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HomeMy WebLinkAbout4333 MAIN ST./RTE 6A(BARN.) - Health 77 a TOWN OF BARNSTABLE � 1 v �O�I D -63 LOCATION SEWAGE # '97- 32n VILLAGE ASSESSORS MAP & LOT INSTALLER'S NAME & PHONE NO. JO k" 17 1?4 1ta SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Zoo p (size) �,'X /,Y NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: /® ;-7 7 DATE COMPLIANCE ISSUED: �� VARIANCE GRANTED: Yes No. A- I i 1 3Y : L/33— Fma THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Appliratio(. for Utipniia1 Works Tnnitrnrttnn ramit Application is hereby made for a Permit to Construct ( or Repair ( )ran Individual Sewage Disposal System at: g g M'Cl , S T. �- T• i 7Z t e- to ��� _$ •...... _........_......•---•-....•--------------•••--••-•-•--•--•-•---- ••-••----.. ---...•. ---••-••-•••......•�.....•-•-••-••-•--•-----•---....•... -/ Location-Address 'or it t. cc Own Address,-- ----------........---`,�+z a - s'. -- .............................................. rll e.............................. Installer Address / d Type of Building Size Lot...-_.Vf..9..............Sq. feet U 47 Dwelling—No. of Bedrooms...............3.--.--_-_----•-__---_--Expansion Attic_( Garbage Grinder-{--t aOther—Type of Building �.... ^'�%_�j� No. of persons......�................. Showers — Cafeteria.-fir Other fixtur Design Flow................................ .._.gallons per person per day. Total daily flow_-__--..............__........._ Ions. WSeptic Tank—Liquid capacity. gallons Length.s��.4.... Width__`l.( .... Depth. ....... x Disposal Trench—No..................... Width.................... Total Length........... f Total leaching area....................sq. ft. Seepage Pit No.................... Diameter.._�__.`.. _._._. Depth below inlet.._.............. Total leaching area.2.8. ..sq. ft. Z Other Distribution box ( ✓� Dosing tank_,( 1­4Percolation Test Results Performed by.. -r` �_C.............................:.. ,( 'h o C Date �7 . ,r Test Pit No.�.._.<z_minutes per inch Depth Test Pit-_ 2._ . . Depth to ground water.___.. ... LL, Test Pit No.2�..._..—_Z.minutes per inch Depth of Test Pit.... Depth to gju=d water _......._. � O Description of Soilcl i•_v-�-7 �Q✓2. .v.......`. S ............ �------------ - -----------•------------------------•--------------------•------------------------------•---•-----•-------------------------------------------------------------------------------------•---•--.....•... 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 TL I TH-E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate o Com li� c has been ' sued by the bj9ard of li lth. rg 9-7 - Signed...... C, Application Approved By........... ---- -•.t.�c�rv,A- - -s�............................... Date Application Disapproved for the following reasons:------•-------------------------•------------------.._...---------------------...-----------•-•-••....------.... ....................•-•-----------------................................................................................................................................................................ Date PermitNo....... ..................... Issued-------------........................................................ Date ....:..�..�.....�.��.�... --....------- ----------------------------- No 7_3aG„ Fimic .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ a. Aliji iration for Bispusal Works Tonstrurtinn ranfit Application is hereby made for a Permit to Construct (j� Repair ( ) an Individual Sewage Disposal System at: �4J c2 v 1v1 0 , . ............ :_........� ...•--........................................................... ---•-•----.----- -------------------•-------------•----------------•------------------ - - Local ionC-Address / r t to. _ y� Owner Address Installer Address Type of Building Size Lot._.��...f`._.-`_fi.7...Sq. feet U Dwelling—No. of Bedrooms.............. _.__Expansion Atti c_�-n Garbage Grinder aOther—Type of Building �... ^ .r.jy No. of persons...._.!:'................. Showers..(-')'— Cafeteria-t—` dOther fixtur ----•-•------------------•--------------•------------------------....---------- W Design Flow................... _.. ___._gallons per person per day. Total daily flgw......... —'...`�..................gallons. WSeptic Tank—Liquid capacity�-1�. gallons Length!�....c..... Width.-` __./-. Diameter________________ Depth_ �_. x Disposal Trench—No..................... Width.................... Total Length.......:............ Total.leaching area......... ._..._._sq. ft. Seepage Pit No..-_____--_...______- Diameter................... Depth below inlet..............r........ Total leaching area.?`5__-6..sq. ft. Z Other Distribution box ( Dosing tank-(^}'"' �. '-' Percolation Test Results Performed by..Via-.'.!".t?.. .::__._ ? '"� "' •-'_ ' r �. Date --...... Test Pit No-D----- per inch Depth of Test Pit--�_.�. e__. Depth to ground water......: .. .. (s, Test Pit No. .._.:c..I---_minutes per inch Depth of Test Pit... _._ "?..__.. Depth to gi d water------- ------------- �-` <� D Description of Soil ''? `� _ �� ,^i r,C f - ,- �'� --- .. rt.........V. ........................................W d ...� �.✓° O'~ *�� .> A e ...,...a .--. r� ,v l - U ^"..__`•l............. � ......................... .............„c........ ........_......... _ W VNature 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 TITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate o Com�1� e has been' sued by the board olth. l p.2 F 7 gned:: y ...........................................................f Date Application Approved By............. Date Application Disapproved for the following reasons:-----••-------••-------••---•----••---------•-----------------•-•---------------•---------------........._...... ..............•--------------•-------•-•----•-----------......-----------•-•----------........------...-----------------------------------------...---------•--._...-------•----•--------------......... Date PermitNo....... ------- •��..................... Issued-....................................................... Date • E THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �� .......OF....: .';`� ram.. ................ ................................................................ Tntifirate of Tompliaurr THIS IS TO CERTIFY , 'hat the Individual Sewage Disposal System constructed ( 4-T orRepaired ......... .-•--•-•-••••---- --------•-------- .✓ .} Install A9 has been installed in accordance with the provisions of TITIF 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No---- .......... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................-• . •• ........................... Inspector.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF FEE.., '..—.... Rojo a/ l Vorhp Twnnstr�pi-dion Pgrutit Permission is hereby granted...'---=--------•................:...........�- -------------•----------._.......---------------•---•-•---------.....---...._..---•---..._.. to Construct ( `)tor ,Repaidr man Individual Sew gee Dis osal Syst � at No..---�. ..P�...... ........�•�-- ''ca�J -`�, � � � �a .................................... ------• •••....-•----...--------------------------------•------------•`------- Street as shown on the application for Disposal Works Construction Permit No. Dated.......................................... •--------------------------• :-~--=�-Y,i..------........-----...._ z DATE.................. .-�'----'--.�..�..:.�.--�-............-.............. Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON _ - ,y 94 BENCH MARK : C U -14/ 7--X ",P <74 uNsQ , �-A �� I EST H 0 L E RESULTS ". P G438 � „� wok .� A.� S (JM .�, ,7 �.. "1E'. 1 Q DATE • .. 41, ,/ / WITNESSED BY , �" "Is Cl ram~� l"� ;� I� v�yay t n! a o,H, 1zFSFI2VE .tqc a Ile O �,� / L ,r� �,r A �, .r �', a TF-s r H t E .� E� o o T EST H 0 L E 4 E 4 9 S o o TEST H O L E S F/ / s.S 5 u.?3 S o/u S V L3..�ca�4 2.ly, o _� / IZL MOV 4. Ddl(JAI 19 / '�`� ) mac'' / ON M1 EDIQM SAn/D F'JN E // 4• j %i" o 0.9� .�. SAS a ' .sTea�v �- ® / �2 / � / / 1 �PR �v�.rc.• (�!a C�GAY� GNii..i /%1. ` � p• ,�- �� sri�^�, Zo�r F"L. &3G,0 120' EL. 6sO ,r` F ��-, 2 \� L_ V�rRxr,^jF MEDitlns ro /20 95.5 Q 7Z Y,ea/�✓r,> .s�'N7� F-,�.,►� v./N�r�• 1 ss9I/L UrLsv)r a.cc "h v�1.' .y \/ / t7 .v SJ^/C�•" TcEMOVFL3 ; /2�'' �C1Msvir,� '� ss's G8'� s,aNr� zM��/,�, "� Sl, o ! c �,�! --— `'~� i o _.. et/o W r E.n V R Y ,,��- 1,50 ,� F/ 93,O / h' Q�9 l74'� SAND (Un/Su)7, ,!� \ \ � G� _ Aj/oGROUND WATER A GROUND WATER ENCOUNTERED ENCOUNTERED 1\ 00 �r / 11 -��'�- - �.-p • `/sue\ `` �� �5, ; /�\`�' ELEV. TOP OF MANHOLES AND COVER TO BE BUILT TO FOUNDATION WITHIN 12 OF FINISHED GRADE o a >�.A • $ ,tg' C` `'s? 3 •. v, iaf ','s FINISHED GRADE - MIN, 2 /o SLOPE OIL, ., �; \ 1 j. 2 4tl DIA. .. 7 4DIA. PIPE FIRS 11 2~Mlr. �_- � \ f MI N. 2 LAYER OF 1 ��,3 �lG t -�,•r/r+,N. a M i N. Pi TCH i FT. 2� LEVE r. V / I '- r • I�t3� �2� PEASTONE 8 MIN. P I TC r� �. ��S'rJ I FT H /r'MIN. 1'f 9.5.2�7 �, I_ g •� • �j • ',� ' �, 3,qp INVERT /4/ �� GALLON LL N 1' IN'V T� 6"sc4MP INVERT © y pJ Y 1 • 99 �, ___ '' 7 �• 9�5;�0 7 D I S T• <t W 4•' 1 Y2 D I A. 9 •t ` TIC TANK INVERT SOX 15'/. 93,a ;' © 3 ©•'•' WASHED STONE L�� ,_2s - FOOTING TO BE. PLACED \ �,. INVERT • ' � / �� , �' ON A MINIMUM OF 18 OF �. PLACE ON j INVERT �',� Ix �,�� ALL AROUND VIRGIN OR COMPACTED ,1© FIRM BASE@.• BOTTOM AT ELEV. 90,© SAND 10 M t N. -� GARBAGE ( 2 0' MIN.) 9 � 9 GRINDER - _ ---'' ��T -- Y e`� '� 4°_ i A. P E R F 0 R A T-E-D dF„ D .R A P 'I"`t'H 3/4» a T; 0 l- r•J-ice 4.d ..a E L E V. 8 .o PR 0 F I L E OF `, GROUND WATER TABLE T O I, 2 0 A'°`--S,T O'N E L P+R"E C T FLOW O W Tb_"^ S A N I T A.R Y D I S P 0 S A S Y S T`E M NOT TO SCALE D E S I -G N D A T A 0 CONSTRUCTION OF SANITARY DISPOSAL 3 BEDROOMS f SYSTEM ' SHALL CONFORM TO THE MASS. 330 . � a ?... � ~\ �J' �,,,'� ,,,- ., ��L `• DESIGN FLOW GAL.�D A Y ENVIRONMENTAL CODE TITLE ZZ' / �`� 2 -�-••''� � LEACH RATE � 2 MIN. I N CH (REVISED 7 I 77) AND THE TOWN HEALTH DEPARTMENT REGULATIONS REQUIRED LEACHING CAPACITY : 330 . S y V 7""•/!1. ,r a B T =� 0 SEPTIC TANK, DISTRIBUTION BOX AND LEACH- PROPOSED to ` E33 GAL/DAY ING UNIT TO BE OF REINFORCED CONCRETE , Z. S(3.© 4- t i. 0 71-(7) MIN. CONCRETE STRENGTH 3000RS.I. REQUIRED SEPTIC GAL. 00 MIN. STEEL- STRENGTH 0 201000 P. S. I. /000 (o, 4 7t / CV MIN. DESIGN LOADING : H2(::) PROPOSED SEPTIC TANK : J-500GAL. DRIVEWAYS NOT TO BE LOCATED OVER SYSTEM UNLESS H2O DESIGN LOADING IS USED �- ALL PIPES AND FITTINGS TO BE WATERTIGHT �~ AND TO BE OF CAST IRON OR APPROVED P.V.C. HEALTH AGENT APPROVAL DATE �. Q S T L AN SHOWING PROPOSED CONSTRUCTION ZONING DATA �,s •" , L E G E N D : , � L0 CAT I O N B A N S T LE (c�� � 4�,�) ,� �, FOR ' ' �/ET'. 'T'7..". . S.`V O w',��I\,l DATE : ZON E : .._ _ Tc�� TEST HOLE LOCATIONs r �`� • u�/.a 4!J REFERENCE LOT AS SHOWN ON REVISIONS • 6 ` /F7 REQUIRED AREA - ._ — 143S6o EXISTING SPOT ELEVATION 17.6 ;., ,l" �,� 3 (4�• l _PLAN B 0 0 K 4 3 PAGE .� . REQUIRED FRONTAGE :-_2o SG win?' ' EXISTING- CONTOUR 16 ' -J REQUIRED FRONT SETBACK : ��PROPOSED CONTOUR 16 �j *�,-��,�. � _ � �� 9 4 87 • REQUIRED SIDE SETBACK : (�s) PROPOSED WATER SERVICE W'-- SCALE REQUIRED . REAR SETBACK :A E CK : /`S PROPOSED GAS SERVICE G— " ' "' / �_� PROPOSED ELEC. a TELE E B T C RAI G . SHORT ., P. E . PROFESSIONAL CIVIL ENGINEER L.BUI LD I NG INSPECTOR APPROVAL DATE 131 OLD ROUTE 132 , HYANN IS , MA, 02601 FILE NO. / ( TELE. (617 ) 362 - 9411 ) SHEET / OF /