HomeMy WebLinkAbout0116 WARWICK WAY - Health (2) lC� W�✓waclk. t.�� , Gam$
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IL11 - 051
No..../3: FRic .........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.................OF......... ^. ..
Vlipfiration for Klisposal Workii Tiltuitrurtion rumit
Zt'OApplication is hereby made for a Permit to Construct ITo_r Repair an Individual Sewage Disposal
tem
S
. ....... .. .,A 4 Vy L.0
........... ...IJ.............
,6 C..eA o, L 7,Address 514 A or Lot No.
L�LN.e- C'
........................... -- ......
-------------M,---------------------------------------- -----. ..... ..........................----- ..... .........................
k'fM 11dj
......................................................................4a.................. ...
Installer Address
U Type of Buildi6g Size Lot...t.74-o .....s, feet
Dwelling,—No. of Bedrooms................ ........................Expansion Attic Garbage Grinder
14
PLI Other—Type of Building ............................ No. of persons............................ Showers Cafeteria
Otherfixtures ...........................................................................................
........................*...........*------
W Design Flow...............j5. 6....................gallons per person per da"y. Total d�ily flow....................b P...........gpll6ns.
1:4 Septic Tank—Liquid*capacityJ.000..gallons Length.&'-6 . Width.4�-Jd'_ Diameter________________ Depth.S.L77".
Disposal Trench 0. ......:............. Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No______J........... Diameter____.)AI-0... Depth below in1et..(P..L_'.0....... Total leaching area..'541pas,,�PP.4
Z Other Distribution box Dyin tan k
Percolation Test Results Performed W. —. ------ Date...
Test Pit No. I-------9.....minutes per inch Depth of Test Pit...12,1.......... Depth to ground water]MCAC A..Q_4*Y'Arj
�14 Test Pit No. 2........!&....minutes per inch Depth of Test Pit------IV....... Depth to ground waterrldl).4LCP<d4��iowl
0 De,scription of Soil...6.!.?A�C— M....Z A.A J.0----------T-.!--.f ..... -----
W
U .5... ......... 5.... . C>.^ ...2 ..4:5...
W J'Aao :., i-- --------------------------------------- I.. .
---------------*---------------------------------------------------------------------------------------------------
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 TIIL11 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been i s e'Nd by uhheb ;�1�D of health.
Signed...X....S.1................. ... /"/'/-rho
-----------0........................... ................................
Date
Application Approved By_._......_a.4,y.�... ......
Date
Application Disapproved for the following reasons:................................................................................................................
................................................................................................I................................ ....................................... ........ ......................
Date
Permit No......7z,-----*�_ •Y. .................... Issued.......................................................
L Date
No............. Fm:B..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
r............. .................0 F......... ..............................
pfiration for Disposal Works Tomitrurtion "amit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
S stem at:
-A
..... ............... ..... I..........................................................................
...........................
Location-Address or Lot No.
................................................................................................. .................................................................................................
Owner Address
......... ........
Installer A Address a 'd Type of Buildilig Size Lot... .....Sq. feet
U
Dwelling—No, of Bedrooms....... .................... ...Expansion Attic Garbage Grinder
P4 Other—Type of Building ............................ No. of persons__.__....._._.__.__.________ Showers Cafeteria
PL4Other fixtures ................... ...............................................................
1�1_4� q.. ...gallons.
...............
Design Flow............... ........ ...........gallons per person,per day. Total daily flow............._._..... . ......
04 Septic Tank—Liquid capacityk22.'::Lgallons Length.e�,�... WidthZ- ---- Diameter................ Depth.E!....L._
Disposal Trench—No. .................... Width._...__............. Total Length......._............ Total leaching area._._..._...__..___.sq. f t.
Seepage Pit No....._ 1............ Diameter..... Depth below inlet. Total leaching area.;— ism,
Z Other Distribution box Dos in tank ( )
GRZ
Imc_.J.fi�Jx Date...XIA�.
Zc
Percolation Test Results Performed b3.... ................................................ -----------------------
Test Pit No. 1........ .....minutes per inch Depth of Test .............. Depth to ground water1Y_0.P..q.!'-,
44 Test Pit No. 2.........4•....minutes per inch Depth of Test Pit.......I -___•_-- Depth t9,ground
e—
........ .........
.........................
- - --------- _T ...
0 Dqscription of Soil... -----------I......F..........................
U ................... _A,
.......... it..........................
0----------------_----------------------------------------------------------*--------------------------------------'-----------------------------------------------------------------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 TITS 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been isAed by the of health.
Signed-X.... .......6... ............................. ................................
Date
ApplicationApproved By.................................................................................................. ........................................
Date
Application Disapproved for the following reasons:..........................................................................................I...............
......................................................................................................................................................................... ...............................
Date
PermitNo...... ..................... Issued..................Date................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.........................................OF
................................
Tisdifiratr of Toutpliatta
THIS IS T1 CER�IF at the Individual Sewage Disposal System.constructed or Repaired
by . .....
...................... . ...... 7 ... ..........................................................................................................................................
Installer
at.............................................................................................
has been installed in accordance with the provisions of.11VITIZ 5 of The State Sanitary Code as described in the
application forDisposal Works Construction Permit No.__.... ....... dated-.-----------------------------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FRNCTION SATISFACTORY.
DATE......_.. ......................................................... Inspector...................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
S,t!)).A)...............OF..... ..................................
FEE... .........
Miaow Work onotnulion "anfit
V
Permission is hereby granted...........N-e_4ZtV11 ...............................................................................................
to Construct or Repair an Individual Sewage Disposal System
0Z'A at No............11
. -1,4LI-7......../,�....... W 1--i
et
as shown on the application for Disposal Works Construction PQr niLNo.&Io y.. D d., -- -----------------------
--------------------- . ..... ...
.. .. . . ...... ................
Board of Health
DATE_ .......1110
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
i
APPLICATION FOR PL•'RCULATION TEST AND OBSERVATION F11'S
LOCATION
VILLAGE C 1 1[�`%.�._,� .��i L L.� _ DAT 5 9.
APPLICANT-v_rncv , C,o�C FEE
ADDRESS j TELEPHONE NO. Non-refundable
ENGINEER_ TELEPHONE NO
DATE SCHEDULED (11 A t6/993
s Applicant4a signature
•ASS E3.7U-q S eFq q�e� q�,r NOn e e e.e.e e e e e e e e e.e e e e e e e e e e e e e e e e e e e s e e e e e e e e e e e e e e s e e e e e e e
I( lA L SOIL LOG
SUB-DIVISION NAME DATE_ MAY 11, 1993 TIME 1I:00am
EXPANSION AREA: YES ( NO ARO ENGINEERING INC. ENGINEER h
TOWN WATER X PRIVATE WELL J.pUNNING BOARD OF HEALTH
BOTOLOTI EXCAVATOR
SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and
percolation tests, locate wetlands in proximity to test holes)
NOTES:
—' LoT-:Ht7
_ - T
m
PERCOLATION RATE: 2min/inch
TEST HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION:
I TOPSOIL I T 01
2 SUBSOIL 2 SUp OIL
4 4
5 mwvM 5 M�uM
6 SAND 6 SAND
7 a 7
8 „ 8
9 9
IQ top—DUM. 10 MEDIUM
11 11
12 12
13 13
NO WATER
14 - ENCOUNTERED 14
15 15
16 16
SUITABLE FOR SUB—SURFACE SEWAGE: LEACHING FIELD LEACHING PITS ,X
LEACHING TRENCHES_ '
UNSUITABLE FOR SUB—SURFACE SEWAGE. REASONS:
NOTE: ENGINEF,IRING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION
ORIGINAL: COMPLETED IN ENTIRETY DY P E. AND RETURNED TO BOARD OF HEALTH
COPY: RETAINED BY APPLICANT
a
_,.~� . 5 -
_ . 4. -.. .... •.. , s^, .. '- ,..r . .� ?' " ;'fir -
.
TEST ,;; I TE5T PIT << t GENERAL NOTES
m 51k0 0, 50X5 - g
TOPSOIL TOPSOIL T _ -� r _
1 A I.1 E i. EVAT IONS SHOWN ARE BASED UPCN AN
' a F \ - / �'=-7_ { ASSUMED • DATUM
I SUBSOIL SUBSOIL ! i
b _ D4-
2 PTC ALL ;_!NE�� A M1iMUMDFT. JNLESS
OF ;'$ !2.5' � 2,5' ___ -_-_- fi OTHERWISE SPECIFIE
_
M�FDIUM MEDIUM i 1:,
i 2 __; 0 c:+ r 0 0 G Q C0" 3. ALL PIPETS TO AND ,N THE SYSTEM SHALL BE CA`;1
y 1) 0 { A
<
IRON OR SCNEDJ t_E 40 PVC.SAND 0 SA @ C) O C C
f 1 , 4 ALL SEPTIC Ta1JKS D'.STR EtUTIC�N E30XE�. AND
� a ( a /; ' 0 � �a00 C I
I ! EACHINf PITS BE DESIGNED FOR H-20 WHEEL
GRAVEL 1 � -T h� Cl -`� ' ? 6` f ,%GRAVEL r / ^
ER
I � ' � � \� �; �•�� + � ,� rg. �': r- , i�� �OAOiNGS WHEN �^�� aAv,NG
: I
_.�
q { ►i z —r --. _z- --� i y a;; . r R E MOB.'cFs_- N�A E R A l E3E A T H E
' E T N E T �+
9.0" 9.0 i �_-1- 3 �} ' ' INVERT E Ev4T h, ;;r ? E LEACHING PIT FOR.
.. _.._ _.� I TYPICAL DISTRIBUTION BC
; ;� c , .� A !E;TAN�E nr t)F T :+ND 9A:-'KF .-L W!TH CLAD' �
j MEDIUM t MEDIUM _--- _ I( L
d " 1 ; in) VRFf- BAN � DE '��OLAT!nN
i L f M Nu7-'.i '� `N :� OR � E'. f
_ I SAND L_� — __i.__ N �•! J '� .
12.0' 12,0_ L SAND --- ___J T altV R 1000 r: TOWN OF BARNSTABLE Y r ra�N ? N M, ,
: ..
--_- - -----J - ----- -- ---— NO�f U I S T R I BU
NO WATER ENCOUNTERED GAL REINFORI:F- SE- TANk;
a I i r I IICVIE PP` ,Ac , :. ,4 1 jA: TYPICAL LEACHING PIT
.:ND PRIOR T P,4 ;KFIL( -^va
1
OBSERVATION P11 TYPICAIL 1000 ,.,AL. SrEPTIC TANK
!jN<_ESS � T {� RJ1+ SE. �ti� TE.U; )+� �r<. L� ( I .•�{{Y ;/jV� `` 1
` PERCOLATION RATE. > 2 min/inch 'VOI
"��� Sr+A� " BE C NSTfi, E E, y A �;ORDAN� F- W. > H.yam: I sCQ�t
r n. •�I^ • f 6 i• A.
nF THE . TAT i t. .,a'�l. HkY �.,�{�t A vl.�� >' , Ui_r• _ ,:
OBSERVATIONS B` J. DUNNING NOTE TANKS RE_INFOR;;EL, THROUGHOUT WI RULES WHICH MAY APP'._Y
TOWN OF BARNSTABLE Bu4iKD _ ` HEAL E: r :,—Rir WEL`'"7 WIRE W'TH 24-1!< _
k VtiIfVEER' ARO ENGINEERING INC EMBE.�,DE S T EEL RODS :N TOP 8i 3U� 8 ;;7NTRAC.T�;I c T , NOTIFY N i�!VE tR, 'k{C)i,c
f)4T't' MAY 11, 1993 TOM ;ONE:F?E. 11 c" '^,VOA PQ . T c-c;T NSTAt LATII�N 1` i r rf `T`STEM; (mot Af�iY i4REF�
ANCIES BE TWE - . r._ RF ,•_."__'S AND *IE.._L
P 8058 NGiT;Csv`�
I A,-CESS MANHC' E' •�` SEPTIC TAP1k'S AND .EAi;H;NG
re _ PiTS TO BE 80'. T UP TO INCHES E ELOW FINISH
GRADE
'0. NORTH ARROW ;S NOT TO BE USED FOR SOLAR PURPOSE 1_
TOP OF
FOUNDATION
5o.e Et:FV = 53+00 C--FINISH GRADE �— F!NiSH GRADE FINISH GRADE t_)VER LEACHING --
jli, F 50,0 N ''K3'42"w " F I NlSH GRADE 1 OVER TANK OV1 R ' C}" BOX
- 150.00 ELE`J = 52+0 El EV 5rj1+7 [ pEXIST GROUND ELE`v - 51,5 11
i �'��• ` ,\.._ • .A . `T�`V .Y•1 Y/1 `•--a•C.l'.Vi._'%1'-,-i'1'".:"'j v ?.•„/f-T ".�L_"/,�` �7�- T"? <w-1. ,+ � .bra __- .! - _-__'. • 'r
_
�-- 17 4 0 5± s f
L' 49+07
m� I ' INS 49+50 1000 I"vV = - --- f_
i LOT 17 _ : . . . . . . ...... r
` 49+25 �,
� t% 24,
y (n a 59's _bZr9 =+'..• �, r: • • • •. k 130TTOM OF PIT
44'-0- '-j N V 48+50 ELEV.= 42+50
CID
w s2'-0. f '-0"
io N #101
PROPOSED L
I
r. 1 0 o DWELLING o T YPi -'AL SEWAGE SYSTEM PROFILE PRECAST LEACHING PIT
Q m F.FI.=54+00 50•8 �pto
( TO LEVEL 6 STAE'LE)
IY I 44.-0.. 4B' _._.- d
0 z4. °- ., {z. 0,;..r;«�g�� z LEGEND -
} 52 I
Q
DROP(
R 51+ I R 1 1
51 17 rt I 0 s[i
I
° t PR%)POSE.: Sc� E E��r� 11 + __ -
1 ,
' NC, ;C7 t ocx; -�ti.7A��
, . 5o.e PERCOEAI ION ': Er'll T ; _ N!• —�'�.TR _
-------.
T8 - RC _ ,.C„
# 51.0S (�BSERvAT it)N PITEp `� t .._ 1
T$ �'� PROPOSED LOCATION OF DWELLING
ti DESIGN CRITERIA t�
0 .E �,� �- `� SEWAGE DI POSA,L SYSrEI,
.0 � 3g 0 26 er ' ROGER t
p S NUMBER +,� HEi)R(VIY15 3 E.
--- � RIIYMOND
PERSON PER flE DROOM `' `
48.8
e .lp� " LOT 17 (# ) WA RW I C K WAY ,
'�.�. `� `� GALLONS PER PERSON PER DA' S-. �►�f �os� _ I
�\CK , !! � j r' P ARNSTABLE) MA.
LEACHING RE,�� R6 D 330 gpd f
s r `ep
LEACN!N(, wROv1()ED 549.7 gpd
. /
d
" SPOSaIL no
w
APPLICANCOX R
�� ROBFR7 SANDWICH, MA. 0122563ON 0 35 E STRIPER
LANRI[IGE
I1��.
k. SEWED DESIGN �' �;' � 35 STRIPER l_ANt � �<
E
RAYMOND k FALMO(JTH. MA 0253b
nx5x6x2.5 = 471.2 gpd 3
s 20 10 0 20 40 60 SIDEWALL z Q a ,c
' n x 5 x I.0 = 7 8.5 d Np 21 S&3
BOTTOM 9P s� �crsf�s`� SCALE DATE S#-IFFY
_; ,�� te 'a6 AS SHOWN MAY 13, 1993 I of I
TOTAL= 549.7 gpd I i
SCALE IN FEET PRAWN BY CHECKED BY APPROVED BY
E _ .. ..__ __._ . SJR RER RER A-829
J !