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HomeMy WebLinkAbout0101 BLACKTHORN ROAD - Health ���C� b��-e,�.�t�.v-yv�,�a o ���. ���Y�� i 1m����n5 m.�1;is _ � � .........I Fm$...../490............ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ......_0F........r9rAs*PQ.................................... ApplirFation for Disposal Works ( omitrurtivaa Yrrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ✓� _ it. � ..----•-... �1'�....................... s�------ ......4. `.c A---------------------- s ocati dd o t�A"o. a � � ........................................... ----•-•-•.................... .e - _. -- - ------------- Installer Address Type of Building Size Lot.._. _. . Sq. feet U Dwelling—No. of Bedrooms---- /_.P,-------------------Expansion Attic ( ) G rba�inder ( ) Other—T e of Building No. of persons............................ Showers a YP g ---•-----------•------------ P ( )--- Cafeteria ( ) dOther fixtures ......•---•...-••-•••••••••••-----•-•-•--••-••--••--•-•---------•-- w Desi Flow........._ gallons per person er d Total ow gn � ..................... � . ,� .._• �-----------•----------•----- dons. WSeptic Tank—Liquid capacity Length�.6__ Width ...._ Diameter________________ Depth _i. x Disposal Trench—_To..................... Width_ ....... Total Length..._... _ Total leaching area....._. .-_---_--•sq. ft. Seepage Pit No..... ........... Diameter._._. __...__ Depth below inl ............. Total leaching areasq. ft. Z Other Distribution box ( ) Dosing Percolation Test Resul s Performed by-.. _ fst __ lCt " : Date...... �V ' minutes per inch De h of it. -__7-Y../lDepth to ound water.._1V Test Pit No. 1.. _t pground fro Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............. ----- Descrip 'o f Soil ..yIl �i,S�,I[ --- - ---- ----- ------------ w 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'TT LE 5 of the State Sanitary Code— Th ndersigned furth agr s no o ace the s stem in operation until a Certificate of Compliance has been is b the boar of he Signed • • .-- •-- .•••• ••.._.i... • to Application Approved BY ----•----------------•--•---....••---- ---• ---•-••-r- .�Weo ate Application Disapproved for the following reasons:............................................................................................................... .........--•••-•••••--•••-••-•-••----••-•••--••-----••-•••••••-•-•••-.....-••-•-----------•--------••-•-.--•••••-•••-•-••-••----•••--•-••-•--•-•---------••••--•-•.............•-------••-•---•••---•--- nn �/ Date PermitNo... S!. .7.� ----•-----•----•-------------. Issued....................................................... Daze 0z No.....JP�L-­-­ J�90............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................................... j;.k.........OF....... Aliptiration for Disposal Works Toustrurtion flunat Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ............. ......................ktkar.r ........... .......... ................. --- i. d .. r I No.bA............................. . vfii k -q----- n r ; Add�To - - - 4�r. ....3.,/..... .4, K"' ee............... Installer Address Type of Building Size Lot -- -- --- --------Sq. feet �G�rba�geGrinder Dwelling—No. of Bedrooms---- ..................Expansion Attic Other—Type of Building ............................ No. of persons................._...._._... Showers Cafeteria Otherfixtpjes .................................................................................................. Design Flow_..__..... _........................gallons per person per d T ..3 4y. Total}' POW. 9C.............................gallons. Liquid capacity' gallons Len 4? Septic Tank Length ...6 Widte!k!.... Diameter---------------- Depth.5.-!.7 Disposal Trench—'lo. ................... Width ....... Total Length I........ Total leaching area.....__ea..... sq ft. . ....... Diameter-----ej-------- q. Seepage Pit No...../...... ......... Depth below inlet.............. Total leaching ar;;S*];;;b; z Other Distribution box Dosing tank ( ) - I 0-4 ----:V - . I..0,11.1.44-fr4c........Percolation Test Resuys Performed by. ..... Date...... /xic.......... Test Pit No. lA,..;L--rriinutes per inch er i of Test Fit.................... Depth to ground water-------------------- Test Pit No. 2................minutes per inch Depth of Test Pit............_____... Depth to ground water­---------------------- --U0Des r 0%of So il i ow 4QF-1.-1 --------- -- . -01------#-----------.............. 2 ( . I ­ ­'------- .................................... ...................... . , ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ................................................................m..................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TIIL- 5 of the State Sanitary Code Thendersigned fl.11`07 agrees With no o pface the system in b A6� operation until a Certificate of Compliance has been is Ax the oa�rd,(of li Signed.... . ....... ...=. ........................ ......... ....... ...... 6 W.. Date Application Approved By. -- .... . ..... Z a'l.............. Application Disapproved for the following reasons:................................................................................................................ .......................................................................................................................................................................................................... Date PermitNo.-��1--------------------------------------------- Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -w.k,...............OF..... J.1.9....................................... (Intifiratr of Tomphatirr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed �r Repaired by------------ ....kaI6le°./................................................................................................................................................ _&Inst 11 at---- ...................................................... has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.-?&-%64.................. dated­./�O-9/v'O'C5---------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 15�7 ......................... DATE...... ..................... Inspector.....W't.. ----- .....y.....0.i--;.................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............OF...... ... ...............­­.................... 00 FEE../64........... No.... ��160 ......... Elisposal Varkv Tonstrurtion "prrutit PermissionLor '�r 4.1e, .1. ereby granted...........U..LaA.el...... ........ . .... . ......T------------------------------------------------------------------- to Construct Repair an Individual Sewage Disposal System at No. <0-71-.S. 3-2---- 4- 'HI-4111................................................................................... Street as shown on the application for Disposal Works Construction PS54ut No..?10.74I& Dated9zvv7o...................... --------------- DATE..----/ ---------­­----------- ------- Health FORM 1255 HOBBS & WARREN. INC.. PJBLISHERS 3 � TOWN OF BARNSTABLE LOCATION to —6 I1 CANk "!/'Lt- EWAGE # VILLAGE Y4V'SJbl^ �r�! ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. T® �%__ S "e SEPTIC'TANK CAPACITY 10(�)Q 94/. LEACHING FACILITY:(type) lCQQ (�/'�� (size) 6 X NO. OF BEDROOMS Z PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER bc)L& e i DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ,s 19 y ,37 y 3Z 14S i �I i S 0 1 L Lab II NO 1 NO 2 SITE 0PLAN . ' I AN11 2 �SUBSO/L 3 • � mac. �9 4 • ill - S4AIP %6RA vel- -70 TOP OF FOUNDATI01Y El.: 9G2 Ec. 977 7 � yEb/ury • ' ,' � 2/ FINISHED G.-RAOE 9 :a SAA&+ 'I zz o. IN Et 9� js .�' MIN. COVER 1Q - � 1 � • ' r f IN t l 9_..a Ih ll 33 • i • , 1 , � • 2 COVER 8 WASHED STONE IH E 93 t 1/8 S/ li l L r N G L. 2' ° . ' �• • ° • 1 ..' 4, I 0/ 8 W/ 6 SUMP ' •' 3/4 1 1/2 WASHED STONE Fc �0U 1 :3 ll U 0 LEVEL • • e 4 O .vo Lt/� � II E.� ° • • � • 9 EFF • tt , • • • • e ' • p • J 1 , . . v _., -Wj 0 ° , b .• DEPTH •• • .. PERC T EST RESULTS PRECAST SEPTIC TANK WITH • ' ♦ ` • ` PRECAST LEACHING PITS PERC RATE . I CAST IN PLACE INLET AND EL• 89 0 `. °°• % / • G'.�iA !�/iT� g'EIr�E<77r/� WITNESSED " BY RAvL �AwO�,rrs III I OUTLET T ' P R T I T i N O•• ._.. S II Z E■ ,DE�T�/ ,�ivD z ' o� srnv� BA�Pn/srABL S E LE V z G ' Atc A,PouN/� BOARD 0 F. HEALTH S I t E : /eoo G'A l l 0 N S --�--D I A `'+'- . .. . .. �, ._ � O F STONE DATE: SE�rFr�,B�-� ✓.�', /990 C 8G LONG x s4 W 1 O E x s � - 0 E E P l Pervious % :DIA ALL AROUND P. No. 76113 ' Material - - E L. �a NOTE•' �t'E�'10!/E /i�IPEI//O�/S /�JAT�R/ALOJ4 /O' J iVo •h/AT��P ENCOUNTE�P.E D ALL 'ACOVAID 77/E LE.4Ct//NG A/7 Alp 4e'pEEP ' o I PROFILE . OF PROPOSED SEWAGE : SYSTEM COARSE, CLEAN SANS �� �t SYSTEM - DESIGNED BY , TH[ TOWN OF ._ AARWS7ABZH REGULATIONS AND _ ` nG�G . L07, 332 m •, � STATE TITLE V FOR SUBSURFACE DISPOSAL OF . SEWAGE . SCALx 1/4 - 1 0 27zZ2s i r (57LV,4-1AL N072F•.S Z 9 1. All PIPES SHALL BE SCHEDULE 40 P.V.C. FLOOD PLA/N z0/t/E C 45 L .V.C. SEWER PIPE ,3 i ►• ON F/R/9 P.9it/EL No. <<'G'OD/ 00/S' C Z. All PIPES SHALL BE SLOPED 1/4 PER . FOOT EXCEPT FOR D.grEo: AVGusT /9, /9r.�S � � THE FIRST Z FEET OUT OF THE 018 WHICH SHALL BE LEVEL -- 0 E S I G N FLOW ,� .BEDROOMS AT 110 GALDAY PER BR , . . GAL/ DAY SEPTIC TANK ' SIZE 3. 2 IX /3' - ` 49s GAl ooj 939 tiK d�°a� $ 3 0 7000 CAL. W/__ovT GARBAGE DISPOSAL I Z'U S E < S LEACHING SYSTEM : USE : w C,' DiA- ARECAS7- Lt_AC11/1V6: pir w/,z' 4f1511zw ALL ,4RdUlVb 4ND 8 E'ffECT/IlE '16Ei"771 �G � ��x • � •�"'" .-- � ° — � '�• `�2, •2, �'�� � • W' - � $�L.R dodo�1C �• � 90 Q` \ p EFFECTIVE AREA : SIDE EZ"A xis• zst'<s>(e>x s= cz8 ��+c/aA� 9oX\ ` \"'� aN r2. �SERT,craArA 1, p B O T T O M �.,�= x�c . V'<s> 78 GAL%w O TOTAL. FLAW 7o GAG7DAY \ ,� /Dsd/G RI g• , .. TOTAL REQ D _ FLOW 3__30.E X /0 33r� W/. GARBAGE DISPOSAL Al '.'•�9� ' RESERVE FLOW -700 - 330 t 376 GAL/ DAY..IN RESERVE •, IN .. RE FEB E N C LAND COURT PL AN /Alo.. .?07s/ E sHEEr �3 E��=98 eo ��'O `� '� sr ,•'�G`a��� C PLANS . � 9 ' APPROVED BY : BOARD OF HEALTH h -PROPERTY OWNER ; /LEEiI/ A" ,SAC& 1y l-Z�-.� DATE : P.4v6�1EivT NAA1 SC'ALf _ SITE . ANC. S E WACE FLAN OF�p``H Of Mks a p�,SH Mqs� F O R : PR/ESTG Y FA/•f/G Y 72r UST 9 o�' JOHN q�yG 3 OFOROOM tINGLE FAMILY DWELLING ROBERT cya � P.. e M• v DOYLE,111 ti L O T ; 3-�2 ,BLACk7/lORN OR/l/E 1 c DAVIDSON -a y No.33389 0 SE,DTE�18Ei4 /�� /99D .o .p No. 24500 I A t �oF01 TE��°��� �q�E�/STEn�do� DOYLE ENGINEERING ASSOCIATES, I N C 0 R P'0 h A T F 0 Y B:�Landers Road W. Falmouth, MA 02574 ' - i•IVM` .�yial aM ���Y�1%���r�.ra.��S.. SONAL Box 595"'•"530 Thomas ` t rs w Lrevl•fi rM ' �+r�.arr��r.ri M•�•w�.�a�il.7a• - - d1A�.•rr � . i '•e+GlVi•{ SOIL LOG NO. 1 NO 2 SITE PLAN . AND 2 II ! a c3'YIBSd/L 3 ' _ Fc. s99 4 • - SAND %X)tAf/eL c . 0 5 TOP OF FOUNDATItlN EL.• 9 ?... Ec. 677 a 6 7 I� INISH' ED � ��oiury ' • .' 6 +' R A G — 9 E ,,4Na s IN )l I� -- 0 r.�. MIN. COVER E R !IV !t 33 ) 1 • 4- 2 COVER 1/8 3�/8 WASHED STONE I .98 • ° • r I 9Z • •� IN It • �.' O/ 8 iN! 6" SUMP IN El. 2• ' ' 3/4 1 1/2 WA SHED STONE v 4 L I V I D LEVEL . e61 NO [,I/ArE'�4 . ' o• ° • ° ENG'OUNTFREI> ) A v • a• r e • • . 8 ° I . EI�F 1 .I l I ' + L � U. • e • 0 _ • � -r--;-*-J ' " " ' n ° ° , • • DEPTH ; �� ; PEaC TEST RESULTS PRECAST SEPTIC TANK WITH • ; .' °, :; PRECAST LEACHING PITS PERC aAi 1 ZM/N//,ycf1 CAST IN PLACE INLET AND �(, 8¢9 • , °b NO ' SIzE• G'.d�A !�/i / 8'EFPErnv�' WITNESSED " BY PAvL tArvoE-,Ps OUTLET T 'S PER TITLE V I , ....._.. r// ftivD z • O� sravE BAR�srslaL BOARD OF, HEALTH Z G 2 Al L A�PDUND. SIZE : /eod G A L L O N S ¢ .� .--D I A OF STONE DATE sEf7t-fiBf'R /3, /990 L 0 N G x s"'¢'. W 10 E x 32" 0 E E P ) ...._.r.. Pervious ,, DIA ALL AROUND _ _. t P. Ale. 7G�3 Material EL. 80.9 A-01 •• rPEMD!/E 1i'�I�E�E'li/4�/5' /1AT�R/AL �O/S /O' ► No h/A7,RR Fil/C'OUN7�iPE lD ALL �AR,v I O 771E LEACH1,A1G �17 .4Alp ��1�eE� y' � d01�'N 7V ELE;/A770A1 B9. 9 RE'i°LAC� hi�Y N- IPROFIL. E OF PROPOSEDS SWAGE SYSTEM CdA::C-I XZEA/V SAND � SYSTEM - DESIGNED - BY _ THE TOWN OF BARws ;4B��- REGULATIONS AND �� � \ SOT .332 STATE TITLE V FOR SUBSURFACE DISPOSAL OF SEWAGE SCALE j!4'w,, ' 0" 9°\� � Z7zZ2s� � W N . B • ZONiiv� P15rR1C r.. . 5� 1. All PIPES SHAH BE SCHEDULE 40 P.V.C. SEWER "LDOL? PLA//V 20/Y c •�s aEt/wEAr�� q� q2 W W R w �13 ! .. Ow .fYRrJ AWA1EL /Vo. M000/ 00/�" C ! 2. ALL PIPES SHALL BE SLOPED �1/4 PER . FOOT EXCEPT FOR THE FIRST 2 FEET OUT OF THE O /B WHICH SHALL BE LEVEL , a 3. DESIGN FLOW .3.r BEDROOMS AT 110 GALDAY PER BR , GAL/ DAY � ,-y SEPTIC TANK ' SIZE 3. 30 .X �5' 4,*5 CAI USE /000 CAL. W 1, ovr GARBAGE DISPOSAL LEACHING SYSTEM USE': w (,' d/A' ARECA,5 T l_4Ac y1NG P/r w/2' of sro vim- ALL +ROUND AND 8 �'FFECT/VE 2DS' 771 qG � `,�.,, I '�.r/ • _ �2. 2, '�'� � W' - \ o, Q EFFECTIVE AREA : S10F a s��.P 2 7YJP 1! x e?5• ZTl"�5�($�x�5= Zg GAL/DAY ,Gac -r�• � � � � \ w/t'of ' •° sE�is TAat- � B O T T.O M n'R" ,�/o r 1r'(s�s x/O : 78 GAc%.4v TOTAL. FLOW 704 P41-IPAY ,o"5,0 r o��L TOTAL REQ'D FLOW 3� X /o WI. .T GARBAGE` DISPOSAL 9F8� AESEAVE FLOW —-700 - 33o L s7� CAL/ DAY - _LEI RESERVE REFERENCE P L AN S LAND COURT oz AN A/. �3o7S/ F S,-ve e J E�.=9B 00 •' APPROVED , BY : 9�0 ' BOARD OF HEALTH PgvEi'7 NT NAA1 ,SCALE DATE :-PROPERTY OWNER . f/LEEiI/ AND �,qC& ,V/I-L E,� SITE AND SEWA- GE ' PLAN OF F O R : ,c/e L Y f:9�1/_Y 7i?UST � H of M�a a�� �fgsf • ROBERT gctiao� JOHN q�y� 3 BEDROOM SINGLE • FAMILY OWELLING P. M. bOYLE,rir y L T ; .3.32 ,8[ACkT/lORN •DR/(/E o DAVIDSON y No.83889 I DA 1 E SZrP7E/ B-R /3j /990 No. 24500 �4 sC'STE�G ��"� . �q't'OSUE��yOQ �OYLE ENGINEFRING ASSOCIATES, INCORPORAtED y Be Landers Road W. Falmouth, MA 02514 'srrr rr...wwdid, .rirwii.Y'•'/:s .. - �p111NY�.r n v' �ONAI Box — 5 Thomas ow: -. - - ww..�M•:dlV+i✓r�.�w'a+�r�lki �..rr�r'�fir4N"-- r M 1 .rrr rn i _. _ •.4GNif- __ .