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HomeMy WebLinkAbout0087 ACRE HILL ROAD - Health 0 87 ACRE HILL RD,. oe q-Z��9ej eo433 TOWNOFB T LE LOCATION C SEWAGE # -VILLAGE s t ASSESSOR'S MAP &LOT : INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /5—org Ot-/ Gam. I. LEACHING FACIL=: (type) A10 ff mi (size) NO.OF BEDROOMS BUILDER OR OWNER 044 PERMITDATE: 6zCOMPLIANCE DATE: rI Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leachin cility) Feet Edge of Wetland and Leachin Fac' wetlands exist within 300 feet o ehin f Feet AA Furnished by W w YVoZx ay Le@4 I33e� Finc THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH A TOWN OF BARNSTABLE Allp iration for Di-tipm3al Works Tonstrurttnn Prrmit 146Jt Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal tern at t v. o � a1. /-lL-/V-O---�--'^!-_-•---ova c W !-/G_C--�--- rddres----•-------•--------------•---"-----...._. ------- o 3 __ . � Installer � Address UType of Building Size Lot.................... Sq. feet ., Dwelling—No. of Bedrooms..._..... Expansio-Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building fib_- f �d�. of p ersons Showers (� — Cafeteria ( ) da' Other fixtures ________________________ ___ ____ _ -------------------- --------------- ,�p ------------------------------- w Design Flow....31!��----------------- - ----gallons per person e day. Total dail flow_.._------�-Zo____----__-_-----__gallons. WSeptic Tank—Liquid capacity_. allons Length__.�_1--.---- Width.... .---_ Diameter................ D x Disposal Trench—No. ............... .... Width-------------------- Total Length..-x? -------- Total leaching area_.__ ................ ft. Seepage Pit No...................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by--------- ---------------••-----------------------------•----•--......... Date........................................ Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water-._---._---..----.----_. fT4 Test Pit No. 2................minutes per inch Depth of Test Pit--.-----_-_•-__-__- Depth to ground water........................ P4 ----------------------------------•----•----------------------------------------•------•------_------------ ---------- •---------------------- •••--------._---- 0 Description 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 TITLE 5 of the State Environmenta de—Th u signed further agrees not to place the system in operation until a Certificate of Compli een is b rd of health. g ----- -- --------- -------..---------- --G1.8 - fJ Application.Approved By ._...----- ------------ -------- ------_-------....._------------------.._..-------------_------------------- ....... Application Disapproved for the following reasons: --------------------------------------------------------------------------------------------- .. ...... .. - Date Permit No. _....... ---- .. .... Issued .._�_�..-C ...... ace TOWN OF BpkNT LE LOCATION SEWAGE# VILLAGE ASSESSOR'S MAP, LOT ? ,- INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY �Q LEACHING FACILITY: (type) 1Af1D (size) NO.OF BEDROOMS BUILDER OR OWNER —� PERMPTDATE: COMPLIANCE DATE: 97 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility ; Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leachin cility) Feet Edge of Wetland and Leaching/Fac' wetlands exist within 300 feet o chin f Feet Furnished by 13 A 17 C Iva° ems) V cfl� j M ' � �S d bc. r -c.`� � �1! � •k y t 1,r � � ., � /J��'�_ .•�,�' R No.. V THE COMMONWEALTH~OF MASSACHUSETTS " ' r BOARD OF HEALTH TOWN OF BAR NSTABLE �!b F w f All liration for Ui�epmittl luork,i Tonitrnrtion ramit , L "A `licatiori is� hereb made for a Permit to,Construct ( ) or Repair ( ) an Individual Sewage Disposal PP y+x-. 1 ' System at: t F =� . .. .• r++'^`^•• _ o do 1 \d imss" c �� .. ..... ids ' . _._. or _ O.wn�• ._._.-•----- -- ---dress ••'�-- -------•....................... -------------------------------------- ---------- -------- -- -- - -------------------------------- 0 Installer Address UType of Building ., Size Lot............................Sq. feet t-t �Dwelling—No..of.Bedroom sisi °__ _______________________ ..-_Expansion Attic ( ) -`Garbage Grinder ( ) a Other—Type of Building _. t-___��1Y7I of persons...... _________.:_._ Showers ( — Cafeteria ( ) f r..�_.. ; Other x ures ::.: .. :__ :-- -------- ---------------- - -------- Design Flow _'.-�_____________ --gallons per person per day. Total dail flow.._._.____ .y _....__....,._..__ ,. -•-a� P P P Y• �Y gallons. 04 Septic Tank—Liquid capacity_ _._____ llons Length._._1-1_.____ Widt�_,______________ Diameter--- D p _.. ---------- 'Disposal Trench—No. -- -_----_._.__:_._. Width..............:..... Total Length----F-_----_---__• Total,:•leaehing area------ ............sq. ft. 3 Seepage Pit No -------- Diameter........... ........ Depth below inlet... -------------- _=Total'leaching area..................sq. ft. z Other-Disteibutron box ( ) Dosing tank ( ) f` f aPercolation Test Results Performed by---------- ........................1--------•--L---------------•-••----- Date........................................ Test Pit No. I-------- --_-minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------------ 11 Test Pit N6::2:_....._.._`:..minutes per inch Depth of Test Pit-------------------- Depth to ground water..................... ODescription�oi�°Soil---------=-----•-.-.""-----------"-."-.-------••---------------------------------..._.... x _ V Nature of Repairs or Alterations—Answer when applicable_--------------------------___-_---------.___-.__----_-__-._-_..--.-------____----------.----. .---•------•--------------------------------•------------------------------------------------------•-•--••---•---- Agreement: 'k= The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental de—Th ersigned further agrees not to place the system in operation until a Certificate of Complia c a een is p < board of health. Application.ApprovedtBy - - 6­­ pplication.'Disapproved for the following reasons: ....-----------------------------------------......._......-------------------------------------... e L........ - - - - ........ .- ------------------------..._.....4/ -_---------------------------------------... ....._....._...__ .. _....Date............Permit No. ......................---------------------- IssuedCove + - ........" F f ri t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 TOWN OF BARNSTABLE Itertifiratr of ILomplianre THIS IS 01 ER 1FY, That the Individual Sewage Disposal System constructed ( 4----or" epaired ( ) by -�./-----. t^ - ... ...._......._-------------------------------------------------...-------......--------------------------- er -------------L---�� ----r--- ^����....... .1 Q �. -- - --------------------------------------------------- at ------- -.....-------- R. -- has been installed in accordance with the provisions of TITLE 5 of The State En ironmental Co//d,�.�,e -s described in the application for Disposal Works Construction Permit No. -. . �-------------- _ .Cn.. o dated .....s. . ..l. ... ._91 . . - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. -�— DATE--------------1 .. 1---- ---------�(-l7--------------------- --- -- Inspector ------------------ --------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF""HEALTH /�, TOWN OF BARN,$TABLE � 0 Q No.....L..............I &6 FEE.-- --..............--- Dilipaa 1 , ox i Tonotru #ion "amit Permission is hereby granted 0--------------------------------------------------------------------------------------------------------- to Constr ct ( ) or Repair an Indivi ual S `age Disposal System at No � �'..:...e- �' � 1`.... ----- Street 'i E; !S(Ob Fj .9 as shown on the application for Disposal Works Construction Permit No_____________________ Dated___ _ ._ l Board of Health DATE.. 4�4�----•---------------•--------------------------•---- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS LOCATION y f N0. VILLAGE � _ DATE APPLICANT � 1� �� 24 e FEE_C ADDRESS TELEPHONE NO. (Non-refundable) ENGINEER S° ''��6 -L _ TELEPHONE NO._ DATE SCHEDULED_ _ � ^�"' ,�`� �� � � � �. (Applicant' s signature) . . .. . . . 00000000400000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . O . O : . . 0.0 ..O ASSESSOR'S MAPLOT NO: SOIL LOG l^'.��i✓ D•�.�AN® ♦.✓�/�r?�✓ DATE f` SUB-DIVISION NAME TIME/' -- _ `M' ENGINEERoi EXPANSION AREA: YES 0� _ � ��"�� �ALG �_. . 1=Yfl�cs9i�? TOWN WATER PRIVATE WELL £17�<J+?� i11'✓��,? �OA.RD OF HEALTH a.r EXCAVATOR SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) NOTES: FA*,33 Cb 7 � a �t « PERCOLATION RATE: //vC/� TEST HOLE• NO:- / ELEVATION: TEST HOLE NO: Z_ ELEVATION: AV 49 2 _2 3 . 4 5 /�J� Fi.✓f�laNs7 5 - P -725s7- 8 C 8 Me> - i✓F�An/� 9 10 / ' �1` Y. C ll 1 •. — C ems-/.47 ,g 12 �12 — 2 13 13 14 14 15 15 16 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD_LEA C -ING PITS LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE.,, REASONS: r NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P . E. AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT o X,. L d 3 - — - f � ��.CJ kt�PVC!�� •+` �./� ..+•+ .;"„ �+ "4�'� `�,, `� C".L"4 .�"!',+?C�.�Ly � � .. �-' � � .,� � ,.� �, "`� PL�r✓ F''F..� - .c3�i.✓G Gip T r'''..�'3 �'cr.5�d�•✓.✓o.nr F'�. tc'�'..�- 3// PG// r i ! ' C� � .cam } t t + < # ( Ices �'���'✓�"/ © � � � I , 1 _ o!7 .t9r ;,,,•�:.� '.��,-Y: .,t.r �,�, -.. <«?..t:� x� :G,�, TOP OF FOUNDATION CONCRETE COVERS - ', }, �, q..CAST IRON 1 MAX. OR SCHEDULE ao ,, • 4 SCHEDULE 40 P.V.C. (ONLY) 7i, P.V.C• PIPE MIN. 12MIN.*� PIPE-MIN.237. G2 �: ,r PITCH i 4 PL ER.FT I LEACHING TRENCH (.•I..AEQUIRED}P TCH !/� PER.FT. � 2 WASHEDP.tSTONE� ►r~iEL.?.:�r.l`.... INVEfiT �! a INVERT ;a cisn �` ,•, SEPTIC TANK v _.�„ .,�.. ,r'"' ,a INVERT /.a?JCO B�X -••— e •, 7',y3 GAL.. 1NVER INVERT �D c' �., +; EL...�- i , INVERT EC 72 ,f EL..?..•7.. 6A EL.f.i:t.J:.. �1IC'�•,�r� 'A , 1 "",.... ,..,.._ ....•- I'-'. ': ,�� d.V.._3 A ,�7q '�i '�A�. 4 1i'�y� `f�1 ...- •# _ ,. PROF1 LE OF � .�rc�Nf: �.✓C�j�r'r,�,�l�r e .7s' r• ;•,., P-'c�3,�/8 '�" .�?i.+'T5' GROUND WATER TABLE * F SEWAGE DISPOSAL SYSTEM TYPICAL caass scT1oN SOIL LOG DATE r�4 %Y ✓ `! TIME .!��?,:G3.4. �t� NO SCALE LEACHING TI�EfVCH . :` NO SCALE- TEST HOLE I 4? TEST HOLE 2 DESIGN DATA -ELEV. �7�?�. ELEV. ?,��.?.'� t. a . , t, WASHED t, 8 _ •;,NUMBER OF BEDROOMS `^?. . . . . . . . . . . . 2 MIN SITE STONE /-%Z"TOTAL ESTIMATED FLOW , , . . .�-?�I�,. GALLONS/DAY :•. r ' ��13 L E, MA ' 70,,E° BOTTOM LEACHING AREA ... . r, G}0... SQ.FT-/TRENCHj', r r 2 FOR i a SIDE LEACHING AREA . . . . tf�pQ . . SQ.FT,/TRENCH � �� -� ems' c , ,y4a,= _ • p12, GARBAGE DISPOSAL . . .�©. ..(50% AREA INCREASE) WASHED .2 �7G9 f�ti STON E •, L� ✓L3 �'�? � ..,ram TOTAL LEACHING AREA . .. . . � ,.. ., C ? • S 1� �I J ,Q INC. Y E f O P ! NQ 13 r' \ OS I � V C. PERCOLATION RATE . . . . . .. . . . .!�.G'... PER. INCH LEACHING AREA PER PERCOLATION RATE . 's .. SQ.FT. ,�/o,,c ,, a:r ✓rift ' t Ctf, GROUND WATER TABLE APPROVED . . . . . . . . . . . . . BOARD OF HEALTH ,Tulv.,5 l S+��► ca�C /' / v�Q l 'oc �\ etYP.WATER ENCOUNTERED DATE .. . . . #S '! AGENT OR INSPECTOR �OFMgs� s ED}'dARDr WITNESSED BY • . � y �K LLEY :. r r " e' v3lf ' r . . . . BOARD OF HEALTH . . . . . -R, y► . c 26100 ! l J •.�t c - �, ► C , p ENGINEER PETITIONER . .,. 77 s.. ...._. ... yr .. • .,. .. .. -.,,. ,. x,. a o..... n .., .::1.N. ♦ ,..,5 .. ...: n.. ... ... `..,. , rk..wr. ., ,.... - ...-. ... .. ,.. .... .. ... ....... :..N. r- _. .. f 3"x.... �..r1. .a ..�...Iry ... .. , � ,�D T ..3 y r �► .- - _ o D _ � 9D. 2 / i -,` _ \ f�L.9rti/ R�.� - i r✓G G cD T'"' 3 /ZX w.{/ oi✓ �'.!. O w{ 3// f'G //, 9zL ' r ` # 40 � � 1 i- { , mod�' ,��.r��✓�'' 'a � 1 � All EL 15f t � TOP OF FOUNDATION CONCRETE COVERS 1 ` x 4 CAST IRON _ � � � o '� :� •�• IZ MAX. OR SCHEDULE 40 ,r P. .C. PIPE MIN, 4 SCHEDULE 40 P.V,C. (ONLY) 12 MIN, 'f 237. G2 t /Ii� PITCH I/4"PER.f f PIPE-MIN. 2.c ` LEACHING TRENCH („�.-REOUIRED) � -•..M � . PITCH t/4 PER.FT: t , .� , . .,ern __i/B'- I f2WASHEDPt STONE `t,.�'Yr 2„ INVEg� Sif_ n`f`I n ,•e EL.79,T� . INVERT INVERT �a��� SEPTIC TANK e..� L f fi y , _ . INVERT EL..l Q.' x �7�, �! , "�05W 1•FFU� ( RS .. . SOT "'32 1 . /� 'a'` EL...["�s�✓rr f.�C3G}. GAC,.. INVER` INVERT INVERT EL @ 8 w ca` k EL..7... .. v av�Co.` 6 v ,f30 PRaFI L.E OF 7S' ,. ••,! P- / -►"> �..rr'.. X GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM TYPICAL CROSS SECTION $ SOIL LOG s NO SCALE LEACHING TRENCH n {?ATE /yl. T I M E .�Q aS�. r'!'1 NO SCALE: a TEST HOLE I /a�'tTEST HOLE 2 ELEU ,77,4,1 .. . .,, ,ELE DESIGN DATAr�-�--�""�;/e 0- } •,,� I2 MIN. WASHED ?8 Z a c -- _ „, NUMBER OF BEDROOMS N S / TE (// PLAN . , BA P A L E MA ,, � � TOTAL ESTIMATED FLOW GALLONS/DAY - _ . ; ,. •�' G'Ll7 _M I30TTOM LEACHING AREA SOFT /TRENCH ]: 2 r C\ r_t srC3 �`1G7 , FOR „ SIDE LEACHING AREA . . . . .. . �-'�00 . . SOFT./TRENCH GARBAGE DISPOSAL . . .^a. ..(50%v AREA INCREASE) WASHED STONE -a''J+vD TOTAL LEACHING AREA . .. . . la..[ SOFT, VE /NO 13 POS, INC. '' C��✓��"'?'` � PERCOLATION RATE�. . . . �r.'•G'.. PER, INCH � �L +9'c.�7.5 // ti62. 7.3 LEACHING AREA PER PERCOLATION RACE , .. SO.FT. P,�c � > ✓r� rf .ra'7 7'+S.q tis GROUND WATER TABLE APPROVED BOARD OF HEALTH r . . . . . . . eP.WATER ENCOUNTERED DATE .f `N OF M , ♦�� �� EOWA D WITNESSED BY : AGENT OR INSPECTOR �NOFMgss1�y p 8T ONE. c KILEY �' r YY ,SPY . . . . BOARD OF HEALTH ��' ` S"C>rl� S S �'No. 26100 # 7 ` R. ll x m r �A r< 7fT.�CC1�.T'� '` ENGI•NEER ,ify T - pu �� o 9£Gt$TE��`� I F,O s ged ALLAi► tZ TAM t ,PETITIONER * „ .�, `#_„.,zn.,.. ... w...�. . ...r8.a,,,;.>,., z.,,:xe.»....�,§s,...e.... �u rS ,•..x, a+. ..r.:,� x. ., ....,e. -.. ... ,,,