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HomeMy WebLinkAbout0015 MILL POND ROAD - Health 15 Mill Pond Road Marstons Mills A= 063 - 051 / -At o& 3- OL57 ;=3 C, is ETT 1.4 0-, -s- 3883 TOWN OF BARNSTABLE LOCATION 1'Y�a l ���3�3 - SEWAGE VILLAGE MAQ__ '1 t0 to,? y,n I(S ASSESSOR'S MAP & LOT€ INSTALLER'S NAME & PHONE NO. 'N cv CE 4Z M SEPTIC TANK CAPACITY/66d LEACHING FACILITY:(type) % 6 (size)/0-pG 614t NO. OF BEDROOMS_PRIVATE WELL OR UBLIC` ATER L OL.1 C, BUILDER OR OWNER (A t bkvIZ pn A!(4 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes i I �e O 3® (v� No.22n.. r Fxs7 ......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH a �T'Q1N.N................0F.... j RS>15 AF ........................................... Appliration for Disposal Work Ton,strnrtinn amit Application is hereby made for a Permit to Construct pp y t t ( ) or Repair ( ) an Individual Sewage Disposal System at: ........ �...._�_.��..�a.._.........1`11 i�a....QQ r�.Q..... ago Location-Address or Lot - _2.... '1.0x.a............................................ :--n_,....ama_ SL Owner Address W e c a ...................... ................=6J^'.�CQeC�f!+e7........... ...---•--•-----................................................... ...... Installer Address UType of Building Size Lot--_-----------------------Sq. feet Dwelling—No. of Bedrooms.._........�............................Expansion Attic (t. Garbage Grinder Other—T e of Building No. of persons............................ Showers a YP g ---------------------------• P ( ) — Cafeteria ( ) Other fixtures .; W Design Flow............... ...................gallons per person er day. Total daily flow............' ®..................gallons. W Septic Tank—Liquid*capacity.\.O?Pgallons Length. __..-. ... Width..g.'.._..._. Diameter......_._ _ ._......... Depth-g"P---4 FP l��oTN x Disposal Trench—No. ................. Width........-:'---..... Total Length.._.....-' ...... Total leaching area..._...........sq. ft. Seepage Pit No.........I........... Diameter....10:7°P..... Depth below inlet_..b e©.._._. Total leaching area...'2-(,a---sq. ft. Z Other Distribution box (✓f Dosing tank ( ) aPercolation Test Results Performed by..... ....... (e P...................... Date.... Test Pit No. 1-Aln'5?..minutes per inch Depth of Test Pit......\A-!..... Depth to ground water-.1!Ao2V.4.19.rM -CrKa,,J f=, Test Pit No. 2..t_ !tP...minutes per inch Depth of Test Pit.......M!...... Depth to ground water..940_.NAW '!?&co�fk a ...-•-•--••-- ---••-•. ............... O N. t i Description of Soil r.QA:-k%.......0 N. ._.. . �_�.......�.. Q� ...... -......... ..MILO........... n............... w ... `A&V------------- x -•••-•-•---•-----------•••-••-------•-•--••-----•-------•••---------••-•---•••--•--•---...-•--------••-•-•-----------•---•--------------•••---•-••-------• -- l.. •• _ U Nature of Repairs or Alterations—Answer when applicable................................................ "A_Q®(219(nf----�'G -----------------------------------------------------------------------------------------------------•------------•-----------------....----.....------------------.Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate f Compliance p o Co p ance has been issued b the board of health. --- Signed • -------.... ...'.. �] ---- � Application Approved BY.......� �--'�..cam...�=--�s•�.............•--•----••---------- ....................Date.............. Date Application Disapproved for the following reasons--------------------------------•-------••---•---------••------...-----------•--------------....•--•-•........... ..................•-••-------------------.....-••-------•••----•---...---....-----------••-----•-------•------•--........-----•-------------•--•----•-••••-•---•-••---•---••-•••----------••---•--•-•--. Date Issued Permit No..__ 7.'..._ ,�. 2----------------------- ....................................................... Date Ez. .............N o. F THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _N1................0 F...... :�. ........................................... Appliration for Disposal Works Tonotrurtion Vrrmit Application is hereby made for a Permit to Construct ( or Repair an Individual Sewage Disposal System at: ............. .....R ......t"A Nx-" Q-N Wll�_L............M.........s3 7_ta-1'S Location-Address or Lot A.:7 ............ :S�L!-18-�4-0-------------------------------------------- ------ Owner AZess r4 ............................... ......... ------ .......... ------ Installer Address Type of Building Size Lot.............................Sq. feet U Dwelling—No. of Bedrooms.............. ...........................Expansion Attic Garbage Grinder )dv Other—Type of Building ........................... No. of persons............................ Showers Cafeteria P4Other fixtures ...................................................................................................................................................... Design Flow.....,..._._.... .................gallons per person per day. Total daily flow..........._. _........_....._..gallons. 1:4 Septic Tank—Liquid capacityAoacgallons Length...8-..6.. Width._4�k4 4 1.... Diameter------i!!,!t----- Depth-A:=,a..4--wi-. Disposal Trench—No. .....::=........ Width.........n7m..... Total Length......... ....... Total leaching area......�L........ Seepage Pit No.........t.......... Diameter....to:t0.... Depth below inlet...i !.Q..... Total leaching area_.-L�j. ...sq. ft. Z Other Distribution box (u.,I' Dosing tank ( ) Percolation Test Results Performed by...._ ....... ..................... Date....t Test Pit No. I...4,.! R..minutes per inch Depth of Test Pit-------VA........ Depth to ground water.. Test Pit No. 2...4-a-0...minutes per inch Depth of Test Pit..._._. 7 ,:I-____. Depth to ground water..t4q ............................................................................................................................................................. 'IQ Description of .......0-n.-A....... ...... ....... ..... P............... 1 �4' \'U ...................................................Ar..-L.....G..=&-------='1;1..f2A... ...$.aJ............� -------4.'+ft'o-------------- -------------------------------------------------........................................................................................................ ...3.. ......................... U Nature of Repairs or Alterations—Answer when applicable............................................. ..................................................................................................................................................................... ..7-3.88.3 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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. .... ................................ Date Application Approved By....... ........................................ Date Application Disapproved for the following reasons:................................................................................................................ ........................................................................................................................................................................................................ Date PermitNo.--- ...7-------;7:5-:3---------------------- Issued.----------------------Date................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........OF............ .................................... Tntifirair of Toutpliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by----------------_-- ........ -—----------------------------------------------------------------------------- ---------------------------------- Installer ----------------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......51;Z=-----7..5-.3.-------- 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 OF HEALTH ..............OF......... _f................................... -9 7 No ....... FEE....;__ Disposal Works Tonstrurtion Frrmit Permission is hereby granted_..... .........c - ... ... .............................................................................. to Construct or Repair an Individual Sewage Disposal System at No.............. '/-------/- ...... J............... ................................................. treet as shown on the application for Disposal Works Construction Permit N ........ Dated.._.____ ............................. ---------------------------- DATE. ............... ------ Board of Health - FORM 1255 HOBBS & WARREN. INC., PUBLISHERS SOIL LOG SOIL LOG TOP OF FOUND, TEST PIT I t SANITARY TEES _ FIN. n. 44.31 q 3•�1 �4 Go.I LIty. A2.aZ rcx�D� Gp.X le•. 43.s� N. G R � �� . • INV. INV. WASHED STONE 1 N .. ♦ 3 - EL. EL. Ex�eNo cm�l�� zd -o�Ksesg� r z % o -q' ;� sots o,-�• r INV. ,o' INV. 3g.� N 39 0 v �. 39. DEL 39. 41 1 // INV ELEV . E L. �. � � 2 �, � � 2 COVER I M.�?7lO 4—3 - o �m .'; WASHED STON , ,��! h ` LIQ. LEVEL �, , . , .,. C DISTRIBUTION BOX r ii INV. . • ` .O o ..0 ' Moe 7AM0 r r WITH " SUMP AND 2 EL. 3e.e �na. s►,., y A - N - i ELEVATION DROP, \ ' ' PRECAST SEPTIC TANK WITH CAST IN PLACE SANITARY TEES o r I TL`Q �PiCQti'�2CSJ TANK SIZE a 000 46AL r ' ---- 32.8 1 e -�� a x q•' 6 w w s '� H� E L. � ---- 1 C �u �Air2 ENco�+t � rq DESIGN CRITERIA _ AND GENERAL, NOTES PRECAST LEACHING PIT PERC TEST RESULTS L U. S. C k 6 S P < MCN �1NCs• I. ALL ELEVATIONS SHOWN ARE � PE RC SATE 2.ALL PIPES SHALL BE SLOPED I/8,, PER FOOT EXCEPT' FOR THE WITNESSED BY FIRST TWO FEET OUT OF THE DISTRIBUTION BOX WHICH SHALL oN ao or 1�t�+t♦tr\ BE LEVEL, a 3.DESIGN FLOW -3 BEDRCOMS AT IIO G.P.D. _ _ 333 GPD. _. C oRcaEY . C'oav' F'ALNtouN. SEPTIC TANK SIZE 330 x c.s 4qs �, •< o� No.,. 2o , �ge6 P GAL v>-- USE \oao Gos%- Sepi�C 'MNK w/o 6AR4SAG,w 'Z�%5T0Z \L VttitT. A / 4. LEACHING SYSTEM- S\^t��� �ACHtK�, '�'li 6-0 4 x-6 -6' 1 F�cTwe ePZH ► EA.CV4 PIT �►�irM 2.O WA,S-W-_V, 4 \ Vz 5Tohtts ALL Ac�a mo. « Pt �► / '� t 1 A�1=q i -y a t o• EST Pt s j►"2 , EFFECTIVE AREA — SIDE. .s - 1171 GPU \ f tio� A x 1.0 _ 7g P , BOTTOM , � . G D 54 9 TnTA L. LOW _ �J r 1 GPD ` . f' TOTAL L REQUIRED � o FLOW 4 0LO —'� GPD RESERVE FLOW g GPD __.. 5, ALL SEPTIC TANKSDISTRIBUTION X $ 80 ES, AND LEACHING PITS SHALL BE DESIGNED FOR H-20 WHEEL LOADINGS WHEN -UNDER PAVING. i _ G,-,THE BOARD OF 1-IEALTH MUST BE (NOTIFIED WHEN A 'Ir;�` r '' F ► r , 'OPMT EL THE SYSTEM IS NEAR- COMPLETION AND PRIOR TO BACKFILLING, 7: UNLESS OTHERWISE NOTED, ALL SYSTEM( COMPONENTS SHALL BE - '' ' ," E44 INSTAL LED ' IN ACCORDANCE WITH TITLE V OF THE STATE SA N ITARY C G DE AND ANY LO A I C L RULES WH CH MAY APPLY, f v 1 .MAP \..oz N _ 413, P\.oe N_ PooR�S•5 ,. , � _ ._. j -- - a + , _ y 63 51 35b M,�.c �o..,,a �v r -- 1 AQ ZONING DISTRICT FLOOD HAZARD ZONE = 3(0 LEGEND _ EXISTING CONTOUR S�R���c F�cc.,. RFv. Jt 9187 ' 1.1►. o Ce . ett Sswo\vti,o.► p\.wN 30'�51 - F Csat $, �JH E E T _,I OF PROPOSED CONTOUR t . O',•t �vR\ .. \q10 AH'D JIaKw•+' (�Y J►,i' N.>SCKAt_c _ . PERCOLATION TEST saY co. s ,,.., rp. , S�avtvoR+ • F, �o PROPOSED SITE AND SEWAGE FLAN ALE: DATE• OBSERVAT ION PIT ® � .,HO R�cQ,,,►nwe.c.v 600,< �qo P,,Q s3 , CI.RTtp°�*,rld OF Tt« te- fR N4 364t3 '� of 3S6 7 w tL�L , �eDaoot.t �OMli --- H SHEET- DRAWN BY: 3<* r�, �.!►P stS-row M\��s MBA c�2 64 a of _ l R \G 1 f rt _ APPLICANT DESIGNER � ENGINEER % CHECKED 8V A 683a Aaz H lJw, nA Ax a G"o le .E'T T C a/4?lp �? ; s r r. z 3 MtcH+. `�t?owo APPROVED BY • _ `��S,o.rfiE'' P'oc.AssaT , M1�. d .9a. r a Z w —, �� PLAN NO. A-7B 87