HomeMy WebLinkAbout0019 MCCORMICK DRIVE - Health • MCCORMICK DRIVE
West Barnstable
1 11
k
i
TOWN OF BARNSTARLE
LOCATION (��� �, DA G SEWAGE #
PILLAGE ASSESSOR'S MAP LO'f� _
INSTALLER'S NAME PHONE NO. 4111j61?,oJ_,36,C- 6-�3 7
3F,PTIC TANK CAPACITY /6-00
d :LEACHING FACILITY:(tyFe) I Pi f S (size)
\ NO. OF BEDROOMS �'I PRIVATE WELL OR PUBLIC WATER&�,ff
BUILDER OR OWNER rZI-- �r
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSLIL D_
VARIANCE GRANTED: Yes No [O
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_ r
77
00 /
a s
JUV
THE COMMONWEALTH-OF MASSACHUSETTS
BOARD OF HEALTH
Tvcv I fj-----------------OF.....y.J.cx
------------------------------------
Appliratinn for Disposal Works Tonstrurfiun rtrnti#
Application is hereby made f r a Permit Construct 00 or Repair ( ) an Individual Sewage Disposal
System at:
...-... C_.. O�IM:1 C.�C 1 ..�1 -•. ................... .......... ...._..................................................._....
Locatid ddress or Lot No.
.................................... ------------------------------------....... ............................_....._...:..
Owner Address
W
Installer Address q
Type of Building Size Lot_._/.J l ...Sq. feet
Dwelling—No. of Bedrooms...:..... ...............................Expansion Attic (�) Garbage Grinder ( )
p,, Other—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria ( )
a Other fixtures ----------------------------------- ...
d / r L1 �� ----------------
,,,-,,,Design
Flow.........j<•_0.......................gallons per er day.,,Total daily flow.......... ..._d..._.... f..___.gallons.
�, G ,,
Septic Tank—Liquid ca.pacityltO.Q0ga.11ons Length.. ..... ..... Width.41!!O.-•. Diameter................ Depth.........r-L.
x Disposal Trench—No..................... Width.................... Total Length....................Total leaching area...................sq. ft.
3 Seepage Pit No.....I.............. Diameter....'-........... Depth below inlet.....( ........... Total leaching area Fm71i..... G �
Z Other Distribution box ( Lr Dosing tank
Percolation Test Results Performed by.... -.MVO}' " ..... ..........I................ Date...7/3PJB ................
1.4 Test .Pit No. 1................minutes per inch Depth of Test Pit......12......... Depth to ground water...Mt4............
(i Test Pit No. 2_.G Z___..minutes per inch Depth of Test Pit.....l.Z_�at Depth to ground water.:......................
x ,_...... -----------------.........-----------------------------
•-----....
0 Description of Soil....T.P:. ,..�1-.���.....!A. A S� So_`.----•----.......rd � 1 I. --!!-f.--... "' .....................
_:V ------------- ...........
'n a 3 TO
f S� �°' � � �...!�-'��....b`''r� Sa��-'t-r��cs c�r
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 iITIS 1 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.
Signed. .............
...................... ............ ............_....
Date
Application Approved By............. - 'j- -------------------...................................... ......... e�
Date
Application Disapproved for the following reasons:...0.........................4...........................................................................
D ... —..
aft
6 Permit No.......tn.7 Issued................................
"`^----'..�,,..-.�-----� .....;".,.�._ .-.» '� •__.. .-. __ :-..•.,-,....�•��.-...�-...�:...-...te_, .....�,..-�-r•.. -w'ti---,. ...,» .. .. ,,,` .- w -..ter•-7
i
No.
; )T.HE COMMONWEALTH OF MASSACHUSETTS
'31 . 'BOARD OF- HEALTH 4
'
.................OF. .. S.,/. , 0 � I
Appliration for Disposal Works Tonstrar#'tun Vrrutit
Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal
System at: 14)C"W /
..........
-...................»......_..»
r Location.;-Address or Lot No.
/� V IJOC �-} - -- •.................... ....................»--»....-......_.
Owner Address
W
Installer Address �� �/
Type of Building // Size Lot.5L�,..2-//_1/... feet
U Dwelling—No. of Bedrooms...._....:l................................Expansion Attic (�) Garbage Grinder ( )
`4 Other—T e of Building No. of persons............................ Showers — Cafeteria
at Other fixtures ...........................................:..........._...
-------------------------------------------------------------- ----------
Desi Flow......... _. .. gallons per(�on elr da Total daily flow.........!Y'41 ... l' ...gallons.
W >m ��-----•.------ -•-----.g P P � P, �Y� � Y , - --
WSeptic Tank=Liquid capacity/,C(2.�gallons Length_(9_...C�_._. Width. !-!6'._._ Diameter................ Depth................`
x Disposal Trench—No:-------------------- Width.................... Total Length.................... Total leaching area...................sq. ft.
Seepage Pit No-----I.............. Diameter....d. ....... Depth below inlet.....rX�.......... Total leaching area-r?.9,......sq•6ft_6_P>
Z Other Distribution box ( Lam)— Dosing tank ( ) n
'~, Percolation Test Results Performed by.....i3 r!:1 U1✓'. `A�.._..g_s........................... Date..W3618...___.__.._.......
11- Test Pit No. I................minutes per inch Depth of Test Pit......1. .......... Depth to ground water...!-AA............
fit Test Pit No. 2.___ -----minutes per inch Depth of Test Pit---_.?_ .'fir'_.. Depth to round water........................
P P P g j
r.......... . .............:......... .........
- - .,......._-------__-_-.-------------------
•............
O Description of Soil... n:-7--.C -2;��.-- l t P._.. .5 ��.S�.`. �- `��� ....)......�! - S is k� V
V ---•--------------------------
-----•--------•------------------------------------------------------•---- -- --
------------------,(�..? G?_-. ?_..1 'Q' I S� '' `------------�--"...
y c�S. t- _ �S
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 TITLL 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.
Signed.l- 4 ._:::=----..
Date
Application Approved BY------------ .w+a�.. --------,� - ••5
Application Disapproved for the following reasons:...............:..........................................................................................»»»
---------------------------••----------------.......--------•---•--------.....-----...................._.----------------•-------------------•-----•--------------------------.............---•-......»
Date
' Permit No.-• •.9 r-Z�------------- __»-»- Issued.......................................................
Date
--------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
......... .................. � ..............................................
Trr#if uttir of T-am rlianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by......... ����1»t.._. _��i 17a...:.:.....e;s.:?L.----�'. ---•................................... .---------------•-----••--•-•--..........._
.....
r Installer------ ---- ------------- ---------*---
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.........$�.-_"7.;L. ........ dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. �
DATE................../._ '_!_ ?_ » ......-------------------------- Inspector = - .................
l;r
---------------------------------------------------------------
THE THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
^` C
-MuUVv .....OF 'e.. ...1 cr ✓►�`>'4�� ... -----------------------------•-•----•-
.. ......................... ..
Disposal Yorks Tono#rudiutt 11rrutit
Permission is hereby granted... ,11� ---`----------------- c '�^...` �- 612..
--------------------
..................................................... .
to Construct OO or Repair ( ) an Individual Sewage Disposal System / L
�0 l � l"1� Ct-aYVt�tc. A � Ist/•�cT i v+Sy�l� �`Q
at No............................•-----.. --..---------_.... ..._...... ....... --------•-••--•-••••..................
Street
as shown on the application for Disposal Works Construction Permit No '�a.,?... Dated..........................................
---------------•------------------ : _
(�^ Board of Health
DATE............. .......... . -.....- %-I.......
N G 3 04 W
O
? .45
s �� ELECTRIC COMPANY
p
52
EASEMENT ss � '� � T LINE EL.
�76 T
sa � � A \ � OP OF FOUNDATION
CONCRETE COVERS
6 CONCRETE COVER
6 h 75
CAPE & VINEYARD
4" S 40 DIST.
COMPANY
ELECTRIC
L. 51.00'
� t� , � PITCH
PITCH: - BOX ....
64 \ io 74 1/4" PER FT. _ ".
�, ;.: V8" .PER FT. sti ..
6 \ s") o SE ",' F- r�; . 3/8 TO V2• STONE
�3 SEPTIC
w
EASEMENT
\ �, TANK o
\ _....
49 48.50 a
s.Ta REC S LEACHING W CAST PIT
48.25'o_
1000 GAL.
o
46.50' c� ..
\ \ co w 3/4 TO 1 1/2 WA .
SHED. STONE
w
10' 40.50
MIN. .
--EL
s8 \ \ 70 20.0' MIN. s.o
O
12.0
ti
o PROFILE OF EL.33.50'
5 \ \ \ SEPTIC SYSTEM
\\ \
\ 0
�o o, 55 ,
� 1 50 4 SOIL LOG
, cd 65 a co h '� a N h 49 Q
� to h� h h h 47
_ DESIGN DATA
. .. h 1 /
55 \ \ \ \ \ \ N 6 6 04 46 45 DATE: 9/30/87 ` WITNESS: JERRY DUNNING
\\\ \ ✓ i l r r / �205.6/' ' l TEST TEST ------
I I I � NUMBER OF BEDROOMS 4
ELEV.-51 HOLE-1 HOLE-2 `� ,
45 ELEV.-46
tp \ TOP 3 SU�IL�
Q TOTAL FLOW -------------- 440 - GPD
o �\ 48.5 ,
2.3 3 43 ;
BOTTOM LEACHING AREA----- 1.0 -GAL/SF.
♦ i i
4 6
MEDIUM S L ACHING 2.5 GAL/SF.
FINE PERC SIDE E
SAND GE DISPOSAL=--------- NO
TRACES TOTAL LEACHING AREA------ 678 - GAL
—47
SAND Of PERCOLATION RATE ------ -- 4 2
FNNES
CALCULATIONS.
_ - - = - - _ _ _., _ 48 NO WATER. NO WATER
ELECTR/C COrAA�ANY - - - -- l � I
- �- - - - - - - - - _ ---._ - - - _ _ 1 - _ LEACHING CAPACITY ( BOTTOM 8 SIDEWALL )
- - _ \ -- - - _ _ - - - - 39 33.5
ACCESS. ROAD '00000,;� ,�. � .� "'_- -.- - - _ �
Ile--
1 2
_ _
� r (3.14xsx12x2.5) (3.14x6 x1.0) 678 GPD.
1 /
�2. ♦ 54 55 56 578 60 1. 62 �l 60 59 58 ' '
5 ` 61 ' 1 57 16 55 4 ` ,
S/
\LOT
ELECTR/C COMIPANY
EASE `�
A�'NT L/ll� ? �
6
d _
1 ._WEL 56P , sr ,50 PLAN �OF LAND
x� 1 '40
LOCATED
NOTESIN
'50P i
11
` _.� _ _ 1 /. _AL L WORKMANSHIP AND MA TER A S 5 '� __..:.
9 ... /P _ �_. „ l L HALE ._CG�NFORM TO _. __ . r D.E. . c.. TITLE 5 AND THE TO W aQ , N OF BARN i ABL c RULES ANDa:-_ SST BASS-T
REG(!A T/OHS FOR THE SUBSURFACE D ISPOSA L O •s / C � � F SE WA GE. ,
.. .� .
c
' 2. ALL COVERS O i Ck st . T SANITARY UNPrS Sf�-1ALL BE BROUGHT TO
I �O
W -.
/ lT N /2 OF SEA .. /NI H F GRADE.
c
� PREPARED
48 I / i 3� EXISTING GRADES. FOR
1 1
a
/ s o
GRADES'..
FINAL GRADES.
1 I / / ., 49 4 A COMPONENTSO . THE SAN/ AR )Y SYS TEM SHALL BE
y , L L F T ALL
' CAPABLE OF WITHSTANDING H-10 L OADIING UNLESS THEY ARE
ART*
47, DOLGOFF
40 49 / i / / r // , UNDER OR WITHIN IO FT. OF DR/ VES, OR' PARKING AREAS.
�• / /, / 53 (� 5� . 5 .- r . 48 H-20 L OADING SHA L L BE USED UNDER OR W/ THIN /0 f T OF
54 / '-
1 DRIVES OR PARKING.
ti / / \ z 1
4 h s 5. ANY MASONRY UNI TS..USED TO BRING COVERS TO GRADE
i ti50 r
✓ i /
0 1 , ..
.- 5 C . / SHAL BE MORTARED IN PL A E
r
2
5 . - •
. 66. NO ETE /NA TiON HAS N A AS TO CGMPLIANC
• / �� � � 4, D RM BEEN M DE E
1 2 ✓ 48 .
5
t �.
�' f WI TH DEEDED OR ZONING REGULATIONS.. OWNER/APPLICANT IS
g 50 53 <
47 '� I N TO OBTAIN SUCH DETERMINA TION FROM/ APPROPRIA TE AUTHORITY.
\ �O / %' 6
50P I TES.' 7 .� 1 °'
/ ♦ 'A I h m 7. NO WELL WITHIN /50' OF SEP TIC SYSTEM.
t 0 0 %
SEPTIC rT PIT I / w` ' h
I � APPROVED.' BOARD OF HEAL: TH
I ,�°0 ..TANK � � � . I ( / . S) �i � '� :`, �`
O
� � I / ;;� . �-TEST
I
I o 1 _ I
I0.1- - l \
co ,. � PIT 2
.,
,. `` DA TE AGENT
1.
Box
GIST \
.1 0
r
i �o __