HomeMy WebLinkAbout0125 WIANNO AVENUE - Health lad v�J Uannc) ck\je-Yivs-/
ASSESSORS MAP NO: 40
�D j PARCEL NO.: oat
No................. .. Fms......... .....
THE COMMONWEALTH OF MASSACHUSETTS-
BOARD OF HEALTH
l00 �/..4-1 ..................OF.......Z3Are.v-s7^?4 L
ApplirFation for UhipmFai Works Ta ustrurtion Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal
System at:
Location-Address or Lot No.
............................................... .....� S G/{. fit?47...................................................c _........ ....
owngg Address
Prea ................... - �. � ...) 1 r ± ................. .......... /lam --------•-------•--•-------.-----
� Installer Address
UType of Building Size Lot_o27_Off._.....S feet
�-, Dwelling—No. of Bedrooms................•.._.....4...............Expansion Attic Wo) Garbage Grinder 4)
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures ..................................
W Design Flow.............................. .._..gallons per person per day. Total daily flow_...............................gallons.
WSeptic Tank—Liquid capacity.1.6__Q.gallons Length./D�_W`'. Widths'- ..�. Diameter__-_------_-•._. Depth__$7:'6..`'-. j
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No.......t?........... Diameter---/4_`.......... Depth below Total leaching area..SG?t.....sq. ft.
Z Other Distribution box (YG) Dosing tank ( )
Percolation Test Results Performed ....Cp a.Q.16A .... Date...l_' 4_- ...............
Test Pit No. I...Z.........minutes per inch Deptli-of Test Pit---?%4......... Depth to ground water ......
fZq Test Pit No.-2................minutes per inch Depth of Test Pit.... ._.. Depth to ground w Ilk'"
�
--l.s?_�t?dL__ 12 •-'}z 11�ct,� n�.................... -•------------
S'
Description of Soil k 9 ��tls o_if 4 1 � MA .ram ��� � .................. ...STEPHEN-EP --.-- �
t Y19 ttJ a_."> TPf7 .�_._.G?-l_ `� Ta Sai_I_o.�2.`�-5$"__ st`A.Sia'e L-°...................... n ALLYN
S�! l
U p t �, _ 3 � ----WiL'SDN-•---- ti �
_.Lcrsce-- _ .1��..rae.-- tw�nQ..,•,/ rwarx�
W A ,�IVo-3Dzt6�d
U Nature of Repairs or Alterations=Answer when applicable.............................................................
/0
Agreement:
G�V Gi
The undersigned agrees to install the aforedescribed Individual Sewage Disposal y e n accordance writ 7
the provisions of'THE:1.is p of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee ' sued by t health. �/
SignedAll a 10 D8'7._..._
e
Application Approved By.. . ---- •.----•-•........ + 1.0,E>- �g_7
Date
Application Disapproved for the following reasons:-------•--------------•-------------------------------------•-•---------------------.........................
•--------••----------------------•--------------......-----------•---•--.....------..........------....--••--•-------•--------•-----••--•--------- ------
Date
Permit No._e� �F! -------------- - . Issued-.........�1�, .
................�� asZ�
140
No. Fs$. .....1..,/............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
"M................._OF......AIM.F';l.+t4� A.dr
Appfiration for Uhip aal Work, Cfonstru' e#ion Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
Location-Address or Lot No.
c?lr{ ++................................................ !�S ..4'1cA�xiru.._../ rrt ram.. -
Address
f I
InstaLer Address
U Type of Building Size Lot.a7.7,.l1_.lr_f:?_`-----Sq. feet
Dwelling—No. of Bedrooms________________________._...............Expansion Attic Afo Garbage Grinder )
aOther—Type of Building ____________________________ No. of persons............................. Showers ( j — Cafeteria ( )
Other fixtures --------------------------------
---------•-- ----------_________ _--•-------------------•-------------------------------------
W Design Flow............................... _______gallons per person per day. Total daily flow----__._.__4+ '?....................gallons.
WSeptic Tank—Liquid capacity 55W.gallons Length/_ t 4-�P__ Width��:$"__. Diameter_-w...___ DepthiT ..._.
x Disposal Trench—No_____________________ Width.................... Total Length........,........... Total leaching area....................sq. ft.
Seepage Pit No------Z------------ Diameter__Ae. Depth below inlet__e3aa.?__..... Total leaching area_._42.......sq. ft.
Z Other Distribution box �C ) Dosing tank ( )
`-' Percolation Test Results Performed byGApt,...CoJ...Ssir►titsi....ransal:6mk&____ Date._!!Zh0.'*7__
a Test Pit No. 1__Z__________minutes per inch Depth of Test Pit__f_.ti/_"_______ Depth to ground water_
44 Test Pit No. 2................minutes per inch Depth of Test Pit__p.54_'�____._ Depth to ground wat .............{1
_P. _' �._�.�t l " 9. _ _lCttirr.�G.--------------------------
0 �
1 ►i X ALLYN rn
x Description of Soil-- !► --SM� A. _'__4t_ ,_LSb._ .Im� _.Cq�ie^.a�e._ 4 -Sc�►As6. ------------- -a
U _�9!'`u�F�.riles ans 'E zPt7'- E_t_ C? _LZ TnpsQL_.�_ �. 4 y n1� --•------•-•----•-. •..---- WILSON
.y,No-30216 b
? �:5►It_.L�nsr�__xv�n1� IST
U Nature of Repairs or Alterations—Answer when applicable..................................................................... .F rorrAi:"� .
Agreement: L-
u
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
T i E 5 of the State Sanitary Code The undersigned further agrees not to place the system in
the provisions-of i
operation until a Certificate of Compliance has been issued by the board of health.
Signed .... --• ................•---•----•-••---------.._.._..-------•-•-•-•-•-- ................................
Application Approved By_.j.t_r_-�-----�-��-�-=-=-=-._ �:_...- ---•--------•------•--...-•............... .---._.1.Q/_j Y"�t�----,�--•---
Date
Application Disapproved for the following reasons:..............................................................................................................
...._._..-•---------•----...-•-•------------•---------------•-------------...----•--._......_..--•------•._......-•-•----•--••---•-----------------------•-----•--- ................................
Date
Permit No. V ---------------------•--- Issued.
--.._. .....-
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...._...-TO..�N...........OF.... .��..1�_� ..
Qxrfiflratr of f amplianrr
THIS IS T,d C TIFY, at e Individual Sewage Disposal System constructed ( ) or Repairedby ( }
,.. :--•-- ------------------------------------•...�--------- -•-•-----------......_..--•--•----------------------....---------•----------...----------
at
-•• ), ------------------------------------------------------------------------••-------•-------------------------------
has been instailed in accordance with the provisions of Ije �' o�j e State Sanitary Co - in the
application for Disposal Works Construction Permit No....... ...__ ...___I.__ ___________ dated_-..___. ._�t
1 --
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE
SYSTEM 1All�1. FTJ TION SATISFACTORY.
DATE.... a¢/ /............................................................ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF EALTH
Y 7-� ....I..,r� 6� r �:............................. -
........OF.•••----•... •-•--
1� ....... FEE. . ..
Diapasal , orkp Tonstrurtion amit
Permission is hereby grante _.___.`::.'__': __: _
to ConstrJ��) or.I2epair� l an I �,vyrlya� Severe Disgale ................./�L
at No.-------OC-----------(_/__V__)¢1 N �/(� v C/V l/ CJS /C 4!
-----•......................•--....----------------- •-.._.._..----•-..•- _ - ---••-----------•••--••- ...
St:eet �f
as shown on the application for Disposal Works Construction Permit-No __ _!_ _ Dated____W__ _
-7-•-._._._..
•-------- 'i
-•-
r. c
L •--.--_- ..............................
Board of Health
✓ATE. 2:1 ....................................
FORM 1255 HOBB,S.& WARREN, INC.. PUBLISHERS -
TOWN OF BARNSTABLE
LOCATIONJ � f A)N 0 9La�/!I U SEWAGE # �, ,
VILLAGE C5��j; U i //,r ASSESSOR'S MAP & LOT /V-0- X f
INSTALLER'S NAME & PHONE NO.�-1 I 1f jyp i M0 -6-
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type)2 V /�i% (size)
NO. OF BEDROOMS 41. PRIVATE WELL OR PUBLIC WATER
4 BUILDER OR OWNE cc�
DATE PERMIT ISSUED: I • /y-97
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
- _ ON v.` I
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q'_T T �,EVISIONS
I ,)A. i A S I- L_I I - 1�1 A� - r.. DISTRH TION BOX DETAIL_
SOIL IP40K-,A E.S, INDICATES EPTjr T Nlk DP AI" I �_)
k0a I I LEACHING PIT DETAIL: IArF
PE RC ::-- OBSERVED .TO SCALE I N01 NOT TO SCALE
T GROUNDWATER NOT TO SCALE
NOTES: 1. SEPTIC TANK SHALL. BE S-, 57EL, 4 INLET AND OUTLET TEES TO BE CAST IRON, NO. OF OUTLETS
TPA/ ff % 21, -0iii! LOAM 8 SEED
TP fp r P TP REINFORCED CONCRETE SCHFO. 40 PVC OR CAST-tN-PLACE CONCRETE. TEES MANHOLC COVER
TO BE CENTERED UNDER MANHOLE COVER NOTES. BRCuGHT TO FINISH GRADEi OR PAVEMENT
GRD. EL, 1.03. 7 GIRD, E L, GRD. EL. 1��4_ GIRD. EL 2. SEPTIC TANK TO WITHSTAND H-10 LOADING J_ r i DIST, BOX TO WITHSTAND H-iO LOADING '71
UNLESS UNOE� PAVE MEN-1 OR �V�77,
GW. EL. GW. E .. . GW. EL.- - W. EL, UNLESS UNDER PAVEMENT, DRIVES OR
_T_ TRAVELED WAYS,*HFRf:!,N H-20 LOADING TRAVELED WAYS WHEREIN H-20 LOADING 2 MIN OF 1/6"
TO 112"
SHALL APPLY PRECAST 12,MIN. FILL
",�
1 T 0 1 Z__ SHALL APPLY WASHED
DIST I
/00,7 - 3 ALL PIPE CONNECIIONS AND CONCPETL MANHOLE COVER k5 STO 1,E
CONSTRUCTION TO BE WATERTIGHT BROUGHT TO FINISH GRAVE BOX 2. PROVVE INLET TEE OR BAFFLE WHERE, SLOPE OF
INLE ►T P'PE EXCEEDS 0.08 FT./FT OR IN
PUMPEV SYSTEM. c=2 cm cl
S'4,v L) 8 S4 p C INLET P, E
12 WN 13ENERAL NOTES-
COVER A 3 FIRST. *0 FEET OF PIPE OUT OF DIST NOTE:
T ' - •:_::� a 9= C=3 r_ E= C= r__3 C3 0 Itz THIS PLAN IS FOR DESIGN AND
BOX 0 BE L AID LEVEL d V)
4PLAN-VIEWLEACHING PIT TO CONSTRUCTION OF THE SEWAGE
REMOVEABLE-, 0 M C3 C= C= C3 0 WITHSTAND H-10 LOAD!NG DISPOSAL FACILITY ONLY.
A
NORMAL WATER LEVEL COVER UNLESS UNDER
__j 2. ALL CONSTRUC,rICIN METHODS AND
PRECA ST PAVEMENT,'DR!VE OR
F TRAVELED AA1 WHEREIN MATERIALS SHALL CONFORM TO MASS.
3/4"TO 1-112" r-n ' 'I
w 1,-4 n rri- ,A,'0 .!it PROVIDE r > -, I H-20 LOADING SHALL
INLET TEE DOUBLE LEACHING PIT D.E.Q.E. TITLE 5 AND LOCAL BOARD
APPLY. OF HEALTH REGULATIONS.
WATERTIGHT WASHED
73 q 0 I:= m C= C= C= cm C3 0
J10INTSItyp) Uj
PRECAST LL STONE
SEPTIC 4�6 -'I SEE
4'-0* MIN. OUTLET U. ALL PIPE SHALL BE CAST IRON
LIOU10 DEPTH —P TEE :t* ,ram NOTE 2
4" 'NL E T =-4 (no flneO
Ili) I=' 0 CA 1=1 CZ] e7 (M 0
TAmk r
4"OUTLET6 Do ' 0 R SCH. 40 PVC
7 f %41V C3 C3
-BOTTOM ON
BOTTOM ON LEVEL STABLE BASE 0;
c-i oicii LEVEL STABLE
V.'�2 1 .3 "IDI A
(1vo CROSS-SECTION BASE
PLAN VIE W CROSS_SECTION VIEW
4gb rraial o P�r 'DIA -
4-r 770 00 Of 0-/7-
9t7-
-Z 7777-7717-Z 7 7 7 J!47 AJM,4 ONSTRUCTION NOTES:
DATE: DATE: DATE: DATE: INVERT ELEVATION&
1 1:: ENCOUNTERED, ALL UNSUITABLE SOIL
TEST BY: TEST BY: TEST BY: TEST BY: SHALL BE REMOVED WITHIN A /C WIDE
/5314 yx z e J. ed v/1- 4" INVERT AT BUILDING L: ZONE"ARC)UND T"E LEAC"iNG FACILJY
WITNESSED BY: WITNESSED BY: WITNESSED BY: WITNESSED BY: 4" INVERT AT SEPTIC TANK(in) GRAVE
9. 33 AND SHALL BE RIE'0!-ACED WITH CLEAN
SAND AND "L IN ACCORDANCE WITH
4" INVERT AT SEPTIC TANK out) TIT_C" 'I.
PERC. RATE: PERC. RATE7 PERC. RATE: PERC. RATE Q),
4" INVERT AT DIST. BOX(in) 2 THE EXISTING SEPTIC SYSTEM, WHEN
MIN./INCH MINJ INCH MIN./INCH MIN,r-'!N,'-
IS TO BE PUMPED DRY 5 FI-LED
4" INVERT AT DIST. BOX(out) FOUND,
WITH SAND
T F
T-< 0 A
Pkt\/A
DATUM: j INVERTS AT LEACHING FACILITY-
INVERFA ;r LEACHING P17-
10 elz 9 71 e
VERTICAL DATUM: FE L. BOTTOM OF LEACHING P17' —
its
0
T
BENCH MARK USED: cr- C-F,/PH El. = AS<>utv- F-P 100- 08111.
TO'W t4
F 4, 45 WIAlt4IND AVE) 4"T
\It z
-r(>p OF C-61PH OBSERVED GROUNDWATER
EL 104-AS ELEVATION
4'Pl r'iiJ I
TES . = A-5b�_iMED i0o. 08
A�i ff Y ' a
NO 7'ES
I) !}DOPER F)-" L INES S11'00V HEREON tYERE COMPIL ED f-ROM A PL A N
RECORDED AT THE13ARNSTABLE COUNTY RE615TRY' OF 4L. 7
IN PL AN 300K 4 e 8 PAGE /o o.4 111D DOES NOT REPRESENT AN
ACTUAL SURVEY ON THE GROUND.
DESIGN CRITERIA:
2) THIS TOPOGRAPHIC SURVEYWAS MADE ON THE GRCUND BY DESIGN FLOW:
A-1
TRANSIT AND 57-ADIA ME7-,-tOD �% _BEDROOMS AT G.P.B./D _It�..G.P_D
3) UNDERGROUND U r/L/TIES WERE C OMPIL ED F ROM AVAILABLE
RECORDED PLANS OF UTILITY COMPANIES AND PUBLIC AGENCIES r
L, The BSC Group
AND ARE APPROXIMATE ONLY. E'JEFORE DESIGN AND CONSTRI)CTION • REQUIRED SEPTIC TANK:
CALL "DIG SAFE"' 1-800-322- 4844
vv 44CI GAL,
f ',_u' � G V� ; - ` D SEPTIC TANK PROVIDED: = IL-on GAL
Xjl,u SIZE OF LEACHING FACILITY REQUIRED. Cap,-! Cod Survey Consultants
'we
WHITING
e 0- 'Act
\ - i DESIGN PERC. RATE.- 0
No. 29M MINJINCill,
-Y
fcl ;-f> 3261 Main Street
1 0., Route 6A
-r& !�OtolfwAL_�_ J42 -5t= 'K C;e Barnstable Village MA
�7 iik�TTrj v I ;L70 �L w x I- r�Z� _np cip PL 02630
3 -7 -7 2
PROFESSIONAL LAND SURVEY'Ofil DATE
4.5 20
617 362 8133
-z&4 SFr
0/_1 SIZE OF LEACHING FACILITY PROVIDED-
0 PROPOSED REPAIR
SEWAGE D!,SPOSAL.
Q/ '5- -S'
17 7 f A
SYST"EM DF.`,:)11GN
, ? -
FHof, 5101VAL EIV611VEER-CIVIL DA rE
K iv t=
CPU, U Al I A Kit N1 0 Al\/.,
IN
LOCUS PLAN' -ALE I zoa :� 0 -1,�TEKVILLE AS
WD
0
COAX
PREPARED FOR:
blElk" "i A, FE M b E RIM W
"I A
aV EA ET
SAY
N, DEL . 8, lq8to
COMP/DESIGN: 5 A,W
I,A Vf-R
-'x CHECK. 5 Ak vv
PON
DRAWN- T PC,
PI..-AIN' VIE
FIELD R_F= Gr 'T v 9
SCALE: I " 4r�i OD FILE
FILE NO
0 DWG NO. SHEET
0, FEET
JOB NO t894, 00 I OF I