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HomeMy WebLinkAbout0184 MOCKINGBIRD LANE - Health ley Y/1a�6c�n�J���cP[►.�,�;Y�,7�. �1�3 �p� - - --- - - - - � \� _ V p too �TOWN O f iBAR TABLE LOCATIONS oU SEWAGE .4 / , 0/ 30 VILLAGE iW ii�/i/� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. 7AW 2 2/c N SEPTIC TANK CAPACITY /o 00 n `LEACHING FACILITY:{type) (size) ,0 0 0 NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER UILDER OR OWNER DATE PERMIT ISSUED: Irn DATE COMPLIANCE ISSUED: �•`l VARIANCE GRANTED: Yes No !/ /�f ._, ,�- /` `�� f •��� G 3� y/ No..��- :... 3JO��.. SA i Fss.... : OF THE COMMONWEALTH OF MASCH1�USETTS0 ROBBOARD OF HEALTH l 19875 ' `n Appiiration for Digpooa1 Works Tom1rnrfion ramit G/STEp�Q Fs�lf,; F tion is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal L F ,. ' cnI -•...........at..----...•.......... --......--•----••---. � ...1.. ................ - L cation-Address ort N Avn Owne Address a ............................ ............ .......-•-•------.....................•........................................................_.. ........- Installer Address PQ PQ Type of Building Size Lot.....lL�.c�?1®.......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 Oay. Total daily flow.._.............. Q.................gallons. WSeptic Tank—Liquid capacity.15_....gallons Length....... Diameter................ Depth...5.: ` x Disposal Trench—No. ................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No...�...0 Z_..._.. Diameter...... .......... Depth below inlet.. ........... Total leaching area... z......4V Z Other Distribution box Dos' tank ( ) '-' Percolation Test Results Performed by 9jZuW...r--.0G.a...NG::...... Date..........IG7 E ........... aTest Pit No. 1......Z.......minutes per inch Depth of Test Pit--------4- � Depth to ground water_J' arl.Q._..._.__. fs, Test Pit No. 2.....2.......minutes per inch Depth of Test Pit....__..flk_.... Depth to ground water.X10.1.0......... y.... JA-' Description of Soil----�trU ±2�ELI/r � _..T3 l J- . �' � a �.1�. vS. S G�' =, 5_-!_ ... !o•c `�, zG '`'r�p .A''i '?''`,r> ----.................................... W UNature 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 iITi 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 iss y the boar lth. 1. Signed---- --------- - --------•-_--------- --- ---- Date Application Approved By............ Date Application Disapproved for the following reasons------------------------•----•--------------------------•------------------------•-------....................... ---------------------------•-•-------•--------------------....-------------------•------•-------..........._._.._....................................................................................... Date PermitNo.------.. ........ _ .. Issued....................................................... = �e No.- •••..`-• ......2:5.......... THE COMMONWEALTH OF MASSACHUSETTS OF s BOARD OF HEALTH . !N�l .....................0F....... J T-�t4.: ............................................. rn, YMOND yjr lipfiration for Disposal Work, Tow3trurtion amit NO. 19675 �FGl3TE on is hereby made for a Permit to Construct (�)or Repair ( ) an Individual Sewage Disposal ,r& �t 0 ... . .. M. M! J1. C l�1 J L1b. 4A-A_C • __. ...... ............. ........_ r�...1 fl a . . �.. . ....... ro 2l k s�/ lionAress N o ��� -o c..-•-•-•----------------------- . � f - / Nv. _JTY Owner Address W Installer Address UType of Building Size Lot-------._1 ... feet Dwelling—No. of Bedrooms_.__._._ .................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No, of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ---•••-••-..........•--•--••.... - W Design Flow....................� .................gallons per person per day. Total daily flow_.__..__._........44a...............gallons. WSeptic Tank—Liquid'capacity- jgallons Length-------L�tom.Width__ :4i.... Diameter---------------- Depth.... ..-e?.:. x Disposal Trench—No..................... Width.................... Total Length-................... Total leaching area....................sq. ft. Seepage Pit No...1...�.Z------- Diameter......�a.......... Depth below inlet...j;";t............ Total leaching area.......... sd"ft. Z Other Distribution box ( °'f Dosing tank ( ) ~' Percolation Test Results Performed by P t _c�._ -!! _. !! :_.___.£.................... Date...... l !.�� / `=� af ------------- ,� Test Pit No. 1-----�-_-------minutes per inch Depth of Test Pit......... .:....• Depth to ground water.n' ----------- (z, Test Pit No. 2......2.......minutes per inch Depth of Test Pit........1.4....... Depth to ground water._ e"..._.___. O Description of Soil---- P'r ✓� t?_AV �•......�= 5I J__L--�---*2.......0.. ��' �C �>� ► . `,------........ V _l. - G1 - F....`? ............�E. !Uon...Te? ��f�'NL.S� _..��_ `✓tr0... q• W ------------------• ................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable......___________________________________________________________________________•--•-..----•__. Agreement: The undersigned agrees to install the afored-escribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system ' operation until a Certificate of Compliance has been issue , the board a t . Signed.......... ....... D Application Approved B Date Date Application Disapproved for the following reasons:--••--------------------------------------------------•---------------------------------------••-••---•--...... ..............••-•--------....--•--.--••-----•--•----•••••-•------•-•-•---•-••----•----------•--•-----------•-•.•----..._....--•••-------....•-•••---------•••--•-•-•-•-•--••-•-----------•------------ yy Date Permit No.........................................................i` Issued..•-•-...---•--••-•••......•-- ....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH "c ......... �. ( ..hl.?.1r ? .�.............................. (Irrtifirab of TonaIlfiona THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY.................................................................................................................................................................................................... ^ I staller r� ' Y has been installed in accordance with the provisions of TIC"` 5 qf�The State Sanitary Code as described in the application for Disposal Works Construction Permit No.............................. `;r!...... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 0..S�ATISFACTORY. DATE..................__.-.c��/.. _./ .....-•--•-••----............... Inspector..-----...� THE-COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �f/�� .............................' ..............oF...... .! ,SST %..t�..,..:.-------....._..........._.. `75-- NO.FJ.I...... / FEE..,._./................... 0W.Vosaaf Vorkii Tonstr ion permit Permission is hereby granted ------ to Construct or Repair ) an dividual Se. ge Disposal System (7, .................................................... Street ��• as shown on the application for Disposal Works Construction o_ ______________ a .......................................... Board of Health „. f f Cf fff / DATE •. ..... --- -------•--------------------------------------- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 'LOC`4TIOI�J • �. Al ILLAG� DATE -7- � APPLICANT FEE • (Non-refundable) ADDRESS TELEPIIONB NO. ENOINEBR. 06 1a= 'r' 10-1 1�,.�� TBLBPHONB NO. _ 477—ZIZG ' DATE SCJIBDULED =7 - (Appllcant's Signature) ...........................................................................................................................................,.••.:.,............. ASSESSOR"S MAP & LOT NO: SOIL LOG SUB-D1V1S10N NAME DATB .�UUI�t 7; °)F� TIME BXE'ANSION AREA:.YES Y NO ����'- tW ENGINEER. TOWN,WATER PRIVATE WELL BOARD OF HEALTH Wi I ItA;s.d EXCAVATOR, SKBTCHs (Street name, etc., dimensions of lot,.exact location of test holes rind percolation-tests,, locate wetlands in proximity to test holes) NOTES: �OLATION RATE I�s 1 Kc P HOLE NO: ,ELEVATION: TEST HOLE ELEVATION: 2 3 ® 3 y 4 4 , 5 / f. : 6 / 6 _ 7 7Q/, f 8 6 7/ • 9 ;7 r 10 10 tJ 11 r 11 12 12 a i3 13 14 14 1 15 15 16 16 . TABLE `FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS LEACHING TRENCHES ,'• UITABLE. FOR SUB•-S1IRFACE SEWAGE. REASONS: E: ENGIjIEEtRINa PLANS MUST SHOW. NUMBER..ASSIGNED..ON .PERC TEST 'APPLICATION 31NAL:, (COMPLBTED IN ENTIRE'l<'Y BY P.-' E. AND RETURNED TO BOARD OF HEALTH y= RETAINED INED BY APPLICANT �� I P 7380 - - TEST PIT #1 TEST PIT #2 1 8,_6„ GENERAL NOTES 4. ELEV.= 51.1 O ELEV.= 50.5 - --- -__ 1. ALL ELEVATIONS SHOWN ARE BASED UPON THE TOPSOIL TOPSOIL { i USIC 8 GS DATUM ; AND AND p i_ i 2. PITCH ALL LINES A MINIMUM OF 1I8'I /FT. UNLESS .i -�i I 1 ,, T , OTHERWISE SPECIFIED. SUBSOIL SUBSOIL I I ! 2d N ^ '30 C, 0 0 0 O 0 f C C 0 0 i 1 -�- 000000 D O 0 0 0 0 0 CC 3. ALL PIPES TO AND IN THE SYSTEM SHALL BE CAST I p ' � II •- -0 00 0 () 1 @ O 0 0 0 0 C'v0 J IRON OR SCHEDULE 40 PVC. 0 00, �J 000000 G 0 0 CIO 0 O .0 5' G 0 C)00 4. ALL SEPTIC TANKS, DISTRIBUTION BOXES, AND O 0 �' MED. � MED. � ��'�,, �� -1 LEACHING PITS SHALL BE DESIGNED FOR H-20 WHEEL0000,0 G@ O 0 E 0 0000 LOADINGS WHEN UNDER PAVING. 00000 � O O 0 000000 COARSE COARSE it 000 ,E C) G (D O 0 0 n 0 00C 5. REMOVE ALL UNSUITABLE MATERIAL BENEATH THE, !+.� O SAND _-__ OG '� ') ? D O 0 6i 0 0 C CEO INVERT ELEVATIONS OF THE LEACHING PIT FOR SAND I` 3 TYPICAL DISTRIBUTION BOX 000 0 O 0 0 O 0 OCO A DISTANCE OF 1OFT. AND BACKFILL WITH CILAY- I in FREE SAND 8GRAVEL HAVING A PERCOLATION RATE Lloul� F_EVt:I Nc'Iir TO SC4_E - --6_0 OF 2 MINUTES PER INCH OR LESS. ` GRAVEL : 14' GRAVEL � __._ 14 --J NOTE- DISTRIBUTION BOX AND 1000 6. THE BARNSTABLE BOARD OF HEALTH MUST GAL REINFORCED SEPTIC TANK BY BE NOTIFIED WHEN THE SYSTEM IS NEAR COMPLETION OBSERVATION PIT TYPICAL 1000GAL. SEPTIC TANK ACME PRECAST OR E6UAL. TYPICAL LEACHING PIT AND PRIOR TO BACKFILLING . 7. UNLESS OTHERWISE NOTED,'ALL SYSTEM COMPONENTS PERCOLATION RATE= 2 MIN./IN. NOT TO SCALE '' NOT TO SCALE SHALL BE INSTALLED 1N ACCORDANCE WITH TITLE V OF THE STATE SANITARY CODE AND ANY LOCAL OBSERVATIONS BY, NOTE' TANKS REINFORCED THROUGHOUT WITH RULES WHICH MAY APPLY. BARNSTABLE BOARD OF HEALTH ELECTRIC WELDED WIRE WITH 24-1/2" ENGINEER-"ARROW ENGINEERING INC. EMBEDDED STEEL RODS IN TOP a BOT- 8. CONTRACTOR IS TO NOTIFY ENGINEER, PRIOR TO) THE DATE 8/7789 --- --_ TOM. CONCRETE IS 4,000 PS.(. TEST: .. - INSTALLATION OF SEPTIC SYSTEM, OF ANY DfSCIREP ANCIES BETWEEN TEST PIT RESULTS AND FIELD CONDITIONS. 9. ACCESS MANHOLES TO SEPTIC TANKS AND LEACIHING PITS TO BE BUILT UP TO 12 INCHES BELOW FIINISH GRADE. W LOT /0/ TOP OF FOUNDATION Za9 e ELEV.= 53.0 - FINISH GRADE FINISH `(',RADE FINISH GRADE OVER LEACHING 50 FINISH GRADE OVER TANK OVER IIDII BOX AREA ELEV.= 50.2 ELEV= 52.0 ELEV.= 50.5 ELEV.= 50.5 EXIST GROUND 52 52 52 51 U N BO 00 E _ - _- _ _ ^-----_____ [� -f-2 � 14 ,:; 177. INV.= 48.G � l a _ - •.. .,, ,: •., •o>` WASHEG 'STONE i \ INV.- 47.5? o dT O T 100 INV.t--48.0 I '' INV.= 47.40 . . ����• := 5s�1 I 1000 GAL INV.= 47.75 D1ST BC,,� c, °� � .. a o ... . ( ,, o o 3 XSTON 21 O± " SF __� I REINFORCED (TO B�_ : F� :- -- � ° WASHEDE 51>»I CONCRETE ) ...... .... ....... °oo - & STAB,- SEPTIC TANK BOTTOM ©F PIT iTG B= LEVEL a 'STABLE) INV= 47.0 "' ELEV. 411.0 W s v 51x1 ?+o TYPI CAL .SEWAGE SYSTEM PROR LE PRECAST LEACHING PIT 1 p 51» , 1 � (TO BE LEVEL a STABLE) 5; _ S�+ A�� NOT TO SCALE U 51 IOAF S�+O (0, T G� G� t H MxTeff SERVICE ,`ry0<���Yc ►yh.ti� L O / ✓ ✓ "' LEGEND 4914 ti' 4g ►y� 52 _J ioo9 saccoN MAP SECTION PARCEL LOT ADDRESS sIPT/C rang .� EXIST. CONTOUR - B� 8 13 30 100 8 51 PROPOSED CONTOUR - - - 50 5 °" +° EXIST SPOT ELEVATION 8 X 0 SQX �L 51><i PROPOSED SPOT ELEVATION 8 +0 " ZC?N1NG DISTRICT F,_C;OD H:�Z4RG ZONE 2e• R PERCOLATIONTEST �J 11 4 t OBSERVATION 'PIT �J RF -- M , r' N 93. CRITERIA PROPOSED LOCATION OF DWELLING DESIGN -�'� OF MA s eo'os•oo w t EDGE OF PAVEMENTr� �o�Ear ' & S E WAGE D I S PO S A L SYSTEM 5o NUMBER OF B DROOMS _:_3__ ''I` RAYMOND y LOT T 10 O MOCKINGBIRD LANE PERSON PER BIE�ORooM -- 2 _-- _ No.2,5s3° MOCKINGBIRD LANE t GALLONS PER!PE=RSON PER DAY __55-- W i19�CIS TrrA`` i ll LEACHING REQUIRED 330 GP:D ' �, '�t nti r 549.7 GPD BARNSTABLE MA LEACHING PROVIDED DISPOSAL N0_ �H OF �i�I APPLICANT : ENGINEER SEINER DESIGN ,a`� s�G„ j DONALD DODDRIDGE '>I ENGINEERING ;NLC. � ROBERT `�G\_ i 55 CEDAR LAND ROAD 1;, ��;E DRIVE SUI'E B E ! ORLEANS MA. 02653 MASHPEE, rJiA r='6 49 SiDEWALL� 2 x �r x 6 x 5 x 2.5 = 47/.2. GPD -� � BOTTOM -- n x S x /0 = 78.5 GPD ,e SCALE ' DATI ;HEFT' t!OWN AUG. 1 1989 �F I y TOTAL 549. 7 GP0 `-- ! DRAWN BY CHECKED BY: APPD BY- PLAN NO. PLAN SCALE : 1"=30' j SEE /JSP ,RER h'E_R 631-A REVISED 12-13-89 SJR y. -_;.,:.... ....cam+. .,54��.. .._} �.�.�-� �I�f►�'9ii§istr�-'.-,.: -. _ . _ .. -.. -. - -... .... .,,....-.e."....._,_.....,.__.... _.. .._... ....... .. . _. f.___. ._