HomeMy WebLinkAbout0041 APPALOOSA WAY - Health 14 l L oosc,
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TOWN OF BARNSTABLE
LOCATION aTi.2a t► ��o�' A14V SEWAGE # eei-7 o
VILLAGE ' — ASSESSOR'S MAP LOT
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INSTALLER'S NAME & PHONE NO. 39z i,?,?7
'SEPTIC TANK CAPACITY /500 &R L '
LEACHING FACILITYAgpe) ?iT (size)
NO. OF BEDROOMS ' _PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER 96 ►A" c I='i S c o Zr/
`DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No a/
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No..8.13 7 700
__/..... FEB ............
THE COMMONWEALTH OF MASSACHUSETTS
E30ARD
.............76.... -. ......OF...... .. .........
Appliration for Uhipaiial Workii Tonstrurtion Famit
Application is hereby made for a Permit to Construct (V/) or Repair (Vl'**an Individual Sewage Disposal
a *sy_S D
_l ....�. c .. v -L� -...... ---------- -------*------------------*..........
or Lot No,
AT816m.I�?^ ........... ..........................
... . . ........... ..... . ------- .........
c
Address
---11-P ------------- .................................................................................................
w. . .......o
Installer Address
Type of Bulld ' Size Lot-___.\6_j_;!q_T
U Sq. feet
DwellingL�No. of Bedrooms......... ...............................Expansion Attic Garbage Grinder
Other—Type of Building ............................ No. of persons............................ Showers Cafeteria
Otherfixtures .......................................................................................................................................................
Design Flow ...... 1.6 Oallons per person per day. Total daily flow_._...._...._.S-3 C) .............gallons.
.......... Diameter____.___.-_.............................
9 Septic Tank Liquid capacityJOCiallons Length................ Width___...........__ Depth_.__.__..._.....
Disposal Trench—No..................... Width......___._.__...... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.__..........__._.__ Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box Dosing tank � ) k 0/30 Z`6
...........C.Q`^ST............... Date_..._._-...
�4 Percolation Test Results Performed by........................
0-� Test Pit No. I.....3......minutes per inch Depth of Test Pit....N!....... Depth to ground water... ..................
44 Test Pit No. 2................minutes per inch Depth of Test Pit_.._.__............. Depth to ground water_.._._..........._..___.
P4 ........
0 Description of Soil................. f,0- V-)U T t-\ I k P-t-Z-
............................................................................................................
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 THTT LE 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 hea
C� Signed............ . ..................... ......................... .... ...... ................
----------
Application Approved BY-. . .............. .......
Da e- ----------Application Disapproved for the following reasons._.............................................................................................................
......................................................................................................................................................... .......... ..................................
Date
Permit No...0...z 16.-0..................... Issued------ ...................
D/e
No. . r r�.. FEs....../4. .........
THE
COMMONWEALTH
COMMONNWE AL-T0.H...!.O: F MASS
SACHUSETTS
AAR® 4E/�.......... ..._OF...... ....Applira#ion for Disposal Works Tontrnrtion Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair { ) an Individual Sewage Disposal
System a
... :. �_... � _. . .....,. -- --------------•--......_.....•----....._-•-.. ---.•...------------------................
�,,... ca ion d ess � ..---••-----------------------------------or Lot No.
•--.._.. _...... ... .............. ..... ._..._._............._..........................._.
ow. ----•-----------••-------•----------------- Address
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
PLO Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
WDesign Flow.Other fixtures _....f ljons per person per day. Total daily flow.........................................gallons.
WSeptic Tank—Liquid capacity/gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
�-' Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water------------------------
f14 Test Pit No. 2................minutes per inch Depth of Test Pit---................. Depth to ground water........................
P4 •••---••--•------------------------------•---•••--••---••--•----•---•-•.._...........__..._.._------.........................................................
0 Description of Soil........................................................................................................................................................................
x
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 TITS 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.----
- ----------- ---------------•--
Application Approved By. .. = ,r �r/� �' ' � Te
Application Disapproved for the following reason st..._--•------------------------------------------------------•--------------------------------------...--•-----
----------•---------••-----------•----------•------•--------•--------------------------------•------------_-•-----•----------------------------------- ---------....................................
or, �. Date
Permit No. . ... '.. _ .......................
.............. Issued / E: -------------
��to
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH,
..............row.Af OF..... .... .............
Qwrrtifiratr of TompliFanrr ,
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed O or Repaired ( )
by------------------------------------------------------------------------------------------------------------------------------------•�--------------- ------------------ ------------
Install
has been installed in accordance with the provisions of TIT""-� 5 of The State Sanitary Code des ribed in the
application for Disposal Works Construction Permit No.__-_. _ "' �0---. dated-....__-�.�_ .
- _ f- ---,
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUA ANTE T AT THE
SYSTEM WILL FUNCTION SATISFACTORY. -
DATE.............1. �/ r..-!""y Inspector...... 'f� . '� .
.__
f r -
THE COMMONWEALTH OF MASSACHUSETTS �~
BOARD OF. HE �T�H
.............. w OF..... : .
NZ ...............
No. [[[ FEED.........
]Disposal Works Twon#ra ion rrmi#
Permission31s hereby granted.............................................................................................................................................
to Construct ( ) or �eAair ( ) an Individual S wage �D)isptKtzet
Sys y /
-
�
as shown on the application for Disposal Works Construct'o ermit No..?�- -.-.7. ated . e
-J-�01-
DATE...............
...................... Bo d of Heal
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
20' MINIMUM OR AS INDICATED ON PLAN _ _ NOTES:
PERCHERON
10' MIN. i 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E. ROAD
10' MINIMUM_ TITLE .5 ; THE TOWN OF '- �`T�'��--___ RULES AND JOE THOMPSON
J BACKFILL WITH U REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE; ROAD
T.0- FOUNDATION 8. MIN �l Q /SZ_ G1 CLEAN SAND
�- MASO�NRY AND THE REQUIREMENTS OF THIS PLAN. PPALOSSA WAY
— *- sI 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
WITHIN 12" OF FINISHED GRADE.
PITCH 4" SCH. 40 PVC PIPE 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE
,/4' PER FT. MIN. PITCH 1/8" PER FT. N SHALL BE MORTARED IN PLACE.
3-MIN. i
FLOW LJNE 2" LAYER OF
�° — --- w�+ED1sroNE 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE LOCUS
OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR
2" MIN. LEVE
WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING
�-- SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR
UQUID /� `� 1� 3/4- - , 1/2" PARKING. HOLDER
LEA
U WASHED STONE DISTRIBUTION 5. EFFLUENT PIPING FROM DISTRIBUTION BOX SHALL ENTER LEACH PIT
w LANE
BOX
_— l�o. o '�� THROUGH SIDEWALL OR TOP ONLY. ENTRANCE THROUGH MASONRY"
�3� o M„� EXTENSION WILL NOT BE ALL-OWED. LOCATION MAP
GALLON SEPTIC TANK L Goy I �I 6. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED
L.— IZ` RESTRICTIONS OR ZONING REGULATIONS. OWNER/APPLICANT SHALL
SEWAGE DISPOSAL SYSTEM PROFILE OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY.
BOTTOM OF TEST HOLE i?4
NOT TO SCALE — 7. HORIZONTAL AND VERTICAL CONTROL, SEE LEVY, ELDREDGE
OR USGS PROBABLE HIGH WATER LEVEL & WAGNER FIELD NOTEBOOK
DESIGN CALCULATIONS :
�- CURRENT ZONING INTERPRETATION:
NUMBER OF BEDROOMS 3
MIN. FRONT SETBACK 3 FEET GARBAGE DISPOSAL UNIT
MIN. SIDE SETBACK 15 FEET TOTAL ESTIMATED FLOW
( 110 GAL./BR./DAY X _3_ BR.) GAL. /DAY
MIN. REAR SETBACK 17 FEET REQUIRED SEPTIC TANK CAPACITY 4=5 GAL.
ACTUAL SIZE OF SEPTIC TANK 1000GAL.
APPAL 0 0 SA WAY ,yY
LEACHING AREA REQUIREMENTS
(50' WIDE) N SIDEWALL AREA _�.o GAL./S.F.
�ENC M. >nK _ Chr�N r3�sr.v rim PERCOLATION SOIL TEST BOTTOM AREA _83 GAL. /S.F.
i 451-6,• = /49, o (A5Sv,�l C�} LEACHING CAPACITY (BOTTOM + SIDEWALL) 54;o GAL.
BASINS ® 150 1123 DATE OF SOIL TEST "1 - '"8`7 P*�71L 2 TT( IZ/2)t Co )(: �) +TT ( 12-/2)z(.^3) 5a�GAL.
' WITNESSED BY �F �''-,���'1'" _�� RESERVE LEACHING CAPACITY
flGTEL. BOX p I ; PERCOLATION RATE 3 _— MIN./INCH �" C'�` S" SAME i
ELEC. BOX
,r OBSERVATION HOLE 1 OBSERVATION HOLE 2
J y ELEV.=_14 U ELEV.=------ ,
�°c t .� � -- p —0.00 - -o.00 BREAKOUT CALCULATION: AT ►4
- - Z.ov rc Ip� 4 L 42 . . I.iL FF�AKGJ
_ '= 1� F► �►� E LEGEND:
- xn+` 4, ---' EXISTING SPOT ELEVATION OOXO
160 � EXISTING CONTOUR-------00-----
FINAL SPOT ELEVATION 00.0
` r1 � FINAL CONTOUR
t�10 WATER AT ELEV. `� ' -- .--------
\ �ti`. ! J \ ` , t `` WATER AT ELEV SOIL TEST PIT LOCATION
�` 1'�0 , J`, 'r- �' .' TOWN WATER ====W====W
SEPTIC TANK
164 DISTRIBUTION BOX �J
WATER LEVEL ADJUSTMENT: PRIMARY LEACHING PIT 0
140 �� ti -� ', 1 . �`� RESERVE LEACHING PIT
`Op \ ..' 160 TEST DATE — WATER LEVEL
Uj INDEX WELL
WATER LEVEL RANGE ZONE — 1 ( I-3-80? INITIAL ISSUE
�j DEPTH TO WATER LEVEL FOR INDEX WELL
121 �� � � � � FOR THIS MONTH N0. DATE DESCRIPTION BY
LOT 122 — T
i4 16,349 sq.ft.f\� ' WATER LEVEL ADJUSTMENT SITE PLAN & SEPTIC DESIGN
� 50 DEPTH TO HIGH WATER — LOT 122 APPALOOSA WAY
OPEN SPACE ---- -- IN
136 _ 140 _ ( WEST) BARNSTABLE, MASSACHUSETTS
) o-�� FOR
—' 136 /'o? PA0L °� ROBERT SCOTTI
^1 A. �; —.—. - - -- ---
APPROVED: BOARD OF HEALTH �" ���� � SCALE: 1" = 3o� JOB NO. 1476 /1476-122
A to 00
SITE PLANFs�'lot
LEVY, ELDREDGE & WAGNER ASSOCIATES INC.
DAIS AGENT I 00iE8RS LANDSCAPE AKHMI 7 PLANNERS LAND SURVEYORS
889 WEST MAIN STREET CENTERVILLE MIA 02632