HomeMy WebLinkAbout0070 LITTLE POND ROAD - Health ars-z on Is in , L. LS /
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No. r -•-� Fss........lQ.�-�.......
THE COMMONWEALTH OF MASSACHUSETTS
� 3 � BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Diripwial W.urk_q C owitrurtion Vamit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: . f�� �
� ..................... ..--.--•-�---._...:_-•.�-
0 ......--,..--••.........._._'... ..---------------•-..
Location- Address or Lot No.
*� -�� .c.c �Y dC!z t3RtC'k eR. f•'li 6fi, �-tle�......C�_......_._...
------ ---- ---
> Opener Address
' ------------------- -- -- ✓+fin/ _ �s✓._ /Q >S_ ,.. '�J14,
Milid' ing
% lista;Ce"YQ i -761E t tR 3 -14L S ✓L) ✓!/!:I U
UTyp Size Lot.....'��34✓.c..........Sq. feet
U Dwelling— No. of Bedrooms.---_C*........................._-.--.-Expansion Attic ( ) Garbage Grinder (+��
Other—Type of Building .... No. of persons............................ Showers ( ) — Cafeteria ( )
a
d Other fixtures .----•--•-------.••-----------------------•--•------..-----•-•...-...----...----------- --•.•-•..-....-•--------•---..•.•-••.-..-•-----........-•----
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity------------gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length---................. Total leaching area....................sq. ft.
3 Seepage Pit No--------_---------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
,.a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.........--.............
li Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
--------------------------------------------------------------------------------••-••........................................................................
0 Description of Soil------------------------------------------------------------------•----•-----------------------....------•-•------•------------------------•••••••.:.............._....
U ...................................... r P..r�:tif
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 TITLE 5 of the State Environmenta Code _ h and si ed the a e not t t
system in operation until a Certificate of Compliance h e
Signed �. t .Z . .------......
Date
Application Approved By .........._ c. ....J—).. ................ .................................................... ....../1.-..a
Application Disapproved for the following reasons: ....._......................................_.............. .
Date
.................... ...............................................-----.................--------------------------..................---------............------.........................Date --- -.......................................
PermitNo. ..1 .,.....��- --�`....................... Issued .............. . ........................................... .
• _4
.t
NO.7 _-: F � t Fas.........1�. ......
V/'
THE COMMONWEALTH OF MASSACHUSETTS f,
�p `� BOARD OF HEALTH
V 7 3 � TOWN OF BARNSTABLE
Appliratinn for Diripniul Mnrks Towitrnrt"inn Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: .
:...........................'••------........-----. .................. ................... ------•-••-••----•--••----
c ................
Location-Address- -or Lot No.2^h-e-/h j3r�- /�1 l3rg�r +z3k'I c iti l�,
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Ad
p / O�cncr
LT7 __ /� T F 2 e ................... Xj41P64m dress �iN� t
I,�0�L�7It¢r3% Instal er' S 7(p� j a,/y9�L 'dr ss ✓I/) rI L/ �8 ............Sq. feet
..
U Type of Building Size Lot....
�-. Dwelling No, of Bedrooms._--_d..................................Expansion Attic ( ) Garbage Grinder (NA
aOther—Type
of Building ___. No. of persons---------------------------- Showers ( ) — Cafeteria ( )
dOther fixtures --------------------------------------------------------------------------------------- -------------------------------------•----------.------------
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity------------gallons Length---------------- Width_-.--.-_--_--_ Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No--------.---_----:- Diameter.................... Depth below inlet.................... 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........................
GT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
9 ...............•••--••.....-•---•----•-•--•-•-••--••---•-...-------•••----------•--.........._..............---.._...............•---.......... ...........
ODescription of Soil....................................................................................................................................................
U ....................................... ............e.L 1_j
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 TITLE 5 of the State Environmenta Code,.,jTh and -signed the a ees not to ce t ,ems+
system in operation until a Certificate of Compliance ha�be-'�iggsee���b�®lie boarlea ��
k Signed .............. r . ... '�'U -. ......�.` L. .1)..c,I,
Dace
Application Approved By ........... -- ..----
.----------
.....-- ....-.....-.....................
Application Disapproved for the following reasons: .................. ............................................. . . ....................--.................. --.
.......................... ........................................ . .. ...................... . .................................................................................. ........................................
Permit No.
�5 L� - Issued .............................................---...........�e..-...
Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
01-1.Er#ifira e of Compliance
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( k ) or Repaired ( )
by ......................................................., ��Crr- L..:..-��......-------- -0��U. ----I ----------..-...--..--...-- .............. . .... .-....................
/ / "rnlnsriller
at ...--..-..-.L�11 ..(.-. ........ 1. ........_ - - PA.......... ....)�.�..,..,�!d ,----------------------------------------------- -------_----------------------
has been installed in accordance with the provisions of TITII.E 5 of The State Environmental Code as described in
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 ........-..... __f.-...\�
_.—,_—_,—_.—_--- _,_—_—_--__ _.__-_.____—®___.—---—_-_-_
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
r rd TOWN OF BARNSTABLE
No... .�..�_ .9 y FEE....h .....---......
Raposal Workv Tnnotritrtinn rermit
(I.._ _
Permission is hereby granted -------------•---� r .C. ----- =
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
at No...../.r '..../.0.....Z -1411-1•- --- --_--*-!-
Street
as shown on the application for Disposal Works Construction Permit No.��, �K_y... Dated.............................Health
....................................
... ..__�_-----------------------•----------------
Board of Health
DATE-----•---•--•....Y- -
FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS
AL
s f DES I GN CR I TER l A : INVERT ELEVATIONS .'
,ENERAL NOTES : DESIGN FLOW:
INVERT AT BUILDING: Sb '
BEDROOMS AT G.P,D. PER
/� INVERT IN SEPTIC TANK:
THIS PLAN IS FOR THE DESIGN AND G< •'�' FIRST i ACCESS COVERS MUST BE WITHIN BEDROOM EOUALS33, G.P.D. G3• °`
3.3
CONSTRUCTION OF THE SEWAGE DISPOSAL TO 12. OF FINISH GRADE INVERT OUT SEPTIC TANK:
RE LEVEL INVERT IN DIST. BOX: LZ'�'
SYSTEM ONLY.
4- PVC - - -�._• NG GARBAGE GRINDER
SCHEDULE `� =•E. /MIH. 2. OF INVERT OUT DIST. BOX: &2•
INVERT IN LEACH PIT: 2•Z
ALL CONSTRUCTION METHODS AND PEA
e•% I' c% aS SEPTIC TANK REQUIRED: � S
MATERIALS FOR THE SEPTIC SYSTEM L?.Zn /pee 7.75 , ' - 1 I/2' Dl: y1�G,P.D. X /50-V - 79S GAL. BOTTOM OFLEACH PIT: S$,75
SHALL CONFORM TO MASS. D.E.P. 3 OurLFi 5 - I ]--314*
WASHED STONE SEPTIC TANK PROVIDED: /ooc, ADJUSTED GROUND WATER:
TITLE 5 AND LOCAL BOARD OF HEALTH 10' MIN. /�' GAL D-Box _ GAL.
' 6 —I OBSERVED GROUND WATER:
i
REGULATIONS. SEPTIC TANK E, LEACH rIT - SIZE OF LEACHING FACILITY REQUIRED: r
ALL SEPTIC SYSTEM COMPONENTS LOCATED PROF I L E:NOT TO SCALE 1E G.P.D. -
UNDER AREAS SUBJECT TO VEHICULAR TRAFFIC ( DESIGN PERC RATE - LZ MIN/INCH REVISIONS :
OR GREATER THAN 3' IN DEPTH SHALL BE '
PROVIDED: / N0. DATE REVISION
CAPABLE OF WITHSTANDING H-20 WHEEL LOADS. =PITS) W/ 3 STN. I
i -
SIDEWALL: S•F.X 2,S - =�' GPD
I ALL SEWER PIPE SHALL BE SCHEDULE 40 B. ALL ROOF DRAINS TO BE DIRECTED TO BOTTOM: //'� S,F.X / - //� GPD
OR APPROVED EQUAL. DOWNSPOUTS AND DRYWELLS. ' TOTAL: 2 S S.F, GPO
II BEFORE CONSTRUCTION CALL -DIG-SAFE-. 9, LIA41T OF WETLAND VEGETATION WAS FLAGGF,D ( {
I-B00-322-4644 FOR LOCATION OF BY SABAT/A. INC. SOIL TES T P I T DATA
UNDERGROUND UTILITIES. I INDICATES V INDICATES
PERCOLATION _ OBSERVED
SILTATION BARRIER TO BE PLACED ALONG THE 666ttt999 TEST ? GROUNDWATER
5. VERTICAL DATUM I S: •1 " 50' FROM WETLAND LINE AND ALSO ACT AS A
WORK LIMIT.
,. TP• �°` 'I'/� TPA 2 P7937
i I GRND EL.Zt GRND EL..GY•3
7, FOR BENCH MARKS SET. SEE SITE FLAN. i
6.W.EL. k'A G.W.EL. PA
ALC
j Is./jCOu e:T $ v
&L/•'• 7 "C- /. Vi_A'; N
771G- C"G- C I'j 7`/7- 'N*44%It r evt1r.01-
B. /if. CENTER OF CATCH BASIN.
{ EL.- 76.20 1.0I771 CC[r>I i`
EXISTING GAZEBO
/ XISTING STAIRWAY
�:- ' \ \• N B8•JI'J2 £ __ a S7.8
- I I '� �• ` \ 2/6.24' -- - - •� .. N Shr��> HEDibi.l
I O 'ter,•.�� I 1 �_J000 GAL N / / ' i„ i. :3 Cry Ir.
<. RESERVE D-BOX SEPTIC TANK y 1!o•�SaEI / �'O "� T'TM-
j / / /" i ykrr�CiSTLp�% DATE:If
I Ni:T�P� dz 8/Zs�i
ti/ 1 \•..•':' \e' \ \ / i BVWIVW.I ,�h - 4.�'�On ,+' 0�`7 4T z
TEST BY• tir::�w,cmv ''z STL>>,icr� /tfi�+3
7L- --: �IQ .1 ° 5����` 60 / I / / / / - '•` Wl TNESS£D BY:'I
I \Z�. I I' ♦ '�\\ oQo v� `fig h(i 0 / \ l L k z True Y
1 �F SFr�',c 1 \Pl; rvzO QP e��� b / / j \ / 6/3i�9 PERC RATE:_GZ MIN/INCH
4:
o v 1 3 STONE
130 J:1 1 ! /l /I3 AVW*2
T / C S YS TEM DES / G/V70.5
.
6Y5BVW*4 i
�1�p/ /' RREPAREO FOR
/SLOT /0 \\oo «�5 �4 /vw#s
��.950±5.F. UPLAND/ - ^ o B
4"380t5.F. WETLAND / / / /►�� '/ ! o� EL / �� B E. TH B,q L L
(PER PLAN)
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To— SCALE: / - - 30 AUGUST / 7. / 992 .
BVW.6
n, 258,
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JOB NO: 92 27B a
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