HomeMy WebLinkAbout0133 EVERGREEN DRIVE - Health 133 EVERGREEN DRIVE
MARSTONS MILLS
�--- - - -— - - A = ,125 064 _
,s
TO"OF BARNSTABLE
133 EVERGREEN DRIVE
LOCATION SEWAGE # 95-231
VILLAGE MARSTOMILLS ASSESSOR'S MAP & LOTE '.J�'�
INSTALLER'SNAME&PHONENOELLIS BROTHERS. CONST CO 362-6237
SEPTIC TANK CAPACITY ISCO SE Au.np P�iA/nR�02
LEACHING FACILITY: (type) a- Ell CAL Ai7- (size) 2 QD
NO.OF BEDROOMS _
BUILDER OR OWNER MR. PAUL AIKEN
PERMITDATE: 1 /S.s' COMPLIANCE DATE: '
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 lleeaacch-in facility) Feet
Furnished by
e� e
A d
� t
No.352...13j FEB .......................am
THE COMMONWEALTH OF MASSACHUSETTS
F -�'�.. BOARD OF HEALTH
TOWN OF BARNSTABLE
Allp iration for Mvjip ial Works Tomitrnrtinn r amit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual�'ewigis oral
System at: e'� j,-
Lo o y dress r t
vner - ., ess
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms______________ _____________________________Expansion Attic ( ) Garbage Grinder ( )
Pk Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
0.' Other fixtures ------------------------------ - - - --- -
w Design Flow--------------------------------------------gallons per person per day. Total daily flow--------------------------------------------gallons.
W Septic 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 ( )
Percolation Test Results Performed by.......................................................................... Date.......................................
Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ------------------ ..........................................................................................................................................
0 Description of Soil.................................................................................................................. .....................................................
W
U ----------------•-------......-------------•----••....--------•--------------------•--------------------------.....----•--------------------------------------------- ----
x .........................................................-------------------------------------------- ------- ---- r
U Nat -r o Repair'; or Alterations—Answer when applicable.-- = ... ............------- ----- - ------------------------------------------------------------------------------------------------------ -�-----------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed nd' idual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmenta o —The undersigned further agrees not to place the
system in operation until a Certificate of Compliance as een issued by the boar ealth.
jj�
Signed ....... . - � ..... .-.
Application Approved By ------ - `fie ,.------ ........ .... . .c�...�
Application Disapproved for the following reasons- ---------------------- -------------------------------------------------------------------------------------------------------------
... .............. ...... -- .. .... ............... . .................... ..... ..................... ... ................................. ---------------------------------------
Permit No. ---------C &Z ....... 4------------------ Issued .............................................................
......................-- . ....
Dare
No..15a...1�I FEa..............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
' Appliration for Di-ripw3 it Mork, Towitrurt"inn ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: �U� `j'
----- -
Lo 'on- Yddress �� or Lot No.;.
' Owner Ad ess
---------••-----•- -
Installer Address
Type of Building 1V Size Lot............................Sq. feet
Dwelling— No. of Bedrooms___________________________________________Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ----------------------------------------------------------------••--------------------. -•----------....----••--------------•----------..__......•--•
W Design Flow............................................gallons per person per day. Total daily flow......................:.....................gallons.
04 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.......................................................................... Date..----•----------------•---•-----••---
1.4
,� Test Pit No. I................minutes per inch Depth of Test Pit..................... Depth to ground water............_...........
fi, Test Pit No. 2________________minutes per inch Depth of Test Pit__....:______.______ Depth to ground water........................
1:4 -----------------------------------------------------•-----------------------•---------------•----••.........................................................
0 Description of Soil...............................................................................................,--------------------------------...-••------•••-------••._....._....._..
x
V ----------------------•--------------......-----------------•----•--------------------------------------------------••-•-•--•-•-------•-•-------------•-----•••------._...---_---------...--------------
•-----------�----------------------------------------------------------------------------------------------------c-r ------ ---------------�---------•------------------------
U Nature of Repairg or Alterations—Answer when applicable._.:_tom - - ------- _. ...................
Agreement:
The undersigned agrees to install the aforedescribed/I'n5i'vidual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State EnvironmentaCod�The undersigned further agrees not to place the
system in operation until a Certificate of Compliance leas been issued by the)-- board.of,health.
Signed -- - - =-------------------
Application Approved By ------------- 6, .r. - �'
--.''.^""., - ----��----------------------------------------------- 3...M,)- -�_--- ..�-
Application Disapproved for the following reasons: .......... ....... ........................ ............. .............. .. . .............. .
...... .................................................................................... . .............. ...................................... ...................................... ........................................
PermitNo. ----------?____57----•._-- w...�r--ro/.........'------- Issued .................'--........----------------'—.......Dace......
Dace
t.i
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(ILlErtif rate of Complianre
t
THIS-IS TO CERTIFY That the IndivjATial Sew ge Disposal System co.nstructed ( ) or Repaired ( )
by .... :. ..s -.5... C- -s-------=-------------------------------------------------------
at ..-------------, 5_S-'------- . �/P/l / .v =. >!1�-1U�-'----
........._.._//�;1,./Qf �.---.1Za/1�...-......---------------------------
has been installed in accordance ith the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Wg ks Construction Permit No. .--.9.,"........'�-,.tea../....... dated .........,.,,�THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE............ .........................,�----....._..-------- ------------------------ Inspector =.rr......t�':-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.� TOWN OF BARNSTABLE
No. . .....:.......s� FEE --.'..........
Dislima1 Workv Tnni tnution "Vermit
Permissionis hereby granted............. �.......1�_..---------------------------='-----------._........---------------•-----•--.......-----....
to Construct ( ) or Repair ( ) an Individual Sewage-Disposal System
at No.......... Z ��I�/a r-4'_/�� . / / /A �` _._. _. :
'=
�....�-•• - Street q
as shown on the application for Disposal Works Construction Permit No._y5' :>I.__ Dated............ _ � .............
.........................................7i-'=-- ......................---......................
v
/Board of Health
DATE..................•- ..................
FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS
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I I . - I I I I I -- � " � -11 — � - I '' I , I
I � I I � I � �I I . I � — - i , , 2" PRESSURE PIPE (150 PSI) COVERS WASHED STON 0 1 -,I-I, 1,1:"
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. . � � - . TEE � L 11 2" MAX. � ._2: I I � � I - I I I I 1, 1�11'
11 I I I � � PITCH 1/4" -PER FT. , - I A= I .ELEV.= 3/8 � �l I I - . 11 - . , " �I ll��
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-080. I . � A - - .. - I I I I I � I I il
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I I I ELEV. ` 95.0 1 . - - 2 IR�
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. I I I I 11 � � . : ,, I I I " " I -1 LEVEL ! � � F 156" 1
�� I I I . 11 11 I I � J� I I I -1 8 , ELEV, � 0m. - a_ I :� 0 0 111. NO . I I I lll�.11��-�,
0
1 -, I � I I 1 100.5 El EV. � __I�_,�-' 000 ; . -1
I I I -1 I . = 94.75 1 SUMP � � I - w :: 156- EL.=-89J— WATER AT— EL= I I I I
r , I- . - v : I 10 - � a 0 0 WATER AT, - — I -'' : I
I . - I - I I I I I
I I I I � I I 0 - 41, !� - io 0 I I I I I � I I I . ,:.:�
I . 1 11 I I I � , � . DISTRIBUTION' 0 - - 0 1 1 . . I - . 11 �� ,.- ,l . I I I I 111 I
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. . � --- � - I I 0 � 0 � . I I . DESIGN , I I I
. I . - 0 1 � - I 11 I ; 11 1,
I 1. - — - . I - - 17 BOX � ' I I 6 0 1 w - 0 - d �, F I 11 I I CAL-CULATIONS � I :. 11 I
I . 11 I� ll� - - - ' I ve. 0 1 U_ - 0 . I I 11 'NUMBER OF BEDROM - 3 DESIGN FOR 5 1 " I ,1';
. I I I TO BE WATER TESTED , 0 1 U- - 0 1 1 ".. �
I ; 0 w 1 i, - I I - � I I
I
I - I I I " �l � I : 1,460 GALLON PUMP � I � . ,gy- ' � ' GARBAGE ,bispos-AL UNIT ' NQ ,� . I , .1
�
I
I e 11 . I �. 11 : 1. � I I � I � I � IF MORE THAN �ONE OUTLET I i I 041 .:�10 0j, ELEV. -=i 11 � I ..1. I I I I I 11 �",""I,,4_�l
lk I � ; -1. � I . SEPTIC TANK CHAMBER * 3/4" TO 1 1/2" �. . J . TOTAL ESTIMATED FLOW I . � 1 �,
� � . I . - , I , ,,� ,
�
"I , .11
I � ,
I I
� I I I I � c� � . I WASHED $70NE , I ' ' ( 110 GAL./BR./DAY X 5 BR.) 550 - GAL./DAY '' -i
1 � " � � I �I I I ALARM ON EL.=. 93,0 _ 3# 1 1 �DI . ] 3' 1 1 - . 11 %,I.I.1
I - I I I I *� : . . ;�-PRECAST LEACHING � 6# A - REQUIRED SEPTIC TANK CAPACITY 825 GAL. I I I ' 'I
. � � I . I I � I - I - 1 . 11 1 A
1
1 �
I 1 -1500- GAL. - � I - I 1 174,
1
1 1 11 I I 1) I � I I I I I I I I I , -
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. %) I I I I PUMP OFF EL.= 91.Q � I _F :' ZONE , LEACHING AREA REQUIREMENTS I I . "I,
'
� I 41 __ � I , I I . I 11 I PUMP ON EL.=_22& , � I BASIN OR FQUIV. I . I I I 0. � WELL N/A-, ACTUAL SIZE OF SEP PC TANK
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I . I I v I � ��. � I I � - - 12' DIA. I I I INDEX SIDEWALL AREA .2.5 GAL./S.F. I - . ,,, �
I I I� . I - I . . I I : - . I :, . ;
I
� . to . 11"".
I - .� '' "I I I SEWAGE DISPOSAL SYSTEM PROFILE � . I - . I 1. � ADJUST__._�__ ' BOTTOM AREA -J,D- GAL./S.F. � . . 11 I � :
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I � � I I . I - "p - I � NOT TO 'SCALE 4 I I I � . I . LEACHING CAPACITY (BOTTOM + -SIDEWALL) 980 � GAL./DAY . 2. �`�,
I - I k., �� . . . I 11 -�, . _ � . 11 . 1, . I . � I� . . 2X[(3.14X6X6Xl.0)-.�(2X3.14X6X4X2.5)1 11 I I I I I � � i in,I
� � I . .rl - 11 . I � . i I .6 . - I - . I I I : I , I I .- I 1. . ' . ."i.I�, _�'l -,
. �I I 11c'T � I I - I . � I I : I RESERVE LEACHING CAPACITY I -�80 GAL./DAY. I I I
� I I - ,� - I , , , � I I . � - I I . I I ' I I I I �l I �,�,i
I ., I 'ST HOLE OR USGS PROBABLE WATER TABLE ELEV. = I -1 I 11 I
. e A,F.�m 01 , I I I I I . 62.1 - I I I I� r,
I t I BOTTOM OF TE I . I I .
I I . I I ., I I I , I I I - I I z � . I � - I - I � . I . � .1�
I I I I - I . I - , . I . . 11 _�_
. I � .. , . 11 . I�, OBSERVED WATER TABLE ( / / ) tLEV. = I I I I I 11 I . � � �
I I 1. ,
. � � I � I I I I
I . I I � I � .. � I I I I ' 'I I I .
I � . � I I . . � I ; I I I I I I I I . I I .. 4,1
1 1 1 1 , I I I I � � 11 I I I I � I I . . -.
I I , . I � I . - I . I I I I I , - I I I " - �c �'�
I . .
.11 — I I -) 1 74 ' 1 1 1 1 . . . � � . 1 LEGEND: I .1 N 0 TES: I I .11 1, 1 , 7 1�i
I I ; , I � I 'll I
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I � I -
I I . I � � I I 11 " "'!
I I . � � I I I . ! I I �.% � I I I EXISTING SPOT ELEVATION- - - 1. . 11 11 I I _-
I I I I I I 1 ,
I I � - � I I I I I , , i . I I � !, I I i I obxo , ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. I I
�
11 - � e I , ') I . I � . . � I I I I - I � 411�
I � I I I . I I I . I . I ' 'I ,�
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I I I . _1 I 1 : 11 I I . . I " I - � EXISTING 'CONTOUR -'_-�-6Q____ � , I , . I TOWN OF , B6RNSTABLE— RULES AND , - . I *1
1. � ; I i � i � . � , I � I I I I �l I 1. I I 11 � - � I I . I 1 ,7;:�1:1
1. I"a , I I I I I I I ' . I- # I REGULATIONS FOR 'THE SUBSURFACE DISPOSAL OF SEWAGE. , I I" :
. , � I , I I I - 11 '' I I � ... I ,_ ,
I � � - 1, -1. I .1 I I . I 3 - _ * ' ` '' 11 I FINAL SPOTEI FVATION _L= ':' - I I � I I ��
. � I I I . . I I i 1. I I . . - ,
1 ' ' I Z_c�6 L,t5 . I , . ) . I I I . I I L r,-f- 5 ( I I I .FINAL 'CONTOUR ,- , , 2. ALL COVERS,�,TO SANITARY UNITS.SHALL BE BROUGHT TO , I I I ,;'_�,_�'� I
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1 . I I 1� I I I - �� , - . I I I I � "I 1 ,2 .- - , I . 1 WITHINA2" OF FINISHED GRADE. , , . I .1 11 I ' 'Ill.,.1 � "
. - � I I I I : I 'll - I I SOIL TEST LOCATION 1% � . �
a � . � � 11 . - � � - ' - �
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. ,I- I I I 1 3. EXISTING AND FINAL GRADES ,SHALL_REMAIN ESSEN 11 I , - 1, �
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, , - 11 -1 \ I I-- ".. I ,":_
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—— - ---:---_ �'l _111+1P I , " I ' _`�'t' � * " !I: * ,�_
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