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 ��
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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. .-: