HomeMy WebLinkAbout0171 TANGLEWOOD DRIVE - Health 91 TANGLEWOOD DRqVI%TERVILLE
A= 121-084
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No..... .... THE Fr�s..... :. C/
COMMONWEALTH OF MASSACHUSETTS
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BOAR® OF HEALTH
TOWN OF BARNSTABLE
App iratiou for M�5pooul Work,i Towitrurtiou Urrafit
Application is hereby made for a Permit to Construct ( F")//or Repair ( ) an Individual Sewage Disposal
System'a : �(/✓(I l�/i)4V1_r ,�� i W. -
.................. .•-------------------------------•---... ------ ----•• -------•----- ---
Location-:address Lot No.
- - ---•---------------•-------------------•----- ------- __--
R ow ier ddress
� f....��___��Tsk►-'.Qc,.__�(!',r
------ ----------
Installer Address
Type of Building � q Size Lot_`____}® .......Sq. feet
Dwelling— No. of Bedrooms_________ __ _ _ __ _ ____________--__Expansion Attic (N� Garbage Grinder (��
P4 Other—Type of Building _.__-_ _-_ui _ No. of persons____________________________ Showers ( ) — Cafeteria ( )
Q Other fixtures -----
W Design Flow................J_��...._._.______-_gallons per person der day. Total dai�y flpr--------------- C?...............__ ones.
WSeptic Tank—Liquie capacitv._I�gallons Length_&-0___ Width...� Diameter-_.1-9�-!� Depth____ `-min
x Disposal Trench—No. -____I5.2 _ _.._ Width„ ;,__.__._ Total Length------- Total leaching area--------------------sq. ft.
Seepage Pit No--------.-_�......- iameter__(su------------- Depth below inlet-_�?'__.__...... Total-leaching area_._ sq. ft.
Z Other Distribution box ( ) Dos• ank
~' Percolation Test Result Performed by _._� L2Li.` !`�_________�+______________________ Date....�.W_���,'.��_(a............
aTest Pit No. I..... -_.__..minutes per inch Depth of Test Pit-_-___�__.___�_-___ Depth to ground water fhoY1e.......
. _ _..
44 Test Pit No. 2................minutes per inch Depth of Test Pit--------I.O------ Depth to ground water. .i_1�� 1"ed�
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Description of Soil...Q�Q_-Z.C) .[ 4 -�.b---- t____.....
x
.....................................................`------------------------- `: ... ----------•�--------- ---•-------•----
Lfu
U Nature of Repairs
j `l --A+tS� U_ `�JII� _►`.?_...'..IO.C7..�_......_1-DIVYN L?1p
-- - - --------- -
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 Certificat4once b issued by the board of health.
_.......... 1.( o
��
_... ..........._....._. Dace............_..--
Application.Approved By .. . ..._. ... . ..__.... ...... ... ......_ :..... ......................._..... ................. .................Application Disapproved for the foll .............................. ...............,..........__-.
------------------- ---------------------- ...........
....... ----------------------
.---------Permit No. Issued --------------
........ --Date
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1
No.._...t.........-...... Fps.. ........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH -
TOWN OF BARNSTABLE 7
Appliratilatt for Di-tipn!3ul lVnrkii Tnnstrnrtinn ramit
Application is hereby made for a Permit to Construct ( ") or Repair ( ) an Individual Sewage Disposal
System a-t-:--�- Cj s-f �U✓r/ ��
.... ...........49�.sc l ��,a®off----•- �-4u J.-A..................t
Location-Address I.A
t No.
Ow er ff j Address
L>a ....... f .1.{c�a:.=_— -- f �..
(11nstaller Address p �
d Type of Building '� Size Lot_,-+o�+-7-. Sq. feet
1
Dwelling—No. of Bedrooms............................___________.__E�pansion Attic ( ty Garbage(Grinder
aOther—Type
of Building ____..____P/A------- No. of persons-_------------------------ Showers ( ) — Cafeteria ( )
Q Other fixtures . � .......... ''"' =
W Design Flow............................................gallons per person plt day. Total dairy flgw....----_-__-_.'-? ................gallons.
Ix Septic Tank—Liquid capacity.-1 gallons Length. - ___ Width----�'�`P Diameter... Depth....-�i.'^.�rn�n
Disposal Trench— No. -----J.J. .... Widtq.......zle------- Total Length................... Total leaching area.........._.._......sq. ft.
Seepage Pit No............�_.__-_-. ' iameter..� ._----- Depth below inlet___�r'0._..._. Total leaching area-_- ( "_._sq, ft.
Z Other Distribution box ( ) Dosin ank ( )
'—' Percolation Test Results Performed .�.,.�.'.f?.1�6.��1 __ Date____�. .:"� ''..��.. ............
a Y - - ------------t-----••---•---- -----
Test Pit No. 1------ ...___minutes per inch Depth of Test Pit------ _ Depth to ground water.. .l.1MC...._. .
i-----
0-4
(s, Test Pit No. 2................minutes per inch Depth of Test Pit--------l.�...... Depth to ground water._ -.�'1�:ccuu kreb
-------------%.................
P - ► =-----------
Descri tion of Soil---1Q:0•_-�,Oa. AA.I•.�aa.0�? Soa4. .0-�3 O I�1�171Uj►'1_.... .........
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.------------------------------------------------- -------------•--- -------- ---,�1 -------------- '--•--------------- --••-------••---•-
w ------ �lO.r.i:A - --m—no S?.� -- 1 - �0,C � ���1 d�✓� O
/ 3 -~—
UNature of Repairs or--Alterations—Answer when applicable.-.-l_ __ _ __________________--_-..._-__._._---------..-.------ ..............
f ------'
--------------
Agreement:
The undersigned agrees to install the aforedescr`ibed 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`Cer ficateiof Compliance bas,be,6,V issued by the board of health
Signed .. _..-
(� ,. ti'
Application.Approved By ..._......._/ �1�,. --- f -----� � ..•.. ..................... .
/ v ............... ------.........Dace--------------
Application Disapproved for the following rearon /.::.........................................._..............._........_......---.....�........_
.............................................. .... I .r... ----.---- ..........-------------------- ....... -r-.....*6;t,e------------------
Permit No. C ....................
'"------
... Issued e ..----.1-------------------------
-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Gertiftcttte of Tomplinuee
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by -- - _...... ----------------------- - - , �,,._. --------.�..----- -----------------------------
60c) /� �^ �/
at ----------I° ----- --= �^�. 1. - 'f�...o C' L- V l
has been installed in accordance with the provisions of TITLE 5 f he Skat nvironmental Code as described in
the application for Disposal Works Construction Permit No. . �, "'_... � dated ......................._.........._......_..
-15
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE... �..�_... ,�,' -- - -- Inspector ----.:......................................._---------
THE COMMONWEALTH OF MASSACHUSETTS
f BOARD OF HEALTH
TOWN OF BARNSTABLE
FEE.. ...........
Dtspnnal Noeb Tnndr tuart "unfit
Permissionis hereby granted---------------------------•--------•-------------------------------------------------------------------------------------------•---------
to Construct (�),or Re air ( ) �n�� Individual ewa a >sposal System
at No....... _. ...... •--•-----���_(V- 2( ?(1t ` � o- / V V �!/
Street O�r717ru-Irl
as shown on the application for Disposal Works Construction Permit No._I_.J-_____• aied...........................................
•-----••----------------•--•---------------------------------------•-•---••--•-------•-•••-•----•-.._....
Board of Health
DATE................................................................................
FORM 36508 HOBBS A WARREN,INC..PUBLISHERS
4
104 -
LOT ,27
15,087sff
ASSESSORS NO.: =,121—84
PLAN REF. 35801 B"SfI. 3 & 2
103 reserve RES. ZONE "RC"
area ��j r FLOOD ZONE: "C"
14 d_box NOTE.- TOWN WATER AVAILABLE '
deck
¢ 121 I
Yll
LOT 28
\ \ \ p 1500 gal
o task GRAPHIC SCALE
/ \ X3
20 10 .20 40 80
pp
\ ( IN FEET ) "`
\ 1 inch = 20 ft.CD PAUL
10
c :Y
S&T U.P LE #1276 � SURGE
PROJEC T L OCA TION:
0
TP 1 LOT 27 TANGLEWOOD DRIVE
OSTER VILLE MA.
/i oo /
LOT 26 �_ \ /� 1A' APPLICANT. JOHN ANKETELL
17 BE'LMONE RD,
/ v FRAMINGHAM, MA 01701
o0
\ \ 5
C.B. YAWEE SUR VEY CONSUL TAN TS
P. O. BOX 265
0!y` UNIT 5, 40B INDUSTRY ROAD
\ Op
\ ►� 0 �N �� ,� � MARSTONS MILLS, MA.' 02648
��' PH. 508 428—0055 — FAX 508 420—5553
BENCHMARK C B. / � JOHN
TOP OF CONCRETE LANDERS-CWLEY ,
BOUNDARY MARKER / CIVIL v SCALE. 1 "=20' DA TE. 3113 95
` ASSIGNED ELEV-100.0
No.3510
I REV REV. 07113195
JOB NO. 506 73A SHEE T- 1 OF 2
C.BASIN
4. -
_,EL. =�7_I_02_7 PROPOSED
TOP—OF FQUNDATION
20' MIN.
CONCRETE COVERS GROUND EL. 2'GAYER OF
_
102.2 PROPOSED 102.0 PROPOSED 102.0 PROPOSED 2'
101.0E LEVEL CONCRETE COVERS WAS ED STONE
101.0 PROPO SED
4" CAST IRON 67-t-
OR SCHEDULE 40
P. V.C. PIPE j 2"
S=0.02, D=12' 4'" SCHEDULE 40 P. V.C.
PIPE — MIN. BOX M N.
FLOW LINE77 "S=O O2, D=12' .00
INVERT i 10" 19„ S=0.01, D=7 PRECAST
EL.__ 99.37 MIN. 6" LAC ZINC
00 `
INVERT CRUSHED a o g I W S EQUIVALENT
TONE a oS%So8oSS 8 °IN I o
T EL_= 98.88
INVER q c
EL.=_99.13 EL.=_98.57 oc : E� o c
o INVERT INVER o 6' V C 3��WASHED STONE
1500 GALLONS EL.__ 98. 74 EL.=_98.50 00 0314
c
SEPTIC TANK 92.5
LEACH PIT
4' 6' 4
PROFILE OF 1
14'DIAM.-- �I
SEWAGE DISPOSAL SYSTEM 88.5 L
NOT TO SCALE
ALL ELEVATIONS ARE ASSIGNED
P. SULLIVAN
WITNESSED BY: T McKEAN
HEAL TH OFFICER
Or
�aL
SOIL LOG TOWN OF BARNSTABLE JOHN
LANDERS-MLEY 'GENERAL NOTES P NO PERCOLATION RATE _-_ MIN./ INCH B CKnL Ul
I. THIS PLAN IS FOR INSTALLATION OF NEW SEWERAGE DISPOSAL SYSTEM. No.351011
.�
2 PLAN REFERENCE BOOK LC 35801B, SHEETS 2 & 3DATE _10-10-86
s�
IT
3. THIS PLAN IS FOR INSTALLATION/ REPAIR OF SEPTIC SYSTEM TEST HOLE 2 TEST HOLE I_
AND NOT TO BE USED FOR SURVEYING OR ZONING PURPOSES. EL - DESIGN DA TA:
4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 102.5 EL. = 101.5
TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS LOAM and
FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 0 LOAM and SUB NUMBER OF BEDROOMS THREE (3)
5. ALL COVER TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 2' SUB f 1.5'
12" OF FINISHED GRADE. GARBAGE DISPOSAL NONE
6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE
SAME, UNLESS NOTED BY FINAL CONTOURS. MEDIUM TOTAL ESTIMATED FLOW 330 'GPD
7 ALL COMPONENTS OF THE.SANITARY SYSTEM SHALL BE CAPABLE MEDIUM COARSE ( 110__CAL/BR../DAY x _3_ BR.)-
OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER COARSE SAND
OR WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING SAND. ' SEPTIC TANK CAPACITY _ 1500 _
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 ,
BE MORTARED IN PLACE. 12 SIDEWALL AREA 188.5 GAL/S.F. 188.5x2.5=4 71
:* 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH BOTTOM_ AREA 78.5 GAL/S/F 78.5xl. 0= 78.5
DEEDED OR ZONING,REGULATIONS. OWNER/APPLICANT IS TO
LEACHING CAPACITY (BOTTOM & SIDEWA_LL) 549 GAL.
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. NO WATER ENCOUNTERED
10. THE EXCA VA TO)?�CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND
UTILITIES PRIOR TO ANY EXCAVATION. THE WATERGATE WAS NOT FOUND, THE GENERAL RESERVE LEACHING CAPACITY 549__ GAL.
CONTRACTOR SHALL VERIFY LOCATION WITH WATER DEPARTMENT.- REVISED.•07-13-95 SHEET 2 OF 2. JOB NO.: 50673A