HomeMy WebLinkAbout0137 OLDE HOMESTEAD DRIVE - Health 1,37 Olde Homettead -
043-001-014 Marstons Mills
1 37 TOWN OF BARNSTABLE
LOCATION "S3 . D t, SEWAGE # S3�
"VILLAGE yi f,,+0wi tm, lk ASSESSOR'S MAP & LOT Ll
Li 4_ a,-
\A f
INSTALLER'S NAME & PHONE NO.
�SEPTIC TANK CAPACITY D00 gn.��oMs
�OLEACHING FACILITY:(type) L-f k�, (size) 60 b
NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER
BUILDER Oft OWNER ijAq<64
DATE PERMIT ISSUED:
DATE .COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No �'" —
Lo } 33
No..----.. ....... Fx t............._............
f THE COMMONWEALTH OF MASSACHUSETTS
�] '/E,�/OARD O4F` ,�/HEALTH
................
.............I-t ......O F.......6.// /!�sT46L ...........
Appliration for UWpogal Worko (famitrurtiun Famit
Application is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal
System at:
4� 3 3 - OLAE �t�d��STEft� /�k Mif R5TGNS 1n/LLS
................__............................................................................. ......-•---------•••--.....-•----•--•---•-'---•---•-••-----••-----------------'--...........----•-
Location-Addressor t No.
/ s CO. A D, 6DX 47�� ��it/T�ae�/tom
._._.. •--•--•_... .......• --•--_. ._...
Installer Address
d Type of Building Size Lot___a� feet
U Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building Cu64 FR�Jn1E No. of ersons____________________________ Showers
C1a YP g ------------------------- P ( ) — Cafeteria ( )
Q' Other fixtures ..................................
W Design Flow..................... ..............gallons per person per day. Total daily flow---_.__.•__--.3 4..................gallons.
R; Septic Tank—Liquid capacity./M..gallons Length__-SM.. Width................ Diameter---------------- Depth................
Disposal Trench—No..................:.. Width.................... Total Length:.............`___ Total leaching area--------------------sq. ft.
Seepage Pit No-----------J------- Diameter........ L,----- Depth below inlet......!�A........ Total leaching area.. ..sq. ft.
Z Other Distribution box Dosing tank
Percolation Test Results Performed ....._.•..by..�,`1_,M_ WAZ.g �1ZCk. ... Date.._.Jri-�.`.��...--------
.
Test Pit No. 1....�-------minutes per inch Depth of Test Pit-----1.7.......... Depth to ground water_-__:'...............
fs, Test Pit No. 2................minutes per inch Depth of Test Pit...............•.•.. Depth to ground water........................
-•-
.......................•--------...........-------•--•-...................----.....------..................--••-••...
0 Description of Soil.........
•.,2.. l vim!1�.4.....
�'�!�' s --=&P,2ive5�.L.....................................................
Uw -•••---•---•----- -----------------------••••...•--------------------•---••--•------•••-••••-•-•--••--•-'-•--•••...._.........--••-•......--••--•--••-.................................................
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 TiT7LE 5 pf the Sta ,anitary Code— The undersigned further agrees not to place the system in
Dp7lication
ration unti C r ifi to df Com e has been issued by the board of health.
Signed ...........� -- Date
ApprovedBY �----- ............ ----------------------------------------
Date
Application Disapproved for the following reasons:.............................................................................................................
..............•-----...--------------...----------•-----------------.........------------......---------•._.....---------•------------------------------------------------------------------••••••-•-••--
Date
PermitNo......................................................... Issued......................................................
Date
No.......b. _.... FiR............._...........
f THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............... ' f, .........OF__&Ae7t� .'
��/`� .....................................
,2 ppliration for Dh4posal Works Toosfrorthin Urrmit
Application is hereby made for a Permit to Construct ({/) or Repair ( ) an Individual Sewage,Disposal
System at:
............ .. -----••• -•-•---•---.... ----•- --------- ••••---••-----•-•...--------•-•---------•---..._..__....-------•-•..
Location"Addr s r or Lot 'Vo
J�wner,- - Adddss
�c
Insta:ier Address
UType of Building Size Lot__— .._..._..Sq. feet
Dwelling—No. of Bedrooms.......................................Expansion Attic ( ); Garbage Grinder ( )
PL4 Other—Type of Building li_P_f?.AV6_.. No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures --------•----------------------• -
`" L1
W Design Flow....."..............�__�.................gallons per person per day. Total daily flow............._3__"_:.__.. ......
�' Septic Tank—Liquid capacity/dA0...gallons Length._�0__.. Width................ Diameter__--____--_--_ Depth................
Disposal Trench—No...................... Width.................... Total Length.................... Total leaching area-_-_-_•----_-------sq. ft.
____ Diameter-___.-��.. Depth below inlet.._�3
Seepage Pit No.....__.__�_.. .. ..... p .............. Total leaching area.Z4'.'2._sq. ft.
Z Other Distribution box (/) Dosing tank ( )
'-' Percolation Test Results Performed by.(EJ .: flf�__ ��f/1.� ... _I_��� G........... Date...r/
,tea Test Pit No. I--- ----------minutes per inch Depth of Test Pit....J.Z.......... Depth to ground water----_-"--___"__--___-_.
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
(�
Description of Soil.......�--`Z....--��, ...Y5C�11.....--"-----"-----"•------------------"-"--- -"- --"""•-•-"--••"-"""""--"----"-"-"""---"...."-""-....__.
v ------------------
' ......112. .t�= ���/lZr1� 'lZ,� G22
W •--------.-•--------------------------------•--•--•----------------.._..._................•-------------•-----------------------------•-•--•-------...--•--••----•.._---•--......_.._..--•••-•-••-•-•---
VNature 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 T-ITLE ;of the Sta e -anitary Code— The undersigned 'further agrees not to place the system in
eration unti C rti' to 4f Com e has been issued by the board of health.
Signed............. " �A
�?....
P'-ication Approved By........................................•-.-----•------I--.....�
Date
Date
Application Disapproved for the following reasons:......... ....................................................................................................
..-"-----"-"-"-""--""--------•--"---•---"-""•--"-------"-"-----------------------•--------•---"--•-----.........-"----------------------"------------------"-"------"-"--"----•--------------------------
Date
PermitNo....................................................... Issued.....................................................-
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.............. ...... ........OF...... 4'`f> ✓ - ..................................
Tatifirate of f�oot�r�i �tr�e
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed O or Repaired ( }
by....-•-...��.4 _....l SC =--•--•........................•---•-•------"-"•-"-"-------•------••--•-----•----•--...............------..............-•----....---....-----"--
_ Ins ler, µ
at...._4.07.--...:��--- �� L�i� /�� e r .... ............././1'•� �/ if....`....... -{ 1....._.--.......................
has been installed in accordance with the provisions of iIT1E j of The State Sanitary Code.as described'athe
application for Disposal Works Construction Permit 'No...... __/,�__--..��.�.�,..... dated--------------!C7._ ---Z_0
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARAN)EE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.................L,1--•-=...i...¢-"-=--•-` _.)......................... Inspector..... ... ..� �
�►� +tic£ A �'ti ' 9 3 P4
�Tit1EL THE COMMONWEALTH OF MASSACHUSETTS
CoVejx oN L BOARD OF HEALTH
3i V;'I
;zu�c.r�� -tu GRI%r)f" ' c'IAk?. .`afr` � �'
j .......................................O F.....................................................................................
�i��o��1 ork� �oo�#rion �eruti�
Permission is hereby granted..---. ---------------......-------------------------------•---.........-•-•-------.....--••--•-----
to Construct (tA) or Repair ( ) an Individual Sewage Disposal System
Street
as shown on the application for Disposal Works Construction Permit Dated....... ._. _.,
.................................A
4`Falth
--------------- ---------)---------_-
Lard
DATE......10__ -� �--- ---64-------------------------------------
FORM 1255 HO BS & W REN. INC.. PUBLISHERS ..`'
r
h
a
SITE PLAN SHEET i OF-2
SCAL E: 1 = U
04
66
1110
5'Z,ao
66 s
�- 10
f f
zop
04 1
1 ,
l00%oar'-
78
tVE
A
i
f - L-077. 1.Q5
4 Al
2/IZzl�o- ?y' e�Z�p
of 44j"
o� WILLIAM. -
M. y
WARWICK i
9 No. 19771 ,o
"� �'OEd '�EGISiE���•��
FOR A Y
. RE6.15TEREO LAND SURVEYOR
• "ZONE �� M A [ZS -�0 6 M I LL 5 � A4A,
PLAN .REF � rcL I DATE Z.(.0 -e'co
BENCH MARK DATUM WM. M. WARWICK 8 ASSOC., INC.
DOMESTIC WATER SOURCE T�- � V)q-Tzt;, 8OX 801 - NORTH FA L MOUTH
MASS. 02556 - (617) 563 -2638
s
• , LEACHING QASIN SECT/ON NOT TO SCALE
24 C.I MN COVER
- '4
y EARTH~F/L L BRICK AND MORTAR COURSES AS REO'D• TO BRING
COVER TO GRADE
INLET +B FLOW LINE 2"_y"TO%"WASHED P£ASTONE FREE OF IRONS,
PIPE FINES AND 'DUST IN PLACE
T, �£
/I •.��U.'• OPENING W/TH 4%B" y 414" TO /%p"WASHED CRUSHED STONE FREE OF
r OUTER DIAMETER IRONS, FINES AND DUST IN PLACE
AND /314"INSIDE
' DIAMETER
31 I. CONCRETE TO BE 4000 PSI 28 DAYS
2. REINFORCED WITH 6"x 6 NO. 6• GA. W W.M.
' ' •' 3. 21AND 4' SECTIONS ARE AVAILABLE FOR
x GREATER DEPTH REQUIREMENTS
4'0" �-'6 ° �' 12, 31--� 4, NUMBER OF PITS REQUIRED 4+�4
M/N. I NOTE: EXCAVATE TO ELEVATION OR
EFFECTIVE DIAMETER
} (Nor TO EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED 'TO REMOVE ALL
WATER raecE - LOAM AND CLAY BENEATH PIT. REPLACE
EXCAVATED MATERIAL WITH CLEAN
TYPICAL PROFILE GRAVEL TO DESIGNED GRADE.
2.O /B"STD. LT. WGT. C.I. NH COVER ,
65
C.I PIPE 4"8/r.FIBER PIPE
DWELLING FLOW_LINE r/GHT JOINT OUTLET LEVEL
r p TO FIRST JOINT
C.1. TEE 753 �7 3 p ` I I 0 1 0 0 1 1
•• .• III 000 00 1 1 1 ' :
77. s r . PRECAST CONC. 774 O/ST. BOX TO,BE b� I If 600100 of I I ,
} GAL.SEPTIC TANKT. INSTALLED ON LEVEL, I it 000 00 it I
• ;B ., ;, c: • •. STABLE BASE i '1 100 00 1.1 I I
if100 001111
\SEPT/C TANK TO•BE 1 '1 00010 0 1 11 1 ;
INSTALLED ON LEVEL, 1 11 100100 1 1 1 1 ;
STABLE BASE. 1 11100
0 0 1 1 1 1
r 111100 001111
LEACH/NG BASIN 1 1 t /Q O' O O D 1
BASE TO BE L EVEL 1 111 D 0 0 0
71 .o
SOIL AND PERC. DATA p55$�
PERC. RATE MIN. /IN. 11 TEST PIT NO. I 011 TEST PIT NO. 2
0
TEST BY:
WITNESSED, BY: TOAA Mc�V-G—�°tt�J JVI�Pc �1M
TEST PIT GR. EL. _..Lr O y
DATE: 5/�/�Cv 121 T"R.�GE GI(2AUeL
DESIGN DATA' GENERAL NOTES
BEDROOMS NO HEAVY EQUIPMENT TO RUN OVER SYSTEM.
DISPOSAL. f�0 SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD
EST. TOTAL DAILY EFFL� GPD. PRECAST REINFORCED CONCRETE, UNITS.
SEPTIC TANK lcqtE� GAL. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE
SIDEWALL 'AREAz'SGAL./SQ.FT. TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE,
MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF
BOTTOM r�REA �'� GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY I , 1977.
LEACHING REQUIRED SQ.FT.. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
ACTUAL LEACHING AREA OF HEALTH.
�Q.FT. .-.,,.AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING1 THE
BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION.
PITCH ALL SEWER LINES I/41 / FT. UNLESS INDICATED OTHERWISE.
of�'s SEWAGE DISPOSAL SYSTEM
MARTIN"
O ••1
123417 p Lo 3 OLD H o M STD,prD 17�L
.. • � SONAI.E ,�
SCALE AS INDICATED / DATEuZ3
WM. M. WARWICK 8 aASSOC., INC.
BOX 801 - -NORTH FALMOUTH
I " PROfESS/ONAL `ENGINEER MASS. 02556 - (6/7J 563 -26,38
ii�
A I'll I,I CAT It)IJ V()I H fl I T I, /A I J I) 01"!;F:I,V"A,I, I ull PI T S
I.,OCATION
1,,_-o-T_-, 1. �2 t\cj,-Vjs�,71 11 AJ__ NO
VlLLAGE' v 7
DATE
APPLICANT
yy (Non-refundable )
TELE'PHONE' NO.'-7?1
ADDRESS 7, Jet,-i He,
ENGINEER TELEPHON13 NO.
-DATE SCHEDULED
(AppiicanL' s signw ui:e )
LOT
S011, LOG
SUB-DIVISION 14AML_I4 J,, DATE Ti m E
I-'XPANSION AREA: YES VA LC, ��(::X,-. ENGINEER
CA- BOARD Or HEALTH
TOWN WATER '�/ PRIVATE W1:1.1, v-
-7 7. $1 ' EXCAVATOR
SKETCH : (S,Lreet of lot: exact local-ion of Les holes and
percolation lucaLe weL1zm('J:-, in proximiLy to Lest holes )
H TES
4,9
PERCOLATIOU RATL: min 1�1
TEST HOLE 140: EjJ',VA'1'1011: TEST HOLE HO: ELEVATION -
2 I SJpjyC, L 2
3 3
4
5 5
6
7
13
9 9
12 12
13. 13
14 14
16
'33UITABLE, FOR SUB-SURFACE SEWAGE' : LEACIIIIIG FIELD -LEACHING PITS
• L L'ACHING TRENCHL S
UNSUlTAMA: FOR SUI3-SURF1(_'I-, SlIt'WAGE. REASOUS :
S
140TE : I-A,JG1HI. I.,'RJNG 111jAII.I.; MUST SHOW, 11UMBER ASOIGNED O1J P ;RC TEST APPLICATION
)I?1G,1.11 A 1,: 1:N11-111117TY I1y p . 1' . !\tp) !,n no7\pn rq-, TIT-,I\T,,pj I
COPY. Ili APPLICANT