HomeMy WebLinkAbout0055 PLEASANT PARK AVE - Health (2) 55 PLEASANT PARK AVE `
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No. I Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH, DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
RppliLation for VspoSal *pstrm Construction 3pPrm t
Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) omplete System ❑Individual Components
Location Address or Lot No.$$'Pkg5arr} �arK AVE Owner's Name,Address,and Tel.No.
I�1tChcIC. CGQOZZI
Assessor's Map/Parcel Z(49—p 7_ -00'Z tMA( SS P1c0.5,:XM4 -QLr k AVE
Installer's Name,Address,and Tel.No. 9 i,.B EXc�o ijp,/\ Designer's Name,Address,and Tel.No.,,DaLV r- M A SO►^,
NTcaScrry L►J Fores Jm1, 41�-OGS3
Type of Building:
Dwelling No.of Bedrooms _z_ Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) Z 0 gpd Design flow provided gpd
Plan Date Number of sheets I Revision Date
Title
Size of Septic Tank /S'Q7 Qc 1 Type of S.A.S. �00!Ro i LIC.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 1 5'00 60 :s—r. N ZO ,DBox- Z 20
'5oo 44c
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 Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date
Application Approved by c, k L igloo Ai Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
r
0.
No.(��I 0 �� � A-1 1 i4, �'�"' Fee
THE COMMONWEALTOF MASSACHUSETTS Entered in computer:
H;
Yes
PUBLIC HEALTH DIVISION - TOWN�OF"BARN STABLE, MASSACHUSETTS
2pplitation for Disposal pStPItY 64strUcti6n Permit
Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) Vomplete System ❑Individual Components
Location Address or Lot No.SS g5acr} -Par-H AUC Owner's Name,Address,and Tel.No.rj;ch G 1 C, Ca P 02Z
Assessor's Map/Parcel 0�47- f l�(R SS PI aSQn �a�k Ati)E
Installer's Name,Address,and Tel.No.� Ex Designer's Name Address and Tel.No.
av i►o+� ' ' „D�,-vc MAsor\
l Scs•r ,.� ,
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) 7 2 n gpd Design flow provided gpd
Plan Date /_ _ i ct . i q Number of sheets t Revision Date
Title
x
Size of Septic Tank—Td`"C �-' � Type of S.A.S.J-BO- !�
Description of Soil 1-7
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
4
- 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 not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date
Application Approved by �, �2 Date
V
Application Disapproved by �, /� Date
for the following reasons
Permit No. Date Issued
. -
--------------------------------------------------------------------------------------------------------------------------------------
r THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( )
Abandoned( )by �g x� in n
at -c t PT y S, �' has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. Q -a 142 dated
Installer Designer
#bedrooms Approved design flow gpd
The issuance of is pe it shall not be construed as a guarantee that the system will c io esigned.
Date - Inspector
_ k 1. A 0-
I-
---------------- - - - - - -- -----------------------------------------------------------------
No_ r._ a Fee
THE COMMONWEALTH OF MASSACHUSETTS r,
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal *pstem Construction 3permit
Permission is hereby granted to Construct( ) Repair(JJ' Upgrade( ) Abandon( )
System located at �,�"�' � �A_r„re W A i 16
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.
Date tr^v-r w�,,,,,.. ._. . - . / Approved by
$ J —6 Al '
Z"
No.
Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered;ncomputer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
/ Zipphtation for Misposal 6pstem Construction 13Prmit
Application for a Permit to Construct( ) Repair(,Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 6 5 eoGa 1 Q C1wner's Name,Address,and Tel.No.
Assessor's Map/Parcel aL4 9 0 H-2 00 2 ' [AV14 � f Ghelte CaPD`L Z I
Installer's Name,Address,and Tel.No. Desi er's Name,Address,and Tel.No. 9 6,7-1 to(-7
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building / No.of Persons Showers( ) Cafeteria( )
Other Fixtures oeb
Design Flow(min.required) gp Design flow provided gpd
Plan Date Number of, eets� Revision Date
Title ,s//
Size of Septic Tank _._..,/ Type of S.A.S. J
Description of Soil 1G e\di 7 0
of 1 P c. IQ
Nature of Repairs or Alterations(Answer when`applicable) �-600 2- h (�
oLm J
Date last inspected: C t o e ��
Agreement: S r �Q 0 Ct.�l
The undersigned agrees to ensure the construction�and maintenance of the afore described on-site sewage disposal system in t
q
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of ealt
i ed Ad � Date
Approved
Application by ® Date
Application Disapproved by Date
for the following reasons )
Permit No. j12 Date INuued
-- —- -_--- = -_- — _ - - _ -_ _---__ _ -
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACUSETTS N
Certificate of Compliance
THIS IS TO CERTIFY that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned(
at 5 r V has been cons ted' ac I Ped
e
with the pr ' io of Title 5 and a for Disposal System Construction Permit N
Installer T Designer
#bedrooms Approved design flow gpd
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date Inspector `"�
No.
,.,^�� Fee
' THE COMMONWEALTH OF MASSACHUSETTS Entered incomputer: Yes
PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS
/ Apptication for -Misposal,*pstem Construction Permit
s
Application for a Permit to Construct( ) Repair(,X Upgrade( ) Abandon( ) ❑Completeys'tem ❑Individual Components
Location Address or Lot No. C i c( Gaf,+-Pat--IC-I ,)ner's Name,Address,and Tel.No.
Assessor's Map/Parcel a H R ►(2 2 ��^4(` (,1 hellC4D2ZI
Installer's.Name,Address,and Te.No. Designer's Name,Address,and Tel.No.
��+r3 �xur Ja.�►vn S0�- ��7-� 5
D Q C �n rr�nmen-laf 5O3 3 6 G�17
Type of Building:
Dwelling No.of Bedrooms J'Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gp Design flow provided gpd
Plan Date Number offsheets Revision Date
Title
Size of Septic Tank �: ,� t Type of S.A.S.
Description of Soil V a t' �� "S
Nature of Repairs or Alterations(Answer when pplicable) 160OAr.1
Date last inspected: �'� ,- n C o r
\ �( � I t ✓ r
Agreement: � � � ,. ) v �,y v G(�{
11ci
The undersigned agrees to ensure the construction nd maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of ealth
i edC Date
.Application Approved by Date
Application Disapproved b Date
for the following reasons h y
U
. Permit No. � 0 Date Issued
---------------------------1------- t
\X \
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
(Certificate of Compliance
t THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired O Upgraded( )
'Abandoned( )by :RIG &(_,oV Q 4 w n 1 �
with the provisions ons of Title 5'and the for Disposal System Construction Permit No ns cted'yarcc. F ce.
P P Y k aced
Installer 66 Designer V-
#bedrooms Approved design flow •t_ gpd
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date Inspector
----- ---- --
No. Fee
_ _ :. " "
_ J[//� THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
-Misposal 6pstem Construction 3PPrmit
e �
Permission is hereby granted t_Construct( ) Repjur( ) Upgrade( ) Abandon
System located at t�'J
� y
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 b comp ted 'hin three years of the date of this permit.
Date Approved by
q .Z -
No ........
2-�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�.u�. .................OF......
ZK1-04�"z .� ppliration for Disposal Works Tonstrudion Frrmit
Application is hereby made for a Permit to Construct (v) or Repair ( ) an Individual Sewage Disposal
System at: Sr
cation-AddressM5 .._.._......or Lot No. ........................».».».—.....
Address
. ! '! .....:. N c�d° .............. ......•---.......----.........................-----.....---•------•---------.I.....................
"
..
Instal er Address
T of Building fF!`M...Sq. feet
Type g 2 Size Lot:��..�.......
... Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
04 Other—Type of Building .•.......:.................. No.. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ......... ........................................................................................................
WW Design Flow........././..�.........................gallons per person t r day. Total daily flow....... ....................gallons.
CL Septic Tank—Liquid capacity CQgallons Length. 6--. Width_ '.J.0'1 Diameter.... .......... Depth..S.,.'- ...
W
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No.XV-4.E..... Diameter..... . Depth below inlet....(aa.......... Total leaching area�� 4..._..... g t-..!ESq. ft.
Z Other Distribution box (X) Dosing tank ( )
Percolation Test Results Performed by......7.!./a`. .......................................... Date.....* 2...... 8
Test Pit No. ] .2....minutes per inch Depth of Test Pit......1. ....... Depth to ground water..t./P..114E,
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.....:..................
W: ............................................................. ..
O Description of Soil................ r� ............................ ' Sl i P�Sol c_._ r...O�:..........
..........f.................
............
.................. ............................e...e .14A.61---....�:)6 ......---------------•.---..........------......................................................
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:ITLL 5 of the State Sanitary 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...................... ............................................................. --..... .........._....
Dat
Application Approved B ! IBA,
PP PP Y..__.._.. ram.. ..................
Date
Application Disapproved for the following reasons:............................................................................................•-.........._..»..
..................•----••--•--.......................................................---........ ............................................................................... ....._
PermitNo....... ..... ...� ...».. Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
_ BOARD OF HEALTH
4 .A Z"Q&j ................OF........` EI :�t-(A act:........................:.....
101.1rrtifirate of Toutpxtanrr
THIS IS T WCR
That the Il widual ewage Disposal System constructed ( ) or Repairedby.................... /. r ................, w �.. .....7. ........................ ........»»»....»
at..........................................................:::::..- .....` >lG' �3 ...........__ `.`..,C`... ........................................
has been installed in accordance with the provisions of TITLE of The State Sanitary Code< s desc ib d in the
�...''application for Disposal Works Construction Permit No.........:: 4...._.: ............ dated............... ..k._�...... �..........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL.=FUffN_CTION SATISFACTORY.
DATE... =:�'r!••`f .!_.:: .'.................. .....»_ Inspector....-..............................................................................
r
Town of Barnstable
Regulatory Services
Richard V. Scali,Interim Director
+ BABN6iGBt.E. •
�$ . g Public Health Division
r Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer&Desirner Certification Form
.Date: � �,� Sewage Permit# 20m—;2 Assessor's Map\Parcel 24 ' O�Z
Desig ne Installer. `"' x �
Address: Address:
cv
On was issued a permit to install a
(date) /� (installer)
septic system at 5.5 'C aA4Nk4T - based on a design drawn by
((address) -
i 1�7 dated Z0
(designer)
I certify that the septic system referenced above was installed substantially according 10
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Strip out (if required) was inspected and the the
were found satisfactory.
I certify that the,septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of'any component
of the-septic.system).but in accordance with State& Local Regulations...flan revision or
certified as-built by designer to follow. Strip out(if required)was inspected and the soils
were found satisfactory.
I certify that the system referenced above was constru�+�+�"► --.�;'liance. with the terms
of the I1A approval letters (if applicable) ,+`- �4�.OFd4,gs �t
a UAVIU
o .
MASON
staller's Signa e) ;� No ss
Affix D s"
��(Desi s�Signature (. r s Stamp Here) .
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH.DIVISION:;CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH. THIS. FORM, AS-
BUILT-CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:4Septic�Designer Certification Fom Rev 8-14-13.doc
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�.�..'�.................OF.....-'
-
ZK�-�`� Z Applutttion for Disposal Works Tonstrurtion rtrmi#
Application is hereby made for a Permit to Construct (v) or Repair ( ) an Individual Sewage Disposal
System at: lipc S
..... ...... ation:.Qadre or Lot
ss ........_...��v .......................... ............ •....-...............................-......
W Address
al ..... .. .............
- ................
m Instal er Address
a
Type of Building 2 Size Lotr3,JF!E!!:M...Sq. feet
U Dwelling—No. of Bedrooms Expansion ansion Attic
a p ( ) Garbage Grinder ( )
044 Other—Type of Building .........:.................. No.. of persons............................ Showers ( ) — Cafeteria ( )
Q Other fixtures ........
r Design Mow........./-l_.�_O...........................gallons per person_per !4y. Total daily flow.......�zC.?....................gallons.
y� Septic Tank—Liquid ca acit ICOPgallops ` Len h. .6 Width:4;110" Diameter:_._�Depth..r_--'--'.
Disposal Trench—No..................... Width.........:.......... Total Length Total leaching area....................sq. ft.
3 Seepage Pit No..:QN.1 ..... Diameter....-j&t._.._.. Depth below inlet.._ t......... Total leaching area. 143q. ft.
Z Other Distribution box (X) Dosing tank ( ) -
''" Percolation Test Results Performed by...... L.1 hlA -S ate .2 0/�3 S
........,_•..._.�................ ...... .. -_------..
Test Pit No. L!5 . _....minutes per inch Depth of Test Pit_.-._.1 ..._._. Depth to ground water..r/_C?_(-le.,
L� Test Pit No. 2................minutes per inch Depth of Test Pit._.................. Depth to ground water.........................
O Description of Soil................ ram.....{ ______O .........................f i 8'SO C_.__......... .....r... ..........
C �._ 5..1=._....... io-I/ L---••-••r"4 Q .................
......•------........................-------------••----....:......... ........ 1 ,.._..•--------•-;----=-•---...._._.......,_...•...___-_......_......_......._-_................
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 LITLZ 5 of the State Sanitary 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.,:,,...- ••--•• ................... ........ ...... D..at_....._.-.-••••
.... ... . ..... .......
Application Approved BA.. :::........
Date
Application Disapproved for the following reasons..............:.....:..........................................•-•-_-••---•----••---.......-----.............,,..
............... ....��..__ Issued......................................................
.:•_...---...._.........--- ,....._ .._
Permit No.. ........:
Date
14
Fps........:: .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH -
�.•.� U 7 .................OF......� ..�. :A... 1 >
f ration for Disposal Works TonstrWiun rrrmit
Application is hereby made for a Permit to Construct O. or Repair ( ) an Individual Sewage Disposal
System at: ;
Location-Address r or Lot No.
W ...... V 1 .••••-.. ner l. -...• .............. .............................»...._.....
Address
a .........•W--- .............. ....................•--.......---.......... --......----•-----•---•---.........................
pq Installer Address
V Type of Building Size Lot :.-mot-'` :'..._Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building .........:.................. No.. of persons............................ Showers}( ) — Cafeteria ( )
Q Other fixtures ....................•--........................................--•--...................._............... --------------
;........
Design Flow.........ZZ.�.........................gallons per person per day. Total daily flow.......' to ....................gallons.
Septic Tank—Liquid capacity/Pgallons Lengthy 'A�". WidthA.!0.". Diameter ...DeDepth..- 'A-.�
xDisposal Trench—`No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage'Pit No.C!?:!.!..... Diameter...... `__..... Depth below inlet...ea'......... Total leaching area.�eEL. q. ft.
z Other Distribution box (X) Dosing tank ( )
a � � Performed by............:.......�................-----.........-•-l•----......--•--•--- Date.....
----����-:��•�'-•-•------�
�. Percolation
Pit NoRisults P utes per inch Depth of Test Pit...... ....... Depth to ground water.nlr
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a+ ..............................................................................
ODescription of Soil.............. �. .. ._..... F....��'.... ........................................................GCS 8-SOl L_ eq O
..................................
' l.O.t, " . v T_ O+--
................•-------..........-----•-•---•--.....-•-•-----•------.....----•-......-•---•--•...........-• -•..--.... ................._.....
--•...............•---•--------------..........------•-----.--•--------..............--•-•-----•-••-----•---.....
U Nature of Repairs or Alterations—Answer when applicable............................................................................................... s.
1 ---------------------------------------------••----• -••------.. ......... . ------------ ------..... ................ ......................
4 Agreement:
} The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of.TITLZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation unt Certificate of Compliance has been issued byathe board of health.
Signed........ . Y�........................................................... ......
Date
Application Approved B =--� ��.------ �l / /�(p
PP PP Y.............. ........._..._.............•..----- ...................---._...............
Date
Application Disapproved for the following reasons:.....:.......................................................................-----.........................._.
:.,�"`/ Date
PermitNo..........................F�............ . ..........__ Issued...........................
.........._...........-•-•---
Date
�-.f-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
....................... ....... z(AIW`.................._........:.....
L'`^IN OF........................ 1
(Ur#if irate of Ti m phanrr
THIS IS T(}=CERTIF-K That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by.........................`C ' O t1. t .`'- �+ ..... .... .............. . ......................._......
y
....
� ? � + Ital a `
at.................... ...._..... .. .... ....... ... .... t ............ ........................................
has been installed in accordance with the provisions of TITLPE 5-of The State Sanitary 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 WIL -FUNCTIOIf SATISFACTORY. �^
DATE.. ,-(c' ............................. Inspector..... "...:....'..._..
'� {tiot �q:yb• ... .... ........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF........... HEALTH
�lLl if ....
-�— 2_ ................ ......................................
No ,....5 ... F .. .. . .........
aftip sal Works Tunntrurtian f rrmit
Permission is hereby granted...IV 1
Z...l1V .............................................................
to Construct o r Repair ind v ual Sewage DisposalSystem
at No......... - . .........................
2 EO - A V
.--- fl.........• ,-•-... ...........-• .........................................•-•..............•.........................
Street
as shown on the application for Disposal Works Construction Permit No.�... Dated.___._. /�!w.���
l a r--
r'-'1 1p�y Board of Health
DATE .:... ... .............................._
A&
SECTION - SEWAGE ". a � 27
5 .545150 � l
rl d4 ram.
— 1 —SEPTIC TANK O BOX— —LEACH. �I _
i
415
TOP OF,FDN
I .
n
�/-(MSL)i ..2..OF:/sT0 4t" �+ u
WASHED STON
E
NE � y
1
C
IN• OUT• IN• ��-G/YG� - sxr �O N
OUT• F , A
1 �d9�, IN• Lo
Ig SEPTIC " i
- tt
TANK ` ;{. : . -.-- -•-"' �_.,, ..
� � I 43Sroo �
ELEV. ELEV. ELEV. ELEV. : a < y�VJI�
y y' ,. . )R1�f l
ELEV. ELEV. - �y
Io-- ```• FRONT 20
_'�_ OFiA•'-1�ls' rJ�' 1L171�� lo
HED STO
r � -WAS NE
TEST HOLE LOG uc?rTar-�:OFr
TEST BY "4'& WHAlb J. Cod IiU (bQN-� y
WITNESS `_r. I t
TEST DATE .S�ZU�SGJ p3f L}9�p� ..: DESIGN _ 2 BEDROOM HOUSE
T.N: 1 T.H. * 2
p `
ELEV-47.2I ELEV. NO 1+ `v
L DISPOSER DISPOSER
PERC RATE = MIN/IN. }' :1 { •�
30" (44.7.) FLOW RATE 0 (CiAWDAY) 1 _ F U'
i� � � r.
AK SEPTIC TANK Z� (IF
y t,
REQ'DSEPTIC TANK SIZE i , 1•i r
LEACH FACILITY
SIDE WALL C9oY�•1'Imo, (05)
f La ' .
BOTTOM �(gof.2l = `IS f[.� �S,S G/D f
-�.
TOTALLo
I
U w
SE• LEACHING, =
_. �Lo` GAF I�ID•.x �'�!%0! aE�r�i
4
WATER ENCOUNTERED i R"
NOTES: (UNLESS OTHERWISE NOTED)
Y.DATUM(MSL)i TAKEN FROM E"�YA►.l N 1 S QUADRANGLE MAP
2.MUNICIPAL WATER AVAILABLE
3.PIPEPITCH:4:'•PERFOOT # `' ' 44
4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO-- Q�
S.MIN..GROUND COVER OVER ALL SEWAGE FACILITIES:(I)FT.
6.PIPE JOINTS SHALL BE MADE WATERTIGHT r t�"�
7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM..OF MASS.
STATE ENVIRONMENTAL CODE TITLES s ARN�' •
�� ..., SITE PLAN
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4yOwIf/ ..Cape @Il fiftt O/k�' i. . !` PREPARED FOR:
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BOARD OF HEALTH REG LAND SURVEYOR. I -�
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LAND SURVEYORS
CONTOURS (E S .NG) � t•
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APPROVED DATE MA �. '. '� 2�:
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�►'�ILWY � I �1C � ASSESSORS MAP :
TEST I"IDLE LOGS S 1) The Installation shall comply with the State Environmental Code 1 itle V and Town of Yn O
PARCEL :` �y z �Dz ` Board of Health Regulations.
"` FLOOD ZONE: / ,r- ,_r-- SOIL' EVALUATOR : 1 11 � Df C� 2) The septic system as proposed on this plan shall not be Installed until a licensed town installer�7r
WI TNESS : :D4A)l p receives approval and an Installation permit from the applicable town.
T 01k REFERENCE: � �� �j 71 �]� � DATE 3) Prior to Installation,the Installer shall verify the location of utilities, sewer inverts, sewer lines
w / PERCOLATION RATE: .L Z Y` t i
.. PERCOLATIONand existing septic components prior to installation.
4) All gravity sewer piping Is to be 4 inch schedule 40 PVC at 1/8" per foot. The first 2 feet out of
V) v�� U�VI �/ -�--> TH- 1 TH-2 the distribution box shall be level. All piping connections to be glued.
Lp I 1 4 1nn 5) This septic design plan Is not to be utilized for property line determination or for any other
V
l r,l, l0 1 purpose other than the proposed septic system Installation.
LDl4wo wll k {60HL 6) All Title V components are to meet Title V specifications.
7) Parking shall be prohibited over Title V components unless components are 1-120 loaded.
LOCATION MAP `�\ >1 3 8) The existing leaching or cesspools shall be pumped and filled with material per Title V
abandonment procedures. Leaching and cesspool(s)and contaminated soils within the
! i proposed SAS shall be removed and replaced with clean sand per Title V specifications.
0"1 I 7 �" 9) Septic components are to be 10'from a water service line.Sewer lines crossing a water line shall
-�-- be sleeved with an appropriately sized schedule 40 PVC with ends grouted. The water service
line or the septic line can be sleeved with the sleeve being a distance of 10'on both sides of
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crossing the line.
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_ � FILLF�, / 10) if a garbage grinder exists In the structure, it is to be removed if the septic system is not
L48 designed to accommodate a garbage grinder.
11) The Installer is responsible for care of excavation around all utilities on the property and
SEPT r C 5 Y S T E M DESIGN protecting the structural integrity of all structures during the Installation process of the septic
system.
�} FLOW ESTIMATE 12) This plan only represents that a septic system can be installed on the property meeting Title V
requirements.
�' 11 L}l� Z BEDROOMS AT 1 I O GAL/DAY/BEDROOM • 7ZD GAL/DAY
j v\� ` \ J' 13) The property owner shall review design criteria to approve the total number of bedrooms and
g�085 I .`'� design flow. Installation of the septic system as proposed and receipt of payment for the design
SEPTIC TANK
<¢ shall be deemed approval of the design criteria by the property owner or agent of.
w
2.' 2M GAL/DAY x 2 DAYS - qk GAL 14) The validity of this plan shall expire with the expiration of the town Installation permit issued for
L r this plan or the validity of this plan shall expire on the expiration of the Certificate of Compliance
o ° o USE )RD GALLON;SEPT I C TANK
1356 8 5F. -^, 'i �' ,/� issued for the installation of the proposed system on this plan.
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1 LOCAT I ON • 5�5 �y
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SCALE : I
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W / DATE HEALTH AGENT