HomeMy WebLinkAbout0050 OLDE HOMESTEAD DRIVE - Health 50 OLDE HOMESTEAD DRIVE
MARSTONS MILLS
A= 044 - 020
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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
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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
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WARw�c�c N L:v T Sep
9 No. 19771 a� f —'-_. LO-T Z7
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�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
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• WM. M. WARWICK 8 ASSOC., INC.
• 8OX 80/ - -NORTH FAL MOUTH
PROFESSIONAL ENGINEER MASS. 02556 - (6/7) 56J-2638