HomeMy WebLinkAbout0240 WHISTLEBERRY DRIVE - Health ���� U���.� ��,u�e,
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LOCATION SEWAGE PERMIT NO.
VILLAGE _ 0t-6,z �
INSTA LILER'S $1A E i AD0ItESS
8 UILDE R OR OWNER
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DATE PERMIT ISSUED J �
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DAT E COMPLIANCE ISSUED 1ylie'.71rz—
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD - OF HEALTH
. .............OF......... 2.��!�..STi ........................
AVVr 11ration for Disposal Works Tonstxnrtiun frrmff
Application is hereby made for a Permit to Construct (X..) or Repair ( } an Individual Sewage Disposal
S stem at:
... -•-•----•---------------•---------- ........................................... Lot No.--------------------------------------------
vK.(at�n-Address .........................•-•---------•-•--.or.
Owner Address
.......................•-----•-••-...._•••••••--•••_.. ...............-•-_. ..•------•••••••-•-••...•••-------•----•_..
Installer Address
Type of Building Size Lot_43.5 ...... feet
U Dwelling—No. of Bedrooms........... ............................Expansion Attic ( ) Garbage Grinder ( )
`4 Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures ................................
WDesign Flow..............)1Q_....................gallons per�gerso n per day. Total daily flow............... ................g�llo
WSeptic Tank—Liquid'capacityi??79.gallons Length................ Width... Diameter................ Depth...
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
i
Seepage Pit No.........Z........ Diameter-_ ------------ Depth below inlet..... Total leaching area.?3 _._-sq. ft.
Z Other Distribution box (;k ) Dosing tank ( )
J
a Percolation Test Results Performed by. ........................................a✓ _.________�___________________ Date..._v�_ _--s� .._..__.._..
,a Test Pit No. I....� L...minutes per inch Depth of Test Pit----- .-..._.Depth to ground water.:.....................
fT Test Pit No. 2...G Z...minutes per inch Depth of Test Pit...JY.Z...... Depth to ground water...... .............
a ...•---------------------------------------•-••----------------------------------••--•-••-•-••••••••....-...................................,................
0 Description of Soil---------------��----;,-�---- --........ ......_••••.....----••-•---•-•--•-•--••-----••---•------..........•••------------•------•••-•.........-••---
U {K ........... PG....�--�- _. --•-------------•---------------...-----•-••-•--•-•-•-----•-----------.._....-•------------
W •--••--•---•---------------•--------------------•-•••--•-•------------------•---..._.....---•-•---•---------------------------•--...•--•-----••--••••-----------•----•-•••-•-•-•-•••--••-------••--•--•-
VNature 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 iI`I'f 4 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate oIfollowing
e has been issuedne b d of health.
g '-_
Date
Application Approved By... --------------------------------•----•----•••••.............._•-_•--•-- ._.S ^!y_a.-�..........DateApplication Disapprove or reasons---------------------------------•- --------•----------•---•--------------------•------------------....•••...---
...................•-------••-••-••-•--•--•--•-•------••-----•--•--------••-•••••-•--•--•----------•...•--------------------•-------••--•---------•-•--------••--•-------•--•-•-----•-----•-•------•--•-
Date
PermitNo......................................................... Issued.......................................................
Date
MEER
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
7 JY`/ `J..............OF......... S7-A97 ~ ........ ..-.-.....
.Appiiratiun for Dispoa al urk,� Tonutrnrtion rruti#
Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal
S stem at
. ..../`.�.L5'7-4;F13FPrZ.: _....R"�..D........... ------ --- ----------------- ---.07 ._..7 G-------------------------------------------
Location-Address or Lot No.
.... :? '-! -•-•-•...............•---•-•••-•.....--•--•---- •••••••-••-----•---•••-•..........._.......
--- ---------..............................................
Owner Address
Installer Address
UType of Building Size Lot.43 5- 7..._..Sq. feet
Dwelling—No. of Bedrooms..........4............................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures ----•-••--•--------•---•--------------------------•----••-•------__--•------
TJ
W Design Flow...............J10...._..........._...gallons per.pdzen per day. Total daily flow............. .._...............gallons.
WSeptic Tank—Liquid*capacitydz�?.gallons Length._-........ Width.-:.......... Diameter................ Depth....
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................Sq. ft.
Seepage Pit No...._._._Z_....... Diameter..JlJ__........ Depth below inlet.....-f?_F-_____..... Total leaching area. �.... _.sq. ft.
Z Other Distribution box Dosing tank
Percolation Test Results Performed by....7...L.til_�.�.!�I I:............................... Date_.. ���..-------------
a
Test Pit No. I....4.Z.._minutes per inch Depth of Test Pit..... z _±_.._ Depth to ground water........................
(s, Test Pit No. 2...... _Z_._minutesper inch Depth of Test Pit.../. ...... Depth to ground water......__`.............
a -••••----------•••-•.................................•-•-••---•......--••--•••••-•-•_•-__--•.........................................................
0 Description of Soil.......................................
V .......---••--------------••••......---•---• -•�-`ii
••.................•----------•...•-•--•
••.....................•----•-•-•------•--•-••._.....-••-•-•-------•----•••••---•--•-•-•••-•----•.----•-•--•-•----------------•-...--•----••-•-••--•---••••-•---•--•-•---••••......•....._..............
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 TILT LIE.
p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Complia ce has been i sued the boaxd of health.
Sign <''�. ... ................................... .......................... . .
Application Approved By--- t. ----------•-•------•---••------------------------------------•-•-••---- ......
... Da te r•1/----•-•-
Date
Application Disapprove or a following reasons:-------•-------•----------------------------•--------------•-------------------•--------•----•-........__.....•-
---•••...............•---•----•-•-•••---•-•--------•-•-•---•-..._•-••----••••-••-----•---------------•-•••---•.......-•-•---•-•-------------------•-•-•-•---•--•••••--••••---••-••----••••--••---••-•-•-
Date
PermitNo......................................................... Issued.......................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF H
1..�' '-:.... � �td
OF....:........................ ......................................
CInrtif iratr of ToMphattre
nx W- 7�E�R IF '; That the Individual Sewage Disposal System constructed ( �or Repaired ( )
by-•-•• ._. ... ......... ----- -•........................................
= ------------------------------•-•-------------•---------......------
has been installed in accordance with the p is ns of TI'-I,E ' 5-OL The State Sanitary C s ri d in the
application for Disposal Works Constructi ermit No...... ...................... dated...._____/..f.._ ...___.__.................
THE ISSUANC OF THIS CERTIFICATE SHALL NOT BE CONSTRU ® S A GUARANTEE THAT THE
SYSTEM VI jXL F SATISFACTORY.DATE 7_.2 �NCTION
�........... Inspector._..._.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD PF HE LET ,
Ta .. �° . . ..............................................................
No. .............. ... ............ .......... OF......-• .9...
FEE........................
�t��uo�t �rko n� anion rrntt�
Permissionis eby granted..-- •-•------•-----....._._...--•-------------•----•-••---....--------••-------.............--•................._._..
to Construct or Repair ( � an In i idu?1 Sewage Disposal System
I
Street �
as shown on the application for Disposal Works Construction Permit No...................: . '�..3_l Dated.._ -'------•... _.._........
............... M_/,,k 4�------------••---......._............-•-•----•--..•.._
Board of Health
DATE y��--.........................
...............
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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CERTIFIED PLOT PLAN IN
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tX/sri�ry peoPosf-o To IRA R.THACHER� JR.
csse:-1—T/ioe 4� REG. LAND SURVEYOR
SO. YARMOUTH , MASS.
DATE SCALE
AFv6�-T- aoAQ.o d/= /�F�gGTH
DRAWN BY //ZT SHEET / OF 2
of M4 1 CERTIFY THAT THE P�°PoSto
SHOWN ON THIS PLAN
/ CONFORMS TO THE ZONING BY- LAWS
`�•y�, .� IRA
=1 L T OF THE TOWN OF 8,4/liv67.91,3L--r
ul No.65: v G/STEF� ,per Z
REG. LAND SURVEYOR
SOIL TEST INVERT ELEVATIONS NOTESs
DATE OF SOIL TEST 0 8Z INVERT AT BUILDING -2 • S FT. ALL WORKMANSHIP AND MATERIALS
WI-TNESSED BY- e•6' _ INLET SEPTIC - TANK /11¢• Z FT. SHALL CONFORM TO D.E.Q.E. TITLE 5
PERCOLATION RATE � Z MIN./INCH OUTLET SEPTIC TANK � FT. AND THE TOWN OF J A2SUBSU�� RULES
INLET DISTRIBUTION BOX /«• o AND REGULATIONS FOR SUBSURFACE
OBSERVATION HOLE I OBSERVATION HOLE 2 FT DISPOSAL OF SANITARY SEWAGE
ELE�ATION =/o7 ELEVATION= /off OUTLET DISTRIBUTION BOX �3• 6 FT.
—p INLET LEACHING PIT 1,03. 4' FT.
woor�cavm wooAcoA� BOTTOM LEACHING PIT 5�7, ¢ FT.
DESIGN CALCULATIONS
' CLAI/ F//,/ES �°GAy G/NES
-48 ' -48 NUMBER OF BEDROOMS .. . . . . . : . . . . . . . . . . . . . . . . . . . . . . `� '
GARBAGE DISPOSAL UNIT... . . . . . . . . . . . . . . . . . . . . . . . . . . '
G'LEq/V MEA- G°LE.S�/�/ /�7E0 TOTAL ESTIMATED FLOW (L GAL./BR./DAY x 4 BR.).,, GAL./DAY
G'GA2SE SAND Co0i9�E SA�/D o6 o GAL.
REQUIUD SEPTIC TANK CAPACITY. ... . . . . . .. _
ACTUAL SIZE OF SEPTIC TANK TO BE INSTALLED... . 1z—�— GAL.
LEACHING AREA REQUIREMENTS
_/oo Ec - 9 7. _/ 3 Z Ee = 93 SIDE WALL AREA Z• i GAL./S-F
BOTTOM AREA A0 GAL./S.F.
0_ W.s7_e1Z -it/O W197-.,--/, LEACHING CAPACITY ( BOTTOM --S DEWALL )...... . . . . . . /099. 6 GAL.
3,/qX 5,ry x/• o t /41X /0A6.XZ. 3- Z
RESERVE LEACHING CAPACITY. . . . . l4 99. 6 GAL.
TOP OF
FOUND.
ELEV.= 1O7.8 /4 FT• /►�/'✓ CONCRETE 4 SCH. 40 CLEAN SAND
COVERS PVC PIPE CONCRETE
MIN, PITCH COVER
1/8 PER. FT.
2% MIN. PITCH ��N OF
. ��s !
• Fp
't 12 MAX.
o•; Z RICHARO
2 LAYER OF I/8- In o JAMES -+
FLOW LINE WASHED. STONE " o'H=tirzN
4 CAST IRON Z /%l o �ECIr4o.sy�
_ 3/4- I I/2
PIPE - MIN.. PITCH o w °a WASHED STONE
1/4" PER FT. DIST. o n � JCL � PRECAST LEACHING
BOX Q p `p � a c BASIN OR EQUIV. ----�•
�10 n
U- v v /ter- '°`26 WN/STLE5F_ Q2Y �D
o w p.
GAL I c r
SEPTIC �4 �.- r
TANK /a � D/q • R. J. 0 HEARN, INC., RLSo RS
1348 ROUTE 134
EAST DENNIS, MASS.
PROFILE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM roe Na. CLIENT. /,er
NOT TO SCALE DATE S1 OF ISHEET z OF �`-