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HomeMy WebLinkAbout0032 SADDLER LANE - Health (2) 32-SADDLER LANE MARSTONS MILLS A = 151 - 043 k f �i f %A; oZ SAbl L-IEZ- w u- Zj o � A 8 C f �Do .166 `CZ' it's' No... !?... `.. Fus... 5............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T©..w_"6........OF.... ArZ A"-S Ty9-rt3 LE .----------- •------------------------------•---- Applirutiun for Diupuual lovas Tunitrnrtiun ramit Application is hereby made for a Permit to Construct (Vror Repair ( ) an Individual Sewage Disposal ystem at T Z /CIS .SADI�L.�IZ t•9�v,Es-.....C.SFIV7 r2✓1 L�E: �Y� S • _- ------ ---- - -------------•--•-------..............---•---•------... _....... Location-Address iA- or Lot No. `f L E1.8 EG - s o c,c o v✓s JZE.q c�-Y .....131 -o c.a ........................ 2 N !✓.is.�.M.�g� 1.(/� __._...--• ---------------------•------- Owner Address W -••••-• !G Y---•- v-- s--f......................... .......v T 1Z c..�-.-.....�.. ....._.....-------- Installer Address pg� d Type of Building Size Lot._G L�*_Oz�_Sq. feet S, E U Dwelling—No. of Bedrooms.........4................. .....Expansion Attic (.rj- Garbage Grinder Other—Type T e of Building _.._._.. No. of persons............................ Showers — W YP g ---� A'''-'ems-• p g (�--� Cafeteria (ter dOther fixtures . W Design Flow_____________________vr ...____.gallons per person per dad. Total dail flow___.__.___'¢'`_ -----......__.._._gallons. WSeptic Tank—Liquid capacityIXPPgallons QLengthM_'_(�. Width.o-��. Diameter________________ Depth 7...8 x Disposal Trench—No........I........... Width...-1.............. Total Length..._ _..._.... Total leaching area..•--•---------.sq. ft. Seepage Pit No---_-_--_--------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( Vr I Dosing tank -t—T '_' Percolation Test Result Z Performed by....D Cw�...CAP ._.____. e�7 8 a Date .... ---•_.. Test Pit No. 1....�..2.minutes per inch Depth of Test Pit...l3 Z,f�__ Depth.to ground water.]�2_ 'f'._.. GL, Test Pit No. 2................minutes per inch Depth of Test Pit_.I.4'_.g'__._.. Depth to ground water..` _O t..... a0 .................................... ------------------•_.. �........:. Description of Soil.........-�-�--l.4L.wn...................!..5! ''!..____--5.... x -----------------------------------------------•-•--..... V ------------------------------------------- ............. .-------- ---...... --•------------------------------------------------------- --------------------------------------------W U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -----------------------------------•-----------•-----------------------....._..•••••-•••---........-•-•--•---•----------------------•-•••-•••••--------•-•-•-••--•--•••---••----•-•-•---------•••-•--•- Agreement: The undersigned agrees to install the aforedescribed Indiv' ual Sewage Disposal System in accordance with the provisions of'LI'L!Lj 5 of the State Sanitary C e— The d s' ned further agrees not to place the syste in operur 1 Certificate of Compliance has be ed - e d of health. �-lication' Signed• . . ••• •--•--••---•----...--•--•-----•-----•---•-........... t''` •�--�- Do�tjjApproved By....... - ------------------------------- --------------- --•---- (-- :�F-� Date Application Disapproved for the following e°sons:... .... -------------- •----•---...••---•-•.....----•------••••--.....--•-•••------••-•--------••-•-••.._..._...•••--------•......•----••-•---•---••--•--•------•••••-•••-•-•••-----••---•••-••...•-•--••-•••- 1-7 1s � ,/'� Date PermitNo........ •••-•-..................... .............. Issued....................................................... NO. ............... FEB............................. THE COMMONWEALTH OF MASSACHUSETTS f BOARD OF HEALTH --------------- Appliration for Disposal Works Tonotrnrtion Frrntit Application is hereby made for a Permit to Construct (✓)^or Repair ( ) an Individual Sewage Disposal System at .....f.:..... ..: —(..`; `��.. .........................................r .......`...................................._ :.............=•---................. Location-Address o Lot No. ' . _ r .. ......./................................... ......... -.....--..................-._.. .................................. ........ ......:.................. ...._ Owner Address a . ........................... .................................'.........._..................._ ......................................... ....._._'............................................ Installer Address Type of Building Size Lot..L ..............:...:....Sq. feet _. Dwelling—No. of Bedrooms............ ...............................Expansion Attic ( ) Garbage Grinder Other—Type T e of Building 1 ..... No. of persons............. ............. Showers a. YP g --------=--------------- P Cafeteria (---) Otherfixtures ..............• -----................................................................. W Design Flow......................�...-:--......--..gallons per person per day. Total daily flow--_-------`L.............................gallons. fy Septic Tank—Liquid capacityL_. .__.gallons Lengthr!_......!... Width.--`?---- Diameter................ Depth.-7�_.......... Disposal Trench—No........!............ Width._.!. _ ........ Total Length...JC)......... Total leaching area_.-5--_�O•`t...I sq. ft. 3 Seepage Pit No-_------------------ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( v)' Dosing tank•(")* _ ` '~ Percolation Test Results Performed by.._.tr:.'.r�__ ..._�-_.._� _ .•...................... Date...... f..:_! a ...... Test Pit No. 1............-._minutes per inch Depth of Test Pit.-t:............. Depth to ground water.!_=_:_-:.......''_-__. f=, Test Pit No. 2................minutes per inch Depth of Test Pit__f-.`'t:...i____--- Depth to ground water.!__`_=•_:I-.-_:'"..... P4 -•-•---••-••---••-......--•--..•-•-- ---••-••••-------•.....•----•....--•-•••.............•-••-...••--........... O Description of Soil...._...�-_--__ 1 ) W' W' •---•------------------------------------------•--------------------------------------•------------ ---•-------------------------------------------•------------•-••--•--------•••......-----••.....--- U 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in ope n u Certificate of Compliance has been issued by the board of health. Signed_ ......._. �pplic' Approved BY ....................-•----•--•-••---•-.....-••-----•••------•-----•-•-•------••......----- ...................^- O_ Date Application Disapproved`for the f ollowin reasons--------------------------------•-----------------------•-----------------------•-------••-•.....--•-••......-- --•-------------------------------------` .... - -----•-•-----•----•-----._......----...--------- -------------••-----•-•----•----------••--•-••-----•---•----•---••----•--- ---------••--- Date PermitNo......8�............ I... ` .----._.... Issued....................................................... Date 3 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................r] J✓ +/ .............................................................. Tnrtif irate of Tontpliattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed 1' or Repaired byr t..'..--•----------= === .......i ; g P �' ( ) P ( ) ...............•-•--- -•--•--•---•-•••-....._..------•.....---.-•-- ••.. ". u �1 Installer r (^i✓%L=i� ✓! ( t_ ' �.y has been installed in accordance with the provisions of T11,LE 5 o T}}���State Sanitary Cgqde as d s��jjribe /the application for Disposal Works Construction Permit No--- __�__�. .v__...._. dated___.._-(_ ._.� -1.._- .. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................ _�1 '..$__l�............................. Inspector................ -- s= ................................................ I L TEE COMMONWEALTH OF MASSACHUSETT?S� z t v BOARD OF HEALTH " P ............�.�-.`............f..OF.... :.................... t� No. _. FEE..-- ........... Disposal Works Tono#rnr#ion ernti� Permission is hereby granted...... c fC' " ........................ ---•---••---•--•---•--•-•---•---•----•••---•---••_..--•-•......•-•--....-•-••-•.............. to Construct or-.Repair ( )_an Individual Sewage Disposal System at ........- - --- --- Street /, D / /\ _ / 1� as shown onitthe application for Disposal Works Construc Permit o0--�_. ._.�_.._ Dated..!___1.1.____._...1__..._.O................. c-- ---•----- -------- Board'� -C ( v �l e� (j Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON TOWN OF BARNSTABLE LOCATION a5 Lda SEWAGE # TILLAGE ' ASSESSOR'S MAP & LOT - L o INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY \6Q Q C,,gj Air, f 5Ji — 043 OEACHING FACILITY:(type) � � S (sizee)�(`� clftl NO.-, F BEDROOMS ;J PRIVATE WELL OR UP BLIC WA BUILDER OR OWNER C_L�v-e, DATE PERMIT ISSUED: /Q -,a/- DATE COMPLIANCE ISSUED:__- J S VARIANCE GRANTED: Yes No i LA v / a �a BENCH MARK : Top to-c- H, 4 L. mac. 9 TEST HOLE RESULTS . P c,Q � DATE • 7- WITNESSED BY � NAo�tCY c_�"/ f"/1�' T� � . �• � . p� , , _.. . /\4 M 1D cant y A1 D v � C♦ �, � , '. . 1z j r Y © TEST_ HOLEL�/LG �© TEST HOLE 2 l�'L IG � �uz�svrt. s�ti� y i Q O Cto 1. 2 7- Q. L aT 97 /s { 1VOGROUND WATER t1/oGROUND WATER ENCOUNTERED ENCOUNTERED � E BUILT TO 2 O OF /� MANHOLES AND COVER TO 8 :. ..fi ./� ,r ..` -�� • . E L E V TOP WITHIN 12 OF FINISHED GRADE 4 f �.-._. _. ._... . ..♦ F 0 N D T I 0 N o 2 /o $ FINISHED GRADE "M MIN, SLOPE 3 t, --- -- :� _ 4 DIA .. _ -4 D I A. FI 2 MI ,,__ PEASTONE r �.,. �. : _. PIPE R S nn MIN: 2 LAYER OF ; -1 MIN: 1 C 2 LEVEP 2 � t ,♦�%rN. P T H F T. r MIN. PITCH r n� . t _ 4 F T. 1 ova / . 4 / N V T sc.t4P T r_ ! ."., 1 INNER _ cn `INVERT .. - GALL � � _ 11 r 2 r� ...- TIIC TA K t r1 3 c� F _. ; . T �F TON . . : INNER 3 © A NE© S , _ . .. _ e ox w s _ FOOTING TO PLACED VERT - Fw. , FOOTI .. iN � � _ ,`.. .. V RT . � r - IN E � , ALL AROUND C� / � MINIMUM OF_ I8 OF rr m t� , -ON A M M _ PLA`GE O to s fC, ® . .. � .� > S E _. � V. ' � G 'COMPACTED F RM1 BAT M AT EL iS .cO - r^ f VIRGIN 0R I �4_s .e ,, eoT o 9 j S?} .. M1N. , 1 . . 3 L . . .. O GARBAGE 2 MIN. - , t ... .�r N DER o _ , . � a G R 1 s _ _ /� w _ l `. _. , T'2etvc,N o. n E s; t Z d lR1" P c� . ..."---. t , ELEV. 15.5" - . �• .. _ A. PERFORATED F 0 R A T E Q r :,c��~' ,a-��.� DR7�hi�! -GROUND WATER TABLE A . 1 _ - ,t . _ ROFILE OF P CO m J .T� M ` , . SANITARY DI SPOSAL SYS yy T Y - .. s ( NOT T0 : SCALE � ATA , DESIGN D BEDROOMS • CONSTRUCTION OF SANITARY DISPOSAL --`-�••--- , © , HE MASS. 2. SYSTEM SHALL CONFORM TO T W �� GAL. DAY DESIGN FLO 011K 3.3H AL CODE TI T LE St c� f ENVIRONMENT I CH LEACH RATE M N iN � {� o . , _ EV , E"D T_ I 77} AND THE TOWN .. �,. � �r �,- � � � � G C A PAC I T Y . 6,5 G1, REQUIRED L.EACH`IN G9 n♦ l REGULATIONS S , A D E PA M ENT T R E G U L T w �., � -HEALTH RT 2 � s /� 2 ��t7 - Ss i♦ ♦ ♦ 60 . ..�` 9 A Day ao7.1�E- �-,�Y�.<. �- • SEPTIC ..TANK D1STR18UT10N 80X AND LEACH— PROPOSED G / a `� N, IT 0 BE OF. REINFORCED CONCRETE , C 3 f N CONCRETE STRENGTH , 300OPS,I. 12�SO GAL} ��i � / MI O REQUIRED SEPTIC TANK ! MIN. STEEL STRENGTH 20 000 'PS. I .5L cif-� . �✓ , > , MIN. DESIGN LOADING : P OPOSED SEPTIC TANK: GAL'. i _ R a T' .5 _ l , o • DRIVEWAYS NOT TO BE LOCATED OVER SYSTEM .� UNLESS H2O DESIGN ' LOADING IS . USED , 0 f ' _ oY G 0 ' B WATE IG _ � z. � • ALL PIPES AND FITTINGS S T E RT H 7 DATE AND , TO 8E OF `CAST IRON OR APPROVED P.V.C. : HEALTH - AGENT APPROVAL r . vF"C7 -7 w � � _ G3. > 2. 8 S I T � . PLAN S 01HING PROPOSED CONSTRUCTION 3 /'G 4�3 -- a BA N STA B LE MASS . ZONING DATA LEGEND � LOCATION . WEST R _ — 50LL� 1�VS DE i. CORP. 10 7184 FOR LESEL DATE Z O N E oP�N S A •" Tt�"' E 2S� TEST HOLE LOCATION REFER 'E N C E �. OT :2 5*. AS SHOWN ON REVlSiONS . 1 ,3 a , 17.f>' Lo /d890 EXISTING SPOT ELEVATION o� - 420 PAf E REQUIRED AREA ._.. ,,,�43,5 � 1N ,PL,A � BOOK a / CRAl6 REQUIRED FRONTAGE / '�O J7.S EXISTING CONTQUR 16 0 .5/-� ca , SHORT ' •� �r o 3o 7, PROPOSED CONTOUR . ,, 16 REQUIRED FRONT SETBACK ..� _., SCALE ! • 7.s PROPOSED WATER SERVICE W a REQUIRED SIDE SETBACK • t E /S 7,S PROPOSED GAS ` -SERVICE G REQUIRED , REAR SETBACK : C - e PROPOSED. ELEC. a TELE E T - Rlll . � SHGRT , E CRAIG P. . ENGINEER PROFESSIONAL _ C1ViL N41N 31 -OLD ROUTE 132 HYANN IS MA. 02601 FILE NO. 1 6 0 APPROVAL DATE o 8Ut LD i NG INSPECTOR • TELE. {617 ) 362' 941I } SHEET OFS. I,