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HomeMy WebLinkAbout0044 WEST HYANNISPORT CIRCLE - Health try W.IAVNVsf►c+ c;c., 141a U-7 OW I r L0 TION,/ � �SEWACE PER IT NO. s Y I VILLAGE I N S T A LLER'S NAME ADDRESS d U 1 L E R OR OWNER bDATE PERMIT ISSUED DATE C 6 M P L I A N C E ISSUED � /. n �1 � No1J.t Fps OF THE COMMONWEALTH OF MASSACHUSETTS �O� ROGER �G 5 PAUL co 4 BOAR® Off' HEALTH q MICHNIEWICZ 4 Town Barnstable own No. co OF....................................................•.. e0�'A� CIVIL Apli iration for Ilisposa1 Works Tonstrnrtinn ranfit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage isposal JOY System at: -----•••--• __--,West H_yannisport-,Circle L _5 & 6 ..... ............... .•---....._•---- - -• ......_. Location-Address r Lo No ......................_UY IsPQ t....LB. . . ?a..._.... .._ .......................................... ._.I Owner Addre s 1.4 -. ...................................... _...........,...._..------------•-•--•----.. .....--------•---------.._.......... ............................................................ Installer Address Pq Type of Building Size Lot__15 0 0 0______ _Sq. feet U Dwelling—No. of Bedrooms.......... ................................Expansion Attic ( ) Garbage Grinder �10) PLIOther—Type of Building No. of persons____________________________ Showers — Cafeteria Q, Other fixtures ................................................ Design Flow............. ..........................gallons per person per day. Total daily flow..........3 3 0 gallons. WSeptic Tank—Liquid capacity-1000gallons Length$...... Width4•'•1Q"•_ Diameter................ Depth__.5 ' 4" x Disposal—Trench—No. •___________________ Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No.....1............... Diameter....7._0........... Depth below inlet...`5.-:_61...__ Total leaching area... ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by..................1.0h1.1... -1_ i --------------------- Date.9_Z 15/8 3................... aTest Pit No. 1......2.......minutes per inch Depth of Test Pit....12........... Depth to ground water_-none.......... Test Pit No. 2................minutes per inch Depth of Test Pit..........._........ Depth to ground water........................ W _----•-•--------------------------------•................... -....----•------•---__-_---•---•-------------_-_------•----•.......... •---------------------- O Description of Soil...............9-- .:.__Loam-__sibs-Ql.�.-:_2'--12 ' medium brown sand x V W UNature of Repairs or Alterations—Answer when applicable-----------------------------------_........................................................... -•-------------------------------------•---•------------••-•-----------.._•..-..---.._..._..---•--= ------------I------------------- ---------------------------------------------• ------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee - sued b the board of health. ed_... ••-•-••---------------•-••-----• - - -• Application Approved By--------- _--...... �`��............................................................ ..--�---L-- Date Application Disapproved f o e following reasons:..........................................................................-................................... ............................................_.......................................•--•---•---.....---.....---------------------•------•---•--•-------------=----•-•--•---•••••-----•••--•-•--•-•-••--- Date PermitNo.....................................-------------------- Issued.-----....:.--........................................ Date Noi'f THE COMMONWEALTH OF MASSACHUSETTS .41 BOARD OF HEALTH ®� R AULR C MICHNIEWIC2 ........ ........Town............OF.............Barnstable............................................. Q No.30420 � •A CIV ApplirFatiun. for Disposal Works Tonotrurtion rranit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewa isp 1�19,gy System at: ........................tolest•• i aOn >�go��-•-Cyr-C-14a.......- ----..- 6 s..S Et!1on-Address of o ••...................-�F�$ rt mpg t ¢-Barnstab-le)----Fla I........-------------------......... ==----............................................ caner . . . Addre s ' a ................ - .. ....a............................................................. .................................... ........................................................... Installer Address dType of Building Size Lot...]..5-t Q.Q.Q--•-.---Sq. feet V Dwelling—No. of Bedrooms........._3...............................Expansion Attic ( ) Garbage Grinder ) Pk Other—Type of Building ............................ No. of persons'......._.................._ Showers ( ) — Cafeteria da Desi Flow.Other fixtures -----•------"-'-allons er erson er ; • ---•....--'•'--'-•--"•---.'•'•""----•------'--•••-----•-. ................................----'--••----•-•.....-'--------............................ •gn 55•------------------------g P P P day. Total daily flow..--------3.3Q---•-----------------'---•melons. WSeptic Tank—Liquid capacity..1,(I.4-Gallons LengthiB'.b".....-Width-t�_!.j,.Q.!!,_ Diameter_______________ Depth---5!4'.... x Disposal Trench—No. ...............o._.. Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...... ............. Diameter....IG.!........ Depth below inlet.... ,_6.7.!_... Total leaching area....3 sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by..................1y�-- ;.J.j&----:-------.--_--_--------- Date..9/15/83................... Test Pit No. I........_......minutes per inch Depth of Test Pit....d;�!....... Depth to gro�d water...X1O'ne*.......... (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------------'---------------------'-•-••'--'-----•-------•--...---..........................---•----••--------•-•---•...............-•--•-•-•--•---•.-•-.•. O •Description of Soil---------------.0-2!....Loam--&tb3Sa-31-i-•--21-12-'-- �d-1i1t ... ]arjo'Wn_..SZMd.......------- ........._.. U ----------- •-------------------------------------------- -----------•--------- UNature of Repairs or Alterations—Answer when applicable...............................-----------------t-t...... ----•--•--------------•-------•---••---------------------'----........--•--.....-•----....-'-------""-'---------------------------"------•'--'---'---•.......-''--••----•....... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iIT:. p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been sued by the*board of health. o AP Application Approved By--••=--- •"--•"! :............... "Date Application Disapproved for a following reasons-------------•-•-'------'---------'--•---'-'-----------'----••-----------•'--•'-...--••'-....................... .........................................................._.............................................................................................................................................. Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................I.........OF..................................................................................... _ Trrtifiratr of ToutpliFatta t �IIS I `TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by--....... •. ............................................ r --------•--• .............-•----.................................._-------- .� r __t l......... ..._ Jj2N7:U"InstCat t l - -"< `-........ ------------ -------------------- has been installed in accordance with th pr ions of TI i' j f The State Sanitary Co . *; d p• ed in the application for Disposal Works Construction Permit No.__..JI--_- _ �j................. dated._. ..................... THE ISSUANCE F THIS CERTIFICATE SHALL NOT BE CONSTRUED S A GUARANTEE THAT THE SYSTEM 77� FU TON SATISFACTORY. DATE..... .......a._.....'-•--•--•••----•••---........--------........ Inspector...... .._.. ......._...... THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH f ........................................' t ..OF............................. No......................... FEE........................ Ropooml otko Tono#rudi an pamit Permission is hereby granted_._.61-�.......................................:... to Construct ( r r ( an Indivi,d!r D pos Sy atNo._-........_.-•--.. ... .�. -'---•---•--•-----.- l --• --- --•-- -------------------- Street as shown on the application for Disposal Works Constrc tion Permi o....._ _ (Dated.......................................... • 1 / ........................... ........ .......................................................... . r 1 f+ Board of Health DATE-------------------- --•---------..............---•-•'---•---- �. FORM 1255 HOHBS & WARREN, INC.. PUBLISHERS VI N RE SIO S • DATE C TESTING: BDATA : , 1 D A�L NO. DATE SEPTIC TAIL DETAIL : s�zE DETAIL A FACILITY PIT DQ TA PERC. TEST SEPT K D D/ST. -BOX DET L LEACHING DETAIL TEST , . ESTBY T • P T � /� TO CONFORM TO T/r 5 RE U/R MENTS ' A F / S LE 0 E D TE O TEST NG _ TANK TO CONFORM TO TITLE 5 REQUIREMENTS. T. P. l ,� �` .�C t�8 l — _ WITNESSED BY TEST BY J O1-Iiy c .1-15 NO. OF OUTLETS 5 WITNESSED BY J DfN t C / �, . ii.�/i�•'ii� v7/�i_/ , y — `��� a, REMOVEA BL E COVER R , /2 `' L AIANHOL BROUGHT TO _ _J • v o - ., ° FINISH GRADE. b, o :.. . . •. a _.. .. . .�.• LOAM&f/LL /2 MAX. G ♦3 CLEAR 3CLEAROUTLET PIPESf77 � . AS RE U/RED 6 M/N. 2 M/N. 6 MI,N. 1 0 DEPTH OF TEST: — i iINLET.RATE � � ,�`' /o MINI r T/NLE EE OUTLET TEE I BOX .Q o. • C./. /000- GAL. r l Fi' l tt�l , . • 24 $ - _ OUTLET7EE DEPTH, � Ili INLET AND OUTLET 4 O MINIMUM S PT T . 2 6 PRECAST OR BLOCK M/IV 5.�1 � � TEES TO BE CAST : LIQUID .DEPTH 14 AT LIQUID DEPTH OF 4 •o .. / � CONCRETE w r I , • :. /9 5 , . . ,. ,SEEPAGE PIT IRON, CHEO. 40 . d• I, 0 S J CONSTRUCT/ON .x DEPTH of rEsr 24 s. o P.V C. OR CAS r/N r, / I . A CONCRETE PLACE CO E MIN. CONCRETE. UP- RA I . o: 4 BOTTOM ON LEVEL STABLEBASE to TE 3 B _I colvsTRucrIoN • (WA TER Y/GHTI a A • I l .. INLET r TEE PROVIDED WHERE SLOPE ':• •.I . ^. . . ,. .,,, , e . . .•?.• e„_ FOUNDAT/ON I� ' . ., , •. , . . , • , ., .. .. - I.• .. ., .. ...,,. ., ,.• , OF INLET PIPE EXCEEDS 0.08 / OR TANK r0 BE ABLE TO W/rHSTANO , /N A PUMPED SYSTEM. BOTTOM OF TANK ON LEVEL STABLE BASE _ 20 MIN. H /O LOAD/NG UNLESS UNDER � / ,' PAVEMENT OR/N DRIVE.H-20 //Y WASHED STONE _ i I L OA D I NG UNDER PAVEMENT OR DRIVE ^ I I MM MANUFACTURER:RECO ENDEDRECOMMENDED MANUFACTURER-, - R APPROVED EQUAL (0 0 ) OR APPROVED EQUAL) NOTES • /N VER T ELEVATIONS.• --- PLAN VIElif/ • THIS PLAN/S FOR THE DESIGN AND CONSTRUCTION OF THE SEWAGE DISPOSAL FACIL I T Y ONL Y. SCALE / /O 23. c 1NV. AT BUILDING ;, � � ,:y ...a , .. • x 2. ALL CONSTRUCT/ON METHODS AND MA TER/ALS SHALL CONFORM TO /N V. AT SEPTIC TANK(IN) 2 3.3 0 A 5" MASS. D.E.' .E. TITLE 5 AND THE Afc',�,f AE3 E BOARD OF .• . I A p 5 , NV. T SEPT/C TANK(CXIT) � 3 •�` P r HEALTH REGUL ATIONS. _ `-- -- 3 ,;, � T'a�,1 IJ \.,vAe .t � A'�lA I L Ati t3 L�.,. -~(' 6 `T 1� 15 L.0 f Y.tyY� NE, /NV. AT D/s r. BOXONI 2` . nit L i),a, � - /NV. AT D/ST.BOX(�lT) r ii �y p AT LEACHING FACILITY• 22 .f5 ro BOSTON MASS. WORCESTER MASS. -AT BOTTOM OFP/r. 1 . Sc SS HALIFAX, MASS.. NORWELL, MASS. EDF RD MASS. EXIN T N B O SS L G O MASS: HYANNIS, MASS.; MANSFIELD, MASS. CRANSTON, R.I. DERRY, N.H. N ©? 5 j ADZ E,� �; PtT s-�a ray • TYr a OES/GN DA T,4 _ ��y I « I N(l) d ,,, ol ._�:. .. _ DESIGN FLOW � t _ sly c�: .�/ I i ^ REQUIRED SEPTIC TANK:_ 150 GA � .dHwxw;..... ...... .. .. .M. ..«... .. .. .e, _�`�� GAL. - CAPE COD SURVEY SEPTIC TANK PROV/DED ' = 1C��O ` GAL. CONSULTAN TS a RE UIRED SIZE LEACHING-FACIL'/Ty: Q � ^.� : � P O. BOX 56 - C� �- -� � �'-�--------- ------ -- ----- H YA N N I S MASS. 02601 Ic 617 775 -7155 P�rta Igo spa 3 .��bpo..�, � � S D Cis Pia Pa GR� -- DIVISION OF BOSTON SURVEY CONSULTANTS INC. , • SIZE OF LEACH/NG FAC/L/TYPROIL/DED ,:ENGINEERING SURVEYING PLANNING ..:„ . . 4 C1 TYPE OF SYSTEM pCS -1x! 2 "IC1� TITLE: IS — 11� sl� x12.5 .7-2. 3 � S 1+ - .�2.��Ate' SEWAGE DISPOSAL SYSTEM co DESIGN ll o vV t p � , 111i, i //v Cc LOCUS PLANPtrT &,04?N5�4Bi - 4s s _ . 0 --..i... :,.••.. FOR • - ...low . . ,. r v. o ' ..;..- �� SCALE. AS SHOWN ,,,•,. w� ,..-•-- W METERS O �rst ._ !_�._ rdRY G 0 � '� / t, d --�- --.. DATE: TAB R /qB�t 7 � R Y /,, I` COMP./DESIGN: t Q�3 - CHECK. + - DRAWN: DATUM FIELD: i�I Y. F T 20 ,D 15 K 1N O.1` �� ,0 A7• C ���" ,. �/� Z��' �"D FILE ` NO _ _ I/7Lt. IO ON 7"�,� 1N,r,6 S'i6C7 ca l C�f,1 'S 7"O ` .9 r"�'F DWG.NO. ! JOB O. C 7� SCl14)oO R .4V, " x F: - SHEET, I O