HomeMy WebLinkAbout0026 CRAWFORD ROAD - Health .� � �lQ
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C 1/ TOWN OF BARNSTABLE Op 0/0-0�N
J (X•Lf�
LOCATION �`� / C .�,-� R�� SEWAGE
VILLAGE' ASSESSOR'S MAP & LOT O®6- ?)Ya
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY A'6 6
LEACHING FACILITY:(type) r+ tA (size) i n o 0
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER �= M
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No I
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��1 Y
F.Es......�/� .........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
App iration for Diipuiitti Works Tomitrurtiun Famit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at:
42r.gZ----- --------------------
ocation-Address or Lot No.
,1 .27PI— .................................. 1.. ...l i 11Y .....cliff--.C.�aT.�1-.e 1wito
Address
W
Installer Address
Type of Building Size Lot _51 �.�.. -..Sq. feet
aDwelling—No. of Bedrooms......... . ............................Expansion Attic ( �' Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures -----•-------------------------------------------------•---------•--•----•---------------------
W Design Flow........J.i.0........................gallons per person per day. Total daily flow....... ._f...................._.._....gallons.
WSeptic Tank—Liquid capacityIC0 _gallons Lengthy-:j&".. Width.f__:A..._ Diameter_ ..f-.7" Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No........I----------- Diameter------ Depth below inlet.....&t......... Total leaching area-3./lO.-sq. ft.
Z Other Distribution box Dosing tank ( ) j 75 Z7
aPercolation Test Results Performed by.... � ....t4.__Wl � ........ Date.....'Z ���v __
Test Pit No. 1......_4-. ....minutes per inch Depth of Test Pit....)., ,_-....... Depth to ground water.._.,�OW.
fZ4 Test Pit No. 2.....AZ. ...minutes per inch Depth of.Test Pit---/Z.......... Depth to ground water---/YP1YC-...
W •-•--------•-----------------------•----••-•----•-•----•-------.....-----------..........------••---......•••--••-----------•----••-•--••••....••••....•-----
Description of Soil - -1 -.4>-------- 42...60Gv/V•!
x ----INI�-T�K ^/C .1..--------------------------------------------------------------------------------------------------------------- - -
W
UNature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------------------------------
--•--- --•----•-•--------------------------•--•-----•----••---•-•--•--.......••••.....
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewag sal System in accordance with
the provisions of TITLE 5 of the State Environmental Co e u d r t dace the
system in operation until a Certificate of Compliance has b
i
Signed ............. .- ---- -- ........
re
Application Approved By ----- -b -��.e ----- - ------------------------------------------------- --- -- -------- 3-.-. .�.....
Dare
Application Disapproved for the following reasons: ..................................................................................... .. .. ................ .. ..................
---------------------------- -- ----------------- - - ------- �.p............------...........-- ---- -- -------.........-----------------------------------------............. -------- ----------------------................:.
Permit No. ---,...c�. .-....11.-> ------------------------ Issued ...................... . .-----------------------Date
Dare
No....d..a-. ... FEB.......!................_
THE COMMONWEALTH OF MASSACHUSETTS
dl!�ISOARD OF HEALTH ,
TOWN OF BARNSTABLE
"( Appliration for Disposal Works Tonstrnr#ion ramit
Application is herebytade for a Permit to Construct ()-} or Repair ( } an Individual Sewage Disposal
System at:
-• ._....
. I ocatio - dre s t No� -�
Ow a Address
W
Installer Address� .................
Type of Building ,.'�ize Lot... ______Sq. feet
V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
`4 Other—T e of Building No. of ersons___________________________ Showers
QI Other—Type g --------•------------------- P - ( ) — Cafeteria ( )
Other fixtures --------------------------- . tj•----
W Design Flow........LLD.........................gallons per perso �Vay. Total, qtL}6,fiow____________-_�.�--_7,.c_______________gallons.
WSeptic Tank—Liquid capacity__________gallons Length_____ _________ Width...._........... Diameter---------------- Depth................
x Disposal Trench—No_____________________ Width ------- Total Length______ Total leaching area.-
sq. ft.
Seepage-Pit No._.___._.I........... Diameter____________________ Depth below inlet.................... Total leaching area..........._......sq. ft.
z Other Distribution box ( G}�" Dosing atal� - ) CP'75Z7 /
Percolation Test Results Performed by.. HEI 1�i�5d Z< Z��9
-------------�----- -- --------------• Date--------------.......__
P4 Test Pit No. 1.__..___ minutes per inch Depth of Test Pit---
_ Z__a__.___. Depth to ground water...
fs, Test Pit No. 2.._..�-__._minutes per inch Depth of Test Pit___ ______________ Depth to ground water........................
0-4
a -------•-----•----------•---------------•---------••---•••• u-
Description of $oil______,�__________________ --._----_•-•.--
U �Dv~ �-...-' - - - -� -••••------••••--•••-•----------•-••••••• •-•-••••-•-- -••-•••---• ---- -----•---•--....-•--
UW -•-•••------------------------------------•••-••-------•••-•--------••--•--••--••-•---------••••-•••---•-•••••-----------------------•-•---••-•----------••-••••••-•••-•••••••••••••--••-•-•---•-_--•••.
Nature of Repairs or Alterations—Answer when applicable...............................................................................................
------------------------------------•-----..._...--•----•--•---------------------------••---...._..-----.._..----------------------------------------------------•--•-------------•-----......_......-
Agreement:
The undersigned agrees to install the aforedescribed Individu Sewa e --Isposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code lXh �s�ignn f� t ees'no lice=the
system in operation until a Certificate of Complia-nc-e-has nss e �bt=e-bird e nth.
,3 q
Signed --- - --- --- -- ------------------------------------------------------------------------ --------------- ..... ---
te
ApplicationApproved By ........... -------------.....................................................------ ---3...-- ...--..9.2 ..
Date
Application Disapproved for the following reasons- ----------------------------------------------------------------------------------------------------------- --------------------------
----- -----------------------------------------------------------
----------------------------------------------------------- .- --..
Dace
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Gertifira e of C omplinurr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( )
by.................... ... ....................-- ------ ------------------------..................---------- ------ ------ ---------...-----.----.......-....._......--------....
Install
JJe2..................................LlI
at L/ ............ ------.---.--- . ------ -- ..........------....---------.....---......--.....--......--------- ------.-- --.---- ..------------------.
has been installed in accordance with the provisions of TITLE 5 of The85tate Environmental Code as described in
the application for Disposal Works Construction Permit No. ......7_1-----.--.--5--------------- dated .........................................----..-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
1 \
DATE..........................�...�..�::.�...�.;��,�-............--------- ------ -- Inspector . -- --------------------..-..------- -,•-�-�---------------------------.......--
V
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_ �5— TOWN OF BARNSTABLE
No.... ............... FEE._........ . ........
Disposal Works n strndion ami# -
Permission is hereby granted...............
to Construct ( �)'or Repair ( ) an Individual Sewage Disposal System
at No..........L_%_.T.....`�l._. Ci`�tzu�� ... Street
as shown on the application for Disposal Works Construction Permit No------
_ s_ Dated..........................................
DATE.................. -- --------•-----------------------•----------
• -•• Board of Health
FORM 36508 HOBBS Q WARREN.INC.,PUBLISHERS
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•
20' MINIMUM OR AS INDICATED ON PLAN NOTES:
1
CLAM SHELL COVE RD.
10' MIN. �
1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E. `'SANTUIT RD.
MASONRY EXTENSION TO 12' TITLE 5 ; THE TOWN OF -BA1-Aj..7'�- ,___ RULES AND
BELOW GRADE _ CLEAN AN 1 REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE; ;L ,;
TOP OF FOUNDATION BACKFILL WITH •r • ,,
OD• �� MIN. BELOW GRADE EXTENSION TO I2'
AND THE REQUIREMENTS OF THIS PLAN. LOCUS
-----�r� 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
WITHIN 12" OF FINISHED GRADE. R
4' SCH. 40 PVC PIPE 3 \CRAWFORD RD M H Rp
MIN. PITCH 1/8• PER FT. 4 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE •{f }'
"PE ROW UNE 2' LAYER of SHALL. BE MORTARED IN PLACE.1/8- - 1/2- 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL. BE CAPABLE GOTUIT
MI2_0, wASHEo sroNE OFF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER ORy74 IN. �- GALLON WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H--20 LOADING
2' MIN. LEVEL LEACH 4'-0' �� PIT SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR
MIN. c: - 3/4- - 1 1/2"
LIOUIo w. F ;8�"Sn wASHEo sTONE PARKING. POPPONESSET BAY NO SCALE
LEVEL DISTRIBUTION �� Al . U
Box 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED ti
RESTRICTIONS OR ZONING REGULATIONS. OWNER/APPLICANT SHALL _
GALLON SEPTIC TANK _ OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY. LOCATION MAP
6. HORIZONTAL AND VERTICAL CONTROL, SEE LEVY, ELDREDGE ASSESSORS titAF' � hARCEL J-a_____.---._
& WAGNER FIELD NOTEBOOK #_Z-fib___•
LIQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW LINE -- d
BOTTOM OF TEST HOLE
F 4 FEET 14 INCHES OR USGS PROBABLE HIGH ATER LEVEL
S FEET 19 INCHES ,
8 FEET 24 INCHES �(3
CURRENT ZONING INTERPRETATION, - DESIGN CALCULATIONS
SEWAGE DISPOSAL SYST M-PROFILE=
- - MIN. FRONT SETBACK —3—a— FEET NUMBER OF BEDROOMS
NOT TO SCALE MIDI. SIDE. SETBACK _-_/ ._.___ FEET' GARBAGE DISPOSAL UNIT
TOTAL ESTIMATED FLOW
MIN. REAR SETBACK _L-a FEET (/it?GAL./BR./DAY X -*BH,) #00 GAL-. /DAY
N REQUIRED SEPTIC TANK CAPACITY 4`>a,� (.DAL..
ACTUAL SIZE OF SEPTIC TANK (D� GAL.
a, PERCOLATION SOIL TEST (P -�s2�) LEACHING AREA REQUIREMENTS
SIDEWALL AREA z�GPD./S.F. BOTTOM AREA /, D� GPD./S.F.
0 v N/F DATE- OF SOIL TEST F� h�-Ls2.,15.4>7 SIDEWALL 27T(Le /2)(-�)SF x_',�_GPD/SF _- j'71 GAL/DAY
TEST BY __.l.ts 1�s.at.._f1,-_(dtt �n ___ ___ 3 /
BOTTOM TT ( Z<2._/ 2) SF x !' ,-.-GPD/SF - •, r GAL/ DAY
Q
JOHPJ PO.TNOOONAN WITNESSED BY _. rl �arr.�t.__-_
1 r U-POLE #2 N PERCOLATION RATE __.__Tl____r MIN./INCH --- ------
Z '
- LL'
�Z F . : GAL DAY
10o x - 1 I 1 I LET I r'`rl BREAKOUT `CALCULATIOIV:
y - --- F � 1 P 1 � ,�.
o FL_EV.= �4, ELEV.=
a o
r, •'{ ` �... .} ,C/ ,,. '...-... J N Th P,��il t 5==6L6I.1 h %c�.?nr/ ,.J,l�•lkl/e�
00 0
BENCHMARK ASSUMED 99 LEGEND :
ELEV.- 101.17 , r'r1' L�+ o: r- �T���< >ai'- - ri�_:e t...•�' -- - �?,�
ON TAG BOLT #261 ,,;' r IY� ;ti a --►-' �1«��,,,« �f"°' EXISTING SPOT ELEVATION 00X0
t
EXISTING CONTOUR--------OO-----
j.
___ �,_--, �a.} I,44 n!'_c�+ r___ FINAL SPOT ELEVATION �0.0
FINAL CONTOUR
SOIL TEST PIT LOCATION G�9
y ,.», r,; • BOTTOM OF TEST HOLE: BOTTOM OF TEST HOLE
y n o C, a TOWN WATER —�W W_
TP . •q � ! � { -(�--WA�,�-roc.. �_�__'_�—_ 6f7-Wr4iE�-•ft{-�l. _—�___�-�..,
SEPTIC TANK C �
(a4- ` ' DISTRIBUTION BOX CD
v'- f �._,/
,r
F RIMARY LEACHING PIT O
f 9
I � ATER LEVEL ADJUSTMENT: N/H
� I
rel
RESERVE LEACHING PIT I►?'
gtK
98
TEST DATE _ WATER LEVEL _
INDEX WELL
WATER LEVEL RANGE ZONE _ '^ =r
- .•� r0 INITIAL ISSUE _
98 r-� p ,�) °o DEPTH TO WATER LEVEL FOR INDEX WELL, NO, DATE DESCRIPTION By
_ 116 LOT 41 �°° FO
, - sit R MONTH OF:
i
L
.�' 23,100 Sq.ft.t N/F WATER LEVEL ADJUST
- TOWN OF BARNSTABLE ( DEPTH TO HIGH WATER
..� G�
N/F
LEO F. FAIR
LOT 42 ��`;t�
STEPIIEN S \ ,.
97 APPROVED: BOARD OF HEALTH Xv AI_LYN
WILSON <<
,A No.30216�4
A�'FFGIST'--`��� ;" SCALE / 30 JOB NO. /4�
v
SITE PLAN NAt�j, --
1 DATE AGENT _
LEVY, ELDREDGE & WAGNER ASSOCIATES INC.
r)ERMIT BNGUM LINDSCOR ARCIDI'�C1'S PLANNERS LAND S[IRYKl'OI6
x I' 889 WEST MAIN STREET CENTERVUll MA 02632
NEW ENGLAN0 REPROGRAPHICS A SUPPI,Y CO _I— "—