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HomeMy WebLinkAbout0059 GOVERNOR'S WAY - Health i ' Governor' 1 Barnstable LO CAT 10l SEWAGE PERMIT NO. 1-50 VILLAGE A >�d, INSTA LLER'S NAME i ADDRESS N f; U l l E OR 0 ER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED `6P 'R5 � o r No.. . � �' rj}`4 . Fss. ............. ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD Oa. HEALTH - i Q , r.j n/. ................0 F..... !//�iJS�fBL- ro Appliratinn fur,11ispnsttl. urkp-Tonstrnrtiun rrrmi# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at .... ' ...................................... ........................................ __------................................. �oJ�2�o2S � .�.. ° ocytion-Addr ss t No. .._ C .1.. 4�CJ. ----------- -n _...... Address s... �7YZ w AA Installer Address 2 Type of Building, Size Lot.. 1ji.Y.- Sq. feet aDwelling - No. of Bedrooms__...............................Expansion Attic ( ) Garbage Grinder ei' p, Other—Type of Building ............................ No, of persons............................ Showers ( ) — Cafeteria ( ) W Other fixtures ----------------- WW Design Flow............1 �'.....--. gallons per,psem�eri�l Total jally f�ow-----=------- ----.---:...... 1�p � __. s� WSeptic Tank-Liquid capacity ..____._gallons Length................ Width _........... .... Diameter__._........_... Depth--------........ x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area...................sq. ft. Seepage Pit No........./.......... Diameter... ..... Depth below inlet........6......... Total leaching area.Z�e 7esq. ft. Z Other Distribution box (t/� ' :Dosing tan ) o 7 Z v� t� ------ Percolation Test Results Performed by...........: ....::...rc............._._... Date..._.. ........ _..._.. ,.a Test Pit,No. L._.._ minutes per inch Depth of Test Pit---� .--Y__ Depth to ground water...7..�..tr. LL, Test Pit No. 2-------. ____minutes per inch Depth of Test Pit....................,Depth to ground water..,7,/ ...... ' 04 �, ...............--------------------•.._--- / ' Q--;-;� UDG DesLciptionof Soil--- - ....................... -•----......--•---•-- d1?! -f/�! f ... . 0 0---0----.-.- - ------------ ---- U Nature of Repairs or°Altersion�—Answe�when applicable---Dc--------�-0---............................................................. --•-------•--------------------------------•----....----••-•-----•--------------------•--•--....--•-----.....-•---------------------•-•------•-----------•-------••-------•--..._...-•-••--•--------•--- Agreement: , The undersigned agrees to .install',the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI M12 5 of the State Sanitary Code— The undersigned further agrees not to place the sys em in oper until a Certificate of Compliance _. be issue _ �e po�a� of health. U�_ M / _ Slgne ? .....�...................... ................. •.... .Date ....�.... Application Approved By............._ •---••----• =---••==`:........... ........•-•-•-•----•----------.. -•---- Date Application Disapproved for the following reasons:..................................................... ............................... ........__._ .................................. ............................... •----•--- ---•--------------•--------•----Date---------•--- Permit'No:......... ��.. .. `�.�......._ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , D�"J.`�.... ...... ....OF...... -G---.......................... Appliration. for Disposal Warks, Tonstrur#iun rtrntit Application is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal System at. ................................................. .......................••-•-• .J ..................................... o J 2 2S "'k J FY ocafwn Address r Lot No. 7+� Address ! ` U• .:. ... . ' ....:.... :.:? '.:'y� +'-?' .�,...--'^...'." ........ . .. .................G:.f :... - Installer Address Sq. feet Type of Building Size Lo ........ a_.. Dwelling—No. of Bedrooms__— ......................r___...Expansion Attic ( ) Garbage Grinder (�c� aOther—Type of Building ............................. No. of persons............................ Showers ( ) — Cafeteria ( ) WW Design Flow.... gallons per+ersen per O� y. Total da flow............. .............. ............gall s151 . W 11, Septic Tank—Liquid'capacity rn allons Length__�_____... Width.. ___�L. Diameter................ Depth__.`_. ........ x Disposal Trench No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No--------- ......... Diameter........IQ..... Depth below inlet.........4_........ Total leaching area... 1- q. ft. Other Distribution box (t,,` Dosing t�* ) aPercolation Test Rests Performed by............:......:... .........................4 ..............._.. Date...... f_�/ Test Pit No. 1..G_ ____minutes per inch Depth of Test Pit % :...�.. Depth to ground water.... Ll____..._r. (s, Test Pit No. ...... :...:....minutes per inch Depth of Test Pit----._.__.___....... Depth to ground water...?/—` _...--- x --- D Description of Soil_ _r�Y�. � 'I.- -U '.....i��--.�..s-..s'r ,�9...p•_c,✓...................... G /. ,"►4 —/�v' li✓!�i U S/�-��" �DOZ�Sa� i.,���' r --•� � ' .... -•--•••-•-- --------------- -------------------------------------- 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 TITIZ 5 of the State,'Sanitary Code—The undersigned further agrees not to place the system in oper n until a Certificate of Compliance has been issued by-the card of health. „ Signed_.. 1!![ __ - s,. (Date / .. �Y / APP ica�I Approved BY ........... !/ /f Date Application Disapproved for the following reasons:............... .....----••-•-. ...•--•-•..................................•----•--••--•-•-•••-•---•-•-•--- •-•---.......... .........._----• . •--......-•---••••---•.........•----•................. . ••--•-....... Date Permit No......... J........�3 � ...... Issued....•--•.......................... ................. Date THE.COMMONWEALTH OF MASSACHUSETTS 4; i BOARD OF HEALTF f ..........................................OF............ ................. (In ifiratr of fanntplitturr � fhe I dividual Sewage Disposal-System constructed ( ) or Repaired THIS IS TO CERTIFY, Th ( ) staller r at `�is g .. � �..... _ .. - has been installed in,accordance with the provisions of TITLIE 5 of The State Sanitary Code as described in the application forDiSposal,VVorks Construction Permit No...:..._.` --�_' .�. dated-...-_- ��1� .............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. - �.A ar -car........................ DATE.. . l j THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................................OF... .....:.. ............................................................... 1 Nod�5.16 � FEE.... ...�---........ Disposal Worko Tunstraltiun Pr i# Permission is hereby granted............ _ 0-••----•--•- .................... to Construct or Repair ( ) an Individual.-Sewage Disposal System atNo........ #... c..x t n�, ... lS.. �....-----.tom e S ------------------•-----••----•-•--.---•--•--------•----------••--................. Street :9C as shown on the application for Disposal Works Construction Per rriit No_____________________mated....._-.-`j_.._1�_._._._.... Q Board of Health DATE : ......................................-•••-•-•••------ L0CAT10 SEWAGE PERMIT NO. PILLAGE INSTA LL�/ER' NAME i �A7DDRESS y 5 l s UIL EA OR 0 ER , DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �_ S�5 C i 111 ! 1+ C 4d 13'-11 3/4" 8'-0 1/2" 10'-7 1/2" 2'-7 1/2" 5'-0" 4'-3 3/4" 4'-1 1./4" 5'-10" 4'-2' 5'-1" t - EnDW BATH 2 ------ N Q N © 0 Field verify no load transfer b to this wall from existing zt family room side ceiling DINING ROOM - KITCHEN (assumed non-bearing wall) BEDROOM 3 "' v � o 0 BATH i FAMILY ROOM 2' 1/2" 5'-10 3/4" t 14'-8" rz 7 Lt_J1 16-11 1/2" M �o �'. LIVING ROOM BEDROOM 2 BEDROOM 1 j, 4r t i` 13-11 3/4 " 8'-0 1/2" 10'-7 1/2" , 2'-7 1/21' 51-0" 4'-3 3/4" 4'-1 1/4" N-10" 4'-2" 5'-1" ' 1 (Existing R') (Existing R) (Existing Door) 3 BATH 2 0 ----------- (NO WORK) - ; DW Patch ceiling with g'-3f' 3'-0 new plaster finish C9 v KITCHEN STUDY (Preli�azy cabinet design, see>ateben aesign arawings> - _ � _ v y BEDROOM 3 m 0 BATH 1 P and location TBD) d o - (NO WORK) z Equal I Equal Z FAMILY ROOM re UN tiK ------------------- ench DRS supplied!Ter, g_011 1'-4" 90°corner bead (51"x81") 1.(2)2x8s header New Cased Opening„ (2)1 3/4"x 7 1!4"LVL header �—Suggested new recessed light 16-11 1/2 / . location�snre reviewwith owner Pe lighting JV _ Hanging Fixture by Owner -�- DINING RM (Existing Door) (Existing W) BEDROOM 2 BEDROOM 1 (NO WORK) (NO WORK) I . 20 FT MIN. TOP OF FOUND. r°�2- EL = %`% r 10 FT MIN. OCVERS T E 4" SCH 40 PVC - ---- —CLEAN SAND - ---- PIPE - MIN PITCH , -CONCRETE 1/8'' PER FT COVER �2rE(oA 2" LAYER OF •r 4 CAST IRON 12" MAX - --- 1/8"- 1/2" WASHED ' PIPE - MIN PITCH-' � " "--"-- -- «.�. _ 1/4 PER FT -- - - STONE FLCW LINE- o o \ , z ff � MINEl- �3 N EL.= 91. 7 - - EL = �� EL = ') b -- -- — DI ST EL.= 90 W LOCATION MAP - BOX ' ' _ a i� 6 H --- - - 3/4' - 1 1/2" --- -- - � '�5 w a ° n WASHED STONE - O�° U- n � o n o o W O ° o GAL. PRECAST LEACHING °�° -----EL SEPTIC BASIN OR EQUIV. , 0 6.0 TANK _. �4 PROFILE OF BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE EL. = . `'.,.. EL SEWAGE DISPOSAL SYSTEM GROUND WATER TABLE( / / ) = )31-4� i yb NOT TO SCALE I A.� n DESIGN CALCULATIONS SOIL TEST 3 + - f NUMBER OF BEDROOMS 2� S� GARBAGE DISPOSAL UNIT. �<� DATE OF SOIL S } ` WITNESSED BY CsifF- � TOTAL ESTIMATED FLOW ( ItO GAL /BR /DAY x _ __ BR ) 310 GAL./DAY PERCOLATION RATE d MIN / INCH REQUIRED SEPTIC TANK CAPACITY. �'•� GAL OBSERVATION HOLE I OBSERVATION HOLE 2 ' .. -� ---. D ACTUAL SIZE OF SEPTIC TANK / GAL. ELEVATION = y9.9 ELEVATION = i, .z ' / D- ': LEACHING AREA REQUIREMENTS p M. SIDEWALL AREA GAL / S F. woo�coA'�i svBfp'c, �c+obt�� "� BOTTOM AREA CAL /S F. {f , LEACHING CAPACITY v '( BOTTOM + �IDEWALL) . GAL. 6 J (7s�.1vx ' . , I 'Zt 0 I G, GAL. e01 c�••r f..+l.,�rJ � r n,•, •, � s. 1� ,l c; LE ;4sa RESERVE LEACHING CAPACITY ............. rrs � : ��� �•` ..� , _�� od o NOTES � O �' �k' /qo rJ f-rr 'Z Jcor>iv rC'-ram' I. ALL WORKMANSHIP AND MATERIALS SHALL , CONFORM _ TO D E Q E TITLE 5 AND THE TOWN OF '4�"'f7' 5'�- r - B RULES AND REGULATIONS FOR SUBSURFACE DISPOSAL 1 yot} `4 I OF SANITARY SEWAGE 2 ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO I 5d WITHIN 12'' OF FINISHED GRADE. �'` `14 3 EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY jf MIN, FRONT SETBACK THE SAME. _ 1 i33 MIN REAR SETBACK ' '6"'4 r�an� 4. NO DETERMINATION HAS BEEN MADE BY THIS OFFICE AS TO MIN. SIDE SETBACK COMPLIANCE WITH TOWN ZONING REGULATIONS. OWNER/APPLICANT � .U�AfSvt�> IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. APPROVED BOARD OF HEALTH i DATE AGENT f,T p PROJECT LOCATION r 7 APPLICANT 1 LEGEND SCALE _ �» DR BY DATE / EXISTING SPOT ELEVATIONS OOxO �P`SH OF 4f �N of Mq <; EXISTING CONTOUR - - - - - - 00 - - - - - o� (spy �P JOB No , J J APPD. BY REV. FINAL SPOT ELEVATIONS 00.0 0 AMES a� rR1CHA ID R d O HEAR/V /NC DRAWING ° FINAL CONTOUR �00}-- — " HE y -I �`NEt�`•? SITE PLAN ` .7 _ SOIL TEST LOCATION �� o =,f GAF 4 N°. 2787� a REG. L AND SURVEYORS- REG. SANITARIANS S? AtGiSTER J'.. NO. Frs� 35 ROUTE 134 — UNIT 2 AL Lk% SOUTH DENNIS , MASS. OF