HomeMy WebLinkAbout0064 OLD FALMOUTH ROAD - Health M�+sWnS N`tlIS I oo/ 00(c, j 0
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THE COMMONWEA H OF MASSACHUSETTS /
�a y BOAR OF HEALTH
U l� oQ"I ..... 4�`....�........OF .... ST PSI c........:.. .
ioil
Appliratiun for 14.9 anal Morks Toustrudiun jiprutit
Application is hereby in or a Per t to onstr t ) or Repair ( ) an Individual Sewage Disposal
System at:
(9 ....... _�l...... _�=m M c�uTl. ............. ..........I?�l �25 DoJ S_.. I -.�-:5-----.........---...................
............. _.__. L Lion � J � ZU .....
Lot-`
Owner Address
Lc.r..--------- - ...............
Installer Address
Type of Building 3 Size Lot.....A:� A....Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
�'4 Other—Type of, Building No. of persons............................ Showers
YP g ----------------•----------- P -(- ) .— Cafeteria.(....>.
Other fixtures ..--.....-•----•------•-•••---•--... -- --
W Design Flow..........1..10. .......................gallons per-ywwrl der day. Total daily
flow
W flow...........� .0................. lop-s.
Septic Tank—Liquid:ca acit 10M.. . allons Len th.�_4 _.. Width:t�.16'.. Diameter................ De th.4 u--
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No........[............ Diameter......(.Q........ Depth below inlet.......<0........ Total leaching area.XW:._j..sq. ft.
Z Other Distribution box (YJ Dosing tank
~" Percolation Test Results Performed by....._ ..:�.►5 f C �.................... Date..... z_�_ lb7......_.....
a
Test Pit No. 1... _Z...minutes per inch Depth of Test Pit...1.44....... Depth to ground water..h 014f1.
........
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
O ..:.........................••......•......--•......... --. ..........................................................
Description of Soil..(' -c�„ a
VNature of Repairs or Alterations—Answer when applicable...............................................................................................
••.----•--•-------•-•-•--...--•-----•--•...............•--•---•---•-•--•--•----•---........-•---•--------..........------------...--------------..........------•--•------............_._.............
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the p orisiocls of'ITL-- 5 of the State lnitary Code— The undersigned further agrees not to place the system in
opera on until a ert' to of Compli as been issued by the board of health.
Signed.. ------ ................... lT./� ..
-•-- .. .. .- .
. l t
A lication Approved By..... �1!, n...... . c l iL.
Date
Application Disapproved for the following real s:.............................•-•-------•....-----•-•----.......--•••----••------•-••••-----......_..._....-•--
--•--•---•..........................•---•---' ...-�--•• -- •-••--- ---......----.._....-•---•-•--•--••---........-•-•--•----•-----•-•----••---._......--•-----.._Date---..........
Q
PermitNo.....U--- -------------------------------•------ Issued..------•--------•------•---•-------•-------........._..
9, _ss y Date
THE COM NWE 7 A H 'OF MAS I SACHUSETTS J
^ ^ � BOARD OF HEALTH
cd —r`
Appliration for "s'a1i*Vo`rk',s' Tonotrurtion Ifermit
` Application is hereby.made —' - Permit — ------ — --'—' ` / an ^~~^` Disposal
~^~~ �^~~s=
\� /\ //�T c\ ( L� w xJ ��
\-v--iSystem at:
---'-----^--'-----'-- = `=���'`----==-'-'=- -----�-'`�`===�=��----'--�'��---�------------------
Lo�a_tion--Address
. ' -- � �� '��-�—_- _ /�/��� -�'T�_7t� = u* �^ _
' Owner Aua�� -'-'-7---'-'-'---'
.] '\ ^�^C
--_---'---'--_-----'_-------------'_'_---_'--_-- ........_--..-----------_-'-'--'--'---'-'------'---------
�a� Address
� Type � Bn3�� Size L� � ���oi feet� '^ ~ -��
Dwelling—No. of Bedrooms............................................ �t6c ( ) Garbage Grinder`( )
� P4 Other Typeof Building ............................ No. o{ persons............................ Showers ( ) -- Cafeteria � )
Other 6��u��
.....................................
Design Flow.......... -\.C}----.------��lkn� _
Septic Ixo�--I-�o��� b�ou ��o8�6.����--. .l[I— D��c��c--'---. '|�1..
Disposal Trench —.-------' V�idth.................... Total Lcogt6---.------' Total leaching area....................og' ft.
Seepage Pit No........ ............ Diameter......1:}....... Depth below inlet._-'�Q........ Total leaching areu:nq-7 '~. ft. �
Z OtherD���6o �� y�) Dosing `
~~^ .. � ^^a --~~ r
[,,_
Percolation Teo Results Performed b�_l. ' '--'------ --'^--� ...........................T��\' � ---�
Te» Pit No. l-' _minutes per inch Depth of Tea Pi — Depth u/ ground mmter.kl[ �Aff........
' ^
�T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth toground wutcr---------.
9 - '
0 . ..
i
SECTION - SEWAGE ' z
` �
l -SEPTIC TANK- Z - ••D..BOX- IZ - LEACH
To•of sDN � � �
•Q•/may• WASHED STONE
TF
IN•
OUT OUT• IN• P s
r� \
�SEPTjC
OQG n:• `!:
-► cc /QANK -(O,!' cO 1.GY�
ELEV. ELEV. ELEV. ELEV. _ o. �' r t •r
t5PTik CF FLOW= 4---T
v I ELEV. ELEV.
(►J;IET.Tt:E', Ib � uo,l0 Dowu
OUTI.ETTEE W'C6 UP,I44 PDl Mtr >
OF 17P�oyc�vFtoU Z OF�r••-ice•'
LAO Lcm— 4,O WASHEDSTONE
�L.r-,9.O
TEST HOLE LOG ?# w19�> 6�
TEST BY PAI�P� �
WITNESS BEDROOM HOUSE -(� / —� I
° i ( LoT 10
TEST DATE �ZI4I�, DESIGN 8 \
q} i�r�
�� -fir./ \ \\ � \ SEPf1G•rAwl�.
T.H. • 1 T.H. • 2
ELEV. DISPOSER OISPO R 1I ���
5UPERC RATE �Z-MIN/IN. 1! ��Q,
P� (oa•p GALJDAY) - ��FLOW RATE Ito °
'1 ,O n
S
ccro
SEPTIC TANK 330 (1,51s 0 ) '
TANK SIZE S7
SEPTIC v 33
REO'O S
a
V
Ml a�axe
, -LEACH FACILITY
�At1c. SIDE WALL 1L71 cw, _ 16, -- (Z,S) . ��.� G/D.
BOTTOM l�Olz>'�Y -lS.s r l.Dl . 7f3 G/D.
I o TOTAL 238. 1 sr - 4-19,1
i P�aJr.NNtve� _ 700�_
5 LEACHING PIT
USE: ^� T b
b>%C� ��et�I x Co i7�Pft� ��✓",I EFF.� �r:'<
_WATER ENCOUNTERED `
11 1
S; (UNLESS OTHERWISE NOTED)
NOTE
_QUADRANGLE AC _ �
FROM E AnsEcs MAP too
i.DATUMIMSLI-TAKEN IS aVA1LABLE { `tea-. PO�.GFL&-ar_q
!.MUNICIPAL WATER
].PIPE PITCH:Sib•'PER FOOT � �t� .E� Q
A.DESIGN LOAD.NG FOR ALL PRE-CAST UNITS:AASHO• ;•y �� `JIiiTEjJ�L�S
S.MIN.6ROVN0 COVER OVER ALL SEWAGE FACILITIES:ail FT. t i,, =_ N,• F/ -3
,�;: ,
S.PIPE JOINTS SHALL BE MADE WATER TIGHT CJ%•L� ` �^Jt� T c; 71 SITE P AN
7.CONSTRUCTION DETAILS TOBE ACCORDANCE WITH Comm.OFMASS. 4 ', %., 4, q �_ ,� ����
STATE ENVIRONMENTAL CODE TITLE S �0 30 RCAQ k� �- LOCUS: i.(�l q Q'fl F���r l 4 Eq D
a f+6 PL,.Nj Fm,ppor-c -� WO�C OI-�L U�'!`1D�`. /� `N O f SAS®.\ Me�To M t
kx7lrr�{ �i NGINEER r�� ARNE G�,,
HALE H. -`-i �REF: �Yln�_ 442 FA64G
. OJALA .j
down cQp a engineering \ PREPARED FOR:
CIVIL
ENGINEERS
LAND SURVEYORS °�AURVE _
• BOARD
�O�F�HEALTH �-• � B2'0 IIS1lIf 8L �AEE— ' OA.�TEV� � I "' S�•}`"�
�EutSTING)•••'......... ` APPROVED _ DATE -�+�'m+=z`e�_ZS- MA Yw--ma.WA
coNTOURS IpgOCOSEDI