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HomeMy WebLinkAbout0033 TREELINE DRIVE - Health ,p , ���-� ��� ���lx�a 7 ASSES u MAMPta � r No..... � L PARCEL* ``"""'FEB./ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 1®4... ....................O F...arrl..s. .4.4.....--------------------.....---.._.................... was1°�AppftrFatton for Uhgpoii al Works Tonstrnrtion Permit Application is hereby made for a Permit to Construct (X—) or Repair ( ) an Individual Sewage Disposal System at: ,, ....l.rA.Xk w6n- rrux.......:..: -&?g�z -•---------------.....------....--•-------...........------ Location-Address or Lot No. ._ ...... ,5h.Wh--W................•..............---•------•-......... t4?. e fin s. �.._?� �r}}. r..eizzav�f �2�x..�............ �� fo Owner �( Adflress W Installer Address dType of Building Size Lot..__.�v�f..�1_, ....Sq. feet U Dwelling—No. of Bedrooms___...E'. ,Lte.........................Expansion Attic 0) Garbage Grinder (A� aOther—Type of Building _____________•_.-_-_____-__- No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -------------------------------• - ------------------------- ....__... Design Flow..................................�-�._.gallons per person per day. Total daily flow............................4'�.....gallons. 1:4 Septic Tank—Liquid capacity)-5,=C. i.gallons Length_10-:7...._``. Width._IFL.?... Diameter------------ Depth. Z y.- W x Disposal Trench—No. .................... Width-.................. Total Length............_....... Total leaching area............_.-•----sq. ft. Seepage Pit No------- �_._.. Diameter-----4�1.......... Depth below inlet......&.......... Total leaching area..534....sq. ft. Z Other Distribution box (k ) Dosing tank ( ) '~ Percolation -Test Results Performed by---5kcpV.wA---a..Wil& f............................... Date.7..Apnd...O_`t ,aa Test Pit No. 1...:fL{z......minutes per inch Depth of Test Pit.....a.......... Depth to ground water..... _........ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__ h . Pa' _ ;3.1I1� p o - Descr>ption of Soil ..-! Sub ��o1�_....l.:-aS.y.!�._r �d�t-.� east _. ft �-'- �'�� c Wice�fvr�1._' -. �....�Al YN....... rT V Nature of Repairs or Alterations—Answer when applicable................................................. .. o-c f 1G1l/ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in 4113A 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 he lth. �' ..------. r 9 Signed ................ ,.................. ...... /' Date Application Approved By .. ..... ........... ./�i�/ n' - --------- ------------------------------------------- �'.... Date Application Disapproved or the following reasons: ........................ _...._--.__-_..__.....----.-.--...._..___......--- PP PP f f g ........... ---- ------------------------------------------------- --- - -------------- . --.--. ...................... Date Permit No. �'' �L/ Issued �` ��'� ...... Date r No.. ' FEx./ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 54V-1. .................OF...e?!s hh.5.4......................................................... ApplirFa#iou for UhipooFal Vorkg Tomitrurtinrt ramit Application is hereby made for a Permit to Construct (.41—) or Repair ( ) an Individual Sewage Disposal System at: .......................................................... ....1' ------•----•-•----------•---..........-----•--........------.............---- Location-Address or Lot No. rkgA.....!; ..J-:4!I:/-r m................................................... �.��c�rrl,h?�!af...2>,—Itic...,X�di.Ct2Q!! 7�?P.C.E......-•---- Ai Owner �! Alress ! Installer Address d Type of Building Size Lot-----4,lt..,r J.;....Sq. feet U Dwelling—No. of Bedrooms......A—Fbtu..........................Expansion Attic (4/4) Garbage Grinder ( Pk Other—T e of Building No. of persons............................ Showers Pk YP g ---------------------------• P ( )--- Cafeteria ( ) dOther fixtures -------------------------------•----------------•-•---.•-•--------•-------------------------------••••-••......---_.. ...--•-•-. W Design Flow..................................:> ..gallons per person per day. Total daily flow..........._............... 4n6.....gallons. W Septic Tank—Liquid capacity.l.5.r.4L.gallons Length_10..-G..:: Width__`^.... .. Diameter.___.- Depth.;714 ��.. x Disposal Trench—No. .................... Width--i................. Total Length............ Total leaching area....................sq. ft. Seepage Pit No._.__ a____- Diameter.....1.a_.......... Depth below inlet......to.......... Total leaching area..573+...sq. ft. Z Other Distribution box (X) Dosing tank ( ) aPercolation Test Results Performed by...$A,;p1:W,.h...(1..�lA,� ..7............................... Date_?..Apr_iA.._1.714-:... Test Pit No. 1....Am._._minutes per inch Depth of Test Pit.....)3.......... Depth to ground water--___:_--__—..----. IT4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 y � •-l-.-.-,•�--.1•-.--5--u--�-?--,-l--c-�-�----^•f---••-�--•--•-••••-,J--....---`--•••r-v••!...1..-.....c..t.4...�...S..�. l �....... t yODesccriptiion of Soil.....Q.- . 5 "lar ��y U CCIfGf!!!e!t."._I%!! _._.S�Yt�i� LC�!-..�1H- -----------------•------------------------••-----------•-----••---•---•-----............. �a............ _ W srEPHEN ----------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------- c U Nature of Repairs or Alterations—Answer when applicable............... � "° ---- A��YN 3 0 ^� Agreement: y The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in ccgrda>Zre� �9 z 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 ��.'�'"r'�' �''�'" .............. ...00 - ...... .-.�.Y� .R, Date Application Disapproved for the following reasons- -----------------------------....------ -- ---- ------------------------ -------------- -- -------........................ ............................... ........................................ ................................. ................................................... -- .............................................................Permit No. s, �.e --.---Date i ... Issued ----- � Date THE COMMONWEALTH OF MASSACHUSETTS BOARD DOO�F1 HEALTH ,G'1 Gu...A/............. OF .' ✓/'/',�./�.!�... ' �/" Q-11,,e>r#ifira e of C�umpliana, THIS IS 0 CERTjf Y, That the Individual Sewage Disposal System constructed ( or Repaired ------ p: .....•�..../,rw�/.. Ltd,,1.................................... _ ) • at -.-.--. .....1 =- ....'".?!.f��-�f/ ... •�?'11� ........................................r z. l ~ ......... has been installed in accordance with the provisions of TITLE The State Environmental Code as described in the application for Disposal Works Construction Permit NO. .��E �C�ONSTRUED ....f.. -.. --.-.--.-.. dated ....yam:.- -`�-: THE ISSUANCE OF THIS CERTIFICATE SHALL NOT AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................ ; ..C1 ..... .- ............................ Inspector ......... y �............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..l .................0 F--- !....... ...................... .. No.. _. 7 // R.0posal orkiignat ritr#i�at rrntit Permission is hereby granted------°-----r,F�v, 4------. �:.Rf7..--��-�L--�--�----- �`ea"'e........................................... to Construct ( or Repair ( ) an Individual ual Sewn Disposal System Street �7 s as shown on the application for Disposal Works Construction Permit No.,l-.l-.=_/;'. ated,.._ t- -:� ; �'fr �/ Board of Health DATE. s ' '� -` ------------------- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS TOWN OF BARNSTABLE .,3 7 V0 4<",, LOCATION < <4 T126 a Np LvtvF- SEWAGE # VILLAGE , M . �Lt �' ASSESSOR'S MAP & LOT W( INSTALLER'S NAME & PHONE NO.T"eo Cam. ,r, -L)R- 27no SEPTIC TANK CAPACITY �r� GALLg�i LEACHING FACILITY:(type)pQc-_•c�T ]pi i (size) NO. OF,BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: . DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No P ra P 4 3P 4q _ ry (2) tcxL-) I I i 20' MINIMUM OR AS INDICATED ON PLAN , NOTES. 10' MIN . L CONFORM + 1. ALL WORKMANSHIP AND MATERIALS SH ALL TO D.E.Q.E. 4.r„ to MASONRY EXTENSION To 12 � TITLE` 5_, THE.: TOWN.... OF _�_���_-- _ RULES AND OW RARE BELOW G 55.p WI BACKFlLt TH W ,.TOP OF FOUNDATION REGULATIONS FOR THE SUBSURFACE 'DISPOSAL"OF 'SE AGE, 8 MIN:' fii,O • .� CLEAN SAND 1 > MASONRY EXTENSION TO 12 7, AND THE REQUIREMENTS OF THIS PLAN. BELOW GRADE 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO , Z WITHIN , 1 OF FINISHED GRADE. � 2 4 SCH. 40 PVC PIPE = 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE , MM. PITCH 1/8-.PER FT. IN SHALLBE MORTARED 1N PLACE: 1 4 P PLOW LINE 2 LAYER OF � F7 1 8 t Z P y to TEE / / , 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE , WASHED STONE . R UNDER OR ' �o OF WITHSTANDING H 10 'LOADING UNLESS THEY ARE N �oco5; s a }y<3 MIN. In � s GAL ON L LOADING s 0 DRIVES -OR PARKING AREAS. H 20 L AD , 2 MIN. LEVEL � LEACH WITHIN 10' ET F P_ 4 - -o 0 0 DRIVES OR z PIT SHALL 'BE USED UNDER OR 'WITHIN 10 FT. F D ES �3.8 ¢ ! 4 -'1 1 2 MM. 53, 3/ /� LIQUID WASHED STONE PARKING. F DISTRIBUTION 5 ,o c, LEVEL 3 W _5. N0 DETERMINATION HAS IBEEN MADE AS TO COMPLIANCE WITH DEED BOX It :„ W RESTRICTIONS OR ZONING_REGULATIONS. .OWNER APPLICANT SHALL : g7o / OBTAIN SUCH `DETERMINATION FROM THE APPROPRIATE AUTHORITY. t5o 0 GALLON SEPTIC.TANK . LOCATION MAP. t VERTICAL CONTROL SEE LEVY ELDREQGE z` 6, HORIZONTAL AND ERTI L , I ( 6 I I ASSESSORS MAP 41 PARCEL iz � 2 5© & WAGNER FIELD NOTEBOOK _-----• - OW LINE UOWD DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOWFL BOTTOM OF TEST HOLE 1 E I 4 .FEET 4 INCHES OR USGS PROBABLE NIGH WATER LEVEL - 5 FEET 19 INCHES 6 FEET 24 INCHES INTERPRETATION:CURRENT ZONING 'INTE DESIGN CALCULATIONS _ WSYSTEM PROFILE SEWAGE DISPOSAL FRONT SETBACK .tea MIN. F 0 C _FEET NUMBER OF BEDROOMS NOT TO SCALE • DISPOSAL UNIT MIN. SIDE SETBACK s � FEET... GARBAGE DiSPO L ESTIMATED FLOW i ,. ,o ,�xr. � TOTAL fo s �.br� �- �, C � MIN. REAR SETBACK o ��...... FEET.. /O BR. DAY X " 4 BR. �— .GAL. DAY x 3ao (. _GAL / / /cam s ceo P CAPACITY_ GAL. REQUIRED SEPTIC TANK ' _ do TANK 'd GAL. ACTUAL SIZE-OF SEPTIC TA �_ ---. REQUIREMENTS l N , 01 TEST- 7�8 Q LEACHING AREA PERCOLATION SOIL P i 0 . GPO. S.F. SIOEWALL AREA 2r 5 GPO. S F BOTTOM AREA / i TEST 7 Apr�1 194L DATE. OF SOIL /o _ ' DAY SIDEWALL 2�T 2 b SF x 2 S GPb/SF 4 7/ GAL/ S mac,, TEST.. BY ���� � _ , i f. A — _ `7 GA DAY BOTTOM 7T o 2 SF x GPD/SF _� L/ WITNESSED. BY LD- DO r.rna w c� H PERCOLATION RATE MIN. 1NC PER OLA / 7 : 5"5D GA DAY 4 2 x o k :_+ 1 g TEST PIT 1 TEST PIT ' 2 BREA KOUT CALCULATION. ELEV. � ELEV. Y 0.00 0.00 Sw+ \ 3 . r f S y _ ccJrvrn -rsC I � LEGEND406 ! 1 f zd EXISTING SPOT ELEVATION 00 4 v . X o . � ►� EXISTING -CONTOUR 00 v FINAL SPOT ELEVATION 00.0 .,.. t STP8 FINAL CONTOUR T BOTTOM OF TEST HOLE SOIL TEST PIT LOCATION : BOTTOM OF TES HOLE .� IW W � OR WATER ELEV. +41•q OR WATER ELEV. TOWN WATER o 0 + SEPTIC `TANK C� . _ DISTRIBUTION BOX ❑ n, 56 , t PRIMARY LEACHING PIT O WATER LEVEL ADJUSTMENT. _ _ ATE E L sa RESERVE LEACHING PIT R t; TEST DATE WATER LEVEL --- �' TE .� z: $ 1 INDEX WELL r r f - s� N- I WATER LEVEL RANGE ZONE + � Jam.. 1 4/r3jy-c. INITIAL LSSUE sac<1 I � W LEVEL FOR INDEX ..WELL DESCRIPTION Y ' DEPTH TO WATER NO ,, DATE D B 1 FOR MONTH- OF. 1 o T� c P' 44� ✓ : \ (/ /v WATER -LEVEL ..ADJUSTMENT ATE 4- TR � �t/ rz� � to-r l � u � 17 de- � DEPTH TO HIGH WATER \ a\ s TNT G !+l5TFclCT7t.�.� CO, Z'NG I l S6 ^, 1 g p es s-^ r P _ ., APPROVED.- BOARD OF HEALTH TEPH,_IV �r i,:a S r ,. 0 N --s . ! f ALLYN iLS � c� _ v JOB N0. No.3 /< SCALE. ./ �: � �y r 9 q sp T AGENT f { SITE PLAN DATE .. LEVY ELDR EDGE & 'WAGNER ASSOCIATES INC. p�R��yt�n'pM Li1111A710 M1.RlILM rldl11�M :LMY a7UUK RS (7 7 m PERMIT 889 'WEST MAIN- STREET CENTERVII�.E MA 02632 . PPLY CO, '- NEtiV€NGLAND REPROGRAPHICS 8 SU it III III I