HomeMy WebLinkAbout0674 MISTIC DRIVE - Health i
184 Wakeby Rd (Marstons Mills)
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No. 4210 1/3 YEL
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BARNSTABLE
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T.0C&TION_ 0 Mrs�� SCV!'AGC
VT:LLAGEY 0aN Af ��� ASSESSOR'S MAP 6t LOT677 67 9
INSTALLER'S NAME & PHONE NO. C
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) — OZ3 (size) (®6t�
NO. OF BEDROOMS4-PRIVATE,WELL OR PUBLIC WATER I fG.
BUILDER OR OWNER 07.cJ[�
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DATE PERMIT ISSUED:__
DATE COMPLIANCE ISSUED_ _ 7T—�_�
VARIANCE GRANTED: Yes No—
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37
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1TOWN OF BARNSTABLE
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LOCATIdN ( SEWAGE #
—12
VILLAGE AL Lr ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. L&1 3U&9--
SEPTIC TANK CAPACITY12-60
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LEACHING FACILITY:(type) Z> (size) 600 qd
NO. OF BEDROOMS PRIV TE.WELL OR PUBLIC WATER �/o,
BUILDER OR OWNER web, -
DATE PERMIT ISSUED: 1 -
DATE COMPLIANCE ISSUED: 1-{ - �
VARIANCE GRANTED: Yes No�^
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
......................................OF..........................................................................................
Appliration for Uiip.aii al Marks Tanotrurtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: n )
...•...�::�........� �'..`.. �` (/✓���' ...._...- ` `'t,� /� � 1�S ....................................
.... - .••---
tton- d ess r Lot No.
�,,FJ ( rs, s Ili o ��
Ow�ery Address
................•-----•--......_ ...
I, ller Address .
d Type of Building SiIC Ilr•�r�,l Size Lot......._1..-O.Sq. feet
U Dwelling—No. of Bedrooms''..___.._/. -----Expansion Attic ( ) Garbage Grinder
( )
U ag
P4 Other—Type of Building °___e _���NNo. of persons............................ Showers ( ) Cafeteria ( )
Q' Other fixtures ................................. .
d ------------------------------------------•--•-•
w Design Flow..........VVQ.........................gallons per person per day. Total daily flow..__....y�......_............•.....gallons.
9 Septic Tank—Liquid capacitv)S- gallons Length................ Width_............. Diameter................ Depth................
Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--_---------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit..l!�Z...... Depth to ground water...._�"�__-_-__.-.
~' minutes per inch Depth of Test Pit ___.... Depth to round water....-..atie-_--___.�., Test Pit No. 2.__.._.�_.._ p p ... p g
Q-••------------•--...A...........................................................................................................................
ODescription of Soil------.. ..---------------------------••-•---------•-----------------...-----•-•---------------------------------------............._..
x
U --------••••......------•--------•-------•••••--•---•••••••--•................••-•------•......••-----•---------------••....-----••-•----••-••----------•----•••-----------...-----...........----•---•-
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 TL i i :a;:. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been Assued by the
.� /bJ&r o
........... .......•.�_
Signed-------- a.t./ .. ...
_
Application Approved By............_ .... = -----------------------•------- -•------ It -ap'
• VV Date
Application Disapproved for the following reasons:--•---------•----------------•---..............---------------------------------•----------.....-•-•••--•-------
--...--••----..................................................................................................................................................................................
Date
PermitNo......� 2.:..72.1-------------•--------•--. Issued.......................................................
Date
w�R
No. ...,.....� -- FEB.......
7 7 7 L� THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-------------------------...........OF..........................................................................................
Applirtttion for 11iopoottl Works Tonitrurtion Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
1
........� �.. 2..... 1� :�_____.... i !. J'i`� :..���..-------•--------- ---- ------------•---------•-•-.._....-----------•.
j ;tion-A d ss r Lot No.
Owr r Address
a ••-••-•-- _`� �--Sc. L:_y_- ==' ' ----------------------------•- ........
...._...-------------
.:. -•------------•----------
In t all er Address
Type of Building Ej1��l ;�N; �, Size Lot____.._../ Sq. feet
Dwelling—No. d BedroomsJ.......V---__-_•-•-----------------•---Expansion Attic ( ) Garbage Grinder ( )
pa-, Other—Type of Building o. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures .................................
.
W Design Flow........../.10>.........................gallons per person per day. Total daily flow........U Y0......._.........._......gallons.
9 Septic Tank—Liquid capacitvj.,5b:gallons Length................ Width................ Diameter-_............. Depth................
Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No-_----------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1......... .._._minutes per inch Depth of Test Pit____ � _...... Depth to ground water....... .. ...........
f3, Test Pit No. 2........2._._minutes per inch Depth of Test Pit..... �....._... Depth to ground water_-___
P4 -----------------------------------••----------------------•---......_._..------•-----•-•-----------.........................................................
O Description of Soil--------- ", _Ss..
x
U ----•-••-------........---.............................................................................................................................................................................
W ............................... --.....---•-•-•••-...-------------•••-••••••........-•----••----•••----•-•••---•-•---•-----------•-•--••••--••-•----•-•-•-••-----•--•--•••••••-••-••......---•-------•-•
UNature of Repairs or Alterations—Answer when applicable___________________________________________•-_-_--------------------------------------_--------
--------•-------------------------------------------------•------------•----------...............----.......--•------------...-------•-------------------------------------------------•••--•-.....••--
Agreement:
The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with
the provisions of is TL:" 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been ; sued by the bgp.rd of�a h. �y
Signed.......... •1-t'4'f/.j. ��------------•- J
Application Approved By............. ••----. ..............................•-
Applieation Disapproved for the ollowin easons------------------------...........................................................................____........__
..............•-----••-----------....----------------------......._..-•---------------._...._.........----------••--•-•-•-••----•••---•-•...--••-•.------.............................................
Date
PermitNq?.7.:...?:_7__"-1................................. Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
i
.:�........... .OF(h ' .Yatimpliatta
w,
tt#r .................................................
Trtifir
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (,S<) or Repaired ( )
by............... _:` :� a - :u ----_---------•----Install
' nstaller
at—L—ol.....7-r)--• /�� z ---------- -------•--•----------------------------------•-------•--••---------------------------------
has been instailed in accoMance with the provisions of T I ice': j of The State Sanitary Code as described in the
application for Disposal Works Construction Permit 1. _______________ �_...._.._....._. dated_.._.__.. .__:__.____._.___.___.__._____.._
THE ISSUANCE OF THIS CERTIFICATES A OT SHALL N E ONSTRUE® AS A GUA ANTEE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.................... - :na... Inspector..................... •----•-------____------•--•-•---------••-•---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�� ...��. .rl fw>s^...................... e C./Cr�ti.-ueri��•CG.�L./.................._.................................
No.---- _ �� Y f -
�io11oottl Works �ono#rion anti -....� ._..........
Permission is hereby granted.-----------• ��.........
I
to Construct ( ) or Repair ( ) an Individual Sewage Disposal ystem
atNo...............................................................................................................................................................................................
Street 97 771
as shown on the application for Disposal Works Construction Permit No.....__.'_...._.. Dated..........................................
y�c ------------------•-••-----------•------•--•--------•
Y` -
T ( f oard of Health
FORM 1255 HOBBS & WARREN, INC.,- PUBLISHERS
S YS TEM PROFILE
I NOT TO SCALE
TOP FDN. FINISH GRADE 7 8.7 FINISH GRADE OVER
EL . 19.5 FINISH GRADE OVER DIST. BOX 7C .0 FINISH GRADE OVER
SEPTIC TANK LEACHING PIT
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. VARIES
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° °.a, o:: s•. • :. e.'..o f: •.e 3.� OF 1/B" — 1/2" 12 TX
0. ,• :o.'o. .o..a_e.�•o.e:,e .�:e1�•:e:�^°a:e.:":.•atd o . .. e
. .. . ... . . o. .e.. .e. . ...a .. e.a; a:: •o PRECAST CONC. OR
SHED PEA • - BRICK 6 MORTAR
311 OUTLET PIPE LEVEL :}:: TO 12" BELOW GRADE
4 FOR 2 FT. MIN.
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';p': :6. COg• IO 'D :o: �O�%T✓ •e:::!. e:% -•o•.•: �o o::A:•:p:e:p:o: :o :o, ••b'.�•e••' o-•o-o
:o C. I. OR PVC TEES
•o- I':o.:. o•
BSMT. FLR. o .f c�50 GALL ON DISTRIBUTION BOX b. o;
:e.. •o.: o INSTALL ON LEVEL BASE 3/4" TO 1-1/2" 4: 3 `7 0
PRECAST CONCRETE PRECA S T p
..o WASHED
I 0 REINFORCED e
cRu.�wEO I CONCRETE J
STONE •y .. ' "'
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.b::o:•o.o..o.b o.o:o a•_o.o.°:•:o:•�•.e.o;•.o.a o•:o•°..• :o::'o:.:o•b.:°:: '! :'O:.I
H— l 0 REINF.
TANK �.6:• • •> :a . ::o-.•e:
7o.c SEPTIC
INS TA L L ON L EVEL BA SE °° p °• Q
No EXCA VA TE TO EL EV. ( r± OR a d.°. • a: a
- o. P.•.. .• . 4 D•.
L OWER TO REMO VE AL L IMPERVIOUS — -
MA TERIA L BENEA TH THE L EA CHING A.+4EA 2 •—0" 2 '—0 "
REPL A CE EXCA VA TED MA TERIAL WI TH 6'—0"
CL EAN, CLA Y FREE SAND
6�•2 10 —0"
N �6• EFFECTIVE DIAMETER
PIT
GENERAL NOTES , ; LEACHING
�\ INSTALL' ON LEVEL BASE
?4 1. ALL ELEVATIONS SHOWN ARE BASED ON FIELD SURVEY
2. ALL PIPES IN, THE SYSTEM MUST BE CAST IRON ,
72 \ \ OR SCHEDULE 40 .PVC. O ,aERVA TION PIT
Zd `� 3. THE BOARD OF HEAL TH MUST BE NOTIFIED '
WHEN CONSTRUCTION IS COMPLI TE PRIOR P-56B9 y
TO BA CKFIL LING PERCOLATION RATE.'
4. ANY CHANGES IN THIS PLAN MUST BE APPROVED 2 MIN./IN.
WI TNESSED B Y.•
BY THE BOARD OF HEALTH AND CAPE 6 ISLANDS
SURVEYING CO.. INC. _ T. MCKEAN
5. MA TERIALS AND INSTALLATION .SHALL BE IN : BARNS. BRO. OF HEAL TH DESIGN DA TA '
PRECAsr co aErE COMPL IANCE WI TH THE STA TE SANI TARY --
t' <_EACHING PI CODE — TITLE V — AND LOCAL APPLICABLE DA TE.• ✓UL Y 1 1986
RULES AND REGULATIONS �" zo.
6. NORTH ARROW IS FROM RECORD PLANS AND o' L. Z.4 NUMBER OF BEDROOMS 4
TO i'� 15U�OIL. GARBAGE DISPOSAL NO I
U' \ \� �► IS NOT TO BE USED FOR SOLAR PURPOSES
7. FLOOD HAZARD ZONE C TOpSG�L , 24 DAILY FLOW 440 GAL .,
J 32af ALLON , \ B. WA TER SUPPL Y TOWN WA TER ' SEPTIC TANK REO 'D. 1250 GA L ..
t7 r4 4':-T �cCrfCAETF 51 LT �.LAY
60� SEPTIC TANK PROVIDED
1250 GA L .,
LEA CHING REOUIRED 440 GPD.,
z
II ,
SIDEWALL AREA 225 S. F.
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225S. F. X 2. 5 G/S. F. s 562GPD
P I BOTTOM AREA = 157S. F.
LEGEND 157S. F. X 1. 0 G/S. F. = 157GP0 p ;'
l U O W A T E IZ LEACHING PROVIDED 719 GPD "
p j� ,' Fir i�
PROPOSED EL EVA TION ,+
0 �0 ass u;oe�j o'L -- �o—- EXISTING CONTOUR SINGLE FA MIL Y RESIDENCE 6
h� / bS 6 le(?
19 OBSERVA TION PIT of
/ � 5
D DISTRIBUTION BOX
\� PROPOSED SEWAGE DISPOSAL S YS TEMJAMES
URT
O 1�
0 LEACHING PIT n 29II 4a
O w PREPARED FOR
72 = o o SEPTIC TANK �Fss�oNA CAMMET T CONSTRUCTION
�4 tRP, RESERVE � L 0 T 70 MIS TIC DPI VE
nnv!D sA�� `i_ BARNS TABLE MARS TONS MILLS — MASS. ,
Z c!a�Nr!ES ^[,
��(.SO PIPE INVERT EL EVATIO
DA TE.• 06T. Ca, i 9� CAPE 6 ISLANDS SURVEYING, INC.
PLOT PLAN ,t SCALE AS NOTED P. 0. BOX 334
77
SCALE 1
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