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HomeMy WebLinkAbout2786 MAIN ST./RTE 6A(BARN.) - Health lain ASSESSOR'S MAP NO. PARCEL 9 . Al ION SEWADg PERMIT ICJD. VIILLRGIr J--r7 fNSTALLERS A E & ADDRESS 3 UILDER OR 0 W N EDP r DATr PERr� IT ISSUED DAT E C 0 M P L I A N C E I5SU.ED O D 21'6 f b r .._._.. 7 h r--' THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH T0....W._ 1......---...oF... R R t S 'R 81. ..................................... ApplirFa#ion for Elhipas a1 Works Tonstrurtion Prrmit Application is hereby made for a Permit to Construct ()(� or Repair ( ) an Individual Sewage Disposal System at: ... 2I 86 M Abt-i S�' 6ZT' CcA ..... .......... .....- -•-•• ------------------ -- ----------•-------` •. --•-----------•----•------•----- q _ Location-Address or Lot No. Own Address ................................ W � Installer Address .�+ Type of Building Size Lot5AI44.559.__L__Sq feet Dwelling—No. of Bedrooms...._5..................................Expansion Attic ( ) Garbage Grinder (kJ)O aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ....................................................... W Design Flow...........5_5.......................gallons per person per day. Total daily flow-_-_S.5-0-_..........__..._.......gallons. WSeptic Tank—Liquid capacityl_Jr.00gallons Length10::--�4-�- Width..5�_:_.8.1"Diameter________________ Depth..S�LA11 x Disposal Trench—No..................... Vidth.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........2--------- Diameter....l_.0_._..... Depth below inlet.St-G.-I.... Total leaching area...5._ 3..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) @ '-' Percolation Test Results Performed by.FCGSK..M1 k 0�1 1! 1C,Z�3'�. Date_$I Ot _�J. .......... ,a Test Pit No. 1......Z±....minutes per inch Depth of Test Pit.................... Depth to ground water....M_014f_ Li, Test Pit No. 2........-.......minutes per inch Depth of Test Pit.................... Depth to ground water...WO2'Ue N mow} C ( 1y1 t T��!__"----Q- -2�4'.......T. ;5.._ . -•J-!,r. $.t1.�7 �t1r!' ._ __.G.�Z:.(.V_�I�•...-•............. O Description of Soil._4-��i _._� ' '��_____ _� .�4�.�'u__o z `rP' � � U --•-•-•.... ='- 14 '`•...M-"--F---sr Z7----------------------....--.....------------------....------------.-----------•--------------------------- 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 TTT`..a p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' ed by.th�,board of h lth. Fit 4T1dv�1EA�S + r Signed-----... . ................................................ -•••••--------•••----- Date Application Approved By .... .... t ....... Date Application Disapproved for the following reasons--------------------•-----------•-----------------------•------------------------•---------------------------••-- Date Permit No.--•�•5-E. ...5-3.7-----------------•--. Issued....................................................... Date No.__.. .:? FFs.......71?..:" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Disposal. Works Tousirnrtiun Frrutit Application is hereby made for a Permit to Construct ()9Q or Repair ( ) an Individual Sewage Disposal System at .........................).. .................. . � Location-Address or Lot No. .. v�/ ................. Owner Address W Installer Address Q Type of Building Size Lot55t4 -50�_Sq. feet -Dwelling—No. of Bedrooms____._______________ Expansion Attic ( ) Garbage Grinder ( Q0 Other—Type T e of Building No. of ersons____________________________ Showers P-, YP g -----•----•---•-----••---•-- P ( ) — Cafeteria ( ) P4 Other. fixtures ......................... --------•-_-•-- ----------••---• ------y w Design Flow•--•- 5--�--------- --gall --- per p p j rY --------------•---•. •gallons gallons er person per day. Total dailyflow r ✓i W Septic Tank—Liquid capacity1_5� gallons Length_f_ 2__ .._ Width__-_ __�_._ Diameter_______________ Depth... x Disposal Trench—No_____________________ Width................... Total Length _........... Total leaching area....................sq. ft. m Seepage Pit'No........2 _...... Diameter.....)__0.._.._. Depth below inlet_5.,.________ Total leaching area__. ___a 1_3-_sq. ft. z Other Distribution box ( ) Dosing tank ( ) `" Percolation Test Result Performed by.er inch De P'C _. � .SIN 11}. E� $P__ Date.., . a f=, Test Pit No 2 ______________m inutes p minutes per inch Depth of Test Pit.....................n Depth to ground water----W !, _e O Descri tion of Soil _��� 1 s V..;. A 1 5 i -- -----••.6 .. ` -�'' x P w U Nature of Repairs or Alterations—Answer when applicable............................................................................................... - --•---•--------•-•---•-•.............•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTI.,p. y g g p y " 5 of the State Sanitary Code— The undersigned further roes not to lace the system in operation until a Certificate of Compliance has been ued by.thy;board of h lth. ^/ ) � roa 4v Diu Z_�G,4i?S + Signed...... .//� "4Q =-------- � 100S ►�L ��'1 - --------------------•-- ................................. Dat Application Approved BY ................................ ... 9 ------- Date Application Disapproved for the following reasons___________________________________________________________________.............................................. -•-•--=-------------------•-----_..__.._.....-•-•--•-•--•-••--.....------•----........------....--••-----•---------•••-••----•---•---------------•-•-•-------------------•---•-----•-. ...... Date } PermitNo..... c6------ -�� ..................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ? Lail...........OF............ ::?.- °( : .................................. Tr t f iratr of Toutphattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by................................................................................................. .................. ......... •---•-.................... ------------.....-----•--•-._._..._..------ (� Installer /,, f� at -•!�.� /�==r��t ,.:a_ ---------•------�--7- r�'--•--ry'---``-`--------J T--:---------L� E��$----------- has been installed in accordance wit the provisions of TIT'LE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N ...... :__s__3�_........ dated________________________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT WCONSTRUED AS A GUARANTEE THAT .THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......:..........................................•••--•-•••-•---•--••----••-- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS t BOARD //OF HEALTH �jc� �G G 1:............OF........_.r),-c�.,�. f/ U , ��� .-....... .................f_._... �GG i\TO......................... FEE.__....�..1..... DWposal Worku TMan#r ilan anti# Permissionis hereby granted.............................................................................................................................................. to Construct ) or a air (�K) an Individy} Sew Dis os System at No. f►...�'`_`r_._7�....--. ----.�--�-------------- ` Street as shown on the application for Disposal Works Construction Permit N �.� 7_ Dated.......................................... •-----•-------------------•-•---- ------ --------------------------------------•-------- C/ Board of Health DATE------------------ �- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1 1 I T _ .,:...,.w,<.nia§s'Y:rmsw'.+hr.?r.•YH«•�«:.v.,..w. .�^�H:v�:a:,.. ZONE: RF SOIL TEST T PIT DATA:E SETBACKS. J INCH s 30 FEET 30 0 FRONT 30 30 � so 90 120 SIDE 15' T.P. -1 T.P. -2 REAR J5 GRND. ELEV. 96. 52 GRND. ELEV. .93. 73 G. W. ELEV. NONE G. W. ELEV. I✓ONE TOPoIL DESIGN CRITERIA.' � 5U$501L 24 -o V6501LG%� I SAND DESIGN FL OX' � M 1`.�tvM j S BEDROOM DWEL L ING 9 1 JO GALIDA Y PER BEDROOM J13. 51 ' 1,111' G 1, EGUALS550 GALS PER DAY. TO kO GARBA G& C-JZ/N17P-R tH or �D i u M t N E SEPTIC TANK. REQUIRED.- t INDICA TES TO PAu�R PERC. P 179�. 550 GPD X J501 =82 66AL. MICHNIEWIC2 TEST aN o4so 5A 13v SEPTIC TANK PROVIDED,' _/5'00 GAL . �Q a� SIZE OF LEACHING FACILITY REQUIRED' M1N11WU14;.01f INDICA TES 7-WO rl x 8 LEA CJ41 /G P1 TS OBSERVED I '' IF t 4" E1_91."r 3 DESIGN PERC. RA TE = ?- MINUTES/INCH DATE PROFESSIONAL ENGINEER CIVIL GROUNDWA TER g o7 TOM go-T--�aM, �OGALL ONS PER DAY SIZE OF LEACHING FACILITY PROVIDED.' E TWO G IPI TSWI TH 2`STONE I DA TE: DA TE.' ! SIDEWALL X x 17 S 15.1F, x z.E7 G4'D ;I AUGUST J6, 1988 AUGUST J6,BK BOTTOM 2 x -7 B s F x 1 •o L 5- G P DTES I TEST B C NIEWICZ P.E. R.P. MICHNIt il0Z, P. E. - R.P. MI H TOTALS 13 S LOCI _ WITNESSED 81: WITNESSED BY: JERRY DUNNING JERRY DUNNING PERC. RA TE c2 MIN/IN BREAKOUT CAL CUL A TIONS �k, of SLOPE /S5 X 150 ' = 1 9 moo`' PAUL�G P. } }i �o N E4- 100•"J0 �W1;.LL11JCz k 9fGISTEa��JQ,� I � — I auts EXt5T1NC� al _ EL992 vWf-LLiN d � E `--- 2 - F. G .= 9 7. 5 �� 8z DA E PROFESS 0 AN LLAND SU YOR ACCESS COVERS MUST BE WI THIN 12" OF FINISH GRADE. EL 9��94 (D1�lELLl I Et_.9 3.25 {{{ � .os E�93 � *Lc ,1 ,,, WASHED STONE � s MIN. 2 OF J/8 -J/2 DIA. � EL9 4. 14 EI_9 1.4©. LIQUIDS k DEPTH 3/4"-1 1/2" DIA. WASHED STONE 6� 1 1000 GAL . �- SEPTIC TANK EX1S"T I MG CESSPOOL_ --�, eq �� / I 2. 6 GL�ALJ ,�.1,1 9 I Q L / ..�. � �. 'TWO- i o 0 o .G A L L0 q C,&-PAC 1'TNf ?. G. 10 LE.AcH v l T S �ZEQU1R�. i 101 INVERT ELEVA TIONS.' 9 �. ST PIT #2 DVvE9r47' SAP INVERT AT BUILDING(Du/t-aAJ&) 9 G. 5 eox 1 F' TS INVERT IN A T SEPTIC. TANK 9 q-• C� REVISIONS.* �LR� I� w�YH 2�5ToNE _t_ INVERT OUT AT ,SEPTIC `TANK 9-3 8t�_- NO. DATE REVISION INVERT IN AT DIST. BOX 93 2 ' T PIT #1 r, � INVERT OUT AT DIST. BOX 9 3 • o - 1 11 so INVERT IN AT LEACH PIT L. �l � EXISTING . .�s>r� BOTTOM OF LEACH PIT SS . 7�� BARN - o A>aK I; Q, GENERAL NOTES. %UUo Exrso EcZ J. IP AN SHO`i/ING THE PROPOSED REPAIR OF A ING CONSTRUCTION OF THE SEWAGE DISPOSAL L FACILITY ONL Y. 2. ALL CONSTRUCTION METHODS AND MATERIALS SUBSURFACE SEPTIC DISPOSAL SYSTEM p .� ?�• FOR THE SEPTIC. SYSTEM , x�s�►N� SHALL CONFORM TO MASS. D. E. 0. E. TITLE 5 HOUSE 12786 '4F p SERvicE AND LOCAL BOARD OF HEAL TH REGULATIONS. �A max•). 3. ALL SEPTIC SYSTEM COMPONENTS SUBJECT TO MAIN STREET (ROUTE 6A), BARNSTABLE, MA M. 1 TOP O VEHICLE LOADING (I. E. UNDER DRI VEWA YS, ETC. B.M EL EI! /� C.B, SHALL BE DESIGNED TO WITHSTAND H-20 LOADING. PREPARED FOR 42 � !��#,'L�4.A[T__,9 �; ' ' J00. 00 44SSUMED� (ASSUMED 4. ALL SEIVER PIPE APPROVED EQUAL, SHALL BE SCHEDULE 40 OR ' SCHIFFMANN '. :. ST�4 TE HIG (PUBLIC /y Y UTE 6,4 - -MA.I/V STHE �, 5. BEFORE STARTING CONSTRUCTION CALL DIG SAFE SCALE.' 1 " = 30 ' AUGUST 24, 1988 UNDERGROUND UTILITIES. TIES.A TION OF �ARIABCE wloT,y� GLE SURVEYING AND ENGINEERING INC. 6. DATUM IS ASSUMED. j 441 ROUTE 130 SANDWICH MA . 02563 (617) 888-0559 PROJECT NUMBER 88-055 I ill I it _ _