Liquid capacity S9.gallons Length14_'.4".. Width_S�_&"__ Diameter................ DepthS 9.".. x t" o Disposal i—No. .................... Width...1_Z.---------- Total Length_.s�.O.-_•••--•• Total leaching area... ....sq. ft. Seepage Pit No..................... Diameter-_-_-___-_-_----_- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X) Dosing tank ( ) aPercolation Test Results Performed by..C_.--Fa4.lcQ...................... Date.-3 y/ye---_-____---_------ Test Pit No. l.-PA_m-----minutes per inch Depth of Test Pit....u.1.......... Depth to ground water...'..... LL, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.' R'+ --..._.�...-----•-----•-•---.........•-•••-•-•.................................................................................. 0 Description of Soil...... .-ll...... ...................................................... ...................... �lTl l tE�l. V ........./1i-..S....._G.r-.ua...Wyt!�Id-"s.-•-•-••-------•-•--••••-•-•-•------•----••--•-•--•••----•---......••••........... AL LYN _121 W ....... .........................5........ ., ......--�h�lcr i�um.._�onc ............................. WILSQ#�! U Nature of Repairs or Alterations—Answer when applicable---------------------------- s !V ....................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in ordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned f agrees not to place the system in operation until a Certificate of Complia has been issued oard of health. CC� Signed ---- --------- I... --... ....----- Application Approved B .::-..--- ...... ----- ---------- Dare Application Disapproved for the following reasons: .......... . ................... ........ ... ........................ . ............. ....................... ........................ .................... . .. . ........................... ......... � .......... Permit No. ......9. "�.`..; .............. . . Issued ......�c ....._/. Date...... a No..... .j ._..� Fas............ /0 ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �.w•• O F.. -- .�.+��s 6/� .............................................. Appliration for Uiipuiittl Works Tomitrurtion rrrmit Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: ....Lor..� �._.Cno.�.Lsi ---- f�sscsso.s �u .23�F �sricc .......... -- ----•-----------------•••• F� �._....... ..�.... Location Address or Lot No. ..................................................... --• 0 5� ►�a s�rc� I,a,�.a�..f i �.hr!:t ..�Z��?1..-- Owner ------------------------••---__-___--•--____Address Installer Address Type of Building Size Lot....!a-j 7 a...-•_Sq. f t Dwelling—No. of Bedrooms____FQu r'____________________________Expansion Attic (Ala) Garbage Grinder aOther —Type of Building .............................No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -------------------------------------------------------------•----•---•---••--•-••--.._.....-------••---------------•------••-----•--•--.......---•-- W Design Flow....................................`r__5._gallons per person per day. Total daily flow.............................. ...gallons. WSeptic Tank—Liquid capacity.)_�F9Pgallons Length_/0_1. Width.A_ &."._ Diameter________________ Depth.s.t_8". x Disposal Tr —No..................... Width.....1.Z---------- Total Length.... .O_....... Total leaching area..... ...sq. ft. Seepage Pit No.--_____--_-- ------ Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing tank ( ) / aPercolation Test Results Performed by---G; F,t-4�1----------------•-••------••...................... Date....rwliliq........__......_.. Test Pit No. 1....� ...minutes per inch Depth of Test Pit------I.y!.____.. Depth to ground water... .............. Gt, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.......... ._. ....... .. D Description of Soil....•... ' x - i t ti1 ...................................6__t.. 4-V-•----- ------------------------------------•------•--------------...-----------....: J LLLM..... U Nature of Repairs or Alterations—Answer when applicable.............._.._..__..._____._........___..................._., .... .....W! L ---------------------•------------•-•-----------•---------------------------------------..._._.....---•-•--....-----------------------------••----•--------••--••--•------. Agreement-. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in a ie/9yL• the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to pa 't system in operation until a Certificate of Comp ' nce has be i e oard of health. f� r Signed . ... ... .. /..................... �f - Application Approved ..... - Y. .. � ...��' �� --------......................... ...... ..........................----- Dare Application Disapproved for the following reasons: ........ ...................................... ...... ........ .. .............................................................................. . .......... .................................. ....................................... Permit No. '.` .. ......................... Igsued .. 41T�."_ Dare THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH ................ OF ------------ r � �� ....�P... VEertificttte of Crompliance THIS IS TO IdTlkl', That the Individual Sewage Disposal System constructed ()c ) or Repaired ( ) by ......................... \- /.'..(..........---.......1 .....--...................... ............. at -....L !. ..........�. �...-.. ..k.....--- ......t. ...In............. .........//0......................................................................... has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code a&described in the application for Disposal Works Construction Permit No. --.. -....�..7................. dated ....../....7' ....--. ......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...._:.�:........ ........ .......................... .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....... .... ..................OF........... No..... /. FEE........................ Displasal Workii Tu trurtwn Prrmit Permissionis hereby granted.........S,� _.....---••............... ...............................................................•.............. to Construct ( or Repa' ( ) n Individual Sewage Disposal Sys.at No..---... em -l..`, ., ..----------•--------•-•------•--•--••--••--•--...--- Street c� as shown on the application for Disposal Works Construction P it No.9s-'-12 . IDated__--- /-__ ..... _ (r Board of Health DATE ----- --- --------•L---•••....._.... Form 1255 H HOBBS&WARREN TM Publishers 4 bdrm. washed stone =E o 2" peastone Polyethylene Leaching Chamber N U H-20 0 • ° o - 0 � e � a e Q eQ ° I e \\\///\\\///\\\///\\\///\\\///\\\/// \\\///\\V//\\\///\\\///\\\///\\\/I 6" �-2.8!-� 2.3' �-7.7L� 2.3' �--7.7L-� 2.3' �-7.7!-� 2.3' �--7.71-� 2.3' �-2.8L� 6" 49.0' 50.0' Effective Leaching Area PROFILE `` no scale gTEPHEN ALLYN WIL'SON No.30216 Q 3/4" - 1-1/2" 315 A washed stone — - - - - - - - �- - - - - - _ IQ I oIa, U O U O U O U a N O N a N O N O N �. J = J = i t L t 71� �o ^ T T T I a o n a a° a LA 4" PVC PLAN 3/4 — 1-1/2" no scale washed stone c L Note: Effective width is 6" wider on all sides of the actual bottom area. E; N U 2" peastone 4" sCH 40 INITIAL ISSUE ,-4 W PVC - - - - - - - NO. DATE DESCRIPTION BY TP.\ly.Vthyl/.,, e Leaching Chamber I7 "-20 ° 44,3 LEACHING FACILITY DETAIL Inv, el ev \\\///\\V// Bottomof.75'- 7.5' ;n system elev. __ .. .L�r l2 1�prscQale?e Cl�eie - n TNarnr�S R, R�Go BOTTOM OF TEST HOLE OR USGS PROBABLE HIGH WATER LEVEL 8ri J SCALE: None JOB N0. 1�62 A leachfac LEVY, ELDREDGE & WAGNER ASSOCIATES INC. SECTION A—A ENGINEERS LANDSCAPE ARCH9ECTS PLANNERS LAND SURVEYORS no scale 586 STRAWBERRY HILL ROAD CENTERVILLE, MA 02632 20' MINIMUM OR AS INDICATED ON PLAN NOTES: �a 10' MIN, 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM ,TO D.E.Q.E „L MASONRY EXTENSION TO 12 TITLE 5 .THE TOWN OF _--- -1= '�__--- RULES AND �v e BELOW GRADE 4 P, TOP OF FOUNDATION BACKFILL WITH REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE, 8 MIN. a Q CLEAN SAN MASONRY EXTENSION To 12 AND THE REQUIREMENTS OF THIS PLAN. �: / — BELOW GRADE ?,a, .«s� T i, 4 t ys „r- vtPQ1Fk � 2. ALL COVERS TO SANITARY. UNITS SHALL BE BROUGHT TO WITHIN 12 OF FINISHED GRADE. 4 . PIT 1 f8 .PER FT.40 PVC'PIPE MIN. • - 3. ALL MASONRY UNITS USED TO '.BRING COVERS TO GRADE- Sf4�a.tLSi,v CH . sv � »r 1 4 P fj LAYER OF .: SHALL BE MORTARED IN PLACE. ER FLOWLINE . i 8 — `1 2 / f 4. ALL 'COMPONENTS OF THE:'SANITARY SYSTEM SHALL BE CAPABLE P�� y 10' TEE WASHED STONE µ� �• — m OF WITHSTANDING H 10 LOADING UNLESS ..THEY ARE .UNDER OR 3 MIN.... Fi'i < 2 0 2 YIN. LEVEL. WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H 20 LOADING --- - :. ' SHALL, USED UNDER OR WITHIN `10 FT. OF DRIVES OR � r � BE ED ER MIN. 3/4 — 1 1/2 LIQUID < _ ED STONE PARKING. LEVEL DISTRIBUTON W _ I DEED 5. -NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DE eox r ' W i - RESTRICTIONS OR ZONING' REGULATIONS. OWNER APPLICANT SHALL t /. OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY. LOCATION MAP 5'<0 GALLON SEP11C TANK T CONTROL, SEE, LEVY ELDREDGE z 6. HORIZONTAL AND VERTICAL C L, , I I ASSESSORS MAP - F3��ewrz -'i-,� :.�'� L � � z� E PARCEL & WAGNER FIELD NOTEBOOK tr LIQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW LINE BOTTOM OF TEST HOLE Lo-r , 4..FEET 14 INCHES , OR USGS PROBABLE HIGH ,WATER LEVEL 5 FEET 19 INCHES 6 FEET 24 INCHES t, t x 3? 3 '# a GG7 X 4 4q o G cG +� � INTERPRETATION: CALCULATIONS CURRENT ZONING -INTE PRE DESIGN DISPOSAL < PROF SEWAGED 5 OSAL ILE _3t MIN, FRONT SETBACK FEET NUMBER OF BEDROOMS NOT TO Ncarc 5 10 GARBAGE DISPOSAL UNIT � MIN. SETBACK FEET: 1 l �'mt woriz _sh11 cvnW►s p stc.lcc I,c 'Ivcsk r �r ►tcc TOTAL ESTIMATED FLOW 2. All roa 1cac�cr-� s��i( be �oph�c4�e�R -1� �.Q� we.tts TES.. � MIN. REAR SETBACK FEET ` It© GAL./BR./DAY X � BR. O GAL. /DAY REQUIRED SEPTIC TANK CAPACITY GAL. ACTUAL SIZE OF SEPTIC TANK --o© GAL. �. •. P- 754d LEACHING AREA REQUIREMENTS PERCOLATION SOIL, TEST .,� ,- 6 �- -- rAREA— _�—�- -: BOTTOM AREA GPD./S.F. t ' DATE OF SOIL TEST �' - = GAL/DAY 'X - r. =sue— GAL DAYTEST BY C, oLa BOTTOM SF x ,� GPD/SF _4 WITNESSED BY � PERCOLATION 'RATE 2. MIN. INCH SF -6 GAL DAY BREAKOUT CALCULATION: TEST:.. PIT, #1 TEST :PIT #2 ' C I Z. . ELEV.= 4 7,7 ELEV. L 1NSlT- a �- \ 0.00 -0.00 \ °D w --� rIJ / r, _X0 LEGEND: - - • r►-* fi7 �.. _may�.�V � I•t¢C�ivrtV ..iEt n,y(f wELEVATION - V i \ : EXISTING SPOT ELE ATION 000 EXISTING CONTOUR X ----- _ — � : 00 r� r _, .. FINAL SPOT ELEVATION 00.0 ` r r w L't,.. FINAL CONTOUR SOIL EST PIT LOCATION - - S L T , o! BOTTOM OF TEST HOLE BOTTOM OF TEST HOLE- . - - W n OR WATER-ELEV. OR WATER ELEV. ' TOWN WATER W �a G i uue {� c <, _ SEPTIC TANK o 0 � S N tl� ! I r o DISTRIBUTION BOX s . . PRIMARY ;LEACHING PIT/ , PRIM WATER LEVEL ADJUSTMENT. _ V ACHING PIT R � I � � �,I RESERVE LE : L f I TEST DATE WATER. :LEVEL.. . .. J _ :INDEX WELL ID ` WATER LEVEL RANGE....ZONE 1 / !0,4 'INITIAL ISSUE DEPTH TO WATER LEVEL FOR INDEX WELL N0. DATE, DESCRI PTION BY f :FOR MONTH OF: k T I E PL AN S E7P C � IG N � . WATER LEVEL .ADJUSTMENT f� DEPTH TO HIGH WATER LoT 1 � PQt, ncs%Dc- ,�.LC Mom,!U5 ,� ` -I ktA1'rm �v zap a _ r: . t-�"t" 1 _se, � � APPROVED. BOARD OF HEfiLTH N><N , �A�(P�.ta �.�..-.f STEA „ ALLYN ,X WILSON O. 6 5c.afk.Jbc.- G . / 9 o SCALE, f JOB N l 7 No.30216#� ,' S A CY. T SITE PLAN DATE :AGENT G VY^e�C " v C. On�l1t Y/.z C...X �'�'7 -..., �;+!'w ...� . .•c LEVY ELDREDGE & 'WAGNER ASSOCIATES INC. . F}AV Pit t T S�f� a4 � ENGINEERS LANDSCAPE ARCAITECTS PLANNERS LAND SURVEYORS PERMIT # 889 WEST MAIN STREET CENTERVI= MA 02632 NEW ENG!AND'REPROGRAPHICS d SUPPLY CO, 7,. '~