HomeMy WebLinkAbout0473 GRAND ISLAND DRIVE - Health -4 73.Grand Island Drive
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A - 070-008 _ 001 ;t
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TOWN OF BARNSTABLE
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LOCATION _ ' " -- /� SEWAGE /a g
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VILLAGE2 (/j�� ASSESSOR'S MAP & LOT 7
INSTALLER'S NAME & PHONE NO. /���/N
SEPTIC TANK CAPACITY S .
LEACHING FACILITY:(type) Sn F AP_6(&d&X9(size)
I� NO. OF BEDROOMS S - R PUBLIC WATER 7�
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE
COMPLIANCE ISSUED: I L91
VARIANCE GRANTED: Yes No
r
/� jn
FE$.ram:
y THE COMMONWEALTH OF MASSACHUSETTS b
�-, BOAR® OF HEALTH
lceaC �.................OF.........
.. 1T. .........................
Appliratiun for Diupuual Works Tonutrurtiun 11unfit
Application is hereby made for a Permit to Construct X or Repair ( ) an Individual Sewage Disposal
System at: 7X _
•� 1 . It [a ........ - ..... ------ - -
J Loca: -AAdd:e
` •---....SL.. ---- .i.: ....--•------- -- ?-. . .�.1-L.. J...1_L. ........................
a !_ ®/Y ,�C 4? Addre s ® .---------
Insta er �� � Address
U Type of Build' g Size Lot_� 7 / S feet
�-, Dwelling—No. of Bedrooms............ ................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building ....... No. of persons............................ Showers
a YP g --------•••--•-•----- P ( ) — Cafeteria ( )
Other fixtures .........................................
W Design Flow...............��_.&..............gallons per person per day. Total daily flow...............
Ga..�.(�_..._......gallons.
WSeptic Tank—Liquid capacity/.�t2?0gallons Length-�`�jL,,�].�'............... Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No......`------------ Diameter./1 i_&V' Depth below inlet.._... ......Total leaching area.._12..?.sq. ft.
z Other Distribution box ) Dosin ank _
aPercolation Test Results Performed by._- -l�s �-' r t., o Date.......... .
Test Pit No. l .minutes per inch Depth of Test Pit. _ /�P. Depth to ground water-�_W_�._.
rXi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
.--•-----------------------------------•--•-
0 Description of Soil......6=1--- .......... ------------- ........................................................................
UW �� --------------------------------•------------•••......•-•---•--•••.
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
'ITIL- 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.
Signedk `....[l` 'LLGI�I,' lY / --t
L
y ............
p e
Application Approved By �� !�0
Date
Application Disapproved for the following reasons------------------- -----------••----•----------------...------•-•-----------•---------------------...•••••....--
....-•-------------------------------------------------------•----------...-----.....-----••-------••------..................--.........................-............-------------------------...
Permit No.......,1 ---•--••-•--...... Issued...: �..,�t Date...
Date
No.Il_-_ ZZ�p 5 Fxs............................
THE COMMONWEALTH OF MASSACHUSETTS
��— BOARD OF HEALTH
f.3t....1�* ....... OF.........# ..f'?` '�' ..... /.............t........ ............................................
App iratiun for Disposal Works Tonstrurtiun Vrrmit
Application is hereby made.for a Permit to Construct O or Repair ( ) an Individual Sewage Disposal
System at: /,0 7- f,7,7 _ 772—
c� (_+d14. 7 y f,Y"T Y. 4�l ram• 1., T"t f f ram,, d . (
LocationAddress
...... '......
�.v.. ...............................
...._•�� �.. Uo re t------ -------------- .......____.......*---•------- •------Lot No.
� �jj^�Oywne ff .. ss p
Installer Ij Address t
Q Type of Building f Size Lo ... _Sq. feet
Dwelling—No. of Bedrooms...............:`..._.............._......Expansion Attic ( ) Garbage Grinder ( )
a'4 Other—T e of Building _._.___ No. of ersons____________________________ Showers
YP g --•------------------ P ( ) — Cafeteria ( )
dOther fixtures ...---•-•--•••• ••-•-•-•---------------------••-------•----•...--•-•-•---••-•----•----------------••-•----••-......................................
Design Flow.......:..... __.________._....._.__gallons per person per day. Total daily flow_.___.______.__±:___"__I�_ _._.___.___gallons.
WSeptic Tank—Liquid capacity.!:•00.gallons Length__!L!A_!L Width................ Diameter__-___________-_ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No______ _____________ Diameter.._ _._..R:_.._. Depth below inlet........ ....... Total leaching area___. 5i_.2.sq. ft.
Z Other Distribution box (�: ) Dosing tank ( )
Percolation Test Results Performed by `?_ . ` yt'�` .....................................
..IV I � '!`�' . 1 l ' - I 7 a •-• •••-•-•---•--------- ----•. Date =- ....... ------------------
Test Pit No. 1�__ --_minutes per inch Depth of Test Pit- `_ __f^'___ Depth to ground water_l?f�"1
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Pa' ----------------------------------------------------------------------------•---•---•----••-•-------.........................................................
O Description of Soil......r.....I--�-21----•------f `' ...... �-------`s L) k a•f1_
- --- -- -
S
x
S
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 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
Permit No....... ................... Issued.......... ............- .................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
41
,,1.kV.4, .................OF............1 t .��.fY .. 1�_ '.-t'........._._....
Trdifirate of TumpliFaurr
S S /E��, T Y That th ndiv dual w� D's- sal System constructed ( ) or Repaired (.Installer y
at.......................� ` � r`y . !r✓-----�r9_r,> ... _ � .. 7"
has been installed in accordance with the provisions of TIT4 5 of The State Sanitary Code as described i , �
application for Disposal Works Construction Permit No----- _______ dated_...�,•�"----_----__ _K........... }
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL,FUNCTION SATISFACTORY.
DATE.... ..........................•-----•---•------ Inspecto --•---�.-I ! ......................,---........... ...__.......
-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH ,
• � �
. ZXI..............0F.-.....�.. .....................� `
N.
Disposal 10ods Tonstrurtion Prr i
Permission is hereby granted_____ i ---. :;% ___ ___. ................
to Construct ( �e)' or Repair ( ) an Individual Sewage Disposal System
at No.X -. ....!
Street
as shown on the application for Disposal Works Cons ucti?m-P rmit No._��."._� Dated..... 1
��••------•-----------------•••--•------••-••---•--•••--.....----_...._
Board of Health
DATE , I 1----------•-------•-
FORM 1255 BB S & WARREN, INC., PUBLISHERS
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MIN DiA. 24" BROUGHT UP rAF- 8
op-wom COVE R NA Fr�A 01 F- 81 COVER MIN r)l B A 24 " ROU GHT UP
FINISHED GR FO FINISHED GRADE
iO FfNlStED DE
.1 " 1 —� FINISHED GRADE
SCHEDULE 40
3 M i v
m 4" TIGHT JOINT SCHEDULE 40 PV
pIpc
r4" TIGHT JOINT
I S-1 21 (MIN.) a
SI-2_ 1 !1 m
z
2% T 10-
cn z
7) UJ
FLOW LINE ;5 FLOW LINE
tU a/ o oo 000� I
f%ft. �M & ' tt �SC>c GAL. S.T
GAL., 2.1. — D8 - a.'OUTLET DB
_j L ET
0
T,V fir ' 0 1,-
NOTE CH LINES 0 EO"D
L 1 m F S n
f6 I At 0 ro T4_1 4, 6, '4�
INTO 01,13. AND THE 2-1 1 aTIC) ID
2' ARE TO BE LEVEt. , mpg-.-" -7
10
�Iyq-G_. TRENCH DISTRIBUTION BOX LEACHING PIT
SEPTIC TANK DISTRIS,,-- TION BOX LEAC SEPTIC TANK
16P \N PROF I L
A\
t:ATrl
/ k V91
S7'
BA
S
RESERVE AREA ,,
2" MIN 1/ 8"- 3/8"WASHED STONE
2-
3
A 2
fv 7
so
6 a 2 pf (ABOVE PIPE ,
\A1 7' z
Qj
\15),
1/0 Al/
3z _-TONE (BELOW ;31PE )/4 _ 1 2 c-,
fvql d1l d 1.
Cl
/ 1
le,
BOTTOM OF TRENCH LE VEI
I N V. E N D I'RtiE,4C H
4, FOR ENTiRF LENGTH a wIDTH
EL BOT TRENCH
2
L 0 tsl G I TU 0 A. F' C T 1 0 B 3 c
rFF)
F� 0
L_L
F
IJ 7� V R pi PE:
`0' 1 , // p
4�_ 'T o E. c
4- D 5 T R I aUT 10 H
LENGTH
7"
tqot,� 5"RiWK CiPA,5UT
/ [ J / -4dEk vq 4`5 H." Z-To N, F_-
- �e -_
-0 v F_ f_�%) T- F_
7—
OUTI
3114 Ell
7-
INLETi
ry art
3 to L I�u lb L a4c H 1,14
VE N
C)0 V;N TLET 4 MINI L t 7�
FVE MIN 2" '14r.S'
T vt__ _. .__j1. " THE Ft 1.1 Q`0 D L E V F L
4Z(
J, A.
6A
. 4' :LIQUID DEPTH L \A
NOTE ......
lz T_ E m�
0�lj c
U-1, J E3 to It o o 001 4-
TO 0 0 0 0
DIMENSIONS VARY ACCORnINCti
0 0 0 0 o o o q I-,,
V,) MANUFACTURFR 7yp) [:�3, m
o- 0 0 0 0 0 G 0 ol
1/2"
0 0 0 0 0 0 0 c oc�
I f Z'Z _ _ .. ____ ___ U WASH90 STONE
00 0 0 0 0 0 oofl
V
3" (TYP) lb u 0 9_0 0 00 0 00,
41) 5EPTIC TANK T0% 0 0 0 0 0 o
1 00 00 0 0 0 0 0 Q
INLET ti OU-T L-E' T EES SHALL EXTEND TO CLEANOUT Now o 0 0 0 0 00 00
00 0 0 0 00 00
MANHOLES 8 SHALIL. BE CONSTRUCTED OF CAST IRON, 0 0 0 0 0 co 0 0 cl
SCHEDULE 40 PVC OR CAST IN PLACE CONCRETE a pa 42 0 o o 0 0 -00 0—0
f 1\ 2771 4-
It- �,n
PROPERLY SUPPORTED BAFFLES ARE UNACCEPTABLE IRCULAR SEEPAGE Pl 'i
NO'T ES
ti I / O / 1\.
JA
cov
All 11111\
L
ALL TOPSOIL, SUBSOIL, AND OTHER IMPERVIOUS MATERIAL SHALL BE
EXCAVATED TO PERVIOUS MATERIALS.
Iii C T_10 tl
2 DISTRIBUTION LINES MUST HAVE A MIN. HOLE SIZE OF 5/8" IN DIA.
W / PERFORATED FIPEIAND TILE PIPES TO HAVE WEDGES, 7 IT IS RECOMENDED THAT SEPTIC TANKS BE INSPECTED FOR CLEANING
T_ EXCEEDS THE LOCAL BOARD OF HEALTH ONCE A YEAR,
3 THIS DESIGN MEETS OR
REGULATIONS AS SET FORTH IN TITLE 5 OF THE DEPARTMENT OF 8 THIS SYSTEM IS NOT DESIGNED TO ACCOMMODATE A GARBAGE DISPOSAL ,
ENVIRONMENTAL QUALITY ENGINEERING,
19 A,r.< 0' RS A,f Z, F- H 0 T P,r- c�c� 0t^P-A M 4 Z a U) , W-)
4 THE INSTALLATION OF THIS PROPOSED SYSTEM SHALL BE DONE IN
it
j �.- �,L �' " i� CONFORMANCE WITH LOCAL AND STATE BOARD OF HEALTH REGULATIONS.
SHALL BE ALTERED WITHOUT APPROVAL 10 t_-"LEVATIONS REFER TO
5 NO PORTION OF THIS SYSTEM
{ , 5 _ 5A IN WRITING FROM THE BOARD OF HEALTH AND THE DESIGN ENGINEER.
i I OFFSETS Nor TO BE U�ED FOR THE REPRODUCTION OF PROPERTY
6 CLEAN GRANULAR FILL SHALL BE AS DEFINED- JN THE STATE LINES
ENVIRONMENTAL CODE TITLE 5 REGULATION 2 . 17 AND SHALL HAVE A
12 WHERE APPLICABLE A MIN. OF 3 INSPECTIONS IS REQUIRED FOR T f*
U* 243 7
F_L_E:C_ OF BETTER THAN 2 MINUTES PER INCH IN ITS
PERCOLATION RATE ENGINEERS CERTIFICATION.
_T k-T S
0 tZ $ f ALc_oO AFTMfz Pl*,AC E Mf=
TteAN r L L
f)ksi(;N ELEVAll
F L CQNSTRuq.TIoN NOTES
0 E S, c f� t i C-t t-A SITE DEVELOPMENT FACILITIES PLAN
TOP OF F 'Z cv,S'o
—KEY SOIL OUNDATION
SEPTIC TANK THE SOIL UNDER THE DISTRIBII.TION F40Y lup SLAB ELEVATION 7, 5-o
s TESTING !NFORMATION FLOW INFORMATION LEACHING FACILITY
BWVCMI INV Al FOUNDATION
AND SEPTiC TANK SHALL. BE TAMPEC L IZ- q ff L, D&Lja 1L. L/P*
DE'SIGN CRITERIA
R'j 8 U T i ON BCOK TAK 2-1.8 L)w e
EN__l
c,
4P �14AMBER S 0 1 L t,_Q G TAKEN PE- RC. TEST, I Ner INV AT SEPTIC TANK N_E T A/Z)
-410 - wi 'iNEssEL -jr-jzee TYPE OF 30ILDING_._-___ --,a— MIN /IN, 7.-
AT W! TN,ESSE04_.E_l2Fy Dot , 1 -1 Z_
TRENCH PERC. ilFSIGN RaTFL INV ' AT SEPTIC TANK OU T 4w Fpr
ABSORPTION TR!
2' FILL SHALL BE PLACED IN NOT GREATER
EMPLOYFE RF/B.A !,_0C_l INV AT DIST BOX INLET
S�T
AGE Pi T V,
lel. THAN 12 ' INCREMENTS AND COMPACTED BY TL ET
D I S P 0 S AIL 4- 0 OU 0, 1 E:
F sub6OZER .
ST CONTOURS DIMENS�ONS- INV AT D! ST BOX
BEDROOMS iNv AT 9EGIN 01� TRENCH
�:ROP ON T 0 UR S V E t,-A PA C I -C;o
Soil- E$:FECI WA I E INV AT END OF TRENCH 49
X,It S T FLE VATi ONS PERSONS S A SIDEWALL AREA --- ----
LE D GE T;�' j T- EXCAVATION TO BE EXTENDED. EL.4�e AT BOT OF
`5
P R,0 P E.LEVATION,- OTHER B-A, BorTOMAREA DIREC OCINS AN 0 TO A MIN, TRENCH
�N AL 1
DAILY FLOW INV. AT SEEPAGE PIT
EXIST 8t PRO:. L'S . 6461 L 'rC— 5Tl P-J.4 Sli R. F. PER". Rjj,rE_7 FACTOR
ELOW SIG URI- PE
TR IN, FEET OF TRENCH REO Df.P T H 0 9 NATURAL GRADE 154 1"E
t MARK . m 8Aerc-,Q 4 t4-/E- IN4 El_ AT 1301 OF SEEPAGE PIT
,4 F_N C H e
4, 'THE ENTIRE EXCAVATION SHALL BE
T ,�4),
P09 L f C WATER SF�.�VICE . W
GAS SI�RVWE
S, A 7r�/46 71'-6) OLLF-0 WITH 4ATFRIAL AS IN NOTE E
T R", 'TEST 6 ABOVE
TO 6" AB<)VF THE INVERTS A V F L,
$E fW HOL�E OVER S�lsl'Em
E;> S _J oSl ' e ie 4.1 i-1A�44* 16; sr
o i L 013, T_t' 1-1�_L L_
OF THf_ RESPECTIVE 7.
LE
OWN
11EE STEPPED TRENCf
t;0 AAA-I- poF Cj*4r_, ;:�0L4QATs(;N. . . P E R Al
PqtvA 'L 1p I rs 7- V_ 8�T&D ell? D
TE- WATtR SERVitf- q *75
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