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HomeMy WebLinkAbout0035 ANTICO LANE - Health 35 Antico Lane Centerville A= 172 003.002 No. 4210 1/3 ORA 10% No. Fee (ICJ d U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 1� 0[ppYication for �Di_qpoar *p.5tem Comaruction 3permit Application for a Permit t onstruct(YQ Repair( )Upgrade( )Abandon( ) El Complete System 1:1 Individual Components Location Address or Lot No. Lai' 2. A N T i C o Ld.N E, Owner's Name,Address and Tel.No. 1?/VTICo WOCIDSJ All? ®t-D 6Gv -rE fliiper%/ Assessor's Map/Parcel M 14 P 17 7.•— R e coNri gt/r s D PG 130 X G 36, L-Ots. VVA12C14/904 4 Ma ©'2-57/ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ( 6,6 �'�/JT/LC Al`� s/(° '�pyJs3 swI.LI'14N1�IY!ii/YBE//It//� //YG Ip D . �oY ti F '7 Pargi z R.D .o. 3 Type of Building: Dwelling No.of Bedrooms Lot Size 1 11 L i.f sq.ft. Garbage Grinder( )N 0 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 0 gallons per day. Calculated daily flow 3 3"2— gallons. Plan Date IV 3af f S Number of sheets 2_ Revision Date Title PrGPmsr A S-Pf7G 55'YS66:111—La t A/o. 2 )91V 1Go 1. elaQS, OeyterV I L L B_ A;1/9- Size of Septic Tank 15-00 &,Q LLo1V Type of S.A.S. L-ffhdjgt e C10903tt-a 12`X 2 -1 Description of Soil d- Z,L®— P I N6 N6EDLE75 Ore-17A11C 1Yi 4AVLIAi_� 2 i/ G fI A vrY ®9Z1t Crp I L aAsi 1=1 AIE s anyn / G "- z-7 " B Yi Lc,ocv R m4. L.0,4m Fw,6- S/,74/1) i 2b 'I C LT- yEL Lf 0"/ 8rawty 10sry F/.,VE Sax"D Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisio4ofe 5 c thevironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issthis B and o Health. Signe -- Date `9 Application Approved by r Date Application Disapproved for the following reasons Permit No. Date Issued l" OWN OF BARN STABLE i!A LOCATIONto t • i SEWAGE * R. VILLAGE t ASSESSOR MAP& 0�. . L INSTALLER'S NAME&PHONE NO. SEPTIC TANK-CAPACITY n� '� LEACHING.FACILITY: (type) '-,C 1�rdaA VLC_'� (size��;� — NO.OF BEDROOMS t BUILDER OR OWNER PERMIT DATE: COMPLIANCE DATE: Separation-Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) '��� Feet Edge-of Wetland and Leaching'Facility(If any wetlands exist within 300 feet of leaching facility) L^Z;vAX__, Feet Furnished by j_.I 'Cl U75 .�,r - .. M 1ti �"�+.�... a �,Y �IV`v w.. � -iw:'��&�i..i't»y',,.�•. `�'-rs'a.^.L"' i/ C) No. Fee THE COMMONWEALTH OF MASWqHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTASCEi MASSACHUSETTS �a 0(ppricatiou for M-opool *pe;tem Couttructiou Permit Application for a Permit to onstruct(X Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. L o r 2 A N T I C o LANE, Owner's Name,Address and Tel.No. SO&-2 a-Z.-S SO4J /9/1/77co WOODS, C--mterdlLLGI 1"A OLD CENtrE (ZCpf.7-1 Assessor's Map/Parcel M W P 1-7 Z— (Zs CoA/F yurF:D P0. 130Y L 3 S' L. tom. WA2Gi! M /yIL! ClZS7/ Installer's Name,Address,and Tel.No. /� Designer's Name,Address and Tel.No. 1 D �6? ic1.-14 G� e�s�T mac.. ���� � J � F1 OStE/'1//LLF /Y1p Type of Building. Dwelling No.of Bedrooms 3 Lot Size 1Tsq. ft. Garbage Grinder( ) N U Other' Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3 B gallons per day. Calculated daily flow 3 3 2 gallons. Plan- Date I"2J Sol?, Number of sh ets -2— Revision Date Title Pr;p c�D S EDP/� S VS?E/Yl L'o t /1/� 2 A/1/f/Go [.(JaUD_T C'E/t�7'E l^/l L I-6 MA Size of Septic Tank 15-00 GALLa/t/ Type of S.A.S. LENeA1Au f+ C{IAM8jcl2 (2X 2r ' / x Description of Soil 0�- a.1"n— P I AIG A/E E Dt_9r5 a rG-4,W1 G /N.r1 tE/t.ill L, Z ��4 �I A V r Y DRY_ Gray 17 l/e s 4ryn � /. " z-7" S YE LLOU,1 RlLtj. LoaM PiAZE SAiL� 2?" 12y �� LT- Y�LLz.,u/ Rr�>ulf t/-ry rIrVE SA All) Nature of Repairs or Alterations(Answer when applicable) 4� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system�� in accordance with the provisions of Tifle 5 of(ihe E?tivironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued-1 this ..,B card of ealth. SigneK 1 Date Application Approved by I Date Application Disapproved for the following reasons Permit No.-9 9—�� Date Issued /" ' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( Repaired ( )Upgiaded( ) Abandoned( )by at Lot Z ,! Alt I c o t_4/7/� C L L[:. Inl'; has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �` -/f dated /- ?-9' Installer Designer 1 �„A r c The issuance of this permit shalfl1not,be construed as a guarantee that the _ will functioon as designed. Date lIf�P� Inspector �K�'� l ��'�/� ^/ ✓!�l�l� No. — ----------------------------Fee f r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 1=ioozaf *pmpm Construction Permit Permission is hereby granted to Construct(°Repair( )Upgrade( )Abandon( ) System located at 1�1'f `2 R/f/f 1 ca /_A V,6� C E:/ &IVI LLF. M,4, and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of thisp-rmit. Date: �— / / Approved by E4/v'` Zz - s �f• R _gam= ANT/CO LANE g 9.59' �o P o .O �� I LOT ,TH-I � AREA . 3 ® in I I I,41T s,F PROP0560 '3 N I I r so U -� N�EPROOM VASE. I •• 11'30'� p 4 to M 1j TN-?.e 10'MIN, I LOCUS PLAN 0 - - c SEPTIC I 10' Sca 000� 10, o TANK EASENIGNT ��OF MIN, I N ►00% P-D�x x7/.5 Indicates Proposed �, SULLIVAN RESERVE PRIMARY '� Spot Grade N0.29733 Top of Proposed CIVIL N, Foundation 72.25 .p p PLAN VIEW- LOT 2 A � Scale: I = 40 O 'TH—I EL, 71, 5 O�1 TH-2 EL. C 'PINE- NEEDLES PINE NC-EDLe5 2„ OR&ANIC MAT _ 2,, ORGA►.11C MAT, VP.-I.0RKGRAY LOAN! VR11, DIRK. GRA`I LOAM 6" A �'INL' SAND 6,, AFINE SAND VGL. 13RN. LOAM Y6L, BRN, LOAM „ a FINE SAND ,� Q FINE SAND. 27 a1 yg,. PERK TEST PORK TEST 66" LT.%JEL. SkN, LT, YEL. DRN, C V, FIN \/Ry. FINL SAND 124'1 . 124" pI oL.A71ON TEST PERCOLATION TEST CLASS I MATERIAL CLASS 1 MATE.RIAL- bEPT1-1 — y8 DEPTH LeS,5 TVA kht 2. MIN/INCH LE55 THAN S/V%M/ INCH NO WATER EN000NTED I�10 WATER EN COUNTED DATG1 05/14198 . NC. : P-gI46 ENGINEER! SUL-LIVAN ENGINEERIW6INC V41TNE55: S.DUNKIING,T.0F13,, 13. OF 14 PROPOSED SEPTIC SYSTEM 1. Plan Reference, Cluster Subdivision No. 755 AT 'ANTICO WOODS", Endorsed Feb 10,1997 LOT No.2,ANTICO WOODS Book 531 Page 83 2. Map 172 Reconfigured Lots 3-1,3-2,3-3, 4-1, 4-2&•5-3 CENTERVI LLE , MA 3. Set Backs Front=20' Rear/Side=10' FOR 4. The proposed foundation shown hereon complies with OLD CENTRE REALTY the Town of Barnstable Zoning Set backs and is not within SCALE: I =40' DATE: D EC.30, 1998 a flood plain SULLIVAN ENGINEERING INC. SHEET I Of 2 OSTERVILLE, MA NOTES DESIGN DATA 1.Water Supply ForThis Lot is Municipal Water. Single Family-3 Bedroom With no Garbage Grinder 2 Location of Utilities Shown on This Plan Are Approx. Daily Flow=110 x 3=330 GPD At Least 72 Hours Prior to Any Excavation ForThis Septic Tank:330 GPD x 200%=660 GPD Project The ContractorSholl Make The Required Use 1500 Gallon Septic Tank Notification to Dig Safe(1-800-322-4844) LEACHING AREA 3 The Contractor is Required to Secure Appropriate 330 GPD/0.74=446 SF Required Permits From Town Agencies For Construction Defined byThis Plan. Sidewall=2(12+25.)2=148 S.F. Bottom Area= 12 x 25 = 300 S F. 4 Install Risers as Requiredto Within 12 of 448 S.F.Total Provided Finished Grade. LEACHING CHAMBER DESIGN 5.All Structures BJried Fovr Feet or More or Subject At I Pipes to be Schedule 40.Use to Vehicular Traffic lobe H-20 Loading. 2-500 Go[.Leaching Chambers ina 6 Septic System to be Installed in Accordance With 12'x 25'Washed Stone Field as Shown 310 CMR 15.00 Latest Revision And The Town of I�,�1�O Barnstable Board of Health Regulations ? 7. All Piping to beSch.40 PVC. PETER N SULLIVAN NO.29733 CIVIL FouND,rz-zS �FC/STE���`,� FG.71.5 F G.71.4 HAL 69.2 68.2 Boom 69.0 1500 Gal. 68.8 Top El.69.2 Septic Tank 68.6 Sot.E1.66.2 68A Bedding as Per Title 5 5.0. 10 10.5, IOr to' 12 ' J Bottom of Test Hole E1.61.2,No Water DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM' ' Not to Scale There are no wetlands within 100 feet of the proposed leaching facility. There are no private wells within 150 feet of the proposed septic system. There is no increase in flow and/or change in use proposed. There are no variances requested or needed. If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will not be located less than(14)feet above the maximum adjusted ground water table elevation. Finish Grade Filter '� M Fabric _'Compacted Fill IZI: 1/8"L Ile, Pea Stone Leaching3/4�r—I I/2 Chamber Double Washed Stone I r 4! LOT No.2 ANTICO WOODS CROSS SECTION. OF CHAMBER CENTERVILLE , MA '-.:NOT TO SCALE SHEET 2 of 2 o03007- _.._ _ -- S . ' OWN OF BARNSTABLE LOCATION i SEWAGE # ' VII.LAGE ASSESSOR'S MAP & LOT ,Y INSTALLER'S NAME&PHONE NO. y�k��� � ��- }T'�► ��� `��' —Z, j SEPTIC TANK CAPACITY LEACHING FACELITY: (size , NO. OF BEDROOMS BUILDER OR OWNER �, PERMIT DATE:. �' �� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility tACLI Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) ��'����- Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet l Furnished by l I i l i ti e � i F