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HomeMy WebLinkAbout0050 OLDE HOMESTEAD DRIVE - Health 50 OLDE HOMESTEAD DRIVE MARSTONS MILLS A= 044 - 020 i i TOWN OF BARNSTABLE 40 -S�S- LOCATION Z 1 SEWAGE # VILLAGE WA s �ov�S (�w���S ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. ?•J- Oc,-�co\l —7-7 I— 16 tj 0 SEPTIC TANK CAPACITY 9LEACHING FACILITY:(type) � X`i (size) 0 NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER �`'y5% Co. 7-71-0,:Zgy DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No e i� �Ls y� 3 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ---..............OF............... .................................................... ApplirFatiou for Dispos al Works Toustxurtinn rinutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: 40-r,.-X/A ........ - dLL06 /fdM� �7e4,D PP. rn19'X5�dA/S e4/Z-/_S.. - ` --------------••-••--•-- .................................................... .._...... n Q / E Location A dress or Lot No. w !X O- 5 r� Insta ller Address Type of Building Size Lot............................S . feet YP g Q Dwelling—No. of Bedrooms..................._....._..__..._........._Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building Ge/Oo/� p'RAMF No. of persons............................ Showers J ) — Cafeteria ( ) Pa Other fixtures ................................. . w Design Flow________________________SS__.._._____gallons per person per day. Total daily flow------- 3�v_--__-_---_._.._.._._._gallons. WSeptic Tank—Liquid capacity./W---gallons Length___-��M Width................ Diameter-_.__-__-__--_- Depth................ x Disposal Trench—No. .................... Width.......................... Total Length___............,_.. Total leaching area....................sq. ft. .Seepage Pit No------------I-_____- Diameter-------/`�-...... Depth below inlet.._�2 ..__..... Total leaching area2 _.....sq. ft. Z Other Distribution box (V ) Dosing tank ( ) J aPercolation Test Results Performed by.._1�1A4,_!w/ (. s..5OC�Vi e...... Date....-2'-��..••..•.-__.. Test Pit No. 1________________minutes per inch Depth of Test Pit....... ........ Depth to ground water_._-__'__-____-------. Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............ ............................................................................................................•-•-----•............_•--•-- Description of Soil y,�_ 6 KOP 0/ls fr ' S Us(�f L ! `�1- Y� ��f1✓E L � ................ ZV x �- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install th aforedescribed Individual Sewage Disposal System in accordance with the provisions of 1_' 5 of the State nitary Code— The undersigned further agrees not to place the system in eration unti Ce ti to of Com e has been issued by the board of health. l Sitied � �. ...........................................- .. a6 .._ Date plication Approved By.......... ..............................� --•-•---- Date Application Disapproved for the following reasons:..................................... K easons:.......................................... f U�)j -•------••••••-••••....•------•••-----•---••---•---•••--•--------•---•-•----•.--•- Date �, -Crtriit No-' c ............. P Ct u I NeeFps............................ �^ THE COMMONWEALTH OF MASSACHUSETTS «� BOARD OF HEALTH AaijilirFatiou for Uiiiapati al Works Tonstrurtioit Urrutit Application is hereby made for a Permit to Construct (V*,)' or Repair ( ) an Individual Sewage Disposal System at: .(� _ � ...... L - H6m :5T icj Imo'. 1W 1Y�'S7`0IV 5 ,��1 f G /,�-5 ... ................•-------.....-------••-••-- -•-•..:..---------•-----..._..--•------•-•----•-••-•-•. ----------••- Location- ddress or Lqt T _._.....--••••• ----•------••----•---••--•---• ----------------•--•---•-•••-•---•----•_... --- -- wner— Addre s S rW-a %J!= ,/9, /I Installer Address �11 '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 ( ) a' Other fixtures,..;_____________________________.. ............................... W Design Flow........................ _............gallons per person per day. Total daily flow............ 3 _._____________.__._____gallons. WSeptic Tank—Liquid capacit/AP.___gallons Length__S TP:._ Width................ Diameter................ Depth................ x Disposal Trench—No ___--------•--_--_-- Width.................... Total Length..................__ Total leaching area--------------------sq. ft. jeepage Pit No.____.___..�..-.____. Diameter_____ ______ Depth below inlet•. �?�.�.____. Total leaching are _ .......sq. ft. Z Other Distribution box (V ) Dosing tank ( ) aPercolation Test Result Performed by..1_UAI..rV _t? i/IC�C- SSOC./(JC-•-____ Date__l� '_v ______________ Test Pit No. I_____________...rninutes per inch Depth of Test Pit______1_i1_-_........ Depth to ground water_____ ................ G%, Test Pit No. 2...........----minutes per inch Depth of Test Pit____________________ Depth to ground water........................ ••-------•--------------------------------•-------------••---•-•-- -•-.......•---••----•-•-•••_.............................................-.............. 0 Description of Soil...Y,�--6�� T0105 P tL %-`���� ---��-.g...___U_,5 0<L ........................................` V 6 4= - j/_°` la, V _4E ?5`E✓ ? ..S1g/Y' r,R cd.-•-- t=....P�. l `'� W-z`'`-Z �&-----------•-•------------------------------- W UNature of Repairs or Alterations—Answer when applicable._______________________________________________________________________________________________ . -------••-•• -•- •••••................ Agreement: The undersigned agrees to install t aforedescribed Individual Sewage Disposal System in accordance with the provisions of T?TLEi j of the StateAfanitary Code—The undersigned further agrees not to place the system in operation un > a C ti care of Com ce has been issued by the board of health. ." igned.......... - ..........�' ..... �-�'�" Date _ rplication Approved By- ' -`i •U ��_.. ��7 •----------------------------------------------- Date Application Disapproved for the following reasons:...................................................•---•-••-•-••---•------••-•--•-------------•••••-----.._.__ .._..•-•••---•••-•••--•-••---•••-----•--•-•---••-----•-•-•--•-•----•-----•-••--•........................•-•....._...._...-••---------------•-•-•----•••--•---••---•-•••-•--•----••••••-•-•------------- Permit No.- Issued Issued. ate_... Date 00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................� .'�.........OF..... .6..../...`t�.. ...... . . . 6 ..................................... %Trrtifirtttp of Tautplian ae THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed /) or Repaired ( ) by -'7 `r De o 414- ---•-------•----------------------- ----------•--------------- at.......................................`---.�-� ----...G bfiF .. � JJ Install� :------- ............�.� has been installed in accordance with the provisions of T i T E j of The State Sanitary Cod as described in the application for Disposal Works Construction Permit No= _ dated........... _`�f THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B C ZdED AS A GU, ANTEE THAT "tHE SYSTEM �9111LL FUNCTION SATE ACT Y � -� DATE...................................... Q-::C J .... Inspector • •.:........... THE COMMONWEALTH OF MASSACHUSETTS L( `Z BOARD OF HEALTH .............................. .•••-••-•--•-•••-•-•••._.._-•-..... r Disposal Workii Tonstructiatt ramit Permission is hereby granted.. `L` t�. De 1-5 6L4- 7-10� --.. to \Consftruc'tC(V-) or Repair �( ) an Individual Sewage Dix oral Sys te/m] / /� ) ,y at No.._„'.U_7_________ _ ______ t.� .._.. J f�' 57� f) „ .fC!/ L'-S �Jr'� (/� P i -...•___.._...___________________ ................................. as shown on the application for Disposal Works Construction Eermit ____________________ ated....... ..__!........_�__._._C ---.._...---• ••••-- -••-•----•••-•-----••••---••-----••-----•- DATE % Board of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS f VISEL� SE`F « LcA IO t1 i Z5 o� In 23 NI f r _ P 7q,Q , VIC 23f CE e .99 T :-AIA Z 06 4 T/OiC/ /1 �I�o S�TB�i obi/l/.l sTia r' Z7..7-o -4 ivz /S �o c q T�'p �OT' �A TE; •� ��` ' %•/ ///'!F'�-(.fits �✓ti.),�`J...-/� i/0�4-��.,�;',-�� .�J�J:I_' ..si c_%%�� 9A XTE,C /S it/� //VST,e'U�/.�cit/T -.•AEG%STE.eEI� ,C�q,�/p S�,eYEY S1,oe11D� IV,1 T 8Z= l/j EQ 7-G' OET� ti. fp +" N1l5ED S LoC op Too YsrbE Buu, u� r 1. .. , ..4 UOLIE r , 4,t -'= Li �y s ►�✓ LSOo sc _^ T, 1. -DE�F=t-OFEL� R?-O'Fl Lr�—, OF P2cEO�,ED S/S & t TA t Z"GJ z J 1a1." FA,tt r�, ; d D1`. c� fro 'DrS� ' •�� �s �Pnc &Pb t c � IW s1wAu. a � . �t{cHa Y; .. PETEr; @A `R.. SULUVAhl i�-exit = SI`ul = VZg SF t' Can. 733 128x ire _ IZg Gf'n 7--�ff�ov� ��r = ° .. TOTAL 'MSt6N vog If A WM , WA2vu ICE, �, Ile t ; r. to r . a SITE PLAN SHEET I OF 2 SCALE: .l= v' - t } 0\ Lv LOT z � ro JK a . T 2 -cop >sOF t o -if ILLIAMCS M WARw�c�c N L:v T Sep 9 No. 19771 a� f —'-_. LO-T Z7 j �Gt/LtfJ =L—, REGISTERED LAND SURVEYOR FOR �A�-r' I 0� t,JL.D6,, C. ZONE MA Trat,j M►�t_3, r,A-A- , � • PLAN .REF=_ AAI'43 rct 5 auT" - « DATE l o - Z!o - ibU-, 1 •' ' BENCHMARK DATUM M-vL ,DATLJW\ WM. M. WARWICK 8 ASSOC., INC. •DOMESTIC WATER SOURCE T'a��./�I wA'r'•6 BOX 801 - NORTH FAL MOUTH FLOOD ZONE. A Z A 2 L� � MASS. 02556 - (6/7) 563 -26 38 1� LEACHING SASIN SECTION NOT TO SCALE shce,� 2 of Z 24 C./.M/I COVER EARTH F/L L BRICK AND.MORTAR COURSES AS REO'D• TO BRING 4„ l 4 -ti ,-�= _ COVER TO GRADE INLET +B FLOW LINE 2"_y"rO%"WASHED PEA STONE FREE OF IRONS, FINS AND •OUST IN PLACE %B" .: • �4 TO /%2"WASHED CR OPENING W/rH 4 USHED STONE FREE OF OUTER DIAMETER IRONS, FINES AND OUST /N PLACE AND /314" INS/DE .'. DIAMETER • I. CONCRETE TO BE 4000 PSI 28 DAYS • : 2. REINFORCED WITH 6"x 6° NO. 6 GA. W.W.M. '�3. 2AND 4 SECTIONS ARE AVAILABLE.x 8LE FOR GREATER DEPTH REQUIREMENTS 3 —s o Z,� �1 4. NUMBER OF PITS REQUIRED_ MIN. I NOTE: EXCAVATE TO ELEVATION OR EFFECTIVE DIAMETER (Nor TO EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED 'TO REMOVE ALL WArER TABLE-- LOAM AND CLAY BENEATH PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN TYPCAL PROFILE GRAVEL TO DESIGNED GRADE. 1811SrO. LT. WGr. C.I.NH COVER 4"C.IPIPE 4"B/T.FIBER P/PE DWELLING F40W_LINE r/GHT JOINT OUTLET LEVEL p TO FIRST JOINT /4 00 110 �0011 — C.I. r£E 3•I $2 III j ` 1 10 1 0 0 If 770 D_2y� 111000 00 11 11 T/7 -i :STD PRECAST CONC. a D/ST. BOX TO BE •• � �( 0 O 0 1 1 1 t • v2' 82•(� ��GAL.SEPTIC TANK 1 I 1 10100 0 0 0 1 1 I ;1 INSTALLED ON LEVEL; 1 1 1 1 00 0 0 0,) 1 1 y � ,• •.,•.r•1.. -,. STABLE BASE I I 1 1 Q 0100 11 i SEPTIC TANK TO BE 1 ,11600100 I ) I ; INSTALLED 0 LEVEL, I if 100I O O I Is STABLE BASE. 11 1 0 0 0 0 , 1 1 1 1 � 11100 001111 L£ACII/NG BASIN BASE TO BE L EVEL i 1 S O l 0 0 SOIL AND PERC. DATA P5'g'7g 7�.0 PERC.RATE : = MIN. /IN. „ TEST PIT NO. I 0�' TEST PIT NO. 2 V TEST BY : lid N'C'ic-1� _F0 P50lL_/j IJP 50!� WITNESSED. BY: Y0AA AA-c-VAI�,AN . `b7v MAD' SA.N►� . TEST PIT GR. EL. AG6-- . DATE; Sr-�- $lo IZ► CQ(LA VL el•7S DESIGN j DATA GENERAL NOTES I BEDROOMS � f NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. DISPOSAL SEPTIC TANK; DIST BOX AN :LEACHING BASINS TO BE STANDARD i EST. TOTAL DAILY EFFL326GPD. PRECAST REINFORCED CONCRETE UNITS. SEPTIC TANK l GVU GAL. ALL .SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE SIDEWALL AREA 2'�GAL./SQ.FT. TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF ` BOTTOM.AREA GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY 11.1977. LEACHING. REQUIREOzvo SQ.FT.: '. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ACTUAL LEACHING AREA OF HEALTH. .—_.SQ.FT. ..AT ZOMPLETIONr OF CONSTRUCTION, PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES 1/41 / FT. UNLESS INDICATED OTHERWISE. OF 4 SEWAGE DISPOSAL SYSTEM • �o MARTIN tiN�� FOR' A `T k7 U• G e� . c� MORAN H l--o Z.Z O!.f»•e .p .1K23417 — OM teST�c�kp SSIOIIAL SCALE AS INDICATED DATE-- IL i • WM. M. WARWICK 8 ASSOC., INC. • 8OX 80/ - -NORTH FAL MOUTH PROFESSIONAL ENGINEER MASS. 02556 - (6/7) 56J-2638