Loading...
HomeMy WebLinkAbout0524 MISTIC DRIVE - Healthpr c of�/ 1'I'I l Sb ot-3 t/2., m er(sfims mills ~ TOWN OF BARNST.ABLE V A alb � S� LOCATION ,+-5- ?t,! �+'y,,s!1, SEWAGE # � VILLAGE 11�4 c5?VA)5`?9/GGS ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO SEPTIC TANK CAPACITY���G� LEACHING FACILITY:(type) -(size)_ NO. OIL BEDROOMS_ PRIVATE WELL O BLIC WATER } BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �. �.. .> �� ! �,\\ _ � , ��� ,�' ��� ` J -�- -- =- ��� �� -��� � . No. .�-. .... Fimic 14910............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... (J.I ►_.._.........OF...baAAJOATI�. . Appliration for Dispasal Works Tonstrurtion Famit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at -- IS � ... 9 � 1.�.Wszx.- o. l-y4 ............ . ation-Addre or Lot No. `. .•... ................. -••------•-•--------------------• ---.....-•--••-•---•------..................._....-- Owner d ress Installer Address Type of Building Size LotG4,,35D_-----Sq. feet Dwelling— No. of Bedrooms...........3............................Expansion Attic ( ) Garbage Grinder ( ) '114 14 Other—T e of Building ............... No. of persons.....--�0---------------- Showers — Cafeteria P4 Other fixtures ---•----•-----•--•-------------- ... ry W Design Flow................... gallons per person per day. Total daily flow.....�j� � .......................gallons. 2� '. 1 n W Septic Tank—Liquid capacrty_1_.. .....ga]lons Length Width..r'�....�?.... Diameter................ Depth�j.!_.).0..-. x Disposal Trench—N,. .................... Width............ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...................... Diameter... Depth below inlet1q1_b... . Total leaching area. .7�.....sq. ft. Z Other Distribution box Dosing tank ( ) �• �� P`-id-?3 '-' Percolation Test Results Performed by. �. . A �A, ltf_s .------�.... Date.. Cl�•e �� r�$,P..... a -. �� �` - - P P '--- epth to ground water..-.............. Test Pit No. 1......�....minutes per inch Depth of Test Pit��._.... D Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' •---- - ••----•---------•--------------------------------------------------•-------------------•---------•--•.............. "...... 0 Description of Soil `'.-.�« ..... ...4.5�..... ('�bo iJ------------------------------------------------------------•---....-------------•----------........-------- x1 .--� �1..,_c. 1= = ---------------------•----------------------------------------•----•-------------..........------------•-••---•---- W -------------- ------------------------------------•-----------....------------------------------------------------------------------------------------------------------------•---•---------•-------- V 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 iI'ILE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be ss ed by�,tl­trd of health. ���Signed.-- ------•-•----- - - - = -----------•---------..._. ....-- ---.. ..- ........ Date Application Approved By................. 12�.. .. . . .. C ............................. .... ... Date Application Disapproved for the following reasons-------------------------------------------------------------------------....................................... ......................................................................................................................................................................................................... pp�� Date PermitNo............7...11p l ..................... Issued....................................................... �— --- Date _ J r` �. -a . r2.... F�No. S..../'P....... ... a b.e THE COMMONWEALTH OF MASSACHUSETTS E., BOARD OF HEALTH } i ..�.:�l.).L..............OF... �U`1 f� . ` ..I:.:... '..1.. � . .....------•----•.................... Appliration for Disposal Works Tonstrurtion Funtit Application is hereby made..for a-Permit to Construct or Repair ( ) an Individual Sewage Disposal\ System at: .. .. Location-Addre s or Lot No. 4�1:_.0.i r•F 1}i t t ='`. -r ........................................... c Owner Address wCsCa7 — C�Gnlss?.. 'v�= ,.... 7Gs IVV� �----•---.4 �A ��c ------- --- ...,-.. Installer A ress V Type of Building Size pt�-_7 `-��-----Sq. feet Dwelling—No. of Bedrooms............ ............................Expansion Attic ( ) 'Garbage Grinder ( ) 14 Other—Type of Building ... No. of persons__.-___-2................ ( ) ( )p.l yp g ......................... � Showers � — Cafeteria � al Other fixtures ' W Design Flow...................r'......................gallons per person per day. Total daily flow.....,.:)- ........................gallons. W Septic Tank 01 —Liquid'eapacityI• `w_gallgns LengthL�7..�2.-_. Width. . ... Diameter................. Depths'_-.' _. W Disposal Trench—No. ...----------------- o. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......... Diameter.._. ?.`.. Depth below inlet.�.^_.5:�___._.__ Total leachin area. ..' 2._.._sq. ft. z Other Distribution box ( � Dosin tank ( ) P- :le r, '-' Percolation Test Results Performed by.!�!'c. �-:.,�1_.k,�t-t.�.yt.(.�i�r��.c:� t -i.�_L�a ._.. Dated__1::__ _�_.�.,_'<t. _ ,............ Test Pit No. 1......�._._minutes per inch Depth of Test Pit)_41-=1__. ..... �epth to grou d water. "______________ rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ............. --u`------------------------------------.......... -----•-•--- •------------ ---------- -... ---•------------------------ --------------- D Description of Soil _.�.1/_:_ =?_ {t `� I �I'�C t .L ----...••• •-•----••--------•---•-•--••••-•••-•......-•-•-•• ............................................-••-----•-••-•-•- x W ---------------------------------------•-------•---------------------------------•--.....------------------------------------------------------------------------------------------•-•---•--•-------••- 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 TITILE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has yrnel/Aissed by t b and of health. Signed-• �' = /. U----•-. a ate te Application Approved By-•-•--------•• D ate Application Disapproved for the following reasons:....................... ............................. ~y\• ----•••-•----•••-•-•-•-•••--------••-••-••............•• ----•--•••-•...............•- ..-•----....-•-•••-••----•-........--•-•...•-•--•--•••-•-•-------••-•-•-•---•-••--•--.......-••••--•.....•-••-•----••••--•-••••••-----••--••••••-••---------•-•-•-••••-••-•--••-•-------•••••••----•---- Date Permit No...........FC1•r3-1•-•---••--•-•••-•••-.. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH ......... .............OF....... ... . Z.y,�:. Itrr %C. CIrrtifirttfr of Tontptianu THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed �4 or Repaired ( ) by---•-----•------------------•----•-------------------------.------------------------------------- -----•--•--------•-•--------•------.-----------------------.-----------------------------..-•-- Instal ler at............. ......12..... r 7`t..s -------� ..........Illy-s-l ....-------•------------------------------------------------.......---------------- has been installed in accordance with the provisions of TIT Z 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..... Q.�.3.---------------- dated_............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD. nOF HEALTH N0.IV�/�S .......1 1 ��................OF........A/� rt. �J�.�f...................................... .: -.. r��G-1• 'ec�� FEE.__.�Da... Disposal Works TpMnstrurtion rrntit Permissionis hereby granted...............-•---....--••--....-•----......-----••---------------•-------................................................................ to Construct k- ) or Repair ( ) an Individual Sewage Dispos.d System at No.......1 eT.--..` .,_ ....... �. � ........ -- .. ��!� treet as shown on the application for Disposal Works Construction Permit No9Qn.3.�L.. Dated.......................................... ...............•-•-•----••-..+ .......................................................... DATE_ 5 Board of Health FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS r S vI TEN— PROFIL NOT TO SCALE TOP FDN. FINISH GRADE 90• o FINISH GRADE OVER EL . 9/• :o °o;:": FINISH &RADE OVER DIST. BOX 9 o- �' FINISH GRADE OVER o • :� SEPTIC TANK 9o. LEACHING PIT � 9.0 12" MAX. e 77,47 lh °o•'o. o' :o '°' •o.al:o,oe .e''°.o °' oa, o:.d. ..s. . p, p:o�p'o'i 3" OF 1/g„ — 112" 12" MAX :e .: �'.:o. .a,. �`:p:. :a :e PRECAST CONC. OR ASHED PEA STONE -P.— •'p - :� .p n.' BRICK & MOP TAR o'•':o': ,' a` 3" OUTLET PIPE LEVEL TO 12" BELOM� GRADE P. O FOR 2 FT. MIN. p. O o O.•• o. "..e•. .c..a. a •e• n. •o:a.Yl 0. ..D; ;d. c972? 0 8T. 0. L e:::!:p'•a .o,.. :o:'p;:0'.';p;;e:p:o: .a b ,p e•. �: n. C. I. OR PVC TEES a R�, (.. pp. o•o ,ee.p p '�Ab 0,'0• 76 BSMT. FLR. -1250 GALL ON �:.. , �.. DIS TF�. BUTI N BOX o cS' INSTALL ON LEVEL BASE N N 4 6 PRECAST CONCRETE NA SHED To —1/2 r PRECAST p b ® �f c. {"/A.JHED p' H-'- /O 0 i E Z'NFORCBD p.Q..e..o..o... °• CCrI�CRETE CRUSHED .e •¢ e STONE • e•e:U' =e:o-o,'•o;••o:a•.'o-:o;p•,v.e:p•,•Q•,:o:o•p'•'a:.::.a•:•a, •a_: b o':o' i w d o; �/ CEP TIC TA N40 INS TALL ON LEVEL BASE 7G. u_ :e.4 ;e:,e;p NO EXCA VA TE TO EL EV V. OR ° .o,o o• 4; • . • L OPIER TO REA•14O VE ALL IMPERVIOUS A SINGLE ROIL OF HAYBALES TO BE PLACED. MATERIAL BENEATH THE LEACHING AREA 2 '-0 " 2 '-0 " —� \STAKED, 6 MAINTAINED DURING CONSTRUCTION REPLACE EXCA VA TED MATERIAL HI TH , 6 —0 1 D, CLEAN. CLAY FREE SA NO 10 —0 EFFECTI VE DIAMETER to ly� 9 a PIT GENERA�. NO TES LEACH ..N ' ® 2° +� 1. ALL EL EVA TION 6, SHOW ARE BA SED ON SURVEY INSTALL ON LEVEL BASE 2�0,GALLON � 2. ALL PIPES IN THE SYSTEM MUST BE CAST IRON PRECAST CONCRETE ©R sci-EDvLE ;4 . Pic.-af ,:v. . , BS�'�°�?E�'' ,��' AI �1 _ TIC TANK ` 3. THE BOARD- OF HEAL TH,MUST BE NO TI.FIED P 5673 - ! " I ti F i I THEN CONSTRUCTION IS COMPLETE PRIOR PEPCOLA TION RATE.' I y N PRECAST CONCRETE TO BA CKFIL L ING 2 �LEACHING PIT 4. ANY CHANGES IN . THIS PLAN MUST BE APPROVED MIDI./IN. B Y THE BOARD OF HEAL TH AND CAPE 6 ISL ANOS NI TNESSED B Y.• T.MCKEAN o a . / SURVEYING CO., INC. 5. MATERIALS AND INSTALLATION SHALL BE IN ^ ` �� ��' g �nf/o F •' BRANS. Rn F H TH COMPLIANCE NI TH THE STATE TE SANITARY TARP JUKE` 7a 1 DESIGN �' CODE — TITLE V — AND LOCAL APPLICABLE DA TE.' ` _ _ _ _ _ RULES AND REGULATIONS �� 3 6. NORTH ARROI' IS FROM, RECORD PLANS AND 0 NUMBER OF BEDROOl�1S _. NO IS NOT TO-BE USED FOR SOLAR PURPOSES TOPSOIL 6 82.3 GA F7BA GE D SPOSA L 7. FLOOD HAZARD ZONE W C SUBSOIL DAILY .FL OX GAL . B. WA TER SUPPLY 12" SEPTIC TANK REQ 'D. ��� GAL . SEPTIC TANK PRO VIDEO GA L . r � / LEACHING RECJUIRED GPD. '• -. MEDIUM SAND A r LoT 3 34 s� % SI PALL AR A � 1B8 S. F l 1 S. F. X . 5G/SG F. 4 1 GPD s �� . , / BOTTOM AREA 7 S.F. LEGEND 7.9 S. F. x 1 0 G/s. F. — 7s GPD L EA CHING PRO VIDED >� �SDGPD 4 144 " NO GROUNDWA TEA i \ - -PROPOSED EL EVA TION 70.3 -- Ea;. sTING co SINGLE FA MIL Y RESIDENCE 6 OBSERVA TION PIT ❑ DISTRIBUTION BOX �+ Y ,A' ;1 ro ;• j/ • PROPOSE SEPIA OE DISPOSAL S y .� l��'! a j LEACHING PIT PREPARED FOR 4 o SEPTIC TANK N. FREEMAN & D. O WEEFE L O T 37 MIS TIC DPI VE / t R P) RESERVE ^� + BARNS TABLE — MARSTONS MILLS — MASS . o "° 1 f fT•z PIPE IN EL TION r r DATE: IVp v. PLOT PLAN CAPE AND ISLANDS SURVEYING CO., INC. SCALE AS NOTED SCALE.• 1 ,,,mo o . � a - /J/ SPRING BARS ROAD PLAN NO. 5-0 te e? FALIl40UTH, MASS F"'" , .... 's. ��I.. �C-i T 4 f?..:!'• 1... -I`• ' Y <. ,,. a ,-+ -... .. ,. .,+.. . .....••. ..,.-.+.....-....,... ....,...........—n......,...- ..«.,,,,..-,....,.,,.,. ,..-,.,,....>,...-.....•.........•va•m..,.-> --. ,..,---.-