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Home My WebLink About0006 BLUENOSE LANE - Health t31u-t nc)sc- L.currt-Q-_ 1�� N(A ct TOWN OF ByBARNSTABLE C LOCATION t IvoS ,ld/ SEWAGE VILLAGE ASSESSOR'S MAP & LOTa/*- _:0 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ,gip U LEACHING FACILITY: (type) 1 it/6/ " a e f(size) NO. OF BEDROOMS v BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 1211 cK /JCS 132 ,33 - J TOWN OF BARN'TABLc LOCA"bIION L O+ Li7 # -rsd VILLAGE O"CJ`kk ASSESSOR'S MAP & LOT./,',I —JA/ "v INSTALLER'S NAME & PHONE NO. `S cd�� 77 1- 6I 7 SEPTIC TANK CAPACITY 1 , 000 4 a lim s LEACHING FACILITY:(type) L 2rnc1.� Q; �' (size) 1 , OOD�c,�►�oHs NO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER G c e< n l0clt r P-Jet• Coc j, . DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �e �� cYl, '—' q4. �� .�. Q � 9� v �c;�.�e.�� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -----r w .. .O F......................................................................................... Allp iratiun for Dh�pvual Works Tnnitrurtinn Prruat Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at .....L.-•--•...-........_...................................................................... ....................................................... ... ................... .. Locatio Add re or Lot No. � -st .... la }...... �.b--------=---- Ow er a ` ✓, ��G _ .. Address � Installer Address '1 UType of Building // Size Lot...... ....................Sq. felt a Dwelling—No. of Bedrooms............................................Expansion Attic (+V ) Garbage Grinder (N) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ---------------------------------------•--------------------••-------•-------------••------------------••-••••-•----••-•-----••----•-•---•...._------ w Design Flow................_5.5..........._...._•__gallons per person per day. Total daily flow____---�.3®..._...._._..........._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 ( T G N aPercolation Test Results Performed by......... Z.�.....................................•._.... Date___ /� ................. Test Pit No. 1____. ......minutes per inch' Depth of Test Pit__��:_`-'.._.__.. Depth to ground water....r/- -------- w Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.__________-----_-____. P4 .......... -•------•-----------•----------------------•-•--•--.-•-- O Description of Soil------.``e E'L lam•--t n��.. ��^�� w -ve--!ZT x •• --•---•-----•-------- --•-----------•---------•-----•---•------------------------••----------- w UNature of Repairs or Alterations—Answer when applicable............................................................................................... --•-------•---•-------------•-------------••---------•-•---------------•------------•--•----•-.....-••--••--- ---------._....••••-----•---•-•-••••----•-----••-•---•--••--•----•--•......-•.......--- Agreement: The undersigned agrees to install the aforedescribed In ideal Sewage Disposal System in accordance with the provisions of'TT�y.i f: 5 of the State Sanitary ogeThe dersigned further agrees not to place the system in operation until a Certificate of Compliance has bee by t board o lth.Signed �d�Zo .-------•-•-•-••---••--•-•-------••-•------••-••-•-•------••. ••.. ................... Date Application Approved By......... ------ -•--• =�� ................... Date Application Disapproved for the following reasons:................. --•--.............-------------------•--------------------------------------------------•_.... -----•-•-------------------•-----...----...------------------...----------...--------•-----•------------•--••---------•----•-•----------•--••--•---------••------•-----••--••-•-...----••--•--•--••-•--- Date Permit No.--••--.YV 49---5-5-0--------------------- Issued-----------•----------------------------------------•--- Date No....... .�..::.. FES......f Z....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Uiipogal Workii Tonitrurtion 11nutit Application is hereby made for a Permit to Construct (k) or Repair ( ) an Individual Sewage Disposal System at: � , _ _ ve .... .' .`!�..... -T' :.�.:----•...... z 1V.... 'p r�:•---___-_•___---................................................F ` C � ............... o:atio -Addi or Lot No. ..r � •,.c � ` � � �•Geer- ,,,. Address �....--••-..�--- --..'------��--�................•------- -•-•---------------------------------------------------- --------------••-•--•--• Installer Address Type of Building I Size Lot 2ftlll Sq. feet Dwelling—No. of Bedrooms----:.__. .................................. Attic ( ) Garbage Grinder ( ) `4 Other—Type of Building ... No. of persons............................ Showers — Cafeteria PI Other fixtures -----------• =. •----...----•-----------•-----------•-----•-------------------------------------••••••-----•---•-•-•-- W Design Flow.........................___..........__gallons per person per day. Total daily flow............................................gallons. R: Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ 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 (, - / `-' Percolation Test Results Performed by........ "? �``__...�" � -r f/t(, ----•-------------------••---•••_... Date..--•-..••• •--------•••-•••--••. a minutes per inch De th of Test Pit._��.._�__...._.. Depth to ground water..__`__110 Test Pit No. 1 P .Pv P (z, Test Pit No. 2................minutes per inch Dep'tli of :Test Pit.................... Depth to ground water.__________._______.___. W ----------••--••-• = . - ............................................... D Description of Soil........+`t�A ..........F .+: '"'f Gv (et-�a t' x -------------------------------------•--••••••••• --------•---------------------------•-----•......................... U •-••-•----------------•-•••••-••••--•••....••--•-•-•••--•--••--•-••••••........................--•--_ W -------------------------------•-•••--------------•---••-------•--•••••-•-•-•--•--•----•-•......-••---•-•---.-•••••-•----•--•••----•••----•••-•----•-•--•--••......•--•••......-••-•••-•.............. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -........••. Agreement: The undersigned agrees to install the aforedescribed In idual Sewage Disposal System in accordance with the provisions of:TTIE 5 of the State Sanitary ode - The`. dersigned further agrees not to place the system in -operation until a Certificate of Compliance has bee issue by t board o" ealth. CIC Signed----.`=�..`..... ._...--•-- ..................•-----..._.._...------------- Date Application Approved B ,_ .._ma 's,.,tea,�,.. �. �' PP PP Y _ ,r= r Date Application Disapproved for the following reasons:--------------------- -••-------•------------------------------------------------------------------......._. --•------------------------------------------------------•-----------------------.....-----•--------•----••---•=--••---•--•-------•------•-•---••-•--••--•••---•--•••••-•-----•--•-•-•-•••••-••-------- Date Permit No.......yZ:---� ------------------- Issued....................................................... Dal- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .r �1 „ ............oF...... r' °rvs ........................................ Tn#ifiratr of Tontplianrr TIIS IS TOC,ERTIFY, That the,Indvid Sewage Disposal System constructed�S or Repaired ( ) by...:"f:. ''�>�- r U-L.L, .6o a o ---------- „�-----_-_----•---------------------------------------------•-------•-----------------------------_---___-______-----------------•------------ G /' c j j " — � 4 ,,t y�staller �at................................................... ••--••-•••-• X /..' .. -----.....•-- .S /•------•••-•••••-•---•-••--•-------••---•••-•-- has been installed in accordance with the provisions of TI T'- 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.:i... .. _... ........ dated......................:......................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. , . = '_DATE__. Insp = � /7�.,,� ._ 'i... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �- ............................. / ...........................---........................_........... �i��ol ork� �on,��tt.�tion runt Permission is hereby granted ` = �''�' -r' ��Z`.......q.------.5 G------------------------•---------------------....-------...----.. to Construct 4 _, ) or Repair ( ) an Individual Sewage Disp�sal System at No..L ?r -- S yr . . ..� � S{ Street as shown on the application for Disposal Works Construction P u 1_ .- a ed--_._.._...f_.Q-__:�_*/...... � J / � Board of Health DATE............ ......... ------------------- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - 0 � 5 0 NOTES: MARSTONS MILLS 0 � N 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E. 20' MINIMUM OR AS INDICATED ON PLAN ' TITLE 5 ; THE TOWN OF BARNSTABLE RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE; LOCUS 10' MIN. AND THE REQUIREMENTS OF THIS PLAN. 10 "'"'"u" 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO ROUTE 28 RouTF 28 Q A 1NTH WITHIN 12" OF FINISHED GRADE. BLUENOSE T.O. FOUN ATt � �J. � teaA e• MIN. S 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE LINE MASONRY SHALL BE MORTARED IN PLACE. 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE " PITCH 4• SOH. 10 PVC PIPE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR • /4• PER FT. MIN. PITON 1/8• PER 31 MIN. N 2• LAM of WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20, LOADING c>ow LINE i�• _ �/2• SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR 10 . WASHED STONE PARKING. I-' 58'3 1 :'-o• 5. NOT APPLICA&LE o 57. 9 r LEVEL f - UOUID / J7. /4' _ 1 1 ' Levu WASHED STONE DISTRIBUTION 57 6. EFFLUENT PIPING FROM DISTRIBUTION BOX SHALL ENTER LEACH PIT BOX THROUGH SIDEWALL OR TOP ONLY. ENTRANCE THROUGH MASONRY LOCATION MAP EXTENSION WILL NOT BE ALLOWED. /DDD GALLON SEPMC TANK ` � (off _l�� 7. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED -T RESTRICTIONS OR ZONING REGULATIONS. OWNER/APPLICANT SHALL OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY. SEWAGE DISPOSAL SYSTEM PROFILE BOTTOM OF TEST HOLE �9, 3 8. HORIZONTAL AND VERTICAL CONTROL t SEE LEVY, ELDREDGE NOT TO SCALE OR USGS PROBABLE HIGH WATER LEVEL & WAGNER FIELD NOTEBOOK # CURRENT ,ZONING INTERPRETATION_ DESIGN CALCULATIONS : MIN. FRONT SETBACK �d FEET NUMBER OF BEDROOMS MIN. SIDE SETBACK f FEET GARBAGE DISPOSAL UNIT TOTAL ESTIMATED FLOW MIN. REAR SETBACK �� FEET ( 11_0 GAL./BR./DAY X BR.) D GAL. /DAY REQUIRED SEPTIC TANK CAPACITY GAL. ACTUAL SIZE OF SEPTIC TANK /�0 GAL. LEACHING AREA REQUIREMENTS SIDEWALL AREA 2.5 GAL./S.F. ku PERCOLATION SOIL TEST BOTTOM AREA 1.o GAL/S.F. /s.F. LEACHING CAPACITY (BOTTOM + SIDEWALL) 490 GAL. p ti DATE OF SOIL TEST 27T( /4/2)( 4 )(2.5) +IT( /Z/2) (1.0) 490 GAL. vN/ c oA1 'B,at/. S .ter✓,4,V- RESERVE LEACHING CAPACITY �... WITNESSED BY , �1 t3. xr >>; JVi'E SAME L o7" 7� v -.... ._ PERCOLATION- RATE- MIN./INCH ._ ��3 1 OBSERVATION HOLE 1 OBSERVATION HOLE 2 ELEV.- �7 ELEV.= �I -o.00 -o.00 BREAKOUT CALCULATION: rV�� to Lol F .Su�3so„ P.4c�E� 1 — G t� S.FvD t ��✓k'1 0T � I_dT J47 LEGEND:71 . �rrr-I S c,U EXISTING SPOT ELEVATION 00X0 I EXISTING CONTOUR-------00- -- fl - FlNAL SPOT ELEVATION 00.0 ._._ ._.. _. FINAL CONTOUR WATER AT, ELEV. 9. 3 WATER AT ELEV. r SOIL TEST PIT LOCATION N 59. N Y SEPTIC TANK C� TOWN WATER W W i 20' DISTRIBUTION BOX 14 Td.r l WATER LEVEL ADJUSTMENT: ,�f� =Go.S zl �± I IGo� � w _ LIB 1 - PRIMARY LEACHING PIT O e' S RESERVE LEACHING PIT +r � ; TEST DATE WATER LEVEL •_ • INDEX WELL WATER _LEVEL RANGE ZONE 1 /0-�7 g INITIAL ISSUE llsL r DEPTH TO WATER LEVEL FOR INDEX WELL F., -�iCti� t NO. DATE DESCRIPTION BY , FOR THIS MONTH SITE PLAN & SEPTIC DESIGN WATER LEVEL ADJUSTMENT . , ►- ; V . .. off '. i R. J Z"I'S 1 / �. �, Y, F DEPTH TO HIGH WATER D.sr5,e vIt:c E-V/ssr vi ��7-� y. ' IN * BARNSTABLE, MASSACHUSETTS FOR j PAUL A. LEVY a GREENBRIER DEVELOPMENT CO. INC. APPROVED: BOARD OF HEALTH \�5T . ° ►, , SCALE: 1 40 JOB N0. 1472 LEVY, ELDREDGE & WAGNER ASSOCIATES INC. SITE PLAN DATE ACEINT UM API eBcxn>crs P1�Nir'�RS Lean AORv>�YORs 1 889 WEST `MAIN STREET CENTERVILi.E MA 62632 i I