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HomeMy WebLinkAbout0157 HIGHLAND AVENUE - Health W 157 Highlands Road COtuit - -- - - A= 021 -014- 603 - - - a i Is f is-�1i6.- '44 4 d E 1 � TOWN OF BARNSTABLE LOCATION '.�f � � L 4NdS ZQCQ SEWAGE # Ob Lo VILLAGE G0101 T ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. 1-&OCISCo /A✓64QtS ficr, SEPTIC TANK CAPACITY /®ao cn� S�aor4t ,y� of � � LEACHING FACILITY:(type) �,Q� s Q/7' (size) 004 5,y/ NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATE BUILDER OR OWNER CS , ,Je CO"'uS kUClf bo k c' DATE PERMIT ISSUED: l0 L10 11ye- DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �/ Q � A _ � �' � \ i � 33 ,�y � .� 1 / ` \ a�� � � �, `, O � � � f, a3 � �� i�. �, nn /� c�. N..�_.`��� �p( � ONE QV 5 T Fss.....���..-.... . THE COMMONWEALTH OF MASSACHUSETTS \� BOAR® OF HEALTH ----------------------- D - /.. ..o. S"-- - Appliration for Bispnaa1 Wbrkii Cnnntrnrtiun Vrrmit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: 0l TT- ...- ........................................ .. . oe _ c A n, Locati C-Addr sss ?.l.t�. '..----•...................................or Lot No---•-•---••-------.................--••--. Owner Address -- ... . ......� 1Z ..---------•---•-•-----•......... ....................•-..--•-•-•---•------•....... .._.........-----------------..------ Installer Ad Type of Building Size Lot____-o 0Z...._.A aDwelling—No. of Bedrooms_........__3...........................Expansion Attic W) Garbage Grinder WO) p� Other—Type of Building ............................ No. of persons.........6---___________- Showers ( ) — Cafeteria ( ) Other =!ures .---.._..--•--------•----------•-------•--------•-------------•--------------._..._.......------------•-•-------------•---•-•--•----------•----------- W Design Flow................5__.-J�.....................gallons per person per day. Total daily flow---------- :3.0.....................gallons. WSeptic Tank—Liquid capacity _$.gallons Length ". ... Width'_-/ _ Diameter________________ Depth-S..`.!�_- 1++' x Disposal Trench—No. -----------•--__ -_ Width................... Total Length................--T.Total leaching area....................sq. ft. ! Seepage Pit No.___...1_____.---- Diameter------iA-------- Depth below inlet.Je- ._.._ Total leaching area.__....;�.]...sq. ft. Z Other Distribution box (}�)' Dosin tank ( ) `" Percolation Test Results'- Performed by� PE'__c-0..S RU......_�a!�SUGTl4 lS- Date �1 (4/3 � a Test Pit No. 1----2.:-----minutes per inch Depth of Test Pit______-/ ...... Depth to ground water , z f= Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water21A�, �E ?� R4+ ©---•-•J-•,�.............�...1........ii--•-}-�-- .._._......_..----•----•-----••----•-•...........•-----•----• .............----- •• i"R -F Description of Soil.... !!_.+` .�_..a___.5i'�..�._ZlU�_V SD/G, ....... Ut_ 7 v 61-LOW 5A M1CI,1V1EV'J1CZ w i (s1 .......................................................... .................Zn _�7T.p� C(, S --SA S.. C11Jii^304 � 6 A U Nature of Repairs or Alterations—Answer when applicable................................NND � _ EV, _ --------------------------------------------------------------------------------------------------------------------------------------- @o Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance i the provisions of TITLE 5 of the State Sanitary Code—The un ersigne .er agrees not to place the system in operation until a Certificate of Compliance has been issued by t oard of i It ined............. •... .... -----• ........... -------- ............ ----"---- D Application Approved By.-•••----••-- --- - ----------- --- •.................. .....••---.................... ..........._o.) *------•--- Date Application Disapproved for the following reasons------------------ -- --- ------------------------------------------------------------------------------ --------------•-----•----••--••--------------•-••---••--•--•------•-•.... ......------...................... ......... Date .. Pprit No........ O-60.1.............. Issued------------------------------......--- . Date Fmc........................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ""-W_. .........oF........B.49.&.5-rA-. . ........................ Applirativn for Disposal Work, (funsfrnrtinn Prrutit Application is hereby made for a Permit to Construct ( >t or Repair ( ) an Individual Sewage Disposal System at: .........1 � -��C� .,.....C.0-ru+.r------- ----------- -------------- ---- Q"i' C A /� + 1(� `]' �+ -- -- ----------------••------------•........--- Lot No. .tAG.51 F1 ...._ v hR�� 4!c.................l� ..�.'�l� !..........................•---....-•-----o Address......-••-•-------........................._. owner ................................... ••---••-•---------•-------•---.......................... ......------............................ Installer Address 1.0Z � Type of Building Size Lot.............j............ V Dwelling—No. of Bedrooms............ _Expansion Attic Nc,) Garbage Grinder.,) �. `k Other—T e of Building No. of persons.......... --------------- Showers — Cafeteria a _ a .. "Diameter ................... E lons. d Other fixtures ............................ W Design Flow..................- �-----.---------__-.g Mons per person�PRr dray. Total daily•flow:-.--•-------•-----------•-----...---•---gal•-----• aQ _....__.__.. Total Length.................. Total leachingarea_--De th----S.:�: W Septic Tank—Liquid capacity._I...._9gallons Length..-.----.�+_... �V idth._---_/ Diameter__-_-_ p x Disposal Trench—No--------------------- Width..................... g 7 q Seepage Pit No....._._..-_-___._ Diameter-__---_S ._.___ Depth below inlet... !.47. Total leaching area..�. �--sq. ft. Z Other Distribution box ( Dosin tank ) °-' Percolation Test Results Performed by . GONsv4r.V Date...... ............. a,,.a Test Pit No. I.....�......minutes per inch Depth of Test Pit......../Z...... Depth to ground water---------- " w Test Pit No. 2..._............minutes per inch Depth of Test Pit.................... Depth to ground water.-_----... ����° "'fiC3GER ya DescriptionofSoil....__"�'� .�..:.__ ____ .. ._?�� -- -------------------------------------------------------------------- - xd ,� , �r Y ��OIi! � Mlo��o Z U �) r W -•---••---••-----------•---•------...--•••-•••-•----•-•-•-- -� 3 '� ? CgIZS :_SANflS CO' UI -0 CIVIL ' . x -------------------------------- �LI [, Nature of Repairs or Alterations—Answer when applicable___________________________________________________________________________� .�T� --------•---•-••-----------------•.......------...--•-•-----------•-•---.....----•------•--•--••---•---••--•----••--••-------•-•------------•------•----•-•----------•----•••......--••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i.i l LZ 5 of the State Sanitary Code— The undersigned fu r agrees not to place the system in operation until a Certificate of Compliance has been issued b the 15' rd of heal' . Signed............... f= --•- _................••--- ................................ - - Application Approved BY =•x...........................-•------ 1r tsC� a D ate Application Disapproved for the following reasons:....................................•_............_..................•........_.. ---------------------------------•-•--------•------------•--••------------------•-----.........---•---•---••--•----••----•--••--•--•-•••-•-•---•-••-•-••••••••-•-•••--•••--------•-••-----•-•---•...... Date PermitNo.---- ..�------------- Issued..................................................�.....,_-..c..�.. Date -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH O F..........` �°l ....... .................................................................... C�rrtif iratr of f omplianre IS IS TO CERTIFY, That the Individual Sewage Dispo 1 System constructed ( ) or Repaired ( ) b ! - � 1!+1 . --� ------------------•-------....._........---------•--•--•••. 1 .... .._ tS_.Lti.. `...� . ,��'' e Installer at -- --• ----------- •••---•--•-------•--•••-------•---•------•-•---••---••-•----••-•••---•-----••--•••-•••••-•••••-••-•-••---•-•.....-••---•-••---•••--••---•---•••......•----•---•-- has been installed in accordance with the provisions of r1 ? 5 of The State Sanitary Code al ibed in the application for Disposai Works Construction Permit No............ 2.F�.l._.. dated---..--- es 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 -, _ NFEE........................ Disposal 10orks T'Wntr�n ttion Vkrufit Permission is hereby granted.....( -----------•-•---------------------------------•---•---.-.-.-.------ to Construct ( R��lai�(l an Individ 1 Sewage Disposal System 1. ) '' 77 ) ' g P Y atNo.....--•-------------•---------..... .12-.---.........-•---•-•------•-•------------•---------•-••-----------...... � Street as shown on the application for Disposal Works Construction Permit No..................... Dated------- 1. ; ............ a.. Boar of tlty 4 DATE.................... 1) ...... ------_----_------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS REVISIONS: TEST PIT DATA DA TE CF TES TING: - . - t $ - PERC. TEST DATA : SEPTIC TANK DETAIL : sizE- 00C) GAL. DIST. BOX DETAIL LEACHING FACIA- ITY DETAIL' NO. DATE TEST BY: ,7- �1 TP DATE OF TEST/NG. 9 —� - �3 TANK TO CONFORM TO TITLE 5 REOU/REMENTS. TO CONFORM TO TITLE 5REOU/REMENTS' _�_ '�G "�f/O t c `=csv. 11c .�:>. =c.',•r y��+' , ,»} L� W/TNESSED BY r-o,s% r ,� - :j; .TEST BY NO. OF OUTLETS f dG 47. - WITNESSED BY: ,.�� �,��, �, �ti j , /2, � i REMOVEABLE COVER _ MANHOLE BROUGHT TO Yl.G_GOV . s 1; '1.•s ; 'e1:.'�. ,�et�•' FINISH GRADE. e b s o o. , n.6 ,, ., O ^„PEASTOA2 �,LOAM9FILL /211MAX. 3 CL EAR - - 6"M/N. 2'M/N. 6"M//�/ 7INL ' T II OUTLET PIPES e -- DEPTH OF TEST: . 5 AS REOU/RED -._ RATE: G r���//: /�l1 /0"MIN ;:7- INLET . .� D/ST- ' INLET TEE ; �, OUTLET TEE tl � � � / I 4"C./. /000- GAL. . �p 1 INLET AND OUTLET 4-O MINIMUM OUTLET TEE DEPTH WTEES TO BE CAST L IOUID DEPTH /4'"AT LIOUID DEPTH OF 4' 2 6' �; / SEPTIC TANK - p i.• PRECAST OR BLOCK .MIN" I/" CONCRETE 0ISEEPAGEPIT IRON, SCHED. 40 /9 " " " " 5' IDEPTH OF TEST: 24 F, . .• e• b. o . .;: CONSTRUCT/AN /0 P.V.C. OR CAST IN - o.PLACE CONCRETE 29 T MIN.J . . > > ...RATE: CONCRETE 1 34" " " " B' OTTOM ON LEVEL STABLEBASE CONSTRUCTION(WATERTIGHT) ' VLT'} �.s, _ . . `, .. ., .. 1•. ..,;;. , .°. EE PROVIDED WHERE SLOPE FOUNDATION u, I,TANK TO BEABLE TO W/THSTAND PIPE EXCEEDS O.OB /, OR r ------------- f --- 80TTOM OF TANK ON LEVEL STABLE BASE H-10LOADING UNLESS UNDER IN A PUMPED SYSTEM. 20 MIN. _! I PAVEMENT OR/N DRIVE.H-20 i //2' WASHED STONE I LOAD/NG UNDER PAVEMENT OR DRI VE b h NO TES : IN VER T EL E VA TIONS: PLAN VIEW /. THIS PLAN/S FOR THE DESIGN AND CONSTRUCT/ON OF THE SEWAGE " -- DISPOSAL FACILITY ONLY. K. ,, �r /NV. AT BUILDING 4c,6 A 2. AL L CONSTRUCTION METHODS AND MATERIALS SHALL CONFORM TO /NV AT SEPT/C TANK(/N) 4�0 • � • ' ,. �` , -- CRANK at MASS. D.E.O.E. TITLE 5 AND THE J�.��f s.`. •�'a.�F BOARD OF Z0/1/E _ RF F +,+,�,�;: HEALTH REGULATIONS. S�-rr c►c� _ + _ ___ -!NL`ATSEPT/CTANK/GYJTI �_�v_�_ _— 14 Av. ?8 9 �,I r • • -.. +�� iNV. AT D/ST BOX(/N) �4�0.O t ,; ``� . • ,;� - .., INV. AT D/ST. BOX(OUT) 4 5•a ,�► . € A T L EACHING FACIL/TY 4 5• �q' =___._ BOSTON, MASS. WORCESTER, HALIFAX, MASS. NORWELL, MAS:�- ' AT BOTTOM OF PIT.- •'S9• 37 BEDFORD, MASS. LEXINGTON, MASS. HYANNIS, MASS. MANSFIELD, MASS. CRANSTON, R.I. DERRY, N.H. PROFILE: v x t l 24� +'sic �'AAll k S L,Sl6•N>--LOW: -1 G � REOUIRED SEPTIC TANK: lI 3�C� t p z) X. 1 S d 4� GAL, __ =- )� SEP /C TANK PROVIDED = � 0-_ GAL. CAPE D SUP P j I -- ' �-y CONSULTANT ,_ REQUIRED SIZE LEACHING FACILITY. :�c�-S�QD — — 3261 MAIN ST ROUTE 6A r.°d �` _- -_-- BARNSTABLE VILLAGE. MA 02630 17) 3 2 813 M �oz ,d Oh fj;,.. _ - --- — - DIVISN"-)NOF BOSTON SURVEY CONSULTANTS INC SIZE OF LEACHING FACILITY PROVIDED: ENGINEERING SURVEYING -• PL.ANNIN TYPE OF SYSTEM: TITLE: SEC TION: SCALE: /"_ ,r �v - Lg A,Gl-411�I C 'AT_- -- --- oe ^ --- SEWAGE DISPOSAL SYSTEM a — -- - DESIGN 321�IF- 64Z�Pm - -- - .. - L C7 T 3 IN _ _ - - r• ` .�. LOCUS PLAN: FOR: 1 ; SCALE: AS SHOWN FEET 0 30 (0 90 DATE: 5F�T. , COMP./DESIGN: E3 1::; -- - f_ CHECK: r�` t ►'I, /"'t - LJA TV/V! ' DRAWN: Tf,�'✓✓ -_ FIELD: FILE NO: a. DWG. NO: �7/ JOB NO: t� —/z ISHEFT : I OF: ? d