HomeMy WebLinkAbout0019 APPALOOSA WAY - Health 19 A'ppaloosa Tway- . .
Marstons Mills
/ - v A = 174 001022 '
4
OF BARNSTABLE
LOCATION SEWAGE #
VILLAGE �� ��` ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY
.LEACHING FACILITY:(type) pe - e'6-4 pelll-�(size)egoo C l-kaa
NO. OF BEDROOMS 4 PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER ICE, Nile
�
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED/
VARIANCE GRANTED: Yes No
¢r�,��
��''
I� ��o
r
.� �
� �:� ��
ti.
'�
HIV
��
:� � --
1
Fss.... ......
THE COMMONWEALTH F Ts
BOARD OF HEALTH
.......... .................OF.......60a NsjLak/c--------.......
Applirtatinn for Bispnsal Works Cnous rurtinn Vanat (V1 N�
Application is hereby made for a Permit to Construct- )for Repair ( ) an Individual Sewage Disposal
System at: IjjJC
............ . .. .......... ......... ...._....... - - .�_..i� ,�� -
Location-Address /� qor Lot No.
lX'�...fic � �......... ................. ......l T��J �f P_.icy. (rS d i.�-_
Owner Address
W C......
�... ....... :f:.. *arZV1 k------------------------------•----------•-•--•---
Installe_ Address
d Type of Building Size Lot......2.3f z-._._ q. feet
U Dwelling—No. of Bedrooms........../=xi'zi.....................Expansion Attic M) Garbage Grinder
Other—Type of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures -----------------------------------------•....
W Design Flow...................................:!r .gallons per person per day. Total daily flow................................:TS.O_gallons.
WSeptic Tank—Liquid capacity!-l�.gallons LengthlQ�.`.-_-_- Width_' ... Diameter.'.............. Depth.. �_�r.
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No....7luo....... Diameter.....1Z. 4T_...... Depth below inlet._... -....._.._ Total leaching area._5p g-...sq. ft.
Z Other Distribution box (X) Dosing tank ( )
aPercolation Test Results Performed by---C.4_R,__55,l iCz.t......................................... Date...V 2.4 h 7
a Test Pit No. I........4.....minutes per inch Depth of Test Pit,.... Depth to ground water------- -__.-.
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground ..........
x ------------•-•-•----•--• ---•---------------------•----.......----------.....------••-•-• ..._.................... o �,
0 Description of Soil.........O-2.----.-).ram(t.. .SQU----•--•_.-•-•- -----•-•----• ----•- ---•-•--•-----•--...--•--
x i i sT€PHEN..
U �1't'�ct�aEn_ ._ ��c�._ ------------------------ -------a � ------- +
W •----•-----•------------------------•--•----•-•-••-••--•-•---•-••--•-•--•--•-••••••--•-...-•-•-------•---••--•----------•---------•---••-----•--•---•--••---. .....W1L aQN--------
0216
U Nature of Repairs or Alterations—Answer when applicable-------------------------------------------_............ .. 3..... ®
-••-----------------------------------------------------•---------------•--.....------..............-••---.....----•------••-••-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal ystem n L ance with/Z l
the $rovisions�f.iIT�: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
�� rtoStil . C t of Compliance h been iss t e board oft alth.
Signed �` = ...;-t.. ........ ...•----........-- ........ ..
��,�✓�� Date
o� Application A roved By............... . .... -------------------------------
Date
Application Disapproved for the following reasons-------------•---------------------------------------•---------•-------------•--•---------------------------••••-
?`
Date
Permit No........0. .._ 7,64�.............•...... Issued-.......................................................
Date
i I
r
G
No... !=744✓ Fps....-,',l..............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-----.low./t-----------------OF.......'
Anpliration for Disposal Works Tontrurtion Frrmit
Application is hereby made for a Permit to Construct ( 1,) or Repair ( ) an Individual Sewage Disposal
System at:
................_................................................................................ ..... .7..li .......-----...-- --.........------------......------------
Location-Address �1 or Lot No.
................2?Ear_�c....06wee r........----•-------------------•--- . 'C?/�' `�l � s3.....elj
1.4
----------------•---•••......_...._.........•. Owner ddress
aCr7s_ ?G�G............
Ga Installer Address
UType of Building Size Lot.... ....Sq. feet
I., Dwelling—No. of Bedrooms..........1.-=.tom.....................Expansion Attic (46) Garbage Grinder (4)
aOther—Type
of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
P4Other fixtures •-----------------------------------------------------•--•-•--•---•--•---••-------•......---•.....••-•-••••--•-••-•---•--•............••...---•------
W Design Flow...................................S49..gallons per person per day. Total daily flow............._..................a`i_5.4.gallons.
WSeptic Tank—Liquid'capacityL5.09>.gallons Length/&`_iC?"'.. Width.��_"... Diameter______ ______
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No....7aru....... Diameter.....1 `....... Depth below inlet.....4........... Total leaching area._SO.?t...sq. ft.
Z Other Distribution box (X) Dosing tank ( )
aPercolation Test Results Performed by.._G _R,..Sha.r. ....................................._.... Date... ��1 .................
a Test Pit No. 1....... ......minutes per inch Depth of Test Pit....I.Z----------- Depth to ground water___________ __________
Gr4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wat ... _._
i..
O Description of Soil......... ......).se... ....-------•------------------------------------------------------------------ -- ¢
x , I S'TEPHE1a'-'-G
--------------------------------------2._...�......?Yhi&Qw.._...1rn ._ � t ._E.�t�l .---------------------------------
W _ r3 - AUY?4......-
------•-------------•-----.-..--.-.-...--------•--•---------.-...-------------•-••------------------•-------------------•-----_..------------.-._...-------------- .....WILSON......-H
Z ' No_30216 Q
U Nature of Repairs or Alterations—Answer when applicable............................................................. .� . ajy
............................ ...........•••••••••---•-•--•-•-•-•••••••----•-••-•-•--•.......-•-•--•----•-••--.....---•-------------••-•-••---••-••------•---•----•-•-_.... Q oS4E
Agreement: 0
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System i cc with 9A,7
/the provisions of TITiE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in _ y!
operation until a Certificate of Compliance h s been iss t e board of health.
Signed .. ------------------- --------------------------------
Date
Application Approved By................ U.... - -------- -------------- l_a-_-...a• .� 5'
Date
Application Disapproved for the following reasons:...............................................................................................................
..................................•-----.............----------------•---------------------•--------------•••-••-----•••-----••--••-•-•-••---•••••----•-••--•--•--••••.................................
�j Date
Permit No........C1.721 76 _-----. Issued_......................
Date
THE COMMONWEALTH OF MASSACHUSETTS
r BOARD OF HEALTH
................O F.. . fi�A'. i�.. ...................
wrtifiratle of Toutpliana
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( r Repaired ( )
by.............. 1 . ....... �� ' _�.�,... --------------------------------------------------------------------------------------------------------
Installer ,.
at__.._ . ---.....(1 5_.....--. h t_ ...........1 ---
has been installed in accordance with the provisions of TITIF,, 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No:__.... X.:..._ ...... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
-------•----•-•-•-------------------
p
DATE....... �i� � Inspecto ... . e-:.--------. ......_........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
......................
No... ...:..... �.... FEE.� ...........
Disposal Works Taanutrwtion , rrmit
Permission is ereby granted....'$° ' .... ... _.._: :_" ..
to Construct ( , or Repair ( ) an Individual Sewage Disposal System
at No...... J- A..............6t.N A,i�055S�N ..... •--••- ....................................' � C
-------------------------------
Street
as shown on the application for Disposal Works Construction Permit No. Dated..........................................
.......................................... ._ .....................................................-
Board of Health
DATE................ ...............................
I
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
i
20' MINIMUM OR AS INDICATED ON PLAN
NOTES: =�,
Ex• ; ::, PERCHERON
10' MIN. ` > ROAD T�
1. ALL WORKMANSHIP AND MA RIALS SHALL CONFORM TO D.E.Q.E:
10' MINIMUM _ TITLE 5 ; THE TOWN OF �p-nlSTA!3L-E -_ RULES AND JOE THOMPSON
ROAD
T.O. FOUNDATION BACKFlLL WITH -� REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE;
8' MIN. /7Gr.'S I , - CLEAN SAND
/73* /g /!_ AND THE REQUIREMENTS OF THIS PLAN.
/ / MASONRY
Ex to 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO PPALOSSA WAY
PITCH I 4• sCN. 40 PVC PIPE WITHIN 12" OF FINISHED GRADE.
3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE
LOCUS
ZrliA( t/4" PER FT. MIN. PITCH 1/8• PER a :.
3 MIN. s• LAYER of SHALL BE MORTARED IN PLACE.
Flow LINE 2'
- 1/2- 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE '
to" goo WASHED STONE OF WITHSTANDING H-10 ,LOADING 'UNLESS THEY ARE UNDER OR
/70.0 2'-0' F G:ilo� WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING
2" MIN_ LEVEL
p u ' o P,t W/ < SHALL, BE USED 'UNDER OR WITHIN 10 FT. OF DRIVES OR
/�o/•tJ LIQUID 3/4• - 1 1/2•
LEA DISTRIBUTION /��,4". 3 s+*r3� WASHED STONE PARKING. , HOLDER
- - B < 5. EFFLUENT PIPING FROM DISTRIBUTION BOX SHALL ENTER LEACH PIT LANE
BOX U. _ THROUGH SIDEWALL OR TOP ONLY. ENTRANCE THROUGH MASONRY
r EXTENSION WILL NOT BE ALLOWED. LOCATION MAP
GALLON SEPTIC TANK (o �. J z 6. NO DETERMINATION HAS BEEN MADE AS TO_COMPLIANCE WITH DEED
RESTRICTIONS OR ZONING REGULATIONS. OWNER/APPLICANT SHALL
SEWAGE DISPOSAL SYSTEM PROFILE BOTTOM OF TEST HOLE I OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY.
/'S 3.S
NOT TO SCALE — — 7. HORIZONTAL AND VERTICAL CONTROL, SEE LEV , ELDREDGE
OR USGS PROBABLE HIGH WATER LEVEL Z6Z 2�
& WAGNER FIELD NOTEBOOK #--
6 -T ct4 DESIGN CALCULATIONS :
149 0 �''y CURRENT ZONING INTERPRETATION:
t3EAX P,ACK-7 � �L - 91-cv NUMBER OF BEDROOMS
E � MIN. FRONT SETBACK n FEET GARBAGE DISPOSAL UNIT
(50 W10 ) /U FEET TOTAL ESTIMATED FLOW
MIN. SIDE SETBACK
OOSA '__WAY /D ( 11� GAL./BR./DAY X 5, BR.) ESQ GAL_ /DAY
APPAL 1' ASPH• BERM MIN. REAR SETBACK FEET REQUIRED SEPTIC TANK CAPACITY �ZGAL.
-
-----__ -
ACTUAL SIZE OF SEPTIC TANK
_-` ,
� � LEACHING AREA REQUIREMENTS -T'ow� aE' �►+���.
�B3.20 ,� SIDEWALL AREA 2.5 GAL./S.F.
160 eZ 6 � <\ BOTTOM AREA 1.0 GAL./S.F.
�' \
----- TEL. to
PERCOLATION SOIL TEST
`-__ � � LEACHING CAPACITY: (BOTTOM + SIDEWALL)
ELEC
01
..�.•_ �. , DATE OF SOIL TEST: �( / / )\ ), ) /z 1 ,ate.
= .a \ N
4,
.; uN�a��/ .Si`� - RESERVE LEACHING CAPACITY
--- -- '` - ,.. �... \ WITNESSED BY - E
,� � .�- 2 SAM
' - ►k� z_; 1 0 PERCOLATION RATE MIN./INCH
OBSERVATION HOLE< 1 OBSERVATION HOLE 2
ELEV.-_h��_� p
\ } i -0.00 0.00 / '
BREAKOUT CALCULATION: 2 r.
\` t 0 (Tlw IE
\ —G 0 0
�►''� -o VIL,LL LEGEND:
-- n , y �
x \` m EXISTING SPOT ELEVATION 00 0
120 X
<
... _ EXISTING CONTOUR-------00-----
,, kpU _ FINAL SPOT ELEVATION 00.0
f
// FINAL CONTOUR
WATER AT ELEV.__L2r3 'WATER AT ELEV. LOCATION
M�a To K.D ` � � ��,� SOIL . TEST PIT LOC �
�1 M �
TOWN WATER W W
SEPTIC `TANK C�
ADJUSTMENT: DISTRIBUTION BOX D
L� WATER LEVEL AD JU S M E v 1A RY LEACHING PIT
18 N z'� /;
PRIMA -0
9( 8 `( r)
118 - RESERVE LEACHING PIT
WATER LEVEL
TEST DATE
INDEX WELL _ _. c +� .na
z ►z 2� �.� � '1"T+ wJ
WATER LEVEL RANGE ZONE INITIAL ISSUE 5L
DEPTH TO .WATER LEVEL FOR 'INDEX ' WELL
NO. DATE DESCRIPTION BY FOR THIS MONTH
160
WATER LEVEL ADJUSTMENT SITE PLAN & SEPTIC DESIGN
23,604 sggt,f ; ; �' I DEPTH TO HIGH WATER 1 119 APPALOOSA WAY
1
DE LO
18
IN
OPEN SPACE h
r (WEST) BARNSTABLE, MASSACHUSETTS
0Fspl FOR
rr g0 STEPHEN
170 109.36 �i ,
r , rWILSON
® ALLYN #k MARK EBERT
OPEN SPACE "'
--' ' � f APPROVED: BOARD OF HEALTH � � ., _ JOB No. 1 477-119
, A �o �assE
SCALE. 1 30 1477
160 SS�QNAL '
`� LEVY, ELDREDGE & WAGNER ASSOCIATES INC.
SITE PLAN DATE AGENT ENGIMM UWAPI ARC LM S[Iii MRS
889 WEST MAIN STREET CENTERN= MA 02632