Loading...
HomeMy WebLinkAbout0021 WAKEBY ROAD - Health 4 21 Wakeby Road �-'Marstons Mills-., ;' ► „� G �014� OO 1 WN OF BARNSTABLEA= . 0 66) LGC-ATION SEWAGE # VILLAGE- Oajlb ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 4000 LEACHING FACILITY:(type) 1 bT (size) NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: 'Lq1) DATE COMPLIANCE ISSUED: )4:4 ''i VARIANCE GRANTED: Yes No �� � = i � 3- � '�- -� ' 3 �'r� � _ � � � c o � �� � _r--�-.` � �a�r ���,�� �� O� Fxs. . .M.--........ THE COMMONW TH OF MASSACHUSETTS BOAR® OF HEALTH .........OF.......... ...:................ �1 .............................. Allpfiratio'n for R-opos al Morks Tonotratrtiun thrutit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ... ............. on ...... ............ ... .....••-•_.. ........................................................... -Addr or Lot No...........X§ 01 ...... -- ---- --- --. - - ---.................................................................................... wner Address W Installer Address ,r Type of Building Size Lot....73 V S.. ..Sq. feet Dwelling—No. of Bedrooms... Attic ( ) Garbage Grinder (tjo) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ------•-••-•-••-•-•-----•-•-•-•• � W Design Flow................. �............_.._gallons per person per day. Total d�_a}}ly flow_02K?�G_'' •---.._............gallons. R; Septic Tank—Li Liquid ca acit C1�r? allons Len th.. .� ��.. Width._.`T.. ... Diameter________________ De th_�--­------- Disposal P q P y/---- g g P Trench--No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......./----------- Diameter-----/A......... Depth below inlet...... ....... Total'leaching area...Z 4Lsq. ft. z Other Distribution box (V ) Dosing tank ( ) '-' Percolation Test Results Performed b A/*z.4- ..................... Date..... ��)�.�.______.. a Test Pit No. 1..�� ..:.minutes per inch Depth of Test Pit-----16...._... Depth to ground water.. )/.......... G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......_................. -------------------- --•--•-------- ----------- _.......... -........ . __------------ 0 Description of Soil.................... _. _. __Y_ � •�.�- �__ �_ ..---•-•------------------------------------•••-•._.....-•---•_.. x -----•-•---•---••-•.............................. .../lc-..............................79.-rcJa'. -------•--•------•-•---•-............................?.-.....-•----..._ W -•---------------------------•---••••-•••----------..._••-••---•---•••--••...--i..�•-J•.Y 4''3 -s ---------------•--••-------------- L..... --------•--_--------_______-•- 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 TITHE 5 of the State Sanitary' Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee, issled�by the board of health. Signed " � v%!'(l !Z,. ----------- Application Approved By--- -- L......... ... •-- -------• ate Application Disapproved for the following reasons:...............................................................=-••-----•-•---•----••-•--•••------.........-•--- ...............................................................Z%.*�­j ----•• --- •------------•-•---•------------------------------------ - ---e �----------------------- ate - ------- — ..--- Permit No... Issued a NO.. ............ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH - .. -�.........OF......-.. ', ----- ----------- Applirtttiun for Diupuuttl Workii Tunutrartiun rami# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .. . .. or Lo..No. ner D. Address W Installer Address Type of Building Size Lot.... feet U Dwelling—No. of Bedrooms......... -.............................Expansion Attic ( ) Garbage Grinder Other—T e of Building ............. No. of persons...................._......_ Showers — Cafeteria 114 Other fixtures -----------------------••-----•................... . W Design Flow...................-` ......._.......__.gallons per person per day. Total daily flow_. X<r :'-_ :............gallons. P4 Septic Tank—Liquid'capacity,/t_?f�: gallons Length_,_:<7� _. Width--- 1.E Diameter-------- Depth..5.'20. Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......./----------- Diameter.....,/A..'_..... Depth below inlet.-_...�i.......... Total leaching area...2 �sq. ft. Z Other Distribution box (v Dosing tank ( ) '-' Percolation Test Results Performed b n'� .... _�' _ � '% ':? :: . �' Y•---- ----•--------------- Date----: _.._....r..-`�-�---------- ,a� Test Pit No. L.�7:.....minutes per inch Depth of Test Pit.....As;........ Depth to ground water.4?/ ............ 1� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --•••----•--••--------- ---•••;••--•••......-••--•-•••••.................................................................................•................. Description of Soil....................®..._.�_'_..___.. _ ZC<'�:� C<a............�L ?... '4-"u... 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 TIT1712 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has 7bn i sued by the board/ of health. .�J rJ r_ Signed.. _ . .._.. `� c?.uy----------------------- ...._.... ,� �r. 1 a Application Approved By. �.�� Application Disapproved for the following reasons:................................................................................................................ ---•----.....-••-•--•••-•••--••••...•...................•••----•--••••-••...--- ...•--••--•-----•--•••-•......•--••---••-•------ •--•----••••......•..........••. ----•-----••............••... v Date j� 1.. ' Permit No. :l' -. Issued _/--�---- C Date THE COMMONWEALTH OF MASSACHUSETTS /r OAR OF H LT H .... .... ......O R.64. ... .... s. :............. �rr�ififtt#r of �um�littttrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repairedby ( ) -•-----------------------•--------.........-•-------........._...._... at `{ f -... /'G� ............... -- ......--------- 11 has been installed in accordance with the provisions oY I YOT of Th St xg Sanitary Code s c the application for Disposal Works Construction Permit No.--- .e„(,,,,.' _ dated-.------- - ---- THE ISSUANCE OF THIS CERTIFICATE SHALL BE C NSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS ALT ✓� ................/.C, •LARD��OFE .� ........... , .. No..`f t .._.�.`t` FEE.-..� .0 Disposal Works Tunutr iutt rrmit � I Permission ' hereby granted........... to Constru t rlepair// t( ) a iv' YalSew ' p Syst C-J . ............... .... •• ..........Si•eet 'mi - .�... ___— as shown on the application for Disposal Worknstruction Ps',rr�it No..J(..(`/_ll.. �_ c7 ...... Board oKHealth DATE._...��"..,.�._..-------�-."---- ------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS L DESIGN CRITERIA : INVERT ELEVATIONS : GENERAL NOT& DESIGN FLOW: INVERT AT BUILDING: 917. BEDROOMS AT G. P. D. PER INVERT /N SEPTIC TANK: l . THIS PLAN IS FOR HE DES/ON AND /03•S ACCESS COVERS MUST BE WITHIN BEDROOM EQUAL S 30 G.P. D. INVERT OUT SEPTIC TANK: 9 �a CONSTRUCTION OF THE SEWAGE DISPOSAL FIRST 2• To /2, OF FINISH GRADE ., BE LEVEL - SYSTEM ONLY. �� GARBAGE GRINDER INVERT IN DlST.- BOX: �• b {� 4` PVC E -MIN. 2• of INVERT OUT DIST. BOX: g7•5a ,S o `� PEA5TONE INVERT IN LEACH PIT: 7.20 D =CHEDLE 40 _ 2. ALL CONSTRUCTION METHODS AN8,5 SEP T/C TANK REQUIRED: MATERIALS FOR THE SEPTIC SYSTEM - ieoa GAL 9'7•� BOTTOM OF LEACH PIT: 9.l• Z� 9�7 �' G. P. D. X 150x - '�5's GAL 89S SEPTIC TANK 97-Z . 3/4' l I/2' D/A. SHALL CONFORM TO MASS. D.E.P. 3 OUTLET /.p WASHED STONE SEPTIC TANK PROVIDED: /000 GAL . ADJUSTED GROUND WATER: BOARD OF HEALTH Io' MIN. D-BOX OBSERVED GROUND WATER: --- T I TL E 5 AND LOCAL REGULATIONS. 2' LEACH PIT zI SIZE OF LEACHING FACILITY REQUIRED: 33v G.P. D. J. ALL SEPTIC SYSTEM COMPONENTS LOCATED PROF / LE : NOT TO SCA'E DESIGN PERC RATE - L-Z MIN/INCH REVISIONS : UNDER TRAVELED W., Y. OR DEEPER THAN 3' NO. DA TE REVISION SHALL WITHSTAND l-'-20 LOADING. PROVIDED __L...Z�_'P I T(S) W/ z 'STN. S/DEWALL :-./88 S.F.X V71 GPD r 4" ER 4. ALL SEW PIPE 5�!AL L BE SCHEDULE 40 BOTTOM: 7 _S.F,X - GPD OR APPROVED EQUAL. TOTAL : 466 S.F. SYg GPD ., 5. BEFORE CONSTRUCTION CALL ''DI G-SAFE'. Y 1-800-322-4844 FOR LOCATION OF ZONE : RF SOIL TEST PI T DATA UNDERGROUND UTILITIES. I ND/CA TES ,�_ lND l CA TES SETBACKS: FRONT - 30 PERCOLATION _ OBSERVED "k DATUM 1 W; ASSUMED SIDE - 1 5 TEST - GROUNDWATER 6. VERTICAL PEAR - I F ' TP+�°' TP+ 7. FOR BENCH MARKS STET. SEE S I TE PLAN. GRND EL. az z GRND EL. B. M. CB/DH FND. c.W.EL c.W.EL. EL . - 100. 00 ASSUMED o -cp� L /oz.z 8.81 v8 /L lo/.3a vL /oI.a lroi a D _ 10261 'T 216• ,� r'" vzu AKE IOP.32 36 2 1 66 , 103 101,7e 101,E I� Ep F�fRPGE �•� Z roz. 05' 1 ROP OROOM 9 I 02 P E NG x ` RL 35•�io1..I \ DW ►03'S o2.3 / 0 1°, /G' DATE: .y.4s'. ' /967 • C'�fr?� i 5�if5c�7iS T.P. / / 00.5 TEST BY, .♦ -f-100.p loon arc. N /02.2 W/ TNESSED ,BY: G. Dy.v .cam • SEPTIC TANK _ h� os�o c-gox o PIT wit. PERC RATE: �Z MIN/INCH MNE jo/.s RESERVE '}ioo.e _i 01.2 r x . . w SEf _ T / C S �'S TEM 0 ES_/ C/V �w s� ,Joo.s \ Vf MA R S TOMS /ICJ / L L �� . "A . o� <0 i LOT l w Pf?E"PAf?E"a FOh' 43575 f S.F. ": c;.s "ARKwo0o CORRORA 7 i 01V ' �LAA OF •�p •�f01.I N 02.2 c SCALE o� STEPHEN o% CIA OF -}I c A. ` CIV L " FR NK �" N a3 V,.,TNO.35461INt3 CISpEft�����4 No. 29 es ���• E'.r4 GL�" --s'Z!R V.07- ' 'Nc' v- LNG' w. y �FcrsrERE° .70 _5'6' cx � O crr 6' .L crrz e -� < ' '� h'.t/cz! Mcr . 0 ,2 6'0 J' i 0 20 40 80 f JOB NO: 92-224 F l EL D:CFW/SAH CAL C: SLL..L, CHECK: CFW DRN: SAhY