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HomeMy WebLinkAbout0079 OLD FALMOUTH ROAD - Health 79 OLD FALMOUT (�� •i ANW TOWN OF BARNSTABLE LOCATION S 06D llZD, SEWAGE # VIL LAG /YI l!dS ASSESSOR'S MAP & LOTAO-UOy- 61)3 INSTALLER'S NAME & PHONE NO. �ouT t Ceaks? �1�f= 4 SEPTIC TANK CAPACITY 106L) LEACHING FACILITY:(type) �— �!� (size) NO. OF BEDROOMS PRIVATE WELL OKIUBL C WATER BUILDE,$�R OWNER '( dmpf (v.) IRV) u0ces DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 'I S VARIANCE GRANTED: Yes �No / a 3 . No. -" 41�..� Qi ..........THE COMMONWEALTH OF MASSACHUS TSBOARD OF HEALTH 109 Ug -._....-.-.....OF.--.......- SMJ �--- -------- WARM Appliratinn for Ui�pniittl ork,5 (nnnitrnrtiuApplication is hereby made for a Permit to Construct (,� ) or Repair ( ) an Isposal System at: M.M. ....... Lo ion Address � � r Lot N�} -----•-_-------•-- o� �O Owner Address Installer Address Type of Building Size Lot--- ....Sq. feet Dwelling—No. of Bedrooms____________________------------------Expansion Attic ( ) Garbage Grinder ( ) pa,, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures --------_- / �' �_ �o rr d �� a _._f.�... Width-- ... - ...._,7.. W p g - q- - -P-- --- -•------� P P � �Y P W Design Tank—Li u>d ca aclt �.... lloo ss eLen th-- 9r Total dal Diameter.. ............. De th_ 1 ns. x Disposal Trench—No. ..................... Width_..._ 6__..._-_-- Total Length.-___-____---{..... Total leaching area....................sq. ft. Seepage Pit No........ ........ Diameter-------- .... Depth below inlet............. Total leaching area.c�kq/..sq. ft. Z Other Distribution box ( ) Dosing tank ) Percolation Test Results Performed by ..5 a�------------------------ Date.'/ A ,aa Test Pit No. I......Z----minutes per inch Depth of Test it----- Depth to ground water... ✓�Rl` fz, Test Pit No. 2--------........mmutes per inch Depth of Test Pit--- _ ........ Depth to ground water..._._..._.�........._... ._..... .... . ....... O Description of Soil....'-5. 7-- .- - tN OF ----------•••-- .. V DO LD V. t_T W .......................... ...................•---------••-•-------••-•--•-•----•----•-------•--.-----------_--------------- -- --- . UNature of Repairs or Alterations—Answer when applicable.............................._.._-.__- _-_- _. 1 Agreement: A9p �GISTS ° The undersigned agrees to install the aforedescribed Individual Sewage Disposal Sys } ncL with the provisions of TITLE 5 of the State Environmental Code—The undersigned further a ace the system in operation until a Certificate of Compliance has.been issued th b d Of health. g Si ned -... \ - Application Approved BY ...-.�.- .__.---- .._............ - - = �_9e. ...... Application Disapproved for the following reasons- --------------------------------------------------- .-. .-._---------------------------- ----------------------------------------------------------------------------------------------------------------- ---------------------------............................................................... ........................................ (� Dace Permit No. .........-/' ---=----lo-----a-7---------- Issued ........... ...-.. -.�.-.. %.4 ............. Date r _ No.-_!5...1())j FRs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............oF .. ..... y� is/ST �- ---------------- Appliration for Dhipuii ai Works Tnnitrur.tinn rumit Application is hereby made for a Permit to Construct (�/) or Repair ( ) an Individual Sewage Disposal System at: --------- ------------------------------- �. C L -'"-A.j------4i5?Z 9!3 Loc ion-Address r Lot N -- o. 1 ------- -----------•• '_�� ��''x r71 !' ...C7? ...--- Owner Address W .a G o7:T/....__> Cttt 5 --------------•---•----•--•- ........................���N rc----4 f l.c L•-- ,•a Installer -----------•-------•--- � Address ••��77 Type of Building Size Lot... ....Sq. feet .� Dwelling—No. of Bedrooms_____________•.---••�------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) d Other fixtures .-.--••••-------------------------- 6��.. -----------------••-------- WDesign Flow___________________/,l0__-____________gallons per pe&soia- er day. Total daily fl w_._....._____._..____.._._____._._.__.______gallons. W Septic Tank—Liquid capacitQ.�U_gallons Length__ _-__.�_. ..g p �___�_.i� �_ Width__.. Diameter__.._ ^- De th_ x Disposal Trench—No. _.._._..•.......... Width_____..__f_--------- Total Length.............. Total leaching area....................sq. ft. Seepage Pit No--------�-------- Diameter-------- ---- Depth below inlet----- Total leaching area_—,4P_Z�__sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 30Percolation Test Results Performed by.T.�N--- !` / _--------------------___ Date_ y �S .._____ Test Pit No. 1.......Z-----minutes per inch Depth of Test Pit_-._/" ........ Depth to ground water_.__ %d ! __.. (i, Test Pit No. 2.......... ___minutes per inch Depth of Test Pit---- Depth to ground water....t-4 w V Description tion of s__ ................... -- _--- ••-- -----•--•----------- -------------•-----------•-••--- .- - - --••••-•--------••••-• •------- ------ H aF Soil_. - _____ UW •---••--••-•----------------••-------------------•-------•-------------•--•----------••-------••-•-•----••---------•------------------____-------- �G Nature of Repairs or Alterations—Answer when applicable.............._------------------------- _ .B .K .- ._........ -t 1•-------•--------------------------------------------------•--------------------------------•--•----------------------------..._...---------- ..... Agreement: ,o q 071 The undersigned agrees to install the aforedescribed Individual Sewage Disposa 9 911 e with the provisions of TITLE 5 of the State Environmental Code—The undersigned furth At place the system in operation until a Certificate of Compliance has been i�theof health. Signed --------- �� .1 . Dare ' Application Approved BY ----..._..._t�... ;-_- .-- -......-- .-----------------------.....--------._------------------------- --------- --. ---.:-'. �' .�✓Die..�[_------ Application Disapproved for the�o)llowing�reasonf: ........ ..................... ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ........................................�� Dace Permit No. al. '.-- � .....�..-7--------. Issued ---------------- ,.........r+ t' ........ .....p V unc.r �. J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ---------------------------------------------- OF ..._.......-----...--------------------------------------------.._...-------------------- Q'Ie rttftca#e of ContlaItttn.ce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) b - ` - v- Installer at -------4- ni--- - ..�.. ------ .,,. ........ 0 �. r-/ - .................................................................................................. has been installed in accordance with the provisions of TITL) 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..Qe..........i---- dated ----------'i---------. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B1 eCikSTRIAD)AS A GUARANTEE THAT SHE SYSTEM WILL FUNCTION SATISFACTORY. DATE....... y Inspector ............................................................ 7. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................oF..................................................................................... No......................... FEE........................ Roposal Varkii Tuni#rurtion "rrmit Permission is hereby granted................................................................................ to Construct ( ) or Repair ( ) an Individual Sewage Disposal System ,\ atNo.......................................................................................................................................................................................... Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... Board of Health DATE................................................................................ Form 1255 H&W HOBBS&WARREN TM Publishers t,;,t riiU 011SLUVA.'1'101J l'1'I'S LOCATION C ,v -t VILLAGE C�7 APPLICANT ADDRESS 0 A � /S �{� ) FEE �— /c 11A 1. ENGINEER � - TELEPf1oNE tio.DATE 8C NO. 3�tion-refundable TELEPIIONE S y 11gDULED _j Z r7S 'lb"AddA,bilAP'dl.bMif0 .y. . . . . . . . . . . • • . . .. • • • • • • . . . ,Applicantta slUnaLure SUB-DIVISION NAME , gOIL�` LOU EXPANSION AREM YES_NO DATE 3�2��95' TIME O,'Qa� _TOWN WATER pRIVATB WELL - ENGINEER !; y BOARD Of' IIEALTII SKETCII: (Street name etc EXCAVATOR . ,dimetteiolls of. 10L-� e exact: location of heel: holes at►�1 percolation tests� locatWetlands in proximity to Lest holes► NOTRH t FA`s A OF M4 Ale (✓ ti DONAU) F. G ' BRACKEN, 0.VI -TF O \ / A` G PERCOLATION RAT$1 TEST IIor,E No: ELEVATION: 1 soy[./p 0ro i ►51 IlOt,k, N0., z ELEVATION: 2 4 � ✓�' 4 s 6 5 Co'9�s g- 8 ® w /7* 9 9• 10 11 _ 11 s 12 1 13 �Z ' 12 13 14 14 15, 15 16 •11ITABLE FOR St18-SURFACE SEWAGE: I, 16 A/ EACIIING FIEL1)LEACIIIII(I LEACIIINU TRENCIIE3 'NSUITABLB FOR SUB-SURFACE SEWAGE. REASONSI WIT: U1101HEORING PLANS tlt1S'I' SItoW tI11D11itslt A5ttIc1E11•:U (lIJ Pl:l( MIltc:rnl : coltLhrrl T Y__►'-._ ,_AtIL►_1��'1'!!J?I1�J�'1'cf Ilc!)A::tuI AtI lll.lc•n_-t.I- r:11 Mly: RETY_tINED HY APPIlIVAN'1' lrll ---------- . PLAN • SOIL LOGS. ZONING REQUIREMENTS SCALE: 1"=40' INDICATES OBSERVED ZONE: RF — GROUNDWATER AREA : 43,560 S.F. 2 FRONT : 30' TP NO. b TP NO. , GRD. EL �f, 0 GRD. EL._1 Q SIDE : 15 GW. EL. NONE GW. EL ,l/o,dL� REAR to . 15' � 7�P ao►`_ �_ O Q 2 AO - �� 2 Mc-�i � NOTES: - CvA�5 � R ,46" A •3g t �� S 71 �7�� p�D Fr 36�'b9 4 4 5 wl � d 5 �/��,�`,L t, BENCHMARK TOP OF HYDRANT ACROSS STR T ELEV. = 103.0 - 8 8 2. ALL CONSTRUCTION METHODS AND MATERIALS TO CONFORM TO TILT 5'AND THE TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS. 5• 9 4, , N 01 51 10 10 3. WASHED STONE TO BE FREE OF ALL DUST AND FINES. 4. N0 FIELD MODIFICATION TO THE SYSTEM SHALL BE MADE o. 3 Nn w olnn 12 12 WITHOUT PRIOR WRITTEN APPROVAL OF THE ENGINEER /l AND BOARD OF HEALTH. DATE: TESTBY i.�/ � 94 ,OD 5• ALL JOINTS TO BE WATERTIGHT. ND SE N o�/ p�. ,�� #� � INVERT PRIMARY: 6. THE CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING N-Q -34 ° pp°G�/ 1�� WITNESSED BY: BOTTOM PRIMARY �� •!>o THE ACTUAL LOCATION OF ANY EXISTING UTILITIES. z / PERC RATE: INVERT RESERVE: DAB 7. A CERTIFICATE OF COMPLIANCE MUST BE OBTAINED PRIOR BOTTOM RESERVE: TO BACKFILLING SYSTEM. 6A 6'�. / 1� � Z MIN./INCH 8. OWNER APPLICANT Z�Q�o rl>- CHAMPION BUILDERS CALCULATIONS. 300 OAK STREET, #,55 DESIGN PEMBROKE, MA. 9. PROPERTY LINE INFORMATION TAKEN FROM: PERC. RATE: LESS THAN 2 MIN./INCH PLAN BOOK 459, PAGE 62 i o'S0L - NO. OF BEDROOMS: 3 AT 110 GAL./BDRM./DAY i DESIGN FLOW REQUIRED: 330 GALLONS/DAY 96 SEPTIC TANK SIZE: 1000 GALLON (NO GARBAGE GRINDER) LEASHING 1✓ROviutD: d ha FIT t;�f l o ivivt AROUND (Ai SIDE: 151 S.F. ® 2.5 GPD/SF = 377 GPD FLAHERTY, STEFANI & BRACKEN, INC. %� . 5 BOTTOM: 50 S.F. ® 1.0 GPD/SF 50 GPD 2 � ►� 170 COURT STREET v0 TOTAL = 427 GPD PLYMOUTH, MA 02360 201 S.F. z (508) 747-2425 �F SEWAGE DISPOSAL SYSTEM �9 IN BARNSTABLE, MA. 110 - '� Prepared For. J - CHAMPION BUILDERS MAP 100. PARCEL 004, LOT 3 PROFILE : OLD FALM OU TH ROAD NOT TO SCALE C U S PLAN :2% MINIMUM FINISHED GRADE OVER LEACHINGLODATE MARCH 30,1995 REVISED SCALE:( 1"- DRAWN BY DFB CHECKED BY : M.FLAHERTY - G •► ©) U COVERS TO BE BROUGHT WITHIN JOB No. Cn SCALE: 1»= 40' 12" OF FINISH GRADE FINISH GRADE SHEET 1 OF 1 » SCH.401/8- 4 SCH.40 4 2 LAYER OF 1/s FOUNDATION S=0.02'/, ` .. TO 1/2" WASHED STONE @4 LvcuS ��„Q 3/4" TO 1 1/2" WASHED C twa,; 3 `TG,4o 6 DIA.' STONE �;` 9 7/ ... LEACHING .. F. �� IiRArQCFN, ' .. 1000 GALLON 1( �. PIT .. a $i CIVIL SEPTIC TANK G•a0 :: ° , • go,o0 A �, r=�. 1 � 8' PVC TEES ONLY TO BE INSTALLED ON A �a �9772 ASSESSORS PLAT: no LOT: 3 �� LEVEL & STABLE BASE. L 3