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HomeMy WebLinkAbout0100 OLD FALMOUTH ROAD - Health 100 OLD FALMOUTH ROAD MARSTONS MILLS _.. - - - t i m I i-W I ✓► o 1�ioz4e Pog,4 14TOWN OF BARNSTAIitC L't"",CATI:ON ©1d 'l/YX�KI� IZc! SEWAGE # 0 sQ, VILLAGE i ASSESSOR'S MAP 6i LOT 'NNSTALLER'S NAME $i PHONE NO. i r{SEPTIC TANK CAPACITY_ jjO 00 I 1% LEACHING FACILITY:(type)pf' --(sue) D-ao- AL_ bNO. OP BEDROOMS __PRIVATE AVELL OPIZU.BLIC WATT BUILDER OR OWNER C 11 `L)Ui �ji1 Cn DATE PERMIT ISSUED: GATE COLIPLIANCE ISSUVD;J 30 .- L a VARIANCE GRANTED: Yes No 5� I "� i o i cp IDr w ►^'Jv THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - if 7-M-)�3.................... ...................0 F ........ ........................ THE H E BO ARD 0 CO MMONWEALTH A m Appli ation for Dispasal Marks Tonstrurtion Ilerntit I j Application,is here made Cfor a Permit to Construct or Repair an Individual Sewage Disposal System at: ................(7..................... ............. ... ............ .................... Location-Aaress or Lot No..... ......L( ..................... Owner Address ....................... ............................... ................................................................................................... Installer Address Type of Building Size Lot...A3,10.....Sq. feet U Dwelling—No. of Bedrooms............ ..............................Expansion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers Cafeteria Other fixtures ... ........................... Design Flow.............L.J.C).....................gallons per 9-tZ *em@,n ,qer day. Total daily flow... ............gallops. Septic Tank—Liquid capacitylCM..gallons Length.C.) k .... Width.14,10'.. Diameter e't'e'r................ Dept,15LAI..... Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.--........ sq. ft. Seepage Pit No.......(.............(............. Diameter........00..... Depth below inlet................. Total leaching area-Z.4-, .--P..sq. ft. Z Other Distribution box Nl Dosing tank-C ) W-t ................. Date.... � ._...,,.�.... Percolation Test Results Performed by........ 'A Test Pit No. per inch Depth of Test Pit...t 9(g....... Depth to ground water.... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..-..._................. ............ ........... ............... 4 .......w-W------------------------------------------------------------ . ............ .. 0 Description of Soil...C.). .9'k;.... ... ... 7"q ..................... ........... .......i� =1SV.....Ckvk.Lo....PEP 5.kesw.,........................... U W �---�Z ........... ......... ..................................................................................................................................................................... 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 TAI TI LZ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in eration un 'I naertificate of Coance has been issued by the board of health. Signed.... ........ ......... Ir--------------------------------- .................... Dlic ti v ia JlpDplicatio Approved By... .✓ ..... . . ...... ...t... . ................ ........................ .......1 -Jr........ Date Application Disapproved for the following re ons:............................................................................................................ ......................................................................................................................................................................................................... . ,',-a— Date PermitNo......4)...9...... -------------------------- Issued...................................................... Date ------------ FEz ....... ................. THE COMMONWEALTH OF MASSACHUSETTS A-kl a' ,7P BOARD OF HEALTH.-. ........... ....... ............OF... I ----------------------------------------Appliration for Mipaiial Works Tonstrurtion Permit Application is hereby made for a Permit to Construct (�) or Repair an Individual Sewage Disposal System at: .............................................................................................. Location-Add57,s or Lot No. —-------C-,I_!24�: UAS ?R Z ............................. ............Aj.L .......... .................................1.2Z.........�1........................ Owner Address ........... ......... Installer Address Type of Building —71 Size Lot.-.- .....Sq. feet Dwelling—No. of Bedrooms--_----_---_ ..........................Expansion Attic Garbage Grinder a Other—Type of Building ............................ No. of persons.......................... Showers Cafeteria Other fixtures .....................................To D,T"—*-----WW ------------------------*­­-------- -------------*.......... Design Flow.._._.......I1n.....................gallons per:person per day. Total daily flow..... CD..............gallons. gallons. person p I ......................... Septic'Tank—Liquid capacity 1ft)(1_gallons Length.�?'Jc�..... WidthALUb".. Diameter................ Depth Disposal Trench—No. .................... Width............._...... Total Length..........._.._._... Total leaching 4 area....................sq. ft.�)it No........(........ .... Diameter........1.0..... Depth below inlet...... Seepage �L......... Total leaching area.�A� ...sq. f t. Z Other Distribution box (N)<1 Dosing tgr* �� !P'-&�ZF—RIS k��4, _Pt..................... Date.... ....... I Percolation Test Results Performed by.......................................... ... 'k -...... 1.4 Test Pit No. I................minutes per inch Depth of Test Pit...It r 1­4 ' ..ba....... Depth to ground water....m6L�i.......... 44 Test Pit No. 2................minutes per inch Depth of Test Pit..............._.... Depth to ground water......._............_... ...................... 0 Description of Soil) ------**-------------------"---------*------------- ......... ........ ........ ................ (�j�jt�L4 M�V - SAWO ... .............................................. W , ., /- ... ............................ ----- ...................... 8E)Q2....15k(Q.L�............................. ------------- ..................................... ---------------------rfK......................................................................................................................................................................... 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 T I T LZZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed.................. ............................... 6 ;�Vl - �&........... Applkation Approved By....7...­...... ....... .............................. -7 t Date Application Disapproved for the following reason s:............................................................................................................ ....................................................................................................................................................................................................... (2) 1 5— Date PermitNo...... ...... .................................. Issued_....................................................... Date ------------------- --------------- - —--------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........OF.....^&Z4470�a"­6?- ............................. ................................................................................ Tertifiratp of Tompliattrr THIS-IS TO-CERTIFY, That the Individual Sewage Disposal System constructed (L/) or Repaired by..... ------------------ - ---------------------------------------------------------------------------------------------- Z-). ... ...... ..... .. . ... ... Ij. n staller at...... . ..... . . . .. . ...... �J ........................................................ ........ ................................. 1. ;)0 has been installed in accordance with the provisions of T11 ,F ' f The State Sanitary Code asldesofibed-in'the application for Disposal Works Construction Permit No-------.........�?....................... dated........../../__57. . .......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....... .......3..0............15110....................................... Inspector.--.�_11_111111 -------Z7----------­ - ------- ................ ------------------------------------ ---------------------------------­­--------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........7!�� ........OF......16a4.1�alfl� N FEE.... ................... Disposal Works Tonstructivit Permit Permission is hereby granted...✓.�.....4.-/21&�,_�........................................................................................... ... ........................ to Construct (V1 or Repair- �A a, ri ,ndividual Sewage Disposal System at No.... Xa lnat4Z� ............................................................................................................................................ ---------- Street as shown on the application for Disposal Works Construction Permit No.tW_5.. Dated...../;................................ ........ ............................. ..... E- -----------------------------------------------------ard of Health DATE....... ............................................................ I SECTION - SEWAGE' /��ssoes Ma.P I� �TP�G ILS Z —SEPTIC TANK— — -,D..BOX— IO —LEACH PIT C Top of FON r w WASHED STONE ..11:....Ilas LI• TF 4S"L der+s�lg q IN• OUT• IN• Lc OUT• IN 1 0�G . oi4TNii (o ,DI �51 ,o 10 4�,-1d`I SF ELEV. ELLV. ELEV. �vCo.1d ELEVM a � CO C_✓ \� ( ' +95IPI+ DF rtoW = 4- F-T L ELEV. to ELEV. ELEV. o o O NLET Tse,- Ii�" Co�uP ~Ounfj tG; Z. OF%6--i q ol- O .WASMED I ptic STONE LAi D L.EVCL•. yom m x li}1 / fyL.s5,� N 4¢ TEST HOLE LOG IF# 65cc�> s p ,� P d,flu o4l�6 TEST•Y t, IZPJA K' WITNESS rP TEST GATE ('ti. lUp1 DESIGN BEDROOM HOUSE ` 1 T.H. • 2 T.H. • p ELEV. ELEV. sr vnc.'o t Z DIS OSER DISP ER �� PERC RATE MIN/IN. RATE I ID IGAL�DAY FLOW RA FiQC Co¢1 SEPTIC TANK Y,., 00 M10 REO'D SEPTIC TANK SIZE Mf0• `'m-v ,1 LEACH FACILITY LCAJ 4161 SIDE WALL Ioir(�i,��- I to ,S (Z.S� 3 G/D. BOTTOM (l�lz �.o) - G/D. TOTAL 24S,O sF LI ,gg USE: OIJf, �I�(,AGT LEACHING FIT � I I bl OFF 2IAM X — _ik _WATER ENCOUNTERED I 1 �• NOTES: (UNLESS OTHERWISE NOTED) t 1 , j..��/� � TAKEN 9M�S-QUADRANGLE MAP _ I.pATUM IMSI)- F�S AVAILABLE ATE \`€ -- ------ '--� - ------ 1 -Q���Z 2.MUNICIPAL W R S•PIPE PITCH:%b-PER FOOT •„ S. ALL PRE A.OESIGN LOADING FOR CAST UNITS:AASMO • - .r _ �•'� � S•MIN•GROUND COVER OVER ALL SEWAGE FACILITIES:(l>I)FT. tl7l S,PIP JOINTS SMALL GE MADE WATER T16MT E �: G, o �N OF �qsf` `G SITE PLAN 1.CONSTRUCTION DETAILS TO fdE ACCORDANCE WITH COMM.OF MASS. _ � 1` ,`"s2 f STATE ENVIRONMENTAL CODE TITLE S �pt.ID s�17J o�� ARNE 4�yG LOCUS: wr (I oLD F&i-4oL4T,0 -PoA(D • a.f,+66 PLJ I CI �10�o*���E �-O,u►. __ __ $ H. Mb25To►.is w �! r R ENGINEER % L 'Z �Q OJAIA Z, ' 026348 FtEF• � WOWn +tope engifteering s FG1 �p`v PREPARED FOR:�QY�✓ID� ILDItcIC� CO CIVIL ENGINEERS - - -- ---- f •OARD OF MEALTM 026 biro G LAND SURVEYORS REG.�IvD SU VEVOR 1 (l =--(.11/ � J �ExISTING) �-0- APPROVED _ _DATE STl� � q� MA SCAIE_L� CONTOURS /pROpOSEDI