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HomeMy WebLinkAbout0018 PREAKNESS WAY - Health a � � �n� � p - � Q r s�v�,S �'77 i � �, -�-- o e 4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Application is hereby made for a Permit to.'Con�t'ruct (1�-<or Repair an Individual Sewage Disposal System at: Instal ler Address Type of Building Size Lot.... feet Other—Type of Building --- No. of persons........ ................ Showers -t­y-- Cafeteria Other Distribution box Dosin5tank //Z/ Percolation Test Results The tinder agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a C tificate of Compliance has been issued by the board of ealth. Applicati Application Disapproved for the following reasons:................................................................................................................ ___ | � � ^" ----� ------------'�'���----'---'------....... Permit 17:7; No....G�.. :.1 �4 FimB................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 777 ApplirFation for lliopoii al Works Tonstrurtion Prrutit 1.11 Application is hereby made for a Permit to Construct (Jr,,)or Repair ( ) an Individual Sewage Disposal system at: , . .. .._ ..:-•�..... `.....✓ .... .:�............................................. es w..�... s V ,t�'1, 1 •_.... ..-----_. ............................. . Location-Address h or Lot No �+ s' � .? Gam_ P-, V( j , e. �_:. �I rf / 1 _: 1 ........ .................. ................................ / Owner ,r Address Wf •� c" '°"T S2 �✓ ---------------- '--......_••................•-"-.......... --'-.......__.....-•-'•-........__._____.__..•. -...-•'-'--•-....-•--- Installer Address •� n ��. Q Type of Building _, Size Lot... _ ..._."Sq. feet Dwelling—No. of Bedrooms............ -...........................Expansion Attic (- ) Garbage Grinder "") Other—Type of Building J No. of persons......f.--�__._.............. Showers — Cafeteria 04 Other fixtures ..................................................................................................................................................... Design Flow________________: � ..............gallons per person per day. Total daily flow........... _ Mons. WSeptic Tank—Liquid capacity:('.! __gallons Length> "..�_� -_- Width_.-F+:......... Diameter________________ Depth__-r_-_ . ._.d x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------- ..._.____._Diameter-___.L4_'____.._ Depth below inlet..... �_..-_.---_ Total leaching area_.. _2....sq. ft. Z Other Distribution box ( ") Dosing tank (— ' aPercolation Test Result` Performed by-----------. __.--.•-_----_-----r-------.--1------d--------------- Date.....-.7--------r--_--- ---------. a Test Pit No. I.•____-__:.:___minutes per inch Depth of Test Pit___�__^•r___.._.___ Depth to ground water_.. ...... (s, Test Pit No. 2.... ........minutes per inch Depth of Test Pit....>.:r:'._._______. Depth to ground water........................ 19 _ ' DDescription of Soil........... ` � -..../"..-....I, ....---- `=.--"==%`----•-".....................................................�e2 x .._...•••••--•-•--'•--••....-••-•••-•••-'--'-•••-•....••-•••-•••-•--•--•••••'•'•-••-••""'-_...•••••-'-'------•-•-•-••••'•-•----••--•-••••-•---•• •-'-'-'•'••-••-••'..... w UNature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------------------- ........................................................................................................................................................................................................ Agreement: - The under agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions&2TTIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a C tificate of Compliance has been issued by the board of health. Si nef 1......--.....1........................................ — ..� y ;r APP licati A oved BY ............•-••-•--•................ ................................................. v_ .--1... PP Date Application Disapproved for the following reasons------------------------•-•----------------------------------•-------------•-------•-•'•-•--•-_..__._..__......•. --...._....-•'--------------'••••-•-•-••--••-•-•....•--•-..__.....•••-•'-'-•"•••--"'-'-'-•-••••"--••'--••-•••'-'••••...•••-••-•••--•. ............................... ............................... Permit No.......... _ .. ...` ..��L_1. Issued ----_....I. _ate . ------- --•---- D THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............................`...........OF......:s' ..............z..: .................'.....:% ........!:::............ Trrfifiratr of Toutpfianrr THIS IS TO CERTIFY,,.That the Individual Sewage Disposal System constructed (``°'}"or Repaired ( ) by ..... .....--•---------•-••--------•------•.............'-'-----•------......_....---•--•••----•. ....----•-•-•- y Installer J •^"•_ �% _'`•./' .p• JK" Jk".. ,J '.1Z./ -^'`-- �.. j d.✓.r� �A� 1 ,r / at -----------------------------------•---`----------------.._...-•••-•-'-'•••- • .... .s--;--... -� ...... has been installed in accordance with the provisions of T� f TI;p-State Sanitary C9,k a „described in the application for Disposal Works Construction Permit No.................... da.ted___..__ __�-�>-----.1................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................eX.-J1:..N J...----...---••-•-------•--•------... Inspector............. k� Z -------------.----------------_-.-_-_----------•---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �j .+� 1Z / ........:'... .. ....:.' �......OF.......... s c� �1� �... ... ........... ............................................. No.................. FEE........................ Disposal Worko Tonotration rrutit Permission is hereby granted. /_-` f `�1� --` '----.--.-------•-----r?_ . ' ................ to Construct ( '�)' or_Reair ( � ) an Individual Sewage Disposal System' f at No r'� !j am d e_€" .y .5. 3 i/W !A � ..J<s P "' f'��.// .�a �.7 -.>Z.,1r�' :1?�/S `_... ------------•...f-='-=•....-•-•'•"•-=........ -••• -- -------............................................... •"� Street ��-7��=-�•l as shown on the application for Disposal Works Construction Permit No...____._I__..._.J_ Dated---------W-? .e- .......... '• -•--...--•--•--'-'--- - .---- ----------------•------- Board of Health DATE........... S{ ."7.._...... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS , OV►( QF BARNSTABLE LOCATION SEWAGE # VILLAGE CLC� \�„�,,\Q �l(� ASSESSOR'S MAP 6z LOT i -01 =® elCl 'INSTALLER'S NAME & PHONE NO. 'SEPTIC TANK CAPACITY IS00 �bEACHING FACILITY:(type) (size) 10 0 0 p �i0. OF BEDROOMS PRIVATE WELL OR UBLIC WA BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No (/ � r f L+o coo, copse \ BENCH MARK TEST HOLE RESULTS P4*627 DATE : - c �� W I T N E S S E D B Y ©n•o .w'� c is C r4 �/ Z , ©, H- ' -I cl TEST HOLE2'9r�'s o TEST HOLE zIl3E'L 103, 7- s' "� 5 vra s v/� Qo � 24 ,EL IoG,•S•" 2.q' s. LTy 48 9% o - d'� Q' ,zo o ) 44,. sToN� 2 / \ �� � �•s CIO /0$ �ri �• Q , ,�j O� ® 4✓GROUND WATER /�� GROUND WATER �d o �� �,,,,�< +r, O y ENCOUNTERED ENCOUNTERED `' \ MANHOLES AND COVER TO BE BUILT TO V :� Z ELEV. TOP OF " WITHIN 12 OF FINISHED GRADE ; FOUNDATION FINISHED GRADE MIN. 2%. SLOPE N ` \ �•s.,�, n /�o 4 D I A. --- M��y -- 4 D I A. PIPE FIRS 2 M 1 u MIN.PITCH FT. LEVE T� MIN. 2 LAYER OF • • I ..-.I �� PEASTONE MIN• PITCH ir�iv�,rK I ;•�• /8 �2 C� k• o G,O ,�t I Nwv. 0.5' 2 v3.6 /q/FT. IN'VE T s �w� INVERT ••'d (a •. . 1 3 2g, INVERT .: �oS,So GALLON oVoo DIST, :'0 aA m'* :Y Y2 i FOOTING TO BE PLACED ;! INVERT = E • TLC _TANK INVERT 80X INVERT - `!� G� W MA WASHED STONE ON A MINIMUM OF 18 OF �1 ALL AROUND l c PLACE' ON , '• � a 14 m JZ.�s�-�tv VIRGIN OR COMPACTED :> /2 FIRM BASE �—/a ---•- �--12 a �:' BOTTOM AT ELEV. 9¢.0 1-ILW19 c SAND 10 M I N.) f cnf ^ 107-1 Qpec, • . '. •••• . � GARBAGE ( 2 0' MfI N.) 3'�".G' 3' * • �►: - = GRINDER 4" D E R F O R D ,.. _I _ a M � T3oT: vF' T, NQL ELEV. . qv• O G �o % '• - �,' ,DRAIN ITH 3/4 PR0F1• LE OF __ ROUND WATER TABLE )3t4oA1 TO I V2 A. TONE �g" Cow DI T FLOW _ SANITA.RY DISPOSAL SYSTEM F'olT w � ( NOT TO SCALE ) - DESIGN DATA • . CONSTRUCTION OF SANITARY DISPOSAL 3 BEDROOMS -� SYSTEM ' SHALL CONFORM TO THE MASS. DESIGN FLOW Sao GAL./DAY ENVIRONMENTAL CODE TITLE SC LEACH RATE 'S MIN./INCH i (REVISED , 7- 1-7T) AND THE TOWN �\ HEALTH DEPARTMENT REGULATIONS REQUIRED LEACHING ...CAPACITY : 3— • SEPTIC TANK] DISTRIBUTION BOX AND ' L:EACH PROP SED �' 678 GAL//DAY, ING , : UNIT TO BE OF REINFORCED , CONCRETE : . 'p, 5 6,o?Y/2) ,/, -'-w� O MIN. CONCRETE STRENGTH 3000P. 3.1. REQUIRED SEPTIC TANK : /000 GAL. MIN. STEEL STRENGTH • 209000 P. S. I. MIN. DESIGN LOAD I N G'I : H�-/0, PROPOSED SEPTIC TANK: ,,, eOOGAL. • DRIVEWAYS NOT TO BE LOICATED OVER SYSTEM UNLESS H2O DESIGN LOADING IS. USED • ALL PIPES AND FITTINGS TO BE WATERTIGHT AND TO BE OF CAST IRON OR APPROVED P.V.C. HEALTH AGENT APPROVAL DATE SITE PLAN SHOWING PROPOSED CONSTRUCTION ZONING DATA LEGEND LOCATIOIN � BARNSTABL. E,[!'Y?At25a''oN5 MI�t.S� FOR : LE IB EL— S 0 LLOWS D EV., ' CO R P. DATE : 9 ♦0 e ZONE : OPsN_SPAc�r_iN TZI; ZONE' 2S�b TEST HOLE LOCATION ` REFEREIW CE` � LOT 7� AS SHOWN ON REVISIONS : y REQUIRED AREA _ �43jSGo� ♦0,890"' EXISTING SPOT ELEVATION 17.6 ��a�zHo� �'q� , * 0 _PLAN BOOK 4 PAGE 9 9 4� REQUIRED FRONTAGE _ /SO) 37.S' EXISTING CONTOUR — — 16 S T ys %�.�G� _ ;ey, REQUIRED FRONT SETBACK: -C3o) ©' PROPOSED CONTOUR 16 1 �'� 748 CALE ' REQUIRED SIDE SETBACK : (IS) /0 k- PROPOSED WATER SERVICE —W-- \FFss�'sTER�°����`� f /ONAL E� REQUIRED REAR SETBACK : lie) � /5 PROPOSED GAS SERVICE '--G—'— - e'er- P/a.�-•.n I3 © t ,rv� ar- Y'ca te. 9,/Z/�87 PROPOSED ELEC. a TELE —E a T— CRAIG R S u 1 1OR P E . PROFESSIONAL C IV I L EN G I N E E R BUILDING INSPECTOR APPROVAL DATE 131 OLD ROUTE 132 •, HYANN IS , MA. 02601 FILE NO. /- GO/ TELE. (617 ) 362 . 9411 ) SHEET / OF /