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