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HomeMy WebLinkAbout0210 OLDE HOMESTEAD DRIVE - Health 2�o_1 CO(de ��dU� ` H3- 001- CO77 - ov, M +OJC@ ve TOWN OF BA RNSTABLE ff -LOCATION 014, 4!lWi414 VCV SEWAGE # ;S(o '-t4©5- c' YVILLAGE Y�l�cC5 �-A4) ASSESSOR'S MAP & LOT iShNSTALLER'S NAME & PHONE NO. Z) ,'3,f 'N,5Cdtl 771-�4�d ASEPTIC TANK CAPACITY �,000 6tEACHING FACILITY:(type) LeRV,,l- (sue) oaa 9%�� 5?0. OF BEDROOMS PRIVATE WELL O PU:BILK WATER BUILDER OR OWNERS-�� ► DATE PERMIT ISSUED: U DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 7.6 33 Lod- /�r�� {. JO TOWN OF BARNSTABLE $°`+�k� � LOCAnO-'N_L,L+ (c O ! de Vd`'es SEWAGE # I YVILLAGE, wh i rl �J65 44 65 ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. 71 -(J� SEPTIC TANK CAPACITY LEACHING FACILITYAtype) LeA&� ,; (size) NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER a DATE PERMIT ISSUED: luey, ' Jgjg DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No t �' _, S3' �g.,' ��6 �Z�. �t`�.tcwaS/ � i // ...... ..... ... Fps .. ....................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............70-uv ....OF....... _T 46 LF_ ............................................ Appliratiou for Uhipmal Works Tonstrurtiolt Errant Application is hereby made for a Permit to Construct (L ) or Repair an Individual Sewage Disposal System at: (o OLDE 1"19-,e5TOA,1.S /n /Li-S ......................................................................... .................................................................................................. AW"rZe. ? or t' k V 4- ............................................................................................... 5. .......................................................... Owner Address Installer Address Type of Building Size Lot.. . ...Sq. feet... U Dwelling—No. of Bedrooms....................._._.._..........._.....Expansion Attic Garbage Grinder ( a PL4 Other—Type of Building u/M No. of persons.............(a............. Showers Cafeteria ( Otherfixtures ------------------------------------------------------------------------------------------------------------------------------------------------------ Design Flow.......................S6- 330 ...................gallons per person per day. Total daily flow......_..._.._._ ..........................gallons. 1:4 Septic Tank—Liquid capacityld00..gallons Length.47P.... Width................ Diameter-_______-___--__ Depth....._...._..__. Disposal Trench—No. .................... Width.....___.._.._._._._ Total Length___....._...) Total leaching area....jA�S�----sq. ft. Seepage Pit No----------/--------- Diameter.......0-------- Depth below inlet.Y .. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........W....W........... .............................. Date..s ................ Test Pit No. I__-_...___minutes 2.........minutes per inch Depth of Test Pit...._ Depth to ground water-------—------------ Test Pit No. 2................minutes per inch Depth of Test Pit____._._....._...... Depth to ground water------------------------ P4 ............................................................................................................................/................................ 0 Description of Soil.....77--!RMVKI...... . ............. . U .... ... ---MZA. ................................................................................................................... W ----------------------------------------------------------------- ..................................... ............................------------------ .... �4 TE:7�m -=Z 10 U Nature of Repairs or Alterations—Answer when applicatlR-- - -----ja�q--------------------------- ................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL IL T.LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in. operation til ertifi V6mpliance has been issued by the board of health. 10 Signed_._.. e6..................... . ............................................. ..........Vi/ .... .............. Date old�j )Applica ion Approved By.................. .................... ................................ ................1-4.Date-- Application Disapproved for the following reasons:................................................................................................................ .................................................................................................. C .........................................................................................................71- -- Date Permit No........... . Issued Date THE COMMONWEALTH OF MASSACHUSETTS �- BOARD OF HEALTH .[...�. ......OF......,�.•�..`.1111�.A5 4 4-. _.............................. Appliration for Di_qpoii al Works Tonitrurtion Prrmit Application is hereby made for a Permit to Construct V) or Repair ( ) an Individual Sewage Disposal System at: -----------------------••--•-•----•----.....---•--••---•--••-•-•---•......---•------•------------ --•-------•-•-------------•••------------------------------------•-------------------------------- ocation ddre� or t No. --...`.......'. ..._.._.....-•------------ ........--.................................... ---......_......--- Owner ddress W _S d/1-0 511 Jt�� a ................................................................................................ ......................... -•••........._......-•-------•--•---••......---••--••----•---•... Instalier Address Pq & S feet 14 Type of Building Size Lot.... f................. q. Dwelling—No. of Bedrooms.............. ...........................Expansion Attic ( ) Garbage Grinder ( ) p�I Other—Type of Building 4f�4_f'O.. �ra� No. of persons...........!.............. Showers ( ) — Cafeteria ( ) aI Other fixtures ... ........................ . z W Design Flow______________________5.............._.._gallons per person per day. Total daily flow....._........_.......�...................gallons. 1:4 Septic Tank—Liquid capacity t� ...gallons Length4t ..... Width................ Diameter---------------- Depth........ W Disposal Trench ' No..................... Width.................... Total Length............ Total leaching area_.A�X7-----sq. ft. Seepage Pit No---------/---------- Diameter.....O......... Depth below inlet'�.3�....•.......... Total leaching area..................sq. it. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed byf j'i°............................... Date........................................ ,aa Test Pit No. I...orl--------minutes per inch Depth of Test Pit----/1.......... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ : ................... •--------------------•-------------------•---------- rl ' is `! O Description of Soil....?'r g,59i&..... ` '� .....................................nu .!° A_C- 9Y--d-----7A / Z trr..-�°"�.r........... W ••••-------•---------------•---------------•---••-•---•--•---•-•-••••---•-•-•-............•--••-••--.,_.: ....................................i.-• ... -- UNature of Repairs or Alterations—Answer when applicable,:_<:�C ._PA.Qv__- _ --•---------------------------------•--•--------•••-•----•-•------•••--•---••••-•--••-•--•-••-•-••••••--••--•-•-•-••-•-------•--•-•---•----•--------•---•-------------•--•---•••-••-•-•---•-•---•---•-. Ag_eement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the T provisions of ?TIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until,a Certificate of-�'Compiiance has been issued by the board of health. .. Signed................................ f�•• 6 _--- -._gne f Date Application Approved By...................................................... :) Date Application Disapproved for the following reasons:................................................................................................................. ---------------------------•----------•---•--•--••-•-----•--•--------------------•----.............•-----••----------•.... -•--•--•-••----•-----•-•-•-•---••--••--•-•-----•-------••---...-••••-•----- Permit No......... ' -� '�--�--- �� ✓7 Issued........--•------------ Date .�:................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............/..(J :..............OF.... . .7//6z:......................... Trrtifiratr of TompliFanrr TII IS TO CERTIFY, That the Individual Sewage Disposal System constructed (L4 or Repairedb DWI ( } -----------------------------------------------------------------------------------.............-----------..............•----._...--------••----- / 1 C s _ .- Installej ✓�{ / �S�7 ' r�• at....4,0-T---------('�-.......­.L................ .........../-. _.... --------.......-----------•------------------����-------- has been installed in accordance with the provisions of Ti T i E j of The State Sanitary Code as deed in the application for Disposal Forks Constriction Permit No.___ � �.___1_...__._. drtted__..._!f?__l 7 ----------------- THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION gSA/TISFACTORY. DATE...................�...`.�..(1 -f-t•-................................. Inspector..... - ---- ............................................ THE COMMONWEALTH OF MASSACHUSET j:?4,0'M(>je ' 1 TTI2UVtw BOARD OF HEALTH `� /v ................................ OF.....,1 eA)$T 1)'L'H �---�. 1\` '.......•.. FEE ._ Disposal Workii Tonstrudion rrmit Permission is hereby granted......1-.:ST�....... ' to Construct ( V5 or Repair ( ) an .Individual_Sewage Disposal System at i1ro.. ��( ' p G e Gd4? ��....................................................i..�•. 7 'f-`� ......._... - Street _ ///-� as shown on the application for Disposal Works Construction Permit N .. .::........... . ted _.._____...._____._.._....._.. -------........................................................... ....................... .•. Board of Health FORM. i255 HOBBS & WARREN. INC.. PUBLISHERS TOWN OF BARNSTABLE C LOCATION O l d e Vdw-esk*�SEWAGE # VILLAGE kl Ar'S 4dhS k4�L15 ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. ]I -ldHa SEPTIC TANK CAPACITY I ,a66 S ti It A"s LEACHING FACILITY:(type) Lec41� V i+ (size) NO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WATER 2 i BUILDER OR OWNER I DATE PERMIT ISSUED: Aiev, DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No f � S3' s a it,ro i c 62J0 TOWN OF BARNSTABLE LOCATION Lc (p O l d C tc vsflle'*�SEWAGE # V VILLAGE W) -ArI 463 M%\-5 ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. 71 `"(aqa SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (ZAC' ► (size) NO. OF BEDROOMS ? PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: Aiev, DATE COMPLIANCE ISSUED: i VARIANCE GRANTED: Yes No i SITE' PLAN SHEET I OF 2 SCALE: / = 40 6t 0 �6 --40.. - 7 Lor. ._5 \Z4" NIt . �� ( poi✓. �; IOODGA� o 60PT6-Ati1K. � � /�,,,•` l ,.� ;;,.tom ' \ �� - < -A I p 1 � OT 5,c - _Zor 3PJ a of ,� y �tsp9C ILLIM o M. WARWICK y No. 18771 a. �rpp t LAI!`?�, REGISTERED LAND SURVEYOR FOR WNE PLAN .REF,-aL)1-Or- mAr Q. L L DATE BENCH MARK DATUM I°) Z°? MhL PA-t%)M WM. M. WA RW/CK 8 ASSOC., INC. _DOMESTIC WATER SOURCE "t O u)t )A I BOX 801 - NORTH FA L MOUTH FLOOD ZONE. NOLL �Al.&P-D G MASS. 02556 - (6/7) 563 -2638 ♦'t.t n � LEACHING BASIN SECT/ON NOT TO SCALE Shccr/ 2 f Z 24 C.I.MH COVER EARTH F/L L BRICK AND MORTAR COURSES AS R£O'D• TO BRING 4" 4•�_ �.y COVER TO GRADE 4 8'FLOW LINE t / t INLET 1_ _ __ ___ ,_ 2'- TO/' WASHED PEASTONE FREE. OF IRONS, PIPE FINES AND DUST /N PLACE OPENING WITH 4% " 3/4 TO l%2"WASHED CRUSHED STONE. FREE OF 5�f� OUTER DIAMETER IRONS, FINES AND OUST /N PLACE AND /3/q"INS/OE O/AM£TER 1. CONCRETE TO BE 4000 PSI 28 DAYS 2. REINFORCED WITH 6%6" NO. 6 GA. W.W.M. 3. 2'AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS 40" —I6 0 IZ, I --� 4. NUMBER OF PITS REQUIRED 4:'Q9 MIN. EFFECTIVE DIAMETER NOTE: EXCAVATE TO ELEVATION OR (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL - WATER TABLE - LOAM AND CLAY BENEATH PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN TYPICAL PROFILE GRAVEL TO DESIGNED GRADE. —18"STD. LT. WGT. C.I.MH COVER �8.0 '' 6•a 0S � ,o 4"C.I.PIPE 4"8/T.F/8ER PIPE OUTLET LEVEL FLOW LINE TIGHT JOINT OWEL L I'NG FIRST JOINT -- �•,-, ,-.,_:�.,_• 00 00- C.I. TEE QJOr! 7�•S 1 10 I 00 1 1 I1000 .00 1 1 11 G1�0 TD• RECAST CONC. 7�71 �DIST. BOX TO BE 7�d ' ' ( 100 00 1 1 I I 'EDODGALP .SEPTIC TANK. I I 1 100 00 0 1 I I INSTALLED ON LEVEL, I I 0 00 O STABLE BASE I 0 0,1 1 1 :e: ..,..:.�; . :.. III 100 00 1 1 i l SEPTIC TANK TO BE 1 If 0 0 0 00 1 1 1 INSTALLED ON LEVEL 1 it 1001 00 1 1 ' i ` STABLE BASE. 1 1 1 0 0 0 1 1 1 1 . 1 1 000 0 0 1 1 1 1 ' LE BASIN p I 'S BASE TO TO SE BE L EVEL i j p 1000, 0 I SOIL AND PERC. DATA PERC. RATE MIN. /IN. P55�2 O$I TEST PIT N0. I o11 TEST PIT N0. 2 ' TAP/svl3ysl t, ;.,. TEST BY: L) YLD WITNESSED. BY: 121A4 Me o M &a1L)M .TEST PIT GR. EL. h A� p .DATE: `�-Z -8� I� y' , IV0 W A-r j DESIGN DATA GENERAL NOTES BEDROOMS NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. DISPOSAL_ SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD EST. TOTAL DAILY EFFL� GPD. PRECAST REINFORCED CONCRETE UNITS. SEPTIC, TANK loon GAL ALL .SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, SIDEWALL AREA GAL./SQ.FT. MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF BOTTOM AREA GALA Q,FT. SANITARY SEWAGE EFFECTIVE ON JULY Is 1977. ..LEACHING. REQUIRED�p,SQ.FT.. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ACTUaL LEACHING ARzEA OF HEALTH. Q.FT AT -COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES I/41 / FT. UNLESS INDICATED OTHERWISE, N t"OF SEWAGE DISPOSAL SYSTEM ` o MARTIN o E. r; FOR' lj �j L u�• G�- w MORAN r'in La7r 6p pLD -l-�Mf-,sTeA D L;;f 1VIC 123417�Q QjswT M A r=2�a s nit I✓l�s , �vt ti SCALE AS INDICATED DATE-�� 16- f 8l0 WM. M. WARWICK 8 ASSOC., INC. 80X 801 - NORTH FAL MOUTH ` MASS. 02556 (617) 563-2638 . , ��PROfESSIONAL ENGINEER A p Z ``f 1 •{ i a�ca� SPAC6 0 ro Inn.' 1, Li s�}-Tim sY=TEM C Vq>O J 0,fr A fib. FLA W. r`. cEeTi,�/Eo 7-1-IA 7- 40,(„,)DV TfDti; LOG 4 T/Oit/ /�/�14, SCA L G— r--,y� ,.5"ioE�icier �►No SETB.�t c� � � '� o'q T� 5-�;/-�/ ,BA.��cJ STA B LC A�t/o /s �oT 0CA:-Erg .f riiTh�/mot/ TyE �Loa�,GG4/y 9AXTE�2E BASSO 1,,V,4,V �2EG/STE�E� Lit/� SU.eI/Eya� /NST,�UiL1,�ic/T SU�YEY� 7-y� �STE.21i/,C�,�a ''��4SE TS Syay S. ULD/IVoT 8Z-- �E� 7-'-1 OET��-�1�/�E ,LIST /A�Es