HomeMy WebLinkAbout0026 ZENO CROCKER ROAD - Health (2) `-6-47,-'eno Crocker Road _
Centerville. - r
A= 170 - 248
UPC 12534
0.2-153L0
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
G............oF......� 24 t1 ....................... f7(J _�i �
Appliratinn for Disposal Works Tonstrurtiun 1rrutit
Y Application i ereby,rsa�e�pr a Permit to Construct or Repair/ ) an Individual Sewage Disposal
S s at: v joo
...... ._1.. ... ...�. 0 _.1)w.---•....... ..._.V ...C"260................
LE
or
......_. .._... a�l.�.�i,Y1e ............................. ...................................................Lot No..........................................
e--"
Owner Address
........Y,z -'-n-- --------------------------------•---•----- .......---...._.._..--•--•---•----...-----•--•---•-----....................----•-........... .
Address �/�
Type of Building Size Lot.. �,V_ �.....Sq. feet
a Dwelling—No. of Bedrooms.:..._...... ..........................Expansion Attic ( ) Garbage Grinder ( )
p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
`:a Other fixtures
WW-4
....._.....-----••--•---....._.. ......Design Flow._.... °�'-�gallons pe , efr ty. Total Oil flow.................. . ............g llo S.
Septic Tank—Liquid capacity._0 lgallons Length.lC1_.�,1'____ Width_b;. .... Diameter:............... Depth�__(( ..
x Disposal Trench—No..................... Width.......I........... Total Length...............I... Total leaching area..._....... ......sq. ft.
3 Seepage Pit No. ...
. Diameter__._..._..... Depth below inlet............. Total leaching area__ S..l.sq. ft.
z ( ) ,—
Percolation f rTest ResultsI-A . Performed by.sin tank `L Date.....4�tker
... . . �.,1
Test Pit No. 1... ___...minutes per inch Depth of Test Pit...�.`�_l�..... Depth to ground ...._._.__S)l4�
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a
Description of Soil...... ['Cl __.
-_..._� - ........ ..... .�.<�l ._411 __.. ....
x ......-•--••....................•--•---•-.._...... ......... tt. �?�.� r{. �
--------------------------------------•---------- --=----•--------....._._........._..._....-•---..._......_...._----•-----_..
V Nature of Repairs or Alterations—Answer when applicable...............................................................................................
...................•-•-......._..--•••-----•----•------••------....._....__........_._.............••-------....._..-•--••------------.._..._..••---......-••---•-•-•-----------._......................
Agreement
The undersigned agrees to install the aforedescribed Indivi ual Sewage Disposal System in accordance with
the provisions of I i L; 5 of the State Sanitary C — The u der ' ned further agrees not to place the system in
operation until a Ce�cate of Compliance has b s d e b of health.
• igned. ........••••------••--••-•-•.............. 7i.
cue f J^ to
Applicatron Approved BY ...........................:.... ..........................•_.... �1' S
ate ............
Application Disapproved for the following reasons:.............:..................................................................................................
-•.........---••-•--•--......:--•.......................••--•---.._................................_......._....._....---•-•--•--............._._..._..........._......_._....-----.......-..............
Date
PermitNo........ _ (.v. Q................... Issued........................................................
Date
r
No.`s............I.....L Fss..-'�:.�.......`._ ;
THE COMMONWEALTH OF MASSACHUSETTS +
BOARD OF HEALTH
-`��7Ux W`............OF...... A(N�Srft _, .......................
Appliration for Wupaaal Works Tonstrudiutt rrrutit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at• ................
J`'
....... .ark .... ...: :.&ia.C. lOLIC. . .. :P�. .
Locatioi dd 1 A J t r +- or Lot No.
....... ...__._ ._..... ...•--•-
Owner Address
W
a ............
. ................•••-.................._.......... .............................................
Addre- d .............................................
Installer ress
Type of Building Size Lot..I 1. �....Sq. feet
.-� Dwelling—No. of Bedrooms.........................................................................Expansion Attic ( ) Garbage Grinder ( )
a`4 Other—T e of Building ( )
Other—Type g No. of persons----.--...------------------ Showers ( ) — Cafeteria
Otherfixtures ..................................- .....i.i..........-•---•------•.......-•----•............................... .............................
avvVIX
W Design Flow.......--.�.. .......................gallons per.person,.per day. Total dailyVflow............... .......gallons.
WSeptic Tank—Liquid capacity.to t) gallons Le'ngth �.'.�..I)". Width_,-�:.... Diameter....... . Depth 4_.( ...
x Disposal Trench—No..................... Width........ ......... Total Length.................... Total leaching area......:............sq. ft.
3 Seepage Pit No----------t.......... Diameter........�-�..... Depth below inlet.......�5...... Total leaching area.. p('..M.sq. ft.
Z Other Distribution box (,), Dosing tank ( )
Percolation Test Results Performed by.... �.. .�h �S��- - ]ra..... � ��'
a .. .. _ ..�r..._... Date._....,.7 G:.. r
,.a Test Pit No. 1................minutes per inch Depth of Test Pit.... ._._. Depth to ground water....i�Ok"A.0
a
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a r �� p �� �,..¢.....�--•----
O Description of Soil.... .._. .C !`!�._ e��'� _... ��.:.. . x. 1 � 1/� ,. t 'v'-'�-i
M ......-•-•-•------------------------------------•-------------------•---•-....--------•--------•---•--......-'-----------------'------------....------•---..........................----••------•-----...
V 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 TI' Ii� 5 of the State Sanitary Code— The u 4dersgned further agrees not to place the system in
operation until a Ce tifi3cate of Compliance has been isstiekd by the bo'arr4f health.
��h!
l,.l'"" ...... t ` / Date
Application Approved By........................ � � /� 7 I ?S'
v Date
Application Disapproved for the following reasons:......... ....................... ..............:
..............•-•------..........................----•---------.....................••--.....•-•---:..................----..........--•---•-------...........•---................. - -
Date
Permit No.......`r 1j R
-•.............•-•------•--•-----•-•--..... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF... .. � � / ! -/....................................
Trrtiftrab of Toutphattre
THIS ISI TO�'CERTIFY, That the Individual Sewage Disposal System constructed ((_).,or Repaired ( )
�. r Installer° t- f / /x... 7�,. `." -
.. ..... ... .. ..
......-•---••......... ........F .. . .......
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.. 73S-_----- ............. dated........ .......................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION.,,SATISFACTORY.
DATE...%............./,-)h_. >' ;�.. .... .......... Inspector.. ./ j
-r •. ...................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOA
F HrnE/ALTH— Jam,
OF R ....0.
No Fes. = .........
Disposal Works Tonstrttrtion Prrutit
Permission is hereby granted 1........ Imo--- `
_. ..........
to Construct (U)�or Repair( ) an Individual Sewage Disposal System
atNo...........................Z-_,J / .................. (..: L% ..........
Street11
as shown.on the application for Disposal Works Construction Permit No '- /c�!� bated'-6w..� �...........:s
fBoard of Health
DATE... _ -,.: ....-•-------••----•.................... y / �1
'\ � I I TOWN OF BARNSTABLE Z $
LOCATIONLo-\l*\-:;�- Zeno Ccc�c:�er�Z, SEWAGE #
VILLAGE C ASSESSOR'S MAP & LO o `
,p INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY (�� (�
LEACHING FACILITY:(type) (size) ®O U
NO. OF BEDROOMS PRIVATE WELL O UBLIC WATE
BUILDER OR OWNER cD \Cnk.,S
DATE PERMIT ISSUED: I (�
DATE COMPLIANCE ISSUED: l4p 2 2,
VARIANCE GRANTED: Yes No �C
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DATE ISSUED:
OEWRATrvE r>Evv aATwrnay ., , I I 09.20.2011
a>.uwL,rn. Den j o I REVISIONS:
GP PI TYPK-LL EATEapR WALL I U
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DRAWN BY:
Author
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DRAWING NO.:
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3� n Section B SECOND FLOOR PLAN
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N �r AREA CALCULATIONS- —1 0
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FIRST FLOOR GROSS AREA = 1264 SF L u
,e-v a-nPr y_,a PIT _ SECOND FLOOR GROSS AREA = 1031 SF N F_
�+�� ®'-p TOTAL GROSS AREA 95 F z ~ 0 z
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BASEMENT GROSS AREA = 1264 SF 0 LL, u
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1rLFNGi11,Sff•NObE�T si3 OR 3T%1P @igEIEFGDTPIG I .. I
PROPOSED
III j I BASEMENT &
PROPOSED =' I FIRST FLOOR
IXISiP1G GRADE '•. + _
_ BASEMENT
—III— _— .•...+. �+.. ,e_r f I a EXISTING BASEMENT ON GRADB _ r I. PLANS
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b DATE ISSUED:
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FOUNDATION WALL DETAILS
3l4"=1'-0" 1 BASEMENT PLAN
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SECTION - SEWAGE _
CAS"H C3i4'Slr`.I
- -
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X.
STA-r. 2.-+�p
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'w 2 -SEPTIC TANK- -"D"BOX S LEACH
TOP OF FDN . :. -
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WASHED STONE
IN- OUT- - - -
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SEPTIC (�
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TEST HOLE LOG
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TEST BY rze�;&�l� Gp�.L L.o a
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TEST DATE In3�85 WITNESS 3 BEDROOM HOUSE .
DESIGN
T.lH �► 1 T.H. • 2 ;a z
ELEV. ,t_ ELEV. NO "y
�I I,o4.ly( PERC RATE G 2 MIWIN. DISPOSER OISPOS aF,'
53 ) _ FLOW RATE--0(GAL./PAY)
SEPTIC TANK 35
REO'DSEPTIC TANK SIZE
TT�o=1577,5 S 377r� G D
SIDE WALL (z ) / 52 m
- ; .
n _ LEACH FACILITY. _,
G t-�a. !`l BOTTOM Z T �.3. /�o ) 5�. .3 G/D. ?,
WI b, � TOTAL 7o t I .'`>F a Z.7, ; /p /08 \..
USE: LEACHINGLOT # � �
WATER ENCOUNTERED
NOTES: (UNLESS OTHERWISE NOTED) FjzUN�T ZO� 63 LO I � � 1
S�N:Dc.�
1.DATUM(MSU—TAKEN FROM QUADRANGLE MAP �w- I fZ EA f2
2:`MUNICIPAL WATER .--_ AVAILABLE �`tK �f M
3.PIPE PITCH:%-PER FOOT '1
4.0 LOADING FOR ALL PRE-CAST AASHO- #�Id -44 ARNF.H •\
S.MIN.,GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT.
6.PIlE JOINTS SHALL BE MADE WATERTIGHT C: `
7:CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. SITE __ PLAN
STATE ENVIRONMENTAL CODE TITLE S
NO 4f
8. -runs pt-.►.� I� A— � - �,c�c�C o._.�Y �..._.v �,ux��a ,� C y ., m, ��►�r�. ��cy LOCUS: L - �IJO L14 L�
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. E`••J ��.- H" G�, CENTFRVILL:� MASS
- EE REG.P NAL ENGIN R� r� OJALA'
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down Cape e ��@Aridg E ° cREF:-Loot
EPARED R LE"ZE1- S64L. ?wS
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LAND SURVEYORS - EG
BOARD OF HEALTH + REG.LAND SURVEY R :
,.. > Io�i118t. . SCALE
(EXISTING)............
CONTOURS • ��I5T�.1"✓L+= r 1A ,
(PROPOSED)-O-O�-O- APPROVED DATE MA.. " DATE
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