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HomeMy WebLinkAbout0051 PINEVIEW DRIVE - Health _ _ _ _ 1 _� 3� Pi�i e v i�,� Dr;ve , C,o�-c;«�- �,= o�n - rai - - - - - - -- --- - -. - -- - ----- - - - -- � �, _ No. © l� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rptlfltation for Misposal 6pstem Construction 3permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. Address, Owner's Name,Ads,and Tel.No. Z ���� ?,;J� per. )) Assessor's Map/Parcel ��#- 1 Installer's Name,Addrecss,,and Tel.No.��(� C�/ y Designer's Name,Address,and Tel.No. IcXk Type of Building: Dwelling No.of Bedrooms � � Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title L Size of Septic Tank Type of S.A.S. rf <T Description of Soil Nature of Repairs or Alterations(Answer when applicable) cL e`e Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental C de and not to the system in operation until a Certificate of Compliance has been issued by this Board of i. Si Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. �'? Date Issued - - - „;rs",ti .-..._..ti•:_ ,� _ � .h. .. .. ...t'- y ;.,.-,�.` ,;f....a.. r -..e:,..�n� _�.-.. .. ,,.�.,r^:....., - "-`*•-„ � �:.. �, „� •.^° A... ant -...•••._ No. 7' = Fee ` 'THE COMMONWEALTH OF MASSACHUSETTS Entered incomputer:'� % Yes 4 PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for Misposal Opstem Construction Permit Application for a Permit to Construct( ) Repair(✓Upgrade(' ) Abandon( ) Complete System individual Components Location Address or Lot No w Owner's Name Address,and Tel.No �'/ f, C tJ C uv 0 Q Assessor's Map/Parcel �d. -Gti I I f” Installer's Name,Address,and Tel.No. � �b ��✓ Designer's Name,Address,and Tel.No. j Type of Building: Dwelling No.of Bedrooms �X k/4 Y6 Lot Size sq.ft. Garbage Grinder( ) Other . Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date4 Number of sheets Revision Date Titler Size'of Septic Tank oVz) Type of S.A.S. T Description of Soil Y Nature of Repairs or Alterations(Answer when applicable) C�l��'e �'S it L�• fi Y �J f 4e Date last inspected: f Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and no't to ace the system in operation untiba Certificate of Compliance has been issued bien eallli. 1 `'w Date �^ � Application Approved by c�� j ti Date 14- 5- -;Z / t Application Disapproved by Date for the following reasons „ e, G � Permit No. d Date Issued '7 - ------------------------ THE COMMONWEALTH OF MASSACHUSETTS �/ox BARNSTABLE,MASSACHUSETTS Certificate of Compliance / THIS IS TO CERTIFY,that the On-site Sewa a Disposal system Constructed( ) Repaired(//) Upgraded( ) Abandoned( )by 71✓ , /� Ge a P' o A*_" Aj_ f e„1^1 at �`-1e V / C t J has been constructed in accordance with the provisions of Title 5 and the for D• posal System Construction Permit No. oa - S dated V— 0/-?/ Installer Aj'G G� Designer O Desi er (� #bedrooms pL/lt Approved design flow gpd The issuance-of this perm t shall not be construed as a guarantee that the system will tioi as desi bd. 1 r 4 (I( Date � � � Inspector 1 I�lZ No. wa t S Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit tJG.n i Permission is hereby granted to Construct(!!) ,Repair(� Upgrade( ) Abandon(• ) f System located atl and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. a Date Ll- -I?/ Approved by �, N � LOCATION SEWAGE PERMIT NO. Pxwc vtaw I it-E VILLAGE I N S T A LLER'S NAME, D ADDRESS Z®� 0 �i �_ Af A A 1 D l-f ® U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUEDZCI �Q L of FEz....... '-b............... THE COMMONWEALTH OF MASSACHUSETTS ' BOAR® OF HEALTH I3� 1 .............Town.................OF.....5arn.s.tabl.a..------------..................................... . - Appliration for Dispaii al Works Tonatrnr#ion amit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: ................__.................. ..... ItQt...�...... -- - . .._..- - .......-•- Location-Address or Lot No. Mark Lambert W-.11i5.tJ.Pber-x'Y--..Drive........................................ w r .Address aM r s o n ..M ..................................................• Installer Address QType of Building Size Lot...4.L-$2_Q_.......Sq. feet U Dwelling—No. of Bedrooms........... ................... .Expansion Attic ( ) Garbage Grinder (No) .-, `4 Other—Type of Building _ No. of ersons:........................... Showers — Cafeteria G� YP g P ( ) ( ) a' Other fixtures ............................ W Design Flow.................•.....5...._......_....gallons per person per day. Total daily flow....................4 0-_--•:,-.•--.....gallons. P4 Septic Tank—Liquid capacity2_r.00�allons Length l l-'__-0"Width.6.'.-Q". Diameter---------------• Depth.6.............' " Disposal Trench—No. ......l._.._...... Width.....2....._..._.. Total Length.....5 0.......... Total leaching area.....3 0 0......sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X ) Dosing tank ( ) Baxter & N e Inc 10-31-84 Percolation Test Results Performed by_____ ___________________Y---s----.--.------------__--_--.--- Date----•---_......__...._..._._........-_-. Test Pit No. l._...__........minutes per inch Depth of Test Pi------------------------------------....._ Depth to ground wa . Test Pit No. 2..............-minutes per inch Depth of Test Pit.................... Depth to ground - __---- . -----------------------------------------------------------•---•--...-----------•-----••-•............... .......................... O Description of�Soil_...0-24" ,Loam & Subsoil�24"-42" ,Transition ..........5 _--- x Zone; 48 -72 ,Lt Gravel, 72 144 ,Med Sand Light 5 WIL$ON- - ....--•-----------------•---........_.. .............. . . GravelMix.W No 30216---- ---------------------------•--••----•--••----•---•----------•-••----- • ••-••-. - �,€. UNature of Repairs or Alterations—Answer when applicable.............................................................. �'oSTE NAL EN Agreement: e. The undersigned agrees to install the aforedescribed Individual Sewage,Disposal System in cordance with the provisions of iI`:LE' 5 of the State Sanitar Code—The undersigned furtf:er'agrees not to place the system in operation until a Certificate of Compliance has be p p ssued by the oard of health. `i Signed-•-• ...... ... .._ ---------•- .......................... e;bate Application Approved By...................... _' --- --•- -- .-•-- ..... C A� t'"-' Date Application Disapproved for the following reasons:........................................... .............................................................. ..............•----••----.......-••-------•-•-----------......-••-•••••••-----•----- Date PermitNo......................................................... Issued........................................................ Date Y- 11'M FEi&......................................... THE COMMONWEA1,TH OF MASSACHUSETTS BOARD OF -HEALTH ....:.........Town-........_._OF.....Barnstaizie..................................................... Appliration for Disposal Works Tonstrurtion thrmit Application is hereby made for a Permit to Construct ( X) or Repair an Individual Sewage Disposal System at: . .................. .. ......... . . .. . . L ot...Z.................... ................ NoZocation Address or Lot . .....Mark.. - art,%p..............------------------------------------- .......Whistlehexry. ..Dx#.e....................................... X_966 Address --------------------------------2............................................................... . ......klarstons..hUlls...... ----------*.......*--------------- Installer Address UType of Building Size Lot____41,32D.......Sq. feet Dwelling—No. of Bedrooms...........A..............................Expansion Attic Garbage Grinder (No Other—Type of Building .......................... No. of per;o"ihs............................ Showers Cafeteria 04 Other fixtures ...................................................................................................................................................... Design Flow........................55...............gallons per person per day. Total daily flow...................4 4 0 gallons. ------------------------1 41 P4 Septic Tank—Liquid capacity2_0Q.0.9allons Length..!.I.'--Q'Width.A.,.—A." Diameter________________ D h V-1 1 T: Tot, ---------------- Disposa Trench—No. .......I.......... Width......2........... Total Length.____5.0......... Total leaching area............P.....sq. ft. Seepage Pit No_____________________ Diameter__.__.__.___.____.__ Depth below inlet__..__.___........_. Total leaching area..................sq. ft. Z Other Distribution box OC ) Dosing tank ( ) Percolation Test Results Performed by......PANt;pK...4...Nye,....1nc................... Date...I.Q-31-84 ... .... ...... ................................ Test Pit No. 1........Z-----minutesperinch Depth of Test Pit______._ ...... Depth to ground water ... Test Pit No. 2................minutes per inch Depth of Test-Pit...-._______________ Depth to ground wa. 04 ................................................................................o.......... .. ..... ..STEFREN' 0 Description of Soil.....Q—.�A",,Loam & Subsoil; TransliNi6n.......... ... ... ...............................................................f............................................... . ........ALLIM...... �4 Zone; -72" [Lt. Grave1;72"-144,".,Med. Sand Li .........................................f........t...................................................................................9.41�............... . ..... -----WLSM ... U .....GraYe.1,..Mi_x............... .............................. ................................................................................. Nn.....16 ..... ....... . --------- Nature of Repairs or Alterations—Answer when applicable............................................. ....... ... U ......... ....... ............................................................................................................................................................................. Agreement: The •undersigned agrees to install the aforedescribed Individual Sewage Disposal Syste in -dance with ve—el the provisions of'.ITL-,,, 5 of the State Sanitar Code—The undersigned further agrees not to place the system in operatlibn until a Certifi cat'e of Compliance has nisseued by the board of health. Signe .... . .. . ...................... .......................... Application Approved By................................. T....... ..................... S to Date A plication Disapproved for the following reasons:.................................. p ............................................................................ Date .......... ....... ---------------------"---------- .... -------------------------------------------------------------------------------------- ­1-----*-------- PermitNo......................................................... Issued....................................................... Date N THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtifiratr of Tompliaurr THIS is by C TIIPJI�&the Individual Sewage Disposal System constructed or Repaired (1,....................e;*Aq r 0/;........... ------instal-- ---------------------------------------------------------------------- .... iX, at..................................................................................... ---_--------_------- -- ---------------- has been installed in accordance with the provisions of T ITLE X)�fT/h Rite Sanitary Code as described in the application for Disposal Works Construction Permit No________________________________........ dated__....___.._-_____..._.___________.______._____. X 19 THE ISSUANIZE OF THIS CERTIFICATE SHALL NOT BE CON RUED AS ARA EE THAT THE SYSTEM WILL NCT SATISFACTORY. DATE................. . . . _5.................................... Inspector.......----.................... .... ............ ...... ................. THE COMMONWEALTH OF MASSACH SETTS BOARD OF HEALTH . g......................................OF..................................................................................... No......................... FEE........................ Permission is hereby granted................. -----­--------------------70 .... ...................................................... .......... *­ V to Construct or 11 an In i I posal Sy em at No......4.......................4;&_ 4) 1 .....................................4_...........;...............;..................I............................................................................. Street ' as shown on the application for Disposal Works Construction Permi o..,C............... Dated._______._._.__..__..._.___..__...__._.... ........................................................................................................ Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS APPLICATION FOR PERCOLATION TEST AND.,.,QBSERVATTON PITS s1ill /f OCATTC . NO ILLAG ®'1 _ d "" yj' DATE 317 PPLICANTy s> ,, FEE_ X.4' DDRESS TELEPHONE NO. (Non-refundable) NGINEER TELEPHONE , ATE SCHEDULED a ( p ilr-cant'_s -si ure) s e o • • • ® • B • • o • • • • • e 0 • • • • • • 0 • • • tl • O • m O e e • • • 0 0 0 • 0 0 • • o • o o e a e o • e o e • e o • o • e • e m o e e o s e o • • SOIL LOG UB-DIVISION NAME � 4 DATE , TIME -n XPANSION AREA: YESk/ NO ENGINEER 'OWN WATER k/PR VATE WELL .,� ,®� BOARD OF HEALTH EXCAVATOR KETCH: (Street nwme,etc• ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands insproximity to test holes) NOTES: 4 i )ERCOLATION RATE: 'EST HOLE NO: ELEVATION: TEST HOLE NO�2_ ELEVATION: — UC�.SoI[ 1 Z 2 2 3 3 mo 4 4 - 5 MEDIUM 5 7 7 8 8 g 9 10 w 10 11 _ _ 11 12 12 r 13 y 13. 14 14 15 1 15 16 16 '. ';UITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS_ LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: t4OTE:' ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TE Tyr ICATION :ORIGINAL: COMPLETEDIN ENTIRETY BY P E. AND RETURNED TO BOA O HEALTH ::OPY: RETAINED BY APPLICANT REVISIONS: DATE CF TEST/NG:� rT �/ ;9� / T,4NK DETA/L � s�zE- ,' sA�. D/ST. BOX DETAIL : LEACHING FACILITY DETAIL' NO. DATE TEST PIT DA TA 1;—r _ PERC. TEST DA TA SEPT C rEsr BY•T:,.Z.L, kl DATE OF TESTING: 7 9 q TANK TO CONFORM TO TITLE 5 REOUIREMENTS TO CONFORM TO TITLE 5 REOUIREMENTS. T. P. WITNESSED BY E=1=© l J rEST BY.. P, NO. OF OUTLETS //3 �} - �I . 1� 1,. -- -- -- --- _ ,i,,, Jt .dam EMOVEABLE COVER - --- -- - - --- ----- -- - -- ---- --- -- ---- - - WITNESSED BY 7 z„ „ � r; Y l2 MANHOLE BROUGHT TO /2 ,ow1','"7 CGcJC'�. C f/ l . �'ei..i' �' u. .•: e. , • ,...: -' o {. e, o, FINISH GRADE. s,.o o ..o • :�- ';o `�,se)j 2 _ 3 CLEAR . 3 CLEAR .5 L'S . 7O --- — y. �' OUTLET PIPES �. �' 2ttrrJ �'� " � :;�r..�hG.11l�/��'Lyr�' 6,•M/N. 3 MIN. 6„MIN -- o AS REOU/RED DEPTH of TEST: _ _ %h qN</ /GN � I -�- - ---- - ---- INLET i � � •\ , D/ST. y . cJNc �c 7o RATE: �lz�11Sr 1 ��h s�2 !o'MlN r r I �X - _- INLET TEE -- �' -OUTLET TEE 4NC I 6AL T OUTLET TEE DEPTH / /573b r`f INLET AND OUTLET 4 O M/N/MUM a SEPTIC UAp'f �RF IJ�"G LIOU/D DEPTH ;' /4 AT LIQUID DEPTH OF 4 r? i•'E _ � TEES TO BE CAST -�; 19�� 5' „ ; ! ' 2 `� CONCRETE _//O- . J b - __-- - — ---- IRON, SCHED. 40 24" „ 5' , 6 CONSTRUCT/ON /0' DEPrH OF TES T ----------- - P VC. OR CAST IN i'. e — 29" �' MIN. � •v PLACE CONCRETE CONCRETE e_ 34�� " •' " B BOTTOM ON LEVEL STABLE BASE ,. I(. RATE CONSTRUCTION M f -- -- - ----- ----- - - - - — - --- - -- ---- --- -- - - -- i (WAl•ERT/GHT) +..,. .., .. .,... . •..:,,:,..., ,, ..•,.., ,,,.;, INLET_ TE PRO V/D � WMER P - FOUNDATION ' -- G!(� ' A✓fL TANK TO BE ABLE t0 WltHSTAND /N A PUMPED SYSTEM. 20MIN. - — ---- - BOTTOM OF TANK ON LEVEL STABLE BASE H-10LOADING UNLESS UNDER - -_-- --------_- - --.__ —_—_ -- PAVEMENT OR/N OR/VE. H-20 �C L OA D I NG UNDER PAVE MEN T OR • NOTES PLAN VIEW • /N VER T EL EVA TIONS: /. THIS PLAN/S FOR THE DESIGN AND CONSTRUCTION OF THE SEWAGE „_ DISPOSAL FAC/L/T Y ONL Y. SCALE - / - �;: INV. AT BUILD/NG r '�. ---/NV. AT SEPTIC TANK(/N) _ 2. A L L CONSTRUCTION METHODS AND MATERIALS SHALL CONFORM TO O MASS. D.E Q.E. TITLE 5 AND THE 5,,nR V 5 7 4�E _ BOARD OF _ __/N V. A r.SL�"PT/C TANK(CXfTJ3.6� l' S "f .. HEALTH REGULAT/DNS_ /. .._ .3. Tc �v�v vr.4 TER ,�Y.9/L A�9G E 7"G TN/S G o T- SS(( d r • ,... ; /NV. AT D/ST BOX(/N) ly2$_ l hk r ~4A; �v4 O- d .�., A• ;..c /- r ry -,7.', Z)• A216 t ,�.',r/ � �� -- _ � i 1 � " t G•cam"4�yr�.. INV. AT DIST. BOX(OJT) /IVY AT A&t561NN!/YC :'I. -- -MAS BOSTON, MASS. WORCESTER, MASS. ,G Ffl�r/,•%1/'. : •'A.'L �t9f3- / HALIFAX, MASS. NORWELL, MASS. BEDFORD, MASS. LEXINGTON, MASS HYANNIS, MASS. MANSFIELD, MASS. CRANSTON, R.I. DERRY, N.H. L B (: _.. .... , ,• -- r •...•.. -mot°' � �Y „ a.". ,i,•- -'`• ,,.R.e. 0 .4 , {. _ .."„" "'.". .. v .' a • '" �-�...,- e.�^'PT--" .,, - ...- , „" � ,.r .r•' -.-• / „ ro ,,,,. DESIGN DA TA : 17 011 .._._ -.•.. --` ,,._ -'" - '' .,, ,,, .: ,... _... ,».. DESIGN FLOW: ,s E �^ � � � } •, ,r. , - r'• t/' '---' ,,,... ..,/"` � �,.� _� .�Dt�ltt_._�,�Q_,=,Esa,`e�,�:Zi�'_= *9"_4.�`'SP_�e% \ `-� ' . �. - REQUIRED SEPTIC TANK rw A •'\ \ \ ,� , m:�^� ,, ..,.A. ' ../ '. "� .,�/' '`e "' , �` ,, �•''' -� --.' • .+ 4mw.ww.anw•®,. no-,w„ t�a ^ ._ q•;�, ,l �, _ , 6,._EL 0 G L. - I ; .` -� :` . 'r "• ' � . '" ." = . .` ' SEPTIC TANK PROV/DED CAPE COD S U RV E / _ - u CONS TAN •° .� .-'t ' /1�.r'`,� �'� ,�' . REQU/RED SIZE LEACHING FACILITY: ,} ( �D • �? . \ ` ,. r= ! . 1 .. - _ 3261 Main Street,Route 6A __.�� — -- --- Barns age a chusetts 02630 / ✓ '' '� � '� � � `�" �'� � �, ` _ -r -�- --„ � "-'- . .. -•r .. \ _ ---- --- - - --- table Vi11 , M ssa Number: 617) 813 ..-- .r •- t t / r,„ O +_. "* DIVISION OF - 1 � `� �� / _.. _.. �-- `� <, ..en , `` , _— —_ ------ - - -- --- --- - BOSTON SURVEY CONSULTANTS INC. S " '"• ' fir'' / ' l A SIZE OF LEACHING FACILITY PROV/DED ENGINEERING • SURVEYING • PLANNING ,A ,� -'°` r r- . ��! , ' r. '° . '� 1, �` TYPE OF SYSTEM ---- --- -- __- TITLE: f, •"r .''`«*°' i ,,.- ,,, .,,.:` /�,/ ?5- j � f" �/� ,' � ,� t ".•-7�"°`�"'�,�y� `.!°� +'^�` \, \ � _y!.�fi?�li�t1�C�-__Z.K2'�.C.�-____� -25� _�,Zt�_..�7c1�'..� ,•, • , ,� cc i ^- SEWAGE DIS OSAL SYSTEM '`..d f ` ,/` ! , - - °•� ./ � /' ' - ` /a � ,;�, A/ , 1 .. % f /.,..' -'" � ` ���y '� =4,l �C t._,r..-..`" ,�c; P V 1 1 x .. . l L` ® , = �. , / .; j DESIGN qjl { 4011 /g.q `� - - LET w915rL�"B6-RR)( SFr'. LOCUS PLAN C 7T�� r / y J 1 e L v.v E (M ,Ted A/,,� --._. ,- ..-•,,: - -- _--r�`� �'' � '` ���• . C� � FOR: 71 fr,, I`�f / +/' �ys1"'' ''I !•�` °' �. �/ .-I'',� ' -,, '`f. �,.yF�"'' 1 i-,�rC L.•q.t'E c ' �. SCALE: AS SHOWN / r' .' -��`� cc' METERS �s p 4 p - T ! £'� //9 '� - Al d ✓�; ' ` �F?I�f� 3og c� FEET 0 < TY L/,-VE"5 Ss�G v IV f • ?j r ' • 30 ' / /''` DATE: �'1/G �! /�; r9,9 4 ,( tl� �'C_ �"'�, 'Y/�%'l_ED Fes',.%.'yi ,� F'G.9,n/ °'' / � // r �.•' �� �% - COMP./DESIGN: SCAL CHECK: R,t R,-4G, ,- -5-y .q.N�� � c �`N`c Air =`� `' DRAWN: J. ,H, I)A TUM . _ • I FIELD• R G' 0 _ F� _ � ;�G .,�15 � E/�"Y/`C:• ,U FILE NO: -� DWG. NO: 7(0 :c 3- - • 1 G y.J r E3 !E; �, JOB NO /y s / SHEET: I OF: -y.