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HomeMy WebLinkAbout0019 PUTTER LANE - Health a N aMEAD KEEPING YOU ORGANIZED No. 12534 ° 2-153LOR SUSTAINABLE FORESTRY MIN.RECYCLED INITIATIVE CONTENT 10% Certified Fiber Sourcing POST-CONSUMER www.sitprogram.org SFI-012W MADE IN USA GET ORGANIZED AT SMEAD.COM . .r No. ./ `. � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /..:d.L!VI.r7..................OF....av!.7�./.,,G�................................... Applirativit for Disposal Works Ton,strurtion rrrmit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: /- ..GE........ ._...._ ... ocation-Address or Lot No. ........................................ ------------------------------------------------------------------------------------------......•. ,, caner Address.... --��------!�� •-ST— ........: /A�AA .......... Installer Address Type of Building Size Lot.Z-:&_a o._Q_.....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria 04 Other fixtures -------------------------------------------------- W Design Flow........................- .___.•_.gallons per person per day. Total daily flow..._.........�_�..4?..._ .........gallons. WSeptic Tank—Liquid capacity/oo o.gallons Length. _.G.". Width!t=� . Diameter................ Depth,S'.'.7.` x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...... ............ Diameter/ _` ®..` Depth below inlet.:<?....... 4' Total leaching area._?Gl.....sq. ft. Z Other Distribution box (x ) Dosing tank ( ) — -2.5-'7 Percolation Test Results Performed by. _ __ .:ls�Q:��f....�.�..�:...... Date...,.vf,...a....!.� Test Pit No. l....&........minutes per inch Depth of Test Pit----- G._t ._v Depth to ground water.....Z� 1 ...... Test Pit No. 2......�n......minutes per inch Depth of Test Pit..../.4L .y Depth to ground water.....,. ...... / 2 � A? =....--••-•--•.............•......................................................... Description of Soil.......... ---•----------•-•---�- �-G•y--•--- so.t --------...Sr,.�_sa_.•i p — 168 ...................W ....................................................................... �� �y y c w e.D.-.-�— �.ue✓ K obi r-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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance h ee issue by e oard of health. Signed ...... .......... --.... ...... Application Approved ..,R--- ................................................................... ...�.'��.... . Dare Application Disapproved for the following reasons: ........ .... ...................................................................................................................... ................................................................................................................................................................................................................ ........................................ Permit No. �........... .e................ Issued ............ �r, Dare . . r No..�f. .....��..r..47 Ficis z�.�.�--=� THE COMMONWEALTH OF MASSACHUSETTS _�� BOARD OF HEALTH _l.d P..VoT.................OF..... Appliratiun for Dispusttl Works Tonstrur#tun rrrmit Application is hereby made for a Permit to Construct (.K) or Repair ( ) an Individual Sewage Disposal System_at: .........�(! r✓ fa/ C ...-/"+�N M e!t/f f�co r �e�......•...�................................................................. ....... .. ......... ....._..... .............. - Location-Address or Lot No. f--------------------------------------- --------------------------------------- ................................................... - — Owner Address W Instal ler Address Type of Building Size .....Sq. feet Dwelling—No. of Bedrooms...............:�_.................____...Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ............... No. of ersons___..___.___................ Showers YP g ------------- P ( ) — Cafeteria ( ) a' Other fixtures -----------------------_---. .................................................... W Design Flow.......................... `�%..._._.._.gallons per person per day. Total daily flow...... ------ .............gallons. WSeptic Tank—Liquid capacity.Z -.agallons Length-_�'.� ."Width.</':.i�`'Diameter................ Depth...,V.-.�.7.*' x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No........ ----------- Diameter./Q.`... Depth below inlet................... Total leaching area... _ ?l....sq. ft. Z Other Distribution box ( x) Dosing tank a Percolation Test Results Performed by---!1." ,.a Test Pit No. I......?........minutes per inch Depth of Test Pit......?4_.<?..NDepth to ground water.......!Z4_..... ti. Test Pit No. 2....... :......minutes per inch Depth of Test Pit-----1 _.?'...�Depth to ground water--__--- .. ..... ODescription of Soil............................................................... .._- -?-!11 rl 7- ^ry>��.�.�.......... v 4 y _....--^......................s✓I�........5:��t�_t.r-r. . !n/f..Sn.. .........F....'i...£..t'..^__"'f..._........ 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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance been issue b he board of health. Signed ......... ..... ..................... ............................................................... ! . Application Approved Date F Application Disapproved for the following reasons- -..................................---............-----....--------------................................---.....---------•------..... ....................................................................... .................................................................................................................................. ........................................ Permit No. "p ........ Dale ...-..r.''�... ...-�.- �.�-----....... Issued ------------��--`'��Da`"�...-°.Q- - THE COMMONWEALTH OF MASSACHUSETTS • BOARD F HE ..... OF . ................ ..............-....... ............................ 011EL'ttftratr of Qlautplinurie THIS IS,1W CrFF�� ualSeo a Di ystem constructed ( �r Repairedb ............ ----..-... .... ....... .... .Y ................. ..................... ........... at ............................I'd ...................................---_ ...... ..................... -------------------- has been installed in accordance with the provisions of TITLE of The State Environme al Code as described in the application for Disposal Works Construction Permit No. ..-�ASRXD . ... - -• -.... dated ....-- -.,-.. - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT'�kE COAS A GUARANTEE THAT TI4E SYSTEM WILL FUNCTION SATISFACTORY. DATE........ � ' � Ins ecto ... . ...I.. ....... ..... .......................... .------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF � Disposal Vorkii Tunstrnrtiun Itermit Permissioni hereby granted...........................................•-.••---•-----•--••-•.._..•••.....•••-••--••..........••••-•............................•••...... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo............................................................................................................................................................................................... Street IN A_s. as shown on the application for Disposal Works Construction Permit 14✓- • ated.... Board of Health DATE................................................................................ Form 1255 :H.WD HOBBS&WARREN TM Publishers TOWN OF BARNSTABLE 4 f/ LOCATION / SEWAGE # VILLAGE iv ASSESSOR'S MAP & LOT � ,, I. INSTALLER'S NAME 6i PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 1,21? G ) (size) DLO NO. OF BEDROOMS PRIVATE WELL OR UBLICf WAT R BUILDS R OWNER] DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No� �Ack a� � e�S�• ��'e Arl j e o � e �� y sae "l 1 I t.±. �x.�, NOT TO SCALE TOP FDN. FINISH GRADE .L`'' FINISH GRADE OVER Et . ems; 5' ,a,•..,• FINISH GRADE OVER FINISH GRADE OVER ..�. DIST. BOX SEPTIC° TA&K LEACHING PIT =`> 12" MAX. � + /1 3" OF 1/8" !2" MAX fia:0. :o + .20;..;a: O.":P'^. .e: :e' a +G1•'/:•:e' A ° SHED PEAS TONE PRECAST CONC. OR BRICK G MORTAR P3 OUTLET PIPE LEVEL r ' .,•- ' TO 12" BELOJ✓ GRADE FOR P FT MIN . .a•�e..o:Q d:b,Fe: u:e:b:pQ,•Qo.!o:'e rk to.% O'0 C. I. OR PVC TEES' BSMT. FLR. GA L L �9 yB :a e Dis TRI UT.Z'(.J .; o' • °: ° `° PRECAST CONCRETE INSTALL ON LEVEL BASE 3/4" TO 1-1/2" a WASHED i P C T a•,;.:p.'.: — 0 REINFORCED SH) i � CRS,d'J/-"ED e ' j a CONCRETE b m °: STDNE .a';e,, b..o.a�.0.0 D4:A.p:Qa p'Ap�.�, aQ0•�O d•.e 6 O. ®�O.®.I ." ' d H 0 RE INF. I SEPTIC TANK � :°:, D INS`TALa. CJI�'' LEVEL BASE �.. ,,a ;. f NOTL. EXCA VA TE` TO ELEV. - OR L DEER TO REMOVE ALL IMPERVIOUS MATERIAL BENEATH THE LEACHING AREA 20--0 " 2 '-0 " REPLACE EXCA VA TED MA TERIAL YrTH 6 ._O CLEAN, CLAY FREE SAND 101-0 EFFECTIVE DIAMETER 0-ENERA L No TES L E .�A/ PIT -1. ALL ELEVATIONa SHOW ARE BASED ON ASSUMED INSTALL ON LEVEL EASE 2. A L L P.IPE'.G .Tr'4' T-fa' SYSTEM MUST BE CAST 1'RON 31. T ' a0 Cl ¢fF��f .T r3�U. T d6 "!`�C O I .f_ J� P�T ' T �E` V+' .-/, _ .-, c-`✓/ WHEN CONSTPUCTION IS COMPLETE PRIOR P-8207 . TO SA CKFIL L ING PERCOLATION RA TE:• 4. ANY Cf,ANGES IN THIS PLAN MUST BE APPROVED 2 MIN./IN. ,L z r B Y THE DOARO OF HE TH AND CAPE G ISLANDS �3I TNESSED BY* SURVEYING CO., INC. G. DUNNING a'. MA TERIALS AXL IAISTALLA TIDN SHALL BE IN COMPLIANCE MrTH THE STATE SANITARY .---l:lA9ZLcZ-8P0. OF HEAL TH DESIGN DA TA CODE - TITLE V - AND LOCAL APPLICABLE DATE: •a ! RULES AND REGULATIONS PI TS 1 G 2 NUMBER OF $E'L.IRODI�IS 3 6. NORTH ARRO f IS FROM RECORD PLANS AND p " 5 I; �� / IS NOT TO E: U5 'D FOR SOLAR PURPOSES �`� GARBAGE DISPOSAL NO , 7. FLOOD HAZARD .�DNE' TOPSOIL G S� h �Y �E��t) DA IL Y FL 0, 3,30 GA L . ®. YA TER SUPPLY TOWN WA TER 36 SUBSOIL � SEPTIC TANK 8E0 'D. 1000 GAL . 3z o SEPTIC TANK PROVIDED 1000 GAL . LEACHING REQUIRED .330 GPD. MEDIUM SAND SIDEYALL ARF_A = 15 7 S. F. 0 S. F. X v v BOTTOM AREA =� S.F. LEGEND _ -7_9-.S.F.X I a F. _ �—GPD `o / L EA CHING PRO VIDED = :!�,71 GPD PROPOSED EL EVA TION 144" NO GROUNDNA TER 3 9 EXISTING CONTOUR OBSERVA TION PIT _o f DrS.TRIBUTIDN BOX ��1� �'� N PROPOSED SE I, GE DISPOSAL SYSTEM JAMES O LEACHING PIT a` No. 2939� PREPARED FOR SEPTIC TANK :�'F\�SG��,,,°f ®A CEY HOMESN 79, / R i R SERVE /'� 15 (HOUSE NO. 19) PUTTER LANE ' BARNS TASL E — H YA NNISPGR T — MA SS. =,-�� 7o PIPE INVERT ELEVA TION DAVID CHARLES 4 ', DA TE.%4v;, 2�3 /99f Z PLOT PLAN N SA NIC;' ' CAPE �'' ISLANDS ENGINEERING �'7 SCALE E , S NOTED 133 FAL MOUTH ROAD — SUITE 2E �A a. SCALE: ? "• © ' <i7 �'r^ / �_� / r T 9� o � __ JTE•R 3 2/ MAP ,SEC PCL LOT `' ��r�� ' PLAIN N®. ���r � �/ 14AS PEE, MASS. �, SY115TEVIf PROr LE NOT TO SCALE TOP FDN. F1,YISH GRADE 5`� � FINI.57H GRADE OVER EL . �` FINISH GRADE OVER DIST. BOX FINISH GRADE OVER °''•o''e SEPTIC TANK -�� 'p''','O•• � �,��� �^����� �'Q7/7� �C�i,�'�"' L EA CH1NG PIT �5 ,0- c� 12' MAX. r" i�"� �E� {y y.�''��• d 'o.'i' ''Li.••4;e•lt •a:®:s•,d•�'®'a'.khb.s:®•:p.. d'.�•.al.., .F m, a•.A: "• ® w7 v OF 1/8" .i/G " 1�C ' /7AX j e PRECA S T CONC. OR ASHED PEA STONE ..:o• �: 311 0 MOR TAP ... OUTLET PIPE LEVEL TO �'2" BELOY GRADE o:o_, o _. _.. , •' FOR 2 FT. MIN. ..�Q:•! '�'. 1..,.�..�.—...M,y�. .O.• .o. ♦•. :b.'�s: .u ,. •a. •Q,•e:o C: C /6� 114� i j:p .o e (,gym,�) 721 4 a: o•. :•.8 SO, �'O 6.: �'' Q/��� �:..•;° ® r C. I. ®R PVC TEED .'• , LE�E - o0:;0'0. 1:p• o .d,'p•°p•D.•0. BSMT. FLR. EL . ,y/g, ;o O Gt�L L m` . 1=Tpli9u T., CN BOX o 'a PREC 5 T CC 'CRE7'E" INSTALL ON LEVEL BASE , ,,� TO _1/2" o. o a ea•,'o'.•e:'o: q HASHEDRECA S T o'.:0... H .1 D REINFORCED o CRUSHED � °a � sR d. CONCRE TE o,o. . STONE D.;c:• tbo-o:a c a:a 0 e o.p AQ a�d.00a�P° ®Q;Q;, 710 o: ' H— 0 REINF 'd:e• •a • :e' :e• 'o. SEPTIC TANS' INSTALL ON LEVEL BASE NOTE:' EXCA VA TE TO ELEV. OR ,.o.a• .:'o o: ;4 L OMER TO REMO VE A L L IMPER VIOUS — MA TERIAL BENEA TH THE L EA CHING AREA 2 *—O " 2 •_O " REPLACE EXCA VA TED MA TERIAL i(I TH CL EAN, CLA Y FREE SAND D •_® „ EFFECTI VE DIAMETER 60,VERA L NOTES LEACHING PIT I. AL L EL EVA TIONS SHOWY ARE BASED ON AS°SUMED INSTALL ON LEVEL EASE \ 2. AL L PIPES IN TAZE SYSTEM MUST BE CAST IRON j 7 3/t7 Nv>OR SCf/AR-{yvDULE^ 40 PVC. �•y �5 T, PIT .Z3c, tr �. !q H'�E BGJLJ LJ'i`�' .�." .C= Tl7 MUSTMUSTii: 1F1''EL HHEN COOS TRUC TION IS COMPLETE PRIOR P-825.7 TO BA CKFIL L ING PERCOL A TION RA TE' 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED 2 MIN./IN. -emu 71,/ � A-• � c, ,-7 9 BY LTHE BOARD OF HEALTH AND CAPE G ISLANDS YITNESSED BY+' SURVEYING CO., INC. __ ��2� �Z �-�Y'f B. MA. TERIALS AND INS TALLA TION SHALL BE IN O'. DUNNING �� COMPL IANCE YI TH THE STA TE SA NI TARY � E BUD. _ HEALTH DATE: , ,I TA G o I y --_� '�" CODE — TITLE V — AND LOCAL APPLICABLE —AUG!1G�J �,gg�t •"�. RULES AND REGULATIONS PI TE 1 C 2 6. NORTH ARROY IS FROM RECORD PLANS AND 0 u �/ � NUMBER OF BEDROOMS 3 _L r 15 IS NOT TO BE ' USE 47 FOR SOL A R PURPOSES TOPS0 OIL 6 G'�RBA GB DI.SPOJA L NO 7. FL OOD HAZARD ZONE DAILY FL OPI 330 GAL . SUBSOIL a s� c /� 8. YA TER SUPPL Y. TO,��QI-1.A TEA 36„ SEPTIC TA RE•� °D. .1 00000 -GAL . � A SEPTIC TANK PROVIDED 1000 GAL . • z • 1 0 N L E,A CH ING REOUIRED 330 GPD. fvl� �S/-r•Y (� MEDIUM h � SAND ,SIDEPIALL AREA S. F. '" ✓ 79. F.X •• G/,S.F, � ­392SPD V � � rxisf BOTTOM AREA .zgS.F. Ll�END _z9_S. F. X f .C2., F. _ , -q GPD LEACHING PRO VIDE — yT% GPD 2 ° `� ---�----PROPOSED ELEVA TION .144 N NO GROUNDNA TER 3 t1l STING CONTOUR OBSER 1A TION PIT _ DISTRIBUTION BOX �F ——� PRCPO SED SENA, GE DISPOSA L S YS TEM ^ � ,?v1S �^ Q LEACHING PIT ' PREFA RED FOR 0 o SEPTIC TANK �+, `-=' •:' '" D,A CE"Y HOMES j R;, RESERVE L 0 T 15 (HOUSE NO. 1.9) PU T TER L A NE i;VA BARNS TABL E HYA NNISPOR T — MA SS. PIPE INVERT ELEVATION y T DAVID � � (o CHAR ES InDA TE.+,4,, SANIC�Kl '� '' CAPE" 6 ISLANDS ENGINEERING '`/7 PLOT PLAN S 28085 SCALE A5 NOTED SCALE: 1 3<D 9 \�; � sTER�os��� / 1'33 FALMOU7H ROAD — SUITE 2E 34i BA MAP SEC PCL LOT PLAN NO..5 3 ,� MA SHPEE, MA SS.