HomeMy WebLinkAbout0010 PEACH TREE ROAD - Health lU eaC�
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• 1
TOWN OF BARNSTABLE
LOCATION, Bch f1"+�v / ea/_ SEWAGE # �?o_
VILLAGE. ASSESSOR'S MAP &.I.OT
INSTALLER'S NAME & PHONE NO '�77
'SEPTIC TANK CAPACITY_Z"_C5-r�L�/_ —
LEACHING FACILITY:(type)�_r�� (size) �4(�
NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATER
OR OWNER
DATL' PERMIT ISSUED: 17`'f' �'' 99:1
DATE COtIPLIANCF ISSUED.__
VALIANCE GRAN'fED: Yes �No__
a
qb,
t
No._Zo.:�,32� Fxi3
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH Y �
TOWN OF BARNSTABLE
Applira#ion for Disposal Works Tonstrnr#inn Frrmit
Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal
System at:
Qom'--..... cca� -�`-,- ...................................
-__--- ------•---------------------------------------------------••---....------...................------
Locatio -Address or Lot
---•------------------------ ----..._ .. ►.s........`-^--...:5..---------------............-----..
O ner Address
-••-- .�. ....I-------eu='-`�Z--��: �.------ �-� �V... 23b---•-� TL�nu tt r
- - -�� -
Installer Address
U Type of Building Size Lot............................Sq. feet
U Dwelling -----Ex Expansion Attic
a —No. of Bedrooms_---•-•-------------•-_-_---______.__. p ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
� Other fixtures -----------•-----------------------------............--••-------•--•-----•••••-•-•-•-•--•••--••••••••-•---•--•••---•-•--••••---•••-•---••-----••----
w ow............................................ga
llons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft.
Seepage Pit No------_------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
�rq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
---•-----------------------------------------------------••••••-•-•----....••--
O Description of Soil.... _" ................. y 3 1._ S '
x
w
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
U Nature of Rep irs or Alterations—Answer when ap licable__-•_ -----------0:�_.........l%.. ........LS�.�
Agreement•.
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by theboard of health.
Signed... .sx- .1-,�1 ---- ------------------------ ......
Dare c�
Application Approved BY C ------------------------------------------------------------------------ ------a-._- '
Dae
Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------.. . ------------...-------------------------------------------- -------------------------------------------- .....................-..................
q�
Permit No. ----------�1.........-6--�Q1{ -----------_----- Issued --------------------------------------------------------Dare- -
Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Disposal Works Tonutrnrfiun Frrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
System at:
Location-'Address or Lot S
-• - t �4- M�C � ........• •----..S``.. uv S 1M �
___- ----- -- .... ----- ---•--..__.._.
O nez Address
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q'I Other fixtures -_-------------_--_-..............................................................
W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons.
1:4 Septic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter---------------- Depth................
W Disposal Trench—No..................... Width.................... Total Length.........._......... Total leaching area_...................sq. ft.
x
Seepage Pit No--_----------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
'~ Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
rXq Test Pit No. 2................minutes�per inch Depth39f Test Pit.................... Depth to ground water---_-_-_---____----__-_-
Descriptionof Soil .•.... L=3 -..-. 1 .. ...........; -----------------------------------------•----...--------...........-----
U .............•---•-••-•-•-••-•-••-----•---•--•--•--------•---••----. --------------------•----•-------•------------------------------------•-•--•--••.
W ••-•---••-•---•-•-------•-------------------•---•------•-•-•---••-......•••••---•--•••--•-••--•-••••-•.'•---••----••----------------•------•--•••••••---••---••--•----•---•-----••-•-•••........--•-•-
U Nature of Repairs or Alterations—Answer 4hen applicable._--___��__-------_.t?�?_n.........,O�_......_t-...�-�.......... l
-------- ••-- •----
Q�-, e� 't �`�b�+1. Nt t �S•C rJ ei. -��'S\e
Agreement: ( I
The undersigned agrees to iiistall�lihe aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed ....... - - ------------------ ......... ........
----
Date
.--,~-
------. -ApPlication Approved BY - �
Date
Application Disapproved for the following reasons: ------------------------- -------------------------------------------------------------------°-------------
---'....................-------------------------...----------'--..-...._....................._...-...--------. ..--.....-.-.-.............................................. Date.....- ................................
D ate
PermitNo. --------,�`----....�-.a..?....................... Issued --------------------------------------------------------- -------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
101'ez#ifi atr of Clomlaliance
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
bfL�C �`.---------co x'-� C�= ............................................................---------------------------- -----------------------------------------------------------
YInstaller
at ....... o r.c 'T��C Y� ''L_"��%---------- ` `�
-------------------
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ........ .._..-_3.. .. ....... dated ................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
�--� - 9 ��
DATE----------- f... ------- --=✓------- .----------------------- Inspector ) 2 - -------- ------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
p. TOWN OF BARNSTABLE ' 4
No.... :. 1 FEE.. 0_
Disposal Works Tunufr ion rrutit
Permission is hereby granted.-•- \l ........... --------•-•................................................................................
to Construct ( ) or Repair QY�) an Individual Sewage Disposal System
atNo........ Q..... 7\,-R5 St...----.F-•.......................................'` ..........................
Street
as shown on the application for Disposal Works Construction Permit No&. • Dated..........................................
-------------------------•-•-- \:D
- , ....................................................
/ �DATE................ -/ ...................................... Board of Health
FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS
TOWN OF BARNSTABLE ✓
LOCA4ION(.0+ Z 0 d Fo-4 q4, SEWAGE #
t =MGM
t ��--07�
VILLAGE VA&,c 5 ov%s UI L S ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY ,060
00
r
LEACHING FACILITY:(type) L.2ctG, (size) 600 j, l(C)I,.
.:NO. OF BEDROOMS J PRIVATE WELL O PUBLIC WATER
Z BUILDER OR OWNER ��y5'� 97a�4\45 co,
DATE PERMIT ISSUED: 0 12 f fo
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
3p���. F
[ l 4•
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y6.�
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a•
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16 Zy
3
6 ASSESSORS MAP NO: QQ --
PARCEL NO.:
Nog 0... _____— aT ' �-.
o Fs$............. ... ...."` -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD QOF HEALTH
...........OF........F�............................ .........
Appliratiutt for Uiipuiittl Works Tonstrur#iun Prrutit
Application is hereby made for a Permit to Construct (V� or Repair ( ) an Individual Sewage Disposal
System at:
....:�a a I /4.«
. ..__. --7 ---- •-------•.............................•-..............-•--
Location-Address or Lot No.
Owner _ Address
a Ye l St}/YI( ......_.._...ate ....... ....... ` - ......... .....
Installer Address
d Type of Building Size Lot...-�.___o C O 6.....Sq. feet
aDwelling—No. of Bedrooms.._......-- ............•...............Expansion Attic ( ) Garbage Grinder ( )
p, Other—Type of Building No. of persons...........Y............. Showers (,,7,) — Cafeteria ( )
a' Other fixtures ..................................
W Design Flow............... ...................gallons per person per day. Total daily flow......._..__330...............•..gallons.
WSeptic Tank—Liquid capacity/d.oq_.gallons Length_. _ ..... Width._-./.0... Diameter................ Depth...`
x Disposal Trench—No.-------_------_-- Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No........%_.......... Diameter....... ..... Depth below inlet....3,..4?...... Total leaching area...RR.Aq?...sq. ft.
Z Other Distribution box (V1 Dosing tank (( )
C3�UGL Date. �? / 7 �6
a Percolation Test Results Performed by.................�....fV......_.__........................_...... 1 ------1----._•.........
Test Pit No. I......R;�....minutes per inch Depth of Test pit---IR.......... Depth to ground water...&D_ E_..__.
Lt, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 ........................... ....•----•-•........-----------...-•---.........................................................
Description of Soil..........0•-a 1....Q.l� , •- U135Q1� =1�- �a � �`"7b= -5 9All)
x
W •---•••-------------------------------•-•--•--•-•-••---••--•------------•---•---•---•••-----•---••------•-••••-•-----------------•••--••-•--••••---•-----•--•------••-•-•--•---•-•••......--- --•-•-
V Nature of Repairs or Alterations—Answer when applicable.........................................................:.....................................
--------------------------------•----------•----------------------------......---...------•---•---------------------------------•--------------------------------------------•....
Agreement:
The undersigned agrees to install the a redescribed Individual Sewage Disposal System in accordance with
the provisions of i U 5 of the Sta tary Code—.The undersigned further agrees not to place the system in
o eration un i a e tificate of Com e has been issued b the board of health.
Signed---... = �{Xf�.._.
Date
ApplicationApproved By.................................................................................................. ........................................
Date
Application Disapproved for the following reasons:-------------------------------------•-----------------.......----------------..._._............__._....._...__
-....
-------------
-------------------
-------
•------------•---------•------
--------------........
--..----------------•-. ---------------------
---------------
•.........
.._..
Date
Permit No.- --...�.�....-(__. Issued.......................................................
Date
No. �... F$s.......
THE COMMONWEALTH OF MASSACHUSETTS ,
-r f,,BOARD OF HEALTH
....�...... is ...........OF........... r + ...............................
Appliration for 11ispuiittl Works Tonstrnrtiun Permit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at:
................ ...... .... -- =?... . =�........� , ........ L .........................................
Location-Address Lmiota No
�� `
...... --• • �! C^--•-• '-.._ _
...... ... •vai....
..,, Owner Address
a .ct -.... ��� G ..:S................ .� i .....:......................................................
Installer Address
U Type of Building Size Lot_...-i. ,LO L....Sq. feet.
Dwelling—No. of Bedrooms.............-•�..-...........................Expansion Attic ( ) Garbage Grinder ( )
Other—Type e of Building ` eY MR No. of persons ............. Showers
P.I YP g -------•-----=--------=--• P ( .) — Cafeteria ( )
aOther fixtures .................................................. .....
W Design Flow............... ...... gallons per person per day. Total daily flow......... �x�..................gallon.
WSeptic Tank—Liquid capacity ! ..gallons Length.... .-....... Width...�f".!G?. Diameter................ Depth..../.- ..-...
x Disposal Trench—No..................... Width..................... Total Length.................... Total leaching area......... sq. ft.
Seepage Pit No.........1.......... Diameter........45�..... Depth below inlet.....1s. ...... Total leaching area....t ft.
Z Other Distribution box ( V� Dosing tank� ,
aPercolation Test Results Performed bY..... 1! U...=:._..��....... ............................ Date....... .� 6.........
Test Pit No. 1......A....minutes per inch Depth of Test Pit.../ ......... Depth to ground water... Ql✓F.......
G� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
x ..--------- -----------------•---.-........-----------......-......------ ........
0 Description of Soil........... n:' .....,1�. ..... .!!Pfi.a(..-1----s .�.'.J ..`....en c'D . S/)�V l)
r ---...-•--••----------•........................................
V ..--••-••-------------•••......•--•...----•---.......-•--•-•-•.............------•--•-••••-•-•--......
W
VNature of Repairs or Alterations—Answer when applicable................................................................................................
...-----•------------•-•..............................•----•---...........-•-•-------•----------•---••----------•-••-•---.....-•-•-•----........-----•--••-•--•--...............................--••--•.
Agreement:
The undersigned agrees to install the a redescribed Individual Sewage Disposal System in accordance with
the provisions of TALE 5 of the Stat . ary Code—.The undersigned further agrees not to place the system in
ration un a de ificate of Com has been issued bXthe board of health. r
Signed. . M ...................•-.......
----- ........ ��.1 ?...
Date
ApplicationApproved BY----•------•------------•-----•--•-••---- --- -- -----------•----••-•-•--•---•••-•----•----••• ........................................
Date
Application Disapproved for the following reasons:..............•--•--•--........----••-------•-----•----•---•----------.....-•-------••••...-•--•..........---
`..................... � ....�' . .. ._...... Date..._........_
PermitNo.----•_.... - -.. Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........7�(WAI..........OF..........f-� ' �` � .............................
Trrtif iratr of Tomplianrr
THY jS T$CERTIFY That the Individual Sewage Disposal System constructed ( or Repaired ( )
by
• Installer
- .7 •---.._..... -.. /_ .......... ....................
with the
application lbcatlon for DisposalosalcVVorkseConstru Construction Permit ns of TITLE 5 of The State Sanitary Code as ylescribed in the
P T/ /een installed mit No... _ g. •-•-- dated--------._! ..1 cT t .................
PP P
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTIO SA ISFACTORY.
DATE........... C.v...� ....................... Inspector..... G".`...........--•---.......................---•-...........---••..•...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-------------
lftoposal WorksDOUStrnrtiun Permit
Permission is hereby granted.......................................................r5`"..'41.._'
to Construct ( or Repair ( an Individual Sewage Disposal System
at No....4-.OZ.....a.......j�....���� R� ��`1fi�_ �?r���--•--°'�'Il��.. ....................................................
......... .
Street p
as shown on the application for Disposal Works Construction Permit No....'2.�-�-...1..... Dated.... �C� �r�......,..,
l ................ .....L....e!G ..?'` '.: ..........................................
Board of Health
DATE. 111 •.. ......................... ..
FORM 1255 A. M. SULKIN. INC.. BOSTON
5 ..
1.
d
S/TE PL A N SHEET l of 2
SCAL E: % '50
LOT : -4-
1p
45
-- t —L-0
L.oT
TOF El...
35 / 24ZA.,° zY W
-.\ \ \
/
T,'� . 3717 P ,
E'KAST
\�L1���
QESGe v.E,U.2E.a i � .►�,!j i , \.
qct
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VVILIJAM
WARWICIC
No. 19771
�Fss AFCISTE�`:
REGISTERED .LAND SURVEYOR FOR Y✓`/�E l3U/L D//C1G C d
4 o T
.26N E. RF 5 TDrv: . /1i!/L L
PLAN .REF, M.qp 57 JCL.. DATE .SEPT %!o /98G
BENCH MARK DATUM '7j Zm/=Q WM. M. WARW/CK 8 4S5.0C. - INC.
DOMESTIC WATER SOURCE T'awti 8OX 801 - NORTH FALMOUTH'
FLOOD ZONE. A.14 ./-N� Z�4/z0 �, MASS. 02556 (6/7) 563 -.2638
1 1
LEACHING DASIN SECTION NOT TO SCALE shcc 2 f Z
24C.I.MH COVER
EARTH fIL L BRICK AND MORTAR COURSES AS REO D• TO BRING
4 • ,_ _ w _ COVER TO GRADE
INLET +B FLOW LINE _ _ p"-A"TO% WASHED PEASToNE FREE Of IRONS,
P/PE T FINES AND DUST /N PLACE
5,3 OPENING W/TH 4%8" /4 TO I/2 WASHED CRUSHED STONE FREE OF
4� OUTER DIAMETER IRONS, FINES AND DUST /N PLACE
AND /3/4" INSIDE
DIAMETER I. 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.. �-- 3'-- s'0'1 4. NUMBER OF PITS REQUIRED i
MIN. 1 /2
EFFECTIVE DIAMETER -i NOTE: EXCAVATE TO ELEVATION 34.4 OR
(NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL
WATER 7ABLE—I—Ve"4 LOAM AND CLAY BENEATH PIT. REPLACE
EXCAVATED MATERIAL WITH CLEAN
TYP/CAL PROFILE - GRAVEL TO DESIGNED GRADE.
FL.47.C.$3•S /8'STD. LT. WGT. C.I.MH COVER
i i r: 4'C 1.PIPE 4"81 T.FIBER PIPE
TIGHT JOINT OUTLET LEVEL
DWELLING FLOW_LINE _ TO FIRST JOINT -- -�4 .,_•
I 0 00
iv /4 11 0 �O O 1
48• C.I. TEE 475 ¢7•L3 I I 1 000100 1 1 1 1
45.o qt�Bp : STD, PRECAST CONC. ¢7 9D D/ST. BOX TO BE 47,p ' I 1 O 00 00 1
AL.SEPTIC TANK. INSTALLED ON LEVEL I I 1 goo 0 0 0 1 I I
1 11 p00 00 1.1 I
STABLE BASE I I 1100 O 0 1 I
y SEPTIC TANK To BE I 'I 0 0 0 0 0 1 1 I
INSTALLED ON LEVEL, I I 1 100 0 0 1 1 '
STABLE BASE. III 0 0 0' 0 0 0 1 1 1
I1 goo I001111
LEACHING BASIN , 1 1 A Q 0 0 0 0 1 1
BASE TO BE LEVEL 1 I I 0 O O 0 1 1 1 ' '�L.¢3.¢
SOIL AND PERC. DATA
PERC.RATE Z MIN. /IN. O„ TEST PIT NO. I O'� TEST PIT NO. 2
TEST BY: 13,ecic A :4t 1_--4
2, 7'of' � Su,63o,•/
WITNESSED. BY: 7- "'Ek42,7"
TEST PIT GR. EL. sm
DATE: Z z7 8'6
•
DESIGN DATA GENERAL NOTES
BEDROOMS 3 NO HEAVY EQUIPMENT TO RUN OVER SYSTEM.
'DISPOSAL SEPTIC- TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD
EST. TOTAL DAILY EFFL.930GPD. PRECAST REINFORCED CONCRETE UNITS.
SEPTIC TANK _ /000 GAL. ALL .SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE
TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE,
SIDEWALL AREA Z•SGAL./SQ.FT. MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF
BOTTOM AREA /I to GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY 1 , 1977.
LEACHING REQUIRED Zoc SQ.FT.. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
ACTUAL LEACHING AREA OF HEALTH.
249 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.
OF�'s SEWAGE 0/SPOSA L SYS TEM
MA IN yo\�� /3RYs�17� r3GiiLo�.�,�c., Gc3 .
• :� ' '' E. Y n; FOR'.
ca MORAN v"I, O T 2 d4,0 T
,p 11123417�Q
IAL
':��. �a '�o,�c�/st�.���`�` /1'119,2s Ta,vs .mil i�.G s ,�✓/-7.2.c1STp�3L E /YI y .
SCALE AS -INDICATED DATE 9Z/4- lB6
WM. M. _WARWICK 8 ASSOC., INC.
8OX 801 - NORTH FAL MOUTH
` MASS. 02556 - (6171565 -26.38
PROFESSIONAL EN61NEER
: SITE PLAN: SHEET I OF 2
SCAL E:
LOT 4
i2Zo 1.
j r II I / l i 11� \
IP
17 ( I I �
47
-� � 11 ` Mai
92 _fir / / \. �I \ \
\ �f' 17' � \ \\
�_T - _
PRoP 3f3K OwGii � .•� \ �+. \h
d -T,o F El
a Z.y'. �/i
TM # f' SG 9�o Yt- S7�P - 95l r�\1 1��•V/\;j
STO. PP.E�A�T GOn/G• / \ �/ / , Sz-
L.E.pCN. /34.-31
� 1
WILLIAM �Gs
WARWICK H
�,• No. 19"1
FOR �✓'�Y5/O� /3U/L D//(JG C d .
REGISTERED LAND SURVEYOR O 7 .T 2z?
"26NE• le?F /M� �TDN M/LL5 : MCI
PLAN, REF, DATE .SEPT. /!o, /9e6
. .BENCH MARK DATUM WM. M. WARW/CK 8 ASSOC., INC.
DOMESTIC WATER SOURCE -' 7oYv.v w r�� BOX 80/ NOR TH FAL MOUTH
FLOOD ZONE. Aye'c1—A" z/,gR ; ,
MASS. 02556 _ (6/7) 5.6 3 -26 3B
i
LEACHING BASIN SECTION. Nor TO SCALE: Sheep 2 f Z.
24 C./.MH.COVER
EARTH. F/L L BRICK AND MORTAR COURSES AS REO'0• TO BRING
COVER TO GRADE .
4 B FLOW;L/NE 1 •• /
/NL E7 .L_ _ __ .::�__.,: 2= 8TO WASHED PEAS TONE FREE OF IRONS,
PIPE '' T FINES AND OUST /N.PLACE .
OPENING W/TH 4%B !'y V4 .TO I%2 WASHED CRUSHED STONE FREE,OF
j� 4B OUTER DIAMETER IRONS, FINES.AND OUST /N PLA.CE
ANO I314,.INSIDf. ,
D/AMETEK I. CONCRETE TO BE 4000 PSI.' 28 DAYS
��• 2..REINFORCED WITH 6%V NO. 6 GA. W.W.M.'
3. 2�AND 4' SECTIONS ARE AVAILABLE FOR
GREATER DEPTH REQUIREMENTS .
4o' � - 6'o'r I 3'—� 4. NUMBER. OF PITS REQUIRED.
MIN. i /i2.1
—{ NOTE: EXCAVATE TO ELEVATION 31 . OR
EFFECTIVE DIAMETER
�. (NOT TO EXCEED 3 T/MES_EFFECTIVE DEPTHI LOWER AS REQUIRED .TO REMOVE ALL
wArER TABLE—Z'AA11 LOAM AND CLAY BENEATH PIT. REPLACE
EXCAVATED MATERIAL WITH' CLEAN
TYPICAL PROF/LE GRAVEL. TO DESIGNED :GRADE.
FL.¢rC. $3-$ /B"STD. LT. WGT. C,/:M// COVER
4"C.1.PIPE 4` .F/BER PIPE
B/T
TIGHT JOINT OUTLET LEVEL
DWELLING FLOW LINE TO FIRST ✓olNT
ry 14" 75 O.d 1 I O.t�O 0 1
48• C./. TEE 4 ¢T.L3 s 1 10. I0:0 1 1
111100 :00 1 i.'0
45.0 47 Se) bOaIGAL.
TD• PRECAST CONC. ; 47 4c, D/ST. BOX TO BE ,47,.p. ' I 1 0 00 00 I 1,
SEPTIC TANK. INSTALLED ON LEVEL 11 1 1 00 0 0 0 1 I I
:1
STABLE BASE 1 10.0 0 0 1,1 I
5fPT/C TANK. TO•BE I 1 0 0.0 0:0 1
INSTALLED'ON LEVEL, I It 1001 O 0 1 kit '.
STABLE BASE,
� 11100 G01111
LEACHING BASIN 1 1 1 O 0 0 0
BASE TO BE L EVEL ; i 01 S 0 I O 1
,EL.f3.f
SOIL AND PERC. DATA
PERC. RATE Z MIN. /IN.
O��• TEST PIT NO. I 011 TEST PIT.•N0.1
TEST BY /3,ec�c 4r ::��L D
2, TeP � su,6sc.•/
WITNESSED.BY:
TEST PIT GR. EL.2z So.
N�mod. Sand
DATE: � G /Z.
No
DESIGN DATA GENERAL NOTES
BEDROOMS -� NO HEAVY EQUIPMENT TO RUN:OVER SYSTEM.
'DISPOSAL, it/nc n SEPTIC TANK, DIST. BOX AN LEACHING .BASINS TO:BE STANDARD
EST. TOTAL DAILY EFFL.3�GPD. PRECAST REINFORCED CONCRETE UNITS.
SEPTIC TANK 1000. GAL. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE:
;TO. REVISED TITLE 5 OF;THE STATE ENVIRONMENTAL CODE,
SIDEWALL AREA z'SGALJSQ.FT. .MINIMUM.. REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF
BOTTOM AREA �• GAL./SQ.F'T, SANITARY SEWAGE EFFECTIVE ON JULY 11 1977.
c.
-LEACHING REQUIRED-2o SQ:FT. - --,.ANY- CHANGES TO -T-H-IS_PL-AN• MUST-- BE APPROVED BY THE ,BOARD
ACTUAL LEACHING AREA OF HEALTH.
z41, SQ.FT. :'AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFI.LLING, THE
BOARD OF HEALTH SHALL:BE NOTIFIED FOR INSPECTION.
PITCH ALL SEWER LINES V41 / FT. UNLESS INDICATED OTHERWISE.
�NpFAfA
,rsgc , SEWAGE DISPOSAL SYSTEM
o� MARTIN
E. FOR'S
u' /3AYS/1J� /3GIzL0/ti/.G Gay
��
c�a MORAN
2 4171 a, ,m T 2 O4-0 ,dam T ee m.�7 0
.p P3Q
• `�4occGlsrE.�r�.a`�`' _/1'If9i2:STo�c./5 .�'/G.GS �✓R.2�c/✓fTiq/3LLs /�IFi� . .
Oli A4
SCALE AS /ND/GATED -DATE
WM. M. .WARW/CK 8 ASSOC., INC.
8OX.80/ - NORTH FAL MOUTH.
MASS. 02556 - (6171565 -2638
PROFESSIONAL ENGINEER
a
LOCATION SEWAGE PERMIT NO.
UillLAGE
I N S T A LLER'S NAME i ADDRESS
� n T
-P �Q
3UILDER OR OWNER
DATE PERMIT ISSUED 2 � ,_�d
DAT E COMPLIANCE ISSUED
r,
u
No.---- •---•• ^� Fps ..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................O F......................--...--.............-----------------..........................-•---
V Alip iration for Bhipoii l Works Tomitrurthitt Vamit
i hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
Application s er by ( ) p ( ) g
System at:
e .. . ...................••-- ••-----•---•--•----•---..... ...../ en -----------•---`- ---......•...
o t o
�._......-
�!`T l.VtaC /CVC ress
. Jst��`�11r
Installer Address
d Type of Building Size Lots ®U--",-..Sq. feet
Dwelling—No. of ............______......_______..__.Expansion Attic 6/6) Garbage Grinder f�/Q)
'PL4_l Other—T e of Building No. of persons---------------------------- Showers — Cafeteria
Q' Other fixtures _________
W Design Flow.......... a•,/j •.•..gallons per person per day. Total daily flow................ .............gallons.
WSeptic Tank—Liquid capacity/A6Lgallons Length-_--___-__----- Width................ Diameter---------------- Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No---------Z........ Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box .( ) Dosing-tank ( _
~' Percolation Test Results Performed by._Xkk. Y __.h.'ftl •........................... Date-----------
::
Gr G.e
1.4 Test Pit No. 1 A-�YvL.....min es per inch Depth of Test Pit.................... Depth to ground water_.__ ®_._����
f= Test Pit No. 24)tY- --minutes per inch Depth of Test Pit--._---_--_-___•_•- Depth to ground water.....................
.... ---.... ---------------------------------- .-----------------------------------•---•-----•-------
Description of Soil-- ----- �� ' - ,Z�_4�_ !_- ------ -- -c .t----� _.
x
V ...••-•-•-•-•••••••-•--••-••-•••-•.......................•••••••-••••••••----•••--•-•-•••••.....----•-•----••----•-•--•-......-----••--•-•._....._
W --•--------------------------------•-------------•--•-••-•••----•-------•-------•-------•---••-••--•----........---------••------•--••••••--••--•----••------•-•---•-•-------•-•-----•--......--••••----
UNature 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'TILE
p 5 of the State Sanitary Code— The undersigned further agr not to place the system in
operation pntil a Certificate of Compliance h een iss by the bo iealth.
Siged - ...........................
Date
Application Approved By........ ----y rid .••• .. ..••... �' ....
Date
Application Disapproved for the following reasons:------------------------------------------------------------------------------------------------------•---------
..............•-•---•--•--•--........-----•--•--•-•-••-..............•--.......•------••--••-•---•••••-•-I--•••••-••••••-••••.......•-•-•-•-•---•-•-•-••••••••--•••••--•------------.....---•••-•-•••-•--
�t Date
�.�,f�
----•.............................. Issued_..
Date .S�Permit No._-----7 3_-.... � � --- �
No .....--....... FxaP.................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF..........................................................................................
Appliration for Dig wi al Workti Cnoaa,3trurtinn Vamit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
---- ----------------------a-�-»---------•--•---------- --•---------....------.....-,-�---.......-----....._.........----�-r-+-.-........................._------
/S Lotion-A o tV w
Installer Address ^�
Q Type of Building Size Lot��__ 1-1_________________Sq. feet
U
Dwelling—No. of Bedrooms............... ........................Expansion Attic Garbage Grinder fi})
pa-I Other Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
QI Other fixtures --------- ----------------------- --- ----------=.•--- --
-
W Design Flow....... '+ b +l 3-__-_gallons per person per`day. Total daily flow.................17. ..........:..gallons.
WSeptic Tank—Liquid capacity __gallons Length_______________ Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------- --------- Diameter.................... Depth below inlet...._............... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosin�t nk ( f
�_... ._[ Date Percolation Test Results Performed by._ J. . ._ . ____. J" }
,aa Test Pit No. l {l - m�n es per inch Depth of Test Pit.................... Depth to ground water..._?.: ? /2-
(i Test Pit No. 2 _!f1` re a minutes per inch Depth of Test Pit.................... Depth to ground water........................
._-•-•_-••-----------
Description of Soil-- - ` L ......�-... --k -------"--- ` s "
U -------------------------------
_-_--------------
---------------------------
•------
•-•-•-----------------------------------------•---------------------------------------------------•----------
W ----------------------------------------•-•--------------------•-----•----------••••----------------------•------------•-------------------•-•-•••------------------•---------••---------•-------
UNature of Repairs or Alterations—Answer when applicable.-..............................................................................................
,t
- -------•-----------------------------------------------------------------------•-•---•--.....--------------•••-•••-••--•--•-------•----------•---••--•••---•----•--••--•-••----•---
��
Agreement':
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'ITL-
p of the State Sanitary Code— The undersign d further agr not to place the system in
OP
atio until Certificaw.a Compliance h een is by th bo iealth.
c9 yi X j %.
Siged ...... ... ... .•. ---. ......................
Date
Application Approved By-•-•-•-•-.. ...._.r 4.. . -•••••-- -----�_ -- -•- ..............
Date
Application Disapproved for the following reasons----------------••--•----------.-----------•----------•---------------------------------------------...-•••--•-
................--.............................................................................................. ._._...•-••------••--•-•---------•-•••••-•---•-•-------•-----------•--••----•--•------
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O HEALTH
.........Y �rr�ili OF.......... ................................................
ratr of Toutp ana
THI IS T ;CE IFY, Tha t Individual Sewage Disposal System constructed (r Repaired ( )
byt =A' ............ -•---------------•--•-
has been installed in accord with the provisions of TITe'�
j of The tate Sanitary Code as described in the
application for Disposal Works Construction Permit No.__-' -----------------------•. da.ted....._._._....._...._______.__.._.__________...
THE.,ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
d........
....--•-•.................... Inspector...---�--1-=-
., DATE.............. ................................................................ -----------------------•----------------•---.......__...-----
I •r,�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD HEALTH
I -
......................... FEE._ .............
Rapos al rk #ra�r ' rrmi
Permission is h re by granted----`-------6, � ..._. ....... :'_••-- J. '...
to Cons t (at No or air ) an dividu,l Sew e isposal ys
441�
site�t
'A ..401 X
as shown on the application for isposalV4 orls Construction. No ---_.__ Dated..............
r
�J
r.. ............................................
.' �� ♦1B rff of Health
DATE-----. ...........................................
' FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
�_,f��� tr oMtt_� - 3 �t=vrzroo�vc •
r�,d►_� 1`t�+uc! z 1 i b +� $ 33b G.PV. , t
�►SP�Al. PIT USE t Coo GAt_., ,� � �,
' MEA / t
SF 'c 2.S = :t7 1S G.P.D. � ; LIST 1 O
SD fs�. x t .o - SO G•PD.
TOTAL �ES1G►J \npki �_ \
TbTo t_ D/s►t_� 33D f Fc.Dw = Peo�sca, 2 1
�PD.
PMOC- >L TlOLJ CZI&TE JAAj J' 02 LLB. ZG, 4�< tii i
,o 01 1
1-
IL
" Lopui - ��poe
+ 4'�P� jT, IW. GA.L. 4G�
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loon tNV, tW.
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Cc-)evlPLVG V/ITN TWG: LOT �..
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t $v CL} o `
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REGlS CC.PZ`D tit-ttJ 5U2vi=Yoe.S
T1-115 C7I_A►-1 I'S VOT LA�,CO V�-� A�•J oSTE�VtL1 G o /MASS,
1WSf QL)AA C-k.1 i
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