HomeMy WebLinkAbout0193 ZENO CROCKER ROAD - Health 9 2 v CwcCr. 43
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N . "33 Fee 7-5
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
RpPlitation for Misposal 6pstem Construrtion VPrmit
Application for a Permit to Construct( ) Repair(� Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. ENO CRoc.�eit Kt', , Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel 1^1 O 2,l ci Doti new
I stall 's Name,Address,and Tel No. So 8 -`f 0 7- S$9 1 Designer's Name,Address,and Tel.No.
ul�cRi Q 00r. co .
G3 fh-,14 5,x5 1l0Ca�6,)ni o2c.Fy
Type of Building: Q!,S
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
NC�J D83 NIA o�4 W lZ�y,r fi cov15tL (u if
o j 1moe-
ik oE 1kt-+K 1-0 D Bo X 5A A t-+n-i e e
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environment a and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of
Sign
Date
Application Approved by Date 5>
Application Disapproved by Date
for the following reasons
Permit No. ! 3 Date Issued
�',y.,r. 1,y�.:.um5 1'4'�.••k.: �t::� »?'rC � ,��i� - .•L�f�� y.
M 7_5
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ;..
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,.MASSACHUSETTS Yes
ftpYication for Misposal *pstrm Construction 3permit
Application for a Permit to Construct( ) Repair j'�1 Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. ,q ?j f` (� C.kOcKt R K . Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel "!O 21 rP,nt p t-U :� tz T)+ bc&Jne i
Installer's Name,Address,and Tel.No. J�0 L 'y 3 " $all Designer's Name,Address,and Tel.No.
`fit suP
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
125ASI'A1 kC J o . i �'X K, r fi 6ovk-,,& ;(r, r t vtj
. '���t�-�-�! ►a�.•-� �.�hr ���w. c�aF l�4- �� i�K r� � C3c�� S�>�n��.��-.� e e I'�
Date last inspected:
Agreement: 1
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposals system in
accordance with the provisions of Title 5 of the Environmental Co e and not to place the system in operation until a Certificate of
r Compliance has been issued by this Board of Heal
Signed Date
Application Approved by .. Date
Application Disapproved by Date
for the following reasons
Permit No. /� """ 3 3 Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Compliance
�
Certificate of Com ate-- p
THIS IS TO CERTIF ,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned( )by , r(��`,
at }f� 4^�'RC? 1 b :c� C�t �r �Y ,..„ - � has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit N —3?Cdated
- Installer nn Designer
#bedrooms / u1 Approved design flow A Aj gpd
rr
The issuance of this permit s all not be construed as a guarantee that the system w•lll Mhction�S design d.
Date �6 �, Inspector �)
Ai
(J o ,,,
-- - - ----/-- -- - . ------- --- - --- --- -------
No. C> Fee
Y. THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *ip stem Construction 3Permit
Permission is hereby granted to Construct( ) Repair
( ) Upgrade( ) Abandon( )
System located at r 1 '�i _(�Y-1
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of'his permit.
Date , Approved liy_ _
..o"
DATE: CGMPI, lANCE I S S U 0 .
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
w/J....................OF....i �V..S 7�."L
Appliration for Uiipu,i al Works Towitrurtion rnmit
Application is hereby made for a Permit to Construct (✓ ) or Repair ( ) an Individual Sewage Disposal
System at:
................-----Z•..........-...-----GP .L .... .. ..........G�►JT� v. �-.. '
Location-Address or Lot No.
Ll
-o.� -� .. �� .tZT...I 3_?-.. � ............................................
_ ner
W
_y..... ._ � � & �. .. _ 1_ ... ..................................
Installer Address
Type of Building Size Lot..__«_,.eU.p....Sq. feet
., Dwelling—No. of Bedrooms........_.............................Expansion Attic ( ) Garbage Grinder ( )
a - Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Other fix s .----•-••------
............. ----------------•-----------------•-..-------•----.................--------------------------------------••••------------------------
Design Flow . -•� ._-.--_-.._---•-•__gallons per person.per day. Total daily flow-_.-_-._--__7� .............gallons.
W
WSeptic Tank—Liquid'capacity�_Ouegallons Length:__r'2<.2 Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------- ----------- Diameter.........liq..... Depth below inlet....(P............ Total leaching area�7 esq. ft.
Z Other Distribution box (,/) Dosing tank ( )
0-1 Percolation Test Results Performed by._1-� flec�!1. j°__`... �i v�______________________ Date........tCJ/23_ g '-...
a Test Pit No. 1-----�-----minutes per inch Depth of Test Pit-----�Z....... Depth to ground water.___—..............
GT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 --- -----------------•----------------------------------••-•-•-----------•---•-•---•........._f......................-•.........................................................
O Description of Soil----•-------...t�' .------rz2 F./.S.`V20 j----4T_11.- 4 11' 1.j-----M V 455v, .3 A D D....
-----------------•...----.......----....------
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 TITI.L 5 of the State Sanitary Code— The u er ' ned further agrees not to place the system in
operation until a Ce tifi to ompliance has bee is b, th of health.
Signd.---•-- •. -------- .............::::..........•------------•--- ..�.�� ...
o Date
Application Approved By... • • . --- . . . . --------••-_-•--- ._.
Date
Application Disapproved for t following reasons---------- ------------------•---------------------------------•----------------------------..._------...........
........---•--•--------------•--.....----•-...__...----------.....------------•--•------•--•----------------------------------------------•------•----------------------------------------
Date
PermitNo....... ........................ Issued.......................................................
Jf
r 4�
THE COMMONWEALTH OF MASSACHUSETTS
BOARq OF HEALTI-}
!................OF.:...,.:k/.. .���7y :: ........`.. ......................
(9rdgfirab of Toutpliattrr
THIS I TO C RTIFY hat th I .'' 'd L.Sewa Diks osal System constructed ' �orRepaired
by.........--' ----- - -----------------------------------------------------------------------------
at.-•--•---•- -- -----------•- = � ._.... -/� f.l-�--- t- .......................................................
has been installed in accordance with the provisions of m1rr' j of The Stare Sanitary Code as described in the
application for Disposal Works Construction Permit No......................................... dated-------.------............_......................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUED AS A GUARANTEE THAT THE
SYSTEM WILL F NC ION SATISFACTORY.
DATE.............. -----------------------•---•-•-•-------- Inspector........... • ............- •--- . .•............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALTH •_ ,J01
No......................... FEE........................
i o tt1 orkli Tonot ion rrottt
Permission is h eby granted ' �J � ........................... r
� %
to Construct or Repair ( ) an/__�/ndividual S . age isposal S stem
atNo.......... �"c y/--- •......_..• . . ��(/ ---......................
�. 7 s �,
as shown on the application for Disposal Works Construction Permit Datedj.._� ................
_RJ'"
...-...............
--- ----�� r � _.....-•--•-------••--
Board of Health
DATE................................................................................
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
' Fims..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-- _.. ..............OF.... �Z v..�..-i--�-$-L-.....----------------.------------
Appliration for Dhiputial Workg Tomitrurtion Vautit
Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal
System at:
... �.3_ Z �.!J� c Svc - :R-._.
-------------•------ --•-• -•_. .....__...--•••.......-•---------•-•-------•--•--•-•••--••--.._._..._._..._......----•----••-
Location-Address or Lot No.
........ ------ ---2-E--)3-3' 4.1..A ........................
ill
ner t1d}reys
Installer Address
Type of Building Size Lot.... ----Sq. feet
U Dwelling—No. of Bedrooms......... ____________________________Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Q, Other fixtures ----------------------------•-•. -
W Design Flow................ ....................gallons per person per day. Total daily flow.-______________ .............gallons.
WSeptic Tank—Liquid capacity.l_f:UPgallons Length....4_f-p Width................ Diameter---------------- Depth______________-.
Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No---------............ Diameter..........kv_.... Depth below inlet_.__�?__._.____._ Total, leaching area_ _7_G'sq. ft.
Z Other Distribution box (v� Dosing tank ( )
Percolation Test Results Performed ! ._.`__----- oL-•••................. Date.........
7::
a Test Pit No. 1-_____. _-___minutes per inch Depth of Test Pit_--_-_� .__.____ Depth to ground water_---�______________
(i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
----.-•-----------------------------------------------------------------------------•--•-•--•---_•----•---=---.._...•----• ....••••••••......5---------
o Description of Soil---------------z�-- 52-------=t--�'-P 5-v l t r �----------Lf' •!� M-b D. S .N Q
x
W ----------------------- -------------------------------------------------------------------------------------------------------------••.--------------------------------------------------------•-••-
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 u r i ned further agrees not to place the system in
operation nt.1 a Ce tifi t ompliance has bee is by th of health.
�Q
Sign d------- --- ' ...... .. at
: ""_`__�---------------•- �e—
Application Approved By..------- __ - ••-••• - ••. -- _._.................... --•
Date
Application Disapproved for t following reasons---------------------------------------------------------------------------------------------------•-•••._....---
---------------------•-----------------------------------------------------------......----------------•--•-•--•--•••-•--•-------••=••---•-••---•---•----••-•-•--------------•---•-•••-••--•-----
Date
PermitNo--------------------------------------------------------- Issued-------------------------------------- - ----------•-----._.._....------
� Date �
1
c.
j sir C P '� , SHEET./OF 2
4 SCALE. ,
ri t IC. 5
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t,C�GA' PIT .'rV DE PTI-1
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FAf4j- ��►o
WILLIAM M.
.� WARWICK
No, 1g771 0
FOR
REGISTERED LAND 31IRVEYOR /sit
L47r, e") 4
9°►� �' SURE a4
ZONE SZG '-°-►�wma IIIa 1 LLr / A 55
PLAN REF. DATE 1.-Z
BENCH MARK DATUM tJ NA zq .WM._ M, WARWICK 6 ASSOC., INC.
DOMESTIC WATER SOURCE A,T%E'12, BOX 801 NOR TH FA L MOVTH
FLOOD ZONE N O ti' ' N ��-�* Gam® -" MASS. 02556 (6/7) 56,E -26 38
&ASIN SECT/ON NOT TO SCALE Shcev 2 a¢ 2
•
24 C. MH COVER
EARTH F/LL BRICK AND MORTAR COURSES.AS REO'D• TO BRING. .
COVER rO GRADE.
B'FLOW LINE
N'ET _,I___ - _ r 2' y'r To "WASHED PEAS roNE FREE OF IRONS,
P/PE FINES AND DUST /N..PLACE
r + OPENING W/rH 4;4 '1 j�4 TO,//p WASHED''CRUSHED STONE FR£E OF `
' IRONS, FINES AND DUST• IN PLACE
OUTER D/AM£rER
AND"I J14„INSIDE.
D/AMErER I.'CONCRETE' TO BE 4000PSI' 28'`DAYS
2. REINFORCED WITH 6 x 6r NO. 6 GA. W.W.M.
3: 2'AND 4! SECTIONS ARE AVAILABLE FOR
I " GREATER DEPTH: REQUIREMENTS
4'0" r—Zr ---� —eo' - I Z' 4. NUMBER OF PITS REQUIRED PAJ4!'
MIN. to NOTE: EXCAVATE: TO ELEVATION '*,"7 R
EFFECr/VE DIAMETER
(Nor ro ExcEEO 9 T1MEs EFFEcrIvE DEPrH) LOWER AS REQUIRED TO REMOVE ALL
- wAmw uoa—_ LOAM AND CLAY BENEATH PIT. REPLACE
EXCAVATED MATERIAL WITH' CLEAN
TYPICAL PROF/LE GRAVEL •TO DESIGNED_ GRADE.
lB"STD. LT. WGT C.I..MH COVER
:j
4"C..t PIPE 4"a/T.'F/BER P/PE
r/GNT✓DINT" OUTLET LEVEL
DWELLING _ FLOW LINE TO FIRST JOINTi,,�
00 ( 10�00l0
C.I. TEE _4�,Ii5 1 10 I O o 1
44.09 1 STD, PRECAST CONC. q?ti.Qi2 D/ST. BOX r0 BE 4}�,yp ' l( 0 00 00 of i I
hDGAL.SEPTIC rAN 1 1 1 0 0 0 00 0 1-1 I
INSTALLED ON LEVEL, I t 0 0 0 00 !,1 I r
STABLE BASE j`. r if 000 00 1 ► r,
y yr/C raaKroBE , if000 00a1 � I :
/NST L 0 LEVEL I I f l00 00 1 1, `
STABLE BASE; I r 1 000 00 0 1
11000 0 0 111 i
LEACHING BASIN i 1 a Qp O 100
BASE'TO BE L EV£L 1 1 b Q 1 1 {
SO/L AND PERC. DATA
�.2. TEST PIT NO. P-�3 TEST PIT NO. 2
PERC. RATE MIN, /IN. 0 Orr
TEST BY
WITNESSED: BY. VdrJ e4 1�o�z.p
TEST PIT GR, EL. 5 Sa, Np
DATE: 1-,0 - y OA- �►-,
z
N o rZ4V a w;A-r
DES/G'N DATA GENERAL NOTES
BEDROOMS 3 NO.•HEAVY EQUIPMENT TO RUN OVER SYSTEM.
" DISPOSAL SEPTIC TANK,'DIST: BOX, AN LEACHING BASINS TO BE STANDARD
EST. TOTAL"DAILY EFFL. GPD. PRECAST REINFORCED CONCRETE UNITS.
SEPTIC •TANK L0dp ,GAL ALL .SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE .
TO REVISED. TITLE 5 OF THE STATE ENVIRONMENTAL CODE,
SIDEWALL AREA?r/_GAL./SQ.FT. MINIMUM" REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF
BOTTOM AREA I GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY Is 1977.
i7
LEACHING REQUIRED 9 i SQ.FT.• ANY CHANGES TO THIS PLAN MUST :BE APPROVED BY THE BOARD
ACTUAL LEACHING AREA OF HEALTH.
ACTUAL AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE
BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION.
PITCH ALL SEWER LINES I/41 / FT, UNLESS INDICATED OTHERWISE.
� '`"•P � SE AW DISPOSAL SYS rEM
MARTIN L F3 LL - a7���-{i0 Lj
E. FOR
c� MORAN (moo c-[Z OG�- > ..y �Zaai��o T 3
SS%ONAL
SCALE AS INDICATED DATE
WM- M. WARWICK 8.AS30C., I*c.
BOX 80( -.,NORTH FAL MOUTH
MASS. 02556 - (6/7) 5 65.-2658
PROFESSIONAL E1116/NEER