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HomeMy WebLinkAbout0241 OLDE HOMESTEAD DRIVE - Health 0��-1 of Coe �-. �J✓��Je TOWN OF BARNSTALL)? LOCATION LoO—# d l 4 40 SEWAGE # 9c N 7 VILLAGE 'MA (5 ov�s ASSESSOR'S MAP C LOT 00/ INSTALLER'S NAME & PHONE NO. .3.'T_ ` c,$ `77/— l O` Q ,SEPTIC TANK CAPACITY (,o oo y 4t0 O S O L I \LEACHING FACILITY:(type) �� '��1 (size) oO dJ tdvl CNO. ON BEDROOMS PRIVATE WELL O PUBLIC WATER Cd. BUILDER OR OWNER_�a`�IS,cLp t S DATE PERMIT ISSUED:_ � DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ..���'� � �j J � , o ( rr ! �6, M^' S� 1 i ASSESSORS MAP NO: IL2 a �3 e � No..� �.....:-� PARCEL NO.: 12,�eT F a............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ...( QW........OF..... h Appliration for Digpnaal Works Tnnitrurtiun Frratit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at: ----•Q 4�E...... .--pie.......---.......f......STd�-� /J9/LLS Locat n ddr ss Lot W �/ Owner � deos.s Installer Address /� /�/ Type of Building Size Lot._...._..,c.................Sq. feet U Dwelling—No. of Bedrooms........... .. Expansion Attic ( ) Garbage Grinder ( )p.� .............. . Other—Type T e of Building p� yp g ..... ...........A ......... No. of persons............................ Showers ( ) — Cafeteria ( ) 0.' Other fixtures ....................................................... W. Design Flow............................ .........gallons per person per day. Total daily flow.............336....................gallons. WSeptic Tank—Liquid capacity 000..gallons Length---0225... Width............... Diameter................ Depth................. x Disposal Trench—No. .................... Width....t.._._..__.__.. Total Length.................... Total leaching area. .._....._.-....sq. ft. 3 Seepage Pit No........../........ Diameter.....? ........ Depth below inlet....?1.�---_..._ Total leaching are ......sq. ft. Z Other Distribution box (1/) Dosing tank ) Percolation Test Results Performed by ! ._...Lvll�L A_--�`QG Date.r_��'. ................ j.................. . . a Test Pit No. 1......9'--._..minutes per inch Depth of Test Pit---//........... Depth to ground water...._-................ (T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x --•-----..........;-••••••••--••-••----••-•-•--•...••••...............................•••-•-•---•••-•-•••••---••------.....---............_.......•--....... ODescription of Soil--------------ram .---....---------------------...------------.....-----------•--------------••---•--.....-------- U W U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ----------------------------•--------------•----------•----•---•----.......--------.....---•----•----•-•---•-------------•----------------••--•-------•-•-------••----•--•-•....--•-•..........._..... Agreement: The undersigned agrees to install aforedescribed Individual Sewage Disposal System in accordance with M.", ''' Z 5 of the St nitary Code The undersigned further agrees not to place the system in r to of Com e has been issued b the board of health.Signed _.....--•--•• •-•-•••. 14D�/ F ateved BY.......................................-.......---------• •••• ............. ........... ........................................ Date Application Disapproved for the following reasons:.............................................................................................................. ....-•-•------------------------•-•••--••....-•� ........................... .. .._ .....--•---------•---------................................... ............ Date Permit No........... - Issued....................................................... Date ------------------ /3 F -7-5 No........ .....",�. olc- 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............700e,�._.....OF......Zc�Z .................................. Appliratiou for Disposal Works Tonstrurtiott Vernfit Application is hereby made for a Permit to Construct ( k4 or Repair an Individual Sewage Disposal System at: 21. ............................ ....... Locatign-Address or ?�.......... .......... .......?:aj).6.......C ...................... . .........P_ ner Address ........................................ ...................................... . ..................................1 4L??c... Po ........................................... 4 Installer. Address d Type of Building Size Lot....L?,.IL�.....Sq. feet U Dwelling—No. of Bedrooms...................... 2...........................Expansion Attic Garbage Grinder ( ) Other—Type of Building ......WaA/........... No. of persons............................ Showers Cafeteria ( ) P-4 Other fixtures ---------------------------------------------- W Design Flow...........................5.J- ........gallons per person per day. Total daily flow...............3Ao...................gallons. 94 Septic Tank—Liquid capacity.Al(,:V..gallons Length....-:17/___).. Width................ Diameter..._............ Depth................ Disposal Trench—No..................... Width..............._.... Total Length................_... Total leaching area...................sq. ft. Seepage Pit No............/........ Diameter.._..A&�....... Depth below inlet.....Z/5........... Total leaching areP2.4.1.).....sq. ft. Z Other Distribution box (/) Dosing tank ( ) Percolation Test Results Performed .................... Date. ................ $4 Test Pit No. I.......k...minutesperinch Depth of Test Pit....//............ Depth to ground water.._.--................. G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........._..::.........: 9 ............................................................................................................................................................. 0 Description of Soil.............. ..................................................... .. . .1 .......................................... .............. ...... ........................................................................................ ------------- ............................................................................................................................................................................!............................ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ........................................................................................................................................................................................................ Agreement: The undersigned&agrees to install aforedescribed Individual Sewage Disposal System.ifi accordance with S f t i the o of'I'IE 5 of the Sta hitary Code—.The undersigned further agrees not to place the system in 'rov"s"'ns ope aion until a ert to of Comp has been issued by the board of health. ....... ... Signed...........25. ....... ------------------------------ .........? OV,,/0 /Fla.... at, pro ............................ .....d ate t p ication A proved By......... .... ........................................ Date Application Disapproved for the following reasons:..........................................................................................................--- ................................................................. ---­------------*-----------------------*---------"................ ............ Date PermitNo..... ----------- Issued................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................ .....A.../.......OF........ ........................... Trrfifiratr tit Tuntplianrr THIS IS TQ CERTIFY, That the Individual Sewage Disposal System constructed ( t� or Repaired by...... ...... I........................................................................... ...................................................................... . 0 . Installer at.....�.9.7......Y ....... �X ......Y4. ...� .5L.i . D?.......... ....... .................... has been installed in accordance with the provisions of TITLE 5 of_T e es ri Jie St e Sami ry Cod s d 'bed in the application for Disposal Works Construction Permit No... d------1.0 1 ............ THE ISSUANCE OF THIS C§RTIFICATE SHALL NOT BE COPSfRUEaDA GU ANTE THAT THE SYSTEM WILL FUNCTIONS 1.T1,4 FAC DATE.............................................. ...130-r4j------- Inspector------V.................................... THE COMMONWEALTH OF MASSACHUSETTS A hp q3 /. BOARD OA RD OF.. HE.A....LT....H.....1.. ....­ ........................... P ) I ... ..OF... ../�..1),e.w57954 Fn----------------------- Disposal Works Tonstru,dion Verutit Permission is hereby granted..._.._. ........................ .................................................---- to Construct ( J,/or Repair an Individual Sewage Disposal System at No....4.A7......V).....01J)�Z� zlw ................................. Street /0) -2-8 as shown on the application for Disposal Works Construction Permit No.. . . ............./1........ ....... .......... ............ ....A' kt&"................ Bo h DATE...............10 bl-&,�.................................. 11 FORM 1255 A. M. )ULKIN, INC.. 60STON I SITE PLAN SHEET / of 2 SCALE: / = k F 4� i ;6 �0 84 (p ol LD It r . tor. r-Dtj ; 1LI0t._5 eo `N lot .� DMA►- PIT�i'4tc1^1E,3 •; , } - ��—_.. 4 � $ /_-7z����7�`•��q? ____-��/VGA I o� WILUAM tiG }} zi M• 1 c3l WARWICK•. I No. 19771 a )siE��� s`s�QA'aI:LA�9S�'�Gt/lcc J�G A 1 REGISTERED LAND SURVEYOR FOR � Y� D � �L©�' Cam" . 6NE MA-Z `" rJ�,r MIl"l-5 , MA i PLAN .REF�A P� I of m-I-� �. DATE I y- Z!o -gE, BENCH MARK DATUM M S L D A wA WM. M. WARWICK 8 ASSOC., INC. DOMESTIC WATER SOURCE '1""yJ fJ \toL/ATe tL, SOX 80/ - NOR TH FA MOUTH FLOOD ZONE. NON - I} CAS A C�-© � MASS. 02556 - (6/7) 563-26 38 LEACHING BASIN SECTION NOT TO SCALE 24 C.1.MH COVER EARTH i,' . BRICK AND MORTAR COURSES AS REO'D• TO BRING 4„ i —ti- = w COVER TO GRADE INLET .., , FLOW LINE '—i::.i 2.�Il/nTO/ . •. PIPE B / WASHED PEA STONE FREE Of IRONS, T FINES AND DUST IN PLACE I OPENING WITH 4%B 6✓ y 3�4 TO l%2•WASHED CRUSHED STONE FREE Of 4 % OUTER DIAMETER IRONS, FINES AND DUST /N PLACE • AND 1414"INS/OE ' DIAMETER • ; I. CONCRETE TO BE 4000 PSI 28 DAYS 2. REINFORCED WITH 6°x 6" NO. 6 GA. W W.M. 3. 2�AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS 4'0"MIN. 60 IZI �—I 4. NUMBER OF PITS REQUIRED 0N6 EFFECT/VE DIAMETER NOTE: EXCAVATE TO ELEVATIONOR (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED• TO REMOVE ALL WATER TABLE - LOAM AND CLAY BENEATH PIT. REPLACE TYP/CAL PROF/LE EXCAVATED MATERIAL WITH CLEAN GRAVEL TO DESIGNED GRADE. � 5 /B"STD. LT. WGT. C.I.MH COVER 4'C./.PIPE 4"BIT.FIBER PIPE DWELLING FLOW LINE T/GNT,JOINT OUTLET LEVEL _,,'r� p 00 TO FIRST ✓OINT C./. TEE �' �0 ` 110 00 1 1 PRECAST CONC. �, �� 1 1 1 0 0 0 0 0 1 1 1 1 D/ST. BOX TO BE 1( 000 00 1 1 I I GA I..SEPTIC TANK: INSTALLED ON LEVEL, 1 11000 00 0 1 I 1 STABLE BASE 1 10 000 00 0,1 I 1 � ',SEPTIC TANK TO•BE I if I 0 Q 0 00 1 I 1 1 000 00 1 It 1 ; INSTALLED ON LEVEL, 1 10 IQOI 0 0 1 1 STABLE BASE. 1 1 1 0 0 0 0 0 1 1 1 1 0 1II100 01111 LEACHING BASIN : i 11100100 0 BASE TO BE LEVEL 1 11100100 1 1 j e SOIL ,AND PERC. DATA pl�5`97 PERC.RATE MIN. /IN.fZ 0 TEST PIT NO. I 011 TEST PIT NO. 2 .TEST BY: F L)CC HI;LI� 2, T"o(v<ro«�5vPi50lL _ WITNESSED. BY: T+dM MG V- 9AfL f, M SDI VM TEST !PIT GR. EL. •Z 5 AN n DATE' LCc Co ( , go 7.2 No &q f2a,-err uwA-c�qz. DESIGN DATA GENERAL NOTES BEDROOMS NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. DISPOSAL '1\1 SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD EST. TOTAL DAILY EFFL32cGPD• PRECAST REINFORCED CONCRETE UNITS. SEPTIC TANK GAL, ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE '' SIOEWALL AREAZ't)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 REQUIREOZbff SQ..FT.. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ACTUAL LEACHING A OF HEALTH. S'Q.FT. . AT -COMPLETION OF CONSTRUCTION, C ON, PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES 1/a1 / FT, UNLESS INDICATED OTHERWISE. Ummi } SEWAGE D/SPOSA L SYS TEM o MARTIN f L c�a MORAN y f234117 I..o-C' IST OUAL tam SCALE AS INDICATED DATE WM. M. WARWICK 8 ASSOC., INC. . 8OX 801 - NORTH FAL MOUTH n PROFESSIONAL EN6/NEER MASS. 02556 - (6/7) 563-2658