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HomeMy WebLinkAbout0070 LITTLE POND ROAD - Health ars-z on Is in , L. LS / i I i i 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�, i 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) /`// To— SCALE: / - - 30 AUGUST / 7. / 992 . 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