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HomeMy WebLinkAbout0066 PONDSIDE CIRCLE - Health 66 Pondside Circle A=233 077 Centerville SMEAD No. 2-153LOR U:1 s 12534 smead.com • Made in USA J`��CYC(cp � 1 WN OF BARNSTABLE -P -P C'f \` LOCATION Nam`C Ci�2GC� SEWAGE 1/ /j-1�. VILLAGE ASSESSOR'S MAP & LOT 13y.G T-T ov INSTALLER'S NAME & PHONE NO:-TVV I-77T•2-1-60 SEPTIC TANK CAPACITY �N-j ` LEACHING FACILITY:(type) size) (QOU G Aa.LjoK� NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER -tIA6r6 CONSI`�2Ucfi-C3 DATE PERMIT ISSUED: -).7 DATE COMPLIANCE ISSUED: to VARIANCE GRANTED: Yes No li .. - `I�w�c.e..c nt v �s,�NT 3►` �f4' • 1�G�uo,..i� - -�'i'IG t'F'tra�1C D•$D1C � , Cdt�(o PR6•C/KT �1-� l�.i�3�aP 12�ST�� � _.. J 4 �33 4- - A� /�/� No....qanw Fss.,� .......4a....... THE COMMONWEALTH OF MASSACHUSETTS 4� �0 BOAR® OF HEALTH 1 Appliration for Biipuiittl Works Tnnitrn.ction Prrutit Application is hereby made for a Perm it to ruct (y,) or Repair ( ) an Individual Sewage Disposal System at: ..�©� 8 .......... .... --........... Location-Address or Lot No. � r..........•..--•-------------•-•----•---•-•------ ' 7.....Elmfsn..�r.......,.oxrtrr�ca/�a�e�: +�...---••---•--- Owner Address W Installer Address d Type of Building Size Lot..-�1. 1........Sq. feet U Dwelling—No. of Bedrooms.....kkirx�........................Expansion Attic Garbage Grinder 4) PL, Other—Type of Building ---------------------------- No. of persons_----_.-------_--._-_--.- Showers ( ) — Cafeteria ( ) Qt Other fixtures ..---------•---•••••......•••••• . W Design Flow..................................SS•..gallons per person per day. Total daily flow.................... 5.0...........gallons. WSeptic Tank—Liquid capacityl.1 gallons Length.152�.(." Width 5.'.. Diameter-.."..— Depth,Y�-. .."... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...flne......... Diameter.....f.;Z�....... Depth below inlet....... _'....... Total leaching area..;3.`?.....sq. ft. Z Other Distribution box ()C) Dosing tank ( ) aPercolation Test Results+ Performed by.._.�ey'y____ +1__--•_ �_ e r8 __-_•-•-_-- Date-.._. ,T ............. ,-,,,a Test Pit No. 1--.-.�.......minutes per inch Depth of Test Pit----J.2,........... Depth to ground water.....:... .......... fT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground w .... . .......... a+ U �f..- s _ *----•---------------- O Description of Soil..... -G-Mom-w� -� I&.._-/'= c� 3,(T'�►E Pt li�l �° \` ' •---•---•-•-••---•----------•-•.............•-•---......... ----•-•--- -----•bpi'S --- 0 rjy ; Nature of Repairs or Alterations--Answer when applicable ........................................ �''" U P PP �ut�fir.0 •-------••----•---•---------------------•-•-----...--------------------- .. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System ' fiance wiek`/AC 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 Compliance has been issued by the board of filth. Signed ....... ......... - ��of 7 9� - ---------------------------------------------------- ------- Date ApplicationApproved By .. . ...... .. ............. ... ........ ty----. .. .. . . .... . ....1......:.-- -- ....................... ..............-........................ Date . Application Disapproved for the following reaso r ------ ...................................... - --------------------------------...------------------------------- .. ..... -- at e a Permit No. �------ :....................... Issued .......... . -- . -.-.. No.... �....�,.�� J � Fps. L/ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..----------�ow'A..................OF........ �Q�,�s /�. .............................................. Appliration for Bispo,sFal Workii Tonitrnrtuart rumit Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: I I-; .�I •- ©� (� ( - .._.�C!t2L:r 9i. .......... .t"�f!_.�.............................. L�!... ............ ....._...._....................._._...................._..... Location_Address or Lot No. .. �Js�P-�C.��.................................................. ?... � �s d�.a��........ Owner Address W Installer Address Type of Building Size Lot___�f ........Sq. feet t-t Dwelling—No. of Bedrooms._... ........................Expansion Attic (44) Garbage Grinder (�) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q'I Other fixtures -------------------------------• . W Design Flow..................................�a---gallons per person per day. Total daily flow....................3.Z.0...........gallons. WSeptic Tank—Liquid ca.pacity.l z9r0gallons Length__.O.: .b... Width SLR... Diameter-----___-----..__ DepthS_.�.�.*'... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.__.t2. e,-_____-. Diameter...... !_--__- Depth°°below inlet........ Total leaching area..3 l....sq. ft. Z Other Distribution box ()oQ Dosing tank ( ) aPercolation Test Results Performed by....4sf! cmeY........... Date------ ------------- ,� Test Pit No. 1......Z._____.minutes per inch Depth of Tesf Yit----12........... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---•------•-------------------------••-•--......-•----•----••. •--f----•-- r e 1 1 fl Descrl tion of Soil----O.-.Z/ 1 S? tl_ .`.rc2_Iasa f 2 Via-"?--_ �at��.!?�R w�$k f x Pyy �y nr L. �y r 10 �'.. ` —l���SC(f�a�t.. 1�..�y'6 JdSe..�-.!_-�llr/-•--- Cf4S/�(( W/i -----------••--•-•-----•--- " W I / / T SYEP} EEt ° x --------------------------------------•------•-•--------•-----------•----•----•-------------•-_---- ----------------------•-----••------•---•---------. ------At-L-N------- rt U Nature of Repairs or Alterations—Answer when applicable---------------------------------------------------------- w1I SON...... T -••---••••-•--------••-••--•---••-----•-------••--••---••--..._._...••-•-••••----•••••••--•----......-••--••-•-•••-•-•---•------•-•-•-•••--•••-•....---••••--•---•• G� /....... Agreement: re4``f"!<a/ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System ' a, iaG ,wthiz�/yZ the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not Ia`'placel the system in operation until a Certificate of Compliance has been issued by the board of health. t'3)� Signed -- --------,� ,� � --- --- -- .-...-..-—-- —........... DateA lication A roved B <, /� :. .... �'F, '^� l��"•� ---------------------- Dace Application Disapproved for the following reasons.-I............................................................................. -------------------------------------------------------- .... ........................... ...... ! ---------------- ------------------------------------ Permit No. `� ^�- ............... Issued ` I I`%?_Dat...... J1 ,!-..--.. ue! . ....- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H ALTH r --------�40d....... OF -- -�''- �.,7`P .l). Ter#ifi ate of (9jantyliance THIS IS jq CERTIFY, That the Individual Sewage Disposal System constructed ( x) or Repaired ( ) by ----------------------N. r)-------------------------------------------- ..................................................... at ..... .. ...... 1 1 = ... r '- . . ................................. has been installed in accordance with the provisions of TITLE 5 fhe S to Env' onmental Code as described in the application for Disposal Works Construction Permit No. ... --'. t dated . - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE'd&STRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ---�� DATE ... - � !7!............................................ Inspector ......... ,..,LJ--------....-----------------.-......-------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H T , .- �. ........ � ......0 F....L .... � E --s. No.... _� .....I .(J.° FEE..... �..` Dispo 3 o k-ronitnution antit Permission is hereby granted__... tia. ------------------------------------------------------------- --------------•-----------••-•---•-•--•---•--- to Construct Re innt nn(�� �In ' d 1 S to ��}'spos Syst � W at No.. F}d �'�' e '. ..�{ --- s- , as shown on the a licati n for D' osal Works Construction Pe it No.__. PP P Street A. _`� ... -------- ._ f -C. Board of Health DATE >--�; 6'•=--• .1--�-�-`- ----------------------- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS . BREAKOUT CALCULATION. PERCOLATION SOIL TEST PRECAST CONC RETE RISER, AS REQUIRED „ 10 MIN. DATE OF SOILT SEE NOTES 2 do 3 TES 4 SCH. 40 PVC PIPE WITNESSED BY c f 1 L> .. G MIN. PITCH 1/8 PER FT. PERCOLATION RATE MIN./INCH T.O. FOUNDATIONBACKFlLL WITH <. 8•.M IN. TEST PIT 1 TEST PIT` 2 fRrf r S. CLEAN SAND 59. ELEV.- ELEV'.= _0.00 rr lb- `t Z a +,E F J PITCH 1/4" PER FT. / < ,� s -Io.Q 4p A , FLOW 1:INE Ll 2 LAYER OF; hI�Q �1t�G �.- �7n1 2 1/8" — 1/2" / r Le WASHED STONE' sz.3 s2,o r > < WATER LEVEL ADJUSTMENT: DESIGN CALCULATIONS : LEVEL r 4 { a.--o. 5,.s , r Li LIQUID i NUMBER OF BEDROOMS 3 x 3/4 1 1/2 LEVEL G TEST DATE" WATER LEVEL GARBAGE DISPOSAL UNIT r. F WASHED STONE L _11 / 3 / TOTAL ESTIMATED FLOW ' DISTRIBUTION w - y INDEX WELL (JZA GAL/BR./DAY X 3 BR.) 4 3 GAL DAY BOX / w WATER LEVEL RANGE ZONE REQUIRED P ! / ` . Q D 'SEPTIC TANK CAPACITY ��..�GAL � r 45.3 DEPTH TO WATER LEVEL FOR INDEX WELL ACTUAL SIZE OF SEPTIC TAN .., � K La�AL FOR THIS MONTH LEACHING AREA REQUIREMENTS SIDEWALL AREA ! GAL./S.F. WATER LEVEL ADJUSTMENT /5"04GALLON SEPTIC ,TANK o r BOTTOM AREA GAL./S.F. h E LEACHING CAPACITY (BOTTOM (cf78 ( TTOM + SIDEWALL) GAL '7r I DEPTH TO HIGH WATER , . RESERVE ? SEWAGE DISPOSALL z E LEACHING CAPACITY 6 6 GAL. .a SYSTEM PROFILE NOT TO SCALE BOTTOM OF TEST HOLE _ (�r.�q waft.- ►r•.-r_I -�-rr�� I.,or .: NOTES: LEACHING PIT 1. ALL WORKMANSHIP D AN MATERIALS SHALL CONFORM TO D.E.Q.E.` , TITLE 5 AND THE TOWN OF 1API`IT-I3_ RULES AND 33C1 ft'ccSul7e♦<ran f�lteviiii Flaw REGULATIONS FOR THE SUBSURFACE DISPOS AL OF SEWAGE. 46, be-)I = 4'l,5 4.0 Y. a a 0 G Po ` 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO xt Z � P 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 CAPABLEr • f e. 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 CONTROL SEE LEVY, ELDREDGE & WAGNER FIELD NOTEBOOK # 7—S2 r� 6. WET L.A N 0 L_0GA-rI0N _ FLA GGE D �Y _w o C3v,.Ar,>rozD . L. HRL.L ON 9- 2." 8" - .-.\ l x rti _ ,'` �` ��� ' � 4 LEGEND: i , 14 EXISTING SPOT ELEVATION OOXO EXISTING CONTOUR-------00----- FINAL SPOT ELEVATION FINAL CONTOUR k \ x SOIL TEST LOCATION TOWN WATER W W Q \ Z SEPTIC TANK 0 DISTRIBUTION BOX ❑ PRIMARY LEACHING PIT •�+ f /� / /I... RESERVE LEACHING PIT ` 1 CS , vr _ vxr� a t /'a lai 4J ? e w!F 1 w !i6•� INITIAL ISSUE 5,1 NO. DAZE DESCRIPTION BY .. .. .'e -.: - ram••^ ,, �" � ,. 1 ,'. ,: F__ F_N e5� VIA r� S o a E f�p�. >. / �j � , t A--" SCALE. � - JOB N0. { Zar� �:•��`�, r . . ; rw tt Zy f STEPHEN �. Wx ALLY j c.� WILSON Nm 2d6 ,�A, P A PROVED. BOARD OF HEALTHIST -� - , A LEVY . ELDREDGE & WAGNER ASSOCIATES LOCATION MAP . DATE AGENT ENGINEERS I�NDSCAPE ARCIi�'1'BCfS PLANNERS IdND SURVEYORS , .. 889 WE ST T MAIN STREET CENTERV= MA. -02632 , 1 e I _