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HomeMy WebLinkAbout0010 TROTTINGBRED LANE - Health 10 Trottingbred Lane. West Barnstable A= 152 —0'52 i S M E A D No.2-153LBE UPC 12034 amead.com * Made In USA f TOWN OF BARNSTABLE clCl' LOCATION,-QV � 7- VVin,2 J 1—a Es SEWAGE # VILLAGECl��� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.&r o1pg;(2or-),%,j` SEPTIC TANK CAPACITY 4 .0 D 0 LEACHING FACILITY:(type) p ? �/ (size) eo �(f t ROOMS PRIVATE WELL 9ZPUBLIC WA3'.TR�R OWNER -7—oMIT ISSUED: 6 ' .0—PLIANCE ISSUED:GRANTED: Yes No 3,� No..... THE COMMONWEALTH OF MASSACHUSETTS n � � 37 -BOARD OF HEALTH x � � �} Appliration for Disposal Works Tonstrurtiun• Vrrmit � Application is hereby made for a Permit to Construct ( )1�or Repair ( ) an Individual Sewage Disposal System at: ................»»....__...... ......••-•--......-••-•----............... t........... . .. . .... n. `: Location-Address ' �' i .• or Lot No. ...- ........_. DD»--._::=M O B• .... ............ •............ ...........Add...............................».»_»._..... ress a - •-•- M Installer -�• Q7i Type of Building Expansion Attic Address •Garba 's S . feet U YP g , Size Lot-- '..............,... q .. Dwellin No. of Bedrooms............ ........ p i ( ) ge Grinder ( ) 04 Other—T e of Building a —Type cti g ............................ No. of persons............................ Showers ( �) — Cafeteria ( ) QOther fixtttre`s ............................................ .........---•....................•--------••---.................... ............................ Desig>m P P per Y daily flow .........gallons. n Flow................... .: gallons per person er day. Total dail flow..........._........_. � Septic q capacityjC>0.1.gallons Length._,?-_tP Width:....1:�16&iameter................ Depth...5V_`-V. W N x D s osal T ench Liquid o..................... Width,................... Total Length.................... Total leaching area....................sq'. ft. 3 Seepage Pit No.....:t..._._..... Diameter.._.. .ef0� epth below inlet......... - Total leaching area...*... '.sq. ft. z Other Distribution box ( ,) Dosingltank 14 Percolation Test Result Performed by .. +!................ Date._..3:.".! li Test Pit No. 1..... ` .minutes per inch Depth of Test Pit . .b _t Depth to ground water ..V41 1h....__. GT4 Test Pit No. 2.. ...minutes per�inch Depth of T it'Test P Depth to ground water -- O Description of Soil -'�'` ' .. .. „!k.... " C...-oa-U.......................... a F45� Ftj h �i'kl ' s�,, "�, ` ': Q�rc. ttr...'' �,-� -------------------------------------------------------------------------- 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 LITL: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee�-_suby • of health. Signed--- .. ... ....•- ..................................... ...... �. Application Approved BY Date -----I� 1* Date �..� Application Disapproved for the following reasons:-----•--------•--•----•--------------------------------------------------------•--......._..._................. ---....••......••---•••------•.....................•-----•--•--------...........................----•---•------•-•------•-•--.....••------...--------.....-----............---------.............. - Date r Permit No......... 3 ^ Issued........................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH J�w�� .6 Appliration for Disposal Works Tonotrurtion Permit Application is hereby made for a Permit to Construct (k) or Repair ( ) an Individual Sewage Disposal I System at: " ...............__....__....... T- 2 1 ----•-•-•....------•--...--••••---.... ...'�c�:�'....-e.--`�-'..................... .................................. ,r 4� �, Location•Address or Lot No. I - � -,-4 Cat L t�' ++ .............�.._.. — — - -• ... •...................... •----•..._._................_..__...._...... ........................................... Ow er Address �'? �...L 01 ................................. •---•-------••-----••••••-••••-•-------------•..........-••••--•--•-•--........................... M Installer Address Q7i Type of Building Size Lot..... .....Sq. feet U►-� Dwelling—No. of Bedrooms............ -----•-----------........._..Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No'.' of persons............................ Showers ( ) Cafeteria ( ) QOther fixtures ---- ` W Design Flow................. ....gallons per person per day. Total daily flow------------------- ,--a�A...........gallons. WSeptic Tank—Liquid capacity- art?..gallons Length.... Width:... ..�,a'. Diameter................ Depth._ '..a..`.` x Disposal Trench—No. .................... Width................... Total Length...___.......•__.... Total leaching area....................sq. ft. f .3 Seepage Pit No.._....I.._.._._._... Diameter....... bepth below inlet......... .:.... Total leaching area::_ -2.1..._sq. ft. , Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by....... t?. ... ... 4......................................... Date_...,:.'?.:_:! _:__f ::._._:.... Test Pit No. 1.....(e.....minutes per inch Depth of Test Pit.....�_�, ..._. Depth to grounq water....... ....... f=, Test At No. 2................minutes per inch Depth of Test Pit...... Depth-to ground water.....:--•-_--. pR+ :... ........................................... N I 3`•l i e S '� lb to F ti Ste,, -� c." �o f� r'A c-t �t S -a Description of Soil_.. --•----•.............:.. -----------------------•-------.------•-----------•-._...........--.- .......... .....................••- U Mtc>� I��N4 F�nf45 �Gc��• ace {�rvES iIIc- (Z` tiv/w. G ��,So�� -� �..iS Ste, ✓� t ---------- P ------•-- -••::� u :-• '•-------•-------•---.---1-�-'- --- .....................�„�, 1� .. ..-•-••.................... ..........•---•-...._..••••.... .� a 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 ithe provisions of TITI.: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beeen'issued by thee`tooarrd of health. _ Signed................................ ................................................... ' Date Application Approved BY �. _ . td... .. ..... +' Date Application Disapproved for the following reasons:-----•••------•••••••.....•---••-•---•------•-••----••••---••••••--•----••---•.....................:_....... .. .......•••-••---- •----•... ................................................•-...._.. ••.......... 9 Date Permit No......... d =•-•ti� - -•••-•-••••-------• Issue --•--••--••--•.......... `...•.... ......... r Date w «T,- «_.. «_««ew_ .w.... .. _. _ - -- n__,., ««..«___ -------------- w _____« ---------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........� ...............OF.......... tom!......................................... Trrtif iratr of Tomplittnrr THIS IS TO CERTIF�Y/ That the Individual Sewage Disposal System constructed�(�;') or Repaired ( ) bY.................R..........e... : 1 ..............................•--•---••- .......---.............-•--------------••----•---------.....-•---.........-----..........._.... T � p... .. 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......................................... dated.................._-............................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO RUED AS A UARANTEE TH T THE SYSTEM WILL FU 10 ATISFACTORY. DATE................./. .......................... Inspector••-• � ."vl. .............. «www« w ....w—w.•«..ww.•w««._...«---....w«w-w----.w_s --.--- ......«w..wrw,...w--..wnn....w«««e..�_.�w�.�ea_r..�...•�.-aw rgaTMfn ww..�_ w��w .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH G &l ..............OF..... .................................................. . ......... N0.../.. :...... ..... FEE...a© 2......... Disposal Works Tonstrnrtion Permit Permission is hereby granted..........P.-•-•••...N, .••••••--•••:•••....•....--•-•••••-•••-•-•-•-•••--•••••...--•-••--•.................... to Construct ) or Repair �,),an Individual Se age Disposal System at No. �.�c-_ ..�Za...... Q.�c .r Lr�e..--•----• l � X v....... r - ��_ ...... Street as shown on the application for Disposal Works Construction Permit No_.. _ _.V. Dated.......A0._-��::'�7? ......................................�'-••--••-•-••-••••-•-•••`.........._..._..............._ DATE. ............................. Board of Health ✓` j I SECTION - SEWAGE / 12 —SEPTIC TANK — L� / — "D"BOX — !f — LEACH T / TOP OF FON �I;T! (MSL)• "2"OF ii8TO 4:" �` 1 WASHED STONE IVIlfJ, I \ IN• OUT• IV /�_T _ I y-1 ii-- /�D�� E G INS UTS INSOD 7"/ EPTIC7.�5/TANK /ELEV. EL . ELEV. ELEV. ELEV. ELEV. 73, I WASHED STONE bo i�M oF- -f+4 3 I it �21 o- �G -Z TEST HOLE LOG ' �= 412�,7 E t1sv. \ - - ___ - TEST BY �.o1f 3 '�' ,� n — -- , �C - h�r .P WITNESS TEST DATE 3 j` J g� DESIGN 3 BEDROOM HOUSE T.H. 1 T.H. * 2 ELEV.SI'o I ELEV.BI.Z NO 1 f 12 SO,Z DISPOSER DISPOSER 1� PERC RATE MIN/IN. I "1 O \ - 77,2 FLOW RATE 33t7 (GAL./DAY) -330 `- ` n, 3 EPTICTANK 330 (1--5= S �! = I ?� REQ'0 SEPTIC TANK SIZE , i LEACH FACILITY r s i 1 2 i i�� / �'✓ / �` v I C a 1 , 7°I,2SIDE WALL12TG�= 22G,0�7 ( I,(�/o) =375, G/D. ER. I:' s gyp 73..0 Sit-T e " S. BOTTOM /2�Z 9Z" =//3,�� ( ,�) y G/D. _� cI eN TOTAL SF =,4670 USE: 6'1-'E—;� LEACHING `J x la) f F f 'p�(�Tufi � 6 �r�E✓Z P ��� "Y� s _ j WATER ENCOUNTERED 1 NOTED) '1 WISE NOTES7� ( UNLESS OTHER 1.DATUM(MSL)—TAKEN FROM-__ _____________��.. _.___QUADRANGLE MAP 2.MUNICIPALWATER----___-____-_-_r .._.__.________AVAILABLE ;�"j��i+ i,c s: • _ — 3.PIPE PITCH: 4."PER FOOT J 4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO- I 44 �/ '.•`.!, 5.MIN.GROUND COVER OVERALL SEWAGE FACILITIES: (1) FT. •' q,;�c, \ .:, DISTANCE AS CERTIFIED 5.PIPE JOINTS SHALL BE MADE WATER TIGHT 0.:..LA 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. ( •�,` �������� STATE ENVIRONMENTAL CODE TITLE 5 a; . -..,-._, / SITE PLAN ATI}I6 PI-A�t F�� Loll-�Ol� PU��OhF� �>�iLY� / 9 �. f\ i^ �.'. 1�_ �t�l ✓ aF LOCUS: �j'rA K,I C" — — REG.PR �LR�ENGINEER ` — Gl "T1`�Z'. ^_r e- O\i � REF: J —r-"—;— `Ol lt'J �C�U IDA�l—1 t r`ACT —./1t � '1�F'_,P l �_ f — ,z down cope eng��eeiing A, \ /y� �(i ¢ PREPARED FOR: - 3' 1� CIVIL ENGINEERSC1 -. r - � BOARD OF HEALTH LAND SURVEYORS _ — ._' _ RIdNflSURsV1rVOR CONTOURS (EXISTING)-- APPROVED DATE •'� MA •�� J/J / I (PROPOSED) —O�—O— S 2 SCALE - ` ��_. DATE =1�