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HomeMy WebLinkAbout0016 HOMESTEAD LANE - Health 16 HOMESTEAD LANE, LOT 84, W.BARNS. s -080 A=109 t i i No. 4210 1/3 BLU GO ESSELTE 1 Oro Vow- No......... �.°r..... Fim$............................ THE COMMONWEALTH OF MASSACHUSETTS BOA RD ,F , HL Ll"H ............. ....OF........ . .... ...................... ...... ApplirFation for Dhipoii al Works Tonstrurtinn ramit Application is hereby m de f a rmit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System, at.: �7 .......... __._..... ..............................� L �.:@........-•-- ................................. ...... . ._..... ................. L ation-AdIr,Fs or Lot o. ....... �.,:- ,. : ,_. ..... .--.. rV-c- ------------- -,, �.r".. �° �?'� �+ ::a1 may....--(� l-• .� caner --Address a ------� o-------,�.Q-�- n ------------------------------ .:...G -r.r..1 -�c_... s',��,�.....--- c --._.---- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms......��.................•......•.........._Expansion Attic (/VO' Garbage Grinder (Alp PL4Other—T e of Building No. of persons........................�n: Showers — Cafeteria 0.' Other fixtures ----------•-... ••-----•------•-•••... . DesignFlow...........: .. allons per person per day. Total daily flow.......... W ��-----------•------g P P P Y• Y 3-3...-----------...........gallons. WSeptic Tank—Liquid capacity/ .' gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width__�_.�`_ly---_-- Total Length............7...... Total leaching area....................sq. ft. Seepage Pit No......../.�........... Diameter....161........... Depth below inlet..... Total leaching area..4X ...sq. ft. Z Other Distribution box (y4'P Dosing tank ( ) aPercolation Test Results Performed bY-••-•--•-•-...--•-----...-•-••-•---•-•..............f.........--•--_... Date........................................ Test Pit No. 1....41........minutes per inch Depth of Test Pit.{'-__5....... Depth to ground water........................ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..--.................... i - .... ....................... O Description of Soil... _p ® — _an U ` , ........• ------••-•-•-•-•••......-•.................. . UNature 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 iITLE 5 of the State Sanitary 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. W- , ed _ Date Application Approved By.......4" ._....................... _��" -------- Da e Application Disapproved for the following reasons-----------------------•------------------------------------------------------------...................•....... ........--•-•-•------•-------•-----------------------------••-----......--••---------------•--••--------.:--.........---..•....--•---------•-----------------------------•-----------•••••-•-••-...--•--- DatePermitNo...................................................__--. Issued-. ......•--• •-•••------..._....... ..... Date Noll��✓✓.... 7r-..... ''' F�S....= .................. r2' THE COMMONWEALTH OF MASSACHUSETTS - BOARDV H EA LTH ........... .. .... �►# ?......OF....,: .:.:.... .... ... _. }`. Appliration for llispo at Works Tonstrnrtiun rrnn# Application is hereby made for a. Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Or �' irT atior A irrs .... ..d. . 3..�.... r.�_oµ.�f C�!!:^� Y.�.d�..� ........... s .... -- ,.y" ne Address t� ......................................... .�!' I �. .4�... .................^---• ✓ -•OQ (��! �"l`���.a�."'�n.....#. . ........ --.....---- Installer Address dType of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms............................................Ex anion Attic Garba a Grinder y a g— P_ �g g 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ................... ................. W Design Flow_.____._.__-X_ _- 016-.-,... ...__..gallons per person per day. Total daily flow....... ................gallons. WSeptic Tank—Liquid ca.pacityp.090gallons Length................ Width................ Diameter...................... Depth................ x Disposal Trench No. ........:----------- Width..i ,,,*...._.. Total Length .........#.._.__ Total leaching area.....................sq. ft. Diameter.._�f Depth below inlet-._ Total leaching area-.40tff.....sq. ft. � Seepage Pit No --�-.......... ID-- ---- P �------------ Z Other Distribution box Dosing tank ( ) ~' Percolation Test Result Performed by. r ...._. Date............... Test Pit No. 1...:r, ........minutes per inch Depth of Test Pit.('#�......_ Depth to ground water................... ra, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ? . .�+- 0 0 ,. " I +r Description of Soil........ ..... ...............................A.......... . !. .......... " C...... --- ----- -- -------• -•• = 1`� -.** r UNatur f Repairs or Alterations—Answer when applicable...............................--.............................."' •---•••---•••--•-••....-••-••--•------•-••••--•-•-•--••---•-••----------------•••••-•--•---•-•--•-••.....--•--------------•-•-••••-•---......----••......--•••-•--- •--•-----•--...... Agreement: The undersigned agrees to •install the. aforedescribed Individual Sewage Disposal.System in accordance with the provisions of LITL . 5 of the State Sanitary 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:. Si e µ __._. Date Application Approved By... _ .. r/{ e Application Disapproved f or.t ie following reasons: .............•---••................................................................... 1. ..............---•--•------••---•-•-•---••--------------------------------•----•-...---...-----------•---•----•--•-------•----•--•------••-•...-•-----•-------------------------------------•-------- j - Date Permit No.........................;•-----••-------------- ---- Issued... - = ................. Date THE-COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ` .......OF........ .. .F ............................. ....................... Ytt S, ...... .. Ai r "Irr#ifiratr of Tompthtnrr THI S TO OE hat the Inaividuat Sewage Disposal System constructed ( or Repaired ( ) by" y ' = ------- ---------------------------- -•-- -----------------•-----•----------- +mow, P "..-. at T ..................oll ----- ...... Pas been installed in accordance with the prow sions of T j of The State Sanitary Code as described in the t' application for Disposal Works Construction Permit No.. _......__t '.G......... dated.... : . ...................." ' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE t SYSTEM WILL FUNCTION SATISFACTORY. DATE. -----...... --•................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS n BOARD `HEALTH 7fi .. . ......'-..OF..... ,tz. ..�. ............................................... No. FEE.. . - DWIVInstt or #rnr#innVirrmit Permission is'hereby granted-... 11a_... Lsl..`--------------------•-•-----------------•-•-•................................ to Con tr���,,� or Re i' ( ) an I ividu e , e DisP,o�sI stem at No.. �,.:_._zy... . ._..f3!�. --- •.................... . Stree as shown on the application for Disposal Works Co con Pet No L ._..__ :.. Dated.., _. j�_ PP P . ----------- oa d "of Health DATE.... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS TOWN OF BARN_STABLE . UDCATION // SEWAGE VILLAGE 2L & r ASSESSOR'S MAP&'LOT/0 3?'"0f49 INSTALLER'S NAME&PHONE NO. SEPTIC TANK C:Ar CITY 161 LEACHING FACILITY: (type) (size) i'0DU NO.OF BEDROOMS S BUILDER OR OWNER PERMIT DATE:_10-IR 6 COMPLIANCE DA : :/0 `-LI 0 -" Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility �L� Feet Private Water Supply Well and Leaching Facility (If any wells exisp ' Feet on site or within 200 feet of leaching facility) /{' � OD Edge of Wetland and Leaching Facility(If any wetlands exist j/� within 300 feet of leaching facility) ly(P�u Feet �t Furnished by I "' n pfq New kol �O9 -- C ' p hOCATION SEWAGE PERMIT NO. VILLAGE d (o INET A LLER'S NA ME & ADDRESS OR OWNER DATE PERMIT ISSUED '7 DAT E COMPLIANCE ISSUED � � �� �9 � ,, E �� � ��- � � f � T � f Ace MESSORSMON No. f PARCEL Fee�� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MA ACHUSETTS ZIppYication for Mtgogaf *pgtem Con.5truction i3ermit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address ay d Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 5a gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /D Type of S.A.S. O Description of Soil Nature of Repairs or Alterations(Answer when applicable) ZAzz aez,. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue y this Board of Health. Signed Date a?- G Application Approved by Date 10�O Application Disapproved for the following reasons Permit No. X® Date Issued / �' of No. Cl Fee Via" THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF:BARNSTABLE., MA SACHUSETTS " Zlpprication for Migonl *pgtem Cottgtruction permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel. No. Assessor's Map/Parcel — " " / W 39 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 4-40A."p. Sall-36?�ooj" e of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow � &2 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. 24& Description of Soil Nature of Repairs or Alterations(Answer when applicable) �t�4EY Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued y this Board of Health. Signed Date Ua.2- %G Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (tertificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired Upgraded( ) Abandoned( )by - - L-94 _ at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. «► d dated /G Installer k s_ Designer The issualWe of this pernut shall not be construed as a guarantee that the syst 1 unction as Date Inspect --------------------------------------- No.�7!b �� Fee `� G THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mioogaf *pgtem (Construction permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon(. ) System located at �C-01-0I / /1.;4444"_ and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this pvmlit. Date: ,�l� !� Approved by TYPICAL SYSTEM PROFILE AREA PLAN FINISH GRADE=9 .oa NOT TO SCALE e FDN TOP, 94.00 FINISH t SCALE : 1j FINISH GRADE OVER TANK= 9"3_ UQ GRADE, OVER PIT=93.44 I LOT - HOMESTEAD LN. cDAR T. 9(fR VC OROl. TEES90.83 " TRA1L- VJEms/. ^- WI� 1 BAD' STAB)_, BSMT87ao, 00 GAL. 4„ EM im f� E-7 L NFORCED DIST. BOXLO T� 82ONCRETE 8 TO BE INSTALLED ON e • • 1 • ! • • • I o 1 r ELEGT'2iC. Tf�:ANSFQR.M��? - LOT -�'8 :.. ,:: Q :o .: = .: � ..; A LEVEL STABLE BASE e 1 '0 • • • • 1 p p l .... - •�. 0. ,..i .�.. C '.. a G.�.' O .- O .. O r0NC;RF_- E: PAD AS5U1�4L.p 8, 1 e 12JTEv.2 FOUMD ELEV, 4 IUO.U® r oo.ao +to�.32' N 27"- -laY- 0c "`� +Ie�5.�4�J @. EL�v. Io6",3� ` SEPTIC TAN K 197 d ISI, 39 -f TO BE INSTALLED ON A C)Q Flo . LEVEL STABLE BASE LOT 8 2��-1�8�� 1/2 "WASHED PEASTONE ALL • • � 1 • • • • e 1' / e BRICK a MORTAR COURSES AS e • e • 1 o e • e 7101 +��,•��� T,� �' AROUND FREE OF IRONS FINES z / - .� REQUIRED TO BRING COVER TO GRADE AND DUST IN PLACE , (51 N- LEACHING PIT % M- 24 C.I. MANHOLE COVER a 3/4 "TO 1-1�2 "WASHED CRUSHED A�', IO ' P FRAME - SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL . AWA FOR i-I5 r,-.V FIT- +95a5 1 IRONS, FINES AND DUST IN PLACE ( REQD.) ., t R z rrx ; . m.:> r:. . . . : , FOR FIN. GRADE EXIT, A W[ y ., .,. �: CAI'�SGIfCE SI~P7-tGAFJ[et I D '' °rt + << _ ` � SEE SYSTEM PROFILE '`._ gtT co+.ICRc s pc�� S01L AND PERCOLAT)ON q 1 � z. � 2�:C.�.,.. ca N Cad= �. i, D A A 9.5 c 4� ,�'•,•,,, = Ate..,, ., 1 -- _ PERC. RATE , MIN. rN: FX 15C, CURES 4 b a ST.7� I REQA�T' C:C�►► '9- +85,24 o rLGP` ,. — — — — -- — --o — s -f• - '� F:' •s a LEAr.N I SIG PIT -�-- o FOR INV. ELEV SEE ' ALA" w, J4tu A SSoc t A' I �'��P P ,' 1 2EClp, 5 INLET SYSTEM PROFILE: TAKEN BY x, �F p' { /'r. 9, ,• {y ETA t �t �y�y/. LINE 6 0 , Me.+ .urr nnucz .t I �s o _ ,� WITNESSED' BY: + MT,4 �t .taro Vt �al tt o OPENINGS W/4 1/8 „0tS E�, T: BEP.�t `�r�. ,fi. � �fi / � ��`� ;{ ,o _ ', 'o ., . - ,' OUTER OIA. & 1 -,3/4 _ o'• . , . ° DATE OCTT 2 0 ! ^7 2Syyx sv r. a {( Q R 1 > - 7, a . 0 INSIDE`DIA. 0 TEST PIT -GND ELEV. +87.7 0,,.`> r C� f�l V 1� 6 h1C 6 ' a a D 0 ,,p� �' �, ;� � � , TOTAL �`:; ` '+ l — 3 AID -'O 0 0 0 3y11 Q : 4► tit C3 AREA ;e '. ' TOP 501 t_ � �€� 1= o NO RO$T, L G Q '<€ $... ,Z. ,, 2 8a S F. D ` o o ,rvt�Tr- 0 o ° F1 WE LOT 8 G? SIi.TY 5 tills M 0 — — I ti • l • 0 r rr lot � �� 1 1,Q' BOT. PERC. HOLE EFFECT 1 V E D I A. F t R Nt �"I t�1� TO IvtE 1E 1�► SAND DOWN e ,�` LEACHING PIT - SECTION r t1) ` .x • -�• NO SCALE DESIGN DATA : I ` t� ti NOTE, DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM I � N0. OF BEDROOMS d� :v r✓� k . : DIISPOSAL i 3 k� t O u LEACHING PIT NOTES: EST. TOTAL DAILY EFFLUENT .52 V ` ✓ P # EXdT: N.B. GAS - GALS. l+I LIGHT CO. I . CONC. TO BE 4000 P.S.1 a 28 DAYS . SEPTIC TANK � � GAL. EDISO. . 'F' #12so� .x P�trR< 2. REINF W 6 x 6 6 GA W_W. M. ' Io - ai.d. RE l"c�Ut�tl? 3. 2 AND 4 SECTIONS ARE AVAILABLE FOUR R -�- 2q�• 40 X40 -I � B GENERAL NOTES ELEV. S2.,61' GREATER DEPTH REQUIREMENTS (2Q -IMCLUDMI s: §,. DPAINAGE ¢ , , • 1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN CuaB 'i } E,A �E144Et�1T # NOTE. ACCORDANCE WITH TITLE OF THE' STATE SANITARY CODE ..n , ,. G9 EXCAVATE TO ELEV. OR LOWER AS DATED DULY 1,1977 ai ANY LOCAL RULES APPLICABLE. , qG0 # . x.,. _., ,,... REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING f • 2. ANY CHANGE TO THIS PLAN MUST BE APPRD.' BY THE S .. .r -.MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL BD- OF HEALTH, AND CHARLES D. SPOHR. 7�i 24, WITH CLEAN CLAY FREE GRAVEL MECHANICALLY . °_ 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, Q� COMPACTED iIV PLACE. A NOTIFY THE ENGINEER FOR INSPECTION. + SIDE A EA- F.@ S.F./GAL GAL 4 GALS 75 5 „ S R S � ,. . _ . T ..„ ", .. ..> .,,.> ,_ ,. . .. , � ..�•- 4. FOUNDATION ELEV. MUST BE CHECKED WHEN COMPLETED. N — d , O 1 .. . . ..•. v r :- J BOTTOM ARE S S. S .... .�. x ., ._. . - �. . :.._ 5. THESE ELEVS. MUST NOT BE CHANGED WITHOUT WRITTEN � ;. Y �.... a ,• ��., 0 . : , _ AREA AID • 5� 4 �,,.. �: � . :. L. "" TOTAL AREA S. F. TOTAL GALS APPROVAL BY CHARLES D. SPOHR. . ..,,., _, .,,..-. 6. : <.. ..r=.,. .. . ,. � FOUNDATION INSPECTION READ WHEN EXCAVATED. t ��. .. A�'�A �.�I,E FPR,'1~:d��f��1� E�; �f S(.la LE G E N D D Y_'5I0 N 6ARt�dS�'. 1-�' FOR �`I~A 50. EXIST. GROUND ELEV. _ i�< ,,ta :';•t•'�,'� „-�„ •,',•,.»�+.M•.-ram e.. .k...,-s, . ...."" „ ,� �... BY E WA LD ENGR. CO.) I mc.. - 50.0 FINISH GROUND ELEV.- UNOERLINEO - ... �' AM I >rt a mac, MA, 4750 PIPE '..INVERT. ELEV. REV. DATE IDESCRiPTiOIV : O TEST PIT LOCATION SEWAGE DISPOSAL SYSTEM BUILDER FOR 0VY ( 11ER: o o SEPTIC TANK (-1. �E NARC HARVE'Y M R, RAK. K STAdv LEY - M;Z • 1BERNAIR.Co I-IAP.\/ 3A - SEAC4A`�' Q DISTRIBUTION BOX , ,— T ` I0 OTI S TRA ► LI~ VILAGE EAST FA1-NAOL�T Ni A . LOT 84 HOMESTEAD LIB. CEDAR S T. QTIS AIR FORCE BASF MA , � C7253C 4 C. I . Pi PE h , . . r - "TRAI L EI� -W. BARINS " TABLE MA. T'E'L., 4?'7'- 9475` TFL , 5.4�,- 558 -Httttt-t-t- 4"SIT. FIBER PIPE -TIGHT JOINTS B. M. NOT E- DESIGNED: C.D.SPOHR DATE: t ' - -- - PROPERTY LINE 9 sAr�, �� DRAWING No. 301 99 8q ALL ELEVS. ` t3ASED ON I=XIS-. EL�CT•� IC- Ti A►., sr-opaMEt�. \ DRAWN: c.s. SCALE:ASSHOWN CONCfR-ETE PACE @ ASS7L3tAF- -F- 0 EIV + 100. 00 �K MIN. CODE DISTANCE I � 1 9 Bc0K SEC PG LOT CHECKED: C. D. S .