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HomeMy WebLinkAbout0065 WATER VIEW CIRCLE - Health � � i j / l � � � � � . F-Y Q o No.... :62/--;, ilad........ THE COMMONWEALTH OF MASSACHUSETTS 7 j— 37 BOAR® OF HEALTH ......4 Appliratiou for RspwiFal Works Toustrur#iun remit ppli tion is hereby .made for a Permit to Construct ( .1'f or Repair ( ) an Individual Sewage Disposal System at: L oT -/ !�1/ fir Ce• .........................................•--•---• -- -•-•.........-••••--•--•-••...._........... l ... ..._...... .....- Location-Addre s I .............. ............. s ......... ST. ................... Owner Address Installer Address d Type of Building Size Lot_ 3�. 6 _Sq. feet V Dwelling—No. of Bedrooms...... ..................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons............................ Showers YP g ---------------•-----------• P ( ) — Cafeteria ( ) Otherfixtures ..................................................'.................................................................................................... W Design Flow.....//.D.# Q / a0_"..._gallons per person per day. Total daily flow.....�3 d---------------------------gallons. WQ Septic Tank—Liquid capacity/S.-O.O..gallons Length./ '�."_.. Width..S��"_ Diameter................ Depth., 17.`1. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No._.40/1j6....... Diameter...._/0--- Depth below inlet......6....._..._. Total leaching area..Z A....sq. ft. Z Other Distribution box (X) Dosing tank ( ) '�' Percolation Test Results Performed by._...L.EV ,�� ...................... Date..... .'.7 �.__._............ Test Pit No. 1.4_Z.. minutes per inch Depth of Test Pit... ............ Depth to ground water_A r47.,6.rA(6J# 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------•--•-------•---•-•------••----••..--•--........................................................ 0 Description of Soil................................iL:1'.._� ----- -------- ----------------•----------------------•-•--.-.-•-----------••--- V ............................................................I/=/ -• Fit � .._.1°!�S 7U11� ................................................. w ---- - ------ -- ------------ - - ---------//' '1,3' / . - .art /. ...-'�------------------------------------------------------------...... - -- -- - - - - - -- 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 TITi LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...... . .. ••-•--....---•--......-•-••••-- Date Application Approved B --------•........... Date--••---------- Application Disapproved for the following reasons:.---- --- - -----------•-----------------•--•---------- ----------------------------- -•-_... Date PermitNo........ 7 ••--------•-••...... Issued....................................................... Date J No................-....... FEs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH V H Agp irFation for llhip o al Works Tonstrn.rtion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: , Location_Address .._.....•..._ = - !�-��' `' 1U 4 IK14/A! S ;r �i�+ls'j�134.6' _. .............••-•------....... ....-••- ------......... ---.......-•-........•..... W Owner Address a •-----•. ........ Installer Address Q Type of Building Size Lot. -----------------Sq. feet Dwelling—No. of Bedrooms-----4..................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QOther fixtures -----------------------------••-•-•.....---•-•• •--••.-•-•-------• . -•••••......---•--• •-•---••----------•---•••• W Design Flow.... .-_gallons per person per day. Total daily flow----- tl........................... to�F�s. WSeptic Tank—Liquid capacity 5'Ok.gallons Length L0.��.... Width... _ Diameter................ Depth_ /..... x Disposal Trench—No. .................... Width.................... Total Length..................._ Total leaching area...... sq. ft. Seepage Pit No...42 ------ Diameter...../n_'*....... Depth below inlet..... Total leaching area.. t'F..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by `1�.__.�-� ��G _ f ,-7 Date.. Test Pit No. 1_�_7..._minutes per inch Depth of Test Pit e- _. _ Depth to ground water& j ' VC, Lr, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --------------------- -- ----.....---•---•-------- D Description of Soil............................... % - _ A� ......_._.y. __-,,•,x_____•------- •------------------- ---------------- / // ff�y..-- ll ------•------•--•-•..................................... UW ........................................•....._____.._......._.._..__....... 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 TIT!L- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...................................................................................... ................................ Date ApplicationApproved BY................................................................................ .. ... Date Application Disapproved for the following reasons:................................................. �._�........: � .................................... --------------•---------------------•----...-•--------------•----------•--------------.....-•----...----•------------••....•--•-•-•••-•-----------•-•--•••-•---•---•--•••----•-••----•-••-•••----------- Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................OF Tnrtifirate of TontpliFatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Installer at..................................................................................... -- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.. ^: /.. ........................ Inspector....._...:........06 ................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No........................ FEE........................ Elispos al Works 0-Ponstrurtion rrntit Permissionis hereby granted------------------------••------------.......-----•--•-------------•----.........---------------•------...------------................--•••- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No. - Street as shown on the application for Disposal Works Construction Permit o....�•�......... Dated.......................................... ..................•......-- 1.........•--•-------•------••••-----••--•--••..............._........ DATE_ / a" , Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS R � S TOWN OF BARNSTABLE ®P LOCATION �o'� c,�.a-ram �l ,�,,� C0— SEWAGE # VILLAGE C cw ►�aid/t _� _X®� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. l 'iCi � C6 ao sS' '7 7► -�l ►Z� SEPTIC TANK CAPACITY , 000 T LEACHING FACILITY:(type) Q t� (size) NO. OF BEDROOMS PRIVATE WELL �!�PUBBLIC WATER --- BUILDER R OWNER War �uL DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No a. l 14 r ✓7 r - --- - - —1 i !• I' SUIT 0 � N 0 1 014 0 7 SIT E rLAN I Ez.SB D tS�/BSC/L a TOP OF F DUN OAT.ION El. : _79'0 Ahry 6 '',a I STCNE i .. 7 I I I o Conn. ,esE.%o�E,¢ MIN. 1%! FINISHED GRADE TO �//TN/N Ile,, r-1w GQ. 9 1p 3 n4l �, 73.47 9,78 /2 " MIN. COVER c'°nrc. ,�aE�/covE.c �"►Tr a I v IN 1 111 � � I } 2 COVER 1/8 3/8 WASHED STONE i �H E173,25,•,� J ! ' l�j Ii 73,00 f, ,o,. , .: '°''•' •' i1 !; '- �',v, IN El: e° ° �-�-- 3/4 1 1/2 WASHED STONE - 3 U/ U 1N� S SUMP • n o EG.4�.o IV 4 " LIQU10 LEVEL .°° . • . t i I.. o •° o a o , /✓O l kl�UhfD`✓/9'j? ie �a1 I.. a • . 6 EFF •;--,;--�tw-�-4-Tow ; ° '.•a •, DEPTH : .,° : PERC TEST RESULTS I PRECAST SEPTIC TANK WITH • , •' r ' • • • • • PRECAST LEACHING PITS PERC RATE : 2 M//V "C-e /NCH { CAST IN PLACE INLET AN 0 EL, • • • . ° • • SIZE: � � ��,oo - • • • °a • °� N 0.: �'^'� 6'��i9 k 6' EFF. DEry7/� WITNESSED B Y t;;�'. E� B�R,ey � { I OUTLET T S PER TITLE V BOARD OF HEALTH I , SIZE : 'SDo , s�o/+/F DIASo.�E OF STONE DATE : G A l L 0 N S 3 -7- 9d P 7537 j T L01 L O N G x 5-8*' W I O E x D E E P I Pervious ion I Material I alA ALL AROUND II I I EL. I PROFILE OF PROPOSED SEW -AGE SYSTEM Q SYSTEM DESIGNED BY THE TOWN OF REGULATIONS AND WATEiQ - STATE TITLE V FCR SUBSURFACE DISPOSAL OF SEWAGE . SCALE 1/4'0- 1 ' 0 "' `" r8 ,o ,z 74 746 N.B . i . ALL PIPES SHALL BE SCHEDULE 40 P.V.C . SEWER PIPE 79 2 All PIPES SHALL BE SLOPED 1/4 " PER FOOT EXCEPT FOR i THE FIRST 2 FEET OUT OF THE 0 /8 WHICH SHALL BE LEVEL ' 3. DESIGN FLOW BEDROOMS AT 110 GALDAY PER BR _ GAL/ DAY ? It �Au SEPTIC TANK SIZE 590 X I-;D6 — 49.5 GAl ' 1-5-00 �'UT USEGAL , W/_ GARBAGE DISPOSAL 21 i �wELG/NG 78 L E A C H I N 6 SYSTEM : USE ' a ( I T y/�Z' of h/ASHEO JTOME A,POlJ/�/�. 0 /79 P/ • I EFFECTIVE AREA : SIDE LX X x X Rc o 2Tle�i ?•S= ZX7/ S t� z�S= '¢7� — /0°�o Sc°oTt o p� 74 t \ S' BOTTOM z X�,o = Tr X 2X/-o = 7e �,' /STQ,x v I TOTAL FLOW -171 s49 God h a - i TOTAL REQ •D FLOW -330 X Ioo•d = -530 61p,p WI47 BARRAGE DISPOSAL k _ •, /ems T '• 4S" 1 RESERVE FLOW �49 — 33d 2/9 GAUDAY IN RESERVE LOT�/0. 1 9z' 76 REFERENCE PLANS . R-1,4,v aooe 4w R,16f Ef .66 ! I z4S ZO' APPROVED BY : I i ' BOARD Of HEALTH 7aw� DATE : SITE AND SEWAGE PLAN PROPERTY OWNER N�K��� �/��� � � /at•>t �1�9/w ST �---- I !t�-of f 0 R : ivrc�v�g �r1s�i�vG c©• I 3�937.98LE /"p t_._-ems 4r4 JO � . , � 54�y 7J/,*E BEDROOM tINGLE FAMILY owELI. ING VYAIN _ LOT : /\/o, 1 w��e ✓Ai✓c%t'GL4F- i e N o.33589 Au ,,�. ?i y DATE /9 5J I DOYLE ENGINEERING ASSOCIATES INCORPORATED 3 1 f' 'a"°' Box 595— 530 Thomas B. Landers Road W. Falmouth, MA 02.574