HomeMy WebLinkAbout0016 HOMESTEAD LANE - Health 16 HOMESTEAD LANE, LOT 84, W.BARNS. s
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No. 4210 1/3 BLU
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ESSELTE
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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 .