HomeMy WebLinkAbout0082 HIGHPOINT ROAD - Health 1Arid , L_,
L Otte N SEW GE PERMIT NO.
VILLAGE•
I N S T A L. LER'S ME DRESS
s U I L 0 E R QR . OWNER '
DATE PERMIT ISSUED 3
DATE COMPLIANCE ISSUED '
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�HE COMMONWEALTH OF MASSACHUSETTS
`: BOARD Off` HEALTH
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.............. J..............OF...............�Q/fl.Tf. o.. 1��....--- ------- -._.-------._.
,Apure#inn for Bi-spniiFal 19orkii Tonatrnrtinn rumit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
1
System at:
....�'� _�..Y .............Ze id..----.---- ................L �-J- -_7-__-
Location-Address r Lot No.
U.r,z---------------------------- .2,s �! _._...... .:-----------..............------
Owner Address,I
L�.L.�.. .........
r�._4"D F --------------------------
Installer Address
Q Type of Building Size Lot G,,.� -_..___Sq. feet
Dwelling—No. of Bedrooms...................-.5.........................Expansion 1 ttic ( ) Garbage Grinder ( )
Other—T e of Building � �1?!C.. No. of persons-----------------•_--__.__-- Showers — Cafeteria
Q' Other fixtures ---------_•-------------------- ---
Design Flow.............d.'4..P...................gallons per person per day. Total daily flow......... ......................gallons.
WSeptic Tank—Liquid capacity/%Y.Vv.gallons Length-_- Width...... .1..__ Diameter................ Depth..'`�e//-
xDisposal Trench—No:.................... Width_-•--____._--_____•- Total Length.................... Total leaching area__-_----__•_.•-_____sq. ft.
Seepage Pit No----------/-------- Diameter-•-__ Depth below inlet..... ........... Total leaching area..PD Q._...sq. ft.
Z Other Distribution box ( ) Dosing tan
( )
`-' Percolation Test Results Performed by._o%_ �" cj
a --....- �`�4=P.1?� �5--•_--. Date------5...--•----=C)..
Test Pit No. 1.........2_....minutes per inch Depth of Test Pit--- ....... Depth to ground water_____________ _________
Test Pit No. 2................minutes per inch Depth of Test Pit_-.__-___-______-__- Depth to er........................
a ------------------------- ------ !ems ---------_.....
0 .
Description of Soil s..............z nl-e� - ...;.fir ! CI�T -------- �laepu�s-- - - ------------------
U ---•--•--------•---------------------•--••.............................._...........................--•-....-•-•----------------•-----••----- r^
W
_ ____--r--1r
UNature of Repairs or Alterations—Answer when applicable-------------------------------------- ---- -------4011
----------------------------•-------•-----------------•-----------------------------......-----------------------------------------------------
-
Agreement: /sTFRfD spl.\P
[ The undersigned agrees to install the aforedescribed Individual Sewage Disposa ccordance with
the provisions of `: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee the boa d of health.
Signed_ .._ �r�--c4... -•--------------------- 1-.$...
Date
Application Approved By......._. �,,. .� 2V ..........
ate
Application Disapproved for the following reasons-----------------•-----------•---•-•------•----------------------••-•-------•-..................................
.......-----•••--••----••------------------•---•------•------•-------------•------------------••---•-----...-------•----•---•----•----•---------•- •--•-••----------••---......._.
Date
PermitNo......................................................... Issued_.......................................................
Date
Fig........�..................
THE COMMONWEALTH OF MASSACHUSETTS
_ BOARD OF HEALTH
d ��.. .........OF.......... -217"17;; .....................................
ApplirFation for Biopooal Workii Tunotrurtiun ramit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at: Rol
T J
`✓ ------• --------------.._ill.. ----------- ............... -...._...._.
. /� l�at� ddres...7.. 1.....-_..• ��!I s:l._L_.i. .ol No. ...... —
Owner S, Address
Installer Address
d Type of Building Size Lot_301- ----------------Sq. feet
V Dwelling—No. of Bedrooms................3.._.. .___.Expansion Attic ( ) Garbage Grinder ( )
p`4 Other—Type of Building __ /C/d-�-__ No. of persons------- Showers ( ) — Cafeteria ( )
al Other fixtures ............................... ..
W Design Flow...............: ........._ ....._..gallons per person per day. Total daily flow ____- a_v..........................gallons.
WSeptic Tank—Liquid capacity/.Dallons Length.../1---..... Width__...�9._._.s_ Diameter________________ Depth._/. �
x Disposal Trench—No. _______-----__---- Width------------------- Total Length.............._..--- Total leaching area....................sq. ft.
Seepage Pit No......................... Diameter........../ ....... Depth below inlet......._G ..... Total leaching area.__2 Q.._.sq. ft.
Z Other Distribution box ( ) Dosing a ( ) � �
Percolation Test Results Performed by---1�-- ------------C; �tJa�._... __.._. Date..__�5.. Z V_ .......__......
Test Pit No. 1----..Z____minutes per inch Depth of Test Pit.....1._.3.!----- Depth to ground water------------------------
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to grou ..............._-------
---- -••--•------------------------------------------------•---------•-......_.............--------- -••.-• 4>,1k�OF�?gss ._..... ---------
D Description of Soil......Z-O&—.!"_......�,.....� �S i�.....------•--------•--. �� e A4L sg.eo 9��
x _ o
w No'.,
---------------------- .....................................................................-------------------------------------------- ----- Q. --------•-----------------•-� ..........
U Nature of Repairs or Alterations—Answer when applicable................................................. ........401!
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal S t 1n_a rdance with
the provisions of TIT_.:" y g g p y
5 of the State Sanitary Code—The undersigned further agrees not to lice the system in
operation until a Certificate of Compliance has been e y the eboarof health.
Signed-�-•--- _Gt-r�u�-=--- ------- --- --- -----•--------- ------`�4.2.4.g....
Application Approved By----------- '' _- 21 --------------
r r Date
Application Disapproved for the following reasons---------------------------------------------------------------•--------------------------------------.......•...
'•------------•.............•----••------------------------------•--•-----•------._.....-----
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
_ BOARD OF HEALTH
IGF .............OF...... �i -2!✓S �F'.?L. .-..........................
Curdifiratr of Tomptitanrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed Repoyred �
by---------------------- `'- `t ..... }.�...... .
at T 7 =` ���.G/ d i 2-�
------•------------------ -----------------------------------
has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No..._,81..`.41S............... dated-.----------------------------------------------
THE ISSUAN OF THIS CERTIFICATE SHALL NOT BE CONST D AS A GUARANTEE THAT THE
SYSTEM 19 I).L.. FUNCTION SATISFACTORY.
DATE....... .�a..._.._..... -----•-- Inspector. .. ................
----;---•-----------------------------------------------------------------
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THE COMMONWEALTH OF MASSACHUSETTS r
I
_ BOARD OF HEALTH
........I....v."U"U....'�- ...OF...:..!..�"e �. �- ............................
No......................... FEE........................
Disposal Workii 01unotr ion rrntit
granted � 5Permission ishereby ---------------C-Z... --••-------Z ----------------------......-•---................
to Construct (✓S or Repair ( ) an Individual>cwage Di Sal Syst /2
57 Street
as shown on the application for Disposal Works Construction Permit No..-.---___--__-____ Dated___________________________•------------•-
Board of Health
DATE................................................................................
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
,., .,..: . ... .. ._,. ._ .... . .,.....,,. .. .. ....'..,.. - —ram:.,,_ ..,T, . »..,.
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REVISIONS:
TEST PIT DATA DATE u� TEST/NG y PERC. TEST DATA : SEPTI C TANK DETAIL : s1zE + M - DIST. BOX -DETAIL :� LEACHING FACILITY/T Y DETAIL' NO DATE
TEST BY: � /= � - ' . ,� ;._w
T. P. WITNESSED BY DATE OF TEST/NG: r— "" = TANK- TO CONFORM TO TITLE 5 REOU/REMENTS. TO CONFORM TO TITLE 5 RECUIREWNTS I yB.O
E � �
.TEST BYE � -, - �,e NO. OF OUTLETS f - 975
,
WITNESSED BY l� a,. ,�,., .,,, ,�. — � w. F
r� r ✓w�o as n �wi / ✓I� w - -- — =�� �, , ��Yy REMOVEABLE COVER ��—
MANHOLE BROUGHT T0• s "'��� ---- _ -
- °' __.� ,. , ,�' d.; .•',;_; ,•. • ; FINISH GRADE. b - e._ +. «* 2„PEASTOIIE LQ4M9F/LL /2rM/N.
� � ���' � 3 CLEAR 3 CLEAR � •Y �- � OUTLET PIPES
r 7-
v ,H¢ DEPTH OF TEST MIN. 2`MIN. �f : : f
6 MA.. AS REOUfRED I'
A NLET llT DIST.
idnlr; VA
R TE' � /�)°'ir'��j�//F'G".'>'' '' /O'�,M/1N � I II�t�` ��� Lill
' � I
INLET TEE •' OUTLET TEEil 1 t ( BOX
- -- e 4 C.I. /000- GAL. /Q
r OUTLET TEE DEPTH
INLET AND OUTLET 4 .O` MINIMUM SEPTIC TANK i ,
TEES TO BE CAST L IOU/0 DEPTH /4;;AT LIQUID DEPTH OF 4' -n 2,r 6 / I PRECAST OR BLACK
IRON, SCHED.40 i 19 i 5` , "• l __ -_ �`o CONSCONCTRUCTION r ETE
SEEPAGE PIT
DEPTH OF TEST z4' „ 6; % aI. 6 ,"' LL' /0 tp,O
t; -- P V.C. OR CAST/N
RATE' _ PLACE CONCRETE CONCRETE e• 29` T y�� ` MIN. I I —
34i 8' / BOTTOM ON I f"VEL STABLE BASE j
CONSTRUCTION d
r (WATERTIGHT) J INLET TEE PRpV1DED WHERE SLOPE
FOUNDAT/ON E,
.. .... OF INLET PIPE EXCEEL%S 0.08 % OR --
--- TANK TO BEABLE TO W/THSTANO , _I — f
y BOTTOM OF TANK ON LEVEL STABLE BASE H-10LOADING UNLESS UNDER /N A PUMPED SYSTEM. 20 M/N. \ / , , I
'- PAVEMENT OR/N DRIVE.H-20 //Zr WASHED STONE I
I I
LOAD/NG UNDER PAVEMENT OR i I
DRI VE. 8.
4.4"
p-w-. RECOMMENDED MANUFACTURER r' �/ /f /"+ `.a.- --- _ RECOMMENDED MANUFACTURER -Y. r" r 'erg p ".> NO WATER 93.0
(OR APPROVED EOUAL) ( OR,�IPPROVED COU4L)
NO TES IN VER T EL E VA T IONS:
/. TH/S PLAN/S FOR THE DESIGN AND CONSTRUCT/ON OF THE SEWAGE P L A IV VIEW ' _
DISPOSAL FACILITY ONLY. SCALE - /
INV. AT BUILDING -96.15
2. A L L CONSTRUCTION METHODS AND MA TERIAL S SHALL CONFORM TO INV, AT SEPT/C TANK(IN) 94-95
MASS. D.E.Q.E. TITLE 5 AND THE. .;:: ,-f '. BOARD OF
HEALTH REGUL A TONS. -
INV, AT SLEPT(C TANK(CUT) ��.74
-••'�r ,.,._ ..,_,. �,--''r.�•'i ^�,. „�'?r'/ yd.� .;,'�"�.ly.,� '�•''.i/�,3 ,'�`f. � i+'" ,,r.'.-=o`,%` t:nCs' c.''..•. ',y' ,,.�.w,::.,.
�wF� .... +s,.,: `"',k.^'e=',✓'. .�'r'%'t�t.'x;' �1 ''r_.�.•',i .>/'s^ ,�• 'r`. 1=� r� . �;•z„r✓ ,7-,a„.�',G'�w`+ -� - r,
y Fes'
- IN ATDIST, BOX(IN) 93 90 f y
_. .. V T D ST, BOX(OU )
`` : ,0 - s _: .-.:_ . - .'r:N!"'.{.,,: v s ,.+. w.. m + x ,.... -Y / G.✓r � .—. .__...__ --_._._ _ ......4 f.m+'w:
/N X T
AT LEACHING FACILITY. C>3. s
- BOSTON, MASS. WORCESTER, MASS.
' HALIFAX, MASS. NORWELL, MASS.
k= Y : = - ';' -- 38--- BEDFORD, MASS. LEXINGTON, MASS.
I
" �1LL o/o/NG TD BE 5'�NEO. 40, Oli'�. UNLE55 OTfIEk'tN/jE NDTEO.
.k h F Y N i , MASS. MANSFIELD,
H A N S MASS.
' CRANSTON, R.I. DERRY, N.H.
S
PROFILE:
SCALE: I"_ r �. Y j
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DESIGN DATA
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«
DESIGN FLOW
� d
4/11
i
REQUIRED SEPTIC TANK
a ° I
GAL.
SEPTIC TANK PROVIDED = GAL. CAPE COD SURVEY
` �. CONSULTANTS
REQUIRED SIZE LEACHING FACILITY:
P O. BOX 56
- / - HYANNIS, MASS. 02601
617 775 -7155
,. ..,- -------- DIVISION OF
BOSTON SURVEY CONSULTANTS INC.
SIZE OF LEACHING FAC/LITYPROV/DED: ENGINEERING • SURVEYING PLANNING
TYPE OF SYSTEM _
«. TITLE.
SCALE • /
SECTION:
-
:
s.
20, 1. 0 SEWAGE DISPOSAL SYSTEM
, t
x DESIGN
_. ES
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— -- rJ
r:
LOCUS PLAN. -
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FOR:
x
,
I/dw
fi
Health Dept. .`«r „„
own of Barnstable , � I C
.,
SCALE: AS SHOWN
n METERS
)
(JUL 5 1983 µx FEET 0
DATE:
f1 COMP./DESIGN: FW
�lYr
CHECK:
flA TUM' DRAWN:
FIELD: ,Fm f- '�_J_-o
i FILE NO:
DWG. NO: a JOB NO: c— /o2Z-¢
SHEET: I OF: i
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