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HomeMy WebLinkAbout0165 BRALEY JENKINS ROAD - Health Itto grapy zenklr-s CenfiGrVi I le 17 2 Zoe S M E A D KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSTAINABLE FOES_rMIN.RECYCLED OINITIATIVE CONTENTiOk Certified FlemmingrcgraorPOST-CONSUMER wwwsfiproprem,arp SR-01p40 MADE W USA GET ORGANIZEp AT S(1GEA MM ! TOWN OF BARNSTABLE + � ss LOCATIONSrr��EWAGE 41 VILLAGE CQni t @,K%JX\ p ASSESSOR'S MAP & LOT/ G i.INSTALLER'S NAME & PHONE NO. L S&%C„ f-!r ��� • �`'�, SEPTIC TANK CAPACITY k Q QQ q 0 LEACHING FACILITY:(type) jai* (size) 600 NO. OF BEDROOMS PRIVATE WELL OR P LIC WAT BUILDER OR OWNER DATE PERMIT ISSUED: -2- f� 7 DATE COMPLIANCE ISSUED: -3 a -C6 87 VARIANCE GRANTED: Yes No �/ 30 © Say a5 r i t N � � F�s � .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for %pasFai Works Tonstrnrtinn thrutit Application is hereby made for a Permit to Construct (p�<r Repair ( ) an Individual Sewage Disposal System at: Location-Address Lot No. r �� ._ Address /J�l!` Installer � �' Address Q Type of Building Size Lot......... ��Sq. feet Dwelling—No. of Bedrooms. .... � ...................Expansion Attic (-- Garbage Grinder-.(--)— aOther—Type of Building .. 's-..... No. of persons........41---------------- Showers �(� Cafeteria—H— QOther fixtur ------- ------•----- .-- ------ ......--- •-------- ---- ------------•----•-- -------------- w Design Flow.............................:. .."��.___gallons per person pel�a . Total d�ilQflow____._.....: .®........._..._gallons WSeptic Tank—Liquid capacity...-- ?gallons Length_.._......_ Width�-_-1__..... Diameter---------------- Deptl,-6'.--.J.9. x Disposal Trench—No. .......... ..... Width............ Total Length................_Total leaching area..__...._._... sq. ft. Seepage Pit No--------I-.-.--_-- iameter.....�.__�._. Depth below inlet...3_t. .... Total leaching area ft. ft. Z Other Distribution box ( � Dosing n1c� f '� Percolation Test Results Performed by..... �-X_1 .............. ......................... Date.... Test Pit No. I....!!;�_ minutes per inch Depth of Test Pit.....`..--_----... Depth to ground water......!_Z.`..:Pot— Test Pit No. 2................minutes per inch Depth of'Test Pit.................... Depth to ground water.................. a -----•......-•--•---•--•-----•• ----- Description of Soil �� .... .cx�•..:�- �=-V.. .............................................` � '- w ---.-. —�.:..:... .. �..__ _ ....... - VNature of Repairs or Alteratio nswer when applicable................................................................................................ Agreement: The undersign elg to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLZ- 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 ofjxalth. / AQed.. ---•••-- ( Dat --- -•--•-•.....APPlication Approved ..... .. . - ........ ............................. ..... I ............. Date Application Disapproved for the following reasons:-----••--------------------------------••-----...........-----------------------.......-----....------•..-- .................•••......----••••--------•---••-----•-•••---•--•-•---•-•----•----- .._..--------------------------------------------------- •------------------------------------------------ •----------- Date Permit No............._ p..®.�f S`------...... Issued_....................................................... Date ..........._.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH )E::� < _z ... 2 1/ i l.-......a .oF....-:a......................' Appliratinn for Disposal Works Tonstratrtion Prrutit Application is hereby made for a Permit to Construct (//)or Repair ( ) an Individual Sewage Disposal System at: ... ..................... - � - -- ............. A ------- L rL NoJ}Z ......................-....- - ................................... ..........--............................................ ......... W ( Address .......... ..........................................................' ... ......................... ..---^..------••---.........-•----...........................r.................................. Installer 4y �° -� ((e Address -7J �i G U Type of Building -- Size Lot..........:..............Sq. feet U Dwelling—No. of Bedrooms. ........�-......................Expansion Attic (^)� Garbage Grinder ( ) aOther—Type of Building ...�.f'... . persons Cafeteria:-(—) =--•--... , W Design Flow...........................�_`-` ..gallons per person per day. Total daily flow__......-_"�:"...-U-..........,gallo�l ,, �c:scs•tr—al ... Width`t'._._...._ Diameter................ Depth--__............ x Disposal Trench—No..................... Width..................... Total Length.._.......--..._--Total leaching area....._....--_...,,.a;q. ft. Seepage Pit No....._...I........... Diameter.._.. ...� ... Depth below inlet..._............... Total leaching area....49.''-_)_sq. ft. Z Other Distribution box ( Dosing tank-( Percolation Test Results Performed by................................. ._.___._s''� --------------------- Date--------...--------.......---,..----•--- Test Pit No. 1...... _minutes per inch Depth of Test Pit_.....�...�'P_._ Depth to ground water------------------------ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 .....................................................1.._.........._......._._.._..........___..__.........�....._. D Description of Soil............./ •' J ....._ ._ `..'� � ✓ / r� 5) < 1 1- x -•-----•....•.�---`............P:....`_`..�..�-••---'......�---��..---- .� � .--s dl .......... ...................... W -------------------------------------------------------------------------------------••-•--------•------------••••-••------•------•------------------------...---....-•-------•--.....---••----•.....-- U Nature of Repairs or Alteration— nswer when applicable................................................................................................ Agreement: /���, The undersigned eeesto install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI2 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. ed <'3 �t •--•------------------------------••------•------------•--••------ M Application Approved By.........:...-___..._. fl. 1:.. / ' Date Application Disapproved for the following reasgns:--•--•--•---------•-••---•----------•--•--------•••---------------------•-------•-...........................- .......................................................................................................................................................................................................... ti Date PermitNo...............t � ------- . . Issued_..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS �--- BOARD OF HEALTH ............/......C?.. ! .OF......f !�4:° `.' `.�.. GL Tntifirate of ToutpliFanrr THIS IS TO C Y That the_IndividualS,ewe Disposal System constructed ( or Repaired ( ) by -•--._...--•---••------------•----------•-•--......�...... Installer at.......... `....T ...` _ "' --1 / _ 4 C� '7 e ,r ✓�1l e �f�c� ---------------- has been installed in accordance with the provisions of TITLE,-. of ,T,hr�$tate Sanitary GFi s_dzcribed in the application for Disposal Works Construction Permit No..__.._�S_.__.'. ............_..._. dated_.-.' _._._�.._______.___._.__._..__..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................�?.�.. -.V .......................... Inspector..................V ll..�. ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �` _ ..................................../t /./OF... j�..�.. No... .......... FEE........................ Disposal Works Tomitrudion Permit Permission is h by granted____________________________ �`l�'U11r1 !L `Q --------------------•••----••------••--•---•-......--••--••-•-•----- . ._ to Construct ( or Repair. (� ) an Individual/Sewage Disposal System �y at No.------=�--�......------ �..... . ...! e �J ... ..7 .. ' ... 7 2 ...-- ,........... f Street ~q j? as shown on the application for Disposal Works Construction Permit No................... Dated_._: T._._1___......._._..._........ G-r Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS SO [ L LOG L oT J 2 DATE WITNESSED BY : 7'0 /'vl J`"'l c l< /='0n/ H. 66 , 3 r f A-V 7- r S3 hi'f Eb • ► _. Y 5,�. ;I"• C0AlPr)C7" Q7- � .�'© f^ o 7- 140 - -,- G Cac� Gam, V ! �"J`✓ C CO CJ 7 Fe L L fA cH /oo�o _ _ �' �.. �9 c�o _ Q �lTv✓/ �ESERVE`gI L-OT / '�OAry�� '•;P` ELEV. TOP OF U/4NHOL£ 5 AND COVER TO BE BUILT WITHIN \313' d D/ L.e:�C h� '� o,:: F O U N D A T I O N , . 12" OF FINISHED GRADE .' -- O ST 4 � 0. 2 <o3pZ �5 '` r ry F - ��. .- MIN. 2l SLOPE �S'TL'M/E QY ' 1-3�L�� (V - p N III 6 RA DE { 1 ( SHED ° \ ��Lp 1 ^.`\ I 3' o}c 4r'CAST 1 .% T RO 4!" PVC %C7 C In ";: 0 R •..., 4 0 T' PVC' SC H. 40 P 1 S rr. l _�~ -"i✓ FT. 2 LEVEL 10� .. .. MIN. 2 LAYER GT r'p,' PITCH �o�� / .. : y ..p.. :-"- , 1/8 - I/2 PEASTONE ►o, Y6FT•- c�00 P: G S..S o F- n. 0 INVERT INVE T DtST. , rGfq� ,�^ \ INVERT GALLON f� INVERT "•'� N Oe� , rr rr S E PT 1 C TANK BOX o'"D ,a = 0:::•. 3�4 - i l�2 °D I A . 7 t �LC,t 7 / \• oa f :• s•:,. . , i INVERT G4.7 �� 03,•`� V vtj.� WASHED STONE ; .»t / 7 I N� d � INVERT �,AO Q04 ALL AROUND . 1 0' I GARBAGE �..t--- T — -I /` '�•'O a -jj C3;'� • O 1, WIIN. "11 e: ELEV. BOTTOM GRINDE R ---� Of PIT i2• cw� 2p` ;`.'oF d) P. 0' U i N. / ST _ 13 o r. E L E V. �.3 / N(MLG S-•r z3A GK L�n/E� J:' T, NA E � !J✓1/ I � / GLO �- I PROFILE OF GROUND WATER TABLE �- -- q SANITARY DISPOSAL SYSTEM I 3a� NOT TO SCALE DESIGN DATA_ . 1,,4 o 7 BEDROOMS • CONSTRUCTION OF SANITARY DISPOSAL DESIGN FLOW a GAL ./DAY T�= �2•�Q' 'i SYSTEM SHALL CONFORM TO MASS. LEACH RATE MIN./INCH Yr.P E NVI RON ME NTAL CODE TITLE V REVISED 7- 1 - 77� . � �� �s ro.•/�s AND THE T O W N O F �:�R/V J T�7,�L.. PROPOSED LEACH CAPACITY (vS HEALTH REGULATIONS. Go,2 �� 2 s.�s' ' • SEPTIC TANK, DISTRIBUTION BOX AND LEACHING _ -- \ - --- -- --- - . _. —_ ---- - PITTO BE OF REINFORCED CONCRETE : a -/ _"L _ _ NLNS� d �4,s' Q G� M1N. CONCRETE STRENGTH 3000 PSI GAL. DAY w,- Y• h- MIN. STEEL STRENGTH 2O,OOOPSI H 10 DESIGN LOADING 4.zs' DRIVEWAYS NOT- TO BELOCATED OVER SYSTEM UNLESS H - 20 DESIGN LOADING IS USED. • ALL PIPES AND FITT i NGS TO BE WATERTIGHT AND I TO BE OF CAST IRON OR SCHED 40 P.V. C. F E PLAN SHOWING PROPOSED CONSTRUCTION SH./OF �SHSLEGENDA T 1 O N: _ -3��.l s T =,3 L�- (c F O R : L "Z3 5 cD Z CD yv`. = ". d APPROVED 19 SCALE: i' = DATE : 1 1z26, BOARD OF HEALTH 14-1 BUILDING SETBACK REGULATIONS PER EXISTING CONTOUR Ig -- R E F E R E N C E BUILDING INSPECTOR OR BUILDING PROPOSED CONTOUR 3 / 38 COMMISSIONER . 82. , � DATE AGENT MIN. FRONT SETBACK 2d EXISTING SPOT ELEVATION 17. 6 MIN. SIDE SETBACK FP PROPOSED WATER SERVICE H/ Th�dS / s tsvz3z� iv�s /c�.",/ c� t. oI ' o F'�.13rc * •. �1 or , . O C A T 1 O N P� �. a c�arQ � �� MIN. REAR SETBACK TEST HOLE L SHORT l` f67 / 3 0 ,a 7Z 0c.r,7-e- /3 2 slQrrA� G� SO L LOG i /© 3 1:5 L © T- 2 G DATE: BY: TOM M c_ 1< 60/V 3 , 01N. z- t / .� �✓ £3,9 x T-r=�z 'i�1 yam' r � i . C-An/ 7- S�n�� Y - ---------- re -- ---- 6L �C,-�17t y _.�•� - - 2 c.,8 3 `<�.- _•c i C o,-,l Pee)c r G ,3 / S ® N 0 v✓4 T-A: fZ N C ® V V L. o O i-� LF9 c� /ov�0 1•�� _ 9 _ P/7- %�// ELEV. TOP OF M�+ NHOL£ S AND COVER TO BE BUILT WITHIN O ' U o'.`: FOUNDATION � 12" OF FINISHED GRADE . -;-_� /ST., G1�•�#C h+ Q a 2 Co 3 C7 Z f_r- r•Q � '�' ' '�I N ". MIN. 27. SLOPE p S' 10"E ! / Q�' �.emil (V J 3.O :•f, ( SHED , GRADE 34<c?C J �� �� o,v 4 CAOSRT I RO 4.. PVC SC . 40 IST_ - (V PVC SCH. 40 _ _ "„ ' ;• PITCH I/4 FT. � 2`LEVEL'� n MIN. 2r, LAYER PITCH '' � ..w 10 I,Brr _ I/2" PEASTONE r 'U /C G.o l 4" FT. .,,�•y ,yr,✓ 9� ��. 2S GS.O Q t c j1_ INVERT GALLON INVE T DIST. INV,ERT' a,-D1 N V E R T Co,/7 BOX to❑ 3/4n- 1 1/2"D I A . SEPTICTANK INVERT G4,7 �y. 3,b U17WASHED STONE 17INVERT '��0 W d0ALL AROUND . 10 I GARBAGE --�► /4 eCI •_� DELEV. BOTTOM O M !t MIN. GRINDER _ _ _I i � N O ' 6-0D I A-4e , '"�� y OF PIT = Cel 2 oT / 3� 1/ ! Z ?,—'2/ /4' d: 20 lul IN. 12 10 E L E V. 6,3 I / hC)L_�ff S T13ACK " 2,< ( PROFILE OF GROUND WATER TABLE I a, N S 3 NOT TO SCALE DESIGN DATAANITARY DISPOSAL SYSTEM • CONSTRUCTION OF SANITARY DISPOSAL � BEDROOMS h I � :d�689 DESIGN FLOWS C} GAL./DAY ,52,So' +/ 1 SYSTEM SHALL CONFORM TO MASS. LEACH RATE �� MIN./INCH ! ENVIRONMENTAL CODE TITLE V_ (REVISED 7-,1 -77� PROPOSED LEACH CAPACITY : AND THE TOWN OF A �aP� � t - ,�� 7T)2 _ , Z CAS HEALTH REGULATIONS. t �• r (6J �' f • SEPTIC TANK DISTRIBUTION BOX AND LEACHING Go,2 �o 2 s.e s' GAL. DAY - P 8 \ I T T O BE OF REINFORCED CONCRETE : 4-'�3 / d �4. �� G MIN. CONCRETE STRENGTH 3000 PSI MIN. STEEL STRENGTH 20,,000PSI H 10 DESIGN LOADING q• 2s • DRIVEWAYS NOTTO BE LOCATED OVER SYSTEM I UNLESS H - 20 DESIGN LOADING IS USED. • ALLPIPES AND FITTINGSTO BE WATERTIGHTAND TO BE OAF CAST IRON OR SCH E D 40 P.V. C. SITE T E PLAN SHOWING PROPOSED CONSTRUCTION SH.! OF !SHS LEGEND L o c A T 1 O N: /3 �N S Tr Q L�' �C E-1v7--,�.iz L L b-� F /Z —� . F O R L � � �:a f tf -= �r". " < 1 APPROVED 19 SCALE: —1 " %3(D r DATE = cs BOARD OF HEALTH BUILDING SETBACK REGULATIONS PER EXISTING CONTOUR —16--- REFERENCE: C�:) A Z3 121 v BUILDING INSPECTOR OR BUILDwNG PROPOSED CONTOUR 16 PAW 53 < ` 44- ' zl, ` a DATE AGENT COMMISSIONER . PG? 8 2 MIN. FRONT SETBACK 2 © � EXISTING SPOT ELEVATION 17. 6 �. gyp ' PROPOSED WATER SERVICE W Tov/s' 0 's �) e"2. svT3 ,a / v/,5 �o� o Lr� ?' / 90 P�.,Q a „ r OF MIN. SIDE SETBACK ,PG, �3 ` ® MIN. REAR SETBACK for TEST HOLE LOCATION /d. AI® ,