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Home My WebLink About0014 ELM STREET - Health 14 Elm Street - Cotuit A= 018 - 034 I� ASSESSORS MAP NO: AROEL NO.: CFO No.. �.`. .Z- Fms..... .......... '7D ^ �6-3 THE COMMONWEALTH OF MASSACHUSETTS K BOAR® OF HEALTH----/ SOF........�� i...� ....................... . I� Appliratiou for Uhqvoiial Work.6 Tonotr"urtiun Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal 7S stem t if A/ �cati - ress or No.. s- x' 9f '=-----.r._.-�'!!�.t �... l,u ---------------------------- 'q� Address 1 I ' ---------••----------------------------------•- ------••-•---•----........----------...---••-•---........----------------------...------•----•---- I Installer Address Type of Building Size Lot.....oze .......Sq. feet U Dwelling—No. of Bedrooms..........•.................................Expansion Attic ( ) Garbage Grinder ( ) `-1 Other—Type of Building No. of persons............................ Showers — Cafeteria a Other fixtores •------------------------ ----• . . W Design Flow.............. . ..--.. .......gallons per person per day. Total daily flow..........._��..............._.._gallons. Q', Septic Tank—Liquid capacity`UD .gallons Length... Width---------------- Diameter---------------- Depth................. Disposal Trench—No. .___••---------- --- Width..___ . Total Length...._. .___�_._... Total leaching area--------- ........sq. ft. Seepage Pit No-----------I-------. Diameter....... ..... Depth below inlet__.. .......... Total leaching area... ....sq. tt. j Z Other Distribution box (✓) Dosi g tank Percolation Test Results Performed b _ _�Wl� - ' -11�!_!1' ��i1(!S_______________________ Date._j>�.. _._71�.1l k._.. ,al Test Pit No. 1........ ___mmutes per me Depth of Test Pit----J'V......... Depth to ground wat r---------........... Test Pit No. 2........ ___minutes per inch Depth of Test Pit..... ------- Depth to ground water•..--_�.........__. P4 )----- -------------- .......... ........... - -.......p.... .............----•..... -------------------------- 0 ii of Soil s�� v� u• lO! z........... Z I-l�L1rY1..-y� ........................ �4 J �` U --•------•------------••-••--------•-•.......•----------•------•••-•-------•-----••-----•-•-••----------------------•--•-•--••--------••------•-•--••-•---------------•--•----------------•-••---------- UW -----•------------- DESIGNING--I_NGINEE_ R MUST SUPERVISE Nature of Repairs or Alterations—Answer when applicable.________________r?4STAtLa`I'iOI�TT Alvb CERTIFY IN V'JRITING .......................THEE--SYS-'tCiifI--W S—INSTALLED IN STRICT Agreement: ACCORDANCE 1�PLAN, The undersigned agrees to install the aforedescribed Individual.Sewage Disposal i ystem n accordance with the provisions of i T IE of the State Sanitary Code—The undersigned 'further agrees not to place the system in operation until a Certificate of Compliance has be n issued by the board of health. /Ya Signed ` � 1.1/ ------------------ qq Date Application Approved BY..........M . •----- � .............. .........1 l-� --Q,....-- Date Application Disapproved for the following easons:---•---••-------------••----------•----••••---•-----------------------------•--•--•-------......•••-•.....•---•- -•------••---•---------------------------•-•-•-----------------------------------...... Date PermitNo............ •----------------- ate Issued..................D ............................... Date `,# f 1 FEB....�1 ...r..tro THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH• J 1C1C. oF......B,,la(, App iration for Disposal Works Cnnnstrnrtiun Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at; _1110- 1� _�,1A,._:__ . gal ........ _to_.. , �� --------------------- - _----------------- C�` �____ �' ocation(- dress /' j� or- t No, V1.R 14? • "�-I_sL:Lo 1 � .. . . �..(a _L .9 :��.. P...... AA_.•.. 111 �{ _______________ •_-___- F fE - .. wr, A less , Instalier Address UType of Building rryye� Size Lot.... ,0,f Sq. feet Dwelling—No. of Bedrooms........"�_______________________________Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building a —Type n>1g ---------------------------- No. of persons............... Showers-==------------_ ( ) - Cafeteria ( ) Other fViUres -----------------•-•---------------.......................................................... -----------••-------------------------- Design Flow___.____.___f�_0_________________________gallons per person per day. Total daily-. w _;___flo :____ _ W ----=---------------gallons. 1:4 Septic Tank—Liquid capacity4_Pk6f_.gallons Length_ ______ Width.................Diameter................ Depth---------------- Disposal Trench—No. ._._____ __.__ Width.................... Total Length.................___ Total.'leaching area_-__________._______sq. ft. 3 Seepage Pit No-_______-I....._.__. Diameter...... p g Zz/ q. f �.�..__.__ Depth below in.et___ ��_......... Total leachin area._ _ ______s ft. Z Other Distribution box (d ) Dosin tank ( ) Percolation Test Results�` Performed r� ; )�Z rr4.7, ,._,Jm4__________________________ Date_,�r4_�l___� 9 �..... Test Pit No. 1.__.__--f'_..__minutes per Inc Depth of Test Pit... !_�__.__.___ Depth to ground.wa er-------a°........... (s, Test Pit No. 2....... _....minutes per inch Depth of Test Pit...f,,tj........ Depth to ground water...__"______________ a' f----- ......................... _.._....-----••---......... O Description of Soil.------—1. ........ ••-- V ...........................................---•---••---____.___-------------------_..__......•-----------•---•______________---•---•-------------------•---------________...._._.. --------------------- W UNature of Repairs or Alterations—Answer when applicable..................................................................................:........:..: ----•--•••-----------------•-------------`--------•-------___.___._-----------•------------------------------------------------------•--------------------____________._.__..__:_________...._......-•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in-Accordance with .^l:^ the provisions of�"i T 'i of the State Sanitary Code—The undersigned further agrees not to pl ce the system in operation until a Certificate bf Compliance has been issued by the board of health. 'r! / -----------••--• t . Y Date Application Approved By---- mot. -•....! ,eta _----------•------------ 4-- _---,'.. --------- -- ____ �� Dat l? Application Disapproved for the f ollowinl easons-------------••--•----------....---_________----------------------•------•-•••------•.___._________._......_..._ Date Permit No......................................................... Issued----......... ..............................:_-___-_-__ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................OF...a ? N.. ..,........................................... Trr#ifiratr of (slimPAW= THIS IS TO CERTIFY, That t9e ndividual Sewage Disposal'System constructed V ) or Repaired ( } Installer at------. L6.. i_ 7------1 Z�.... S =-------- L- ----- has been installed in accordance with the provisions of TiT1E j of The State Sanitary Code as described in the application for Disposal Works Construction Permit 'No----- _' _____________ dated_.'q- ..-1_L*--Y(,_-_--________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION,SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS -+ 1 BOARD. OF HEALTH a . r . �.�?..:.-OF...... .� ..'_...---••................................... .. � Rapasa1 Works Tonstru ivit ramit Permission is hereby granted--. .......If to Construe ) or Repair ( ) an Individual Sewage Disposaf`System atNo........................ ....... Sr.eet as shown on the application for Disposal Works Construction Permit Dated. -_/.p-_nj.(.................. .... I'B and�A�a lth &k--------------•-----••--------•— DATE ;40-.---------- W3 - FORM 1255 HOBBS & WARREN, INC., PUBLISHERS •--� z I _.._.-17—.-, _ - kL SITE PL A N SHEET l OF 2 SCALE: /°= 20' i - I - I h1'K, heT bv,vv I hr►�- air ?A y 9 I II s 0 � �? l�✓� DW��I.IIJI� < , 17' ti GSA ' o �000 WALE h(Q• .?'IG TANK ..__.0 10 .,. � I I �� ARo%JD M �" `H OF DESIGNING ENGINEER MUST SUPERVISE VrB FRICK H INSTALLATION AND CERTIFY IN WRITING No.18771. THE SYSTEM WAS INSTALLED IN STRICT ACCORDANCE TO PLAN. i .. RE6/STEREO LAND SURVEYOR FOR �j - - .20NE a tLJ I'i'; - PLAN REF, 5*9, DATE ,BENCH MARK DATUM- 11 ee WM. M. WARWICK a ASSOC., INC. -' DOMESTIC WATER SOURCE--�dw ��'r BOX 801 - NOR TH FA MOUTH .;FLOOD ZONE--k)C&J A MASS. 02556 - (6/7) 563 -2638 i fn.; i LEACHING QASIN SECTION NOT TO SCALE Shcc/ 2 of Z 24"C.1.MH COVER ' EARTH F/L L BRICK ANO MORTAR COURSES AS REO'D• TO BRING r � �-4", ._.r• ,_ COVER TO GRADE 4 INLET _ FLOW L/NE y,i 2"_r"TO I r WASHED PEA STONE FREE OF IRONS, PIPE T, FINS AND DUST /N PLACE / -` tl OPENING W/TN 4/B" 314" TO /�2"WASHED CRUSHED STONE FREE OF '.' 11 •' I ti3 OUTER DIAMETER IRONS, FINES AND OUST /N PLACE ' A NO 1314"INS/OE ' 1. D/AMETEK 1. CONCRETE TO BE 4000 PSI 28 DAYS CrALk0)-) --� � . : � 2. REINFORCED WITH 6%6° NO. 6 GA. W.W,M. 3. 2'AND 4' SECTIONS ARE AVAILABLE FOR I GREATER DEPTH REQUIREMENTS r0„ ' 4'0" �--6 —I 4. NUMBER OF PITS REQUIRED Pkj`�, MIN. I 2 NOTE: EXCAVATE T0. ELEVATION OR ' EFFECTIVE DIAMETER (NOT TO EXCEED 3 T/MES EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL WATER TABL E LOAM AND CLAY BENEATH PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN TYP/CAL P—RO-�FI-LE GRAVEL TO DESIGNED GRADE. 17'a /B'rSTD LT. WGT. C.1. MN COVER ' �� ''• 2I'O z •° zos 4'B/T FIBER PI PI 4"C./.PIPE TIGHT JOINT 3 OUTLET LEVEL. OWELL/NGFLOW LINE _ TO FIRST JOINT .2D w , /4" I O O O 1 10 00 It I I C.I. TEE 10 00 1 1 ( 11000 00 1 1 1 1 I STD. PRECAST CONC. p► 1 11400 00 1 1 1 1 16•" ;IAOOGAL.SEPT/C TANK f� �/ D/ST. BOX TO B£ I(�.�0 1 11100 00 0 I I I INSTALLED ON LEVEL, I STABLE BASE If 000 00 "II 1 SEPT/C TANK TO•BE 1 It 400 0 0 1 1 1 INSTALLED ON LEVEL I I f 10010 0 I I { STABLE BASE. 1 1 1 0 0 0 0 0 1 1 1.1 1 IIIOOOO 1 I , 1 3 LEACHING BASIN , 1 I 0100 0 111 s BASE TO BE LEVEL , , r 18 0 SOIL AND PERC. DATA PERC.RATE - MIN. /IN. r S0&62 0„ TEST PIT NO. I O!� TEST PIT NO. 2 � yl l.v�� icJltiylill� LOAM Svl�holL .TEST BY: 4at'm &* me la(z�Tt-i I y� WITNESSED, BY: lf+aMAy A4490A1j A4 re. Nv M IJD M TEST PIT GR. EL L2l' 42 �)-•Z S DATE •JULY llf4' lZ Or gv. q•h I (n. 0.0 IJO ciri2avNpWATWt I Z•a p IJ , G�d✓ND I,JAtL� DESIGN DATA GENERA L NO TES I BEDROOMS-- NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. Ih DISPOSAL-- Ma SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD EST, TOTAL GAILY EFFL�2VGPD. PRECAST REINFORCED CONCRETE UNITS. SEPTIC TANK J O00 GAL ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, SIDEWALL AREA yGAL./SQ.FT, MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF BOTTOM AREA I d GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY I , 1977. LEACHING REQUIRED SQ.FT.. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ACTUAL LEACHING AREA OF HEALTH. Z Q.FT. .-..,,.AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES 'A" / FT. UNLESS INDICATED OTHERWISE. mot"OF A � SEWAGE DISPOSAL SYSTEM • ��a. ASS"it MARTIN yu��. E. FOR G N ,� �� AA c� otiJ � � w MORAN y VArZG� Ii ?A- reLM �Te��- 1p23417�p � pp�FG/SfFQla`��` Cd MA,5 5 � Sir � ONA4 ti�G6 ' 'f U l'r. 8a� ' SCALE o45 /NDICArEO DArE • wm. M. WARWICOY 6 ASSOC., INC •80X 80I - -NORTH FAL MOUTH ` MASS. 02556 - (617) 56.3 -26.38 PROFESSIONAL ENGINEER TOWN OF BARNSTABLE Wse C LOCATION 1-6'C SEWAGE Y_q®_/s3_ VILLAGE� �" ` — ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. ,,,A) 6, &jj .A i SQ k- e19 SEPTIC TANK CAPACITY_/ C300 LEACHING FACILITY:(t ) Rp 9 rar NO. OF BEDROOMS 3 PRIVATE WELL OR PUB41C WATER )_Abe BUILDER OR OWNER ,5 C° �d AV_IDS Ai l c/16-kj S"I_�____ _ DATE PERMIT ISSUED: __— DATE COMPLIANCE ISSUED- VARIANCE GRANTED: Yes No _ 3� qo r C fs