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HomeMy WebLinkAbout1393 MARY DUNN ROAD - Health •,�, Pd• �� ��Gtll�lll 6 - "r t. 0 c. __ TOWN OF BARNSTABLE C° I IJ LOCATION I.= M SEWAGE # VILLAGE CUAIM- lAQU ASSESSOR'S MAP LOT3,3 _00k0l� ,,INSTALLER'S NAME & PHONE NO. R m, r lC_XcC40A_'W EPTIC TANK CAPACITY O Gnu � r LEACHING FACILITY:(type) 1TS '(size) 'QNO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER I I -'BUILDER OR OWNER DATE PERMIT ISSUED: `. DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No t A--� 1 �rn •�� THE COMMONWEALTH OF MASSACHUSETTS (� / BOAR® OF HEALTH __7r6W.P..............OF.....:. �3,1•�.cS_ R-$-L-fG. ...._.. ApplirFatiun for Uhipoii al Works Tomitrurtiun Frrmit Application is hereby made for a Permit to Construct (j\) or Repair ( ) an Individual Sewage Disposal System at: --•------------------------------------------------- ------------..............------------..............--------------------------------------- Location-Address or Lot No. KENf�i .A� ��hl�.... S ...&A...-•-•- ---.._!3�1...._°!n••�_ I�Lw� .rQ:6 �,'�`-V% td w er/��r Address W 1/ Installer Address d Type of Building Size Lot------ _71 4�;q. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder aOther—Type of Building ............................ No.� of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtur s ------------------------ -•---•----•---•---•---•-----•-----•••----------------•-----------.... W Design Flow-----•----.----5. ....................gallons per person $er/dW. Total da)ly Qflfloly_:_____-•-_4..._0._............_____ }ons WSeptic Tank—Liquid capacity 1500gallons Length..-1._'"!R____ Width_.."�R_ Diameter_____________ _ Depth_..':._� x Disposal Trench—No..................... Width.................... Total Length.........._......... Total leaching area....................sq. ft. Seepage Pit No._--.7.----------- Diameter...._..L..'L.__t... Depth below inlet..._..._-....... Total leaching area_G.1_.8....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by. Alt _..c�U.Rv'.. ._ ?+}_�. Date..-1.4.-A-3_......_..G._ ,-a Test Pit No. I...... ........minutes per inch Depth of Test Pit.......1.3..-..... Depth to ground water... Test Pit No. 2...... -....minutes per inch Depth of Test Pit...13.�__...... Depth to ground water.---- x ---------------------------------•----- O Description of Soil_°`r � Q'2.. �".3_�__.. Q.� r_.. c��?_ Q��-•--- .................................. ----------------------•---••--••--•----------•-----------•------•-•.-••---... - ..c t�SO Cs�lt x ........................................................................................................................................................................................................ 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:TT y g g p y 5 of the State Sanitary Code—The undersigned further reel not to lace the system in operation until a Certificate of Compliance has been issued by the oar of health. Signed--X- .. ------•------------------ Date Application Approved By.............. . ..... "' ---------7 ' 47,:-?,'5- Date Application Disapproved for the following reasons:..........-----------•--------•-----------------------•------•-----------------------•••--•-•-•--......------ --•......-----••-•-••-•-•-------------------------•-----••••-•------•--•••-------........-••-------....-------------------•------------••-•-------------------•-••••-•---•-----•----------••------•--•-- Date PermitNo...... +7------•-----•--------- Issued-....................................................... � T . i No................_....... Fi$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ?"�@: «1 .�:..............OF...... !.. •.....:.y .t ��.�, �, Agpliratiun for Disposal Works Toustrurtiun Prrulit Application is hereby made for a Permit to Construct (. ) or Repair ( ) an Individual Sewage Disposal System at: ................ .... ...-•_... ......... ...............•- -••-•••. -•--•........ Location-Address _ or Lot No. i., _ -1 P' :�tJ.t 1 f � `7 An hd`" 1t1. !-A" fr Ck ..... •.%i Ownez `...-- ----- •--- -- ----• --Address (S� \ Installer Address 'r y ; Q Type of Building Size Lot..... .:......!......._�,Sq. feet U I; Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( _;) P4 Other—T e of Building No. of persons............................ Showers — Cafeteria QI Other fixts _ !11Design Flow.................. ._gallons per person per day. Total daily flg .__.... ---.-___--__.---• llons. � WSeptic Tank—Liquid capactty ?. gallons Length ..:" .` Width`..`�_' rL_Diameter____._ ... Depth.`" }..._� � x Disposal Trench—No..................... Widtlh�................ Total Length............•.`...Total leaching area..,,......�._.._sq. ft. Seepage Pit No.....�.�............ Diameter.....:...<- ....... Depth below inlet... a-:__.._.__.. Total leaching area2c;.1..........sq. ft. Z Other Distribution box ( ) Dosing tank (� ) '-' Percolation Test Results Performed _............ _. Date.... ....R._ 1 y.1 1 Test Pit No. 1................ per inch Depth of Test Pit___.'_'..,?_:'__.--- Depth to ground water------_:.--:-- 6z Test Pit No. 2......t......minutes per inch Depth of Test Pit_.. . ._`........ Depth to ground water----- ?_ - ----•--- -----------•----------•- ..._ 'Vl O Description of Soili: _.A- G®_' 9 =:..� .� ' g s °� - ` 3 - r ---• y . Wd ._...._.. .. _y2-'_._._. Y �W • ------------------------------------------- _------------------------------------------------------------------------------------------------------------------------------------------------------------ i 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 A.-T y g g p y of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued bypthh boar of health. Signed--- .....�--)C`�:=t`.....-- --. ---- Date Date Application Approved By........... ..`�; ..__::._..'° • - V , Date s_ Application Disapproved for the following reasons---------------••-------•---•---•-------------------------------------------------------•-----•----•-••......••-- ........................0..............•......_.................................•..............•••-•-••--'-•--•-•-•--..................------......•...........0..................... ••......------ Date PermitNo. �,I- ..... ------------=------------- Issued................................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OFj HEALTH OF. ! 4ia. Ycdsa�t�tav t� Trrtifirate of Tuutpliunrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY...................................•-------••••••---•- •--•••-•-•• -•-•••-••••••......................................................................................................... Installer has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..........9._?______.mil__ _. dated_.-...-_._..................................... THE ISSUANCE OF THIS C .RTIFICATE SHALL NOT BE CONST AS A UARANTEE THAT THE SYSTEM WILL FUNCTION i FA Y. ,) ..� DATE Inspector.. .. -••-•• : THE COMMONWEALTH OF MASSACHUSETTS f BOARD OF HEALTH r- 0F........r....�c rryc-�I ey�� ..< No...........?.:........� FEE........................ Disposal Vorks Tunutriun rrutit Permission is hereby granted............................................................................................................................0................. to Construct ( ) or Repair ( ) an Individual. Sewage Disposal System at No-------=--=' r_r fU --------•-----------•--••••-•-••---•--•••--•-••---=------------------•-•---•....-•-------------•••--•-------•------•-•---•--•••••••••••-••--•--------•••......---..........-- L- Street t as shown on the application for Disposal Works Construction /� Board o f eltdh, A -__------- ---------- ea DATE----------------- 9 --- --•-- .. _._._ -- -------------- RREN. C.. PUBLISHERS�� FORM 1255 HOBBS i GENERAL NOTES.' Top o r% SOD- TEST PIT DA TA I . 1, THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION OF THE SEWAGE DISPOSAL .INVERT ELEVA TIIO,NS. 13,0 6 T.P. -1 !i'L.0 0 T.P. -2 FACILITY ONLY. GRND• ELFV. GRND. ELEV. INVERT AT BUILQING 10 G. W ELF_V. O.Y. ELEV. 2. ALL CONSTRUCTION METHODS AND MATERIALS 6 t o.52 FOR THE SEPTIC SYSTEM SHALL CONFORM INVERT IN A T SEPTIC TANK To P COO)L_ `�. !S w j L TO MASS. D.E. O.E. TITLE 5 AND LOCAL INVERT OUT AT SEPTIC TANK I.., Q.,..�..'� -- ACCESS COVERS MUST BE MITHIN !2 OF FINISH GRADE. � a; BOARD OF HEALTH REGUL A TIONS. INVERT IN AT ArST. BOX 1631,... � INDICA TES � OIL B I��"i`� PEW. TEST 3. ALL SEPTIC SYSTEM COMPONENTS SUBJECT TO INVERT OUT A T DIST, BOX y o F 1 R ;;c c o�1 R.�e VEHICLE LOADING (I.E. UNDER DRIVEMA M. ETC. b�'� SHALL BE DESIGNED TO MI THSTAND H-20 LOADING. INVERT IN A T LEACH PIT 10 y,� MIN. 2" OF T i"v BOTTOM OF LEACH PIT I to's oa.nn J/B -112 DIA. 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR 3 4 MIN. -� ----- WASHED STONE INDI'CA TES APPROVED EQUAL. OBSERVED 6ROUNOMA TFR o N DEP H 1 �'� OBSERVED b o`I� �l"a ;,�v `'� �. GROUNOi✓A TF_R ADJUSTED 6ROUNDYATER ►J 10 DIST. � 3/4"-1 1/2' DIA. \7 o M' SD �4)E� 5. BEFORE STARTING CONSTRUCTION CALL DIG SAFE � ?�--- I04 GAL, ©OX '�p WASHED STONE - ,+ vL 1-800-322-4844 FOR L OCA TION OF SEPTIC TANK 4 UNDERGROUND UTIL I TIES. ""'�" 4 3.00 INDICATES TEST PIT 6. DATUM IS ASSUMED H_ to Cq-zo 1•F . l$vR)tiv 12. 7 , S t `r e 15 L O C AI'T e V i t-i -t l j f,. D e...e'veR. TWA 1-1 1'3 li t,10 Wxti"i"L-P, LEGEND rya -� �rs �.���►�z�� � DATE, ---50, = EXISTING CONTOUR -tea o` Eye TEST BY. — I 50 = PROPOSED CONTOUR wlrNEssEO BY �o� '�-' M 10 = PROPOSED SPOT GRADE PERC. RATE Z MIN./ IN. .,10 = DIRECTION OF 5TORNh'A TER RUNOFF OF�, ' d DESIGN CRI TE rA.' ROGER h'c� DESIGN FL Oh! Pau� �, - BEDROOM DWEL L INS t3 110 GALIDA Y PER BEDROOM I FpC�JJ�E.fyL� v MINo 310420 z CIVIL p EJUALS H92- GAGS. PER DAY. ee_'F JM C_E:WrRAL 9g1LRaPb 3.M. TOP OF CONCRETE BOUND ,, far�y i/y' SEPTIC TANK REQUIRED- a - 0 0 (ASSUME�7l a Q� 4110 GPD X 150X C1 GAL. SEPTIC TANK PROVIDED = 1 0 C7 SA. ' DATE P,40 E 'IDNAL ENGI =ER G'l. YIL 257. 33 SIZE OF' LEACHING FACILITY RFOUIRFD ti DESIGN PE90. RA TE - '- MINUTES/INCH l,lil - rn SIZE OF LEACHING FACILITY PROVIDED.- o 7 PIT K V WITH ' sroNc h s.,�,- L 0'T .11�► c�� j �` �`� SIOEWALL 4 2 S.F. X 1�'� - 4 C GPD s> U r �;• al 9�7 ``+ 1, " Ptv�t r:�.: BO rTO,ai 'L.2.. S.F. .k' i, Ci 7•' GPD .1. 59f ACRES \; NO. 3246 �;a k TOTALS CKI S•F. 13, GPD p'� BREAKOUT CALCULATIONS' SL OPE ` X 150 ' 3 2 �j o K 7- c► K U- q r I ~P-A E PROFESSIONAL LAND FRVEYOR Q 100. 00 REVISIONS- NO. DA TE REVISION PLAN SHOWING THE DESIC'N OF A PROPOSED SUBSURFACE SEPTIC P SPOSAL STSTEM LOT 16 IYARY DUNN ROAD, BARNSTABLE -MA ---- 1 , }- g� �, rn SCA�.E 1 " = 40 ' FUME 18, 1993 a � b" ' C 06- EAGLE SURVEYING E' EMITNEERING, INC 441 ROUTE 130, Sx"NDh.TCH, MA 66 E c-r-c PRo� Sop GAL L PROJECT MWER 93-078 5 - as-�-• 1 � of t,> � x•,.44 � �°�•DR. ''D R 1l� �.WTI Y 1 CJ `o 2 5. 50ot 1 to 1 /�/ -..�, � m., >�7^�r-;�,w +;.�.} r.^a � ti:-�...e...-� �rt.- ,r., f� . � _ O ,rr,:- k v9.'L�'•„ 1� do v tiA, l tib �L 437. 68 ilpRpP �` go, R = 24. 54 � w/ 3 5T0*4C `D�RY1G� 1