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HomeMy WebLinkAbout0012 BOB WHITE CIRCLE - Health 12 Bob White Circle ' Osterville A = 143 028 006 it I I I i I I i I I I -r — - I --- • 4 I I I , , - I l i I I ! A I I I I F i . , I I I 1. I I i j I i _ II I - I , , I I - -_ _ I i I -I' I ,/ I ' I ,. .. I ✓I I i i � I I .�`� I � I a I �� ' .. � I ! ' I I I % ! i ,�� � _L. i I Jr.I, i —.I: >�.•+ ' 1. '.i.. i { Af. I-. . '. I. r. 'I-- - L__... I I ' -- --- -I .- - ---- --' ---r- -�II- - -- -- - ---- ---- !� �5 I I I ,I I , I I �• I I � i I i I � 1 ! �• � "�y"y e°av•`".� c-. � ,;'i ! /:,:' � .I -I- !' 1 I _.I. , ' ' I �. , I I I 1 r. 1 AM ,Zt I , ,I r I I r i-,r I .._r — - -,a•*`. -I---._, _lr^_' - ------ --_ -' _- — - ... _ i I i — s+` ' ...�,;uY.:! ,. iz:., w_...•. ,. I i I : LOCATION SEWAGE PERMIT NO. �YILLAGE A 1 +3 OAS b-INSTA LLER'S NAME A ADDRESS r �ZB U I'L DE R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �7/ 30 ` Sn.......... THE COMMONWEALTH OF MASSACHUSETTS L f BOAR® OF HEALTH 4.W--1�..........oF..-..... .D �Zhl.h.f -1. .......................... ApplirFation for Di ipvii al Vurkg Cnonotrurfivra ramit Application 's hereby made for a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal System at: v� I; .....-•---V ...............��.'__ Location-Address a .. -L PI-•--I�'_�71..�1✓L'i7 G D f _ ..... or Y N o l�f, '.Mk............... w Address " . ................................... ......•...-----------....._............._..............._...------....._..........._..............Installer Address dType of Building Size Lodh.,/ZgO.........Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building V4.!�7. No. of persons............................ Showers Cafeteria a' Other fixtures ................................. . W Design Flow......_-7 5 ....................�.......galIons per person per day. Total daily flow......�.�-73t!10..................------gallons. R; Septic Tank—Liquid capacity�D�?D__gallons Length__�15-__. Width................ Diameter---------------- Depth................ Disposal Trench—No. ...............V.- idth.................... Total Length.................... Total leaching area....................sq. ft. 1 3 Seepage Pit No--------I------------ Diameter...tP.._.___..__. Depth below inlet...... Total leaching area_�49sq. ft. Z Other Distribution box (v/) Dosing tank ( ) Percolation Test Results Performed by---- 0. ._. . ..................................... Date.._ �1__.____.... rally Test Pit No. 1-----v-----minutes per inch Depth of Test Pit-----`7........... Depth to ground water..N_V'JZ....... (T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 --••----••-••---..�._-.••-••�•...�.'..-.•_•!1-.-.------U------T----O----l-�----f----` - p � - . ------ ODescription of Soil----------------- x T W VNature of Repairs or Alterations—Answer when applicable............................................................................................... ----------------------------•---------------------------------------------------------•------------•----•---------------------------•---------------------------------------------------...-----------•. Agreement: The undersigned agrees to install the aforedescribed Individu Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary C e—T e un igned further agrees not to place the system in _ operation until a Certificate of Compliance has be u d th oar health. Signed---- - - -- -- --- -- - -- -- -------------•-••---------•-----••-- Dat ApplicationApproved By-----•--•----••--------------••---••••-----•---•-••--•-•-•---•----•-------------------......_..__ Date Application Disapproved for the following reasons--------------------------------------------------------•--------------------•------------------------........... .......-•--------------------------------------------------------------•---------.•.....--------------------•••-•••-•••-••----------•--------•----..................................................... Date PermitNo......................................................... Issued....................................................... Date A d•�.., i .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ....----.�G.ti�--l`�. _....OF........ .._I—G.N._ .J..{ .���-�� Appliratiun for Di ipoB al Works Tomitrurtiun rrntit Application is hereby made for a Permit to Construct ( ✓) or Repair ( ) an Individual Sewage Disposal System at: ........L � �... ......�''�.G.�l..�/�l�I.�.. LaL �` > � (zjy!�,- f\P L IVY .........................................................Location-Address or Lot No. �'� � L ' >(-� ►1<t<T>LirV:1::_ I�1 IZ} f2T. �1!�!!��-f`1..�..MA................-•--------•--•-•--.....--• ...._ .............. Owner Address W Installer Address UType of Building Size.Lot.. Z G _..._._..Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building -__ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -------------------- ----------------------------------------------------- W Design Flow......._.?_r7r...........................gallons per person per day. Total daily flow.._ .......................gallons. WSeptic Tank—Liquid"capacity_kll'Y1-..gallons Length__ e 17:... Width-------------_- Diameter--------------.. Depth................ x Disposal Trench—No. .................... Width.................... Total Length............;.__..._ Total leaching area....................sq. ft. Seepage Pit No.........I----------- Diameter.... .0_............ Depth below inlet..._..`I........... Total leachingarea..Z7%�Aq. ft. Z Other Distribution box ( /) Dosing tank ( ) Percolation Test Results Performed by ..........J......_L......._rZ..................................... Date----- ---------.. Zvl Test Pit No. 1___--_v'.-___minutes per inch Depth of Test Pit-__-_ Z-. � Depth to ground water_._ �_Nj�._.__. 7 P P P Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0.i •---------------------------------------•-------•--------------.....-----------....•--..._.......•--.........---•--......------....:. = D Description of Soil-----------------�� - G' .; `i>, c I li{-•t'i cl 1 N/1 r G L M-_ -<i 1'1 rJ! =j-2._F 1 I........... . !7 U ••-•-•-•-•-•••••-••--------••••--•--------•••-•-------------••--------------•••--••--------•••---•-•----••-----••----------------..................................................................... 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 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....................................................................................... ................................ Date ApplicationApproved By................................................................................................ ........................................ Date Application Disapproved for the following reasons---------------------------------------------------------------•---------------------------------•-•------....-- ---------------------•----------------------••--•-•----•---....----•---•-----------•--------•.....--------•--•-•-----------•--•----•-•------•--•---------•-••--•--------•-----••-------------•--------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH.OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF................... .................................................................. TrrtifirFatr of Tontpliaanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Installer at..........................................................................................-------------------------•--------------------------------- has been installed in accordance with the provisions of TIT—` 5 of The State Sanitary Code as dese�ibed in the application for Disposal Works Construction Permit No_________________________________________ dated------------------------------ .............. THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUE® A GUARANTEE TKA\T THE SYSTEM W L FU)ICTION SATISFACTORY. DATE... . ....�................... Inspector----------= --• ......----•-----------•--•----------------------•--•--•-----...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................OF........................................................... No......................... FEE........................ Rupuuatl Workii Trunutrnrtiun rrntit Permission isottereby granted................... .Ul-V......?-/-/.,!:�-,.- le_ --� to Construcor 'Ipair ( Ino3ikuwage Disposal System atNo............................................................................................................................................................................................... Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... -------------------------------------•----- and-o---H-- -----------•----- ------------------------•- Board f ealth DATE.............. -----•----•--------••-----••------------------------ FORM 1255 Hoess & WARREN, INC., PUBLISHERS 4 ' ..__ .-- - I ! 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I I I _i j __ _. , — —'--!--- + i ' i I , i a -------i---i ' - ;- I I + I I l i 1 - - .--- _._.._ _.. _.1... .__ _. _ i IV _.1 i__ i T '� 1 - - - —-- -- ._ _ . - - - - -- ! I i I .1 ; t 1 I I F I I '.'_ "iF�dy 1.. ,-. _ _ 'e .:��_-. I I- ;-� _. r._.. —' '- _i I I �.I - 1 ' _ __.—. K i — --{ -- to "-•----- ---_- _ _ . I �_ i - -- - _ - -. -. _• - - -- - - - ! --- -- - - I - I - I _ , . - -- - K ! _ _.._ _ I__. ,M t - - i 1 I ! i I I i t 1 1 I L_ 1�,.8, y, �' ., _i __ '.. .�. i I. i t T---_, _'___- __.--' _` ._-_._. .t. .... I _-._. .__ I___.. .__ i. ._._ _- I i +,x•.:r t d +'.r°i+,`: x« 1 t I I 1 i I _. I . - - I _. __ -' - _.... ._ - __ .._ 1 1 , I , ._-._.__-- -_.__ �....-_. _. __- 1 1 I I { I I I I I I 1 r ' 7-Y PICA L PROFIL E 511E PL A N BC,Gz..E / „ = 1v� �� �• 4a ,o NOT TO SCALE L T WGT C.l. MH COVER1B STD. _ 4 4 t 4"C.I. PIPE y�_ � 4"19I7 FIBER PIPE TIGHT 'DINTS O L E T LEVEL _ ---- T- - O Tl7rO.'F/ ST JOIN FLOW LINEOWELL,Nc �� Zz1 o„ 1437 43 t, C.I. TEE C.I. TEE �j7. b0 _ L__'____ STANDARD PRECAST ` _ __.. 114- ---- C 33•tj CONCRETEIooP GAL LON3�'`!D - SEPTIC TANK B„ 0/5TRIBUTION BOX TO BE INSTAL L ED ON LEVEL , STABLE BASE. SEPTIC TANK �T TO BE INSTALLED ON I 4R�. 0-PT r^N� LEVEL , STABLE BASE • � fir, 31•� 2"- /,f8 TO 1,12 WASHED PEASTONF LEACHING •PIT ALL AfQUND FREE Of IRONS, FINES BASF TO BE L EVFL ANU LIDS T IN PLACE _ '�' p `x t7, PR G1a.� L s1NG• BRICKS 61ORTAR COURES (�C"�.--------' T 3,/ ; 4` TO /-112 WA SHED CRUSHED AS REQUIRED TO BRING �: STONE ALL AROUND FREE OF COVER T(J GRADE 24"C.1. MH COVER IRONS, FINES AND DUST IN PLACE AND FRAME F , y craR. PeaP,I ' F_ - Y E _ MM fr .._.� _ _.� 1 N n p N 4 : — "- Y' LEACHING PIT SEC TION-- Q 8` FLOW LINE --—37 - (INLET-- --- a a PIPE r I. CONCRETE TO BE 4000 PSI 28 DAYS � 2. REINFORCED WITH 6" x 6" NO 6 GA W W M --_ 6 - , 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER f I jDEPTH REQUIREMENTS. OPENING WITH 4-118" + 4. NUMBER OF PITS REQUIRED OUTER DIAMETER 8 4 NOTE EXCAVATE TO ELEVATION ITS OR LOWER AS li N .. �__ •-- _nl ! I / 3/4 INSIDE .DIAMETER � 3„ REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH LU V ` a 1(0� Z ' h L �_. �? I i PIT. REPLACE EXCAVATEC MATERIAL WITH CLEAN N ! \S, I r GRAVEL TO DESIGNED GRADE {� 1 N z VJL 37,v �.- - 11 f ill n fir. � t 6'- O 15 00 , M/N EFFECTi VE DIAME TER (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) I W t4 I C L 5-:- j•4-A, WATER TABLE SOIL AND PERC. DATA GENERAL NO TES PERCi. RATE . t___ _.-_..J MIN. /IN . NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. J v N W CssLL.t S SEPTIC TANK, CISTRIBUT10N BOX , LEACHING PITS TO BE STANDARC TEST BY: PRECAST REINFPRCED CONCRETE UNITS. WITNESSED BY: _ J D H N ,JALa e $• 13;4_4------ ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF 'THE STATE ENVIRONMENTAL CODE , TEST PIT GR. EL.: 7• p DATE ' �`.�� MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF TEST PIT NO I TEST PIT N0. 2 SANITARY SEWAGE EFFECTIVE I JULY 1977, 0 01. - ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH. AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILLING, THE Mirt�IvM 54ND BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. (v PITCH ALL SEWER LINES 1/4" / FT. UNLESS INDICATED iNIVJ1.1tTG�je'A+�tD .D OTHERWISE. NO w rZ00N©wXf9r- I DE.SI6'N DATA ` BEDROOMS DISPOSAL ES!. TOTAL DAILY EFF GALS. ` L FcyENv — SEPTIC TANK GALT E "-`-- — _— SIDEWAt..L AREA 7-.} GAL./S0, F'. BOTTOM AREA GAL.,ISQ. FT )) fj�'` � ) �`(�� [� /'� / kj 7' f�, OX00 EXISTING GRADE LEACHING REQUIRED 17`%'• iZ. SO FTL/I.J1 t �'._7/`iL � 1 SI 1i` � ZONE �L o. ao FINISHED GRADE ACTUAL LEACHING AREA ? SQ.FT FOR DOMESTIC WArFR SOURCE -!d w / T t ( .. i oc� } INVERT ELEVATION f -- - I-tt t 41 fe L-I- S r PROPERTY LINE 0 ��_ V t t.t.. G pyArzV-L4}414zrLG NAA%, PLAN REPS RENL;« t' '__-Z t?`'�.r A-'' MEAN HIGH WATER SCALE* AS 1ND(CA1 ED DATE -- _ BENCH MARK 044TUM t'_`�t" � "I v �,� _ � '� � � MARSH WM M vV.4RWIC.K B ASSOCIATES s BOX 8oi - .NJr'TH FALMOUTH MA-554CH/11SEET T,- 025.5F,