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-- --- - _ - -- V
Sewer Permits No. _ate
1l
Name eeN rai, r- ror
/ -4 / e e r e ILLS
� Location
d �
Installer's Namc and Address "''�
-�e—r(-, 'Ile
0 Builder's Name and Address (�r•e&tiJ /' t r CO rip
CC AA Oryr ! c_ /1 /2
T"
Date Permit Issued: 9 2
Date Compliance Issued: ���
3
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Fim
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........0 F....... k./ ...............................................
Appliration for Dhipviial Works Tom3uurtion Prrmit
Application is hereby made for a Permit to Construct (%) or Repair an Individual Sewage Disposal
System at:
..... ...... .....1-4....................................................................
Loc'Ition-Address or Lot No.
kk............................ .......!f—/............................................Address
.....
Ownter
. ...................................................
........................... ...Je................................. ...............................................
InstalYY er
er Address
Type of Building Size Lot.._. .......Sq. feet
U 4)
Dwelling—No. of Bedrooms.......!_..................................Expansion Attic W.) Garbage Grinder (
Other—Type of Building ............................ No. of persons................_._.._______ Showers Cafeteria
Otherfixtures ......................................................................................................................................................
Design Flow..................................__gallons per person per day. Total daily flow--------*-------------------3.Z.Q.....gallons.
WSeptic Tank—Liquid capacity.hc.-_gallons Length.O.' Width.1 Diameter__----........ Deptho_vc......
Disposal Trench—No. .................... Width....._...._.._._._.. Total Length___................. Total leaching area....................sq. ft.
Seepage Pit No......ov�_ ....... Diameter..../;;?.......... Depth below inlet.-_...6............ Total leaching area... 7...sq. f t.
Z Other Distribution box (-,-,) Dosing tank ( )
0-4 Percolation Test Results Performed by._,5.+r_-pkiot-i---A......W..1.-c..r........?JE.............
1.4 -------
Test Pit No. I....-ILLi�rj--minutes per inch Depth of Test Pit-_____I 10.... Depth to ground water------------------------
Test Pit No. 2................minutes per inch Depth of Test Pit_..___......___..... Depth to ground water-_.tA,"-_4"A-------
..............................................................................................................................
0 Description of Soil .... ......................................................................................... ...................
STEPHEN
................................
U ............................................................... -------........ .......ALLYN-------
--------------------------------------------------------------------- L:sf N V*
........................ .............................................. Wr ON .....
U Nature of Repairs or Alterations—Answer when applicable............................................................
.....................................................................................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System acc F. ith
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 ............... --------I D--- -
-------------------------------------------------------------------- -----/-----7...�)j..n1_1
Dace
Application Disapproved for the following reasons: ........................................................................................................................................
------------------------------------------------------------------------------------------------------------------I............I.............................................................................. .......................................
LPermit No. ....... ------------------------- Issued .........................................................77-------
Date
�t
No...l... .:.. � .' FE$....... ..... ......:.....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
/./Q-wn....... OF....... in
AVVliratiou for Disposal Works Tonstrurtion Prrutit
Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal
System at:
CXl'1i.11s.... 'T 4 .......................................
L.. ion-Address ..........Lot.No.........................................
_Gf_crev�l�rlcr U-1n�cw!ci�� ..�C?.:__��K__�{0 Gcr,fz/'ui/�
Owner Address
W
Installer Address
Type of Building Size Lot....A3,s64.......Sq. feet
Dwelling—No. of Bedrooms.__.....h!'... ........................Expansion Attic Garbage Grinder (Alb)
aOther—Type of Building _____________•_-________-__- No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures ..................................
W Design Flow..................................S- ..gallons per person per day. Total daily flow-----------................Z- o.....gallons.
WSeptic Tank—Liquid capacity.l�z2gallons Length_�_�-�_`_. Width.' _'_44 Diameter--. �-'_-__ Depth �.4:.......
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.....j�? -------- Diameter----lv'......... Depth below inlet.....6'......... Total leaching area...Z 7'_...sq. ft.
Z Other Distribution box (X ) Dosing tank ( )
aPercolation Test Results Performed by..str--p t!---A......W., .I.�a.......?E.............
,.a Test Pit No. 1_...ftvo..minutes per inch Depth of Test Pit------ ...... Depth to ground water_____
fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------__-----•_-------•.
ODescription of Soil----- •--•---•--•---------------•-••----------------------------.........------------------.. TA.. .........
x d! +
121=156ry--•_S ef���e� .....etQ.v►n
•--•---•--•--•--•--• •-•--••......................•-•--•---•---------•--•-------•-•--•----------••---------------•-------.....-•--••••............--••-•......... _ ......ALYM......
.
U Nature of Repairs or Alterations—Answer when applicable._........................................................ c.. ....W!LSO..._.
.p No.�3.....`�
----
Agreement: f S Z.
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System j
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not ace the
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed ----- ------------ ----------------------------------------------------------------------------- -- ----------------------------------------
Date
ApplicationApproved By ----....-� '& � ..--�_._J. n�_-, ...................................................................... ....•------...
Application Disapproved for the following reasons- ----------------------------------------------------------------------------------------- -------------------- --- -- --
--------------------------------------- --------------------------------------------------------------...........------------------------------------------------------------------------------------ -- --..........---------------------
Date
PermitNo. ........�.y�---------,ti -- --------------------- Issued ....................................................---------------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�1---------------- OF ) "9&_ ----------.......-...--......--------------------------
�c "��
CIle>r#ifirate of ontyltttn e
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by...................................................................................................................Installer----.--..---.---------------------------------------------------
-........-----.--...---.-------.---.-...---..------...-..
at ------- ------- -._----------------------------------------------------------------------------------- -- -----------------------------------------
has been installed in accordance with the proviss of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. .......... .a..:..----- ......... dated --------------------------------------------
----
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON- UED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE---------------------------- •� '-�.�� ....---, ---- Inspector .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
� OF........ ..P,.,.�... 1 . �x�.t(...........................................
No._._,1= ._. _ .. :;:E.................. .. � FEE... ...--------
Disposal Works T-Fonstrarrtion rrutit
Permissionis hereby granted.............................................................................................................................................
to Construct 1 or Repair ( ) an Individual Sewage Disposal System
at No•-------••--�:... .. -y--•-•
-•-•---------------------------------------------------•----
- �.......1.__........_.._
Street �
as shown on the application for Disposal Works Construction Permit No , :.; : _.... Dated..........................................
�
DATE........................................................................
-----• Board of Health
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
i
j
20' MINIMUM OR AS INDICATED ON PLAN
NOTES:
10 MIN.
W `,Weathervane
1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.EQ.E ,
MASONRY EXTENSION TO 12 TITLE 5 , THE TOWN OF ___N_ RULES AND
tj• �,, Pond
BELOW GRADE ?�.
TOP OF FOUNDATION BACKFILL WITH REGULATIONS FOR THE 'SUBSURFACE DISPOSAL OF SEWAGE o 5-
' F o�c� D'
8 MIN. 9 3.3 �� . 93. t'. CLEAN SAND D-a"97 ? MASONRY EXTENSION TO 12' �d Q`
f BELOW GRADE AND THE REQUIREMENTS OF THIS PLAN. Locus
Fin Fir CA 84.9
2. ALL COVERS .TO SANITARY UNITS SHALL BE BROUGHT TO
_e � � z „
- WITHIN 12 OF FINISHED GRADE.
- _ 4' SCH. 40 PVC PIPE �
MIN. PITc>+ 1 a PER N 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE ( r
/ Weathervane
4 P 2. LAYER of SHALL BE` MORTARED 1N PLACE Way
ER FT. FLOW LINE T } 2'_
10• TEE, /e / 4.' ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE I -
m /000 WASHED STONE O 6e
m OF WITHSTANDING H-10 LOADING` UNLESS THEY ARE UNDER OR
8 3' MIN. I'ii < -
►- 2 0 � GALLON - A -
2' YIN. a WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H 20 LOADING
4'-0' - LEVEL o LEACH
7 7 PIT SHALL `BE USED UNDER I V = �a'
MIN. B ER OR WITHIN 10 FT. OF DRIVES OR .. m
8 6 �+ 3/4 — 1 1/2 �
LIQUID WASHED STONE PARKING. ( Lumbert
DISTRIBUTION F ED ONE o m
LEVEL DISTRIBUTION $ c,
Pond
5. NO DETERMINATION T 1
eox D E N HAS BEEN MADE AS 0 COMPLIANCE WITH DEED
W RESTRICTIONS OR ZONING REGULATIONS. OWNER APPLICANT SHALL
s+.s /
_TION
lao OBTAIN SUCH DETERMINATION, A FROM
M THE .APPROPRIATE AUTHORITY.
a GALLON SEPTIC TANK LOCATION MAP
f
z 0 z 6. HORIZONTAL AND VERTICAL `CONTROL, SEE LEVY, ,ELDREDGE
1. .1- L -1 - ASSESSORS S RS MAP 14-7 PARCEL 42
WAGNER FIELD NOTEBOOK
1.
LIQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW LINE
BOTTOM OF TEST HOLE
4 FEET 14 INCHES 4 O
5 FEET 19 INCHES
OR USGS PROBABLE HIGH WATER LEVEL
8 FEET 24:INCHES
NOTE. rl a. cl: h a
INTERPRETATION:
� ,/ CURRENT ZONING N ERPRETATION. DESIGN- CALCULATIONS
o f Soils liH� /'uurfc.�tcJea lC✓� �row�f
9
E✓c v 7
SEWAGE DISPOSAL SYSTEM PROFILE
E L TE MIN. FRONT SETBACK 30
T FEET NUMBER OF BEDROOMS 3
NOT TO SCAL
E
LE �
.. MIN. SIDE SETBACK /5 FEET GARBAGE DISPOSAL UNIT
TOT
AL AL ESTIMATED FLOW
es
148 4 MIN. REAR SETBACK FEET //0 3 C
( GAL./BR./DAY X BR.) �— GAL_ /DAY ,
� I REQUIRED SEPTIC TANK CAPACITY 49.5 GAL.
O 1 ACTUAL SIZE, OF SEPTIC TANK 600a GAL.
�•
A REQUIREMENTS
PERCOLATION SOIL TEST (� 782 .E LEACHINGR EA
/.b
148-82
SIDEWALL AREA_.�GPD./S.F. BOTTOM AREA GPD./S.F.
DATE OF SOIL TEST �l
Lot ` 14 SIDEWALL 277 a 2 4 SF x2,,- GPD SF = GAL DAY
43,561 s .ft.t TEST BY
q o � o _ -
BOTTOM 7T ! 2 SF x ,.� GPD SF 75 GAL DAY
WITNESSED BY
RAC MI PERCOLATIONRATE N./INCH
_-----=-----`----- 88
06
7 SF 5_5 0 GAL/DAY
\ G -------
=-- ------ 89
93 T- ---------------
90_
� TEST Plfi< 1 - TEST PIT 2 -BREAKOUT CALCULATION.
148-83 94
ELEV.- 9?,o `ELEV.
u� =
__
`l, 0.00 0.00
N. ` --
O S41,6_5c>
97 �
91
LEGEND:
1
EXISTING SPOT ELEVATION ` 00' 0
,- EXISTING CONTOUR 00
G FINAL SPOT ELEVATION 00.0
` .. /-
I, ON\ � Ir„n of FINAL CONTOUR �
P
I�n-o> S01 TEST PIT LOCATION
BOTTOM OF TEST,HOLE BOTTOM OF TEST HOLE �-
,� dirt Pl« OR WATER ELEV. g�1.o OR WATER ELEV. TOWN WATER W W
i c c
--
95 SEPTIC :TANK
R 25.00
DISTRIBUTION BO 0
1 � _ N x
3 L = 6.18
r
WATER LEVEL ADJUSTMENT. PRIMARY LEACHING PIT O.. .
SM on hydrant R
Y RESERVE LEACHING PIT
\
97 i ► to bolt El. - 94.47
�.
I 9
W T
\ � r TEST DATE A ER LEVEL
� � � ► �i INDEX :WELL...
� g WATER 'LEVEL RANGE ZONE
1 � ' g 9Z. INITIAL ISSUE srg-ciJ
O �
`L Q DEPTH TO WATER LEVEL FOR INDEX WELL
`\ I I•�' . NO. DATE DESCRIPTION BY
, ___' �• FOR MONTH OF.
ec. �j�� WATER LEVEL ADJUSTMENT
SITE PLAN AND SEPTIC DESIGN
,
I
C 96 DEPTH TO HIGH WATER
Lot 13
,f, LOT 14 WEATHERVANE WAY
1 _.. � _
i
Lot 17
1N
t
BARNSTABLE MASSACHUSETTS
v
:., FOR
i
<,
. APPROVED. BOARD OF HEALTH
vo
GREENBRIER CORPORATION
STEF'I•IEN ,
k
ALLYN z,r p ,
., - 1599 1599
1 40 /
WILsoN ��. SCALE. JOB N 0.
.e
No.sous
TT�j PLAN : u
SITE a� DATE AGENT �
C7 ti
LEVY ELDREDGE & WAGNER SO AS CIATES INC.
B%MW LINAS 0 A
m PERMIT s s
M= PIJNNERS 1}IHD SUR91r1I0RS
N
889 WEST MAIN STREET
CENTERVM MA 02632
P SUPPLY: NEW ENGL AND REPROGRA H iC CS b SU L CO. '.`