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HomeMy WebLinkAbout0100 CHERRYWOOD LANE - Health 'r4t t'�IN, . 0p 7f g``�°�- i �(� TOWN OF BARNSTABLE LOCATION G07 " cJ&41Y,.,00A Al , SEWAGE # VILLAGE X-1-S ASSESSOR'S MAP & LOT y/ A = INSTALLER'S NAME & PHONE NO. 7'466 cqrjjs7-gAC,-rl6Jv mac, 2-Ae- SEPTIC TANK CAPACITY f,�Dd G,rG �t 57V v LEACHING FACILITY:(type) {yad (size) G �G ` a) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ?7lst� �o�vs7"�1.� c,-7'idW iVG DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� 0 -nt �1 13 1g fig' b G1JE,ut-'1 woo�0 �N c ' ASSESSORS MAP NO: PARcallo: - 19 �$..�..�A COMMONWEALTH O THEBOARD OF FHEALTH TS se?W,01.................OF........ ....................................................... Appiiration for Dhipmal Work.5 Tonstrnrtion Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal I System at: .... .1' rr�....lr rm&. Location-Address or Lot 1jo. .._. t......6emAkc t`gr a.................................................... ...Dr...... ................ Owner Address a ......77d.E.Q....<79be.57 -a-oA/...................................... .... ! +T._PoyQ......bki Installer Address Type of Building Size Lot.... 3r_7 -._Sq. feet a Dwelling—No. of Bedrooms........5ur..........................Expansion Attic (,b) Garbage Grinder 010) p� Other—Type of Building ............................ No. of person's_'-------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ............................ . W Design Flow................................ --gallons per person per day. Total daily flow...........................�!�.....gallons. WSeptic Tank—Liquid capacity/�Vn.gallons Length_0_.. ..... WidthS.. ....... Diameter.-.--.- Depth5-_R...... x Disposal Trench—No. ---------•---------- Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......4?r-—___-- Diameter....40........... Depth below inlet......4!.. ._.._ Total leaching area-_5 4...sq. ft. Z Other Distribution box ()( ) Dosing tank ( ) '~ Percolation Test Results Performed by__,5icp1uvx..A...Wllle.rm................................ Date...!Z.t 21t d...1.1u ...... aTest Pit No. 1...tLLM.....minutes per inch Depth of Test Pit... Depth to ground Test Pit No. 2................minutes per inch Depth of Test Pit-_______•.•._-__-_-- Depth to groun �fi�i�� . ..... a ......-............................................................................................•----•-•------• ------ - - O STEPHEN Description of Soil �-� �* ... f✓�S�a1 ` -----•-------•-•--...... v. x !..'(. 1.`. Sd�'` Z1 _/,t+11rJ .-.l? ..,� _�4��.- - i ---- ALLYN �r z ........................................................ & J& U Nature of Repairs or Alterations—Answer when applicable. 'O IST a � ----------------------------•-------------------------------------------------------..........-•---------------------------------------------------...-•-•--. c Agreement: ,Iy3/P7— The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syste in accordance with the provisions of TITLE 5 of the State Environmental 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. ,17 Signed ......... ..... . �---- y /� -------........... ............ ..ate-f ------ Application Approved By4a �-._ - .... fly------- -- --- ------ ------------------------------------ Date Application Disapproved for the following reasons- ...........................------------------------------------------------------------------------------------------------------------ ----- ---------- ...........--------------------...........---........---........---...........--..................---....------------------ . .-- ----......----------.................. ------ ---......................... Date Permit No. - ... Issued ........ - ---ll�.--��"..,1.... .-. 1J A No................_....... FEz..............................THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -----....1-vwrt................OF........4 O Orq. z.6.�.._.. ................................................... ApplirFation for Bispwi al Workii Tongtrnrtion ranfit Application is hereby made for a Permit to Construct (?L) or Repair ( } an Individual Sewage Disposal System at: any--------------------------------------------------- ......Lor_11........................................................................... ��( � Location-Address or Lot, o. •--- f ----- ------------------•----•------------•---•--•-•-•--- -.47.. .-•--..of 7 1�!1 /�4 .h.............. Owner Address W Installer Address UType of Building Size Lot._______4,,__--6 ....Sq. feet a Dwelling—No. of Bedrooms.......Fa�,tr__________________________Expansion Attic ) Garbage Grinder �/ ) pi Other—Type of Building ____________________________ No. of persons___________.________________ Showers ( ) — Cafeteria ) Q' Other fixtures -------------------------------------------------•----•----•-------•-----•-••-----•----...-•••--••----•-----------------..._•--------.._.........__.. d W Design Flow................................. per person per day. Total daily flow...........................4.4-f.D.....gallons. WSeptic Tank—Liquid capacityl-4;2V.gallons Length__i(7.`'_!a"__ Width 5L8'___ Diameter-------...... Depth�5�...... x Disposal Trench—No_____________________ Width.................... Total Length.... ... Total leaching area....................sq. ft. Seepage Pit No......*-cra_..... Diameter.....!_Q.......... Depth below inlet......A�......... Total leaching area__9;5¢____sq. ft. Z Other Distribution box (x ) Dosing tank ( ) '~ Percolation Test Results Performed by.-.."- zn_-f�__._W).1fir�_____________ Date...r7APrJ...l.IFS___.. � Test Pit No. I.__.iui ?....minutes per inch Depth of Test Pit___ _=_��,,__. Depth to ground water________________ rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_.-___-___________.____- a ......-...................................................................................................................................................... O Description of Soil___.___4_-/�j---- ukscuf_________. V I=r `J+- u _ lJtlr„" �Q4 ^ Barr-d----------------- •------------ •--•--- -- UW "40---------------------------------------------------- ------------------------------------------------------------------- Nature of Repairs or Alterations—Answer when applicable............................................... OV/C' .••-•-------------------------------------------------------------------------------------•------------------••---•-•--- Agreement: "' 4- /31-P 7— The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syste in accordance with the provisions of TITLE 5 of the State Environmental 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. ®e Signe ----------------------------------------------------------- Application Approved B Dare Application Disapproved for the following reasons: 4- - - - --- .................. .... . '07 PermitNo. ---...---- .............. ... Issued --------------------------...----.--- ----------------------- Date THE COMMONWEALTH OF MASSACHUSETTS ------------ ---------------------------- OF ............._............................................................----. . . ..---- CITPrtifir ItP of Tompltaace TIJ4704gRTIFY, That the Individual Sewage Disposal System constructed (�) or Repaired ( ) by ---------- ----------- --- ` --�"' 1�'r /f 7 Lv v�:�� �I�, - e u� �1------------------------ -------------------------------------------------------------------------------at ----------------- -----------------------------------------------------.......... ------------------------------------- y T has been installed in accordance with the provisions of TITLEvironmental6� �W7SSyi�-C. the application for Disposal Works Construction Permit No. ................................................ dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................... ..... ... ................................. . ---.-- Inspector ----- ------------.. .. . ....................-----------...--------------------- ----. THE COMMONWEALTH OF MASSACHUSETTS BOARD) F AL ...........................................OF......................_........ ------.._.._._ ................... No......................... FEE........................ PermissionAeherebygranted............................................................................................................................................. to ConstX%r� ) ge�Repgf t ) Ip i ev;4;p:P ,jogal atNo..................................................... ............................................................... as shown on the application for Disposal Works Constructionl,� q• Boar DATE---------------------------------•------------•----••-------•-•--------------- d of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i i 20' MINIMUM OR AS INDICATED ON PLAN NOTES: 10' MIN. 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E. MASONRY EXTENSION TO 12• TITLE 5 ; THE TOWN OF _Bj a_; � -- RULES AND / TOP of FOUNDATION BELOW GRADE BACKFl 521D LL WITH REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE; 8' MIN. S4<O 31, L? CLEAN SAN � MASONRY EXTENSION TO 12• AND THE REQUIREMENTS OF THIS PLAN. ' �- BELOW GRADE 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO , WITHIN 12" OF FINISHED GRADE. 4' SCH. 40 PVC PIPE MIN. PITCH 1/e• PER �r. N 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE h 1 4 PE FLOW LINE1/ u-R/f SHALL BE MORTARED IN PLACE. R a 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE 10• TEE , /d OO WASHED STONE / { S� z 3• MIN. r-o• OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR 1 5"t,7 i GALLON WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING f 2• MIN. LEVEL w LEACH 'rJ24D MIND• ��'� , PIT 3�4• - 1/z• SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR LIQUID �.j F WASHED STONE PARKING. LEVEL DISTRIBUTION si,o w 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED RESTRICTIONS OR ZONING REGULATIONS. OWNER Box � / W APPLICANT SHALL 4� 0 GALLON SEPTIC TANK OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY. LOCATION MAP ` � 'I 6. HORIZONTAL AND VERTICAL CONTROL, SEE LEVY, ELDREDGE ASSESSORS MAP 4/ PARCEL I _ ✓ o ' _I _ & WAGNER FIELD NOTEBOOK LIQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW LINE BOTTOM OF TEST HOLE 4 FEET 14 INCHES s FEET 19 INCHES OR USGS PROBABLE HIGH WATER LEVEL 6 FEET 24 INCHES CURRENT ZONING INTERPRETATION: DESIGN CALCULATIONS SEWAGE DISPOSAL SYSTEM PROFILE MIN. FRONT SETBACK oc FEET NUMBER OF BEDROOMS _ NOT TO SCALE MIN. SIDE SETBACK FEET GARBAGE. DISPOSAL UNIT 4Le�o TOTAL ESTIMATED FLOW a� 44 MIN. REAR SETBACK /S FEET ( if0 GAL./BR./DAY X -4 BR.) 440 GAL. /DAY REQUIRED SEPTIC TANK CAPACITY GAL. s0 Aa I ' I ACTUAL SIZE OF SEPTIC TANK /Soo GAL s� PERCOLATION SOIL TEST P-7861 LEACHING AREA REQUIREMENTS ' SIDEWALL AREA 2,5 GPD./S.F. BOTTOM AREA /,O GPD./S.F. 5a DATE OF SOIL TEST 2 A►:�kni- l q9Z �j GPD SF = 47f GAL./DAY SIDEWALL 2�'(�0 /2)�)SF xGI J' / 192, TEST BY _ .fr.tl� 'Cell/sa,� BOTTOM 'Tr ( 6 /2)2 SF x /.O GPD/SF = 7`' GAL/DAY y I WITNESSED BY :��� /�.r�,� . PERCOLATION RATE zi-m MIN./INCH �- o / c?b 7 SF cJ GAL/DAY t x Z. of PAL TEST PIT #1 TEST PIT _ 2 BREAKOUT CAL" CATION: ELEV.= s�, o —0.00 ELEV.= 1 ,.. —0.00 t i o ` cc,-,rsc: Se, LEGEND : 4z � n � EXISTING SPOT ELEVATION OOXO ,thlkr EXISTING CONTOUR T -------00----- 44 ► 'iz. - FINAL SPOT ELEVATION 00.0 FINAL CONTOUR I / BOTTOM OF TEST HOLE BOTTOM OF TEST HOLE SOIL TEST PIT LOCATION ` ` \ OR WATER ELEV. 21'y' OR WATER ELEV. TOWN WATER W W SEPTIC TANK 1 � DISTRIBUTION BOX � WATER LEVEL ADJUSTMENT: PRIMARY LEACHING PIT O RESERVE LEACHING PIT IR; - �fr TEST DATE WATER LEVEL INDEX WELL WATER LEVEL RANGE ZONE 1 q INITIAL ISSUE svW ' Z I eon DEPTH TO WATER LEVEL FOR INDEX WELL NO. DATE DESCRIPTION BY' FOR MONTH OF: r Qan.� I 1 48 WATER LEVEL ADJUSTMENT � , � � La r //, Cf-r�k,�rwo c,�v L�r✓E' DEPTH TO HIGH WATER 5 t i f-1�D COAV .TRUC770N C-O, I-A IC , STEPHEN € ° APPROVED: `t BOARD OF HEALTH ALLYN «.�- ..� WILSON Prs:v 30216Q , r SCALE. / - ¢d JOB NO. 15-8.3 1�T SITE PLAN DATE AGENT LEVY, ELDREDGE & WAGNER ASSOCIATES INC. P E R Ml T # I NGNM Ir1ADS O A� PLANN0 LAND SURVEYORS 889 WEST MAIN STREET CENTERVILLE MA 02632 NEW ENGLAND REPROGRAPHICS&SUPPLY CO. .-: