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HomeMy WebLinkAbout0009 CHIPPINGSTONE ROAD - Health r 0 L0CATIOo�pf�, SEWAGE PERMIT NO. l `f VILLAGE .MaRS� GA 01 S' I N S T A LLER'S NAME i ADDRESS „_, in A I GUILDER ,OR OWNER (�INzs 7 DATE PERMITil"ISSUED / OAv DATE COMPLIANCE ISSUED &4' n 71,2 �c�I Fxcl..................... THE.COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH OF..............................................................................•---..._.... Appliration for Uiipoid Works Totw4rurtion rautit Application is hereby made for a Permit to Construct (f/) or Repair ( ) an Individual Sewage Disposal System at: �✓i !�RS r� s.........................c.ty i...... ..........� ..._........_ ..... -•••-------••----•----.... .................-•-----•--•----• • ...... ..._.............. Location Address or Lot No. Address Installer Address p, U Type of Building Size Lot_cQ/1.tjM nSq. feet Dwelling—No. of Bedrooms.. ....................................Expansion Attic Garbage Grinder ( ) Other—T e of Building ............................ No. of persons............................ Showers — Cafeteria W Other fixtures ----------------•-•-----•-----•--• ----•-----------------•---------------- W Design Flow...........a►�__;5! ......................gallons per person p/er day. Total daily flovlv....... �..)....--- ...........gallons. WSeptic Tank—Liquid capacit 1-0012gallons Length.-_,_.__74. Width..y_!�.®. Diameter................ Depth.�..._.M x Disposal Trench—No. __.���!. _._ Width_______,._._....___ Total Length..__�'....._.�_._ Total leaching area....................sq. ft. Seepage Pit No...... Diameter......./a..... Depth below inlet...... Total leaching area.....�����sq. ft. Z Other Distribution box (4.1< Dosing tank ( ) ~' Percolation Test Results Performed b _.....?kh.L&;-#�-- R-= kM. ----------- Date.....��2 ��7-k-.--- . Y P �......._Y_ minutes er inch De th of Test Pit___..1A.__..... De th to ound water_._... A� a Test Pit No. 1__..�:...__.. p p -- p ground �- j/j�. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................... OG ----•- -----•----••------ ----•----•........................... •------------•--•---•-•---.-------- --••--------------.-----•------------------ -- Description of Soil 'Q ;!!!�--01 � lJlQ.�'/ �I /0 ,A .. �� --...... ..... �1 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 iITLZ4 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. Si ..................... : .....__.. ae .APPlication Approved l- De Application Disap o f the lowing reasons:----------------------------•---------------•---------------------------------------------...............--_. -------•--•-----• ..._..._... -••----•-------•........................................................... Date PermitNo......................................................... Issued....................................................... Date °.."'.........._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4 ..........................................OF.......................................... ........... Applira#ion for Disposal Works Tonstrur#iun Fermi# Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: O .... ............. V......... :......A.... ' -d -- Location/-Address �}� Lot /� .b. .� .R ..I ... /:�1.�'. ��.....i o .s•............................. �]r wner Address ......... ........ ** !....! .:..._ Installer Address . U } Type of Building Size Lot. - ..Sq. feet .., Dwelling—No. of Bedrooms... ...................................Expansion Attic ( Garbage Grinder ( ) pa Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures .. Design g oris. er person �r ay. Total ily flg)v.......� ... .................. W Desi Flow....----..Z"-- ...... gallons. WSeptic Tank=Liquid capacit J 9 gallons Length. __ Widthh.u. :.d. Diameter._'. Depth.. Disposal Trench—No. .. � Width....... Total Length Total leaching area -- --s ft. x , g g q. Seepage Pit No :. ... ........ Diameter......10_......Depth below inlet.._.._ _... Total leaching area..... 6.4sq. ft. Z Other`Distribution box ( Dosing nk ( ) Percolation Test Results , ,Performed by ----- Date, 1, I :_ Q1- - -- /q..?/ Test Pit No. 1.. :� ..:=:.minute's per inch Depth. of Test Pit._...��► .... Depth to ground water.. ... ✓ ... fro Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ --- . .............................�4 . f... 1ODescription ofSoil _.,,.. e . - ... Z. Nature of Repairs or Alterations—Answer when applicable......................'._._.__...............................-------..........__._.....I......... ...----•--------------------••---...--••-----•-------------------•--•------•--••-------•---_.-•----......---=------•-------•-•--•------•-••-----••••••-------•••-••--•----------••-----.......----•-•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TT LE E 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 iealth 1 Application,Approved' .... ............... ............................................................. i` ..A...___._ J Date Application Disap d'f th,.e following reasons:---•-----------•---------- ................................... ............................... ..........................................................................-................................................. Date PermitNo.......................................................... Issued....................................................... Date THE COMMONWEALTWOF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... r if irate of TuntpfiFanre T . S TO C T �f; Th `fhe Individual Sewage Disposal System constructed ( 61 or Repaired ( ) by. ..... . .... ...... ----........ • --- ----------------------------------------------------------------------------------------------- ... ... . ... :. . al-- - '-�'»+• Installer .. ----•---•--- --------••---------- has b stalled in accordapn e itl ie provisions of TITLE 5_of The .State Sanitary Coe as bed in the application for Disposal Wor Con ruction Permit No._ l".� dated -- --------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A UARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................--------A/i112,............................... Inspector....z?x-�r............................................................... g THE COMMONWEALTH*O MASSACHUSETTS BOAR _ HEALT t! ....................O F........-•----..........................._....................._................... FEE No._ 1... d i�t � �ruti# Permission is ereby granted --------------•------••-. to Con ct or p it ndi5. rage Disposal System at No. -- •--••••.---- �---- Street ��� r as shown on the application for Dis`� al Works Construction Permit No._C1G' .. Dated. .. -L--�_-- ,.a� / Board of Health DATE............................ �------�`��'----•-•----------•--•---- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS No......121t...... -� Fps.. .............. . THE COMMONWEALTH OF MASSACHUSETTS EOA RD OR HEALTH TOWN---- OF...BARNSTABLE.. ................................................ Apphrntion for Dispniinl Works 11nnstrttrtinn Vamit Application is hereby made for a Permit to Construct (k) or Repair ( ) an Individual Sewage Disposal j'yLSt0eTaY X Chi in d. Santuit 41 ��� ��X PP stone R Chipping stone ......,....... -..........__ JORDAN AEALTi°9Y' US ress HANOVER�, MAge, No. .................................................................................................. .................................................................................................. W M AND B BUILDEROwner HANOVER, MSSAddress a ....................•--.......................... - ...................................I....... ......................................................... ' Installer Address 20 000 m/.] Type of Building 3 Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons............................ Showers YP g ---------------------------- ------(----)--- Cafeteria ( ) dOther fixtures -----------------------------------------------••-•-.-•--•-•--••-•-•----•--•----•--------....._..... -•--•• W Design Flow......................5.0............._...gallons per person per day. Total ily flow.....................3.00................gallons. WSeptic Tank=Liquid capacity.;-+� Ilons .Length.............. Width............ Diameter................ Depth................ x Disposal Trench—No..................... Width...__....._........ Total Length.__....._.. ........ Total leaching area....................sq. ft. >> Seepage Pit No....___ ---------- Diameter...._.b__..._.___. Depth below inlet._......6......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by........................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........__......_._.__.. f� Test Pit No. 2................minutes per inch Depth of Test Pit----=............... Depth to ground water........................ O erkolation tests and. soil' logs on f ile a Description of Soil _.- ••_.. - -- -•••---------------- - -- Y g ---.. --- x heath office soil•-_---sand.--------raveY-------------------------------------------•--•-•---- v ....--••--•-----•------•-•-••--------•-----••••--••-...-•----•-•••••----•-••--•--•••----•-•---••-••-••-•---•----•-•-••...............••---•-•••--••-••-----••---••------••-----•------•-••-....---------- 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has eennebtlhleaerd of filth. L,/igned- �'--t'�j •-•_.... X { /�/ ' Date Application Approved By.......... .p/ Date Application Disapproved for the following reasons:................................................................................................................. -•.....................•--•-...:----•••--•-------•-----------•-••-_.....--•-•--•-........--_-=---••.......-•--•-••---•-••--•••-----......--•-------------•---•-----•-••--•••-•--•-•--...---...-----....-- Date Permit No. ......... Issued.__ �. ..�.....•.... �.s�t.e • -.1 e.a.......e.a.w e a.e.....L..........F L-O i.a Y a.:.t o.C a.r..-s s...r ...c e.•r-.r e.♦ ... •....:1.e w.r e r w w a...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................gown..OF..Barnstable .. .................................................. Tertifirnte of Tnntplinnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (X) or Repaired ( ) by........ ?... nd. B Build:ers------ anover......Mass. Stalle- at......_._Lot # 41 Ch_ippingstone Road., a Iuit --------------------------•-------------------------------------------------------------------..._..........._.. has been installed in accordance with the provisions of Article XI of The State Sanitary Code a described in the application for Disposal Works Construction Permit No.....................vZ _ _.. dated_. ...1 ___�.............._. �' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................•------------•--------------•--••---••-•........._.---_. In Spector...... .......... .. /u....... ._...... 4............s.{„..'.....Y.Y'•..�5• -.i.....C.^�I.... -• .L._ ....... ..a.....►{.♦....w`; .f e.{..............♦.'• THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �� Towx......OF...garnstable F>sE r No.... .........�. ... Bifipn,in1 19arkii Tanstrurtinn trrntit Permission is hereby granted.....M and B Builders -------•--•...................•••••---•-•--•-•----•...........•••-•••----•••••.....•••.................................... to Construct ( p) or Repair ( ) an Individual Sewage Disposal System at No.....Lot... • �l... hippi stone lid. antuit ------------ ---.-------_t..........-•---........ ...........................:....... ..... ... ............ Street pp as shown on the application for Disposal Works Construction P t No. ..: Dated._...!!7' ...�� ... . ..... --------------••-•------•--- Boar of Health DATE.............-.................................................................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1- o c •' i r r Not -to S c !e — Sao 4tt4c 4iO &--tA;' ; • s_. .. - r r!r I •! Doti�� - • P ^ N, ,r 44' ., ; 0 p 40 i No......................... Fx$. :.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............. ......._TOW-11.... OF...1EARNS`AR,LF.. __....................---....................... li Appliratiou for Uispnsnl Works Tnnitrurtion "unfit Application is_hereby made for a Permit to Construct -(k) or Repair ( ) an Individual Sewage Disposal System at: LOT # 41 XMIY P�� yX_9X TJP(X Chippingstone Rd.. Santuit ................................................ ............ .......... ......---•--•----................... ..._................... ............... .-------- JORDAN �?EALT o`i�kff' HANOVER39 IIA§' zv�. .... ...... .. .....................I......,........... ........ +.... - •..-- -----............................-- wner -Address - w M AND B BUILDEFig HANOVER FASs . .............................................Installer........,................................ :�..., ........Address Type of Building Size Lot... 0,000 m/-39 feet ►-� Dwelling—No. of Bedrooms..........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons......................... Showers ( ) — Cafeteria ( ) dOther fixtures -------------------------•--•--------------------.................................................................................................... Design Flow______________________.................gallons per person per day. Total daily flow...................... 00._.__......__-.gallons. Ix Septic Tank—Liquid capacity..�:s Wllons Length......$-...... Width...4'.......... Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......_1.......... Diameter......b........... Depth below inlet........6......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ �4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............................................................. O Description of Soil............Perkolation tests and. soil l.6 .s on file ..t x health office soil sandy gavel ---- ----•-----------------------------------• v .----•------•-•---•-----•----•--•-•••-••................•---•--••---••-------••---•-•-•--•.........--••----•• ........................................ ..... IT, 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bbeen is,ue b the and of health. i P1 aMls I°ders by S' / Date ............. Application Approved By " f,' " ' t'� '' r '1 t_-'?: �. ._F_t er,: `w," 1 f_ ...r 1 .. ................ Date......•-•---•. Application Disapproved for the following reasons:----•-----•---------------------'-r........-----............__...--------.......----------------•-------....... -•....................•--.....---..........------...---------.....---•-------•--........-•---•--•....--•--••--------..........------•--•------•------------•••....--•----------•---•----------._........ Date Permit No......................................................... Issued...._= f .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town..oF...Barnstable ...................................................... Trrtif iratr of Tompffitnzr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (X) or Repaired ( ) by........M and B Builders Hanover Plass. ....•--•-•-•-•------•----•------•---••-------------------------------•--------------......---------------•••••---•-••---.........-•-•-•---•------------••-•-_.-----•-.--------•------•----- stalle at....._.._Lot # 41 Chippingstone Road , an�tuit has been installed in accordance with the provisions of Article XI of The State Sanitary Code,a desc>,bed in the application for Disposal Works Construction Permit No..................... ...�"l dated----:... :...1. f.. -.......... i THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............. Inspector. =`r..,:.. :._. 1 ..< '{. --` .................... I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town oF...Barnstable f,2 ,. No...... ..... FEE...> ...°:.. ...... lRisplaq 1 n l it� nstrurtion rrtnit Permissionshereby granted.............................................................................................................................................. to ConstrB t{ }rp(pi�1 {I death Sewajfi j%d System atNo....................................... .......--.......---................--•...............--•- ------------.............. Street � :. f ,,�y_.......... as shown on the application for Disposal Works Construction Permit No....... ..._:-' Dated._.__:X.�//`"�'� I`�" - ... ........ .af: -y �r--- s a- ` .. Board of Health DATE................................................................................ �A FORM 1255 HOBBS & WARREN, INC.. PURLISHEPS _ 14off. to S-4Ie N 40 Go0�p�N l-o-t 41, �6 D x , Ile loeb G4i. to' `<I s 44' oQ y W Luo. 1 $©•o� 37ory 4, t ..... _ , ' • ...�� .,�`` a ,? x 4 L 2OFT. (Minimum) -Outlet pipes s from Dist.Box shaI I be 10 FT. (Minimum) ,= leve I-for at least 2 feet from box. F. Floor Elev. =90.00 Removable Tight 16ints ' concrete covers Removable conc.covers finish rode-min.slo a of 2%1 owo fr"pm+5s tem 4e14 : Cht7 40;P4 P/ W1Thl 2�t x e T/GNT JD/IhTS _ s ;\ a n Fi o0 8 s B� Liquid Level '2'layer of - ° S = 0.02' o o• . . o o ;f.° washed stone. P 40 c o (Minimum) _ Dtst I.'. 6 Fo o a . 1 1 •`' ��� �� o -SEPTIC TANK- Inc 11 . , _ : a ,,• o • , o Effective dep?h ro ,o' -1000 GAL._ v7 M t>' m �— CO Cp W , e• • • 0 4 _ `��1 Test SO 77 c. �Q• hol� W N T �1� 1 s • • • 0 6 i W / W w w Precast concrete ° /// LOT 4 t y Leaching Pit �� h� ♦ 87 Exeinq c c c c 6 ft. diameter �Q3 ZO, 8 00 - .S• F r� 000 2. � 2 33• ISe tic'Tank 212 �6 • SECTION OF SANITARY SEWAI E "BIS'POS1e-L, SY , y „ 6'diam.x 6'depth Leaching Pit with Dist. f p 4 f y NOT TO SCALE ;.2of3/4 to I/2 washed stone 2ft.of washed stand oil around. Box2_ F _ 4 all around precast pit providing Min. /Pr se • ' { `'Q� offbffective diameter of d ;°' `% 24 House 24 m 27 ! Pro osed ik Nhmber of bedrooms (equivalent to 330 gal.per day). 168'— � ll GENERAL NOTES ne / •..Reserve Garbage disposal unit No Q Q Leaching dreacapacity required 330 gal• per day, 1) No change to this system shall be made unless cr,9 ;�k� ;p.':area 34! 34' I - %,85025 approved In writing by Philip D. Holmes. min. l M.H. - Side Area proposed - .188 square feet. B.180.0�--86 84ps5--�- 84 M 2) Subject to inspection during construction by G 86.4 c.9 .Basin Bottom Area.proposed 78 square feet. the Board of Health and PHILIP D.HOLMES . �j� 86.6 CHIPPINGSTONE ( Pri;vate 40 wide) RD. Proposed Leaching Capacity gallons per day. 3) Heavy construction equipment shall not travel � 'lam • Water sy pply , . private well over disposal system during or after construction Ly Precast concrete units, H-10 loading. 4) Disposal system to be constructed in accordance �0 SOIL LOG with Title 5 of the State Environmental Code. Surface N' I 5) Flood Plain Hazard Zone C Elev.= 87. 1 NOT E loam 6) Zoning District ' R D— 2 1) A COPY OF THESE PLANS MUST BE KEPT ON THE SITE DURING CONSTRUCTION. subsoil- 2) A COPY OF THESE PLANS MUST BE FURNISHED TO CONTRACTOR CONSTRUCTING, SEWAGE DISPOSAL SYSTEM. 84. 1 3) BEFORE BACKFILLING THE SYSTEM,THE CONTRACTOR SHALL NOTIFY PHILIP D.HOLMES AND 7HE BOARD — 7)Bench Mark center of catch basin at intersection OF HEALTH AGENT TO INSPECT THE SYSTEM AS CONSTRUCTED.- SPUR LANE Elev.=84.74 approx. sea level datum. PLOT PLAN coarse OF PROPOSED SEVOGE DISPOSAL.SYSTEM SOIL TEST REFERENCE: f+f FOR 20TH CENTURY BLDR�S sand � ��""' Date of soi l test- SEPT- 27, 1978 1 and Court Plan 34846Bsheet 2 IN `` �' a - v Test taken by PHILIP D. HOLMES LOT 41 MARSTONSMILLS, BARNSTABLE% MASS E Results witnessed b f-bul Murray, SCALE. I =40 DATE. SEPT. 19, 1978 y Paul Gardner DRAWN BY LS_1- CHECKED BY PHILIP D. HOLMES Percolation rate 2 ' minutes per inch. CIVI ENGINEER LAND SURVEYOR 75. I � s No ground water encountered. Assessors Sheet a Lot N2 ,' ; 301 AIN ST. FAL OUTH MASS. JO _N _78298 -,bWGN9 A692_ _ SHEET I 81 - 6to Al I outlet pipes from the distribution box shotI Outlet Knockouts beset level for at least 2 from the box. — — b A l Al I access Manhole covers for Septic Tank, Fri pv� N = O Distribution gox and/or Leaching Pits set INLET � ) 1\ OUTLET — more than 12 below finished grade shall be raised to within 12"of finished grade. I I Outlet Metal frame &cover or concrete cover Knockouts � +1 over "T's" where required. • _ Concrete block masonry 2'_0" STEEL REINFORCED PRECAST CONCRETE — or „ „� � Brick masonry Removable covers 3 1 Concrete".cover' �. , : 2" A Conc.'-.'cover n' — ` -3q min.cleoronce required. j� n r INLET 'a '� a INLET 8 12 min.inlet to outet 6 mrn. 13 r INLET--�- , ` �'�\ OutletOutlet touts —� OUTLET I OUTLET-}- Knockouts l0"min. Liquid level 14" " _ `� 2 min. U f — mm. LO — c} 6-_T- - _ —� , min. 6— _ 6 min. — Q .S. TYPICAL DISTRIBUTION BOX J SCALE' I of = 1'-0" o ?0 of „I,2 TYPICAL 1000 GALLON SEPTIC TANK SCALE: 3/8" = If-0" LOT 41 CHI PPINGSTONE RD. Sk SPUR LANE PLOT PLAN - DETAIL SHEET F OF PROPOSED SEWAGE EISPOSAL SYSTEM �� FOR 20TH CENTURY BLDR'S i��J PHIII n IN �g D A f3 S MARSTONS MILLS BARNSTABLE,MA o �° w SCALE :as show DATE '. SEPT. 19,�1978 s DRAWN BY R_S_J_ CHECKED BY P'HILIP D. HOLMES. CIVIL ENGINEER LAND SURVEYOR 301 MAIN ST. FALMOUTH MASS. OB ° 78 298 DWG.N° A 692 SHEET 2 i i