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Home My WebLink About0200 OXFORD DRIVE - Health 2.oD r��c-�rZd ��e ems- oa.► �- ��`7 J T WN OF BARNSTABLE LOCATION fv�" $' 3 �,r(e, t�rL. SEWAGE # l ' ,VILLAGE ('�'�-,y, inS� C ASSESSOR'S MAP & LOT OZJv 077 INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY A e LEACHING FACILITY:(type) f (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR &R DATE PERMIT ISSUED: . DATE COMPLIANCE ISSUED: ` VARIANCE GRANTED: Yes No ` r Cl t1 0177 N0.,_7.y. JqFxs........� ...... THE COMMONWEALTH OF MASSACHUS/Tf�� `� BOAR® OF HEALTH 1 TOWN OF BARNSTABLE Appliration for Dtspniial Workii Toutitrurtt itt runfit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: �f..d:�_1..:.��6%.......................................................� - --: ........'-. \3.r-....--••-- P � ocation-Address or Lot No. Ow m k" Addrggs InstallerAddress "r d Type of Building Size Lot__ feet U Dwelling—No. of Bedrooms___________________________________________Expansion Attic ( Garbage Grinder (� a`4 Other—T e of Building t No. of ersons____________________________ Showers YP g ------- - •-----------' -------------•P--- ( ) — Cafeteria ( ) Otherfixtures N -- -------•- --------•---------•---------------•-------•-•--•••• ---••••-••----•-•...•-•-•---- W Design Flow............. ...__.......____gallons per person peir day. Total daily flow____._._.____�-�___��__�__________._.___ onsbl Septic Tank—Liquid capacit allons Length___ ___.. ._ Width__: -C�. Diameter____ _ _e . Depth_____ _________ W Disposal Trench—No._._..�_.A Width__________________ Total Length....... Total leaching rea_.______ .__......sq. ft. x �� i, l Seepage Pit No____________ ________ iameter___.___ __ _._. Depth below inlet_____._..______ Total leaching are ___sq. ft. Z Other Distribution box ( ) Dosing qq ( ) ~' Percolation Test Results Performed by..... __ ___p .-..___ _.__ _ ____ Date_____ _ Test Pit No. I....Z.....minutes per inch Depth of Test Pit--------IQ...... epth to ground water____ GT4 Test Pit No. 2____z-._._minutes per inch Depth of.Test Pit.......1Z-------- Depth to ground water__<_.L'!Cl!w%� � O --•----------- --•• ----------------------•-------------------------------- -- -•-------•----------•--•�----•----------------- ✓✓✓ x Description of Soil...... •- -� — -•- -- --- --s -___Sossei-L...-.--- -et2----'__1_ _�Q_.____- �--- V ----------------------------------- -••••------------------------------ ----------------------------------- -------- ---------------------------------•-----_-- •-------------- W U Nature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------••---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha sued by the board of health. Signed . --- ------- -- -- y c: Application Approved By ........ ` <.,. .ti ------------------------------------ .............................. ---- -- -..--....--------- ...... rLJ � \y� Date Application Disapproved for the following reasons- -------------------------------------------- ----------- --------------------.............................................------ --------------------------------- - ----------------------- --------------------------------------- ------------------- -- -- -- ------ -------------------------------- --------- -- ---------.....................--------- Permit No. .. ` -----------............. Issued --------------------------- Date / ---- ----'� Date No......................... Fizz............................... THE COMMONWEALTH OF MASSACHUSETTS 1� BOARD OF HEALTH 1 TOWN OF BARNSTABLE , pplira#ion for 14sposal Works Tonstrur#ion ramit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: Q. �-(,dP ................. ..._... ....... ......._........... ............_.......................... ............ ..... -.--......1=1-.— J. cation-AddressIS or Lot No. W I own Address pq Installer Address pp�t� V Type of Building � g Size Lot..Z1;IA1&- ...Sq. feet �-r Dwelling—No. of Bedrooms....* ................................Expansion Attic ( MO Garbage Grinder (�O Other—Type of Building a yp g -.......J !�......... No. of persons............................ Showers ( ) — Cafeteria ( ) POther fixtures .......:h�.. _...... ................................................................. ......:......... W Design Flow..............��ra ............_..gallons per person qr da . Total dai y flow........_..2-�75� It I� l cns r4 Septic Tank—Liquid capacikiameter .. gallons Length.... . .. Width...t5-G- Diameter...:f-?. . . Depth..... ......... Disposal Trench—No......u �! .... Width................... Total Length Total lea rea....... .........s ft. p L it - g 1....... g � q. 3 Seepage Pit No...........L..... ......1'ir. .... Depth below inlet......'......... Total leaching are ,' :...sq. ft. Other Distribution box ( ) Dosing taq ( ) Percolation Test Results Performed by............ ... .r7t'.d2.S.-..... Date... Z Test Pit No. 1..... .....minutes per inch Depth of Test Pit........ ... epth to ground water...- ..Y.tt?re.... f� Test Pit No. 2...... .......minutes per inch Depth of.Test Pit.......1Z......... Depth to ground water.. ,..P.-IAAn � D Description of Soil.....0'..o..... .�.�..j-�a s..:,M X2.... tgSdi L. ` -. .�a�..-..�. .:Q�...�!..:�?IU M..-� 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 the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed............................................................................................................ ........................................ Dare Application Approved By .......................... :......................... ...---............ Dare Application Disapproved for the following reasons: ........................................................................................................................................ ....................................................................................................................................................................................... ........................................ Dare PermitNo. .................................................................... Issued ....---.......................---............---.................... Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (fertifirate of Cgrmplianre THIS IS RTIF That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by........................��........... .......................................................................... ......... ....... .................................................---- Ins�aller / .. has been installed in accordance with the pro isions of TITLE Yf The State Environmental Code as described 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...... v.............. .�.�..''........ �.---------.............. Inspect ��6 22 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.........1 e Di ,ar hurt f �tr#i�n rruti Permission is hereby granted..... ... -•................................................... to ConstrVu ( ) o Repai ( ) a��ndividual Se rage isposal yst at No..._. ... ,Yf. .�L. ...`ccY!b �..... �` ` .... Street , �► as shown on the application for Disposal Works Construction Permit N ;.�V.... Dated.. ..... . -••------•-•-•-------•--•........................................................................•....._ DATE............................................................. ................. Board of Health FORM 36508 HOBBS Q WARREN.INC..PUBLISHERS } I p°off sz� 'y � � ti .................. .................... . ........ .... .... \ \ \ •� gyp, 3\ 4'' �� • •s- 0 \ ,hN. y � O t, L—J O O Sz2 j0 O GOAI p p C n y Nj NO rri Ex p (f) B O O O rl O O ° `CSC •� a � � � � s wcn { W TOP OF FOUNDATION ` }J 20''MIN. CONCRETE CO VERS _ 2"LAYER OF • 47.0(max) _ 45.5f 2' GROUND EL.- CONCRETE COVERS WAS ED STONE �� LEVEL 4,. G/AS�T IRb11/ /.x , . . " / / / 45.5f • OR SCHEDULE40 B„ / / � � " " P. V.C. PIPE 4" SCHEDULE 40 P. VC 12" S=0.02, D=27.2' PIPE - MIN. DIS M N. .S=0. 02, D= Box FLOW LINE 10" S=1? D=10.1 PRECAST INVERT 1MIN Ig" B" 88 LEACHING EL.=_44.10_ INVERT CRUSHED 8S g OR Q STONES $8° °°°°°° W EQUIVALENT INVERT EL.=_43.30 °°°°°° °INVERT `- o q cc 43.55 -- EL.__ 42.93 c� o c EL.- INVERTJ INVER 4 v 3/4" TO 1-1/2" 1000 GALLONS — 43.10 WASHED STONE EL.------ EL.= 42.83 SEPTIC TANK ---- c c O w �_ 38.8 LEACH PIT PROFILE OF 12'DIAM.-- SEWAGE DISPOSAL SYSTEM NOT TO SCALE BOTTOM OF TEST HOLE OR VSGS PROBABLE WATER TABLE EL=_34.5 ALL ELEVATIONS ARE ASSIGNED J. LANDERS—CA ULEY, PE WITNESSED BY: EDWARD BARRY �,; _ -� LI" OF HEALTH OFFICER JOHN TOWN OF BARNSTABLE t. !�-ANDERS-CALlLEY SOIL LOG CIVIL. � GENERAL NOTES ; No. ss�oa P NO. 8325 PERCOLATION RATE — 2 _ MIN./ INCH 1STE E L THIS PLAN IS FOR INSTALLATION OF NEW SEWERAGE DISPOSAL SYSTEM. DATE 11-22-94_ _ �` Rl 2. PLAN REFERENCE BOOK 271 PAGE 56. 3. THIS PLAN IS FOR INSTALLATION/ REPAIR OF SEPTIC SYSTEM TEST HOLE 2 TEST HOLE 1 AND NOT TO BE USED FOR SURVEYING OR ZONING PURPOSES. DESIGN DA TA: EL. = 46.5 EL. = 475 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO R E.P. — TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS LOAM and THREE 3 FOR THE SUBSURFACE DISPOSAL OF SEWAGE. LOAM and SUBSOIL NUMBER OF BEDROOMS 5. ALL COVER TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN SUBSOIL 1.5 12" OF FINISHED GRADE. 2 GARBAGE DISPOSAL NONE 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME, UNLESS NOTED BY FINAL CONTOURS. TOTAL ESTIMATED FLOW 330 GPD 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE ( 110 __GAL./BR./DAY x _3__ BR.) OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER -MEDIUM SAND MEDIUM SAND OR WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING -SEPTIC TANK CAPACITY _I000 _ SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING. , UNLESS NOTED. 10 LEACHING AREA REQUIREMENTS 8. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL 12' AREA 151 151x2.5=378 BE MORTARED IN PLACE. SIDEWALL _ GAL./S.F. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH BOTTOM AREA 113 _ GAL/S/F 113x1. 0= 113 DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO LEACHING CAPACITY (BOTTOM & SIDEWALL)_491_GAL. BTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 1- 0 THE EXCAVATOR�CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND NO WATER ENCOUNTERED UTILITIES PRIOR TO ANY EXCAVATION THE WATERGATE WAS NOT FOUND,. THE GENERA L RESERVE LEACHING CAPACITY _4_9 1 GAL. CONTRACTOR SHALL VERIFY LOCATION WITH WATER DEPARTMENT. JOB NO.: 50614 SHEET 2 OF 2