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HomeMy WebLinkAbout4855 FALMOUTH ROAD/RTE 28 - Health 4855f Falmouth Road co , - -- _ A = 009 - 021 M1 C� R No...o....`. �i (�� ®d� 0' Fis.......... ...d- THE COMMONWEALTH OF MASSACHUSETTS ? BOAR® OF HEALTH "�t t�l..... ... OP..... , pf'rFa#ion for Disposal Works Tow4rnrtinn Prrmit lApp ication3 �made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: 9 n OTC 0-6 L.d 7- aZ. ........ _ ..... .............. ..................................................... -•----------...-•--•-----....---•-...------------•---------------------------......------••----... -DALQca' n-Addres or Lot No. .. L o�' 4� Address ............. -------._.......-----_..__....._.................... ......._. ......--•-•................................ Installer Address �3 /-70 U Type of Building Size Lot_-_-----t-S[l________ _Sq. feet Dwelling—No. of Bedrooms.•.._......_3...........................Expansion Attic (4) Garbage Grinder (00) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures ---------------------------------------•-------------------------------------------------•-•------------------ ---------------------- Design Flow............ `,a......................gallons per person r day. Total daily flow__._3.Q............__...._._..._ // lone. W Septic Tank—Liquid capacity.fOOBgallons Length_ F____ Width.4__-".1Q_ Diameter................ Depth�._"l... x Disposal Trench—No. .................... Width---I................ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------�_----------- Diameter....IZ......... Depth below inlet.31V.7...... Total leaching area.?-51______sq. ft. Z Other Distribution box ( Dosing tank ( ) i SoP-VEY COA15 U L_7A 4��£3/ a Percolation Test Results Performed by. tF'E_ 41�______________________________«._....___..._____ Date___._____....... _..._.__... Test Pit No. I_........minutes per inch Depth of Test Pit__] ----- Depth to ground water_____���}______.. f14 Test Pit No. 2................minutes per inch Depth of Test Pet. ......... Depth to groundwa �'x. � --98.) oI�.. E. L SUED/L ' _ �i_l4K ' __APS� 5Af4b 'a� Description of Soil••.51•••TY...................... x /�^ /��/ ! / ) ..................... 1� .__ w P�_t A!__5I�T .. �SOI�- -3 -- -� -)C��RS •f�4f�- - -Sb�aE A UAL. : M1CFKir�WCz U Nature of Repairs or Alterations—Answer when applicable._. - --.t�.._.-----W �/�.......-1 a...___GI`s)I!_J ------------ r s __________________________________________________________________________________________________________________________________________________________________ f+.4*'.._).._n. �' `�' cry_ � • Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System accord e with the provisions of L I TIE 5 of the State Sanitary Code— Th undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee a- healthy Signed = - ---------••----------- y Application Approved B �—r ' ""�' �' ING ENGINEER MUST SUPERil15> Date PP PP y---•---• ="= �nr ITlf�t :,;yALLP.T Nj3-CERTIFY Rd 1A��__..' Date Application Disapproved for the following reasons:__.......__ I=.cY xEl�?._��11AS_INSTALLED IN STRIC% I-Y- )AN.ICE TO PLAN. • ------•-•••-----•-•••--•---•-••••••••..----- --------------••-------------•---.....----•--•--••---------...---y--------•-•-----.....-----•--•--------•.-••--•-•------•--•-••---•--•-•••--••••••---•-••-•----•-•---•-••-•-----••-••--•------•••........ Permit No. ---"...r .. Issued Date Date Fss. .�. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ` � �ry Q . .1�..............OF.....ZA K�Tt"t-.1�. .J_F....................... ApplirFation for Dispos al arks Tonntrnrtiun Vamit ' Application is.hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal k 'System at ................__...._.............. 4 F L a i n-Addre _.....--•-- - or Lot No. 9.a............................. ____ _____ T Address -� W ! .14.01_!yl a ., Installer Address U Type of Building Size Lot_ �t-4 *.Sq. feet ., Dwelling—No. of Bedrooms............. ------------ -------------Expansion Attic (0) Garbage Grinder (00) aOther—Type of Building ........................7.. No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures .................................... ------"'----------------------------------------------- ----------------------...... W Design Flow...............,d�".I5.._.__................gallons per person per day. Total daily flow___33.-�- .......................��� long. WSeptic Tank—Liquid'capacityJ000gallons Length 6._"'.4P_. Width.'.'"_"") Diameter_____________"_- Depth S-"I_.. x Disposal Trench—No. .................... Width ..... Total Length................_.. Total leaching area.......... .__....sq. ft. Seepage Pit No.......1.............. Diameter.._. Depth below inlet.3_t ? _ Total leaching area!?-�*a ._.._sq. ft. Z Other Distribution box ( Dosing tank ( ) '-' Percolation Test Results Performed b CAPS4�+_Su�eVeYON/S u t�7�fr1T a Y'----- - -- - - -- ••-- ---...---�f•---=------------ Date--------*---- jj----- -- Test Pit No. I..... ___-minutes per inch Depth of Test Pit " �7..... Depth to ground water fs. Test Pit No. 2..__. .r.�minutes per inch /w�Depth of Test /Pit- y' '"/_.f_j�_j.. Depth /(,tLo1ground waf5a' 9 a-Ir ---. tt x Description of A « � tt 2� �� 9 �; Nb �+ � --•----•--'' .c��t4 Nam: > C.:f_.5.._/t _ d i ��IK S . (/�1 ]��r�}+ �.� U Nature of Repairs or Alterations—Answer when.applicable______________JQ.__._W__....._ __._..__._.__._' ? ,� ---------------'-•------------------------------'•----------....... ..............................................--..................................... _ Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance wifl� rlf the-provisions of i TT1....1:'. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been"IS e-boa e#�health: r.. 4. _•._._.�-� Signed Application Approved BY Date ..... ------- --------- ------'---'---"--------------......-- - Date Application Disapproved for the following reasons:......................................................................................................-......... --------------.......................................................-"----....----•-------....--............................................................................................... ��— Date f Permit No.---•-•--•------ .:..........: = - Issued-....------ - Date N THE COMMONWEALTH OF MASSACHUSETTS T ` BOARD OF HEALTH i ............�..... ...............OF.:.......... 1�......................................... (9rdifiratr of Toutpliatta THIS IS TO CERTIFY, hat the Individual Sewage Disposal System constructed ( ) or Repaired bY.................. 1. T {- ry C ... ------....•... .....-............ ................--......------------------................ ......... ------- Installer. at-'--•--------------J�( �. �! :, C .�-fix, has been installed in accordance with the provisions of TI75-Qf Aeate Sanitary Cgdf2as/ sbed in the application for Disposal Works Construction Permit No......................................... . dated_.-:- ,-_._. _............................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION ,SATISFACTORY. DATE ..............................................................-- Inspector.-•----........•.....--------------........................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF- HEALTH ti- .........................../.. OF.................. - ' .... .............'---............ No..-•......•............. FEE............ ...... . 1 - %pood Works Tomitrnduon rrntit Permission is-hereby granted.......... '4--•-.. rat. ........................................................................................... to Construct ( ) or Repairs ( _} an Individpl Sewag .�ispgi aL System atNo. .................••-'-----...---•--.........-------------------"---"---------•-------------------"-----.......................................... - Street as shown on the application for Disposal Works Construction Permit No.............�----.Dated ___ --' _ - -------------- Board of Health DATE.................................. FORA 1255 HOBBS & WARREN. INC.. PUBLISHERS - - API'll I CA1.1.1 ()I,l 1"(w 1'1,;IlCUI�n'L'.LC,fI '.H-:.;'1' AND LOCATION L,Or I `1-� 2e 0 QU l /S H Cam !T NO. 3� VILLAGE C07Z�//% _ llA`l'E APPLICANT pX ,-U,U 77- 7L057 FEE_''• _� ADD1tESS77U ,�f/�i,c� �j, � j/iGL� '1EJ�EP11ONI NO..�Z9- 70Z,V(Non-refundable) INGINEER eltP& C�iUSI��%L _TELEPHONE DATE SCHEDULED � Z-� (Applica►it' s signature) • • • p 7 l 7 O • O • O O • O O • 4 O • • • O • • • O O O • • • • • • O • • • O • • • • • • • • O O O O • • • • • O • O . . . . . . . • O • • • • •ASS)✓SSC)R'S 6LAL' 6r 1.U'1' N()� �.jg S011, .LOG SUB-DIVISION NAME / DATE' Z % �� TIME EXPANSION AREA: YES t0 111i) _ � ;�i-f�� ,q /-{�q�}S ENGINEER 'TOWN WATER PRIVATE WILL 7Z>.Uf A(c BOARD OF HEALTH EXCAVATOR SKETCH: (Street name, c L:c-. ,dimensions of lot, exact loca ti.orr of test holes and percolation l(-,:.- Ls, locate wetland;; in proximity Lc) -Lest holes ) NOTES : I Sol TP n Z \ 1 I N I � ( Tn Aa Z-7Z 1'ERCOLA`1'1UN RATE: 2 I N�� ►� 'PEST !TOLL: NO: ( 13 T.,I-"VAT 1C)N : `lES`l' HOLE NO: Z ELEVATION : 3 �� 3 ------ - 4 S �.- - ���4?-5 5 A-113'D 6 G 5aio��l 7 5A-�jb 7 ct 9 Gc�>� 9 10 lU 12 - 12 13 — -- 13 14 1.4 15 l5 15 16 L - -- SUIrABLE IOR SUB-SU1ZFA(-'l; SI_;WAG : LEACHING 1'1LLD _LE iilLlG PITS LEACHING TRENCHES __.. UNSUITAH[J; FOR SU13-SUR1'710E SE AGI . RI ASOLJS : NOTE : ENGINE1';RING PI,AHS RUST SHOW NUM1131?R. 7-\Si1G1` ED OI'J PT,RC TI"IST APPLICATION ORIGINAL: CnrjPT.RTT?n Tel P? J TRI:TY BY 11 . R . TTIT) PrTilP lT71i TO nn7\PT) n1' TIr71T,Tl:I COPY: RETAINED BY APPLICANT Y 1 1%i SOIL TEST PIT DATA. INDICATES INDICATES SEPTIC TANK DETAIL: 10 O 6iA DISTRIBUTION BOX DETAIL: -D LEACHING PIT DETAIL: REVISIONS PERC. -,= OBSERVED NOT TO SCALE NOT TO SCALE NOT TO SCALE: �rLi'✓ TEST GROUNDWATER NO (7ATE NOTES: I. SEPTIC TANK SHALL BE STEEL 4 INLET AND OUTLET TEES TO BE CAST IRON OR " -LOAM 8 SEED REINFORCED CONCRETE. IS NO. OF OUTLETS: MANHOLE COVER OR PAVEMENT t" SCHEQ 40 PVC. TEES TO BE CENTERED UNDER � BROUGHT TO FINISH GRADE GRD. EL. 7 GRD. EL. _____—_ GRD. EL.7 — GRD. EL. __ 2. SEPTIC TANK TO WITHSTAND H-10 LOADING MANHOLE COVER. -- J--- NOTES -- �4 Go i � { UNLESS UNDER PAVEMENT DRIVES OR I. DIST. BOX TO WITHSTAND H-10 LOADING 2 �� I �- FILL� . . . r- - � MIN OF I/8� W. EL. __=_-=_ GW. EL. --__ GW. EL.___ GW. EL. p � � TRAVELED WAYS,WHEREIN H-20 LOADING � I I UNLESS UNDER PAVEMENT DRIVES OR TO I/2" 12 M N. \ SHALL APPLY. U PRECAST I TRAVELED WAYS WHEREIN H-20 LOADING WASHED 1 Ile-) P 5)0 1L " ���" i I SHALL APPLY. STONE 73,fo /2 74,1 3. ALL PIPE CONNECTIONS AND CONCRETE MANHOLE COVER ��p I I DIST I I C ,���- � � _- CONSTRUCTION TO BE WATERTIGHT. BROUGHT TO FINISH GRADE BOX 2. PROVIDE INLET TEE OR BAFFLE WHERE SLOPE OF �- PVC INLET PIPE o 0 0 o c� r� o o n $Q 104A AJ ��o W I I INLET PIPE EXCEEDS 0.08 FT./FT OR IN PUMPED SYSTEM. - - �o��°° .- III—Ty I „ -Iz"MIN 1 L--_r -__J o 0 0 �� r� o 0 0 ❑ �? NOTE �UIMS01 L ___._-___ COVER 1— 3. FIRST TWO FEET OF PIPE OUT OF DIST x e o LEACHING PIT TO GENERAL NOTES SU1SOIL BOX TO BE LAID LEVEL. ~a o 0 0 o o ❑ ° - �0 p WITHSTAND H-10 LOADING I THIS PLAN IS FOR DESIGN AND PLAN VIEW ,R UNLESS UNDER _ ABPRECAST fib• CONSTRUCTION T H WA �tEM04E LEA .'6 c"� � PAVEMENT,DRIVE OR OF E SEWAGE NORMkI WATER LEVEL I _ - --------- r---- - COVER w 3/4"TO I I/2 U Q v I ? Q o G ❑ TRAVELED A WHEREIN DISPOSAL FACILITY ONLY. - - - - - - - - - - - - �� T > , DOUBLE LEACHING PIT o WAY E �.- � 5 W N-20 LOADING SHALL MATERIALS SHALL CONFORM TO MASS. 2_ ALL CONSTRUCTION METHODS AND I I —� U WASHED ❑ a o o cr o n ❑ d' ` :. PROVIDE _ APPLY. INLET TEE —} • • STONE WATERTIGh7 LL. (no }Ines o gq D.E.Q.E TITLE 5 AND LOCAL BOARD — — ------- --- t JOINTS(typ) _I I' �I . w ❑ o o c� o C3 o n ❑ D OF HEALTH REGULATIONS. +p.. PRECAST 1,- ♦'_0" MIN. OUTLET �3` I / 3 ALL PIPES LOCATED UNDER PAVEMENT .`aA�.1 S../ti SEPTIC I Q I �, 8! r-1 SEE I 1 �o U w LIQUID DEPTH TEE MOTE 2 •'i � TANK T -�© _ 4� INLET l I _ �r � . �`,E 1, �-- 1 �- -4 1Vi r — "°ZS w ❑ Q ED C-D cl n 0 ",� e o % OR TRAVELED WAY SHALL BE ''1 , 1 4"OUTLET i it ° o - 4,z SCHEDULE 40 OR EQUAL 1 A' "L". L - - - - - - - - - - - - - - - - - �L------ �J, L �• 1 Y �`/ /I� 6"MIN. 06b BOTTOM ON LEVEL STABLE BASE --BOTTOM ON , I:: DIA - CROSS-SECTION - s, _ 'a ��� �L STABLE PLAN VIEW CROSS-SECTION VIEW CROSS=-SECTION a w7 A ; DAT DATE: DATE: DATE: CONSTRUCT ION NOTES INVERT ELEVATIONS. TEST BY: TEST BY: TEST BY: TEST BY: INVERT AT BUILDING / lam WITN ESSED BY: WITNESSED BY: WITNESSED BY: WITNESSED BY: I 'F'� 2a INVERT AT SEPTIC TANK(in) ------ --- �' % L INVERT AT SEPTIC TANK(out) PERC. RATE. PERC. RATE: PERC. RATE: PERC. RATE: Y MIN./INCH MIN./INCH MIN./INCH MIN./INCH " "---' ------ "- --- �$ INVERT AT DIST. BOX(in) fv� j a ;� . , O INVERT AT DIST. BOX(out) 70, INVERT AT LEACHING PIT � 4'0_ DATUM: R71 _ L I' r T. P• ,2 �, BOTTOM OF LEACHING PIT 404v ,-73 U .S.G S. MAXIMUM GROUND VERTICAL DATUM: , IV'!,. ., / / �, "75 -- ;I � WATER ELEVATION BENCH MARK USED: M Z"� S OBSERVED GROUNDWATER ELEVATION ` 1 Y , r � ,�y j'`-!'fit.-', ��J "`*"."_:•.'•.y ., I � r�' � , �� ! , 1 , DESIGN CRITERIA: DESIGN FLOW: Q —BEDROOMS AT tc.�� G.P.B./D - i N Qs / - I !r �. � '/ ---- -- ------ ---- -- ------ The B S C Group REQUIRED SEPTIC TANK: j i -- ----- --- -- -- GAL. rC �1 1 . ������ tt�1A`,_•, � �;� ( � - i SEPTIC TANK PROVIDED: -- v�v:� �_ GAL. — �ac ,. APf'R SIZE OF LEACHING FACILITY EQUIRE R p: Cape Cod Survey Consultants e. ..f-P }� pt^ 's�y Y G� PIT „` DESIGN PERC. RA _ ---_ — MIN_/INCH { Z `r F<, I v;r S'�/1 _ _ -�_ ' -W _L --S`�"�Al - ----- �3261 Main StreuL Route 6A _ Barnstable Village �' ti ��� L:, ,,,-� ------------ -------- - B2630 a MA i x 1 ,4 25.E �'F'� 617 '362 8133 1.C V, ` .z~ t fit.,, - ' - ° - =-` - SIZE OF LEACHING F PROJECT TITLE bc:x C ING AGILITY PROVIDED: DISPOSAL f. a /3 8 z - � y� SYSTEM DESIGN 74 (o / LOCUS PLAN: - ' „ C N UiVDERGRDUNO UT/L/T/ES �YERE COMP/!_ ED FR0)1/ A l AIL AEI L E -,- RECORDED PLANS OF UT/L/TY COMPANIES AND PU8�_/C AGENC/ES �{ 8 N 2>, / x TOP G F- F N I:) 4r o z AND ARE APPl,'O.Y/MATE ONLj: E'EF0,4E DE.S/GN <INU CONSTRUCT/ON I , � CALL "DIG SAFE " /-800-322- 4644. Y / 1 i E"t V, = 75. 50 co t� wV�N OF r�lq f I (0 1a' c PREPARED FOR: LOCUS <' �r ` I> IICa,ENGINEER MUS ~ 1 . Fr��at"`�C - � � � ��.`` ". ti� 'SpW RVI 2 96C�� c 8 ` ETA J / ',: o MASNpEE RI ^ - ! I CATION AND CERTIFY tZJ49 c rgARNSTABLF ak= c <t. TEUI WAS INSTALLED IN T �.•- -'�c,Lc.L. L\ may'/ D F/�'CIf ESS/ONAL LANU lil1EY'OR -DATE / �' n ` DATE _1/iN utir .'4 (0 , l y. i VACAMT COMP DESIGN Pp.�, � �`A� PLAN VIEW . o� CHECK f F a DRAWN SCALE: 1' 0f "74,, LLD Rom" V$ -� _ , / ,� FILE NO ----------- - ---- - ��'�' F SS/UNAL 'f_N /,�1,�i�/r'-G'/ / L L ]NINE o ►o z 3� � FEET \�• � ` -' �.._ a DWG-NO --)Z3c��--- SHEET JOB NO j 3,i7/6. dI OF Jr